1           New, curative medicines are needed 
urgently.                                               
 
     2 ective vaccines against gonorrhea are needed 
urgently.                                               
 
     3 nst infectious diseases needs to be improved 
urgently.                                               
 
     4 rms and reporting criteria of IRE are needed 
urgently.                                               
 
     5 eptides and carbapenems need to be addressed 
urgently.                                               
 
     6   Thus, novel therapeutic targets are needed 
urgently.                                               
 
     7                    A Phase 3 trial is needed 
urgently.                                               
 
     8 r diagnostic challenges need to be addressed 
urgently.                                               
 
     9  prevent malaria during pregnancy are needed 
urgently.                                               
 
    10 priate therapeutic regimens should be tested 
urgently and implemented comprehensively if spread of ar
 
    11 and approved new drugs and treatments, which 
urgently are needed.                                    
 
    12 sponsible for disease relapse, and should be 
urgently assessed when considering aborting therapy on t
 
    13                                These studies 
urgently call for more reliable and accurate segmentatio
 
    14                                These dangers 
urgently compel the development of agents for ameliorati
 
    15 ge burden of malaria in developing countries 
urgently demands the development of novel approaches to 
 
    16              Treatment guidelines need to be 
urgently developed and implemented.                     
 
    17  one of the top 10 vaccines that needs to be 
urgently developed.                                     
 
    18   The possibility of MoCD type A needs to be 
urgently explored in every encephalopathic neonate to av
 
    19                Surgical procedures performed 
urgently had a 12.3% rate of morbidity (n = 2560) and a 
 
    20 asis of urgency because operations performed 
urgently have distinct rates of morbidity and mortality 
 
    21 extracorporeal treatment should be initiated 
urgently in the context of severe poisoning.            
 
    22                                        Women 
urgently need a self-initiated, multipurpose prevention 
 
    23 uding subnational health system performance, 
urgently need assessment.                               
 
    24 nd increasing drug use in MSM in Bangkok, we 
urgently need innovative and acceptable HIV prevention i
 
    25                                           We 
urgently need to adopt strategies that limit further cli
 
    26 s (n = 703) suggests that, as scientists, we 
urgently need to change our practices for presenting con
 
    27 ence, but on a number of assumptions, and we 
urgently need to develop better proxy measures (or indic
 
    28                      An effective vaccine is 
urgently needed against the H7N9 avian influenza virus. 
 
    29 of autophagy-related proteins may provide an 
urgently needed alternative strategy for the elimination
 
    30 g up effective interventions in this area is 
urgently needed and likely to yield long run benefits of
 
    31  To combat this problem, new antibiotics are 
urgently needed and some plant-associated bacteria are a
 
    32 ies to define the appropriate SF cutoffs are 
urgently needed and would also provide an opportunity to
 
    33  strategies to manage this invasive pest are 
urgently needed as its range continues to expand.       
 
    34 dying disease and drug treatment effects are 
urgently needed as more relevant tools to identify new d
 
    35 eatment choices for paediatric psychosis are 
urgently needed because extrapolations from adult studie
 
    36 r data from randomized controlled trials are 
urgently needed because lepirudin was recalled from the 
 
    37      The study of marijuana use disorders is 
urgently needed because of increasing marijuana legalisa
 
    38            Early and convenient diagnosis is 
urgently needed for acute Stanford type A aortic dissect
 
    39 rring any significant skin reactogenicity is 
urgently needed for cutaneous vaccination.              
 
    40                         Hence, new tools are 
urgently needed for efficient, inexpensive manipulation 
 
    41 petitors of protein-protein interactions are 
urgently needed for functional analysis of large-scale g
 
    42 c vaccine with high efficacy and low cost is 
urgently needed for global control of HCV infection.    
 
    43                     Effective treatments are 
urgently needed for hepatocellular carcinoma (HCC), whic
 
    44 rrent TBMs and research areas where data are 
urgently needed for model parameterization or evaluation
 
    45            Safe and effective treatments are 
urgently needed for patients with relapsed or refractory
 
    46  have been developed for cryptococcosis) are 
urgently needed for pneumocystosis, talaromycosis, and h
 
    47 this infectious virus in the environment are 
urgently needed for public health protection.           
 
