Significando a transicionalidade da sexualidade do cônjuge-cuidador da pessoa idosa em processo demencial para um cuidado terapêutico de enfermagem

A sexualidade compreende muitas dimensões da vida dos indivíduos. Ao longo da vida vai sendo revista, à medida que modificações biopsicossociais acontecem e, ao se pensar em relacionamentos conjugais de longa duração é preciso ponderar que estes casais já passaram por transformações na sua relação conjugal e familiar. Para as pessoas idosas o predomínio de doenças crônicas é maior, com risco para incapacidade e/ou dependência, dentre elas a demência. Cônjuges-cuidadores, vivenciando a transicionalidade da sexualidade podem ressignificar a vida, com o apoio do cuidado terapêutico de enfermagem. O estudo teve o objetivo de compreender a vivência da transicionalidade do cônjuge-cuidador da pessoa idosa em processo demencial, para elaboração de um modelo interpretativo de cuidado terapêutico de enfermagem na perspectiva da Teoria das Transições. A fundamentação teórica se baseia nos pressupostos da Teoria das Transições. Estudo de abordagem qualitativa, com base no referencial metodológico da Teoria Fundamentada nos Dados com 25 participantes distribuídos em quatro grupos amostrais (12 cônjuges-cuidadores, 5 filhos e 8 profissionais de saúde). O cenário investigado foi o Núcleo de Atenção ao Idoso, Universidade do Estado do Rio de Janeiro, RJ, Brasil. A coleta dos dados ocorreu entre maio de 2014 e maio de 2015. A técnica utilizada foi à entrevista intensiva e a análise feita mediante codificação inicial, seletiva e focalizada. O projeto de pesquisa foi aprovado pelo Comitê de Ética da UERJ (Processo n 631.538). Os dados demonstraram que a construção da vida conjugal e a história prévia de sexualidade apreendida e vivenciada interferem na maneira de identificar as mudanças provocadas pelo processo demencial e de se adaptar às repercussões para a sexualidade pessoal e conjugal. O fenômeno evidenciado foi a ressignificação da vida do cônjuge-cuidador da pessoa idosa em processo demencial por meio da transicionalidade da sexualidade conjugal, apontando um cuidado terapêutico de enfermagem, sustentado por sete categorias e dezesseis subcategorias, que articuladas, mostram a ressignificação diretamente ligada à história de vida matrimonial, ao engajamento da família como suporte, além do serviço especializado e a disposição em redimensionar a vida sexual consigo e com o outro. Os resultados apontaram o cuidado como mais uma atribuição, com alterações para saúde e em outras dimensões. Por parte dos profissionais, ainda há um despreparo e abordagem muito superficial da sexualidade entre casais que envelhecem, sobremaneira no contexto da demência; para os cônjuges-cuidadores, as crenças e o imaginário social interferem não só no desenvolvimento da sexualidade possível no contexto de vida atual, como na relação de cuidado e na definição do seu papel social; os filhos descrevem o funcionamento familiar na busca da adaptação ao novo contexto de vida dos pais. A ressignificação existe, a partir de estratégias de enfrentamento e da transposição da sexualidade pelo cuidado à pessoa idosa que adoece. Assim, sustenta-se a tese: A compreensão da vivência da transicionalidade da sexualidade do cônjuge-cuidador da pessoa idosa em processo demencial permite a elaboração de um modelo interpretativo que aponta para um cuidado terapêutico de enfermagem próprio para esse momento de vida.

Avaliação da Ingestão Alimentar de Idosos em Hemodiálise.

