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Carotid artery injury in endoscopic endonasal surgery: Risk factors, prevention, and management. 内窥镜鼻内镜手术中的颈动脉损伤:风险因素、预防和处理。
4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-03-22 eCollection Date: 2022-03-01 DOI: 10.1002/wjo2.7
Rahul K Sharma, Alexandria L Irace, Jonathan B Overdevest, David A Gudis

Objective: Endoscopic approaches for sinus and skull base surgery are increasing in popularity. The objective of this narrative review is to characterize risk factors for internal carotid artery injury in endoscopic endonasal surgery (EES), highlight preventative measures, and illustrate key management principles.

Data sources: Comprehensive literature review.

Methods: Relevant literature was reviewed using PubMed/MEDLINE.

Results: Carotid artery injury in EES is rare, with most studies reporting an incidence below 0.1%. Anatomic aberrancies, wide dissection margins, as well as specific provider and hospital factors, may increase the risk of injury. Multidisciplinary teams, comprehensive preoperative imaging, patient risk assessment, and formal training in vascular emergencies may reduce the risk. Management protocols should emphasize proper visualization of the injury site, fluid replacement, rapid packing, angiography, and endovascular techniques to achieve hemostasis.

Conclusions: While EES is a relatively safe procedure, carotid artery injury is a devastating complication that warrants full consideration in surgical planning. Important preventative measures include identifying patients with notable risk factors and obtaining preoperative imaging. Multidisciplinary teams and management protocols are ultimately necessary to reduce morbidity and mortality.

目的:内窥镜鼻窦和颅底手术越来越受欢迎。本综述旨在描述内窥镜鼻内镜手术(EES)中颈内动脉损伤的风险因素,强调预防措施,并说明关键的管理原则:综合文献综述:方法:使用PubMed/MEDLINE检索相关文献:结果:在 EES 中颈动脉损伤非常罕见,大多数研究报告的发生率低于 0.1%。解剖异常、剥离边缘宽以及特定的提供者和医院因素可能会增加损伤风险。多学科团队、全面的术前成像、患者风险评估以及正规的血管急症培训可降低风险。处理方案应强调对损伤部位的正确观察、液体置换、快速包装、血管造影和血管内止血技术:尽管 EES 是一种相对安全的手术,但颈动脉损伤是一种破坏性并发症,需要在手术计划中予以充分考虑。重要的预防措施包括识别有明显风险因素的患者并进行术前成像。要降低发病率和死亡率,最终需要多学科团队和管理协议。
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引用次数: 0
Vulnerability Status of the Coral Ecosystem in Kepulauan Seribu Marine National Park, Indonesia 印尼Kepulauan Seribu海洋国家公园珊瑚生态系统脆弱性现状
IF 2.5 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-02-17 DOI: 10.1080/08920753.2022.2037388
Yonvitner, S. B. Agus, D. F. Lestari, R. Pasaribu, E. Supriyanto, Cahyo Widodo, Ayub Sugara, J. Patoka, S. G. Akmal
Abstract Coral reefs are one of the most threatened ecosystems globally. Coral reef ecosystem (CRE) status is an essential indicator in measuring the potential for sustainable management of coral resources in small islands and islets. In this study, the parameters used are coral cover, coral mortality index, and potential exposure. The study was conducted on 56 islands in the Kepulauan Seribu Marine National Park in Indonesia during June 2019. Based on the findings, islands were classified as high-vulnerable (64%), moderate vulnerable (19.6)%, and low vulnerable (16.07%). Results indicated that the sustainability of surveyed coral reef ecosystems is seriously endangered. For this reason, a systematic effort is recommended to mitigate the risks. Among others, coral reefs need to be protected from various waste threats, overfishing, and tourist behavior damaging coral reefs would be regulated.