    48                                New drugs are 
urgently needed for resistant strains, shortening durati
 
    49 otential as a prognostic biomarker, which is 
urgently needed for stratification into pathophysiologic
 
    50 point of care molecular diagnostic tests are 
urgently needed for the analysis of multidrug resistant 
 
    51 e problem, and a more efficacious vaccine is 
urgently needed for the control and prevention of diseas
 
    52                        Better treatments are 
urgently needed for the control of chronic asthma and re
 
    53 ventions preventing neonatal GBS disease are 
urgently needed for the increasing group of HIV-exposed 
 
    54 kers and non-invasive diagnostic methods are 
urgently needed for the screening of gastric cancer to r
 
    55                                 A vaccine is 
urgently needed in areas where HTLV-1 is endemic.       
 
    56 o humans and areas in which more research is 
urgently needed in order to lessen the burden of macrova
 
    57 and affordable CD4 cell counting methods are 
urgently needed in resource-limited settings.           
 
    58 ma survivors and could inform development of 
urgently needed intervention strategies.                
 
    59 e, it may be of use to explore the effect of 
urgently needed more specific anti-inflammatory mediator
 
    60                             Investigation is 
urgently needed on the full diversity of Cannabis chemot
 
    61                       Additional research is 
urgently needed on the risk, pathogenesis, and effective
 
    62 st that studies of NTEs in other tissues are 
urgently needed prior to long-term space missions outsid
 
    63                          More information is 
urgently needed regarding how human practices influence 
 
    64 ic tests for tuberculosis case detection are 
urgently needed that are affordable, robust, and easy to
 
    65 roteostasis capacity, which may help develop 
urgently needed therapies for neurodegeneration and othe
 
    66                An international consensus is 
urgently needed to achieve comparability with respect to
 
    67                          New diagnostics are 
urgently needed to address emerging antimicrobial resist
 
    68 iatric, and adolescent medicine settings are 
urgently needed to address mental health and substance d
 
    69                     Novel antibacterials are 
urgently needed to address the growing problem of bacter
 
    70 d hence informative immunological assays are 
urgently needed to address these knowledge gaps and guid
 
    71 th LTBI at risk of progressing to disease is 
urgently needed to address this latent reservoir if the 
 
    72 need for more efficient data collection, are 
urgently needed to advance ABDD and to improve HABP/VABP
 
    73 rack large numbers of cells in real time are 
urgently needed to advance our understanding of importan
 
    74                 Large prospective trials are 
urgently needed to answer this question.                
 
    75 cted and unprotected tropical ecosystems are 
urgently needed to avoid further defaunation.           
 
    76 eliable tools for patient stratification are 
urgently needed to avoid overtreatment of low-risk patie
 
    77 nfectious and tropical diseases in Africa is 
urgently needed to better describe the distribution of p
 
    78 EM can cause injury or death, strategies are 
urgently needed to better understand its causes so that 
 
    79 y shifting legal landscape, more research is 
urgently needed to better understand the impact of legal
 
    80                                More data are 
urgently needed to better understand this variability an
 
    81 nkey model of Zika virus (ZIKV) infection is 
urgently needed to better understand transmission and pa
 
    82                   Potent immunotherapies are 
urgently needed to boost antitumor immunity and control 
 
    83                        Detailed datasets are 
urgently needed to characterize temporal changes in popu
 
    84 ith new targets and mechanisms of action are 
urgently needed to combat potential pandemics, emerging 
 
    85           New antibiotics and strategies are 
urgently needed to combat S. aureus associated infection
 
    86                    Collaborative efforts are 
urgently needed to combat the emerging hypertension burd
 
    87                        Novel antibiotics are 
urgently needed to combat the rise of infections due to 
 
    88 o cross-resistance to CQ or CNS toxicity are 
urgently needed to combat this deadly human disease.    
 
    89 es for novel antiviral strategies, which are 
urgently needed to control dengue virus infections.     
 
    90 e risk of AF development and progression are 
urgently needed to curtail the AF epidemic and improve o
 
    91  Additional research in broad populations is 
urgently needed to develop a precise definition for ACOS
 
    92 nding of how aging promotes CVD is therefore 
urgently needed to develop new strategies to reduce dise
 
    93        A better knowledge of connectivity is 
urgently needed to develop sound environmental managemen
 
    94 stic value; however, improved approaches are 
urgently needed to enable rapid detection of nucleic aci
 
    95 tion of the adequacy of ecological models is 
urgently needed to enhance their utility in developing t
 
    96 and care of this population, and efforts are 
urgently needed to enhance tuberculosis screening in thi
 
    97 n of multiple bacterial pathogens in food is 
urgently needed to ensure food safety.                  
 
