The Comorians in Kenya: the establishment and loss of an economic niche

The thesis, supervised by Jean Lafontaine, focussed on migration from the Comoro Islands near Madagascar, to Zanzibar and the East African Swahili coast, between the 1830s and the 1970s. Comorians had shared a common history and culture with the Swahili for many centuries; in colonial East Africa, chance offered them a unique ‘racial’ and employment niche which evaporated abruptly after 1964 and East African independence. They had suddenly to reassess marriage, residence and self-definition strategies, and their implications for the future. The thesis addressed ethnic identity (which had focussed excessively on its immutability) and demonstrated its adaptability to changing political and economic context. The study also attempted to escape from timeless, fixed-location ethnography, and followed links which led to data-collection in several East African and Comorian locations. Finally, by following Comorian choices over 150 years, the thesis made a contribution to an understanding of broader Swahili history which demands similar light-footed mobility through time and space for the processes of change to be understood. Gill Shepherd completed her PhD at a time when university recruitment was a standstill. Instead she built a career in tropical forest policy at London’s Overseas Development Institute, and focussed on rights for forest peoples

Association of immune response with efficacy and safety outcomes in adults with phenylketonuria administered pegvaliase in phase 3 clinical trials

Background: This study assessed the immunogenicity of pegvaliase (recombinant Anabaena variabilis phenylalanine [Phe] ammonia lyase [PAL] conjugated with polyethylene glycol [PEG]) treatment in adults with phenylketonuria (PKU) and its impact on safety and efficacy. Methods: Immunogenicity was assessed during induction, upward titration, and maintenance dosing regimens in adults with PKU (n = 261). Total antidrug antibodies (ADA), neutralizing antibodies, immunoglobulin (Ig) M and IgG antibodies against PAL and PEG, IgG and IgM circulating immune complex (CIC) levels, complement components 3 and 4 (C3/C4), plasma Phe, and safety were assessed at baseline and throughout the study. Pegvaliase-specific IgE levels were measured in patients after hypersensitivity adverse events (HAE). Findings: All patients developed ADA against PAL, peaking by 6 months and then stabilizing. Most developed transient antibody responses against PEG, peaking by 3 months, then returning to baseline by 9 months. Binding of ADA to pegvaliase led to CIC formation and complement activation, which were highest during early treatment. Blood Phe decreased over time as CIC levels and complement activation declined and pegvaliase dosage increased. HAEs were most frequent during early treatment and declined over time. No patient with acute systemic hypersensitivity events tested positive for pegvaliase-specific IgE near the time of the event. Laboratory evidence was consistent with immune complex-mediated type III hypersensitivity. No evidence of pegvaliase-associated IC-mediated end organ damage was noted. Interpretation: Despite a universal ADA response post-pegvaliase administration, adult patients with PKU achieved substantial and sustained blood Phe reductions with a manageable safety profile. Fund: BioMarin Pharmaceutical Inc. Keywords: Enzyme replacement therapy, Antidrug antibody, Circulating immune complex, Hypersensitivity, Phenylalanin

The environmental, socioeconomic, and health impacts of woodfuel value chains in Sub-Saharan Africa: A systematic map

