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The expansion of coastal marine protected areas can suffer from two key drawbacks: (a) the difficulty of incentivizing local communities to manage areas for conservation when their livelihoods also depend on resource use; and (b) that many protected areas get situated residually, or in locations with limited value for either biodiversity conservation or livelihoods. Here, we discuss and analyze key characteristics of Tonga's Special Management Area (SMA) program, including both the mechanisms that have motivated its successful national expansion and its ability to configure no‐take reserves in areas that are considered to have high value to resource users. Granting communities exclusive access zones in exchange for implementing no‐take reserves has encouraged conservation actions while fostering long‐term relationships with resources. Ensuring no‐take reserves occurred within the boundaries of exclusive access zones enabled communities to protect areas of greater extractive values than they would have otherwise. We conclude that the success of this program offers a way forward for achieving targets in the global expansion marine protected areas.

Effective management of depleted natural resources can be achieved only through changes in human actions. Opportunity costs represent the forgone benefits that would have flowed in the absence of conservation interventions. To the extent that opportunity costs reflect lost opportunities for extractive uses (e.g., fishing or logging), and to the extent that those extractive uses present threats to nature, opportunity costs therefore reflect the positive differences for natural values that can be made through conservation management. Thus, logic dictates that, if conservationists make choices to minimize opportunity costs, they are also necessarily limiting their impact. Unfortunately, empirical evidence from many conservation contexts implies that conservationists indeed make choices consistent with an aim to minimize opportunitycosts, and hence impact. A better understanding of the relationship between opportunity costs and conservation impact will make the language used to communicate conservation progress, targets, and planning more honest and accountable and more explicitly focused on the differences our actions make. To the extent that opportunity costs reflect lost opportunities for extractive uses, and to the extent that those extractive uses present threats to nature, opportunity costs reflect the positive differences for natural values that can be made through conservation management. We suggest that, if conservationists make choices to minimize opportunity costs, they are also necessarily limiting their impact. A better understanding of impact framing will enable a more honest and accountable language to be developed in conservation that explicitly focuses on the differences our actions make.

Background: Cochlear implantation is widely used to provide auditory rehabilitation to individuals with severe-to-profound sensorineural hearing loss. However, electrode insertion during cochlear implantation leads to inner ear trauma, damage to sensory structures, and consequently, loss of residual hearing. There is very limited information regarding the target proteins involved in electrode insertion trauma (EIT) following cochlear implantation. Methods: The aim of our study was to identify target proteins and host molecular pathways involved in cochlear damage following EIT utilizing the iTRAQ™ (isobaric tags for relative and absolute quantification) technique using our ex vivo model. The organ of Corti (OC) explants were dissected from postnatal day 3 rats and subjected to EIT or left untreated (control). The proteins were extracted, labelled, and subjected to ultra-high performance liquid chromatography–tandem mass spectrometry. Results: We identified distinct molecular pathways involved in EIT-induced cochlear damage. Confocal microscopy confirmed the expression of these identified proteins in OC explants subjected to EIT. By separating the apical, middle, and basal cochlear turns, we deciphered a topographic array of host molecular pathways that extend from the base to the apex of the cochlea, which are activated post-trauma following cochlear implantation. Conclusions: The identification of target proteins involved in cochlear damage will provide novel therapeutic targets for the development of effective treatment modalities for the preservation of residual hearing in implanted individuals.

Background The standard therapy for patients suffering from sensorineural hearing loss is cochlear implantation. The insertion of the electrode array into the cochlea, with potential mechanical trauma and the presence of this foreign body inside the cochlea, may lead to free radical formation and reduced blood perfusion of the cochlea which can result in a loss of residual hearing. Studies have suggested that a particular combination of the antioxidants vitamins A, C and E as well as the vasodilator magnesium (together: ACEMg) may protect the residual hearing. Methods The potential protective effect of ACEMg on residual hearing preservation in cochlear implant (CI) patients was investigated in a single-centre, randomized, placebo-controlled, double-blind phase II clinical trial. CI candidates with some residual hearing in low frequencies receiving MED-EL implants of different FLEX electrode array lengths were treated with ACEMg tablets or placebo respectively 2 days preoperatively and up to 3 months postoperatively. The study objective was to demonstrate that ACEMg is more efficacious than placebo in preserving residual hearing during cochlear implantation by comparing the hearing loss (change in hearing thresholds at 500 Hz from baseline) 3 months after the first fitting between the two treatment groups and to investigate the treatments’ safety. Results Fifty-one patients were included in the study, which had to be terminated before the recruitment goal was reached because of IMP-resupply mismanagement of one partner. In the intention-to-treat population, 25 patients were treated with ACEMg and 24 patients with placebo. The mean hearing loss at 500 Hz was (± 15.84) 30.21 dB (placebo) or (± 17.56) 26.00 dB (ACEMg) 3 months after the initial fitting. Adjusting the postoperative hearing loss for the baseline residual hearing, planned electrode length and surgeon results in 8.01 dB reduced hearing loss in ACEMg-treated patients compared to placebo-treated ones. The safety analysis revealed that ACEMg was generally well-tolerated with adverse event frequencies below the placebo level. Conclusion This is the first clinical trial investigating a drug effect on residual hearing in CI patients. These first-in-man data may suggest that a perioperative oral administration of ACEMg is safe and may provide protection of residual hearing in CI patients. Trial registration EU Clinical Trial Register No. 2012-005002-22 . Registered on 6 December 2013. Funding: European Commission FP7-HEALTH-2012-INNOVATION-2.

