12 research outputs found

    Changes in the fish diversity and abundance on a heavily fished fringing reef on Santiago Island, Pangasinan, Philippines

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    Fish assemblages on the reef slope, reef flat, and seagrass beds on Santiago Island were sampled over 18 months in 1992-1993 as part of a 6-year reef monitoring project started in 1986. Abundance and species diversity were analyzed by a variety of indices, and by multi-dimensional scaling and correlated ordered similarity matrix. The monitoring showed a distinct shift in the reef slope fish composition during the first half of 1988. Of the 100 most abundant species, 21 species showed significant reductions in abundance, and 20 species showed significant increases. Differences were not due to depth preference or feeding habits. Fishing pressure was apparently responsible for declines in Cheilinus trilobatus, Acanthurus nigricauda, and Naso literatus, as well as a general decline in the family Acanthuridae (surgeonfishes). However, analysis of site preferences of the decreasing species and the increasing species indicated a shift in community composition from those species preferring more coral cover to those preferring more sand, rock, and possibly Sargassum seaweed. Site preferences were determined from benthic life form transects done in 1992. Of 35 significantly changing species for which habitat data was obtained, 24 fit the hypothesis of habitat change. This supports the proposition from previous studies that the major cause of change in the reef slope fish community was the destructive fishing activity associated with Malthusian overfishing. Similar analyses of the fish assemblages on the reef flat and on the seagrass beds showed seasonal effects, particularly in the latter, but no strong shift comparable to that of the reef slope. These latter areas had been subjected to greater fishing pressure for a longer period. Reef fish populations such as those in Bolinao tend to be highly resilient provided the larval supply is not adversely affected. However, subtle changes in the cover of coral on a reef can lead to major changes in the composition of the fish community. Coral cover is being widely diminished on Philippine reefs, and substantial changes in the fish communities may be anticipated, even on reefs with initially low coral cover. These changes may affect the utility and immediate value of the fish to local fishers and the market systems they supply. It is of great urgency to stop destructive fishing practices such as blasting and use of cyanide, and to develop anchoring methods that are minimally destructive. There is a strong predictive relation between the numbers of fish (abundance) in an area and the numbers of species (biodiversity) they include. As fish populations decline due to destructive fishing, or highly concentrated non-destructive fishing, the local species richness may be expected to decline. This decline may have serious short-term social and economic consequences, as well as far-reaching long-term environmental effects. Efforts to reduce overfishing must be intensified—though reduction of birth rate, provision of alternative livelihoods, and curbing of destructive fishing — in order to prevent a very distressing future for the Philippine marine environment and the people it supports

    Delayed colorectal cancer care during covid-19 pandemic (decor-19). Global perspective from an international survey

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    Background The widespread nature of coronavirus disease 2019 (COVID-19) has been unprecedented. We sought to analyze its global impact with a survey on colorectal cancer (CRC) care during the pandemic. Methods The impact of COVID-19 on preoperative assessment, elective surgery, and postoperative management of CRC patients was explored by a 35-item survey, which was distributed worldwide to members of surgical societies with an interest in CRC care. Respondents were divided into two comparator groups: 1) ‘delay’ group: CRC care affected by the pandemic; 2) ‘no delay’ group: unaltered CRC practice. Results A total of 1,051 respondents from 84 countries completed the survey. No substantial differences in demographics were found between the ‘delay’ (745, 70.9%) and ‘no delay’ (306, 29.1%) groups. Suspension of multidisciplinary team meetings, staff members quarantined or relocated to COVID-19 units, units fully dedicated to COVID-19 care, personal protective equipment not readily available were factors significantly associated to delays in endoscopy, radiology, surgery, histopathology and prolonged chemoradiation therapy-to-surgery intervals. In the ‘delay’ group, 48.9% of respondents reported a change in the initial surgical plan and 26.3% reported a shift from elective to urgent operations. Recovery of CRC care was associated with the status of the outbreak. Practicing in COVID-free units, no change in operative slots and staff members not relocated to COVID-19 units were statistically associated with unaltered CRC care in the ‘no delay’ group, while the geographical distribution was not. Conclusions Global changes in diagnostic and therapeutic CRC practices were evident. Changes were associated with differences in health-care delivery systems, hospital’s preparedness, resources availability, and local COVID-19 prevalence rather than geographical factors. Strategic planning is required to optimize CRC care

    International Impact of COVID-19 on the Diagnosis of Heart Disease

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    Background: The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified. Objectives: The study sought to assess COVID-19's impact on global cardiovascular diagnostic procedural volumes and safety practices. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained. Results: Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoracic echocardiography decreased by 59%, transesophageal echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p < 0.001 for each procedure). In multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower–middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and telehealth. Conclusions: COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19–related changes in care delivery is warranted
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