O número de pacientes idosos iniciando tratamento dialítico aumentou de maneira importante nas últimas duas décadas. Por esse motivo, é importante conhecer sobre aspectos nutricionais desse segmento de pacientes. Poucos trabalhos até o momento investigaram a ingestão alimentar de pacientes idosos em hemodiálise (HD) com foco na qualidade da dieta. Dessa forma, o objetivo deste estudo é investigar o padrão alimentar de idosos em HD, verificar se o dia de tratamento dialítico pode alterar o padrão alimentar, avaliar se o padrão alimentar se associa com marcadores do estado nutricional e averiguar se o padrão alimentar de pacientes idosos em HD difere do de idosos sem doença renal crônica (DRC). Métodos: Este trabalho tem desenho observacional e transversal. Foram avaliados 153 pacientes idosos (> 60 anos) em tratamento crônico de HD (Grupo Estudo: 70,8 7,2 anos) e 47 idosos sem DRC (Grupo Controle: 73,2 7,9 anos). A avaliação do estado nutricional, no Grupo Estudo, foi feita por medidas antropométricas, impedância bioelétrica, força de preensão manual, albumina sérica e avaliação subjetiva global de 7 pontos. O consumo alimentar foi avaliado a partir do registro alimentar de 3 dias, sendo 1 dia do final de semana sem diálise (FS), 1 dia da semana com diálise (HD) e 1 dia da semana sem diálise (SHD) para o Grupo Estudo; e 1 dia do final de semana (FS) e um dia da semana (dia 1) para o Grupo Controle. O padrão alimentar foi avaliado pelo índice de qualidade da dieta revisado (IQD-R), com 12 componentes e pontuação máxima de 100 pontos, indicando melhor qualidade da dieta. Para avaliar o consumo de alimentos ultraprocessados, os alimentos foram categorizados em três grupos (in natura, ingredientes de adição e ultraprocessados). Resultados: Não houve diferença estatística na pontuação total do IQD-R entre os três dias avaliados no Grupo Estudo. No entanto, observou-se diferença quando avaliado os componentes do IQD-R. Notou-se menor consumo de frutas integrais (2,66 0,18 vs. 3,28 0,18 pontos), vegetais verde-escuros e alaranjados (2,99 0,19 vs. 3,55 0,16 pontos) no dia HD comparado ao dia SHD, respectivamente. Quanto ao consumo de alimentos ultraprocessados, apenas no dia HD a contribuição energética desse grupo alimentar (41,6 17,6%) foi similar à de alimentos in natura (41,7 15,9%), enquanto nos dias FS e SHD a contribuição de alimentos in natura foi maior. Não foram observadas associações clinicamente significantes entre a pontuação total do IQD-R e parâmetros nutricionais no Grupo Estudo. Ao comparar o Grupo Estudo com o Grupo Controle, notou-se que a pontuação total do IQD-R foi menor no Grupo Estudo em todos os três dias avaliados e as maiores diferenças foram encontradas no dia HD. O mesmo se repete quanto à contribuição energética dos alimentos ultraprocessados, que foi maior no dia HD (41,6 17,6%) quando comparado ao dia 1 do Grupo Controle (33,4 15,9%). Essa diferença não foi observada quando o dia 1 do Grupo Controle foi comparado ao dia SHD. Conclusão: Pacientes idosos em HD apresentam pior padrão alimentar no dia HD e pior do que de idosos sem DRC. Fica clara a importância de rever as orientações alimentares voltadas a esse grupo de pacientes, de forma a favorecer um padrão alimentar compatível com uma boa saúde.

The ecological condition of estuaries in the Gulf of Mexico

This document is intended for use by scientists and other citizens concerned with the ecological condition of estuaries, as well as by managers and lawmakers interested in the sustained use of estuaries for commercial and recreational purposes. It also addresses public concerns about the aesthetic quality of coastal areas vital to tourism and recreation. By producing this report on the ecological condition of estuaries in the Gulf of Mexico, we have taken one step in assessing the health of this environmental resource. We have produced an environmental report card to be used as a guide in the evaluation of management decisions and research directions. This report is organized in three parts: (1) an introduction that gives background information on the Gulf of Mexico, estuarine ecology, and the factors that impact estuaries in the gulf, (2) the main section on priority ecological indicators used to measure the condition of estuaries in the gulf and (3) an ecological report card that summarizes the data on ecological indicators and provides a rating of the condition of estuaries in each gulf state and for gulf estuaries overall. Many of the ratings were based on the percent area of estuaries in each state exhibiting degraded or adverse levels of an indicator.

