Descriptions and patterns in opportunistic marine debris collected near Palmer Station, Antarctica.

Observations of marine debris in Antarctica have been increasing; however, impacts, distributions, sources, and transport pathways of debris remain poorly understood. Here, we describe the spatial distribution, types, and potential origins of marine debris in 2022/2023 near Palmer Station, Antarctica. We opportunistically collected 135 pieces of marine debris with the majority of items found along shorelines (90 %), some found in/near seabird nests/colonies (7 %) and few on inland rocky terrain (3 %). Plastic and abandoned, lost, or discarded fishing gear dominated observed debris. Results suggest that wind and the Antarctic Coastal Current may be a major pathway for debris. This study is the first assessment of marine debris in this region and suggests that oceanography, weather patterns, and shoreline geomorphology could play a role in determining where debris will accumulate. Continued tracking of debris and development of structured surveys is important for understanding the impacts of human activities in a biological hotspot.

Sources of anxiety in young rural physicians working alone on remote islands: A qualitative study.

Background: We aimed to examine the sources of anxiety for young rural physicians working alone on remote islands. Methods: Semistructured interviews were conducted on six physicians who worked on remote islands. The Steps for Coding and Theorization method was used to analyze the content of the interviews. Results: Twelve concepts were generated and categorized into four themes: solo practice, the tight-knit community, limited human and medical resources, and future career. Conclusion: Young rural physicians' anxieties in solo practice on a remote island are complicated and include multiple dilemmas. Recognizing these anxieties helps with metacognition and professional development in these individuals.

Transport route-based cluster analysis of chemical fingerprints and source origins of marine fine particles (PM2.5) in South China Sea.

The fingerprints and source origins of marine PM2.5 at two background islands in the South China Sea were clustered via trajectory analysis and positive matrix factorization. High PM2.5 concentrations at the Dongsha Islands occurred for the north routes, while Nansha Islands had similar PM2.5 concentrations amongst the transport routes. However, the chemical characteristics of PM2.5 varied with the transport routes. Secondary inorganic aerosols (NO3-, SO42-, and NH4+) were abundant in water-soluble ions which dominated PM2.5. Crustal metals were the abundant metals in PM2.5, while trace metals were primarily originated from man-made sources. Organic carbon was superior to elemental carbon, and high concentrations of levoglucosan and organic acids were observed for the north routes. Overall, marine PM2.5 at the Dongsha Islands was highly influenced by long-range transport of Asian continental outflows, while particulate air quality at the Nansha Islands was mainly governed by clean air parcels blown from the SCS.

A Desperate Need for Psoriasis Health Care in Remote Regions as Revealed by a Live Interactive Teledermatology Program Serving Penghu Islands in Taiwan Strait.

Introduction: Several studies indicated that teledermatology is good for people living on offshore islands. However, what disease benefits the most from interactive dermatology geographically in offshore islands remain uncertain. Objectives: This study aimed to investigate the seasonal and geographical distribution with different diseases in remote regions of Penghu islands in Taiwan Strait, thus to study the medical needs for specific disease in remote islands. The cost differences among three models by professional dermatologists were analyzed. Methods: This interactive teledermatology program serving Penghu Hospital, Ministry of Health and Welfare (MOHW-PH, March 2020 to February 2021) from a medical center in Taiwan recruited 145 patients with 280 patient-visits. The seasons, the timing from residential houses to MOHW-PH, the number of disease diagnosis, and the numbers of teledermatology visits are compared. The association of the distance from residential houses to MOHW-PH with different disease diagnosis was analyzed. Results: Eczema (33%), dermatophytosis (13%), and psoriasis (11%) were most common. Seasonal analysis showed dermatophytosis and eczema are more common in summer and winter, respectively. Geographical analysis showed that psoriasis has relatively higher case numbers, higher visits per case, with cases living in longer distances. The patient satisfaction was good (>95%). Among the three care modes of dermatologist, the cost estimation of interactive teledermatology and in-person clinic were similar yearly (2.4-2.9 million New Taiwan Dollars, roughly 80,000-90,000 USD). Conclusions: The study indicates that health care for psoriasis, being underprivileged but in desperate need in distant regions, could be delivered with quality and satisfaction by interactive teledermatology.

Renewable energy can enhance resilience of small islands.

