Eco-Label Certification: A Case Study of the Campeche Shrimp Fishery, Mexico

The Marine Stewardship Council (MSC) eco—label certifies that seafood comes from a sustainable source. The use of this eco—label lags behind in the developing world, where ecosystem approaches to fishery management have not yet been widely implemented. However, the Food and Agriculture Organization under its REBYC—II LAC project is addressing ecosystem concerns within the shrimp trawl fisheries of a number of developing countries in Latin America and the Caribbean by helping them to improve management of the negative ecosystem impacts by modifying their gear to reduce by—catch and habitat damage. This study investigates how the potential improvements identified by the REBYC—II LAC project will help in satisfying the requirements for obtaining an MSC certification in the Campeche shrimp fishery in Mexico. The feasibility and desirability of obtaining an MSC certification in this fishery was assessed by interviewing managers, fishers, processors, and other relevant stakeholders of the fishery. By comparing the MSC certification requirements with the current conditions of the Campeche shrimp fishery, this paper shows that the fishery is currently not certifiable. Although the REBYC—II LAC project could represent a significant step towards the potential certification of the fishery, further actions will need to be implemented by the Mexican management authorities and private sector, if certification is sought. This paper should help guide the Campeche shrimp industry and fishery managers towards the necessary steps for achieving sustainability

Avoiding “Paper Parks”: A Global Literature Review on Socioeconomic Factors Underpinning the Effectiveness of Marine Protected Areas

Marine protected areas (MPAs) are a common management tool for preserving marine biodiversity and halting resource depletion. Despite the number of MPAs rapidly increasing worldwide, there are concerns over the full achievement of their objectives. Indeed, in some cases—the phenomenon of so-called “paper parks”—protected areas totally fail to achieve their conservation and socioeconomic targets. Therefore, identifying the factors underpinning MPA success or failure is crucial to increase their effectiveness. To achieve this goal, we performed a global literature review on the socioeconomic factors that managers should pursue to enhance MPA effectiveness on a global scale. A search of the Scopus database, using strings of keywords connected by Boolean operators, generated a batch of 715 items, out of which 68 were retained after the application of inclusion/exclusion criteria. Six other articles were added through the scanning of the literature cited in selected papers. We grouped MPA success-factors into 13 main groups and ranked them according to the frequency of citation in the literature. Our findings identify stakeholder involvement, increasing communication and awareness between specific stakeholder groups, as well as ensuring appropriate enforcement and monitoring, control and surveillance, as the leading factors for MPA success. Our results will assist in the process of upcoming global expansion of MPAs, thus contributing to improving conservation of marine biodiversity and associated livelihoods

Ruolo della chirurgia endovascolare nelle rotture aortiche del politraumatizzato con lesioni polidistrettuali di pertinenza chirurgica

Nel politraumatizzato con gravi lesioni polidistrettuali di interesse chirurgico il trattamento endovascolare (TEV) della rottura posttraumatica dell’ aorta toracica (RPAT) rappresenta oggi una valida alternativa terapeutica al trattamento chirurgico convenzionale. Nella nostra esperienza (ottobre 2001-novembre 2004) abbiamo osservato 5 casi di RPAT (3 rotture istmiche, 2 rotture aorta toracica discendente) in gravi politraumatizzati, tutti di sesso maschile, di età compresa fra i 23 ed i 42 anni (media 32,4), trattate con successo con TEV. Il Glasgow Coma Score (GCS) era compreso fra 5 e 13. Tutti i pazienti sono stati sottoposti, dopo adeguata stabilizzazione del quadro clinico-emodinamico, ad angio-TC total body al fine di valutare la lesione aortica ed identificare le altre lesioni associate. In 4 casi erano coinvolti più distretti corporei di pertinenza chirurgica (3 casi: trauma osseo, addominale e neurochirurgico; 1 caso: trauma osseo, addominale, neurochirurgico e toracico). Il TEV è stato eseguito sempre in sala operatoria previa arteriografia digitale. La durata media della procedura angio-radiologica è stata di 105 minuti (range 80 - 125). Non si è verificata nessuna complicanza né immediata né a distanza (follow-up = medio 24 mesi; range 12-36). In conclusione il TEV delle RPAT offre in pazienti ‘critici’ una valida opzione terapeutica alla chirurgia tradizionale in grado di stabilizzare il quadro clinico e trattare successivamente ‘in sicurezza’ le altre gravi lesioni chirurgiche associate