Background: In Sub-Saharan Africa (SSA), the production and use of woodfuel remains an important socio-economic activity with more than 70% of the population relying on woodfuel as their primary household energy source. Despite their socio-economic significance, woodfuel value chains are often viewed negatively due to their association with detrimental health and environmental impacts. However, the lack of sound evidence and limited understanding of the role of contextual factors in influencing the various impacts of woodfuel value chains have prevented the formulation of properly guided policy interventions. Thus the objective of this systematic map is to provide a comprehensive review of the environmental, socio-economic, and health impacts of woodfuel value chains across SSA. Methods: The search strategy for this review map was defined in a peer-reviewed protocol and refined by iterative testing. Search strings were composed of population, intervention, and location terms and combined using Boolean operators. The bibliographic databases Web of Science, Scopus, and CAB Abstracts were used as the main sources of literature for this review, and a total of 4728 results were initially retrieved. Following title and abstract screening, 659 entered full text screening. Critical appraisal of 219 articles led to the exclusion of studies that did not set meet quality criteria for this map, resulting in a final total of 131 articles for inclusion in data extraction and analysis. Results: From the 131 included articles, 152 individual studies were identified during data extraction. Studies came from 26 of the 49 Sub Saharan African countries, with a particular preponderance of articles published in the last 10 years. Critical appraisal found significant weaknesses in the experimental design of woodfuel value chain studies with the exception of health impact studies, which frequently utilized controls or other relevant comparators. Findings suggest that woodfuel value chains have environmental, socioeconomic and health consequences with the frequent presence of trade-offs. The reporting of contextual factors in the studies challenge the widespread perception of deforestation as being directly caused by bush fires, overgrazing and woodcutting. Instead, agricultural expansion (which often includes forest clearing) and pre-existing biophysical factors were the most frequently cited factors in shaping environmental outcomes. Conclusions: This systematic map suggests that there are environmental, socioeconomic and health consequences associated with woodfuel value chains in Sub-Saharan Africa. However, the literature also shows a weak and geographically limited evidence base to justify the above claims. We argue that policy formulation processes targeting woodfuels in SSA require more solid, coherent and broad body of knowledge, especially for such a vital sector in rural economies. Thus, there is an urgent need to design and undertake research using robust methodologies, at appropriate scales that further takes into account the interrelationships between environmental and socio-economic outcomes in order to generate substantial and reliable evidence for informed policy formulation. (Résumé d'auteur

Discrimination of ivory from extant and extinct elephant species using Raman spectroscopy : A potential non-destructive technique for combating illegal wildlife trade

The use of elephant ivory as a commodity is a factor in declining elephant populations. Despite recent worldwide elephant ivory trade bans, mammoth ivory trade remains unregulated. This complicates law enforcement efforts, as distinguishing between ivory from extant and extinct species requires costly, destructive and time consuming methods. Elephant and mammoth ivory mainly consists of dentine, a mineralized connective tissue that contains an organic collagenous component and an inorganic component of calcium phosphate minerals, similar in structure to hydroxyapatite crystals. Raman spectroscopy is a non-invasive laser-based technique that has previously been used for the study of bone and mineral chemistry. Ivory and bone have similar biochemical properties, making Raman spectroscopy a promising method for species identification based on ivory. This study aimed to test the hypothesis that it is possible to identify differences in the chemistry of mammoth and elephant ivory using Raman spectroscopy. Mammoth and elephant tusks were obtained from the Natural History Museum in London, UK. Included in this study were eight samples of ivory from Mammuthus primigenius, two samples of carved ivory bangles from Africa (Loxodonta species), and one cross section of a tusk from Elephas maximus. The ivory was scanned using an inVia Raman micro spectrometer equipped with a x50 objective lens and a 785nm laser. Spectra were acquired using line maps and individual spectral points were acquired randomly or at points of interest on all samples. The data was then analysed using principal component analysis (PCA) with use of an in-house MATLAB script. Univariate analysis of peak intensity ratios of phosphate to amide I and III peaks, and carbonate to phosphate peaks showed statistical differences (

Are the police embracing evidence-informed practice? A view from England and Wales

The What Works Centre for Crime Reduction (WWCCR) in the UK’s College of Policing has a key role in promoting the use of research in policing. Since 2014, the WWCCR has aimed to review - and make accessible - research to better inform and target crime reduction and to build police capacity to identify, evaluate and apply research evidence to practice. This comes amidst significant changes to entry requirements for policing in the UK as part of efforts to further professionalise the service and prepare for future challenges in policing. We report findings from in-depth interviews with senior police officers from forces across England and Wales, conducted as part of a three-year evaluation of the WWCCR. These interviews explored the traction of ‘evidence-based practice’ among senior officers and showed shifts over time in their accounts of the value placed on research and how it is promoted and used within their force. Additionally, an online survey across policing ranks, conducted in 2016, found differences by seniority in perceptions about the relevance of research for policing, and the level of organisational support for it. Findings are used to consider the status of research evidence in policing and its development within a policing profession

Policy insights and modelling challenges: The case of passenger car powertrain technology transition in the European Union