Objective Different aspects should be considered to achieve an atraumatic insertion of cochlear implant electrode arrays as an important surgical goal. Intracochlear pressure changes are known to influence the preservation of residual hearing. By using the intraoperative “pullback technique,” an electrode position closer to the modiolus can be achieved than without the pullback. The aim of the present study was therefore to investigate to what extent the pullback technique can influence intracochlear pressure changes. Methods Insertions of cochlear implant electrodes were performed in an artificial cochlear model with two different perimodiolar arrays. Intracochlear pressure changes were recorded with a micro‐optical pressure sensor positioned in the apical part of the cochlear. After complete insertion of the electrode array, a so‐called pullback of the electrode was performed. Results Statistically significant pressure differences were measured if the electrode array was wet (ie, moisturized) during the pullback. Relative pressure changes in electrodes with smaller total volume are lower than pressure changes in larger electrodes. Conclusion The preservation of residual hearing and, thus, the resulting postoperative audiological outcome has a major impact on the quality of life of the patients and has become of utmost importance. Intracochlear pressure changes during the pullback manoeuver are small in absolute terms, but can even be still reduced statistically significantly by a moistening the electrode before insertion. Using the pullback technique in cases with residual hearing does not affect the probability of preservation of residual hearing but could lead to a better audiological outcome. Level of Evidence NA

The goal of this work was to review the pre-and postsurgical auditory thresholds of two surgical implantation techniques, namely the mastoidectomy with posterior tympanotomy approach (MPTA) and suprameatal approach (SMA), to determine whether there is a difference in the degree of preservation of residual hearing. In a series of 430 consecutive implanted patients 227 patients had measurable pre-operative hearing thresholds at 250, 500, and 1,000 Hz. These patients were divided into two groups according to the surgical technique that was used for implantation. The SMA approach was followed for 84 patients in Amsterdam, whereas the MPTA technique was adhered to 143 patients in Maastricht. The outcome variables of interest were alteration of pre-and postoperative auditory thresholds after cochlear implantation. Complete or partial preservation of residual hearing was obtained in 21.4 and 21.7 % in the SMA and MPTA group, respectively. No statistical differences could be found between the SMA and MPTA group ( p  = 0.96; Chi-square test). The SMA technique is correlated with a similar degree of hearing loss after cochlear implantation compared to the MPTA technique. However, both techniques were not able to conserve a measurable amount of hearing in patients with a substantial degree of residual hearing. Therefore, both surgical techniques need to be refined for patients in which residual acoustical hearing is pursued.

To contribute to the aspirations of recent international biodiversity conventions, protected areas (PAs) must be strategically located and not simply established on economically marginal lands as they have in the past. With refined international commitments under the Convention on Biological Diversity to target protected areas in places of \"importance to biodiversity,\" perhaps they may now be. We analyzed location biases in PAs globally over historic (pre-2004) and recent periods. Specifically, we examined whether the location of protected areas are more closely associated with high concentrations of threatened vertebrate species or with areas of low agricultural opportunity costs. We found that both old and new protected areas did not target places with high concentrations of threatened vertebrate species. Instead, they appeared to be established in locations that minimize conflict with agriculturally suitable lands. This entrenchment of past trends has substantial implications for the contributions these protected areas are making to international commitments to conserve biodiversity. If protected-area growth from 2004 to 2014 had strategically targeted unrepresented threatened vertebrates, >30 times more species (3086 or 2553 potential vs. 85 actual new species represented) would have been protected for the same area or the same cost as the actual expansion. With the land available for conservation declining, nations must urgently focus new protection on places that provide for the conservation outcomes outlined in international treaties. Para contribuir con las aspiraciones de las recientes convenciones internacionales por la biodiversidad, las áreas protegidas (APs) deben estar ubicadas estratégicamente y no establecidas simplemente en tierras marginadas económicamente como ha sido en el pasado. Con compromisos internacionales refinados bajo la Convención por la Diversidad Biológica para enfocarse en áreas protegidas en lugares de \"importancia para la biodiversidad\", tal vez las APs ya sean así. Analizamos los sesgos de ubicación de las APs a nivel mundial a través de periodos históricos (antes del 2004) y recientes. En específico, examinamos si la ubicación de las áreas protegidas está asociada más cercanamente con concentraciones altas de especies de vertebrados amenazadas o con áreas de bajo costos de oportunidad agrícola. Encontramos que tanto las áreas protegidas nuevas como las viejas no se enfocaban en lugares con alta concentración de especies de vertebrados amenazadas. En su lugar, parece que están establecidos en localidades que minimizan el conflicto con tierras adecuadas para la agricultura. Este ajuste de las tendencias pasadas tiene implicaciones sustanciales para las contribuciones que estas áreas protegidas están haciendo para los compromisos internacionales para conservar la biodiversidad. Si el crecimiento de las áreas protegidas de 2004 a 2014 se hubiera enfocado estratégicamente en los vertebrados amenazados poco representados, >30 veces más especies (3086 ó 2553 potenciales vs. 85 especies nuevas actuales representadas) habrían sido protegidas por la misma área o al mismo costo que la expansión actual. Con la declinación del suelo disponible para la conservación, los países deben enfocar urgentemente la nueva protección en sitios que proporcionen para los resultados de conservación resaltados en los tratados internacionales.

