SummaryThe Ecuadorian coast has two main types of forests, which are differentiated by their phenology: dry forests are deciduous and more humid forests are evergreen. Less of the dry forests on the Ecuadorian coast is protected (13% of its area) than the evergreen forests (28%), and the area devoted to the protection of dry forests (1069 km2) is substantially less than the area devoted to the protection of evergreen forests (2800 km2). Yet the conservation status of dry forests is more critical, with 83% of their area classified as having very low connectivity, 70% as being highly fragile and 86% as being highly threatened. In addition, the dry forests have fewer protected areas than the evergreen forests. It is therefore necessary to increase the protection of deciduous ecosystems as part of a comprehensive national strategy because they support high levels of biodiversity and many endemic species.

Despite high fragmentation and deforestation, little is known about wildlife species richness and occurrence probabilities in tropical dry forest (TDF) landscapes. To fill this gap in knowledge, we used a Sentinel-2-derived land-cover map, Normalized Difference Vegetation Index (NDVI) data and a multi-species occupancy model to correct for detectability to assess the effect of landscape characteristics on medium and large mammal occurrence and richness in three TDF areas that differ in disturbance and seasonality in Ecuador. We recorded 15 species of medium and large mammals, distributed in 12 families; 1 species is critically Endangered, and 2 are Near-Threatened. The results indicate that species occupancy is related to low forest cover and high vegetation seasonality (i.e., high difference in NDVI between the wet and dry seasons). We believe that the apparent negative effect of forest cover is an indicator of species tolerance for disturbance. The three sampling areas varied from 98% to 40% forest cover, yet species richness and occupancy were not significantly different among them. Vegetation seasonality indicates that more seasonal forests (i.e., those where most tree species lose their leaves during the dry season) tend to have higher mammal species occupancy compared to less seasonal, semi-deciduous forests. Overall, occupancy did not vary between the dry and wet seasons, but species-specific data indicate that some species exhibit higher occupancy during the wet season. This research offers a good understanding of mammal species’ responses to habitat disturbance and fragmentation in TDFs and provides insights to promote their conservation.

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Objective The Bethesda System for Reporting Thyroid Cytology (BSFRTC) is widely adopted in the management of thyroid nodules. The system was updated in 2017, and its impact is the subject of this paper. Methods All thyroid fine needle aspirations from 2016–2020 using the BSFRTC, with follow‐up surgical pathology, were reviewed. The risk of neoplasia (RON), risk of malignancy (ROM), RON/ROM ratio, and surgical follow‐up rate were determined for each diagnostic category with cytohistological correlation. ROM was calculated in two separate manners, with non‐invasive follicular tumours with papillary‐like nuclear features (NIFTP) counted as malignant or non‐malignant. Sensitivity, specificity, negative and positive predictive values were determined for indeterminate categories: atypia of undetermined significance (AUS), suspicious for follicular neoplasm (SFN), and suspicious for malignancy (SFM). Results RON, ROM, and the surgical follow‐up rate increased steadily from the benign through intermediate to malignant categories. The omission of NIFTP from malignant lesions reduced the calculated ROM in indeterminate categories and improved the stratification between AUS and SFN. ROM in AUS was distinct from SFN. AUS has a well‐balanced sensitivity and specificity favouring a screening rather than a diagnostic category. The calculated RON/ROM was significantly higher in AUS (1.56), compared to SFN (1.03) and SM (1.05), in agreement with current BSRTC management recommendations. Conclusions AUS is an important screening category and should remain with the addition of subcategorisation. RON and surgical follow‐up rates are essential quality indicators. The RON/ROM ratio could be utilised to determine appropriate management for each diagnostic category on an institutional basis.