Evolutionarily distinct amphibians are disproportionately lost from human‐modified ecosystems

Humans continue to alter terrestrial ecosystems, but our understanding of how biodiversity responds is still limited. Anthropogenic habitat conversion has been associated with the loss of evolutionarily distinct bird species at local scales, but whether this evolutionary pattern holds across other clades is unknown. We collate a global dataset on amphibian assemblages in intact forests and nearby human‐modified sites to assess whether evolutionary history influences susceptibility to land conversion. We found that evolutionarily distinct amphibian species are disproportionately lost when forested habitats are converted to alternative land‐uses. We tested the hypothesis that grassland‐associated amphibian lineages have both higher diversification and are pre‐adapted to human landscapes, but found only weak evidence supporting this. The loss of evolutionarily distinct amphibians with land conversion suggests that preserving remnant forests will be vital if we aim to preserve the amphibian tree of life in the face of mounting anthropogenic pressures.     

Specialist taxa restricted to threatened habitats contribute significantly to the regional diversity of Peltigera (Lecanoromycetes,Ascomycota) in Estonia

The widespread cyanolichen genus Peltigera comprises many insufficiently known poorly delimited and/or undescribed species. Phylogenetic analysis of 252 Peltigera specimens from a wide range of habitat types in Estonia revealed 31 putative taxa (OTUs). Multivariate analysis revealed habitat-specific segregation between the Peltigera species along a gradient from humid eutrophic forests to dry oligotrophic forests and grasslands and along a soil pH gradient from alkaline soils of alvar grasslands to acidic soils of conifer forests. The diversity of Peltigera was the highest on roadsides and dunes and the lowest in alvar habitats which, however, supported the unique assemblage of undescribed Peltigera taxa. Deciduous broad-leaved forests, too, included several undescribed or rare and red-listed species. The results demonstrate that in Estonia many Peltigera species have narrow habitat requirements and are at present threatened by habitat loss and degradation.     

Habitat fragmentation rather than habitat amount or habitat split reduces the diversity and abundance of ground-dwelling anurans within forest remnants of the Brazilian Cerrado

Rampant deforestation has caused the loss and fragmentation of natural habitats, which has precipitated a global biodiversity crisis. Research on how land-use change contributes to a loss of biodiversity is urgently needed, especially in ecosystems that have undergone rapid anthropogenic changes. We sought to investigate the extent to which habitat loss, fragmentation, and habitat split (the separation of forest and aquatic habitats) negatively influenced taxonomic diversity, functional diversity, total abundance, and the individual abundances of five anuran species in the Brazilian Cerrado. We sampled anurans between December 2017 and March 2018 using pitfall traps at sites distributed along a gradient of habitat fragmentation/habitat split: unfragmented forest, forest fragments without habitat split, and forest fragments with habitat split. Forest cover was measured within a 1-km radius of each site. Sites within unfragmented forests had higher taxonomic and functional diversities than either fragment type. Taxonomic diversity was highly correlated with functional diversity, but we did not find a pattern to the loss of functional traits. Total anuran abundance and the abundances of Chiasmocleis albopunctata, Physalaemus cuvieri, and Rhinella diptycha were higher in unfragmented forests compared to forest fragments. No species was more abundant in fragments than in unfragmented forests. Our results indicate that the fragmentation of forests by agricultural land use is directly and indirectly responsible for the loss of taxonomic and functional diversity, as well as for reducing population sizes of ground-dwelling anurans. Although we did not find a distinct effect of habitat split on ground-dwelling anurans, our study underscores the importance of preserving continuous forest habitats for the maintenance of anuran diversity in the Cerrado.     

A global model of the response of tropical and sub-tropical forest biodiversity to anthropogenic pressures

Habitat loss and degradation, driven largely by agricultural expansion and intensification, present the greatest immediate threat to biodiversity. Tropical forests harbour among the highest levels of terrestrial species diversity and are likely to experience rapid land-use change in the coming decades. Synthetic analyses of observed responses of species are useful for quantifying how land use affects biodiversity and for predicting outcomes under land-use scenarios. Previous applications of this approach have typically focused on individual taxonomic groups, analysing the average response of the whole community to changes in land use. Here, we incorporate quantitative remotely sensed data about habitats in, to our knowledge, the first worldwide synthetic analysis of how individual species in four major taxonomic groups—invertebrates, ‘herptiles’ (reptiles and amphibians), mammals and birds—respond to multiple human pressures in tropical and sub-tropical forests. We show significant independent impacts of land use, human vegetation offtake, forest cover and human population density on both occurrence and abundance of species, highlighting the value of analysing multiple explanatory variables simultaneously. Responses differ among the four groups considered, and—within birds and mammals—between habitat specialists and habitat generalists and between narrow-ranged and wide-ranged species.     