珊瑚礁是全球最受威胁的生态系统之一。珊瑚礁生态系统状况是衡量小岛屿和小岛珊瑚资源可持续管理潜力的重要指标。在本研究中,使用的参数是珊瑚覆盖率、珊瑚死亡率指数和潜在暴露。该研究于2019年6月在印度尼西亚Kepulauan Seribu海洋国家公园的56个岛屿上进行。根据调查结果,岛屿被划分为高易损性(64%)、中度易损性(19.6%)和低易损性(16.07%)。结果表明,被调查珊瑚礁生态系统的可持续性受到严重威胁。出于这个原因,建议进行系统的工作来减轻风险。其中,需要保护珊瑚礁免受各种废物威胁,过度捕捞和破坏珊瑚礁的旅游行为将受到管制。
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引用次数: 1
In Pursuit of Ecosystem-Based Management for Narragansett Bay: An Overview of Previous Models and Roadmap for Future Research 纳拉甘塞特湾寻求基于生态系统的管理:以前的模型综述和未来研究路线图
IF 2.5 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-02-12 DOI: 10.1080/08920753.2022.2037396
A. Humphries, Kelvin D. Gorospe, Anne Innes-Gold, Jason E. McNamee, Conor McManus, C. Oviatt, J. Collie
Abstract Ecosystem models have emerged as vital tools for evaluating management strategies and are increasingly used by policymakers. We reviewed the history of modeling and identified research gaps based on policy needs for ecosystem-based management of Narragansett Bay (RI, USA)—a highly-impacted system with a history of research and monitoring dating back to the 1950s. There is a need to disentangle the impacts of nutrient reductions versus climate change on species interactions as well as understand the ecological and socio-economic tradeoffs of management actions. Within this context, we consider the following to be important for future research and creation of ecosystem models for Narragansett Bay: (i) account for multi-scale processes and patterns through two-way model coupling; (ii) incorporate human behavior as part of model predictions; and (iii) lessen the impact of model uncertainty by identifying robust management strategies that will sustain resources under a range of potential future scenarios. Ecosystem modeling that builds on prior models and is informed by knowledge gaps will be a powerful tool to operationalize ecosystem-based management in Narragansett Bay and globally, providing sustainable pathways for nature and people.
摘要生态系统模型已成为评估管理战略的重要工具,并越来越多地被决策者使用。我们回顾了建模的历史,并根据纳拉甘塞特湾(美国RI)基于生态系统管理的政策需求确定了研究差距。纳拉甘赛特湾是一个受影响严重的系统,其研究和监测历史可追溯到20世纪50年代。有必要理清营养减少与气候变化对物种相互作用的影响,并了解管理行动的生态和社会经济权衡。在这种背景下,我们认为以下内容对纳拉甘塞特湾生态系统模型的未来研究和创建很重要:(i)通过双向模型耦合说明多尺度过程和模式;(ii)将人类行为作为模型预测的一部分;以及(iii)通过确定强有力的管理战略来减少模型不确定性的影响,这些战略将在一系列潜在的未来情景下维持资源。基于先前模型并根据知识差距进行的生态系统建模将是在纳拉甘塞特湾和全球实施基于生态系统的管理的有力工具,为自然和人类提供可持续的途径。
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引用次数: 1
A Proposal for Joint Marine Scientific Research Activities in the Disputed Maritime Areas of the South China Sea 关于在南海争议海域开展联合海洋科学研究活动的建议
IF 2.5 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-02-11 DOI: 10.1080/08920753.2022.2037385
Yen-Chiang Chang, Sirong Xin, Xu Zhang
Abstract At present, although the situation in the South China Sea has generally stabilized, the negative factors that have caused the situation in the South China Sea to heat up again have not been fundamentally eliminated. Therefore, disputing parties in the South China Sea still need to continuously strengthen cooperation in the low-sensitivity areas in order to enhance mutual trust. In the disputed maritime areas of the South China Sea, there are unilateral marine scientific research and joint marine scientific research conducted by disputing parties as well as marine scientific research conducted by a third-party. All these activities have their legal basis. Through the analysis of the legal basis of various types of marine scientific research and the problems existing in practice, it is argued that joint marine scientific research is considered the most ideal way to conduct marine scientific research in the disputed areas, but its legal basis is still weak in practice. It has been recognized that integration of marine sciences and coastal management would generate better formulated marine policies and viable policy implementation strategies which may be utilized to make a significant contribution to coastal management in various aspects. Thus, in general, developing an understanding on how marine scientific research (including joint marine scientific research) could be better conducted will shed light on how coastal management can be further improved in the future scientifically. In light of the problems existing in joint marine scientific research, this paper argues that a legally binding regional marine scientific cooperation agreement in the disputed maritime areas of the South China Sea should be established.
