A review of the combined effects of climate change and other local human stressors on the marine environment

Climate change (CC) is a key, global driver of change of marine ecosystems. At local and regional scales, other local human stressors (LS) can interact with CC and modify its effects on marine ecosystems. Understanding the response of the marine environment to the combined effects of CC and LS is crucial to inform marine ecosystem-based management and planning, yet our knowledge of the potential effects of such interactions is fragmented. At a global scale, we explored how cumulative effect assessments (CEAs) have addressed CC in the marine realm and discuss progress and shortcomings of current approaches. For this we conducted a systematic review on how CEAs investigated at different levels of biological organization ecological responses, functional aspects, and the combined effect of CC and HS. Globally, the effects of 52 LS and of 27 CC-related stressors on the marine environment have been studied in combination, such as industrial fisheries with change in temperature, or sea level rise with artisanal fisheries, marine litter, change in sediment load and introduced alien species. CC generally intensified the effects of LS at species level. At trophic groups and ecosystem levels, the effects of CC either intensified or mitigated the effects of other HS depending on the trophic groups or the environmental conditions involved, thus suggesting that the combined effects of CC and LS are context-dependent and vary among and within ecosystems. Our results highlight that large-scale assessments on the spatial interaction and combined effects of CC and LS remain limited. More importantly, our results strengthen the urgent need of CEAs to capture local-scale effects of stressors that can exacerbate climate-induced changes. Ultimately, this will allow identifying management measures that aid counteracting CC effects at relevant scales

A review of the combined effects of climate change and other local human stressors on the marine environment

Climate change (CC) is a key, global driver of change of marine ecosystems. At local and regional scales, other local human stressors (LS) can interact with CC and modify its effects on marine ecosystems. Understanding the response of the marine environment to the combined effects of CC and LS is crucial to inform marine ecosystem-based management and planning, yet our knowledge of the potential effects of such interactions is fragmented. At a global scale, we explored how cumulative effect assessments (CEAs) have addressed CC in the marine realm and discuss progress and shortcomings of current approaches. For this we conducted a systematic review on how CEAs investigated at different levels of biological organization ecological responses, functional aspects, and the combined effect of CC and HS. Globally, the effects of 52 LS and of 27 CC-related stressors on the marine environment have been studied in combination, such as industrial fisheries with change in temperature, or sea level rise with artisanal fisheries, marine litter, change in sediment load and introduced alien species. CC generally intensified the effects of LS at species level. At trophic groups and ecosystem levels, the effects of CC either intensified or mitigated the effects of other HS depending on the trophic groups or the environmental conditions involved, thus suggesting that the combined effects of CC and LS are context-dependent and vary among and within ecosystems. Our results highlight that large-scale assessments on the spatial interaction and combined effects of CC and LS remain limited. More importantly, our results strengthen the urgent need of CEAs to capture local-scale effects of stressors that can exacerbate climate-induced changes. Ultimately, this will allow identifying management measures that aid counteracting CC effects at relevant scales

Avaliação da implementação de uma intervenção educativa em vigilância do desenvolvimento infantil com enfermeiros

Esta pesquisa teve como objetivo avaliar as dificuldades e facilidades enfrentadas por enfermeiros da Estratégia de Saúde da Família durante o processo de implementação de uma intervenção educativa em vigilância do desenvolvimento infantil. A abordagem utilizada foi qualitativa, com onze enfermeiros que participaram de oficinas de capacitação em vigilância do desenvolvimento no contexto da Atenção Integrada às Doenças Prevalentes na Infância. Os dados foram coletados nos meses de maio e junho de 2009 e analisados a partir do método de análise de conteúdo, utilizando-se a modalidade temática. Foram identificados quatro núcleos temáticos: avaliação do Curso de capacitação em vigilância do desenvolvimento infantil; pontos dificultadores para aplicar os conhecimentos adquiridos; pontos facilitadores proporcionados pelo curso e transformação da prática a partir dos conhecimentos adquiridos na capacitação. Destaca-se a premência de incorporar conteúdos que priorizem questões voltadas para a vigilância do desenvolvimento infantil no ensino de graduação em enfermagem e na residência em saúde da família