Temperature‐related shifts in butterfly phenology depend on the habitat

Many species are becoming active earlier in the season as the climate becomes warmer. In parallel to phenological responses to climate change, many species have also been affected by habitat changes due to anthropogenic land use. As habitat type can directly affect microclimatic conditions, concurrent changes in climate and habitat could have interacting effects on the phenology of species. Temperature‐related shifts in phenology, however, have mostly been studied independent of habitat types. Here, I used long‐term data from a highly standardized monitoring program with 519 transects to study how phenology of butterflies is affected by ambient temperature and habitat type. I compared forests, agricultural areas and settlements, reflecting three major land use forms, and considered butterfly species that were observed in all three of these habitats. Seasonal appearance of the butterflies was affected both by the ambient temperature and the habitat type. As expected, warmer temperatures led to an overall advancement of the appearance and flight period of most species. Surprisingly, however, phenology of species was delayed in settlement habitats, even though this habitat type is generally associated with higher temperatures. A possible explanation is dispersal among habitat types, such that source–sink effects affect local phenology. When there is little productivity in settlement areas, observed butterflies may have immigrated from forest or agricultural habitats and thus appear later in settlements. My findings suggest that a spillover of individuals among habitats may affect phenology trends and indicate that phenological studies need to be interpreted in the context of habitat types. This becomes especially important when defining strategies to prevent or mitigate effects of climate and land‐use changes on phenology and abundance of species.     

Where is the unseen fungal diversity hidden? A study of Mortierella reveals a large contribution of reference collections to the identification of fungal environmental sequences

? Estimation of the proportion of undescribed fungal taxa is an issue that has remained unresolved for many decades. Several very different estimates have been published, and the relative contributions of traditional taxonomic and next-generation sequencing (NGS) techniques to species discovery have also been called into question recently. ? Here, we addressed the question of what proportion of hitherto unidentifiable molecular operational taxonomic units (MOTUs) have already been described but not sequenced, and how many of them represent truly undescribed lineages. We accomplished this by modeling the effects of increasing type strain sequencing effort on the number of identifiable MOTUs of the widespread soil fungus Mortierella. ? We found a nearly linear relationship between the number of type strains sequenced and the number of identifiable MOTUs. Using this relationship, we made predictions about the total number of Mortierella species and found that it was very close to the number of described species in Mortierella. ? These results suggest that the unusually high number of unidentifiable MOTUs in environmental sequencing projects can be, at least in some fungal groups, ascribed to a lag in type strain and specimen sequencing rather than to a high number of undescribed species.     

Does the composition of Scarabaeidae (Coleoptera) communities reflect the extent of land use changes in the Brazilian Amazon?

Scarab beetles (Coleoptera: Scarabaeidae) have been used to investigate the effects of environmental disturbances on forest structure and diversity. This group is recognized as sensitive to habitat perturbations and ecosystem changes. Here we examine the effects of anthropogenic impacts on Scarabaeidae composition, testing the following hypotheses: (1) Scarab beetle communities react to land use disturbances with predictable trends, (2) disturbed habitats are able to retain only a part of the Scarab beetle community of native forests or late secondary forests; (3) habitats largely differ in terms of species richness, taxonomic diversity and ecological composition, supporting exclusive and indicator species. We selected areas of native forest, agriculture, pasture for extensive livestock and secondary forests in different stages of regeneration. Our results show that the Scarabaeidae species were not indifferent to the gradient of structural changes represented by the studied areas. In fact, their patterns of habitat preference reveals communities more abundant and diverse in pristine habitats. In contrast, disturbed habitats, dominated by agricultural activities and pasture, indicated clear detrimental effects on the abundance of all forest Scarab beetle specialists. On the other hand, the generalist species, mainly associated with open environments, seemed to be favoured by the prevailing conditions induced by agricultural activities. Overall, the composition of the Scarab beetle communities is variable and sensitive to those structural gradients and, therefore, capable of responding as useful ecological indicators for assessing the extent of land use change or degradation.     

