Developing sustainable small-scale fisheries livelihoods in Indonesia: Trends, enabling and constraining factors, and future opportunities

Small-scale fisheries (SSF) provide crucial contributions to livelihoods, food and nutrition security, and the well-being of coastal communities worldwide. In Indonesia, 2.5 million households are involved in SSF production, yet these households are characterised by high poverty rates and vulnerability due to declining ecosystem health and climatic change. In this study we applied the Sustainable Livelihoods Framework to analyse the characteristics and immediate and longer-term outcomes of 20 SSF livelihood-focused intervention programs implemented in coastal communities across the Indonesian Archipelago over the last two decades. Projects covered a wide range of spatial scales, funding providers and key participants. Factors supporting positive program outcomes included application of inclusive and holistic approaches to sustainable livelihoods, implemented and supported over appropriate time frames; use of participatory capacity development methodologies and locally-situated project facilitators; and collaborative engagement with local government, non-government organisations and private-sector actors. However, it was impossible to identify evidenced successes from a longer-term sustainability perspective. Short project timeframes, absence of baseline or monitoring data, pressure for satisfactory reports to donors, and limited post-project evaluation, together with invisibility of women’s work and non-commercial exchanges, affected the adequacy of assessments. Given the lack of post-project assessment among projects studied, a thorough review of longer-term project impacts is recommended, guided by the Sustainable Livelihoods Framework, to evaluate sustained improvements in livelihoods outcomes and environmental sustainability. This would support best-practice design and implementation of SSF livelihood-focused interventions, disseminated beyond academia, to influence policy and development to achieve socio-economic equity and environmental goals

Errata: Initial results of imaging melanoma metastasis in resected human lymph nodes using photoacoustic computed tomography

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More pain, more gain: blocking the opoid system boosts adaptive cognitive control

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Small but significant excess mortality compared with the general population for long-term survivors of breast cancer in the Netherlands

Background: Coinciding with the relatively good and improving prognosis for patients with stage I-III breast cancer, late recurrences, new primary tumours and late side-effects of treatment may occur. We gained insight into prognosis for long-term breast cancer survivors. Patients and methods: Data on all 205 827 females aged 15-89 diagnosed with stage I-III breast cancer during 1989-2008 were derived from the Netherlands Cancer Registry. Conditional 5-year relative survival was calculated for every subsequent year from diagnosis up to 15 years. Results: For stage I, conditional 5-year relative survival remained ~95% up to 15 years after diagnosis (a stable 5-year excess mortality rate of 5%). For stage II, excess mortality remained 10% for those aged 15-44 or 45-59 and 15% for those aged 60-74. For stage III, excess mortality decreased from 35% at diagnosis to 10% at 15 years for those aged 15-44 or 45-59, and from ~40% to 30% for those aged ≥60. Conclusions: Patients with stage I or II breast cancer had a (very) good long-term prognosis, albeit exhibiting a small but significant excess mortality at least up to 15 years after diagnosis

Fisheries decline, local livelihoods and conflicted governance: An Indonesian case

This study investigates the social and environmental impacts of the rise and decline of the fishing industry in an Indonesian coastal community as a case study of the conflicted role of governance in marine resource management. It analyses the relationship between two distinct but intersecting fisheries in west Bali: the traditional small-scale artisanal fishery targeting diverse near shore species for the local market, and the large-scale commercial purse seine fleet that exploits the once rich Bali Strait sardine fishery. The recent collapse of the sardine fishery has had a marked impact on the livelihoods of fishers in both the artisanal and commercial sectors. A significant issue for the future of fisheries dependent communities is the need to raise the priority of equity and sustainability in resource governance. The failure of regulatory regimes to control overfishing is found to be a key factor in the unravelling of the local economy and presents an instructive case for analysing the wider implications of a fundamental conflict in the political economy of the global system between unevenly matched market-driven resource use and sustainable development practices. Methodologically, the research combines qualitative and quantitative approaches to compensate for the dearth of data available for the artisanal and commercial fishery sectors respectively. Catch statistics on the rise and decline of the commercial sardine fishery are linked to qualitative information from a longitudinal study on the livelihood impacts of resource decline in a community engaged in both fisheries. In connecting interview data on village level livelihood issues with commercial fishery data, the study highlights the imperative of good governance across scales for policy makers and development practitioners concerned with equity and sustainability of fisheries as a critically important component of global food security

Partial safety factors for berthing velocity and loads on marine structures

Design methods for marine structures have evolved into load and resistance factor design, however existing partial safety factors related to berthing velocity and loads have not been verified and validated by measurement campaigns. In this study, field observations of modern seagoing vessels berthing in Bremerhaven, Rotterdam and Wilhelmshaven were used to evaluate partial safety factors for berthing energy and berthing impact loads. Various types of vessels and navigation conditions were statistically examined. The results show that characteristic values of berthing velocity with a return period of 50 years are in line with design recommendations in literature. Design values of berthing velocity are sensitive to the number of berthing operations during the lifetime of a marine structure. Typical partial safety factors for sheltered and exposed navigation conditions were derived by extrapolating distribution fits and applying extreme value theory. Differences in structural response due to soil stiffness and the type of berthing system installed influence partial safety factors for berthing impact loads. The probability of an uncontrolled berthing event was higher for exposed navigation conditions (strong tidal currents). In these circumstances, higher partial safety factors for berthing velocity should be considered in the design of marine structures. When berthing aid systems are used, the probability of extreme berthing velocities is lower, resulting in lower partial safety factors. The key findings of this study could be beneficial for the structural design of new and lifetime extension of existing marine structures. © 2017 Elsevier Lt

Optical techniques for the intraoperative assessment of nodal status

The lymphatic system is an important pathway in the metastatic spread of many malignancies and a key prognostic indicator. Nondestructive assessment of the nodal status during surgery could limit the amount of lymph nodes that need to be resected and allow for immediate regional lymphadenectomy during sentinel lymph node biopsy procedures. This review looks into the possibilities of conventional medical imaging methods that are capable of intraoperative nodal assessment and discusses multiple newly developed optical techniques. The physical background behind these techniques is reviewed and a concise overview of their main advantages and disadvantages is provided. These recent innovations show that while the application of optical modalities for intraoperative nodal staging is not yet applied routinely, there is reason enough to expect their introduction in the near futur