    98 ed by urinary thiocyanate, interventions are 
urgently needed to ensure improved processing of cassava
 
    99                          Further studies are 
urgently needed to explore the contribution of eosinophi
 
   100 chniques for intracellular pH monitoring are 
urgently needed to gain new insights into single-cell re
 
   101 flammation promotes lymphatic dysfunction is 
urgently needed to guide the development of novel therap
 
   102 ognition and protection of roadless areas is 
urgently needed to halt their continued loss.           
 
   103 neurological, and substance use disorders is 
urgently needed to help reduce the large and increasing 
 
   104                              Further work is 
urgently needed to identify other sources of, and pathwa
 
   105                     Phylogenomic studies are 
urgently needed to identify the global population struct
 
   106 ize models of care for PHIVY as they age are 
urgently needed to improve long-term outcomes among PHIV
 
   107 uing clinical and translational research are 
urgently needed to improve, and, crucially, to personali
 
   108     Novel health policies and programmes are 
urgently needed to increase awareness of diabetes and to
 
   109 ty of new entities toward the AOX enzyme are 
urgently needed to increase effectiveness, reduce costs,
 
   110 monitoring of wild pollinator populations is 
urgently needed to inform management strategies into the
 
   111 Biomarkers that reflect disease activity are 
urgently needed to inform patient management and for use
 
   112 detecting ricin in a variety of matrixes are 
urgently needed to limit exposure to individuals as well
 
   113  Novel intervention strategies are therefore 
urgently needed to maintain the current momentum for con
 
   114 ilure of artemisinin combination therapy are 
urgently needed to monitor the spread of partner drug re
 
   115 es in their use, and the progress that is so 
urgently needed to overcome the devastating effect of fu
 
   116                      Accurate biomarkers are 
urgently needed to predict response in these settings an
 
   117  patient adherence across health sectors are 
urgently needed to prevent this.                        
 
   118       Ongoing research into this pathogen is 
urgently needed to produce viable vaccine and therapeuti
 
   119                             New vaccines are 
urgently needed to protect the vulnerable from bacterial
 
   120    Adequate trials with low risk of bias are 
urgently needed to provide better evidence.             
 
   121  combined with well-validated biomarkers are 
urgently needed to provide early indicators of effective
 
   122 the soil and hence comprehensive studies are 
urgently needed to quantify the environmental impacts of
 
   123     Rapid large-scale mapping activities are 
urgently needed to quantify tropical wetland extent and 
 
   124 y, and suicide among young female adults are 
urgently needed to reduce injury deaths and morbidity in
 
   125                           New techniques are 
urgently needed to replace conventional long and costly 
 
   126            New antituberculosis regimens are 
urgently needed to shorten tuberculosis treatment.      
 
   127                            Interventions are 
urgently needed to significantly reduce both mortality a
 
   128 HIV, hepatitis C virus, and tuberculosis are 
urgently needed to stem the multiple overlapping epidemi
 
   129                 Innovative interventions are 
urgently needed to strengthen community buy-in, to incre
 
   130 revents hepatitis C virus (HCV) infection is 
urgently needed to support an emerging global eliminatio
 
   131                          Further research is 
urgently needed to test the effectiveness of different m
 
   132 Health and American College of Surgeons for "
urgently needed" research, the objectives of the present
 
   133                          Further research is 
urgently needed, given the burden of congestion and data
 
   134 o document longer-term clinical outcomes are 
urgently needed, in order to address the question whethe
 
   135 l chemical properties and fluxes of OPEs are 
urgently needed, in order to estimate their environmenta
 
   136 eration and the post-incarceration period is 
urgently needed, particularly studies using rigorous exp
 
   137 nt, drug resistance, new drug candidates are 
urgently needed, which should preferably act via novel m
 
   138 roducts in a real-life exposure scenario are 
urgently needed, yet very rare.                         
 
