Réflexions sur la place des médecins spécialistes en médecine nucléaire dans le dispositif d’annonce en cancérologie

Nuclear medicine physicians are very involved in French's oncology announcement procedure. However, their role needs to be analysed and evaluated. Before diagnosis’ announcement, information provided by nuclear medicine physicians are never neutral for patients. Information must not increase patient's anxiety or false patient's sense of reassurance. In this context, it seems necessary to engage in ethical reflexions about nuclear medicine physicians communication challenges.     

Exploring city-wide patterns of cultural ecosystem service perceptions and use

The dearth of socio-perceptual information on urban green spaces is not only limiting for ecosystem service research, but also for effective planning and management of these spaces. Previous studies have assessed perceived CES at single urban parks or across wider spans in rural areas but citywide coverage is missing. This paper explores perceptions of cultural ecosystem services (CES) and various uses of urban green spaces in the case study city of Berlin in relation to the values people place on these CES. Results indicate spatial differentiation of CES across an urban-rural gradient whereby: (1) the density of CES perceived decreased from the inner to the outer edges of the city and (2) recreational, social and cultural heritage and identity services were concentrated more heavily in the inner-city, while perceived biodiversity and spiritual, inspirational, and nature experience and educational services exhibited a more scattered pattern. We also uncovered two distinct clusters of CES—one that is more recreation and social-based and one that is more immaterial and nature-based. CES and their associated uses demonstrated complex relationships that should be explored in further research, though the study indicates that recreation as an indicator is too coarse for assessments at this level. Further research could more pointedly elaborate the potential of such mapping for planning, design and management.     

Participatory Resource Monitoring as a Means for Promoting Social Change in Yunnan,China

Recent international forest policies stimulate involvement of communities in forest management as a strategy to improve biodiversity conservation and the quality of local livelihoods. Increasingly, the role of local people in monitoring forest resources is also acknowledged. This paper presents a participatory resources monitoring (PRM) system developed and implemented by representatives of 12 villages, six each within and adjacent to two nature reserves in Yunnan, China. The short-term objectives are to monitor resource and wildlife abundance, resource use, wildlife damage to crops, and land use. Main methods used by the village monitoring team are: (1) observation through forest walk, (2) village interview, and (3) market survey. Monitoring is implemented throughout the year to fit in the daily work of villagers. Staff from the nature reserve or forestry bureau provide support by visiting the villages several days per year. Results indicate that participatory monitoring is a valuable tool for villagers to engage in self-owned management actions. We discuss how monitoring is also a process which could lead to social change. Based on narratives we suggest that participatory monitoring builds trust between stakeholders, changes perceptions and attitudes and leads to more democratic and transparent decision-making. In discussing accuracy, we argue that all stakeholders perceive and interpret nature differently based on different worldviews, knowledge systems, values and beliefs. We argue that if participatory monitoring is to be sustainable, community-based monitoring – preferably linked to scientific monitoring and patrolling – should be designed as a discursive institution where the process of building social capital and inter-actor learning is extremely important. Finally, we briefly reflect upon efforts to scale up participatory monitoring.     

The impacts of tourism on coral reef conservation awareness and support in coastal communities in Belize

Marine recreational tourism is one of a number of threats to the Belize Barrier Reef but, conversely, represents both a motivation and source of resources for its conservation. The growth of tourism in Belize has resulted in the fact that many coastal communities are in varying stages of a socio-economic shift from dependence on fishing to dependence on tourism. In a nation becoming increasingly dependent on the health of its coral reef ecosystems for economic prosperity, a shift from extractive uses to their preservation is both necessary and logical. Through examining local perception data in five coastal communities in Belize, each attracting different levels of coral reef related tourism, this analysis is intended to explore the relationship between tourism development and local coral reef conservation awareness and support. The results of the analysis show a positive correlation between tourism development and coral reef conservation awareness and support in the study communities. The results also show a positive correlation between tourism development and local perceptions of quality of life, a trend that is most likely the source of the observed relationship between tourism and conservation. The study concludes that, because the observed relationship may be dependent on continued benefits from tourism as opposed to a perceived crisis in coral reef health, Belize must pay close attention to tourism impacts in the future. Failure to do this could result in a destructive feedback loop that would contribute to the degradation of the reef and, ultimately, Belize’s diminished competitiveness in the ecotourism market.

