Evaluating the Potential Effects of Deicing Salts on Roadside Carbon Sequestration

This project sought to document patterns of road deicing salts and the effects of these salts on the amount of carbon being sequestered passively along Montana Department of Transportation roads; it was designed collaboratively with a related roadside project that tested three different highway right-of-way management techniques (mowing height, shrub planting, disturbance) to determine whether they have the capacity to increase soil organic carbon. Our sampling did not reveal elevated salt levels at any of the nine locations sampled at each of the three I-90 sites. The greatest saline concentrations were found at the sample locations farthest from the road. This pattern was consistent across all three sites. The range of soil organic matter (SOM) was broad, from ~1% to >10%. Generally, SOM values were lowest adjacent to the road and highest farthest from the road. We found no or weak evidence of a relationship between our indices of soil salinity and SOM levels, with electrical conductivity, exchangeable calcium, and cation exchange capacity. Results imply that if road deicing salts are altering patterns of roadside SOM and potential carbon sequestration, this effect was not captured by our experimental design, nor did deicing salts appear to have affected roadside vegetation during our most recent sampling effort. Our findings highlight the value of experimentally separating the multiple potentially confounding effects of winter maintenance operations on roadside soils: roads could focus the flow of water, salts, and sands to roadside soils. How these types of mass inputs to roadside soils might influence medium- or long-term carbon dynamics remains an open question, but their fuller characterization and possible flow paths will be essential to clarifying the role of roadside soils in terrestrial soil organic carbon sequestration strategies

Effects of demand-side financing on utilisation, experiences and outcomes of maternity care in low- and middle-income countries: a systematic review.

Demand-side financing, where funds for specific services are channelled through, or to, prospective users, is now employed in health and education sectors in many low- and middle-income countries. This systematic review aimed to critically examine the evidence on application of this approach to promote maternal health in these settings. Five modes were considered: unconditional cash transfers, conditional cash transfers, short-term payments to offset costs of accessing maternity services, vouchers for maternity services, and vouchers for merit goods. We sought to assess the effects of these interventions on utilisation of maternity services and on maternal health outcomes and infant health, the situation of underprivileged women and the healthcare system

Validating epilepsy diagnoses in routinely collected data

Purpose: Anonymised, routinely-collected healthcare data is increasingly being used for epilepsy research. We validated algorithms using general practitioner (GP) primary healthcare records to identify people with epilepsy from anonymised healthcare data within the Secure Anonymised Information Linkage (SAIL) databank in Wales, UK. Method: A reference population of 150 people with definite epilepsy and 150 people without epilepsy was ascertained from hospital records and linked to records contained within SAIL (containing GP records for 2.4 million people). We used three different algorithms, using combinations of GP epilepsy diagnosis and anti-epileptic drug (AED) prescription codes, to identify the reference population. Results: Combining diagnosis and AED prescription codes had a sensitivity of 84% (95% ci 77–90) and specificity of 98% (95–100) in identifying people with epilepsy; diagnosis codes alone had a sensitivity of 86% (80–91) and a specificity of 97% (92–99); and AED prescription codes alone achieved a sensitivity of 92% (70–83) and a specificity of 73% (65–80). Using AED codes only was more accurate in children achieving a sensitivity of 88% (75–95) and specificity of 98% (88–100). Conclusion: GP epilepsy diagnosis and AED prescription codes can be confidently used to identify people with epilepsy using anonymised healthcare records in Wales, U