Protocols for conducting dolphin capture-release health assessment studies

Marine mammals, such as dolphins, can serve as key indicator species in coastal areas by reflecting the effects of natural and anthropogenic stressors. As such they are often considered sentinels of environmental and ecosystem health (Bossart 2006; Wells et al. 2004; Fair and Becker 2000). The bottlenose dolphin is an apex predator and a key component of many estuarine environments in the southeastern United States (Woodward-Clyde Consultants 1994; SCDNR 2005). Health assessments of dolphins are especially critical in areas where populations are depleted, show signs of epidemic disease and/or high mortality and/or where habitat is being altered or impacted by human activities. Recent assessments of environmental conditions in the Indian River Lagoon, Florida (IRL) and the estuarine waters surrounding Charleston, South Carolina (CHS) highlight the need for studies of the health of local bottlenose dolphins. While the condition of southeastern estuaries was rated as fair in the National Coastal Condition Report (U.S. EPA 2001), it was noted that the IRL was characterized by poorer than expected benthic communities, significant sediment toxicity and increased nutrient concentrations. Similarly, portions of the CHS estuary have sediment concentrations of aliphatic aromatic hydrocarbons, select inorganic metals, and some persistent pesticides far in excess of reported bioeffect levels (Hyland et al. 1998). Long-term trends in water quality monitoring and recent scientific research suggest that waste load assimilation, non-point source runoff impacts, contaminated sediments, and toxic pollutants are key issues in the CHS estuary system. Several ‘hot spots’ with high levels of heavy metals and organic compounds have been identified (Van Dolah et al. 2004). High concentrations of anthropogenic trace metals, polychlorinated biphenyls (PCB’s) and pesticides have been found in the sediments of Charleston Harbor, as well as the Ashley and Cooper Rivers (Long et al. 1998). Two superfund sites are located within the CHS estuary and the key contaminants of concern associated with these sites are: polycyclic aromatic hydrocarbons (PAH), lead, chromium, copper, arsenic, zinc and dioxin. Concerns related to the overall health of IRL dolphins and dermatologic disease observed in many dolphins in the area (Bossart et al. 2003) initiated an investigation of potential factors which may have impacted dolphin health. From May-August 2001, 35 bottlenose dolphins died in the IRL during an unusual mortality event (MMC 2003). Many of these dolphins were diagnosed with a variety of skin lesions including proliferative ulcerative dermatitis due to protozoa and fungi, dolphin pox and a vesicular dermatopathy of unknown etiology (Bossart et al. 2003). Multiple species from fish to dolphins in the IRL system have exhibited skin lesions of various known and unknown etiologies (Kane et al. 2000; Bossart et al. 2003; Reif et al. 2006). On-going photo-identification (photo-ID) studies have documented skin diseases in IRL dolphins (Mazzoil et al. 2005). In addition, up to 70% of green sea turtles in the IRL exhibit fibropapillomas, with the highest rates of occurrence being seen in turtles from the southern IRL (Hirama 2001).

National Centers for Coastal Ocean Science Coastal Ecosystem Assessment Program: a manual of methods

Environmental managers strive to preserve natural resources for future generations but have limited decision-making tools to define ecosystem health. Many programs offer relevant broad-scale, environmental policy information on regional ecosystem health. These programs provide evidence of environmental condition and change, but lack connections between local impacts and direct effects on living resources. To address this need, the National Oceanic and Atmospheric Administration/National Ocean Service (NOAA/NOS) Cooperative Oxford Laboratory (COL), in cooperation with federal, state, and academic partners, implemented an integrated biotic ecosystem assessment on a sub-watershed 14-digit Hydrologic Unit Code (HUD) scale in Chesapeake Bay. The goals of this effort were to 1) establish a suite of bioindicators that are sensitive to ecosystem change, 2) establish the effects of varying land-use patterns on water quality and the subsequent health of living resources, 3) communicate these findings to local decision-makers, and 4) evaluate the success of management decisions in these systems. To establish indicators, three sub-watersheds were chosen based on statistical analysis of land-use patterns to represent a gradient from developed to agricultural. The Magothy (developed), Corsica (agricultural), and Rhode (reference) Rivers were identified. A random stratified design was developed based on depth (2m contour) and river mile. Sampling approaches were coordinated within this structure to allow for robust system comparisons. The sampling approach was hierarchal, with metrics chosen to represent a range from community to cellular level responses across multiple organisms. This approach allowed for the identification of sub-lethal stressors, and assessment of their impact on the organism and subsequently the population. Fish, crabs, clams, oysters, benthic organisms, and bacteria were targeted, as each occupies a separate ecological niche and may respond dissimilarly to environmental stressors. Particular attention was focused on the use of pathobiology as a tool for assessing environmental condition. By integrating the biotic component with water quality, sediment indices, and land- use information, this holistic evaluation of ecosystem health will provide management entities with information needed to inform local decision-making processes and establish benchmarks for future restoration efforts.

