Russian foreign energy policy conduct in the oil and gas sectors: a case study of the Caspian region 1991-2008

This thesis explores the continuities and change in the conduct of Russian foreign policy in the Caspian region in the period 1991-2008 with the central focus set on the inclusion of energy both as a tool and one of the main targets of Russian foreign policy during the Putin administration. More specifically it looks at the impact that the choice to establish Russia as an energy superpower based mainly on its oil and gas sectors during this period had on the conduct of Russian foreign policy in the Caspian region. The central research question is how Russian oil and gas companies are used as foreign policy tools in the conduct of Russian foreign energy policy within the current foreign energy policy framework and to what end. The argument of this thesis is based on the hypothesis that the Russian state uses its oil and gas companies in order to infiltrate the Central Asian energy markets and assert its economic hegemony in the region through a web of legal and contractual monopolies aiming at maintaining Russia’s economic hegemony in the Caspian and contributing to one of Russia’s main energy policy priority of becoming an influential player in the global energy markets

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries