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  • Colonoscopy  (1)
  • Coral reefs  (1)
  • Fisheries management  (1)
  • Marine parks  (1)
  • Marine resources  (1)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Surgical endoscopy and other interventional techniques 8 (1994), S. 784-787 
    ISSN: 1432-2218
    Keywords: Colonoscopy ; Painful ; Prediction
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Colonoscopy is sometimes painful for the patient and often difficult for the endoscopist, but it is hard to predict how difficult or painful the examination will be. The purpose of this study was to identify factors that influence difficulty and pain during colonoscopy. Some 1,284 consecutive patients undergoing office colonoscopy by three endoscopists were prospectively studied. A standard questionnaire was completed by the nursing staff, who assessed the degree of difficulty and pain associated with each exam on a four-point scale. There were 682 men and 551 women (sex not recorded in 51). There was no pain in 27%, mild pain in 39%, moderate pain in 25%, and severe pain in 9%. There was no difficulty in 25%, mild difficulty in 33%, moderate difficulty in 28%, and severe difficulty in 14%. Colonoscopy was significantly easier (P〈0.001, chi square) and less painful (P〈0.001, chi square) in patients after sigmoidectomy. It was more painful after hysterectomy (P〈0.05, chi square) and more difficult and painful in women than in men (P〈0.01, chi square). There were significant differences between endoscopists in the assessment of pain associated with colonoscopy. Most colonoscopies are associated with little or no pain (66%) and are easy or only mildly difficult to perform (58%). Patients who have had sigmoid resection are especially easy and painless to examine while women, especially after hysterectomy, are at higher risk of having a painful experience. Colonoscopy technique can influence the amount of pain experienced by the patient.
    Type of Medium: Electronic Resource
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  • 2
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    Unknown
    SEACAM | Maputo, Mozambique
    Publication Date: 2021-05-19
    Description: The project focuses on safeguarding the biodiversity, natural resources and ecological processes in Kiunga Marine and Dodori national Reserves through the development and implementation of a consensus-based management plan, involving full participation of local communities.
    Description: Published
    Keywords: Marine resources ; Marine parks ; Protected areas ; Protected resources ; Biodiversity ; Resource conservation ; Resource management
    Repository Name: AquaDocs
    Type: Book Section , Not Known
    Format: pp.51-57
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  • 3
    Publication Date: 2021-05-19
    Description: Coral reefs in the Kiunga Marine National Reserve (KMNR) (40o 07’ E, 2o 00’ S) are located in a transition ecotone between the warmer East African coral reef bioregion to the south, and colder waters of the Somali Current to the north. The reefs have been monitored annually from 1998 to the present, documenting a range of ecosystem changes from large and small scale threats. Reefs in the area suffered ˜60% loss of coral cover due to mass bleaching in the 1998 El Niño event, and 25-40% loss of coral species at individual site levels. Recovery of coral community structure has been variable, with some reefs showing strong recovery, while others have declined further. A harmful algal bloom and coral disease in early 2002 further impacted these reefs, causing mass mortalities of fish and coral, and failure of coral recruitment in that year. Fishing impacts to the reserve are high, with a strong south-north decline in fish density due to easier access to the migrant and large fishing communities to the south of the reserve. Responsibility for management of the KMNR falls under multiple institutions, including the Kenya Wildlife Service, Fisheries and Forestry Departments, and the local council. Overlapping mandates, unclear relationships, limited information and understanding, and lack of resources have hampered effective management. The monitoring programme reported here is one aspect of new collaborative appro aches to coral reef and fisheries management, and has focused on improving the information and understanding of the biological and resource systems of the area. The ecosystem trends induced by larger scale threats and the south-north fish resource gradient caused by local use patterns will be analyzed in an attempt to develop sustainable management practices for the reserve.
    Description: Published
    Keywords: Fisheries management ; Overfishing ; Coral reefs ; Ecosystems ; Mass mortality
    Repository Name: AquaDocs
    Type: Book Section , Refereed
    Format: pp.1381-1390
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