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The muskrat (Ondatra zibethicus) is an invasive species in Europe. The extensive waterways of the Netherlands provide ideal habitat for muskrats, and a large population established itself after arrival in 1941. A control program was put into effect immediately because muskrat burrowing can compromise the integrity of dikes and, hence, poses a significant public safety risk. The current (2015) annual catch of approximately 89,000 individuals is equivalent to approximately 0.30 muskrats/km of waterway, well above the national objective in spite of decades of effort. The control program is expensive (€35 M annually) and contested by animal rights groups. These factors created the need for a careful evaluation of the full range of control possibilities, from ‘no control’ to ‘extermination.’ As part of this, we experimentally evaluated the validity of a previously published correlation (based on historical data) between catch and effort. We raised or lowered removal effort (2013–2016) in a stratified random sample of 117 5-km × 5-km ‘atlas squares’ from the national grid. We found that catch-per-unit effort (CPUE) decreased after effort was increased, and rose after effort was decreased, by amounts slightly greater than expected based on the correlational data, though confidence intervals enclose zero. As anticipated, CPUE varied consistently and strongly between seasons. The biggest (and unanticipated) effects were those of the catch in the preceding 3 years (‘history’), and surrounding area (‘neighborhood’). Our experiment confirms estimates of intensity of control required to lower muskrat populations. These results will help with more effective allocation of control effort, and better-informed evaluation of the economic costs of various control options.

We studied the effects of savanna fires on the structure of local ungulate communities in a West African woodland savanna. The distribution of 11 ungulate species over 9−15 burned sites (the number of which increased as burning activity continued during the dry season) and 7−13 unburned sites was compared with a variety of null models or randomized ‘virtual communities’. Five different parameters of community structure were examined: body mass distribution, co-occurrence patterns, species richness, species density and guild dominance. Overall, ungulate species were not randomly distributed over burned and unburned sites. The regular spacing of body masses in the set of species recorded on burned and unburned sites indicated competition, since species similar in body mass are more likely to compete than species of different size. However, co-occurrence patterns on burned sites were random, indicating absence of competition at fine spatial scales due to differential habitat use within the burned landscape. Although the attractiveness of the regrowth on burned sites resulted in higher numbers of ungulates compared with unburned sites, species richness was not different. Grazers were the dominant guild on burned sites, but there were no differences in species richness or species density between grazers and browsers on unburned sites.

Human conflicts may sometimes benefit wildlife by depopulating wilderness areas but there is evidence from Africa that the impacts tend to be negative. The forested states of West Africa have experienced much recent human conflict but there have been no assessments of impacts on the wildlife. We conducted surveys of mammals in the 710-km2 Gola Forest reserves to assess the impact of the 1991–2001 civil war in Sierra Leone. Gola is the most important remaining tract of lowland forest in the country and a key site for the conservation of the highly threatened forests of the Upper Guinea region. We found that Gola has survived well despite being in the heart of the area occupied by the rebels. We recorded 44 species of larger mammal, including 18 threatened, near-threatened and endemic species, accounting for all species recorded in pre-war surveys and adding several more (African buffalo Syncerus caffer nanus and water chevrotain Hyemoschus aquaticus). Populations of primates were healthy with little evidence of decline. Duiker detection rates were low and further work is required to confirm their numbers as they include five species endemic (or near endemic) to the Upper Guinea region, three of which are threatened. However, the population of African forest elephants Loxodonta cyclotis has collapsed, with only a few individuals remaining from c. 110 in the mid 1980s. We conclude that peacetime pressures from the bushmeat trade, clearance for agriculture, logging and mining are likely to be far greater for Gola than the pressures from the civil war.

