Climate Change and the Circular Economy

The world is presently facing a climate catastrophe of its own making through the unabated increase in greenhouse gas emissions. Global consumption patterns are to blame, as presently, the global annual demand for resources outpaces the annual rate of the earth's ability to regenerate those resources. Thus, there is an urgent need to reduce the global demand for resources to a sustainable level, through the adoption of a circular economy. Individual consumption behavior habits form the basis of global consumption patterns, and therefore, adoption of sustainable consumption habits and lifestyles are necessary for addressing the climate crisis. In this chapter, the authors assess the potential for addressing the climate crisis through the adoption of a circular economy and sustainable consumption behavior. The authors also evaluate the extent of adoption of sustainable consumption behavior in India and make recommendations for adopting a circular economy in India.

Spatial change detections and inventory of wetlands in Yenagoa Urban Area: Bayelsa State, Nigeria

Yenegoa Town has in recent years witnessed rapid City growth and Urban development and much of these developments are unplanned and unregulated. This has seriously impacted on wetlands in several locations of the town as persistent Wetlands reclamations are being witnessed in study area. This prompted the need for the study which is aimed to map wetlands location in Yenagoa’s urban area using GIS and Remote Sensing approach. The study analyzes land use/land cover changes (LULC) using LANDSAT(5) TM, LANDSAT(5) ETM and LANDSAT(7) OLI satellite imageries of 1990, 2000, 2010 and 2020 respectively. Through this study, the pattern of urban expansion for Thirty years were been studied. The satellite imageries covering the area were acquired and analyzed using ArcGIS 10.1 and ENVI 5.0 software. The supervised image classification method was adopted and the classification results were validated using the Kappa Index of Agreement (KIA) yielding an accuracy of 0.69m for year 1990, 0.62m for year 2000, 0.58m for year 2010 and 0.73m for 2020. A total area of 13,741.4 hectares was delineated in the study area which is identified as Yenagoa’s urban area. After processing the imageries, four land use/land cover (LULC) classes where considered, and the results shows that Built-up area continuously increased in land area from 1990 -2020 with total percentage change of 273.31% (4,178.7ha) and total annual rate of change of 25.33. Vegetation have total percentage change of 38.55% (974.34Ha) and total annual rate of change of 3.85, wetland cover loss with total percentage Change of 61.96% (-51,44.99ha) and total annual rate of change of -6.19ha, and the water body have loss of total percentage of -2.16% (-8.05Ha) and total annual rate of change of -0.22ha wetland at Yenegwe loss by Total %change of -29.918% ( -197.95ha), and wetland at Igbogene loss by total percentage change of -36.028% (-358.7ha). The research findings also revealed that the wetlands in Anyama, Swali, Kpansia and Opolo Towns were completely lost from the third Epoch of 2010, this may be as a result of persistence reclamation of wetland in this parts of the study area. The Markov Chain predicted model were utilized for predicting the likely changes in land use land cover for a period of thirty years. The predicted results also indicates that wetland size of 32.47,%, 30.68% and 28.99% may likely be lost by the year 2030, 2040 and 2050 respectively in study area if no action is taking by concerned authorities to forestall the factors responsible for the lost in wetland. The study justified the dynamics of remote sensing and GIS techniques in modeling wetlands changees over these periods, wise use of wetland resources and improvement of institutional arrangement were recommended so that wetland policies can be fully integrated into the planning process across all disciplines.

Impact of Medicare prescription drug (Part D) coverage expansion on utilisation and financial burden of benzodiazepines among older adults: an interrupted time series analysis

ObjectiveBenzodiazepines were excluded from Medicare Part D coverage since its introduction in 2006. Part D expanded coverage for benzodiazepines in 2013. The objective was to examine the impact of Medicare Part D coverage expansion on the utilisation and financial burden of benzodiazepines in older adults.DesignInterrupted time series with a control group.SettingNationally representative sample.Participants53 150 468 users of benzodiazepines and 21 749 749 users of non-benzodiazepines (an alternative therapy) from the Medicare Current Beneficiary Survey between the pre-expansion (2006–2012) and post-expansion (2013–2017) periods.InterventionMedicare Part D coverage expansion on benzodiazepines.Primary and secondary outcome measuresAnnual rate of benzodiazepines and non-benzodiazepines, average number of benzodiazepines and non-benzodiazepines and average cost of benzodiazepines and non-benzodiazepines.ResultsAfter Medicare Part D coverage expansion, the level of the annual rate of benzodiazepines increased by 8.20% (95% CI: 6.07% to 10.32%) and the trend decreased by 1.03% each year (95% CI: −1.77% to −0.29%). The trend of the annual rate of non-benzodiazepines decreased by 0.72% each year (95% CI: −1.11% to −0.33%). For the average number of benzodiazepines, the level increased by 0.67 (95% CI: 0.52 to 0.82) and the trend decreased by 0.10 each year (95% CI: −0.15 to –0.05). For the average number of non-benzodiazepines, the level decreased by 0.11 (95% CI: −0.21 to –0.01) and the trend decreased by 0.04 each year (95% CI: −0.08 to –0.01). No significant level and trend changes were identified for the average cost of benzodiazepines and non-benzodiazepines.ConclusionsAfter Medicare Part D coverage expansion, there was a sudden increase in the utilisation of benzodiazepines and a decreasing trend in the long-term. The increase in the utilisation of benzodiazepines did not add a financial burden to older adults. As an alternative therapy, the utilisation of non-benzodiazepines decreased following the coverage expansion.