   139 tology; thus, identifying novel therapies is 
urgently needed.                                        
 
   140 alid mechanism-based prognostic biomarker is 
urgently needed.                                        
 
   141  detection and therapeutic stabilization are 
urgently needed.                                        
 
   142 he development of a robust sensing system is 
urgently needed.                                        
 
   143 ns targeting the most vulnerable children is 
urgently needed.                                        
 
   144 derately iodine-deficient pregnant women are 
urgently needed.                                        
 
   145  new treatment and diagnostic approaches are 
urgently needed.                                        
 
   146 ic and functional heterogeneity of DLBCL are 
urgently needed.                                        
 
   147 e reactivated latent HIV reservoir cells are 
urgently needed.                                        
 
   148 olesterolemia for which novel treatments are 
urgently needed.                                        
 
   149          Animal models of infection are thus 
urgently needed.                                        
 
   150 rent practices, and more level 1 evidence is 
urgently needed.                                        
 
   151 rnate approaches for vaccine development are 
urgently needed.                                        
 
   152 functional sites among correlated markers is 
urgently needed.                                        
 
   153 c, and cost-effective diagnostic methods are 
urgently needed.                                        
 
   154 haracterize protein-protein interactions are 
urgently needed.                                        
 
   155 ation of new human-specific therapeutics are 
urgently needed.                                        
 
   156 th data, and describe areas in which data is 
urgently needed.                                        
 
   157 and computationally predicted structures are 
urgently needed.                                        
 
   158 effective vaccine against ExPEC infection is 
urgently needed.                                        
 
   159 educe the burden of bacterial infections are 
urgently needed.                                        
 
   160 andemic, and global public health action was 
urgently needed.                                        
 
   161 vior, especially highly lethal behavior, are 
urgently needed.                                        
 
   162 eventive vaccine to protect against HIV-1 is 
urgently needed.                                        
 
   163  study these processes in living T cells are 
urgently needed.                                        
 
   164 ce invariably emerges, and new therapies are 
urgently needed.                                        
 
   165 ies to promote lung allograft acceptance are 
urgently needed.                                        
 
   166  most aggressive form of lung cancer, remain 
urgently needed.                                        
 
   167    Therefore, novel analgesic treatments are 
urgently needed.                                        
 
   168 vel molecular-driven therapeutic options are 
urgently needed.                                        
 
   169 genesis, vulnerabilities, and treatments are 
urgently needed.                                        
 
   170  cancer deaths, and effective treatments are 
urgently needed.                                        
 
   171 mportance, and new approaches to therapy are 
urgently needed.                                        
 
   172 cially those measurable in the periphery are 
urgently needed.                                        
 
   173 on--individuals for whom real-world data are 
urgently needed.                                        
 
   174 ral insight into ligand-binding to HSP70s is 
urgently needed.                                        
 
   175  the identification of actionable targets is 
urgently needed.                                        
 
   176 diction uncertainty, and detection limit are 
urgently needed.                                        
 
   177 ant EGFR-driven tumors and new therapies are 
urgently needed.                                        
 
   178 t spans multiple sectors and stakeholders is 
urgently needed.                                        
 
   179 novative approaches to tackle infections are 
urgently needed.                                        
 
   180 revention, including effective vaccines, are 
urgently needed.                                        
 
   181 ication, new drugs to treat hypertension are 
urgently needed.                                        
 
   182 ogies in finding new plant-derived drugs are 
urgently needed.                                        
 
   183 ar and phenotypic features of the disease is 
urgently needed.                                        
 
   184 cit approach to allocating recovery funds is 
urgently needed.                                        
 
   185 nes to protect against tuberculosis (TB) are 
urgently needed.                                        
 
   186 ible vaccines against dengue are hence still 
urgently needed.                                        
 
   187  respectful, evidence-based care for all, is 
urgently needed.                                        
 
   188  and rapidly scalable production platform is 
urgently needed.                                        
 
   189                             Its reduction is 
urgently needed.                                        
 
   190 odels with greater relevance to human AKI is 
urgently needed.                                        
 
   191 IV testing and linkage to care among men are 
urgently needed.                                        
 
   192 fficacy and broader spectrum of activity are 
urgently needed.                                        
 
   193  that is clean, renewable and inexpensive is 
urgently needed.                                        
 
   194 d rapid diagnostic platform technologies are 
urgently needed.                                        
 
   195 slative changes and consumer information are 
urgently needed.                                        
 
