Using data for 25,780 species categorized on the International Union for Conservation of Nature Red List, we present an assessment of the status of the world’s vertebrates. One-fifth of species are classified as Threatened, and we show that this figure is increasing: On average, 52 species of mammals, birds, and amphibians move one category closer to extinction each year. However, this overall pattern conceals the impact of conservation successes, and we show that the rate of deterioration would have been at least one-fifth again as much in the absence of these. Nonetheless, current conservation efforts remain insufficient to offset the main drivers of biodiversity loss in these groups: agricultural expansion, logging, overexploitation, and invasive alien species

Femoroacetabular impingement is a cause of hip pain in adults and is potentially a precursor of osteoarthritis. Our aim in this study was to determine the prevalence of bilateral deformity in patients with symptomatic cam-type femoroacetabular impingement as well as the presence of associated acetabular abnormalities and hip pain. We included all patients aged 55 years or less seen by the senior author for hip pain, with at least one anteroposterior and lateral pelvic radiograph available. All patients with dysplasia and/or arthritis were excluded. A total of 113 patients with a symptomatic cam-impingement deformity of at least one hip was evaluated. There were 82 men and 31 women with a mean age of 37.9 years (16 to 55).Bilateral cam-type deformity was present in 88 patients (77.8%) while only 23 of those (26.1%) had bilateral hip pain. Painful hips had a statistically significant higher mean alpha angle than asymptomatic hips (69.9° vs 63.1°, p < 0.001). Hips with an alpha angle of more than 60° had an odds ratio of being painful of 2.59 (95% confidence interval 1.32 to 5.08, p = 0.006) compared with those with an alpha angle of less than 60°. Of the 201 hips with a cam-impingement deformity 42% (84) also had a pincer deformity.Most patients with cam-type femoroacetabular impingement had bilateral deformities and there was an associated acetabular deformity in 84 of 201 patients (42%). This information is important in order to define the natural history of these deformities, and to determine treatment.Femoroacetabular impingement (FAI) has recently been described as a cause of pain in the hip in young adults and of osteoarthritis (OA) of the hip 1,2 with two modes of impingement being described, pincer and cam-type.

Insufficient femoral head-neck offset is common in femoroacetabular impingement (FAI) and reflected by the alpha angle, a validated measurement for quantifying this anatomic deformity in patients with FAI. We compared the alpha angle determined on magnetic resonance imaging (MRI) oblique axial plane images with the maximal alpha angle value obtained using radial images. The MRIs of 41 subjects with clinically suspected FAI were reviewed and alpha angle measurements were performed on both oblique axial plane images parallel to the long axis of the femoral neck and radial images obtained using the center of the femoral neck as the axis of rotation. The mean oblique axial plane and mean maximal radial alpha angle values were 53.4 degrees and 70.5 degrees, respectively. In 54% of subjects, the alpha angle was less than 55 degrees on the conventional oblique axial plane image but 55 degrees or greater on the radial plane images. Radial images yielded higher alpha angle values than oblique axial images. Patients with clinically suspected FAI may have a substantial contour abnormality that can be underestimated or missed if only oblique axial plane images are reviewed. Radial plane imaging should be considered in the MRI investigation of FAI.

Human population growth and economic development threaten the integrity of freshwater ecosystems globally, reducing their ability to support biodiversity and provide ecosystem services. However, our knowledge of freshwater biodiversity is fragmented due to bias in conservation research toward primarily terrestrial or charismatic taxonomic groups. Here, we utilize the most comprehensive assessment of freshwater biodiversity for an entire continent to examine the implications of this shortfall. Results indicate that groups that have been the focus of most conservation research are poor surrogates for patterns of both richness and threat for many freshwater groups, and that the existing protected area network underrepresents freshwater species. Areas of highest species richness and threat are congruent with areas where reliance on ecosystem services by humans and pressures placed on freshwater ecosystems are high. These results have implications for targets to reduce biodiversity loss and safeguard associated ecosystem services on which millions of people depend globally.