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  • 1
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2005
    In:  ICES Journal of Marine Science Vol. 62, No. 3 ( 2005-01-01), p. 577-584
    In: ICES Journal of Marine Science, Oxford University Press (OUP), Vol. 62, No. 3 ( 2005-01-01), p. 577-584
    Abstract: Maintenance of overall ecosystem complexity is perceived as critical to the sustainability of ecosystem use. The development of an operational basis for an ecosystem approach to fisheries, however, faces many difficulties. On the research side, the challenge is in defining proper long-term, ecosystem-related objectives; determining meaningful reference values and indicators for desirable or undesirable states of the ecosystem; and developing appropriate data collection, analytical tools and models. The “viability” concept developed in economics by Jean-Pierre Aubin can be used to assist in the definition, selection of, and interaction among long-term objectives at an ecosystem level. It recognizes that ecosystems are complex assemblages of interacting and self-organizing natural and human components that cannot be predicted. Viability models define an ensemble of “viable states”, in contrast to undesirable states defined as such by ecological, economic, and/or social constraints. These constraints can be derived from fisheries objectives, conservation principles, scientific results of modelling, or precautionary principles, and correspond to limit reference points to be avoided. Viability theory does not attempt to choose any “optimal solution” according to given criteria, but selects “viable evolutions”. These evolutions are compatible with the constraints in the sense that they satisfy them at each time and can be delineated by the viability kernel. The southern Benguela marine ecosystem is presented as a first attempt for the application of this theory. In defining ecosystem-based objectives (and related issues such as target reference points), it seems more difficult to reach consensus among stakeholders on what is desirable than on what is undesirable (e.g. biological or economic collapse, species extinction, displacement of local rural communities). Expressed in the negative form or as limit reference points, ecosystem-based constraints can be considered simultaneously with current target reference points, such as maximum sustainable yield, using viability models. The viability approach can help to progressively integrate ecosystem considerations, such as conservation, into fisheries management.
    Type of Medium: Online Resource
    ISSN: 1095-9289 , 1054-3139
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2005
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    detail.hit.zdb_id: 1468003-8
    detail.hit.zdb_id: 29056-7
    SSG: 12
    SSG: 21,3
    Location Call Number Limitation Availability
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  • 2
    In: ICES Journal of Marine Science, Oxford University Press (OUP), Vol. 67, No. 4 ( 2010-05-01), p. 692-716
    Abstract: Shin, Y-J., Shannon, L. J., Bundy, A., Coll, M., Aydin, K., Bez, N., Blanchard, J. L., Borges, M. F., Diallo, I., Diaz, E., Heymans, J. J., Hill, L., Johannesen, E., Jouffre, D., Kifani, S., Labrosse, P., Link, J. S., Mackinson, S., Masski, H., Möllmann, C., Neira, S., Ojaveer, H., ould Mohammed Abdallahi, K., Perry, I., Thiao, D., Yemane, D., and Cury, P. M. 2010. Using indicators for evaluating, comparing, and communicating the ecological status of exploited marine ecosystems. 2. Setting the scene. – ICES Journal of Marine Science, 67: 692–716. Background is provided to the selection of ecological indicators by the IndiSeas Working Group, and the methodology adopted for analysis and comparison of indicators across exploited marine ecosystems is documented. The selected indicators are presented, how they are calculated is explained, and the philosophy behind the comparative approach is given. The combination of selected indicators is intended to reflect different dynamics, tracking processes that display differential responses to fishing, and is meant to provide a complementary means of assessing marine ecosystem trends and states. IndiSeas relied on inputs and insights provided by the local experts from participating ecosystems, helping to understand state and trend indicators and to disentangle the effect of other potential ecosystem drivers, such as climate variability. This project showed that the use of simple and available indicators under an ecosystem approach can achieve a real, wide-reaching evaluation of marine ecosystem status caused by fishing. This is important because the socio-economics of areas where fishing activities develop differs significantly around the globe, and in many countries, insufficient data are available for complex and exhaustive analyses.
    Type of Medium: Online Resource
    ISSN: 1095-9289 , 1054-3139
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2010
    detail.hit.zdb_id: 2463178-4
    detail.hit.zdb_id: 1468003-8
    detail.hit.zdb_id: 29056-7
    SSG: 12
    SSG: 21,3
    Location Call Number Limitation Availability
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  • 3
    Online Resource
    Online Resource
    Oxford University Press (OUP) ; 2005
    In:  ICES Journal of Marine Science Vol. 62, No. 3 ( 2005-01-01), p. 307-310
    In: ICES Journal of Marine Science, Oxford University Press (OUP), Vol. 62, No. 3 ( 2005-01-01), p. 307-310
    Type of Medium: Online Resource
    ISSN: 1095-9289 , 1054-3139
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2005
    detail.hit.zdb_id: 2463178-4
    detail.hit.zdb_id: 1468003-8
    detail.hit.zdb_id: 29056-7
    SSG: 12
    SSG: 21,3
    Location Call Number Limitation Availability
    BibTip Others were also interested in ...
  • 4
    In: British Journal of Surgery, Oxford University Press (OUP), Vol. 106, No. 2 ( 2019-01-08), p. e103-e112
    Abstract: The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89·6 per cent) compared with that in countries with a middle (753 of 1242, 60·6 per cent; odds ratio (OR) 0·17, 95 per cent c.i. 0·14 to 0·21, P & lt; 0·001) or low (363 of 860, 42·2 per cent; OR 0·08, 0·07 to 0·10, P & lt; 0·001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference −9·4 (95 per cent c.i. −11·9 to −6·9) per cent; P & lt; 0·001), but the relationship was reversed in low-HDI countries (+12·1 (+7·0 to +17·3) per cent; P & lt; 0·001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0·60, 0·50 to 0·73; P & lt; 0·001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.
    Type of Medium: Online Resource
    ISSN: 0007-1323 , 1365-2168
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2019
    detail.hit.zdb_id: 2006309-X
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  • 5
    In: BJS Open, Oxford University Press (OUP), Vol. 3, No. 3 ( 2019-06), p. 403-414
    Type of Medium: Online Resource
    ISSN: 2474-9842 , 2474-9842
    URL: Issue
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2019
    detail.hit.zdb_id: 2902033-5
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  • 6
    In: British Journal of Surgery, Oxford University Press (OUP), Vol. 109, No. 10 ( 2022-09-09), p. 995-1003
    Abstract: There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and $73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and $75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially.
    Type of Medium: Online Resource
    ISSN: 0007-1323 , 1365-2168
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2022
    detail.hit.zdb_id: 2006309-X
    Location Call Number Limitation Availability
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