Monitoring well-being and changing environmental conditions in coastal communities: development of an assessment method

The intersection of social and environmental forces is complex in coastal communities. The well-being of a coastal community is caught up in the health of its environment, the stability of its economy, the provision of services to its residents, and a multitude of other factors. With this in mind, the project investigators sought to develop an approach that would enable researchers to measure these social and environmental interactions. The concept of well-being proved extremely useful for this purpose. Using the Gulf of Mexico as a regional case study, the research team developed a set of composite indicators to be used for monitoring well-being at the county-level. The indicators selected for the study were: Social Connectedness, Economic Security, Basic Needs, Health, Access to Social Services, Education, Safety, Governance, and Environmental Condition. For each of the 37 sample counties included in the study region, investigators collected and consolidated existing, secondary data representing multiple aspects of objective well-being. To conduct a longitudinal assessment of changing wellbeing and environmental conditions, data were collected for the period of 2000 to 2010. The team focused on the Gulf of Mexico because the development of a baseline of well-being would allow NOAA and other agencies to better understand progress made toward recovery in communities affected by the Deepwater Horizon oil spill. However, the broader purpose of the project was to conceptualize and develop an approach that could be adapted to monitor how coastal communities are doing in relation to a variety of ecosystem disruptions and associated interventions across all coastal regions in the U.S. and its Territories. The method and models developed provide substantial insight into the structure and significance of relationships between community well-being and environmental conditions. Further, this project has laid the groundwork for future investigation, providing a clear path forward for integrated monitoring of our nation’s coasts. The research and monitoring capability described in this document will substantially help counties, local organizations, as well state and federal agencies that are striving to improve all facets of community well-being.

Scientific assessment of marine harmful algal blooms

Algae are the most abundant photosynthetic organisms in marine ecosystems and are essential components of marine food webs. Harmful algal bloom or “HAB” species are a small subset of algal species that negatively impact humans or the environment. HABs can pose health hazards for humans or animals through the production of toxins or bioactive compounds. They also can cause deterioration of water quality through the buildup of high biomass, which degrades aesthetic, ecological, and recreational values. Humans and animals can be exposed to marine algal toxins through their food, the water in which they swim, or sea spray. Symptoms from toxin exposure range from neurological impairment to gastrointestinal upset to respiratory irritation, in some cases resulting in severe illness and even death. HABs can also result in lost revenue for coastal economies dependent on seafood harvest or tourism, disruption of subsistence activities, loss of community identity tied to coastal resource use, and disruption of social and cultural practices. Although economic impact assessments to date have been limited in scope, it has been estimated that the economic effects of marine HABs in U.S. communities amount to at least $82 million per year including lost income for fisheries, lost recreational opportunities, decreased business in tourism industries, public health costs of illness, and expenses for monitoring and management. As reviewed in the report, Harmful Algal Research and Response: A Human Dimensions Strategy1, the sociocultural impacts of HABs may be significant, but remain mostly undocumented.

Scientific assessment of freshwater harmful algal blooms

In 2004, Congress reauthorized the Harmful Algal Bloom and Hypoxia Research and Control Act of 1998 with the Harmful Algal Bloom and Hypoxia Amendments Act (HABHRCA 2004). The 2004 legislation required the generation of five reports, including this "Scientific Assessment of Freshwater Harmful Algal Blooms." HABHRCA 2004 stipulates that this report 1) examine the causes, consequences, and economic costs of freshwater HABs, 2) establish priorities and guidelines for a research program on freshwater HABs, and 3) make recommendations to improve coordination among Federal agencies with respect to research on HABs in freshwater environments. This report is divided into five chapters: Chapter 1 provides the legislative background and process for developing the report, Chapter 2 describes the problem of freshwater and inland HABs in the United States, Chapter 3 outlines the current Federal efforts in freshwater and inland HAB research and response, Chapter 4 discusses the future research priorities, and Chapter 5 delineates opportunities for coordination to advance research efforts. The document is based, in large part, on the proceedings (Hudnell 2008) of the International Symposium on Cyanobacterial Harmful Algal Blooms, a meeting convened by EPA and sponsored by a variety of Federal agencies, to describe current scientific knowledge and identify priorities for future research on CyanoHABs. This report offers a plan for coordinating the important research that is currently ongoing in the United States and for guiding future research directions for Federal programs as well as for state, local, private, and academic institutions in order to maximize advancements. To this end, the Interagency Working Group on Harmful Algal Blooms, Hypoxia, and Human Health (IWG-4H) identifies seven priorities, all of equal weight, for freshwater HAB research and response. These priorities represent research areas where there is the greatest potential for progress in freshwater HAB research. This report does not attempt to assess the relative importance of freshwater HAB research compared to other research areas or other priorities for Federal or state investment.