Whether species interactions influence species response to environment and species ranges has always been a central question in ecology. Joint species distribution models (JSDMs) simultaneously model the species–environment relationships of multiple species and the residual correlation between these species. These residual correlations are assumed to depict whether species co-occur less or more often than expected by the modelled species–environment relationships, which could ultimately be attributed to species interactions, or hidden environmental information. Here, we propose to specifically test the capacity of JSDMs to detect species interactions from co-occurrence data, at different scales of data aggregation. Using a recently published point-process model, we simulated equilibrium co-occurrence patterns of species pairs by varying the strength and type of interactions (e.g. competition, predator–prey, mutualism) as well as the prevalence of the interacting species in homogeneous environments (assuming the environment does not influence the species responses and co-occurrence). Then, we fitted JSDMs without environmental predictors, and compared the estimated residual correlations against the known interaction coefficients. JSDMs detected competition and mutualism well, but failed with predator–prey interactions. For the latter, JSDMs predicted both negative and positive residual correlations for these kinds of interactions, depending on the prevalence of the interacting species. Interestingly, the estimated residual correlation was strongly influenced by species’ prevalence and can thus not be translated to interaction strength. At increasingly coarser data resolution, the signals of negative and positive interactions became indiscernible by JSDMs, but – reassuringly – were rarely confounded. The underlying point-process model simulates the consequences rather than the mechanisms of interspecific interactions, and thus is better at corroborating rather than discrediting JSDMs. Nevertheless, our simple theoretical exercise pinpoints important limitations of JSDMs. In conclusion, we caution against interpreting residual correlations from JSDMs as interaction strength and against comparing these across different species and communities.

Purpose of Review Outbreaks of tree-killing bark beetles have reached unprecedented levels in conifer forests in the northern hemisphere and are expected to further intensify due to climate change. In parts of Europe, bark beetle outbreaks and efforts to manage them have even triggered social unrests and political instability. These events have increasingly challenged traditional responses to outbreaks, and highlight the need for a more comprehensive management framework. Recent Findings Several synthesis papers on different aspects of bark beetle ecology and management exist. However, our understanding of outbreak drivers and impacts, principles of ecosystem management, governance, and the role of climate change in the dynamics of ecological and social systems has rapidly advanced in recent years. These advances are suggesting a reconsideration of previous management strategies. Summary We synthesize the state of knowledge on drivers and impacts of bark beetle outbreaks in Europe and propose a comprehensive context-dependent framework for their management. We illustrate our ideas for two contrasting societal objectives that represent the end-members of a continuum of forest management goals: wood and biomass production and the conservation of biodiversity and natural processes. For production forests, we propose a management approach addressing economic, social, ecological, infrastructural, and legislative aspects of bark beetle disturbances. In conservation forests, where non-intervention is the default option, we elaborate under which circumstances an active intervention is necessary, and whether such an intervention is in conflict with the objective to conserve biodiversity. Our approach revises the current management response to bark beetles in Europe and promotes an interdisciplinary social-ecological approach to dealing with disturbances.

Phosphorus (P) is a finite and dwindling resource. Debate focuses on current production and use of phosphate rock rather than on the amounts of P required in the future to feed the world. We applied a two-pool soil P model to reproduce historical continental crop P uptake as a function of P inputs from fertilizer and manure and to estimate P requirements for crop production in 2050. The key feature is the consideration of the role of residual soil P in crop production. Model simulations closely fit historical P uptake for all continents. Cumulative inputs of P fertilizer and manure for the period 1965–2007 in Europe (1,115 kg⋅ha–1 of cropland) grossly exceeded the cumulative P uptake by crops (360 kg⋅ha–1). Since the 1980s in much of Europe, P application rates have been reduced, and uptake continues to increase due to the supply of plant-available P from residual soil P pool. We estimate that between 2008 and 2050 a global cumulative P application of 700–790 kg⋅ha–1 of cropland (in total 1,070–1,200 teragrams P) is required to achieve crop production according to the various Millennium Ecosystem Assessment scenarios [Alcamo J, Van Vuuren D, Cramer W (2006) Ecosystems and Human Well-Being: Scenarios, Vol 2, pp 279–354]. We estimate that average global P fertilizer use must change from the current 17.8 to 16.8–20.8 teragrams per year in 2050, which is up to 50% less than other estimates in the literature that ignore the role of residual soil P.