摘要当前,尽管南海局势总体趋于稳定,但导致南海局势再次升温的负面因素仍未从根本上消除。因此,南海争议各方仍需继续加强在低敏感领域的合作,以增进互信。在南海争议海域,既有争议各方单方面进行的海洋科学研究和联合海洋科学研究,也有第三方进行的海洋科研。所有这些活动都有其法律依据。通过对各类海洋科学研究的法律依据和实践中存在的问题的分析,认为联合海洋科学研究被认为是在争议地区进行海洋科学研究最理想的方式,但其法律依据在实践中仍然薄弱。人们认识到,将海洋科学与海岸管理相结合将产生更好的海洋政策和可行的政策执行战略,这些政策和战略可用于在各个方面对海岸管理作出重大贡献。因此,总的来说,了解如何更好地进行海洋科学研究(包括联合海洋科学研究),将有助于了解如何在未来科学地进一步改善海岸管理。针对联合海洋科学研究中存在的问题,提出应在南海争议海域建立具有法律约束力的区域海洋科学合作协定。
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引用次数: 2
The Economics of Storm Gates 风暴之门的经济学
IF 2.5 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-02-09 DOI: 10.1080/08920753.2022.2037387
R. Mendelsohn, A. Fairbank, A. Rajaoberison
Abstract Tidal gates have been in operation for centuries to block salt water from penetrating landscapes, while storm gates are relatively new. Storm gates block just severe storm surges while normally remaining open to allow salt water to move freely back and forth with the tides. This study evaluates the cost and flood benefits (averted flood damage) of storm gates on non-navigable coastal rivers and creeks. The study finds that only a fraction of coastal rivers should have storm gates. But selected storm gates are highly effective with long term benefits that are three times their cost. In the right place, storm gates can protect vulnerable low-lying developed areas from coastal flooding with a minimal environmental footprint.
潮汐闸已经运行了几个世纪,以阻止海水渗透景观,而风暴闸是相对较新的。风暴闸门只是阻挡严重的风暴潮,而通常保持开放,让海水随潮汐自由地来回移动。本研究评估了在非通航的沿海河流和小溪上设置闸门的成本和防洪效益(避免洪水损失)。研究发现,只有一小部分沿海河流应该有防风闸门。但选定的风暴闸门非常有效,其长期效益是其成本的三倍。在适当的地方,防暴门可以保护脆弱的低洼发达地区免受沿海洪水的影响,同时对环境的影响最小。
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引用次数: 0
The Challenges and Prospects of Women Fisherfolk in Makoko, Lagos State, Nigeria 尼日利亚拉各斯州马科科女渔民的挑战与前景
IF 2.5 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-02-03 DOI: 10.1080/08920753.2022.2022969
A. Oloko, K. Fakoya, S. Ferse, A. Breckwoldt, S. Harper
Abstract Makoko, a coastal fishing community in Lagos, Nigeria, aptly described as the "Venice of Africa", is also known as the world’s largest floating slum. Contributions of women fisherfolk in artisanal fisheries are seldom appreciated despite the fact that in most coastal communities, women are the pillars and de facto household- heads, having to provide and sustain their households with little or no institutional or cultural support. This paper describes how women with different sizes of businesses (small, medium and large) conducted their fish trade in conjunction with their reproductive roles. Key findings suggest that sustainability of fisheries-based livelihoods for women fisherfolk is determined by working capital and access to credit facilities. Social networks and informal credit institutions were important factors to obtain capital by which the women were able to sustain and expand their businesses. Lack of formal education, poor access to information, discriminatory gender–based norms and cultural practices challenged sustainability of the women’s livelihoods. This paper suggests approaches and interventions built on existing social networks and informal credit institutions to enhance women’s economic contributions and mitigate constraints in their fisheries businesses.
