12 research outputs found

    International perceptions of an integrated, multi-sectoral, ecosystem approach to management:Editor’s Choice

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    Abstract The Ecosystem Approach to Management (EAM) has emerged over the past decades, largely to promote biodiversity conservation, and more recently sectoral tradeoffs in the management of marine ecosystems. To ascertain the state of practice of EAM operationalization, a workshop was held, which included a pre-workshop online survey. The survey gauged international participants’ perspectives regarding capacity, knowledge, and application of EAM. When asked about the subject, most survey respondents had a general understanding of EAM, and provided a clear definition. Major perceived challenges to EAM objectives by those surveyed included limited knowledge, conflicting interests, insufficient communication, and limited organizational legal frameworks or governance structures. Of those directly involved in an ecosystem approach, the majority responded that processes were in place or developed for application of integrated knowledge toward assessing key issues within their respective sectors (i.e. fisheries, conservation, energy), and that capacity was generally high. Our results show that most respondents, irrespective of sector or geography, see value in considering an integrated, broader ecosystem approach as they manage their sector. Although many participants were from the North Atlantic region, our results suggest that much of the international community is converging toward continued understanding of broad-scale, integrated approaches to marine resource management.</jats:p

    Music Listening Among Postoperative Patients in the Intensive Care Unit: A Randomized Controlled Trial with Mixed-Methods Analysis

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    Background: Music listening may reduce the physiological, emotional, and mental effects of distress and anxiety. It is unclear whether music listening may reduce the amount of opioids used for pain management in critical care, postoperative patients or whether music may improve patient experience in the intensive care unit (ICU). Methods: A total of 41 surgical patients were randomized to either music listening or controlled non-music listening groups on ICU admission. Approximately 50-minute music listening interventions were offered 4 times per day (every 4-6 hours) during the 48 hours of patients’ ICU stays. Pain, distress, and anxiety scores were measured immediately before and after music listening or controlled resting periods. Total opioid intake was recorded every 24 hours and during each intervention. Results: There was no significant difference in pain, opioid intake, distress, or anxiety scores between the control and music listening groups during the first 4 time points of the study. However, a mixed modeling analysis examining the pre- and post-intervention scores at the first time point revealed a significant interaction in the Numeric Rating Scale (NRS) for pain between the music and the control groups ( P  = .037). The Numeric Rating Score decreased in the music group but remained stable in the control group. Following discharge from the ICU, the music group’s interviews were analyzed for themes. Conclusions: Despite the limited sample size, this study identified music listening as an appropriate intervention that improved patients’ post-intervention experience, according to patients’ self-report. Future mixed methods studies are needed to examine both qualitative patient perspectives and methodology to improve music listening in critical care units

    The Origin of NOAA’s Integrated Ecosystem Assessment Program: A Retrospective and Prospective

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    In response to calls for marine ecosystem-based management (EBM), the U.S. National Oceanic and Atmospheric Administration (NOAA) developed a multidisciplinary science support framework called integrated ecosystem assessment (IEA). The IEA framework and a national NOAA program for implementing that framework were the culmination of many efforts in the 2000s. At a recent workshop, five leaders from the early days of NOAA IEA development participated in a panel to discuss the history of the framework and program, and to provide recommendations for future work. Panelists intended IEA to be a call to action for scientists and agencies to support EBM, and they designed the framework to be adaptable, scalable, and non-prescriptive so that it could be applied to a range of issues. Panelists emphasized the complementary nature of the processes, tools, and products that make up IEA efforts, and also stressed the need to adapt the IEA approach to shifting management and governance structures. Finally, panelists offered a range of recommendations for future development of the IEA approach, including: (1) broadening the stakeholder base; (2) developing objectives and reference points in partnership with end-users; (3) increasing diversity of IEA practitioners to better reflect the communities that IEA serves; (4) increasing development of readily updatable, real-time products; (5) carefully assessing and prioritizing the demands placed on IEA practitioners; (6) increasing collaboration across disciplines and resource sectors; (7) seeking opportunities to engage with emerging governance structures; and (8) strengthening support for IEA by effectively communicating its stories

    Guidance for Implementation of Integrated Ecosystem Assessments: a US Perspective

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    Ecosystem-based management (EBM) has emerged as a basic approach for managing human activities in marine ecosystems, with the aim of recovering and conserving marine ecosystems and the services they deliver. Integrated ecosystem assessments (IEAs) further the transition of EBM from principle to practice by providing an efficient, transparent means of summarizing the status of ecosystem components, screening and prioritizing potential risks, and evaluating alternative management strategies against a backdrop of environmental variability. In this paper, we draw upon lessons learned from the US National Oceanic and Atmospheric Administration\u27s IEA programme to outline steps required for IEA implementation. We provide an overview of the conceptual framework for IEAs, the practical constraints that shape the structure of individual IEAs, and the uses and outcomes of IEAs in support of EBM
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