41 research outputs found

    Waterfront land use change and marine resource conditions : the case of New Bedford and Fairhaven, Massachusetts

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    Author Posting. © Elsevier B.V., 2009. This is the author's version of the work. It is posted here by permission of Elsevier B.V. for personal use, not for redistribution. The definitive version was published in Ecological Economics 68 (2009): 2354-2362, doi:10.1016/j.ecolecon.2009.03.016.A major challenge in gauging long-term and cumulative impacts of fisheries management on coastal fishing communities is the lack of understanding of the interactions between changes in fish stocks and waterfront land uses. This study examines these interactions in the New Bedford/Fairhaven area using parcel level data and geographic information system (GIS) tools. Logistic regression models were used to assess the impact of changes in marine resource abundance on waterfront land uses. Although land-use decisions are influenced by many complex market and regulatory factors, our study detected a significant relationship between fish stock conditions and coastal land uses.This research was supported by the National Atmospheric and Oceanic Administration (NOAA) through the WHOI/NOAA Cooperative Institute on Climate and Ocean Research (CICOR) under award number NA17RJ1223 and by the Marine Policy Center of the Woods Hole Oceanographic Institution

    Infliximab versus second intravenous immunoglobulin for treatment of resistant Kawasaki disease in the USA (KIDCARE): a randomised, multicentre comparative effectiveness trial

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    Background Although intravenous immunoglobulin (IVIG) is effective therapy for Kawasaki disease, 10–20% of patients have recrudescent fever as a sign of persistent inflammation and require additional treatment. We aimed to compare infliximab with a second infusion of IVIG for treatment of resistant Kawasaki disease. Methods In this multicentre comparative effectiveness trial, patients (aged 4 weeks to 17 years) with IVIG resistant Kawasaki disease and fever at least 36 h after completion of their first IVIG infusion were recruited from 30 hospitals across the USA. Patients were randomly assigned (1:1) to second IVIG (2 g/kg over 8–12 h) or intravenous infliximab (10 mg/kg over 2 h without premedication), by using a randomly permuted block randomisation design with block size of two or four. Patients with fever 24 h to 7 days following completion of first study treatment crossed over to receive the other study treatment. The primary outcome measure was resolution of fever at 24 h after initiation of study treatment with no recurrence of fever attributed to Kawasaki disease within 7 days post-discharge. Secondary outcome measures included duration of fever from enrolment, duration of hospitalisation after randomisation, and changes in markers of inflammation and coronary artery Z score. Efficacy was analysed in participants who received treatment and had available outcome values. Safety was analysed in all randomised patients who did not withdraw consent. This clinical trial is registered with ClinicalTrials.gov, NCT03065244. Findings Between March 1, 2017, and Aug 31, 2020, 105 patients were randomly assigned to treatment and 103 were included in the intention-to-treat population (54 in the infliximab group, 49 in the second IVIG group). Two patients randomised to infliximab did not receive allocated treatment. The primary outcome was met by 40 (77%) of 52 patients in the infliximab group and 25 (51%) of 49 patients in the second IVIG infusion group (odds ratio 0·31, 95% CI 0·13–0·73, p=0·0076). 31 patients with fever beyond 24 h received crossover treatment: nine (17%) in the infliximab group received second IVIG and 22 (45%) in second IVIG group received infliximab (p=0·0024). Three patients randomly assigned to infliximab and two to second IVIG with fever beyond 24h did not receive crossover treatment. Mean fever days from enrolment was 1·5 (SD 1·4) for the infliximab group and 2·5 (2·5) for the second IVIG group (p=0·014). Mean hospital stay was 3·2 days (2·1) for the infliximab group and 4·5 days (2·5) for the second IVIG group (p<0·001). There was no difference between treatment groups for markers of inflammation or coronary artery outcome. 24 (44%) of 54 patients in the infliximab group and 33 (67%) of 49 in the second IVIG group had at least one adverse event. A drop in haemoglobin concentration of at least 2g/dL was seen in 19 (33%) of 58 patients who received IVIG as either their first or second study treatment (three of whom required transfusion) and in three (7%) of 43 who received only infliximab (none required transfusion; p=0·0028). Haemolytic anaemia was the only serious adverse events deemed definitely or probably related to study treatment, and was reported in nine (15%) of 58 patients who received IVIG as either their first or second study treatment and none who received infliximab only. Interpretation Infliximab is a safe, well tolerated, and effective treatment for patients with IVIG resistant Kawasaki disease, and results in shorter duration of fever, reduced need for additional therapy, less severe anaemia, and shorter hospitalisation compared with second IVIG infusion

