Twenty-seven-gauge vitrectomy: a consecutive, single-centre case series with exclusive use over a 4-year period

\ua9 2023, The Author(s).Background: To assess the safety and effectiveness of the exclusive use of 27-gauge instruments for all vitreoretinal diseases requiring vitrectomy. Methods: In this retrospective study, 1020 consecutive surgeries were performed on 958 eyes of 848 patients using 27-gauge instruments from March 2017 to June 2021. Patients with a minimum follow-up of 3 months were included. Surgical case-mix, best-corrected visual acuity (BCVA), intraocular pressure (IOP), intra- and post-operative complications, and surgery times were recorded. Results: The study patients were followed up for averagely 11 months. Of the 1020 vitrectomies, 958 were primary procedures. Of the 148 retinal detachment (RD) cases, 138 (93%) required a single vitrectomy. Primary macular hole closure was achieved in 143 of 145 (99%) cases. The average surgical times were 55 and 38 min for RD surgeries and for all other indications, respectively. BCVA improved significantly at the final visit (20/49) compared with the pre-operative visit (20/78) (p < 0.01). IOP was similar at the pre-operative (14.8mmHg) and final (14.3mmHg) visits. Complications recorded include transient hypotony in 39 eyes, iatrogenic retinal breaks in 2 eyes, and a vitreous bleed in 1 other eye. Conclusion: This study revealed that 27-gauge vitrectomy instruments can be used for a wide range of indications, with exclusive use in certain settings. The outcomes were similar to other gauges, including for rhegmatogenous retinal detachment, with minimal complications

Use of Electronic Resources in research and learning in a health sciences library in Ghana: an analysis of awareness and perception of users

This study, therefore, seeks to investigate the acceptance and utilization of electronic resources in research and learning among users of the College of Health Sciences Library of the University of Ghana. The study employed a survey research design along with a quantitative approach to collect data from 128 respondents. A questionnaire was used for data collection, and it was analysed using the Statistical Package for the Social Sciences version 22 (SPSS) software. The study found that majority of the respondents were aware of the electronic resources provided by the library, and they used various types of e-resources such as Google, Wikipedia, ScienceDirect and PubMed electronic sources. Moreover, the study found that the computer literacy skills of users have a positive relationship with the awareness of e-resources. Furthermore, there is no significant relationship between gender and the perceived usefulness of the use of e-resources. Last but not the least, the high cost of personal internet data and low internet bandwidth were challenges encountered by most of the respondents when accessing e-resources. The study made the following recommendations, among others, regular training on the use of e-resources, and libraries must collaborate effectively with lecturers to create awareness in the lecture hall and also some of the e-resources should be part of teaching instruction.THIS DATASET IS ARCHIVED AT DANS/EASY, BUT NOT ACCESSIBLE HERE. TO VIEW A LIST OF FILES AND ACCESS THE FILES IN THIS DATASET CLICK ON THE DOI-LINK ABOV

Entropy balancing for causal effects in discrete choice analysis: The Blue Planet II effect.

In this study the discrete choice experiment approach was employed in a survey of the Scottish general public to analyse how respondents make trade-offs between blue growth potential and marine ecosystem service delivery associated with the Mingulay cold water reef complex. Results indicate a higher willingness to pay for management options associated with the highest possible levels of marine litter control followed by the highest possible levels of fish health. Using entropy balancing, a multivariate reweighting method to produce balanced samples in observational studies, we also test the impact that having watched the BBC Blue Planet II documentary series may have had on individuals’ willingness to support marine conservation activity. Whether or not respondents had seen the BBC Blue Planet II series was found to have a significant impact on people’s preferences. Despite this, the willingness to pay (WTP) does not differ between the two groups suggesting that such documentaries may impact preferences but not the final action of WTP. It is argued that the entropy weighting approach can be a useful tool in discrete choice modelling when the researcher is concerned with estimating differences in preferences between a group of interest and a comparison group

We may not know much about the deep sea, but do we care about mining it?

1. The way we value the environment affects how we treat it. While public awareness of human impacts on the ocean is increasing, industrial activities in the deep sea are accelerating rapidly and out of sight. 2. The underlying values we hold for the environment were increasingly recognised as an important factor in environmental decision-making, and it was thus important to evaluate public values towards deep-sea environments. 3. Here, we explored people's care for the deep sea and related this to the perceived risks of seafloor mining by comparing the deep sea to three other remote environments: Antarctica, remote terrestrial environments and the Moon. 4. We conducted an online survey to investigate symbolic values, which we define as the emotions, moods and meanings an environment evokes, as an element affecting people's care for the environment. In addition, we investigated the respondent's knowledge, worldviews and the perceived environmental and societal risk of mining in these four environments. 5. We found that symbolic values shape people's environmental care and that the overall symbolic value attributed to each of the environments differs. 6. People perceived it likely that mining will take place in the deep sea, and the majority of respondents (81%) stated to care a lot or very much about human activities harming the deep sea. 7. In comparison to the other remote environments, in a general sense people cared less about the deep sea, and their self-assessed knowledge of the deep sea was lower. 8. These results suggest that it was fundamental to account for the underlying values and emotions towards the environment when evaluating the risks of human activities in remote settings. 9. Our results further highlighted the need to improve public understanding and connection with the deep sea and its role within wider society to engender deep-sea stewardship.Peer reviewe

Organic Aquaculture: Economic, Market and Consumer Aspects

This book addresses, reviews and evaluates key themes in organic aquaculture and is set out to show how these relate to the challenges and bottlenecks for a responsible organic aquaculture production in Europe. The key themes reflect the main challenges facing the organic aquaculture industry: guarantee and certification system, nutrition, reproduction, production system design and animal welfare. In addition, it assesses the impact of new and future potential development of new knowledge to update and modify the criteria and standards for organic aquaculture. Organic aquaculture is an alternative production approach driven by the growing interest in sustainable utilization of resources. It is rightly viewed as an important contributor to the economy and to the well-being and health of communities. This work will contribute to the scientific knowledge that needs to strengthen effective organic aquaculture. The collation of information on research and data will be of applied value to researchers, university students, end users and policy authorities in the EU and worldwide