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ted in countries with high levels of ACS. CPC accreditation is associated with better management and in-hospital clinical outcomes of patients with ACS. CPC establishment and accreditation should be promoted and implemented in countries with high levels of ACS.Barrier islands are ubiquitous coastal features that create low-energy environments where salt marshes, oyster reefs, and mangroves can develop and survive external stresses. Barrier systems also protect interior coastal communities from storm surges and wave-driven erosion. These f