Opportunistic records reveal Mediterranean reptiles’ scale‐dependent responses to anthropogenic land use

Although classified among the greatest threats to the world's biodiversity, the effects of land use and their scale dependency are left unexplored in many taxonomic groups. Reptiles are among the most data‐deficient vertebrates in this respect, although their ecological traits make them highly sensitive to habitat modifications. We tested whether land use gradients shape the distributions of Mediterranean reptiles at regional and local scales, and whether species’ ecological traits and phylogeny explain these patterns. Reptiles are generally rare and hard to survey through standardized protocols. We overcame these obstacles by modeling an original data set of 18164 opportunistic occurrence records for 14 reptile species with spatially‐explicit point process models incorporating known sources of sampling heterogeneity and spatially autocorrelated error. At a regional scale, reptiles favored open habitats and tended to avoid urban areas. At a local scale, the persistence of open habitats did better than forest resulting from land abandonment in maintaining reptiles within a heavily anthropogenic matrix. Contrary to our expectations, the absence of any clear trait or phylogenetic signals suggests that these responses are mediated by a complex interplay between species’ ecology and regional biogeographic history. These results demonstrate that reptile responses to land use are scale‐dependent and locally exacerbated when anthropogenic pressure is high. We further show that land abandonment is insufficient to preserve reptiles in the face of anthropogenic pressures unless patches of suitable habitat are effectively maintained. Eventually, our study further illustrates the effectiveness of volunteer‐based opportunistic sampling in testing hypotheses on the determinants of rare species’ distributions.     

The frog filter: amphibian introduction bias driven by taxonomy,body size and biogeography

Aim Invasive species often exhibit a highly non‐random suite of traits relative to non‐invasive taxa, and these biases reflect strong selection at a series of steps along the invasion pathway. Here we investigate traits that are favoured in the first of these steps: the introduction of species outside their native geographic range. We use the global introduction of amphibians as our case study. Location Global. Methods We examined whether taxonomy, body size and attributes of the native geographic range predict the likelihood of an introduction event in amphibians. We then determined whether these characteristics differed between amphibian species that have been introduced intentionally and those that have been introduced unintentionally (i.e. stowaways). Results Comparisons of introduced and non‐introduced amphibians reveal significant biases with respect to taxonomic position (c. 50% of all introduced species originate from only 5% of all families), and characteristics of the native geographic range (most introduced species originate from the Northern Hemisphere, occupy a wide geographic range and are sympatric with high densities of humans). Many of these biases presumably reflect the ease and likelihood of capturing and transporting such animals. Additionally, intentionally introduced species are of larger than average body size, occupy higher elevations in their native ranges, and are more likely to originate from the Northern Hemisphere than unintentionally introduced species. Main conclusions Introduced amphibian species are not a random subset of the global amphibian fauna with respect to taxonomic affiliation and biogeography, and this restricts our ability to make robust generalizations regarding the ecological determinants of introduction success. Nevertheless, many of our findings are similar to those revealed by previous analyses of vertebrate and invertebrate introductions. Thus, our study suggests that biases in the anthropogenic mechanisms involved in transporting species around the globe are surprisingly consistent across broadly divergent taxa.     

Responses of ground living arthropods to landscape contrast and context in a forest-grassland mosaic

Landscape context and contrast are major features of transformed landscapes. These concepts are largely described in terms of vegetation and land use, and are rarely used on how other biodiversity responds to these anthropogenic boundaries. South African grassland matrix is naturally dotted with indigenous forest patches which have recently been transformed with plantations of non-native species. We investigate how various arthropod groups (detritivores, predators, ants) respond to juxtaposition of pines, natural forests and grasslands. We assess landscape context effects between natural forests and pines by determining how species that commonly occur in the interiors of these habitats use the adjacent habitat, and how landscape contrast between natural forests and grassland affects these groups proportionately. We sampled arthropods using pitfall traps and active searches in transects running from natural forest interiors across the edge into the matrix interior (grassland or pines). Natural forests had higher predator and detritivore diversity, while grassland had greater ant diversity. Results highlighted the complementarity of natural forests and grassland for arthropod diversity. Higher beta-diversity was recorded across landscape contrast than landscape context. Pine and natural forest associated species overlapped into adjacent habitats indicating that pines are used by certain natural forest species. However, pines are not true natural forest extensions, with only some species being supported. Pines may be connecting naturally isolated arthropod populations, which could have important evolutionary consequences. Only through appreciation of a range of arthropod groups and their response to context and contrast across the whole landscape can we undertake meaningful biodiversity conservation.     