Aim: Anthropogenic fires are a major component of the ecology of rangelands throughout the world. To assess the effects of these fires on the diversity patterns of herbivores, we related gradients in fire occurrence, climate and soil fertility to patterns in alpha and beta diversity of African ungulates. Location: West Africa. Methods: We used a survey-based approach for ungulates in 37 protected areas in desert, savanna and rain forest habitats throughout West Africa, combined with satellite images of fire occurrence and digital maps of actual evapotranspiration and soil fertility. Alpha diversity was related to the environmental variables using conventional and spatial regression models. We investigated beta diversity using partial Mantel tests and ordination techniques, and by partitioning the variance in assemblage composition into environmental and spatial components. Results: The species richness of grazers showed a quadratic relationship with actual evapotranspiration, whereas that of browsers and frugivores showed a linear relationship. However, in the multiple regression models fire occurrence was the only variable that significantly correlated with the species richness of grazers. Soil fertility was weakly related to overall beta diversity and the species richness of browsers, but was non-significant in the multiple regression models. Fire occurrence was the most important variable explaining species composition of the overall species set and of grazers, whereas the assemblage composition of browsers and frugivores was explained mostly by actual evapotranspiration. Main conclusions: In contrast to previous studies, our analyses show that moisture and nutrients alone fail to adequately predict the diversity patterns of grazing ungulates. Rather, the species richness and assemblage composition of grazers are largely governed by anthropogenic fires that modify the quality and structure of the grass sward. Diversity patterns of browsers and frugivores are markedly different from grazers and depend mainly on the availability of moisture, which is positively correlated with the availability of foliage and fruits. Our study highlights the importance of incorporating major human-induced disturbances or habitat alterations into analyses of diversity patterns.

Purpose: Loco-regional control and organ preservation are significantly improved with concomitant cisplatin/radiotherapy and are compromised with less than 5% grade 3 nephrotoxicity (creatinine clearance 15–29 mL/min). However, although clinically important, in none of the randomized trials is grade 2 nephrotoxicity (defined as creatinine clearance 59–30 mL/min) mentioned. In this study, we assessed nephrotoxicity in daily practice among patients treated with high-dose cisplatin (100 mg/m2 on days 1, 22, and 43), concurrently with chemoradiotherapy (CCRT) and the impact on treatment modifications. Methods: 208 patients with advanced-stage malignancies of the head and neck region were evaluated. All patients were treated with high-dose cisplatin CCRT. The main outcome parameters were nephrotoxicity (defined as creatinine clearance grade 2 or more) and cumulative doses of cisplatin and radiation. Results: 133 patients (64%) completed all pre-planned courses of cisplatin. Nephrotoxicity was the main reason to discontinue the chemotherapy. Grade 3 nephrotoxicity was seen in 16 patients (8%) while grade 2 nephrotoxicity was seen in 53 patients (25%). Thirty six patients (17%) could not complete the pre-planned chemotherapy due to nephrotoxicity. Conclusions: In head and neck cancer patients, nephrotoxicity grade 2 is under-reported but is the major factor for discontinuing cisplatin during CCRT.

Surgery for locoregionally advanced head and neck squamous cell carcinoma (HNSCC) results in 30‒50% five-year overall survival. In IMCISION (NCT03003637), a non-randomized phase Ib/IIa trial, 32 HNSCC patients are treated with 2 doses (in weeks 1 and 3) of immune checkpoint blockade (ICB) using nivolumab (NIVO MONO, n = 6, phase Ib arm A) or nivolumab plus a single dose of ipilimumab (COMBO, n = 26, 6 in phase Ib arm B, and 20 in phase IIa) prior to surgery. Primary endpoints are feasibility to resect no later than week 6 (phase Ib) and primary tumor pathological response (phase IIa). Surgery is not delayed or suspended for any patient in phase Ib, meeting the primary endpoint. Grade 3‒4 immune-related adverse events are seen in 2 of 6 (33%) NIVO MONO and 10 of 26 (38%) total COMBO patients. Pathological response, defined as the %-change in primary tumor viable tumor cell percentage from baseline biopsy to on-treatment resection, is evaluable in 17/20 phase IIa patients and 29/32 total trial patients (6/6 NIVO MONO, 23/26 COMBO). We observe a major pathological response (MPR, 90‒100% response) in 35% of patients after COMBO ICB, both in phase IIa (6/17) and in the whole trial (8/23), meeting the phase IIa primary endpoint threshold of 10%. NIVO MONO’s MPR rate is 17% (1/6). None of the MPR patients develop recurrent HSNCC during 24.0 months median postsurgical follow-up. FDG-PET-based total lesion glycolysis identifies MPR patients prior to surgery. A baseline AID/APOBEC-associated mutational profile and an on-treatment decrease in hypoxia RNA signature are observed in MPR patients. Our data indicate that neoadjuvant COMBO ICB is feasible and encouragingly efficacious in HNSCC. Immune checkpoint blockade has become standard care for patients with recurrent metastatic head and neck squamous cell carcinoma (HNSCC). Here the authors present the results of a non-randomized phase Ib/IIa trial, reporting safety and efficacy of neoadjuvant nivolumab monotherapy and nivolumab plus ipilimumab prior to standard-of-care surgery in patients with HNSCC. .