Rate of Fen-Peat Soil Subsidence Near Drainage Ditches (Central Poland)

This study analyzed design depths (to), post-subsidence depths (t), shallowing magnitudes (d = to − t) and ratio values (d/t) of 12 drainage ditches in a fragment of the drained Solec fen-peat (central Poland) over a period of 47 years between 1967 and 2014. A significant decrease of the designed depth of the ditches to was shown, from the average designed value of 0.97 m to their average depth after subsidence, t = 0.71 m. The ratio (d/t) of 0.41, which is associated with the degree of organic matter decomposition, indicated medium degree of peat decomposition. The average values of bank and bottom subsidence of the ditches during the analyzed period, 1967–2014, were 0.43 m and 0.17 m, respectively. The values of the average annual rate of land surface subsidence in the vicinity of the ditches were varied and within the range of 0.09 cm year−1 to 1.70 cm year−1, with an average of 0.92 cm year−1. Two linear empirical equations were proposed to calculate the amount of subsidence and the average annual rate of subsidence of peat soil surface near the drainage ditch route, based on the knowledge of the initial thickness of the peat deposit. The results of calculations using the equations proposed by the authors were compared with calculations of the same parameters using 10 equations published in the literature. The results obtained using the proposed equations were mostly larger than those calculated with literature-published equations.

Considering the Counterfactual: Real Wages in the First Industrial Revolution

We investigate a structural model of demographic-economic interactions for England during 1570 to 1850. We estimate that the annual rate of population growth consistent with constant real wages was 0.4% before 1760 but 1.5% thereafter. We find that exogenous shocks increased population growth dramatically in the early decades of the Industrial Revolution. Simulations of our model show that if these demographic shocks had occurred before the Industrial Revolution the impact on real wages would have been catastrophic and that these shocks were largely responsible for very slow growth of real wages during the Industrial Revolution.

Decentralized issues in bitcoin blockchain and Nakamoto monetary rule

The paper is devoted to studying the bitcoin blockchain as a new global phenomenon in monetary economics, which requires comprehending from the economic theory view - a self-regulating system of decentralized emission without participation of a central monetary authority. Mathematical modelling is the instrument of this studying. The author has analyzed the Bitcoin system parameters that determine dynamics of a self-regulating emission mechanism. This mechanism operates in a peer-to-peer computer network and provides a smooth increasing of the "money supply" with a gradually decreasing rate of growth. The limit of this growth is determined by maximal volume 21 million BTC. Self-regulation is implemented through negative feedback between changes of control parameters (the target interval for the hash function values and the Bitcoin Difficulty level) and the speed of mining process. Control parameters depend on the real speed deviations from the target value. This mechanism provides a stable mining speed and determines annual rate of emission. The author suggests a spline-function for describing the annual rate of the cryptocurrency emission in accordance with the Proof-of-Work protocol in the Bitcoin blockchain algorithm. This spline-function gives possibility to find a monetary rule for annual rate of emission. The author in the paper proposes to call this monetary rule by the name of the Bitcoin system inventor - Nakamoto Monetary Rule. The Nakamoto Monetary Rule could be seen as the first example of a programmable monetary rule of the decentralized emission algorithm on the basis of blockchain technology. Central banks could use a similar approach, with the necessary modifications, to develop their programmable monetary rules for Central Bank Digital Currencies (CBDCs) emission based on DLT or blockchain technology

Utilization and Expenditures of Vertebral Augmentation Continue to Decline: An Analysis in Fee-For-Service (FFS) Recipients from 2009 to 2018