Enhanced Recovery After Surgery (ERAS) Protocol for Gastrectomy: A Tailored Program Developed at a Gastric Cancer Unit

Background Planning for and managing patients who follow multidisciplinary paths allow institutions to provide better care administration; greater collaboration among medical staff, patients, and their relatives; better patients education; reduced possible complications related to surgery and hospital stay; and increased patient adherence to the proposed treatments due to better information. The ERAS Society’s guidelines align in this direction, and many institutions are now looking to apply the suggestions contained in its items. This effort is especially important in surgical oncology. In this work, we report the experience of our center in developing tailored guidelines for patients undergoing gastrectomy based on evidence from the literature and adapted to address the availability of personnel and equipment in our institute. Methods A permanent institutional working group was established at St. Mary’s Hospital. Evidence‐based comprehensive research was conducted to find optimal perioperative care management for patients undergoing gastrectomy. Evidence and recommendations were thoroughly evaluated and considered together with the items from the ERAS Society’s guidelines. Results A complete patient pathway has been established from the first outpatient visit to discharge. All ERAS items were considered and adapted to our hospital’s care environment. Education, nutrition, anesthesiologist care, surgical approach, and ward organization are the main points of strength highlighted in the present work. Conclusion This proposed institutional evidence‐based protocol show comprehensive management for patients with gastric cancer eligible for enhanced surgical pathways

Functional results of exclusive interventional radiotherapy (brachytherapy) in the treatment of nasal vestibule carcinomas.

Surgery, external beam radiotherapy (EBRT), and interventional radiotherapy (IRT, BrachyTherapy BT) are the current therapeutic options for nose vestibule (NV) squamous cell carcinoma (SCC). In this article, we evaluate the nose functional parameters of patients affected by SCCs of the NV, primarily treated by interstitial IRT comparing them with healthy controls and with patients treated with intensity-modulated EBRT.Ten patients treated by using IRT (group 1), 10 healthy controls and eight patients treated by EBRT (group 2) on the region of the nose were submitted to clinical evaluation (with the NOSE scale score), rhinomanometry, olfactory testing, nasal citology, and evaluation of mucociliary clearance through saccharine test.No long-term skin or cartilaginous toxicity are recorded. The olfactometry threshold discrimination identification TDI is lower in EB group. The mean NOSE scale score was significantly higher in group 2 than in group 1 and healthy controls (p0.05). The distribution of cytologic patterns resulted significantly different as well. Patients treated by EB have a significantly impaired mucociliary clearance, with a mean time for the transport of the stained marker, which is more than double in the patients treated by EB than in those treated with IRT (p0.001).Nasal function and cytological findings are significantly better, substantially preserved, in patients treated by IRT than in those treated by EBRT, bringing new relevant evidence for the establishment of interstitial IRT as the new standard for the treatment of the primary lesion in cT1 and cT2 -Wang staging NV SCCs

Abdominal drainage after elective colorectal surgery: propensity score-matched retrospective analysis of an Italian cohort

background: In italy, surgeons continue to drain the abdominal cavity in more than 50 per cent of patients after colorectal resection. the aim of this study was to evaluate the impact of abdominal drain placement on early adverse events in patients undergoing elective colorectal surgery. methods: a database was retrospectively analysed through a 1:1 propensity score-matching model including 21 covariates. the primary endpoint was the postoperative duration of stay, and the secondary endpoints were surgical site infections, infectious morbidity rate defined as surgical site infections plus pulmonary infections plus urinary infections, anastomotic leakage, overall morbidity rate, major morbidity rate, reoperation and mortality rates. the results of multiple logistic regression analyses were presented as odds ratios (OR) and 95 per cent c.i. results: a total of 6157 patients were analysed to produce two well-balanced groups of 1802 patients: group (A), no abdominal drain(s) and group (B), abdominal drain(s). group a versus group B showed a significantly lower risk of postoperative duration of stay >6 days (OR 0.60; 95 per cent c.i. 0.51-0.70; P < 0.001). a mean postoperative duration of stay difference of 0.86 days was detected between groups. no difference was recorded between the two groups for all the other endpoints. conclusion: this study confirms that placement of abdominal drain(s) after elective colorectal surgery is associated with a non-clinically significant longer (0.86 days) postoperative duration of stay but has no impact on any other secondary outcomes, confirming that abdominal drains should not be used routinely in colorectal surgery

