Growth and Survivorship of Meandrina meandrites and Montastrea cavernosa Transplants to an Artificial Reef Environment, and the Effectiveness of Plugging Core Holes in Transplant Donor Colonies

The growth and survivorship of two species of scleractinian coral transplants, Meandrina meandrites and Montastrea cavernosa, were investigated. Identically sized replicate transplants were obtained from the second reef, off Dania Beach, using a hydraulic drill fitted with a 4” core barrel. The transplants were fixed to Reef Ball™ substrates using an adhesive marine epoxy. Drill holes in the donor corals (core holes) were filled with concrete plugs to prevent the detrimental effects of bioeroders. Control corals, of comparable size to both the donor colonies and the transplant corals, were selected for comparison. The transplant corals, donor corals, and controls on the natural reef were monitored for growth and survivorship. The core holes were monitored for tissue regrowth over the surface of the concrete plug, in order to assess the effectiveness of the plugging process. Growth during the transplantation project was defined as an increase in surface area or radius, and was monitored on a quarterly basis using photographic techniques. SigmaScan© Pro4 image analysis software (Jandel Scientific Corporation) was used for the analysis of the photographic data. The following main hypothesis was tested: species-specific differences will occur in the responses of coral colonies to drilling and transplantation. Additional sub-hypotheses were tested, including: 1) a change in surface area and/ or radius in the experimental corals and the control corals will take place, 2) the survivorship of the experimental corals and their control corals will be similar, 3) a change in surface area and/ or radius of the tissue surrounding the core holes will take place. Meandrina meandrites transplants exhibited a substantial amount of mortality and displayed significantly less growth (both in surface area and radius change) than M. cavernosa transplants, and the M. meandrites controls. Montastrea cavernosa transplants experienced significantly more growth than their same species controls. All donor corals that experienced drill damage (separate from the drill holes) were able to regenerate the injured tissue in a period of less than three months. No significant difference was found for the change in percent tissue coverage for either donor species when compared with each other and with their same species controls. Tissue did not completely regenerate over the surface of the concrete core hole plugs in either species. However, there was no significant difference between the initial area/ radius of the core holes and the final area/ radius for either M. meandrites or M. cavernosa. Additionally, there was no significant difference in the total area change of the core holes when the two species were compared. The results of this study indicated that M. meandrites did not demonstrate statistically significant survivorship or growth as a transplant coral. The M. cavernosa transplants were successful, and displayed a significant increase in surface area. The areas surrounding the core holes did not significantly increase in surface area in either species of donor corals

Growth and Survivorship of Scleractinian Coral Transplants and the Effectiveness of Plugging Core Holes in Transplant Donor Colonies

Replicate scleractinian coral transplants were obtained from the species Meandrina meandrites and Montastrea cavernosa on a natural reef, off Dania Beach, Florida, using a hydraulic drill fitted with a 4 in. (~10 cm) core barrel. The transplants were fixed to Reef Ball™ substrates using an adhesive marine epoxy. Drill holes in the donor corals (core holes) were filled with concrete plugs. Control corals, of comparable size to both donor colonies and transplant corals, were monitored for comparison. Transplant corals, donor corals, and controls on the natural reef were monitored for growth and survivorship. Core holes were monitored for tissue regrowth over the surface of concrete plugs. Growth during the transplantation project was defined as an increase in surface area of tissue and skeleton. Growth was monitored on a quarterly basis using photographic techniques. Meandrina meandrites transplants experienced greater mortality and significantly less growth than M. cavernosa transplants. No significant difference in the change in percent tissue coverage between both species of donor corals or between their respective controls was determined. The process of filling core holes in donor colonies with concrete plugs was effective, however, tissue did not completely regenerate over the surface of plugs in either species over the relatively short 15-month observation period. Results of this study indicate that species selection is an important factor in the success of coral transplantation