BACKGROUND: Despite the high prevalence of vertebral compression fractures (VCFs) associated with refractory pain, deformity, or progressive neurological symptoms, minimally invasive vertebral augmentation procedures, including vertebroplasty and kyphoplasty, have been declining in their relative utilization, along with expenditures. OBJECTIVES: This investigation was undertaken to assess utilization and expenditures for vertebral augmentation procedures, including vertebroplasty and kyphoplasty, in the fee-for-service (FFS) Medicare population from 2009 to 2018. STUDY DESIGN: The present study was designed to assess utilization and expenditures in all settings, for all providers in the FFS Medicare population from 2009 to 2018 in the United States. In this manuscript: • A patient was described as receiving vertebral augmentation over the course of the year. • An episode was considered as one treatment per region per day utilizing primary codes only. • Services or procedures were considered to be procedures including multiple levels. A standard 5% national sample of the Centers for Medicare and Medicaid Services (CMS) physician outpatient billing claims data for those enrolled in the FFS Medicare program from 2009 to 2018 was utilized. All the expenditures were presented with allowed costs and adjusted for inflation to 2018 US dollars. RESULTS: In 2009, there were 76,860 episodes of vertebral augmentation with a rate of 168 per 100,000 Medicare population, which declined to 58,760, or 99 per 100,000 population for a total decline of 41%, or an annual rate of decline of 5.7% per 100,000 Medicare population. Vertebroplasty interventions declined more dramatically than kyphoplasty from 2009. Total episodes of vertebroplasty were 27,380 with an annual rate of 60 per 100,000 Medicare population, decreasing to 9,240, or 16 per 100,000 Medicare population, a 66% decline in episodes and a 74% decline in overall rate with an annual decline of 11.4% and 13.9%. In contrast, kyphoplasty interventions were 49,480, for a rate per 100,000 population of 108 in 2009 compared to 49,520 in 2018 with a rate of 83, for a decrease of 23% and 2.9% annual decrease. Evaluation of expenditures showed a net decrease of $30,102,809, or 8%, from $378,758,311 in 2009 to $348,655,502 in 2018. However, inflation-adjusted expenditures decreased overall by 21% and 3% annually from $443,147,324 in 2009 to $345,655,502 in 2018. In addition, inflation-adjusted total expenditures per 100,000 Medicare population decreased from $967,549 to $584,992, for an overall decrease of 40%, or an annual decrease of 5%. Per patient expenditures decreased 2% overall with 0% decrease per year. LIMITATIONS: Vertebral augmentation procedures were assessed only in the FFS Medicare service population. This excluded over 30% of the Medicare population, which is enrolled in Medicare Advantage plans. CONCLUSIONS: This study shows a significant decline in relative utilization patterns of vertebroplasty and kyphoplasty procedures, along with reductions in overall expenditures. The inflation-adjusted total expenditures of kyphoplasty and vertebroplasty decreased 21% with an annual decline of 3%. The inflation-adjusted expenditures per 100,000 of Medicare population decreased 40% overall and 5% per year. In addition, vertebroplasty has seen substantial declines in utilization and expenditure patterns compared to kyphoplasty procedures, which showed trends of decline. KEY WORDS: Osteoporosis, osteoporotic compression fracture, vertebroplasty, kyphoplasty, vertebral augmentation, expenditures, inflation-adjusted, utilization

Analysis and Prediction of Land Use/land Cover Changes and Driving Forces by Using GIS and Remote Sensing in the Coka Watershed, Southern Ethiopia

Land use and land cover (LULC) is among fundamental environmental and ecological factors for monitoring, resource management, police making, planning and facilitating the development of strategies to balance conservation, development pressures, and conflicting uses. This study aimed at analyzing LULC changes that have occurred during 1988–2018 and its prediction for 2040–2060 period in Coka watershed, southern Ethiopia. LULC changes were analyzed using geographic information system and predicted by CA-Markov model. Cultivated and rural settlement land, bare land, built up area and water body have increased at an annual rate of 23.1, 2.2, 0.8 and 1.1 ha/year but forest land, bushland and grassland have decreased at an annual rate of 14.4, 4.1 and 8.7 ha/year, respectively. It is projected that cultivated and rural settlement land, bare land, built up area and water body will expand but forest land, grassland and bushland will decrease. Expansion of agriculture and deforestation showed increasing trend on both previous and predicted LULC changes with upcoming expansion of bare land and eucalyptus tree plantation due to major driving factor of population growth. This study highlights the need for well integrated landscape planning, reliable predictions for future LULC and to reduce the deterioration of environment.

Technological Improvement Rates and Evolution of Energy-Based Therapeutics

This paper examines the field of energy-based medical therapies based on the analysis of patents. We define the field as the use of external stimuli to achieve biomedical modifications to treat disease and to increase health. Based upon distinct sets of patents, the field is subdivided into sub-domains for each energy category used to achieve the stimulation: electrical, magnetic, microwave, ultrasound, and optical. Previously developed techniques are used to retrieve the relevant patents for each of the stimulation modes and to determine main paths along the trajectory followed by each sub-domain. The patent sets are analyzed to determine key assignees, number of patents, and dates of emergence of the sub-domains. The sub-domains are found to be largely independent as to patent assignees. Electrical and magnetic stimulation patents emerged earliest in the 1970s and microwave most recently around 1990. The annual rate of improvement of all sub-domains (12–85%) is found to be significantly higher than one we find for an aggregate pharmaceutical domain (5%). Overall, the results suggest an increasingly important role for energy-based therapies in the future of medicine.