Purpose: We are interested in what policy insights can be transferred from EU countries that have been most successful in introducing EVs to those that are debating policy options. As we use a model to explore this, we are also interested in the application of modelling, seeking to understand if real world policies and results can be replicated in a model and, more generally, the challenges to the use of modelling in policy appraisal. Methods: We use the EC-JRC Powertrain Technology Transition Market Agent Model (PTTMAM), a system dynamics model based around the interactions of conceptual market agent groups in the EU. We perform iterative scenario tests to replicate the policies carried out in the Netherlands and the UK in recent years in an attempt to achieve similar results in EV sales. We then transfer the policy scenarios to other EU member states and assess the transferability of the policies. Results: Reasonable approximations of the Netherlands and UK EV policies and sales were achieved and implemented in other EU member states. Conclusion: We find that the PTTMAM is fit-for-purpose and can replicate successful policies to a certain degree. Policy success is sensitive to country specific conditions, and a system dynamics model like the PTTMAM can help identify which conditions react to which policy stimulus. There are challenges to modelling in policy appraisal, such as the subjectivity of the modeller and flexibility to specific conditions, which must be kept transparent for the model to be a relevant tool for policy making

Critical analysis of the utility of initial pleural aspiration in the diagnosis and management of suspected malignant pleural effusion

INTRODUCTION:Current guidelines recommend an initial pleural aspiration in the investigation and management of suspected malignant pleural effusions (MPEs) with the aim of establishing a diagnosis, identifying non-expansile lung (NEL) and, at times, providing a therapeutic procedure. A wealth of research has been published since the guidelines suggesting that results and outcomes from an aspiration may not always provide sufficient information to guide management. It is important to establish the validity of these findings in a 'real world' population. METHODS:A retrospective analysis was conducted of all patients who underwent pleural fluid (PF) sampling, in a single centre, over 3 years to determine the utility of the initial aspiration. RESULTS:A diagnosis of MPE was confirmed in 230/998 (23%) cases, a further 95/998 (9.5%) were presumed to represent MPE. Transudative biochemistry was found in 3% of cases of confirmed MPE. Positive PF cytology was only sufficient to guide management in 45/140 (32%) cases. Evidence of pleural thickening on CT was associated with both negative cytology (χ2 1df=26.27, p<0.001) and insufficient samples (χ2 1df=10.39, p=0.001). In NEL 44.4% of patients did not require further procedures after pleurodesis compared with 72.7% of those with expansile lung (χ2 1df=5.49, p=0.019). In patients who required a combined diagnostic and therapeutic aspiration 106/113 (93.8%) required further pleural procedures. CONCLUSIONS:An initial pleural aspiration does not achieve either definitive diagnosis or therapy in the majority of patients. A new pathway prioritising symptom management while reducing procedures should be considered

Educational Attainment at Age 10–11 Years Predicts Health Risk Behaviors and Injury Risk During Adolescence

Purpose: To examine the effect of educational attainment in primary school on later adolescent health. Methods: Education data attainments at age 7 and 11 were linked with (1) primary and secondary care injury consultation/admissions and (2) the Health Behaviour in School-aged Children survey. Cox regression was carried out to examine if attainment in primary school predicts time to injury in adolescence. Results: Pupils that achieve attainment at age 7 but not at age 11 (i.e., declining attainment over time in primary school) are more likely to have an injury during adolescence. These children are also more likely to self-report drinking in adolescence. Conclusions: Interventions aimed at children with declining attainment in primary school could help to improve adolescent health

An exploratory policy analysis of electric vehicle sales competition and sensitivity to infrastructure in Europe

This research contributes to discussions about policy interventions to stimulate the transition of vehicle technology. Concentrating on passenger cars, an extensive system dynamics based market agent model of powertrain technology transitions within the EU up to 2050 is employed. With a focus on subsidy scenarios for both infrastructure deployment and vehicle purchase, and set within the context of the EU fleet emission regulations, we find that there are important interactions between different powertrain types and with infrastructure provision. For example, strong plug-in electric vehicle (PiEV) policy could inhibit the maturity of hydrogen fuel cell vehicles. Infrastructure provision is important for improving the utility of a PiEV, but we find that in the early market it may have a weaker correlation with uptake than other policy options, until the PiEV stock share is over around 5%. Furthermore, an attempt to install a ratio of much more than one charge point per 10 PiEV may lead to little gains and high costs. PiEV sales are relatively insensitive at target levels over 25 PiEV per charge point. The results of our study can help policymakers to find the right balance and timing of measures targeting the transition towards low carbon alternative vehicles