摘要Makoko是尼日利亚拉各斯的一个沿海渔业社区,被恰当地描述为“非洲威尼斯”,也是世界上最大的浮动贫民窟。尽管在大多数沿海社区,妇女是支柱和事实上的户主,她们不得不在几乎没有或根本没有制度或文化支持的情况下提供和维持家庭,但女性渔民在手工渔业中的贡献很少受到赞赏。本文描述了拥有不同规模企业(小型、中型和大型)的妇女如何在从事鱼类贸易的同时发挥生育作用。主要调查结果表明,女性渔民以渔业为基础的生计的可持续性取决于营运资本和获得信贷的机会。社会网络和非正规信贷机构是获得资本的重要因素,妇女通过这些资本能够维持和扩大自己的企业。缺乏正规教育、获取信息的机会少、基于性别的歧视性规范和文化习俗对妇女生计的可持续性构成了挑战。本文提出了建立在现有社会网络和非正规信贷机构基础上的方法和干预措施,以提高妇女的经济贡献,减轻其渔业业务的限制。
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引用次数: 4
Utilizing an End-User Driven Process to Identify and Address Climate-Resilience Tool Needs in the U.S. Gulf of Mexico 利用最终用户驱动的过程来确定和解决美国墨西哥湾的气候弹性工具需求
IF 2.5 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-24 DOI: 10.1080/08920753.2022.2022975
R. Collini, Mikaela C. Heming, Christina F. Mohrman, M. Daigle, Casey A. Fulford, Celina L. Gauthier Lowry, Marian D. Hanisko, Steven Mikulencak, Rhonda Price, Kristin R. Ransom, T. Sempier, C. Shepard, W. Underwood, M. Woodrey, M. Denny, E. Sparks
Abstract Many tools have been generated in recent decades to support decision-makers in understanding and acting on climate science, causing stakeholders in the Gulf of Mexico (Gulf) to repeatedly express the need for guidance when selecting climate resilience tools. The Climate and Resilience Community of Practice (CoP), Gulf of Mexico Alliance (GOMA), and the Northern Gulf of Mexico Sentinel Site Cooperative (Cooperative) developed and implemented an end-user driven process for tool creation. Research has suggested that integrating target end-users throughout tool development improves the probability a tool will be utilized, yet there is little practical guidance available on how to successfully design and implement an end-user driven tool development process. In this study, an end-user driven process and results from implementing the process during tool development are presented. Challenges, successful approaches, and lessons learned to support future tool development, especially for tools focused on sharing climate science are identified. Guidance is provided on needed expertise, timelines for engagement with target end-users, and methods on how to solicit, analyze, and assimilate end-user needs, perspectives, and priorities into a final product.
