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Public policy requires public support, which in turn implies a need to enable the public not just to understand policy but also to be engaged in its development. Where complex science and technology issues are involved in policy making, this takes time, so it is important to identify emerging issues of this type and prepare engagement plans. In our horizon scanning exercise, we used a modified Delphi technique. A wide group of people with interests in the science and policy interface (drawn from policy makers, policy adviser, practitioners, the private sector and academics) elicited a long list of emergent policy issues in which science and technology would feature strongly and which would also necessitate public engagement as policies are developed. This was then refined to a short list of top priorities for policy makers. Thirty issues were identified within broad areas of business and technology; energy and environment; government, politics and education; health, healthcare, population and aging; information, communication, infrastructure and transport; and public safety and national security.

Climate change is an emerging global health crisis, disproportionately affecting low- and middle-income countries (LMICs) where health outcomes are increasingly compromised by environmental stressors such as pollution, natural disasters, and human migration. With a focus on promoting health equity, Global Surgery advocates for expanding access to surgical care and enhancing health outcomes, particularly in resource-limited and disaster-affected areas like LMICs. The healthcare industry—and more specifically, surgical care—significantly contributes to the global carbon footprint, primarily through resource-intensive settings, i.e. operating rooms that generate greenhouse gases and substantial medical waste. Therefore, Global Surgery efforts aimed at improving surgical access through an increase in surgical volumes may inadvertently exacerbate health challenges for vulnerable populations by further contributing to environmental degradation. This predicament is particularly pronounced in LMICs, who already suffer from a disproportionate share of the global burden of disease, and where the demand for surgery is rising without corresponding resilient infrastructure. LMICs face a double jeopardy of health inequity coupled with climate vulnerability. As a movement positioned to improve health around the world, Global Surgery has an increasingly significant role in envisioning and ensuring a sustainable future. Global Surgery initiatives must prioritise sustainable infrastructure in both high-income countries (HICs) and LMICs, all while accounting for the unequal polluting contributions between HICs and LMICs and, consequently, moral responsibilities moving forward. Moreover, through targeting upstream causes of poor health at urban and perioperative levels, Global Surgery’s interventions may help to reduce the global burden of disease—avoiding preventable surgeries and their carbon footprints from the outset. Altogether, Global Surgery and climate change are two matters of social justice whose solutions must synergistically centralise the health of both the planet and its most vulnerable people.

Aggregate and limestone mining in San Antonio’s Bexar and Comal counties in Texas, USA, has caused considerable health concerns as of late. Aggregate mining actions can result in localized air quality issues in any neighborhood. Furthermore, heavy truck traffic, hauling, and transportation of the mined material contribute to pollution. In this research, PM species were sampled at four locations north of the San Antonio city limits. The data were collected using a TSI Air Quality Sampler that sampled PM1, PM2.5, PM4, PM10, wind speed, wind direction, temperature, and relative humidity. Continuous data with 1 min averages were recorded during the study period from August to September 2019. The instrument was stationed at every location for a period of 7 days each. The four locations were a ranch, an open field, a residential compound, and an elementary school. PM1 and PM2.5 concentration levels were lower compared to PM10 concentrations at all four studied sites. Our results suggest that PM concentrations are primarily impacted by mining activities. PM species were highest at the residential compound due to its proximity to an active mining area, resulting in deleterious health effects for neighbors living in the vicinity of the sampled site.

AbstractLarge conductance potassium (BK) channels are among the most sensitive molecular targets of ethanol and genetic variations in the channel-forming α subunit have been nominally associated with alcohol use disorders. However, whether the action of ethanol at BK α influences the motivation to drink alcohol remains to be determined. To address this question, we first tested the effect of systemically administered BK channel modulators on voluntary alcohol consumption in C57BL/6J males. Penitrem A (blocker) exerted dose-dependent effects on moderate alcohol intake, while paxilline (blocker) and BMS-204352 (opener) were ineffective. Because pharmacological manipulations are inherently limited by non-specific effects, we then sought to investigate the behavioral relevance of ethanol’s direct interaction with BK α by introducing in the mouse genome a point mutation known to render BK channels insensitive to ethanol while preserving their physiological function. The BK α K361N substitution prevented ethanol from reducing spike threshold in medial habenula neurons. However, it did not alter acute responses to ethanol in vivo, including ataxia, sedation, hypothermia, analgesia, and conditioned place preference. Furthermore, the mutation did not have reproducible effects on alcohol consumption in limited, continuous, or intermittent access home cage two-bottle choice paradigms conducted in both males and females. Notably, in contrast to previous observations made in mice missing BK channel auxiliary β subunits, the BK α K361N substitution had no significant impact on ethanol intake escalation induced by chronic intermittent alcohol vapor inhalation. It also did not affect the metabolic and locomotor consequences of chronic alcohol exposure. Altogether, these data suggest that the direct interaction of ethanol with BK α does not mediate the alcohol-related phenotypes examined here in mice.

The impedance-based stability criteria are widely adopted for small-signal stability analysis of power systems. Among them, the determinant-based multi-input multi-output (MIMO) Nyquist criterion is particularly attractive since it simplifies the stability determination process without calculating the eigenvalues of MIMO systems. However, it is found in this letter that the determinant-based Nyquist criterion can potentially result in incorrect stability analysis results with pure inductance models in the MIMO models of the power network. This letter illustrates the issue and its root cause through mathematical derivation and numerical analysis. Then, the issue is demonstrated through an example system, and the corresponding solutions are provided as well.

The Sulphurdale Geothermal Field is located in Beaver County Utah, within the boundaries of the Cove Fort--Sulphurdale Known Geothermal Resource Area (KGRA). During the past year, three wells drilled in Section 7, T-26-S, R-6-W, have produced dry steam from a fractured volcanic formation located at a depth of about 1100 feet. Two of these three wells are currently prepared to supply steam to a power plant, and one well has been plugged and abandoned. ThermaSource, Inc. was retained by Mother Earth Industries, the operator of the field, to conduct well tests and render an opinion as to the nature of the geothermal reserves and assess the commercial potential of these reserves. Because of the limited area that has been explored to date, there can be no assurance that the reserves estimate will prove accurate. Project economics are based on parameters believed to be accurate, but there is no assurance that such cash flow projections will be realized.