    Marine litter from beach-based sources: Case study of an Eastern Mediterranean coastal town

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    Marine litter has been a serious and growing problem for some decades now. Yet, there is still much speculation among researchers, policy makers and planners about how to tackle marine litter from land-based sources. This paper provides insights into approaches for managing marine litter by reporting and analyzing survey results of litter dispersal and makeup from three areas along an Arab-Israeli coastal town in view of other recent studies conducted around the Mediterranean Sea. Based on our results and analysis, we posit that bathing beach activities should be a high priority for waste managers as a point of intervention and beach-goers must be encouraged to take a more active role in keeping beaches clean. Further, plastic fragments on the beach should be targeted as a first priority for prevention (and cleanup) of marine litter with plastic bottle caps being a high priority to be targeted among plastics. More survey research is needed on non-plastic litter composition for which amounts and geographic dispersal in the region vary greatly from place to place along Mediterranean shores. In general, findings of this study lead us to recommend exploring persuasive beach trash can design coupled with greater enforcement for short term waste management intervention while considering the local socio-economic and institutional context further for long-term efforts

    Situating Arab-Israeli artisanal fishermen's perceptions of marine litter in a socio-institutional and socio-cultural context

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    Understanding the mental constructs underlying people's social responses, decisions and behaviors is crucial to defining the governance challenges faced in dealing with marine anthropogenic litter. Using interactive governance theory, this study provides qualitative insights into how a small group of Arab-Israeli artisanal fishermen perceive marine litter and its impact (system to be governed) in the context of the socio-institutional structures (governing system) which manage waste and aim to protect the surrounding environment. It demonstrates that, until the relationships between local people and the various governing institutions are transformed, there is little hope for citizen cooperation in reducing marine litter long-term in the case-study site. More generally, underlying narratives and politics playing out at a local level need to be understood in order to identify which interventions are likely to be effective and which are not. An intervention checklist to assess the potential effectiveness of a marine litter intervention is proposed

    Un-gendering the ocean : why women matter in ocean governance for sustainability

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    This viewpoint emphasizes gendered perspectives and reflects on gender roles for sustainability-focused governance. It argues that when considering gender in this context, not only equity, or power-plays between genders are at stake; in addition, for effective ocean governance, an irreducible contribution of female voices is necessary. Some key contributions of women in the field of ocean governance-related research are described as examples. If women, for instance, are not included in fisheries management, we miss the complete picture of social-ecological linkages of marine ecosystems. Overall, women are often regarded as major actors driving sustainable development because of their inclusiveness and collaborative roles. Similarly, women have advocated for the common good in marine conservation, raising important (and often neglected) concerns. In maritime industries, women enlarge the talent pool for innovation and smart growth. Besides the manifold possibilities for promoting the involvement of women in ocean governance and policy-making, this viewpoint highlights how gendered biases still influence our interactions with the ocean. It is necessary to reduce the structural, and systemically-embedded hurdles that continue to lead to gendered decision-taking with regard to the ocean

    Waterfront land use change and marine resource conditions: The case of New Bedford and Fairhaven, Massachusetts

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    A major challenge in gauging long-term and cumulative impacts of fisheries management on coastal fishing communities is the lack of understanding of the interactions between changes in fish stocks and waterfront land uses. This study examines these interactions in the New Bedford/Fairhaven area using parcel-level data and geographic information system (GIS) tools. Logistic regression models were used to assess the impact of changes in marine resource abundance on waterfront land uses. Although land use decisions are influenced by many complex market and regulatory factors, our study detected a significant relationship between fish stock conditions and coastal land uses.Atlantic sea scallop Coastal land use Fisheries management Fish biomass Waterfronts Spatial analysis