摘要近几十年来,已经产生了许多工具来支持决策者理解气候科学并采取行动,这导致墨西哥湾的利益相关者在选择气候恢复力工具时反复表示需要指导。气候与韧性实践社区(CoP)、墨西哥湾联盟(GOMA)和墨西哥湾北部哨兵站点合作社(Cooperative)制定并实施了一个最终用户驱动的工具创建流程。研究表明,在整个工具开发过程中整合目标最终用户可以提高工具被使用的可能性,但关于如何成功设计和实施最终用户驱动的工具开发过程,几乎没有实际指导。在本研究中,介绍了一个最终用户驱动的过程以及在工具开发过程中实施该过程的结果。确定了支持未来工具开发的挑战、成功的方法和经验教训,特别是针对侧重于共享气候科学的工具。提供了关于所需专业知识、与目标最终用户接触的时间表以及如何在最终产品中征求、分析和吸收最终用户需求、观点和优先事项的方法的指导。
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引用次数: 1
Socio-Economic Systems Response to Upwelling Variability in Small-Scale Fisheries: The Case of a Beach Seine Fishery in Ghana 社会经济系统对小规模渔业上升流变异性的反应:加纳海滩围网渔业的案例
IF 2.5 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-21 DOI: 10.1080/08920753.2022.2006883
I. Okyere
Abstract The paper examines how variability in sea surface temperature and upwelling influenced fish catch in a small-scale beach seine fishery for nearly two years (covering two major seasons, a minor season and an off season), and how socio-cultural agreement on profit sharing further dictated disproportionate disparities in income of boat or net owners (considered as “employers”) and their fishing crew (“employees”). In this fishery, half of the total profit is allocated to the net owner and the remaining half shared among the crew. The year with higher sea surface temperature and weak upwelling intensity recorded lower fish catch and lower profits, which further worsened the economic plight of the fishermen. Crew earned less than Ghana’s national monthly minimum wage of GH¢ 120.96 (≈US$65.0) in 2012, and GH¢ 141.48 (≈US$75.8) in 2013 for most months in the two years. A net owner generally had more than 25 times the earning of a crew. Results are discussed within the broader contexts of socio-economic plight of small-scale fishers in the face of climate-induced weakening upwelling intensity and declining fish catches. Policy interventions for ensuring economic safety nets for small-scale fishermen in the country including a pension scheme for the fishers are proposed.
摘要本文研究了近两年来(包括两个主要季节、一个次要季节和一个淡季)海面温度和上升流的变化如何影响小型围网渔业的鱼类捕捞量,以及关于利润分享的社会文化协议如何进一步导致船主或船主(被视为“雇主”)及其船员(“雇员”)的收入差距过大。在这种渔业中,总利润的一半分配给净所有者,其余一半由船员分享。海面温度较高、上升流强度较弱的年份,捕捞量较低,利润较低,进一步加剧了渔民的经济困境。2012年,船员的月收入低于加纳的国家最低工资120.96加纳先令(≈65.0美元),2013年,两年中大部分月份的工资低于加纳的141.48加纳先令(约75.8美元)。净所有者的收入通常是船员收入的25倍以上。结果是在小规模渔民面临气候导致的上升流强度减弱和渔获量下降的社会经济困境的更广泛背景下进行讨论的。建议采取政策干预措施,确保该国小规模渔民的经济安全网,包括为渔民制定养老金计划。
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引用次数: 1
Using Stakeholders’ Perception to Evaluate the Prospects of Establishing Marine Protected Areas in the Niger Delta Coastal Ecosystem 利用利益相关者的感知评估在尼日尔三角洲沿海生态系统中建立海洋保护区的前景
IF 2.5 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-20 DOI: 10.1080/08920753.2022.2022954
Ebuka Benedict Okeke, Somadina Mmaduakonam Obodoefuna, M. M. Uddin, Lingfeng Huang
Abstract This study assesses the Political, Economic, Social, Technical, Legal, and Environmental (PESTLE) factors for establishing Marine Protected Areas (MPAs) in the Niger Delta coastal waters. Interview and questionnaire methods were used to collect the needed information from locals and environmental experts. The locals include fishermen from four (4) coastal locations in the Niger Delta while experts include relevant government institutions, researchers, and Non-Governmental Organizations (NGOs). Data collected from the survey were analyzed and used to determine the state of 18 PESTLE sub-criteria, and Analytical Hierarchical Process (AHP) was used to find the sub-criteria weights (importance). The stakeholder’s perceptions on potential MPAs were analyzed and compared with Relative Importance Index (RII). Results show stakeholders agree more on the prioritization of MPA implementation criteria and expected benefits but agree less on the MPA objectives and beneficiaries. Environmental prospects for MPAs in the Niger Delta have the highest performance score and vice versa for the political and technical capacity for MPA implementation and management. The study concludes Niger Delta has potentials for MPAs which can be achieved through addressing the identified weaknesses and threats.