   196 nce and antimicrobial resistance patterns is 
urgently needed.                                        
 
   197 ls and new approaches to developing them are 
urgently needed.                                        
 
   198 ays involved in pancreatic tumorigenesis are 
urgently needed.                                        
 
   199 llowed by SRS at intracranial progression is 
urgently needed.                                        
 
   200 , intracellular accumulation of the drug, is 
urgently needed.                                        
 
   201 l strategies of prevention and treatment are 
urgently needed.                                        
 
   202 ly pure form through asymmetric synthesis is 
urgently needed.                                        
 
   203 nts' behaviours driving these differences is 
urgently needed.                                        
 
   204  against acute organophosphorus poisoning is 
urgently needed.                                        
 
   205  the development of curative therapeutics is 
urgently needed.                                        
 
   206 ting trafficking of CLL cells to LNs is thus 
urgently needed.                                        
 
   207                         Novel fungicides are 
urgently needed.                                        
 
   208 ability; therefore, effective treatments are 
urgently needed.                                        
 
   209 any important technological applications are 
urgently needed.                                        
 
   210 for triple-negative breast cancer (TNBC) are 
urgently needed.                                        
 
   211 or detection of Zaire ebolavirus (ZEBOV) are 
urgently needed.                                        
 
   212 ent and spread of miltefosine resistance are 
urgently needed.                                        
 
   213 ication of a generic gene-based treatment is 
urgently needed.                                        
 
   214 rted actions to address these challenges are 
urgently needed.                                        
 
   215  caused by multidrug resistant pathogens are 
urgently needed.                                        
 
   216 s in less-developed regions of the world are 
urgently needed.                                        
 
   217  therapies to improve treatment outcomes are 
urgently needed.                                        
 
   218 atients to individual treatment regimens are 
urgently needed.                                        
 
   219      Therefore, new treatment strategies are 
urgently needed.                                        
 
   220 or developed tumor resistance mechanisms are 
urgently needed.                                        
 
   221 atic assessments of its actual potential are 
urgently needed.                                        
 
   222       As a consequence, novel chemotypes are 
urgently needed.                                        
 
   223  or bivalent EV71/CVA16 vaccine is therefore 
urgently needed.                                        
 
   224 hus, cross-protective immunotherapeutics are 
urgently needed.                                        
 
   225 ppropriate plasma transfusion strategies are 
urgently needed.                                        
 
   226 re sensitive detection methods are therefore 
urgently needed.                                        
 
   227 ilizes starch and includes a colour blank is 
urgently needed.                                        
 
   228 ing is limited, and research in this area is 
urgently needed.                                        
 
   229 ic strategies for malignant mesothelioma are 
urgently needed.                                        
 
   230  practice and new therapeutic approaches are 
urgently needed.                                        
 
   231    Therefore, novel, non-toxic therapies are 
urgently needed.                                        
 
   232 nt outcomes, alternatives to antibiotics are 
urgently needed.                                        
 
   233 ve measures, especially, when surgery is not 
urgently needed.                                        
 
   234 and undertreatment of aggressive disease are 
urgently needed.                                        
 
   235 criptomics, proteomics and metabolomics) are 
urgently needed.                                        
 
   236 e, a unified language for image reporting is 
urgently needed.                                        
 
   237 e mechanisms underlying PARPi sensitivity is 
urgently needed.                                        
 
   238 ng therapy in children with brain tumors are 
urgently needed.                                        
 
   239 deficiency virus (HIV)-positive patients are 
urgently needed.                                        
 
   240 lopment of additional therapeutic agents are 
urgently needed.                                        
 
   241 dual patient response to novel therapies are 
urgently needed.                                        
 
   242 mize AKI and halt the progression of CKD are 
urgently needed.                                        
 
   243 e, new solutions for plastic degradation are 
urgently needed.                                        
 
   244                        Novel painkillers are 
urgently needed.                                        
 
   245 s in vivo for which effective treatments are 
urgently needed.                                        
 
   246 ion against influenza B viruses is therefore 
urgently needed.                                        
 
   247 oactivity against ACR acute neurotoxicity is 
urgently needed.                                        
 
   248 r fisheries productivity where both are most 
urgently needed.                                        
 
   249 rther development of EVs isolation protocols 
urgently needs a quantitative method of EVs purity asses
 
   250 ncrasies in CC responses detected so far and 
urgently needs more careful consideration in design and 
 
   251 ack of safe vaccines or antiviral treatments 
urgently needs to be addressed.                         
 