    Promoting ancillary conservation through marine spatial planning

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    The term Other Effective Conservation Measures (OECMs) refers to areas which are not protected areas and yet significantly contribute to conservation; they were recently defined by the Convention on Biological Diversity. Efforts to address the designation of OECMs include further definition of the term and the development of typologies of OECMs and of screening tools which can be applied to identify potential OECMs. While the designation process of OECMs is still unclear, especially in the marine environment, we suggest a decision process which can be used by planners to identify and designate specific types of OECMs as part of the marine spatial planning (MSP) process. These OECMs are areas where marine communities benefit from access restrictions established due to safety or security concerns. We applied the suggested process on two case studies of the Italian Northern Adriatic and the Israeli Mediterranean seas. When consideration of OECMs comes at the expense of designating marine protected areas, OECMs can become controversial. However, OECM designation can promote achievement of marine conservation goals and of ecosystem-based management of uses. Therefore, we suggest that while spatial targets for conservation should focus mainly on areas dedicated for marine reserves, OECMs, especially of the type for ancillary conservation discussed in this paper, can be achieved through MSP. Using MSP for the designation of recognized OECMs may significantly promote marine conservation goals in unexpected ways and may \uachelp realize ecosystem-based management

    Awareness and willingness to engage in climate change adaptation and mitigation: Results from a survey of Mediterranean islanders (Lesvos, Greece)

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    Climate change has recently received a lot of media attention as a serious phenomenon; as a result of witnessing losses in lives and property, people are becoming increasingly aware of its effects. If climate change issues are misunderstood, people may be less likely to participate in adaptation and mitigation efforts and in the co-production of climate services. This paper contributes to the field of perception studies by providing a case study that could advise local policymaking. Residents of the Greek coastal city of Mytilene (Lesvos Island) were questioned about their opinions on climate change issues. According to the study's findings, respondents recognize the existence of climate change and are likely to take actions to address it. They also acknowledge that various anthropogenic causes, activities, and uses contribute to climate change (i.e., greenhouse gasses, pollution, and transportation). Most participants associate climate change with global warming and sea level rise/coastal erosion, whereas at a local level, they associate it primarily with weather-related phenomena. They are more likely to rely on formal institutions to address climate change challenges but are skeptical of management outcomes. The majority of respondents appear to be positive about making lifestyle changes, and half are willing to pay for mitigation/adaptation measures, primarily to ensure environmental protection and intragenerational justice. Because respondents appear to be unaware of their critical role, authorities must invest in a continuous effort of empowering and engaging them in both adaptation and mitigation practices and include them in the co-production of locally oriented climate services

    Incorporation of Socio-Economic Features' Ranking in Multicriteria Analysis Based on Ecosystem Services for Marine Protected Area Planning

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    <div><p>Developed decades ago for spatial choice problems related to zoning in the urban planning field, multicriteria analysis (MCA) has more recently been applied to environmental conflicts and presented in several documented cases for the creation of protected area management plans. Its application is considered here for the development of zoning as part of a proposed marine protected area management plan. The case study incorporates specially-explicit conservation features while considering stakeholder preferences, expert opinion and characteristics of data quality. It involves the weighting of criteria using a modified analytical hierarchy process. Experts ranked physical attributes which include socio-economically valued physical features. The parameters used for the ranking of (physical) attributes important for socio-economic reasons are derived from the field of ecosystem services assessment. Inclusion of these feature values results in protection that emphasizes those areas closest to shore, most likely because of accessibility and familiarity parameters and because of data biases. Therefore, other spatial conservation prioritization methods should be considered to supplement the MCA and efforts should be made to improve data about ecosystem service values farther from shore. Otherwise, the MCA method allows incorporation of expert and stakeholder preferences and ecosystem services values while maintaining the advantages of simplicity and clarity.</p></div
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