Bowel preparation for elective colorectal resection: multi-treatment machine learning analysis on 6241 cases from a prospective Italian cohort

background current evidence concerning bowel preparation before elective colorectal surgery is still controversial. this study aimed to compare the incidence of anastomotic leakage (AL), surgical site infections (SSIs), and overall morbidity (any adverse event, OM) after elective colorectal surgery using four different types of bowel preparation. methods a prospective database gathered among 78 Italian surgical centers in two prospective studies, including 6241 patients who underwent elective colorectal resection with anastomosis for malignant or benign disease, was re-analyzed through a multi-treatment machine-learning model considering no bowel preparation (NBP; No. = 3742; 60.0%) as the reference treatment arm, compared to oral antibiotics alone (oA; No. = 406; 6.5%), mechanical bowel preparation alone (MBP; No. = 1486; 23.8%), or in combination with oAB (MoABP; No. = 607; 9.7%). twenty covariates related to biometric data, surgical procedures, perioperative management, and hospital/center data potentially affecting outcomes were included and balanced into the model. the primary endpoints were AL, SSIs, and OM. all the results were reported as odds ratio (OR) with 95% confidence intervals (95% CI). results compared to NBP, MBP showed significantly higher AL risk (OR 1.82; 95% CI 1.23-2.71; p = .003) and OM risk (OR 1.38; 95% CI 1.10-1.72; p = .005), no significant differences for all the endpoints were recorded in the oA group, whereas MoABP showed a significantly reduced SSI risk (OR 0.45; 95% CI 0.25-0.79; p = .008). conclusions MoABP significantly reduced the SSI risk after elective colorectal surgery, therefore representing a valid alternative to NBP

A socio-economic characterization of Tuscan Archipelago’s artisanal fisheries: Status quo, challenges and new business opportunities

14 pages, 10 figures, 2 tables, supplementary material https://doi.org/10.1016/j.rsma.2023.103275.-- Data Availability: Data will be made available on requestArtisanal fisheries in the Mediterranean are suffering from a decades-long crisis, and urgent interventions are needed to reverse this trend. Despite the increasingly recognized importance of the human dimension of fisheries, socio-economic data on Mediterranean artisanal fisheries are lacking. To address this shortage, this paper offers a socio-economic snapshot of artisanal fisheries operating in the Tuscan Archipelago (GSA 9). Information was collected through semi-structured interviews based on an opportunistic + snowball sampling strategy, with questionnaires reviewed by a panel of 10 experts following the Delphi technique. Information was gathered on fishers, fishing activities, gears, seasonality, catches of alien and thermophilic species, commercial destination of the catch and fishers’ opinions on the main challenges and opportunities in the sector. The results show an artisanal fishing sector facing severe crisis, reduced catches, conflicts with the recreational sector, scarce renewal of both human and technical capital, as well as a general reluctance to explore new business pathways. Yet, many fishers recognized the need for change and showed some early attempts to diversify their sea-related income sources. However, a high discrepancy was observed between the desire and the actual implementation of strategies to strengthen livelihoods and diversify. Efforts are needed to remove the obstacles that prevent the amelioration of artisanal fishers’ businesses and the exploration of new opportunities for managing, protecting and adequately valorizing local marine resources. This goal could be achieved through the establishment of synergies between the fishing and tourism sectors, if the socio-ecological sustainability of artisanal fisheries is sought, both in the Tuscan Archipelago and at other sitesThis study has received financial support from the FutureMARES project, funded by the European Union’s Horizon 2020 research and innovation programme under grant agreement No. 869300With the institutional support of the ‘Severo Ochoa Centre of Excellence’ accreditation (CEX2019-000928-S)Peer reviewe