The emergence of social licence necessitates reforms in environmental regulation

The term “social licence to operate” (SLO), popularized in corporate usage over the last 20 years, is frequently used to refer to the level of social approval that exists in relation to the development of natural resources for private or public purposes. However, the theoretical and practical utility of the concept remains contested and it is often used opportunistically to advance individual agendas. Moreover, it remains difficult to assess how an adequate level of SLO can be transparently assessed, or how dialogue can be appropriately achieved. In this paper we argue that the increasing use of the SLO concept is an indication that trust in, and the legitimacy of, formal regulatory processes for natural resource management has eroded and needs to be reimagined. In response, we outline five principles that provide pathways to increase the legitimacy of, and trust in, regulatory approval processes: (i) clear regulatory objectives; (ii) transparent regulatory approval processes; (iii) clear pathways for appeals and reviews of regulatory decisions (iv) early and inclusive collaborative consultation process; and (v) independence of decision-making authorities. By rethinking the basic principles of regulatory and licencing processes in natural resource management, our five principles aim to reduce the need for SLO. This could minimize erratic decision making and inequitable approval processes that are driven by a perceived need for SLO, often only for the corporate sector, which risks the voices of other stakeholders being unevenly represented. We draw upon natural resource management experiences from Tasmania, Australia as illustrative examples to stimulate a discussion on the usefulness of SLO and the need for improved approaches to natural resource management

Changing storminess and global capture fisheries

This is the author accepted manuscript. The final version is available from Nature Publishing Group via the DOI in this record.Climate change-driven alterations in storminess pose a signifcant threat to global capture fsheries. Understanding how storms interact with fshery social-ecological systems can inform adaptive action and help to reduce the vulnerability of those dependent on fisheries for life and livelihood.N.C.S. acknowledges the financial support of the UK Natural Environment Research Council (NERC; GW4+ studentship NE/L002434/1), Centre for Environment, Fisheries and Aquaculture Science and Willis Research Network

The value of haptic feedback in conventional and robot-assisted minimal invasive surgery and virtual reality training: a current review

BACKGROUND: Virtual reality (VR) as surgical training tool has become a state-of-the-art technique in training and teaching skills for minimally invasive surgery (MIS). Although intuitively appealing, the true benefits of haptic (VR training) platforms are unknown. Many questions about haptic feedback in the different areas of surgical skills (training) need to be answered before adding costly haptic feedback in VR simulation for MIS training. This study was designed to review the current status and value of haptic feedback in conventional and robot-assisted MIS and training by using virtual reality simulation. METHODS: A systematic review of the literature was undertaken using PubMed and MEDLINE. The following search terms were used: Haptic feedback OR Haptics OR Force feedback AND/OR Minimal Invasive Surgery AND/OR Minimal Access Surgery AND/OR Robotics AND/OR Robotic Surgery AND/OR Endoscopic Surgery AND/OR Virtual Reality AND/OR Simulation OR Surgical Training/Education. RESULTS: The results were assessed according to level of evidence as reflected by the Oxford Centre of Evidence-based Medicine Levels of Evidence. CONCLUSIONS: In the current literature, no firm consensus exists on the importance of haptic feedback in performing minimally invasive surgery. Although the majority of the results show positive assessment of the benefits of force feedback, results are ambivalent and not unanimous on the subject. Benefits are least disputed when related to surgery using robotics, because there is no haptic feedback in currently used robotics. The addition of haptics is believed to reduce surgical errors resulting from a lack of it, especially in knot tying. Little research has been performed in the area of robot-assisted endoscopic surgical training, but results seem promising. Concerning VR training, results indicate that haptic feedback is important during the early phase of psychomotor skill acquisitio

20-Year Risks of Breast-Cancer Recurrence after Stopping Endocrine Therapy at 5 Years

The administration of endocrine therapy for 5 years substantially reduces recurrence rates during and after treatment in women with early-stage, estrogen-receptor (ER)-positive breast cancer. Extending such therapy beyond 5 years offers further protection but has additional side effects. Obtaining data on the absolute risk of subsequent distant recurrence if therapy stops at 5 years could help determine whether to extend treatment