Palaeoenvironment of a mesolithic peat bed from Austin Friars, Leicester

A mesolithic peat bed, dated to 9920±100 bp (HAR-4260) (bp = radiocarbon years before the present calculated from A.D. 19S0 within + or - of 100 years in this case. Ed.) was recovered from Austin Friars, Leicester. Analysis of preserved fauna and flora, especially insects and seeds, indicated that the peat had formed in a shallow pond or lake, with vegetated, marshy edges subject to periodic flooding. The pond was set in open countryside characterised by a lack of trees and preponderance of light-demanding species, living in a cold, damp tundra climate at the very end of Late Glacial Zone III (9000-8300 RC.) extending into the Post Glacial (8300-4000 RC.)

Science-policy interplay on air pollution governance in China

Air quality in China is a major public health, social and economic concern. Air pollution governance and research in China have been increasingly active in the past decade, especially since 2013 when strict emission controls were implemented. Such emission control policies have been informed through dialogue between scientists and policy-makers on the sources and transport of air pollution in order to identify potential control measures. However, the process of making regulatory decisions about air pollution controls at this science-policy interface in China has rarely been analysed or discussed. We outline four classical science-policy models for making regulatory decisions proposed by scholars: (i) the decisionist model – whereby policy dictates what science and regulatory decisions are required; (ii) the technocratic model – where science dictates policy directly; (iii) the inverted decisionist model (where scientists advise policy-makers on what policy is required); and (iv) the co-evolutionary model (where policy-makers and scientists jointly create regulatory decisions). Boundary-actors play a key role in this co-evolutionary model. They operate as ‘gate-keepers’ between scientists and policy-makers. Most contemporary studies of the science-policy interface argue that the co-evolutionary model best captures the reality of how science and policy interact effectively to make regulatory decisions. To assess which of these models most closely resemble decision-making at the air pollution science-policy interface, we conducted a case study on “air quality climate services” and held workshops with Chinese scientists, decision-makers and stakeholders. A typology of existing scientific approaches to explore air quality climate science is presented. The workshop results show that the current air quality climate science-policy interplay occurs most strongly in accordance with the co-evolutionary model whereby the Beijing Climate Centre and the National Environmental Monitoring Centre operate as the key boundary actors between science and policy, specifically for a seasonal air pollution haze outlook service. We illustrate that current seasonal haze outlooks carefully avoiding quantification. We then present a conceptual framework of the air pollution science-policy interface in China, which captures the main participants and the interactive flow of information between them

Exploring the Use of Cost-Benefit Analysis to Compare Pharmaceutical Treatments for Menorrhagia

Background: The extra-welfarist theoretical framework tends to focus on health-related quality of life, whilst the welfarist framework captures a wider notion of well-being. EQ-5D and SF-6D are commonly used to value outcomes in chronic conditions with episodic symptoms, such as heavy menstrual bleeding (clinically termed menorrhagia). Because of their narrow-health focus and the condition’s periodic nature these measures may be unsuitable. A viable alternative measure is willingness to pay (WTP) from the welfarist framework. Objective: We explore the use of WTP in a preliminary cost-benefit analysis comparing pharmaceutical treatments for menorrhagia. Methods: A cost-benefit analysis was carried out based on an outcome of WTP. The analysis is based in the UK primary care setting over a 24-month time period, with a partial societal perspective. Ninety-nine women completed a WTP exercise from the ex-ante (pre-treatment/condition) perspective. Maximum average WTP values were elicited for two pharmaceutical treatments, levonorgestrel-releasing intrauterine system (LNG-IUS) and oral treatment. Cost data were offset against WTP and the net present value derived for treatment. Qualitative information explaining the WTP values was also collected. Results: Oral treatment was indicated to be the most cost-beneficial intervention costing £107 less than LNG-IUS and generating £7 more benefits. The mean incremental net present value for oral treatment compared with LNG-IUS was £113. The use of the WTP approach was acceptable as very few protests and non-responses were observed. Conclusion: The preliminary cost-benefit analysis results recommend oral treatment as the first-line treatment for menorrhagia. The WTP approach is a feasible alternative to the conventional EQ-5D/SF-6D approaches and offers advantages by capturing benefits beyond health, which is particularly relevant in menorrhagia

Procedure Volume and the Association with Short-term Mortality Following Abdominal Aortic Aneurysm Repair in European Populations: A Systematic Review

