New forms of governance that foster multi-level and collaborative action have been identified as key to climate change adaptation. Ecosystem-based adaptation is emerging as an important type of adaptation response. Despite its recognized promise, it remains a challenging task to conceptualize governance regimes for it because of the involvement of numerous actors across the landscape scale. Both multi-level and collaborative forms of governance are required to involve relevant actors in decision-making and related actions. We explore the applicability of the theory of nodal governance, in conjunction with social network theory, to provide a framework for operationalizing the concepts of multi-level and collaborative gov-ernance. We use the Bergrivier municipal area of South Africa as a case study, focusing on organizations (nodes) that have the potential to implement ecosystem-based adaptation. We show that a nodal governance focus on institutional structures, mentalities, technologies, and resources can be highly effective for understanding the factors supporting or constraining ecosystem-based adaptation. A focus on the number and strength of network connections that actors share highlights how the numerous connections between organizations constitute an important opportunity for strengthening ecosystem-based adaptation outcomes in the future. The analysis suggests that in the Bergrivier municipal area, both agricultural best practices and restoration activities are side-lined compared to other activities (e.g., land use planning) despite the importance of the agricultural sector in the Bergrivier area. We argue that a nodal

The objective of the study was to examine the effect of seat-belt legislation on hospital admissions with road traffic injuries and was designed as a retrospective descriptive study. All motor vehicle crashes recorded during the period 2001 - 2004 were extracted from the Emergency Medical Service Department. Details of the crashes, injuries and safety devices used were studied. The present study revealed that safety belt usage rates have increased from 8% in 2001 to 67% in 2004 among patients admitted to hospital with injury after road traffic crashes. The admission rate of patients with road traffic injuries per 100 000 population reduced by 17.7%. The enforcement of the seat-belt legislation played a vital role in reduction of hospital admissions due to road traffic crashes.

A high proportion of fear-based barriers to self-reporting of PSIs exist among this study population. This suggests that a culture change is needed to facilitate the identification of future patient safety threats.

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