Geographical variation in the carbon, nitrogen, and phosphorus content of blue mussels, Mytilus edulis

Shellfish farming contributes to nutrient removal in coastal and estuarine systems, as bivalves incorporate nutrients into their tissues and shells, which is removed from the marine system on harvest. Fourteen locations around the UK were surveyed to explore geographic variation in carbon, nitrogen and phosphorus content of tissue and shell in blue mussels. Phosphorus in tissue had a significant negative relationship with mean annual seawater temperature for both rope and bottom cultured sites. Per tonne of live mussel, rope culture removed significantly more nitrogen (8.50 ± 0.59 kg) and phosphorus (0.95 ± 0.07 kg) than bottom cultured (5.00 ± 0.013 kg nitrogen and 0.43 ± 0.01 kg phosphorus). Bottom culture, however, provides significantly more C removal in shell (60.15 ± 0.77 kg) than in rope cultured (46.12 ± 1.69 kg). Further studies are required to examine the effect of growth rate, on the nitrogen and phosphorus remediation, and carbon stored in shell, of rope culture and bottom cultured mussel aquaculture

Ecosystem services provided by a non-cultured shellfish species: the common cockle Cerastoderma edule

Coastal habitats provide many important ecosystem services. The substantial role of shellfish in delivering ecosystem services is increasingly recognised, usually with a focus on cultured species, but wild-harvested bivalve species have largely been ignored. This study aimed to collate evidence and data to demonstrate the substantial role played by Europe's main wild-harvested bivalve species, the common cockle Cerastoderma edule, and to assess the ecosystem services that cockles provide. Data and information are synthesised from five countries along the Atlantic European coast with a long history of cockle fisheries. The cockle helps to modify habitat and support biodiversity, and plays a key role in the supporting services on which many of the other services depend. As well as providing food for people, cockles remove nitrogen, phosphorus and carbon from the marine environment, and have a strong cultural influence in these countries along the Atlantic coast. Preliminary economic valuation of some of these services in a European context is provided, and key knowledge gaps identified. It is concluded that the cockle has the potential to become (i) an important focus of conservation and improved sustainable management practices in coastal areas and communities, and (ii) a suitable model species to study the integration of cultural ecosystem services within the broader application of ‘ecosystem services’

Inter‐country differences in the cultural ecosystem services provided by cockles

1. Coastal systems provide many cultural ecosystem services (CES) to humans. Fewer studies have focused solely on CES, while those comparing CES across countries are even rarer. In the case of shellfish, considerable ecosystem services focus has been placed on nutrient remediation, with relatively little on the cultural services provided, despite strong historical, cultural, social and economic links between shellfish and coastal communities. The ecosystem services provided by the common cockle, Cerastoderma edule, have recently been described, yet the cultural benefits from cockles remain mostly unknown. 2. Here, we documented the CES provided by C. edule in five maritime countries along the Atlantic coast of western Europe, classifying evidenced examples of services into an a priori framework. The high-level classes, adapted from the Millennium Assessment and the Common International Classification of Ecosystem Services, were: inspirational, sense of place, spiritual & religious, aesthetic, recreation & ecotourism, cultural heritage and educational. A further 19 sub-classes were defined. We followed a narrative approach to draw out commonalities and differences among countries using a semi-quantitative analysis. 3. Examples of CES provided by cockles were found for all classes in most countries. Cockles supply important and diverse cultural benefits to humans across Atlantic Europe, making it an ideal model species to study CES in coastal areas. Most examples were in cultural heritage, highlighting the importance of this class in comparison with classes which typically receive more attention in the literature like recreation or aesthetics. We also found that the cultural associations with cockles differed among countries, including between neighbouring countries that share a strong maritime heritage. The extent to which cultural associations were linked with the present or past also differed among countries, with stronger association with the present in southern countries and with the past in the north. 4. Understanding the wider benefits of cockles could deepen the recognition of this important coastal resource, and contribute to promoting sustainable management practices, through greater engagement with local communities. This study is an important step towards better integration of CES in coastal environments and could be used as a framework to study the CES of other species or ecosystems

Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe

Background Little is known about the incidence of severe critical events in children undergoing general anaesthesia in Europe. We aimed to identify the incidence, nature, and outcome of severe critical events in children undergoing anaesthesia, and the associated potential risk factors. Methods The APRICOT study was a prospective observational multicentre cohort study of children from birth to 15 years of age undergoing elective or urgent anaesthesia for diagnostic or surgical procedures. Children were eligible for inclusion during a 2-week period determined prospectively by each centre. There were 261 participating centres across 33 European countries. The primary endpoint was the occurence of perioperative severe critical events requiring immediate intervention. A severe critical event was defined as the occurrence of respiratory, cardiac, allergic, or neurological complications requiring immediate intervention and that led (or could have led) to major disability or death. This study is registered with ClinicalTrials.gov, number NCT01878760. Findings Between April 1, 2014, and Jan 31, 2015, 31â127 anaesthetic procedures in 30â874 children with a mean age of 6·35 years (SD 4·50) were included. The incidence of perioperative severe critical events was 5·2% (95% CI 5·0â5·5) with an incidence of respiratory critical events of 3·1% (2·9â3·3). Cardiovascular instability occurred in 1·9% (1·7â2·1), with an immediate poor outcome in 5·4% (3·7â7·5) of these cases. The all-cause 30-day in-hospital mortality rate was 10 in 10â000. This was independent of type of anaesthesia. Age (relative risk 0·88, 95% CI 0·86â0·90; p<0·0001), medical history, and physical condition (1·60, 1·40â1·82; p<0·0001) were the major risk factors for a serious critical event. Multivariate analysis revealed evidence for the beneficial effect of years of experience of the most senior anaesthesia team member (0·99, 0·981â0·997; p<0·0048 for respiratory critical events, and 0·98, 0·97â0·99; p=0·0039 for cardiovascular critical events), rather than the type of health institution or providers. Interpretation This study highlights a relatively high rate of severe critical events during the anaesthesia management of children for surgical or diagnostic procedures in Europe, and a large variability in the practice of paediatric anaesthesia. These findings are substantial enough to warrant attention from national, regional, and specialist societies to target education of anaesthesiologists and their teams and implement strategies for quality improvement in paediatric anaesthesia. Funding European Society of Anaesthesiology

Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe

Background Little is known about the incidence of severe critical events in children undergoing general anaesthesia in Europe. We aimed to identify the incidence, nature, and outcome of severe critical events in children undergoing anaesthesia, and the associated potential risk factors. Methods The APRICOT study was a prospective observational multicentre cohort study of children from birth to 15 years of age undergoing elective or urgent anaesthesia for diagnostic or surgical procedures. Children were eligible for inclusion during a 2-week period determined prospectively by each centre. There were 261 participating centres across 33 European countries. The primary endpoint was the occurence of perioperative severe critical events requiring immediate intervention. A severe critical event was defined as the occurrence of respiratory, cardiac, allergic, or neurological complications requiring immediate intervention and that led (or could have led) to major disability or death. This study is registered with ClinicalTrials.gov, number NCT01878760. Findings Between April 1, 2014, and Jan 31, 2015, 31 127 anaesthetic procedures in 30 874 children with a mean age of 6.35 years (SD 4.50) were included. The incidence of perioperative severe critical events was 5.2% (95% CI 5.0-5.5) with an incidence of respiratory critical events of 3.1% (2.9-3.3). Cardiovascular instability occurred in 1.9% (1.7-2.1), with an immediate poor outcome in 5.4% (3.7-7.5) of these cases. The all-cause 30-day in-hospital mortality rate was 10 in 10 000. This was independent of type of anaesthesia. Age (relative risk 0.88, 95% CI 0.86-0.90; p<0.0001), medical history, and physical condition (1.60, 1.40-1.82; p<0.0001) were the major risk factors for a serious critical event. Multivariate analysis revealed evidence for the beneficial effect of years of experience of the most senior anaesthesia team member (0.99, 0.981-0.997; p<0.0048 for respiratory critical events, and 0.98, 0.97-0.99; p=0.0039 for cardiovascular critical events), rather than the type of health institution or providers. Interpretation This study highlights a relatively high rate of severe critical events during the anaesthesia management of children for surgical or diagnostic procedures in Europe, and a large variability in the practice of paediatric anaesthesia. These findings are substantial enough to warrant attention from national, regional, and specialist societies to target education of anaesthesiologists and their teams and implement strategies for quality improvement in paediatric anaesthesia