This paper summarizes some of the ways in which increased use of renewable energy can reduce vulnerability of nations and communities to hydro-meteorological disasters (i.e. enhance their resilience). It uses examples mainly from the small island countries of the Pacific, as the issues raised are particularly pertinent there. In particular, distributed electricity generation reduces vulnerability of supply to severe weather.

Beaches of the Azores archipelago as transitory repositories for small plastic fragments floating in the North-East Atlantic.

Plastic pollution is among the most pervasive stressors currently influencing the marine environment and affecting even the most remote areas. To date, there are still fundamental gaps in our understanding of the major pathways and fate of plastic debris in the oceans. Here we show that oceanic insular environments are important transitory repositories of small plastic items floating in the open ocean. Monthly monitoring of seven beaches over a three-year period demonstrate that beaches of the Azores islands with particular characteristics can capture significant quantities of fragments between 2 and 5 mm in length. The beach with the highest plastic loading rates was found to occasionally accumulate densities exceeding 15,000 fragments m-2 on part of the backshore. However, a large portion of these fragments can be rapidly washed back into the marine environment. Detailed characterization of those plastic items revealed the typology and size distribution to be similar throughout the seven beaches and through the 33 months surveyed, suggesting a same and unique source. Our results show that these oceanic islands of the North-East Atlantic are under pressure of high quantities of fragmented plastic debris that probably entered the ocean many years ago.

A Nationwide Survey of Obstetric Care Status on Japan's Islands, with Special Reference to Maternal Transport to the Mainland.

Safe obstetric care is a worldwide requirement. In Japan, a reduced number of obstetricians has prompted the centralization of obstetric facilities, and Japan's islands are expected to experience problems in handling deliveries. Although many pregnant women "move" to the mainland at later gestational weeks, "transport" from the island to the mainland may be occasionally needed when disorders manifest before the "move." Other women plan within-island deliveries; however, transport is required when complications arise. Managing delivery- or pregnancy-related problems may differ in transport by the population size of islands. We investigated the following issues in relation to the population size of Japan's islands: 1) How were deliveries handled on islands? 2) How many pregnant women were transported to the mainland? 3) What was the reason for and what affected transport? A total of 142 municipalities were selected to participate in a questionnaire survey, and 108 institutions from 106 municipalities responded. A comparative analysis by island size was performed using 2014 data: small-sized (population < 1,000), mid-sized (1,000 to 5,000), and large-sized (≥ 5,000). The percentage of women transported to the mainland from small-sized islands was significantly higher than that from large-sized islands (6.8 vs. 2.6% of all births in a year, respectively, P < 0.01). Transport was mainly in response to threatened preterm labor. Adverse weather was the most frequent factor affecting transport reliability. Our findings may contribute to a more detailed understanding of the state of obstetric care on Japan's islands.

Does Primary Productivity Turn Up the Volume? Exploring the Relationship Between Chlorophyll a and the Soundscape of Coral Reefs in the Pacific.

Chlorophyll is the basis for ecosystem productivity in most marine environments. We report on an ongoing effort to examine whether ambient sounds are tied to chlorophyll levels. We hypothesized that an increase in food-web available energy will be distributed across trophic levels, eventually reaching sound-producing animals and increasing acoustic levels. To test our hypothesis, we compared reef environments to explore links between soundscapes and chlorophyll a concentrations. The study sites resided in disparate oceanographic regimes that experienced substantially different oceanographic conditions. We anticipated that the results would show differing patterns of primary productivity between sites and therefore would be reflected in the soundscapes.

Beach debris in the Azores (NE Atlantic): Faial Island as a first case study.

Marine debris is widely recognised as a global environmental problem. This study assesses density, type, and temporal trends of marine debris in two sandy beaches of Faial Island (Azores, NE-Atlantic). During seven months (six days per month) the beaches were surveyed by performing 10 random transects at each site. Recorded items within the range 2-30 cm were organised into seven categories. Densities of total debris varied from 0 to 1.940 items m(-2), with plastics dominating both areas. Both beaches, presented the highest debris abundance in February, most probably related to prevailing winds and swell. Location and/or time of year also seemed to influence the type of debris present. These findings provide new insights into debris accumulation rates in the Azores, where no previous studies were made. It also confirms the global trend of increased plastics accumulation on shorelines, highlighting the need for further research in remote islands.