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The North Sea is one of the most industrialised marine regions globally. We integrated cetacean-dedicated aerial surveys (2015–2022) with environmental covariates and ship positions from the Automatic Identification System (AIS) to investigate the disturbance radius and duration on harbour porpoise distribution. This study is based on 81,511 km of line-transect survey effort, during which 6511 harbour porpoise groups (8597 individuals) were sighted. Several proxies for ship disturbance were compared, identifying those best explaining the observed distribution. Better model performance was achieved by integrating maritime traffic, with frequent traffic representing the most significant disturbance to harbour porpoise distribution. Porpoises avoided areas frequented by numerous vessels up to distances of 9 km. The number of ships and average approach distance over time improved model performance, while reasons for the lower performance of predicted ship sound levels remain unclear. This study demonstrates the short-term effects of maritime traffic on harbour porpoise distribution. [Display omitted] • Cetacean survey data (2015–2022) in the North Sea were combined with vessel positions. • Effects of vessel presence on harbour porpoise distribution were investigated. • Spatial avoidance was detected, particularly in areas with heavy or frequent traffic. • Best predictors were the number of vessels and average approach distance over time. • This broad-scale study shows short-term effects over 9 km on porpoise distribution. [ABSTRACT FROM AUTHOR]

There is no clear recommendation for wound closure material in foot and ankle surgery. Thus, we hypothesized that there was no difference in clinical outcomes among 3 suture materials, namely, absorbable sutures, nonabsorbable sutures, and metallic staples. This study compared the 3 materials for wound closure in foot and ankle surgery. In this prospective randomized study, 124 patients were randomly divided into the nonabsorbable suture group, absorbable suture group, and staple group. ASEPSIS score, Hollander Wound Evaluation Scale, and numerical rating scale (regarding pain and satisfaction) were collected at first dressing changes, suture removal, and 6 weeks after surgery. Suture time and incision length were recorded. No significant differences were detected for the ASEPSIS and Hollander Wound Evaluation Scale scores. There was significantly more pain after 6 weeks in the nonabsorbable suture group. The closure time (13 s/cm) with staples was significantly lower in the nonabsorbable suture group than in the other groups. Regardless of wound closure material, male sex and obesity appeared to be associated with a higher risk for the occurrence of wound complications. The 3 suture materials showed no significant differences regarding the frequency of wound complications. Staples and absorbable sutures should therefore be considered in the repertoire of suture materials used in foot and ankle surgery. [ABSTRACT FROM AUTHOR]