The national park policy context in Greece: Park users’ perspectives of issues in park administration

The history of the national parks in Greece involves a succession of issues pertinent to the legal framework and nature of park authorities. To date the largely state-based administration and the restrictive management practices have failed to grant effective protection and management in the designated areas largely due to organisational and institutional weaknesses, ineffective policy coordination and insufficient park authorities. The latest revision of the system of park administration and legislation in Greece heralded some changes that can improve the management of national parks. The key question is whether the creation of park boards and a number of changes in their funding possibilities and regulatory management regime are perceived by park users to contribute to genuine park improvement. Information was collected by means of a questionnaire survey in three outstanding parks in Greece. Research findings suggest that the perspectives of park users are increasingly aligned to the interests of park authorities as regards park management purposes. Park authorities’ achievements in relation to protection, management and administration were perceived as poor by the respondents in all parks. The conceptions of park users markedly reflect a situation whereby the role of the state in park administration is well anticipated and valued but visitors’ funding options are contrary to the spirit of the new law. Park users tend to reject the transfer of park administration to local authorities or private companies, recognising a continued need for both autonomy and government intervention away from direct state control. While the participants strongly recognised the importance of regulatory management in parks, the weak executive powers of park boards constitute a major administrative deficiency likely to threaten the ecological integrity of parks in the future. It is imperative that park boards acknowledge the current interaction between park users and park authorities. Otherwise, park administrators may find their task an increasingly difficult one.     

Evaluation of the effectiveness of posters to provide information to patients about a DNA database and their opportunity to opt out

Objective Vanderbilt University Medical Center is implementing a DNA Databank to facilitate genomic research. This study describes the use of informational posters to communicate to patients about the Databank and their option to not participate. Methods Informational posters were displayed in two phlebotomy areas prior to the implementation of the DNA Databank project. Patients leaving the phlebotomy areas were interviewed by non-medical personnel about the posters and the Databank using a structured interview guide. Results Completed interviews with patients (n = 192) show that only 32% recalled seeing the posters (memory of the image only, or of the image and the content of the text). The majority of participants (93%) either recalled the poster or reported that they were comfortable with the DNA Databank concept after they had been read a brief statement about the program. A significant relationship (p = 0.001) appeared between respondents’ awareness of research practices concerning anonymous discarded tissues and their level of comfort with the DNA Databank. Conclusions Individuals who report feeling uncomfortable with the Databank are an important population to inform about the Databank and opting out. Since there were no statistically significant demographic differences between those who recalled the poster and those who did not, there is no way to prospectively identify which patients will not be reached by the posters or who may feel uncomfortable with the program. Additional mechanisms to promote widespread notification are needed.     

Finding and promoting a local conservation consensus in a globally important tropical forest landscape

Can democratic processes favour conservation outcomes in the tropics? This study focuses on local viewpoints within a forested landscape of high conservation significance in East Kalimantan (Indonesian Borneo). Stakeholders received posters displaying results from a previous study; these posters emphasised local priorities and views regarding local biodiversity. We assess local attitudes to this information, and consider some implications. Knowledge of, and agreement with, poster content increased among villagers, townspeople and civil servants after they received posters. All respondents appreciated the posters and all supported some form of forest conservation. All respondents agreed that biodiversity conservation and local views are vital in land-use planning. All agreed that logging companies need to be better controlled, while 80% consider them a “major environmental threat”. These results bolster our belief that involving communities is not only an ethically defensible way to achieve conservation outcomes, but also a pragmatic opportunity to do so.