Atlas of the shallow-water benthic habitats of American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands

The National Oceanic and Atmospheric Administration (NOAA) National Ocean Service (NOS) initiated a coral reef research program in 1999 to map, assess, inventory, and monitor U.S. coral reef ecosystems (Monaco et al. 2001). These activities were implemented in response to requirements outlined in the Mapping Implementation Plan developed by the Mapping and Information Synthesis Working Group (MISWG) of the Coral Reef Task Force (CRTF) (MISWG 1999). As part of the MISWG of the CRTF, NOS' Biogeography Branch has been charged with the development and implementation of a plan to produce comprehensive digital coral-reef ecosystem maps for all U.S. States, Territories, and Commonwealths within five to seven years. Joint activities between Federal agencies are particularly important to map, research, monitor, manage, and restore coral reef ecosystems. In response to the Executive Order 13089 and the Coral Reef Conservation Act of 2000, NOS is conducting research to digitally map biotic resources and coordinate a long-term monitoring program that can detect and predict change in U.S. coral reefs, and their associated habitats and biological communities. Most U.S. coral reef resources have not been digitally mapped at a scale or resolution sufficient for assessment, monitoring, and/or research to support resource management. Thus, a large portion of NOS' coral reef research activities has focused on mapping of U.S. coral reef ecosystems. The map products will provide the fundamental spatial organizing framework to implement and integrate research programs and provide the capability to effectively communicate information and results to coral reef ecosystem managers. Although the NOS coral program is relatively young, it has had tremendous success in advancing towards the goal to protect, conserve, and enhance the health of U.S. coral reef ecosystems. One objective of the program was to create benthic habitat maps to support coral reef research to enable development of products that support management needs and questions. Therefore this product was developed in collaboration with many U.S. Pacific Territory partners. An initial step in producing benthic habitat maps was the development of a habitat classification scheme. The purpose of this document is to outline the benthic habitat classification scheme and protocols used to map American Samoa, Guam and the Commonwealth of the Northern Mariana Islands. Thirty-two distinct benthic habitat types (i.e., four major and 14 detailed geomorphological structure classes; eight major and 18 detailed biological cover types) within eleven zones were mapped directly into a geographic information system (GIS) using visual interpretation of orthorectified IKONOS satellite imagery. Benthic features were mapped that covered an area of 263 square kilometers. In all, 281 square kilometers of unconsolidated sediment, 122 square kilometers of submerged vegetation, and 82.3 square kilometers of coral reef and colonized hardbottom were mapped.

The role of farmed fish in the diets of the resource-poor in Egypt.

The Egyptian aquaculture industry provides more than 100,000 full-time or part-time jobs and produces the country’s least-expensive farmed animal protein. Thus, aquaculture plays an important role in both sustaining livelihoods and improving the diet quality and nutritional health of Egyptians, including a significant proportion of the 25.5% who are resource-poor. Recognizing this dual role, WorldFish has promoted sustainable growth in Egyptian aquaculture for more than 20 years. Through its work, WorldFish has identified a lack of quality data about fish consumption preferences and practices. Eager to fill this knowledge gap, WorldFish partnered with the Environment and Development Group (EDG) to study consumption of fish, red meat and poultry among the resource-poor in Egypt. This study aimed to characterize current consumer preferences for and consumption patterns of animal-source foods, comparing red meat, poultry and fish. The resulting data is meant to contribute to a better understanding of what drives demand for fish among the resource-poor in Egypt, allowing value chain actors to more successfully market their products to this segment of the population.

Report of the BOBLME Pollution Working Group meeting, Male, Maldives, 2-3 June 2010

Meeting to develop environmental indicators to measure overall health of BOBLME; identify important coastal water pollution issues: produce conclusions and recommendations to form an action plan.