Objective: To evaluate the relationship between the volume of abdominal aortic aneurysm (AAA) procedures undertaken and the primary outcome of mortality in Europe. Previous systematic reviews of this relationship are outdated and are overwhelmingly based on US data. Data sources: Comprehensive searching within MEDLINE and other bibliographic databases supplemented by citation searching and hand-searching of journals was undertaken to identify studies that reported the effect of hospital or clinician volume on any reported outcomes in adult, European populations, undergoing AAA repair and published in the last 10 years. Methods: Two reviewers conducted study selection with independent, duplicate data extraction and quality assessment. A planned meta-analysis was not conducted because of the high risk of bias, the likelihood of individual study subjects being included in more than one study and diversity in the clinical populations studied and methods used. Results: Sixteen studies (n = 237,074 participants) from the UK (n = 11 studies), Germany (n = 3 studies), Norway (n = 1 study), and one from the UK and Sweden were included. Data in the included studies came from administrative databases and clinical registries incorporating a variety of clinical and procedural groups; the study quality was limited by the use of observational study designs. Overall, the evidence favoured the existence of an inverse volume outcome relationship between hospital volume and mortality. Insufficient evidence was available to reach conclusions on the relationship between clinician volume and outcome and between hospital or clinician volume and secondary outcomes including complications and length of hospital stay. Conclusions: The evidence from this review suggests a relationship between the hospital volume of AAA procedures conducted and short-term mortality; however, as volume typically represents a complex amalgamation of factors further research will be useful to identify the core characteristics of volume that influence improved outcomes

Agricultural residue gasification for low-cost, low-carbon decentralized power:An empirical case study in Cambodia

Abstract not availableJohn L. Field, Paul Tanger, Simon J. Shackley, Stephan M. Haefel

Potential new health risk from lead in used consumer products purchased in the United States

The lead Renovation, Repair, and Painting Rule and the Consumer Product Safety Improvement Act, both enacted in 2008, were intended to protect children from exposure to lead by setting federal limits on lead content. Neither of these federal actions, however, addresses a newly recognized pathway of exposure to lead from the use of used consumer products in the home. In the study described in this article, the authors purchased 28 used consumer items in the United States in 2004 and analyzed them for lead content using X-ray fluorescence technology. Nineteen of the items exceeded the federal standards for lead. The amount of lead in the items ranged from 745 parts per million (ppm) to 428,525 ppm. The authors' research shows that such items, which are easily purchased throughout the U.S., may contain surface lead concentrations in amounts greater than 700 times current federal limits. This article reveals an ongoing public health threat involved in exposure to lead that is not addressed by current laws or regulations. Addressing the risk involved in this threat requires continued research, public education, and targeted regulatory action.Reprinted with permission from the Journal of Environmental Health, December 2010, (Volume 73, Number 5, pp 8-12), a publication of the National Environmental Health Association, www.neha.org.KEYWORDS: Consumer Product Safety Improvement Act of 2008, Lead, United States, Collectibles, Exposure to lead, LRRP, CPSIA, Consumer products, Antiques, Lead Renovation, Repair, and Painting Rul

The social and scientific values that shape national climate scenarios: a comparison of the Netherlands, Switzerland and the UK

This paper seeks to understand why climate information is produced differently from country to country. To do this, we critically examined and compared the social and scientific values that shaped the production of three national climate scenarios in the Netherlands, Switzerland and the UK. A comparative analysis of documentary materials and expert interviews linked to the climate scenarios was performed. Our findings reveal a new typology of use-inspired research in climate science for decision-making: (i) innovators, where the advancement of science is the main objective; (ii) consolidators, where knowledge exchanges and networks are prioritised; and (iii) collaborators, where the needs of users are put first and foremost. These different values over what constitutes ‘good’ science for decision-making are mirrored in the way users were involved in the production process: (i) elicitation, where scientists have privileged decision-making power; (ii) representation, where multiple organisations mediate on behalf of individual users; and (iii) participation, where a multitude of users interact with scientists in an equal partnership. These differences help explain why climate knowledge gains its credibility and legitimacy differently even when the information itself might not be judged as salient and usable. If the push to deliberately co-produce climate knowledge is not sensitive to the national civic epistemology at play in each country, scientist–user interactions may fail to deliver more ‘usable’ climate information

Terrace reconstruction and long profile projection: a case study from the Solent river system near Southampton, England

River terrace sequences are important frameworks for archaeological evidence and as such it is important to produce robust correlations between what are often fragmentary remnants of ancient terraces. This paper examines both conceptual and practical issues related to such correlations, using a case study from the eastern part of the former Solent River system near Southampton, England. In this region two recent terrace schemes have been constructed using different data to describe the terrace deposits: one based mainly on terrace surfaces; the other on gravel thicknesses, often not recording the terrace surface itself. The utility of each of these types of data in terrace correlation is discussed in relation to the complexity of the record, the probability of post-depositional alteration of surface sediments and comparison of straight-line projections with modern river long profiles. Correlation using age estimates is also discussed, in relation to optically-stimulated luminescence dating of sand lenses within terrace gravels in this region during the PASHCC project. It is concluded that the need for replication at single sites means that this approach has limited use for correlative purposes, although dating of sediments is important for understanding wider landscape evolution and patterns of human occupation