   252 ovascular events and its molecular mechanism 
urgently needs to be clarified.                         
 
   253  MPI is limited to around 1 mm currently and 
urgently needs to be improved for clinical applications 
 
   254 r the Surgery of Trauma definition, admitted 
urgently or emergently, who underwent an operative proce
 
   255                        A 23-year-old man was 
urgently referred for evaluation of rapidly enlarging ce
 
   256  multifactor effects on plants and soils are 
urgently required across different world regions.       
 
   257                         New technologies are 
urgently required for reliable drug screening given a wo
 
   258 t drug resistance, new chemical entities are 
urgently required for use in next generation anti-malari
 
   259                        Rapid diagnostics are 
urgently required given the large numbers of suspected e
 
   260    Consequently, new therapeutic targets are 
urgently required to achieve this aim.                  
 
   261                           New approaches are 
urgently required to address increasing rates of gonorrh
 
   262                  Interventions are therefore 
urgently required to address overweight and obesity amon
 
   263                       Therapeutic agents are 
urgently required to cure several common and fatal neuro
 
   264               Further functional studies are 
urgently required to examine their specific roles in the
 
   265 sed on primary data at a household level are 
urgently required to guide effective adaptation, particu
 
   266 slow and variable release, an alternative is 
urgently required to improve effectiveness.             
 
   267 ultiple stages of the parasite lifecycle are 
urgently required to tackle the emerging problem of resi
 
   268 l healthcare crisis, and new antibiotics are 
urgently required, especially those with modes of action
 
   269 gimens to shorten and simplify treatment are 
urgently required, however a major challenge to TB drug 
 
   270 options are limited and novel treatments are 
urgently required, however current cell-based high-throu
 
   271                     Effective treatments are 
urgently required, however, their development is hampere
 
   272 e and minimally invasive, diagnostic test is 
urgently required, not only to confirm the presence of t
 
   273     Novel treatment strategies are therefore 
urgently required, particularly for patients bearing BRA
 
   274 r studies investigating this possibility are 
urgently required.                                      
 
   275               Accordingly, new therapies are 
urgently required.                                      
 
   276 tics and antifungal strategies are therefore 
urgently required.                                      
 
   277  development of new anti-viral strategies is 
urgently required.                                      
 
   278  Hence, effective antifibrotic therapies are 
urgently required.                                      
 
   279 eventative and therapeutic interventions are 
urgently required.                                      
 
   280 erous cancers, and drugs to inhibit this are 
urgently required.                                      
 
   281         Novel anti-TB vaccines are therefore 
urgently required.                                      
 
   282  cancer; therefore, different strategies are 
urgently required.                                      
 
   283 eeds of survivors of head and neck cancer is 
urgently required.                                      
 
   284 d, and therefore effective new therapies are 
urgently required.                                      
 
   285 als and standardized clinical algorithms are 
urgently required.                                      
 
   286 ance and therefore new control chemicals are 
urgently required.                                      
 
   287 tegies to both prevent and treat disease are 
urgently required.                                      
 
   288  respect to both childhood and adult SEP are 
urgently required.                                      
 
   289 eatment for all diagnosed RR-TB patients are 
urgently required.                                      
 
   290 unction with other diagnostic parameters are 
urgently required.                                      
 
   291 ional social and environmental interactions, 
urgently requires additional approaches to conceptualizi
 
   292 um of the asthma-COPD overlap phenotype that 
urgently requires disease modification.                 
 
   293 livers, while ensuring that patients who are 
urgently requiring a liver transplant are prioritized.  
 
   294 r pinpoints geographic areas and clades most 
urgently requiring additional systematic study-an import
 
   295                            Investigators are 
urgently searching for options to treat negative symptom
 
   296 opose priority measures that should be taken 
urgently to address this issue.                         
 
   297        Randomised clinical trials are needed 
urgently to assess different treatment modalities for st
 
   298 h a broad range of stakeholders, need to act 
urgently to decrease the prevalence of obesity.         
 
   299                   This needs to be addressed 
urgently to enable nursing research to increase the impa
 
   300  our management toolbox should be considered 
urgently to prepare for the challenges of managing reefs