Breast milk is of great benefit to both infants and mothers. Due to occupational barriers, female physicians are at high risk of unintentionally discontinuing breastfeeding. However, evidence among anesthesiologists was limited. The purpose of this study was to investigate occupational factors associated with time to breastfeeding discontinuation among female anesthesiologists following maternity leave in China. We conducted a nationwide survey of female anesthesiologists who had given birth since January 1, 2015. A 60-item anonymous questionnaire was developed to collect information regarding breastfeeding practices and related factors. The questionnaire was revised based on the recommendations of 15 experts and feedback from the pilot survey. The survey was distributed by the Chinese Society of Anesthesiology. The completion rate was 57.9%. In total, 1364 responders were analyzed from all 31 provinces of Mainland China. In total, 1311 (96.1%) responders reported a reduction in breast milk supply on returning to work. Among the 1161 responders who discontinued breastfeeding, 836 (72.0%) did not achieve desired goals due to occupational factors. The median [interquartile range] of maternity leave length and breastfeeding duration were 5 [4-6] months and 10 [7-12] months, respectively. The following occupational factors were associated with longer time to breastfeeding discontinuation after adjusting for confounding effects of personal factors: length of maternity leave (hazard ratio [HR] per month 0.44; 95% confidence interval [CI], 0.36-0.54; P < .001), pumping breast milk during work time (HR, 0.04; 95% CI, 0.02-0.08; P < .001), support from colleagues (HR, 0.92; 95% CI, 0.86-0.99; P = .032), and additional nonclinical activities (HR, 0.87; 95% CI, 0.77-0.98; P = .022). Trainees under supervision (HR, 1.20; 95% CI, 1.06-1.43; P = .005) and the need to remain in the operating room during cases (HR, 2.59; 95% CI, 1.09-6.12; P = .031) were associated with shorter time to breastfeeding discontinuation. Approximately 899 (65.9%) responders pumped breast milk during work time. Among them, reduction in pumping frequency (HR, 1.17; 95% CI, 1.00-1.36; P = .049) and difficulty in finding opportunities for pumping (HR, 2.34; 95% CI, 1.36-4.03; P = .002) were associated with shorter time to breastfeeding discontinuation. We identified modifiable occupational factors associated with time to breastfeeding discontinuation. These findings underscored the necessity of facilitating breastfeeding in the workplace, including encouraging longer maternity leave and breastfeeding breaks, considering the feasibility of pumping in daily case assignments, establishing supportive culture, providing lactation rooms, and offering nonclinical activities.

An emerging trend in fisheries management allows different groups of harvesters pursuing the same stock, even under the same management plan, to manage their effort using different rules, so long as each group remains within its “catch share” portion of mortality. Thus harvesters in a single fishery, with a single total allowable catch, concurrently must respond strategically to the behavior not only of those being managed as they are but also of those facing incentives of different management. In a novel quasi‐continuous time experimental environment with a contemporaneous price externality, we explore the effort timing behavior of harvesters managed under common pool (CP) management with that of subjects managed with individual quotas (IQ). Consistent with Nash equilibrium, CP‐managed subjects race‐to‐fish, exerting high levels of effort to secure landings but selling at correspondingly low prices. IQ‐managed subjects in the same fishery hold effort back until the CP fishery closes, and use their quota over the balance of the season at a lower weekly landings level, receiving higher prices. After experiencing both management systems, subjects choose to be in a group with IQ by a 3:1 margin. (JEL Q22, Q28, C73)

Abstract Ecosystem-based management (EBM), despite the best efforts of managers, researchers, and policy makers, often falls short of its intended purpose resulting in inadequate protection of resources. Coastal habitats are particularly vulnerable to poor management due to high use and potential for user conflict. EBM can be improved when it is informed by ecological science and considers the socio-economic needs of the community. Communication between scientists and stakeholders can help to prevent adverse outcomes while enhancing protection and sustainability of the coastal environment. In the research presented here, a framework is used to guide and enhance communication between scientists and stakeholders for sustainable management of resources and equity of all users. The outcome of this applied framework is a long-term plan to guide the management of an oyster aquaculture industry using carrying capacity as an estimate for the basis of management decisions. Central to the framework is the Working Group on Aquaculture Regulations (WGAR), which represents a diverse group of stakeholders. The WGAR worked closely with ecological modelers over a two-year period using mass-balance modeling to calculate ecological carrying capacity for oyster aquaculture in two ecosystems: Narragansett Bay and a set of highly flushed temperate lagoons in Rhode Island, USA. Collaboration between scientists and the WGAR greatly improved the models and stakeholder understanding of the science and acceptance of the results. Aquaculture is increasing in coastal regions world-wide and this framework should be easily transferable to other areas suffering from similar user conflict issues.

This paper explores the application of the US Sea Grant model of applied research, extension, and education to two case studies in Latin America: Coastal Ecuador and the Gulf of Fonseca. The analysis is based on a series of meetings and roundtables with in-country partners and leaders of the US Sea Grant program. We conclude that the Sea Grant model provides an institutional structure that Latin America lacks and the model's features would improve governance of marine and coastal resources through more effective linkages between coastal communities, universities, and policy/decision makers at local, national, and international levels.

Abstract We investigated the feeding ecology of tilapia (Oreochromis spp) in the Salton Sea. Stomachs and intestines were sampled at each season. Fish foraged at the surface during the summer when dissolved oxygen was low. The proportion of plant materials in fish stomachs was higher at river mouth areas. Diatoms dominated the phytoplankton; rotifers were dominant during the spring and summer; copepods were dominant during the fall; barnacle larvae dominant during the winter. Pile worms (Neanthes succinea) were present throughout the year. Feeding activity was reduced in the summer, when dissolved oxygen was low and water temperature high.