Mucosal melanoma (MucM) is a rare cancer with a poor prognosis and low response rate to immune checkpoint inhibition (ICI) compared with cutaneous melanoma (CM). To explore the immune microenvironment and potential drivers of MucM's relative resistance to ICI drugs, we characterized 101 MucM tumors (43 head and neck [H&N], 31 female urogenital, 13 male urogenital, 11 anorectal, and 3 other gastrointestinal) using bulk RNA-Seq and immunofluorescence. RNA-Seq data show that MucM has a significantly lower IFN-γ signature levels than CM. MucM tumors of the H&N region show a significantly greater abundance of CD8+ T cells, cytotoxic cells, and higher IFN-γ signature levels than MucM from lower body sites. In the subcohort of 35 patients with MucM treated with ICI, hierarchical clustering reveals clusters with a high and low degree of immune infiltration, with a differential ICI response rate. Immune-associated gene sets were enriched in responders. Signatures associated with cancer-associated fibroblasts, macrophages, and TGF-β signaling may be higher in immune-infiltrated, but ICI-unresponsive tumors, suggesting a role for these resistance mechanisms in MucM. Our data show organ region-specific differences in immune infiltration and IFN-γ signature levels in MucM, with H&N MucM displaying the most favorable immune profile. Our study might offer a starting point for developing more personalized treatment strategies for this disease.

Background and aim: The presence of mechanical dyssynchrony on echocardiography is associated with reverse remodelling and decreased mortality after cardiac resynchronization therapy (CRT). Contrarily, myocardial scar reduces the effect of CRT. This study investigated how well a combined assessment of different markers of mechanical dyssynchrony and scarring identifies CRT responders. Methods: In a prospective multicentre study of 170 CRT recipients, septal flash (SF), apical rocking (ApRock), systolic stretch index (SSI), and lateral-to-septal (LW-S) work differences were assessed using echocardiography. Myocardial scarring was quantified using cardiac magnetic resonance imaging (CMR) or excluded based on a coronary angiogram and clinical history. The primary endpoint was a CRT response, defined as a ≥15% reduction in LV end-systolic volume 12 months after implantation. The secondary endpoint was time-to-death. Results: The combined assessment of mechanical dyssynchrony and septal scarring showed AUCs ranging between 0.81 (95%CI: 0.74–0.88) and 0.86 (95%CI: 0.79–0.91) for predicting a CRT response, without significant differences between the markers, but significantly higher than mechanical dyssynchrony alone. QRS morphology, QRS duration, and LV ejection fraction were not superior in their prediction. Predictive power was similar in the subgroups of patients with ischemic cardiomyopathy. The combined assessments significantly predicted all-cause mortality at 44 ± 13 months after CRT with a hazard ratio ranging from 0.28 (95%CI: 0.12–0.67) to 0.20 (95%CI: 0.08–0.49). Conclusions: The combined assessment of mechanical dyssynchrony and septal scarring identified CRT responders with high predictive power. Both visual and quantitative markers were highly feasible and demonstrated similar results. This work demonstrates the value of imaging LV mechanics and scarring in CRT candidates, which can already be achieved in a clinical routine.