Investigation on the ecological impact of constructing and activities of petrochemical industries of petrochemical special economic zone of Mahshahr on the abundance and diversity of macrobenthic fauna in Jafari Creek, north-west of the Persian Gulf

The impact of Petrochemical Special Economic Zone (PETZONE) activities on the health status of Jafari Creek was studied by assessing the changes in macroinvertebrate assemblages in nine sites during September 2006- January 2008. Furthermore to evaluate the ecological status of the Jafari Creek the WFD indices (i.e. AMBI, M-AMBI) were used. The relationship between spatial pattern of macro invertebrate assemblages and ambient factors (i.e. water temperature, salinity, pH, dissolved oxygen, turbidity, electrical conductivity, total dissolved solid, total hardness, total nitrogen, ammonia, total phosphorous, chemical oxygen demand, biological oxygen demand, sediment grain size distribution, sediment organic content, heavy metals contents) was measured. Background Enrichment indices, Contamination factor and Contamination degree, were used to assess the health status in the study area based on Nickel, Lead, Cadmium and Mercury contents of the sediments. The macrobenthic communities had a low diversity and were dominated by opportunistic taxa, and the AMBI and M-AMBI indices need to be calibrated before using in Persian Gulf and its coastal waters. The BIO-ENV analysis identified pH, dissolved oxygen, TDS, and the total organic content of sediments as the major environmental variables influencing the infaunal pattern. This suggests that management should attempt to ensure minimal disturbance to environmental variables underlying the spatial variation in macroinvertebrate assemblages. Background Enrichment indices showed that the health of Jafari Creek has declined over time due to the constant discharge of heavy metals to the Creek system. Furthermore WQS index shows that the quality condition of the water column in Jafari Creek, regard to the calculated number (3) is week. These indices also identified a significant degree of pollution in the study area. The decrease in the ecological potential of Jafari Creek was best highlighted by the alteration in macrobenthic assemblages.

The residue measurment of pesticide in water and biota of the Sorkhrood River in the south of the Caspian Sea

Pesticide residue is considered as a crucial factor in the fresh water ecosystem pollution of north Iran (Esp. Gillan and Mazandaran provinces). It is also regarded dangerous to the health of human being and animals. In this research , pesticide residue in 3 species of fish was gauged in stations of the Haraz river , the Sorkhrood river , and the Caspian sea. The sampeles were taken during 27 mounths (started in April 97 and ended to June 99). The maximum level of pesticide in water was found in July 98 for lindine at 12.4 ppb. The level of chlorinated pesticide residue recorded at 63 ppb in April 98. The level of. organophosphorus pesticides residue in water was at 1.75 ppb in Aug 97. The toxicity of the mentioned pesticide and bioaccomulation were taken into account in conducting this researched.

The diversity and abundance of zooplankton in the Lake Victoria and Kyoga basins and their relationship to fish production

Biological diversity of an ecosystem is considered a reliable measure of the state of health of the ecosystem. In Uganda's large lakes, the Victoria and Kyoga, the past three decades have been characterized by profound changes in fish species composition following the introduction of the piscivorous Nile perch (Oguto-Ohwayo 1990). Over 300 haplochromine cichlid species comprising a wide range of trophic groups were lost along with a host of non-cichlid fishes which occupied virtually all available ecological niches and in the lakes (Witte 1992). A second major ecological event has been the gradual nutrient enrichment of the water bodies (eutrophication) from diffuse and point sources, while at the same time pollutants have also gained entrance into the water systems in pace with indusfrial development and human population increases in the lake basins. Eutrophication and pollution have drastically altered the physical and-chemical character of the water medium in which different fauna and flora thrive. In Lake Victoria these alterations have resulted in changes of algal species composition from pristine community dominated by chlorophytes and diatoms (Melosira etc) to one composed largely of blue-green algae or Cyanobacteria (Microcystis, Anabaena, Planktolyngbya etc) (Mugidde 1993, Hecky 1993).

Knowledge, perceptions, impacts and roles of lakeside communities and institutions in the sustainable control of water hyacinth

The massive water hyacinth mats that covered water bodies in the 1990s had serious social and economic impacts. They affected fishing, transportation, water quality and health of fishing communities as well as production of goods and services of lake-based institutions (commercial establishments). At peak infestations, the communities and institutions were aware of and participated readily in control effort. However, after the major collapse of hyacinth in 1998, some of them relaxed in their control efforts. The status of knowledge, perception, impacts, preparedness and role of the lakeside communities and institutions to control the weed has, therefore, been monitored since the major resurgence of the weed to find out if the lakeside communities and institutions still perceive water hyacinth as a problem and the extent to which they are prepared to sustain control.