Elevational changes in the avian community of a Mesoamerican cloud forest park

Harboring many range‐restricted and specialized species, high elevation tropical cloud forests are diverse habitats represented in many protected areas. Despite this, many such areas receive little practical protection from deforestation and land conversion. Moreover, montane species may be more sensitive to climate change owing to various factors affecting community assembly across elevational gradients. Few studies have used annual monitoring to assess how biological communities in cloud forests may be shifting in response to habitat or climate change or assessed the efficacy of protected areas in buffering these effects. We analyzed avifaunal community trends in a 10‐yr dataset of constant‐effort bird point‐count data in a cloud forest national park in Honduras, Central America. We found that species richness and diversity increased at higher elevations, but decreased at lower elevations. Abundances of most dietary and forest‐dependency groups exhibited similar trends, and many key cloud forest species shifted upslope and/or increased in abundance. Taken together, our results suggest that the avian community is moving upslope and species composition is changing. Results for species richness and diversity were similar when only nondegraded transects were considered, suggesting the role of climate change as an important driver. At lower elevations, however, many species may be negatively affected by increased habitat degradation, favoring species with low forest dependency. Continued habitat conversion and climate change could push the cloud forest bird community further upslope, potentially resulting in increased competition, mortality, and even extirpation of some species. Increased protection is unlikely to mitigate the effects of climate change.     

Discovery and enumeration of Swahilian Coastal Forests in Lindi region,Tanzania, using Landsat TM data analysis

The Swahilian Coastal Forests in eastern Africa are recognised to be a globally important habitat containing large numbers of endemic species, yet are still poorly known over much of their extent. Floristic diversity and endemism in these forests appears to peak in SE Tanzania, where only a few forests have hitherto been surveyed. We carried out a digital analysis of Landsat Thematic Mapper (TM) data to identify other potential areas of Coastal Forest in Lindi and Kilwa Districts, SE Tanzania, followed by a field survey to ground truth and fine-tune our analysis. Our analysis has identified, mapped and sub-classified all remaining areas of Coastal Forest in Lindi and Kilwa Districts, and includes the discovery of a large and hitherto undescribed area of Coastal Forest at Namatimbili, which would make it one of the largest known blocks of contiguous Coastal Forest in eastern Africa. This forest furthermore appears to be minimally impacted by human disturbance. Given the rapidly increasing threats to forested vegetation in this area, urgent efforts are required by the conservation community to ensure the immediate and continued protection of Namatimbili forest.     

Matrix type and landscape attributes modulate avian taxonomic and functional spillover across habitat boundaries in the Brazilian Atlantic Forest

Land use intensification drives biodiversity loss worldwide. In heterogeneous landscape mosaics, both overall forest area and anthropogenic matrix structure induce changes in biological communities in primary habitat remnants. However, community changes via cross‐habitat spillover processes along forest–matrix interfaces remain poorly understood. Moreover, information on how landscape attributes affect spillover processes across habitat boundaries are embryonic. Here, we quantify avian α‐ and β‐diversity (as proxies of spillover rates) across two dominant types of forest–matrix interfaces (forest–pasture and forest–eucalyptus plantation) within the Atlantic Forest biodiversity hotspot in southeast Brazil. We also assess the effects of anthropogenic matrix type and landscape attributes (forest cover, edge density and land‐use diversity) on bird taxonomic and functional β‐diversity across forest–matrix boundaries. Alpha taxonomic richness was higher in forest edges than within both matrix types, but between matrix types, it was higher in pastures than in eucalyptus plantations. Although significantly higher in forests edges than in the adjacent eucalyptus, bird functional richness did not differ between forest edges and adjacent pastures. Community changes (β‐diversity) related to species and functional replacements (turnover component) were higher across forest–pasture boundaries, whereas changes related to species and functional loss (nested component) were higher across forest–eucalyptus boundaries. Forest edges adjacent to eucalyptus had significant higher species and functional replacements than forest edges adjacent to pastures. Forest cover negatively influenced functional β‐diversity across both forest–pasture and forest–eucalyptus interfaces. We show the importance of matrix type and the structure of surrounding landscapes (mainly forest cover) on rates of bird assemblage spillover across forest‐matrix boundaries, which has profound implications to biological fluxes, ecosystem functioning and land‐use management in human‐modified landscapes.     

