Improving fetal congenital heart disease screening using a checklist-based approach

To determine if using a checklist of specific ultrasound image criteria to screen the fetal heart improves the cardiac exam completion rate, defined as the ability to classify the heart as normal or abnormal. This is a retrospective cohort study of patients with singleton pregnancies who underwent a fetal anatomy survey between 18 and 28 weeks' gestation. A checklist was used from 1 September 2015 to 31 March 2016 to categorize exams as complete-normal, complete-abnormal, or incomplete. Performance was compared with a 7-month period prior to checklist introduction (1 December 2014 to 30 June 2015). Checklist utilization improved the cardiac exam completion rate by 8.9%. With the checklist, 1083 of 1202 exams (90.1%) were completed compared to 987 of 1193 (82.7%) pre-checklist, P < .001. We did not detect a change in cases classified as abnormal and referred for echocardiography: 25 (2.1%) with the checklist and 16 (1.3%) pre-checklist, P = .16. We did not detect more congenital heart disease (CHD), 12 (1.0%) with checklist screening, 5 (0.4%) pre-checklist, P = .14. Critical CHD was not missed in either group. Using the checklist improved the cardiac exam completion rate. There was no change in congenital heart disease detection.     

Quantifying species recovery and conservation success to develop an IUCN Green List of Species

Stopping declines in biodiversity is critically important, but it is only a first step toward achieving more ambitious conservation goals. The absence of an objective and practical definition of species recovery that is applicable across taxonomic groups leads to inconsistent targets in recovery plans and frustrates reporting and maximization of conservation impact. We devised a framework for comprehensively assessing species recovery and conservation success. We propose a definition of a fully recovered species that emphasizes viability, ecological functionality, and representation; and use counterfactual approaches to quantify degree of recovery. This allowed us to calculate a set of 4 conservation metrics that demonstrate impacts of conservation efforts to date (conservation legacy); identify dependence of a species on conservation actions (conservation dependence); quantify expected gains resulting from conservation action in the medium term (conservation gain); and specify requirements to achieve maximum plausible recovery over the long term (recovery potential). These metrics can incentivize the establishment and achievement of ambitious conservation targets. We illustrate their use by applying the framework to a vertebrate, an invertebrate, and a woody and an herbaceous plant. Our approach is a preliminary framework for an International Union for Conservation of Nature (IUCN) Green List of Species, which was mandated by a resolution of IUCN members in 2012. Although there are several challenges in applying our proposed framework to a wide range of species, we believe its further development, implementation, and integration with the IUCN Red List of Threatened Species will help catalyze a positive and ambitious vision for conservation that will drive sustained conservation action.     

Historical perspectives on contemporary human–environment dynamics in southeast Africa

The human communities and ecosystems of island and coastal southeast Africa face significant and linked ecological threats. Socioecological conditions of concern to communities, governments, nongovernmental organizations, and researchers include declining agricultural productivity, deforestation, introductions of non-native flora and fauna, coastal erosion and sedimentation, damage to marine environments, illegal fishing, overfishing, waste pollution, salinization of freshwater supplies, and rising energy demands, among others. Human–environment challenges are connected to longer, often ignored, histories of social and ecological dynamics in the region. We argue that these challenges are more effectively understood and addressed within a longer-term historical ecology framework. We reviewed cases from Madagascar, coastal Kenya, and the Zanzibar Archipelago of fisheries, deforestation, and management of human waste to encourage increased engagement among historical ecologists, conservation scientists, and policy makers. These case studies demonstrate that by widening the types and time depths of data sets we used to investigate and address current socioecological challenges, our interpretations of their causes and strategies for their mitigation varied significantly.     

Classification of Ephemeral,Intermittent, and Perennial Stream Reaches Using a TOPMODEL‐Based Approach

Whether a waterway is temporary or permanent influences regulatory protection guidelines, however, classification can be subjective due to a combination of factors, including time of year, antecedent moisture conditions, and previous experience of the field investigator. Our objective was to develop a standardized protocol using publically available spatial information to classify ephemeral, intermittent, and perennial streams. Our hypothesis was that field observations of flow along the stream channel could be compared to results from a hydrologic model, providing an objective method of how these stream reaches can be identified. Flow‐state sensors were placed at ephemeral, intermittent, and perennial stream reaches from May to December 2011 in the Appalachian coal basin of eastern Kentucky. This observed flow record was then used to calibrate the simulated saturation deficit in each channel reach based on the topographic wetness index used by TOPMODEL. Saturation deficit values were categorized as flow or no‐flow days, and the simulated record of streamflow was compared to the observed record. The hydrologic model was more accurate for simulating flow during the spring and fall seasons. However, the model effectively identified stream reaches as intermittent and perennial in each of the two basins.     

Transient population dynamics in periodic matrix models: methodology and effects of cyclic permutations

Many biological populations are subject to periodically changing environments such as years with or without fire, or rotation of crop types. The dynamics and management options for such populations are frequently investigated using periodic matrix models. However the analysis is usually limited to long-term results (asymptotic population growth rate and its sensitivity to perturbations of vital rates). In non-periodic matrix models it has been shown that long-term results may be misleading as populations are rarely in their stable structure. We therefore develop methods to analyze transient dynamics of periodic matrix models. In particular, we show how to calculate the effects of perturbations on population size within and at the end of environmental cycles. Using a model of a weed population subject to a crop rotation, we show that different cyclic permutations produce different patterns of sensitivity of population size and different population sizes. By examining how the starting environment interacts with the initial conditions, we explain how different patterns arise. Such understanding is critical to developing effective management and monitoring strategies for populations subject to periodically recurring environments.