本研究评估了在尼日尔三角洲沿海水域建立海洋保护区的政治、经济、社会、技术、法律和环境(PESTLE)因素。采用访谈和问卷调查的方法,向当地居民和环境专家收集所需信息。当地人包括来自尼日尔三角洲四个沿海地区的渔民,专家包括相关政府机构、研究人员和非政府组织。对调查数据进行分析,确定了18个PESTLE子标准的状态,并采用层次分析法(AHP)确定了子标准的权重(重要性)。分析了利益相关者对潜在海洋保护区的看法,并与相对重要性指数(RII)进行了比较。结果表明,利益相关者对海洋保护区实施标准的优先顺序和预期效益的认同程度较高,但对海洋保护区目标和受益者的认同程度较低。尼日尔三角洲海洋保护区的环境前景绩效得分最高,海洋保护区实施和管理的政治和技术能力得分反之亦然。该研究得出结论,尼日尔三角洲具有建立海洋保护区的潜力,可以通过解决已确定的弱点和威胁来实现。
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引用次数: 1
Balancing Human and Sea Turtle Safety: Evaluating Long-Wavelength Streetlights as a Coastal Roadway Management Tool 平衡人类和海龟的安全:评估长波路灯作为沿海道路管理工具
IF 2.5 4区 环境科学与生态学 Q4 ENVIRONMENTAL SCIENCES Pub Date : 2022-01-17 DOI: 10.1080/08920753.2022.2022974
Tonya Long, Jodie Eldridge, Joe Hancock, S. Hirama, R. Kiltie, Meghan Koperski, Robbin N. Trindell
Abstract Coastal roadways with tall, full-spectrum streetlights along sea turtle nesting beaches present a challenge for managers seeking to balance protection of sea turtles with public safety. Many communities extinguish these lights during nesting season to avoid impacting nesting and hatchling sea turtles. Long-wavelength light emitting diodes (LEDs) offer an alternative for managers in these communities, but additional information on sea turtle response to these lights is warranted prior to installation. We conducted arena assays on Florida’s west coast to evaluate hatchling orientation when exposed to a shielded, long-wavelength (624 nm) prototype lamp compared to an adjacent beach with the streetlights turned off. We compared orientation in test and control arenas simultaneously over two consecutive nights, recording crawl direction and timing for individual hatchlings. Hatchlings in test and control arenas oriented correctly toward the ocean in all trials, with no differences in hatchling dispersion or circling. Thus, the fully shielded, long-wavelength LED streetlight fixture tested provides an appropriate option to minimize impacts to sea turtles along coastal roadways throughout the Unites States and elsewhere. As such, this alternative solution to extinguishing necessary streetlights can aid coastal managers in concurrently protecting nesting habitat and providing light for public safety.
摘要海龟筑巢海滩沿岸的海岸道路上有高高的全光谱路灯,这对寻求在保护海龟和公共安全之间取得平衡的管理者来说是一个挑战。许多群落在筑巢季节熄灭这些灯,以避免影响筑巢和孵化的海龟。长波长发光二极管(LED)为这些社区的管理人员提供了一种替代方案,但在安装之前,有必要提供海龟对这些灯反应的额外信息。我们在佛罗里达州西海岸进行了竞技场测定,以评估暴露在屏蔽的长波长环境中时孵化的幼崽的方位(624 nm)原型灯与关闭街灯的邻近海滩进行比较。我们在连续两个晚上同时比较了测试和控制场地的方位,记录了单个幼崽的爬行方向和时间。在所有试验中,测试和控制场上的孵化器都正确地朝向海洋,孵化器的分散或盘旋没有差异。因此,经过测试的全屏蔽长波长LED路灯提供了一种适当的选择,可以最大限度地减少对美国和其他地方沿海道路海龟的影响。因此,这种熄灭必要路灯的替代解决方案可以帮助海岸管理人员同时保护筑巢栖息地和为公共安全提供照明。
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引用次数: 2
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Coastal Management
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