Plant diversity in a changing world: status,trends, and conservation needs

The conservation of plants has not generated the sense of urgency—or the funding—that drives the conservation of animals, although plants are far more important for us. There are an estimated 500,000 species of land plants (angiosperms, gymnosperms, ferns, lycophytes, and bryophytes), with diversity strongly concentrated in the humid tropics. Many species are still unknown to science. Perhaps a third of all land plants are at risk of extinction, including many that are undescribed, or are described but otherwise data deficient. There have been few known global extinctions so far, but many additional species have not been recorded recently and may be extinct. Although only a minority of plant species have a specific human use, many more play important roles in natural ecosystems and the services they provide, and rare species are more likely to have unusual traits that could be useful in the future. The major threats to plant diversity include habitat loss, fragmentation, and degradation, overexploitation, invasive species, pollution, and anthropogenic climate change. Conservation of plant diversity is a massive task if viewed globally, but the combination of a well-designed and well-managed protected area system and ex situ gap-filling and back-up should work anywhere. The most urgent needs are for the completion of the global botanical inventory and an assessment of the conservation status of the 94% of plant species not yet evaluated, so that both in and ex situ conservation can be targeted efficiently. Globally, the biggest conservation gap is in the hyperdiverse lowland tropics and this is where attention needs to be focused.     

Land use and biodiversity patterns of the herpetofauna: The role of olive groves

The intensification of agriculture has significant environmental consequences. This intensification entails the simplification and homogenisation of the landscape, which leads to strong negative impacts at ecosystem level, including declines in animal biodiversity. The purpose of this study was to assess the effect of different land uses on reptilian and amphibian biodiversity patterns at a regional scale by analysing a large database on the presence of amphibians and reptiles in Andalusia (southern Spain). GIS techniques and the Ecological-Niche Factor Analysis (ENFA) were applied in order to assess whether the habitat was suitable for each reptilian and amphibian species, when the land use variables were excluded. The incongruence between the potential and the observed species richness was then correlated with the main types of land use in Andalusia. Our results showed that irrigated and unirrigated olive groves were associated with a biodiversity deficit of amphibians and reptiles respectively, whereas natural forests and pastures, along with more heterogeneous crops areas, were more suitable. A clustering analysis showed that generalist species were related to olive groves whereas rare and specialist species were related to land uses related to natural vegetation. In summary, our results indicate that large areas covered by olives groves harbour less amphibian and reptilian diversity, thus suggesting that agro-environmental schemes should be carried to promote the species richness in these crops.     

Phylogeny,taxonomy, genetics and global heritage ranks of an imperilled,freshwater snail genus Lithasia (Pleuroceridae)

Numerous aquatic species are threatened with extinction from habitat elimination or modification. One particularly imperilled group is the freshwater gastropod family Pleuroceridae. Pleurocerids reach their greatest diversity in the southeastern United States, and many species are currently considered extinct, endangered or threatened. One issue hindering efforts to implement conservation management plans for imperilled pleurocerid species is that the taxonomy is in an abysmal state. The taxonomy of pleurocerids is currently based on late 19th- and early 20th-century studies, which used a typological or morphospecies concept. Most biologists today doubt the validity of many of the currently recognized species; however, this does not stop them from assigning conservation ranks in an attempt to determine which species are imperilled or currently stable. We conducted a phylogenetic analysis of the pleurocerid genus Lithasia using morphological and mitochondrial DNA sequence (mtDNA) data in an attempt to delimit species boundaries and test previous taxonomic schemes. We found that the current taxonomy of Lithasia does not reflect species diversity adequately within the genus, with two new undescribed species being discovered. The conservation status ranks of the new, undescribed species are imperilled and would have been overlooked had we relied on the conventional taxonomy. Additionally, the undescribed species' conservation ranks that were previously apparently secure became vulnerable due to being inappropriately assigned as members of formerly widely distributed species instead of the imperilled status they warrant and vice versa, as some taxa that were considered imperilled are now thought to be modestly stable. Our study suggests that conservation ranks should be considered suspect at best in taxonomically poorly known groups until the taxa are reviewed using modern systematic methods.     

