Willingness to pay among households to prevent coastal resources from polluting by oil spills: a pilot survey.

In many coastal regions oil spills can be considered to be one of the most important risks for the coastal environment. Efficient contingency management in responding to oil spills is critically important. Strategic priorities in contingency management highly depend upon the importance attributed to different economic and ecological resources such as beaches or birds. Due to the lack of a market for natural resources in the real world, these resources cannot be directly measured in monetary terms. This increases the risk that natural resources and their services are neglected in contingency decision making. This paper evaluates these natural resources in a hypothetical market by using the methodology of stated choice experiments. Results from a pilot survey show that according to the perspective of individuals, an oil spill combat process should focus on the protection of coastal waters, beaches and eider ducks.

Time to diagnosis of melanoma: same trend in different continents.

BACKGROUND: Patients and physicians both play an important role in the diagnosis of malignant melanoma. OBJECTIVE: The purpose of this study was to assess important factors of delay in diagnosis at different centers and on three continents. METHODS: Between October 2001 and October 2002, patients with histologically confirmed invasive melanoma were included in the study and given an established questionnaire. Recorded patients and tumor characteristics included age, sex, anatomic location, Breslow thickness, patients' awareness of the lesion and time with suspicion, and physicians' time (delay) before the operation. RESULTS: The study included 985 patients (486 males, 499 females): 253 from Germany, 464 from Sweden, 58 from Brazil, and 210 from Australia. More females detected their lesions by themselves. The change to a darker color (21%) and enlargement of the area of the lesion (19%) were the major signs. The highest knowledge among patients that early detection may improve the outcome was found in Sweden and Australia. At each center, the media (newspaper, magazine, radio, and television) provided the best sources of information about melanoma. Twenty to 33% of all physicians initially consulted missed the melanoma diagnosis, independent of their specialty. CONCLUSIONS: There are still factors for the delay in melanoma diagnosis in different countries and continents, but the differences are rather small. The results should be included in planning prevention campaigns in this specific field and in the education of medical students, physicians of all specialties, and other health professionals.