Relative abundance of derelict fishing gear in the Hawaii-based pelagic longline fishery grounds as estimated from fishery observer data.

Derelict fishing gear (DFG) is abundant across the remote North Pacific Ocean, accumulating in convergence zones that coincide with the fishing grounds of the Hawai'i-based pelagic longline fishery. Longlines are prone to snagging DFG, providing an opportunistic, yet regular, reporting mechanism by longline fishery observers (fishery-dependent data). We apply a zero-inflated negative binomial model previously used to standardize catch per unit effort (CPUE) for bycatch and incidentally caught species in this fishery to estimate DFG relative abundance and qualitative trends within the longline fishing grounds. During 2008-2016, observers reported 1326 marine debris items intercepted by longlines, dominated by DFG at nearly 90%. Modeling results suggest that the relative abundance of DFG has declined ~66% from 2008-2016. DFG standardized CPUE was higher for longlines fished inside the North Pacific Subtropical Convergence Zone (versus outside) and increased moving eastward and northward toward the Great Pacific Garbage Patch. Despite substantially less effort in the shallow-set sector of the fishery (∼60 m depth), DFG standardized CPUE was four-fold greater than that of the deep-set sector (∼250 m) suggesting that marine debris observer reporting focused in this sector may be most effective. Some fishermen voluntarily stow snagged debris; incentivizing at-sea removal may elicit further cooperation.

Human acellular dermis versus no acellular dermis in tissue expansion breast reconstruction.

BACKGROUND: Human acellular dermis has been adopted for routine use in tissue expander reconstruction. The purported benefits include higher intraoperative fill volume, facilitation of lower pole expansion, and enhanced definition of the lower pole of the breast. Recently, concerns have arisen about an increase in postoperative complications with its use. METHODS: A retrospective review was conducted of patients who had immediate postmastectomy breast reconstruction with a tissue expander from July of 2001 to July of 2011. All tissue expander reconstructions before 2005 were performed submuscularly only and all subsequent to 2005 with the use of AlloDerm (LifeCell, Branchburg, N.J.) acellular dermis. Patient demographics were collected, and complications were recorded. RESULTS: The study cohort included 346 patients and 511 immediate breast reconstructions; 232 patients and 346 breasts were reconstructed with and 114 patients and 165 breasts without acellular dermis. Age, body mass index, diabetes, and tobacco use were equivalent in the two groups. Seroma occurrence in the acellular dermis group was nearly twice (30.0 versus 15.1 percent) that of the no acellular dermis breasts, but the tissue expander loss was only slightly higher (11.6 versus 8.5 percent) and not statistically significant. Body mass index in patients who lost their tissue expander was 31 kg/m, statistically significantly higher than in those who did not. CONCLUSIONS: The presence of acellular dermis did not increase the incidence of tissue expander loss, despite a doubling of frequency of seroma. Prior radiation and use of acellular dermis did culminate in a prohibitively high loss rate of the tissue expander.