115 research outputs found

    Public health surveillance of cancer survival in the United States and worldwide: The contribution of the CONCORD programme.

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    CONCORD is a programme for the global surveillance of cancer survival. In 2015, the second cycle of the program (CONCORD-2) established long-term surveillance of cancer survival worldwide, for the first time, in the largest cancer survival study published to date. CONCORD-2 provided cancer survival trends for 25,676,887 patients diagnosed during the 15-year period between 1995 and 2009 with 1 of 10 common cancers that collectively represented 63% of the global cancer burden in 2009. Herein, the authors summarize the past, describe the present, and outline the future of the CONCORD programme. They discuss the difference between population-based studies and clinical trials, and review the importance of international comparisons of population-based cancer survival. This study will focus on the United States. The authors explain why population-based survival estimates are crucial for driving effective cancer control strategies to reduce the wide and persistent disparities in cancer survival between white and black patients, which are likely to be attributable to differences in access to early diagnosis and optimal treatment. Cancer 2017;123:4977-81. Published 2017. This article is a U.S. Government work and is in the public domain in the USA

    Substitute or complement? Assessing renewable and nonrenewable energy in OECD countries

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    The elasticity of interfuel substitution between renewable and nonrenewable energy is key to establishing effective climate change policy. This is the first study to estimate the elasticity of substitution between different fossil fuels and renewable resources. We used 12 manufacturing industry-level datasets for the OECD countries from 1995 to 2009. We found a complementary relationship from nonrenewable energy to renewable energy in eight industries, whereas a substitute relationship was maintained for four industries. In particular, the food and pulp industries had a strong complementary relationship

    Environmental and resource burdens associated with world biofuel production out to 2050:footprint components from carbon emissions and land use to waste arisings and water consumption

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    Environmental or ‘ecological’ footprints have been widely used in recent years as indicators of resource consumption and waste absorption presented in terms of biologically productive land area [in global hectares (gha)] required per capita with prevailing technology. In contrast, ‘carbon footprints’ are the amount of carbon (or carbon dioxide equivalent) emissions for such activities in units of mass or weight (like kilograms per functional unit), but can be translated into a component of the environmental footprint (on a gha basis). The carbon and environmental footprints associated with the world production of liquid biofuels have been computed for the period 2010–2050. Estimates of future global biofuel production were adopted from the 2011 International Energy Agency (IEA) ‘technology roadmap’ for transport biofuels. This suggests that, although first generation biofuels will dominate the market up to 2020, advanced or second generation biofuels might constitute some 75% of biofuel production by 2050. The overall environmental footprint was estimated to be 0.29 billion (bn) gha in 2010 and is likely to grow to around 2.57 bn gha by 2050. It was then disaggregated into various components: bioproductive land, built land, carbon emissions, embodied energy, materials and waste, transport, and water consumption. This component‐based approach has enabled the examination of the Manufactured and Natural Capital elements of the ‘four capitals’ model of sustainability quite broadly, along with specific issues (such as the linkages associated with the so‐called energy–land–water nexus). Bioproductive land use was found to exhibit the largest footprint component (a 48% share in 2050), followed by the carbon footprint (23%), embodied energy (16%), and then the water footprint (9%). Footprint components related to built land, transport and waste arisings were all found to account for an insignificant proportion to the overall environmental footprint, together amounting to only about 2

    Governing effective and legitimate smart grid developments

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    Smart grids which use Information and Communication Technologies to augment energy network management have been developed in several locations including London and Stockholm. Common rationales for smart grids include: de-carbonising energy supply, maintaining security of supply and promoting affordability. However, beyond these general abstractions, smart grids seem to exhibit considerable diversity in terms of their characteristics and rationales for development. Thus, while the term smart grid may imply abstract notions of what smart grids are and might do, they are developed in response to local contingencies and diverse. In this paper we therefore explore the governance processes through which smart grids are constructed. The paper suggests that standardising smart grids through definitions and best practices that fix both problems and solutions should be avoided. Rather governance processes should be promoted in which local contingencies can be articulated and more legitimate smart grids developed in response to these

    Cost overruns – helping to define what they really mean

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    Civil engineers are often in the firing line for alleged cost overruns, particularly on major publicly funded infrastructure projects. This usually occurs when the final cost of a project is simply compared with the original estimate, even though this was published a long time ago, in different circumstances and for a quite different project to the one carried out. This paper proposes a systematic approach to ensure that cost overruns, should they occur, are more accurately defined in terms of when the initial and end costs are assessed, from which point of view, at which project stage, and including scope changes and financial assumptions. The paper refers to the UK’s £163 billion nuclear decommissioning programme
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