Restore it,and they will come: trap-nesting bee and wasp communities (Hymenoptera: Aculeata) are recovered by restoration of riparian forests

Riparian forests have been greatly affected by anthropogenic actions with formerly continuous riparian forests being slowly converted into small and isolated patches. Riparian forests are extremely important habitats for many groups of insects, including bees and wasps, because they are sources of shelter and food for them and their offspring. There is a growing body of evidence of success in the restoration of riparian forest plant communities; however, little research has been done on the associated invertebrate communities. We test whether restoring plant communities is sufficient for restoring the taxonomic composition of trap-nesting bees and wasps and which functional traits are favored in different sites. We predict that species richness, abundance, and community composition of trap-nesting bees and wasps of riparian sites undergoing restoration will converge on the “target” of a reference site with increasing time, since restoration increases habitat complexity. We also predict that the width of restored patches will also influence the species richness, abundance and community composition of trap-nesting bees and wasps. Bee richness and abundance, and wasp richness, were strongly related to fragment width, but not to age since restoration. Our results indicate that although restored sites are relatively small and scattered in a fragmented landscape, they provide suitable habitat for re-colonization by community assemblages of trap-nesting bees and wasps and the traits selected captured the responses to the habitat restoration. Hence, restored riparian areas can be considered important habitats for invertebrates, thus contributing to an increase in local biodiversity and, possibly, the restoration of some of the ecosystem services they originally provided.     

Preliminary Report on the Anurans of Mount Hilong-hilong,Agusan Del Norte,Eastern Mindanao,Philippines

Mount Hilong-hilong is a key biodiversity area, spanning several municipalities in the provinces of the Caraga Region(Agusan del Norte, Agusan del Sur, Surigao del Norte and Surigao del Sur), northeastern Mindanao Island, southern Philippines. The Hilong-hilong massif remains one of the most significant forested areas in Mindanao, threatened with habitat modification(forest removal, degradation) and other anthropogenic disturbances related to renewable resource extraction. Amphibians are key indicator species for environmental quality and are useful focal taxa for conservation efforts. Relying on historical museum database information and new survey work on Mount Hilonghilong, we provide species accounts and describe microhabitat preferences of the anurans(frogs and toads) present in the area. Twenty-seven species representing seven anuran families were studied in detail at elevations between 700 to 1300 meters above sea level; 16 of these species are Mindanao faunal region endemics. Qualitative overlap in microhabitat use was observed, suggesting that, for the species recorded, intact forest may ensure species persistence to some levels of anthropogenic disturbance. A more extensive herpetofaunal survey is needed to fully estimate the herpetofaunal diversity of Mount Hilong-hilong. Because amphibians represent fine-scale indicators of environmental quality and microendemism, we recommend appropriate fine-scaled regional strategies geared towards the conservation of amphibians in the Caraga area, northeast Mindanao Island.     

Agricultural Management and Climatic Change Are the Major Drivers of Biodiversity Change in the UK

Action to reduce anthropogenic impact on the environment and species within it will be most effective when targeted towards activities that have the greatest impact on biodiversity. To do this effectively we need to better understand the relative importance of different activities and how they drive changes in species’ populations. Here, we present a novel, flexible framework that reviews evidence for the relative importance of these drivers of change and uses it to explain recent alterations in species’ populations. We review drivers of change across four hundred species sampled from a broad range of taxonomic groups in the UK. We found that species’ population change (~1970–2012) has been most strongly impacted by intensive management of agricultural land and by climatic change. The impact of the former was primarily deleterious, whereas the impact of climatic change to date has been more mixed. Findings were similar across the three major taxonomic groups assessed (insects, vascular plants and vertebrates). In general, the way a habitat was managed had a greater impact than changes in its extent, which accords with the relatively small changes in the areas occupied by different habitats during our study period, compared to substantial changes in habitat management. Of the drivers classified as conservation measures, low-intensity management of agricultural land and habitat creation had the greatest impact. Our framework could be used to assess the relative importance of drivers at a range of scales to better inform our policy and management decisions. Furthermore, by scoring the quality of evidence, this framework helps us identify research gaps and needs.