Techniques for Restoring Gorgonians to Coral Reef Injury Areas

Great attention and energy has been spent investigating reattachment techniques for dislodged and fragmented scleractinian corals; however there has been a lack of controlled experimentation on how to restore dislodged gorgonians following a disturbance event, such as a ship grounding. Unfortunately, reef damage events occur frequently off southeast Florida. As an example, since 1998 at least five freighters have grounded on the reefs near Ft. Lauderdale, Broward County. These freighters dislodged many scleractinian and gorgonian corals and often destroyed thousands of square feet of reef habitat. After these events, restoration efforts concentrated on stabilizing loose debris and rubble, and reattaching scleractinian coral fragments and dislodged colonies. Although southeast Florida’s reefs are dominated by gorgonian corals, which are also sheared from the reef when ships ground, restoration efforts generally do not place much emphasis on reattaching dislodged gorgonian colonies. In order to determine effective techniques for restoring gorgonian populations, 94 gorgonian clippings were transplanted to a reef area in Broward County, Florida in June 2004. The 15-cm clippings were cut from naturally occurring loose colonies of Pseudopterogorgia americana, Plexaura flexuosa and Muricea muricata, common gorgonians in the southeast Florida reef system. Half of these clippings were attached to the reef substrate using Portland II cement; the other half were transplanted to the reef with two-part marine epoxy. These clippings will be monitored quarterly for a minimum of one year to measure growth and health, and whether the colonies form attachments to the reef over the cement or epoxy. Clipping growth data will be compared to control, 15-20 cm naturally attached, colonies of the same species to determine whether transplant growth is similar to naturally occurring small gorgonian colonies. Data will also be collected on loose control colonies, which are tethered to small pins in the substrate. These controls will indicate whether dislodged colonies left loose on the reef will die, or whether they will reattach and continue to grow. The goal of this study is to determine effective techniques to restore gorgonian populations. This study aims to create a protocol that resource managers and scientists may follow when determining the most effective way to restore gorgonians to reef habitats following events such as ship groundings. This protocol will take into consideration the condition of each gorgonian colony and the resources available (equipment, money, and time) for restoration

Coral Reef Ecosystem Restoration Off Southeast Florida

Significant coral reef community development along the eastern shelf of the United States continues northward of the Florida Keys through Miami-Dade, Broward, Palm Beach, and Martin Counties, Florida (to Latitude 27° N). These Southeast Florida high-latitude coral communities have approximately 30 species of stony corals, stony coral coverage of 2-3%, and a diverse assemblage of reef gorgonians, sponges, and fishes. This system lays within 3 km of the coast offshore a highly urbanized area comprising a population of over 5 million people (the population of Broward County alone exceeds 1.7 million). These reefs are important economic assets: a 2001 economic assessment estimated the annual reef input for Miami-Dade, Broward, and Palm Beach Counties at 5.8 billion dollars. Potential impacts to the system include those from commercial and recreational fishing and diving, sewer outfalls, marine construction activities (fiber optic cables, channel dredging, gas pipe lines), and major shipping ports and ship groundings. Southeast Florida has three major shipping ports; Port of West Palm Beach, Port Everglades (Broward County), and the Port of Miami. At Port Everglades alone, over 5,300 ships call on an annual basis. This heavy ship traffic very near and within a coral reef system has resulted in nearly one ship grounding per year offshore Broward County since the early 1990’s. Nearly all reef damage events involve some level of injury assessment, triage and restoration, and monitoring. Triage generally involves the uprighting and caching of dislodged and fragmented stony coral colonies. At a minimum, restoration activities include the reattachment of these stony coral colonies. Restoration may also include the reattachment of dislodged octocorals and sponges and the removal of rubble generated by the damage event. This work summarizes restoration activities and monitoring results from several representative reef damage events that have occurred offshore Broward County, Florida. Discussion will include the effectiveness of past and current restoration and monitoring activities. Recommendations for improved restoration activities and more effective recovery monitoring will also be discussed

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially