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This paper investigates the number of observed households setting out their containers for kerbside recyclable collection in two Welsh kerbside recycling programmes; namely, Rhondda Cynon Taf County Borough Council and Caerphilly County Borough Council. Analysed data from the monitoring of approximately 114 000 households in the two separate kerbside programmes are presented, making this the largest study of kerbside recycling behaviour in the UK. The average household set-out rates of individual households per electoral division and per street in each programme were compared. Average household set-out rate for a particular electoral division and street was then related to certain socio-economic indicators. The study was performed using the 'ArcView' geographical information systems (GIS) package. The model identified a moderate link between household set-out rate (%) and socio-economic status at electoral division level. However, there was no correlation between socio-economic status and average household set-out: rate in a street. Household set-out rates for both programmes fluctuated significantly in streets with similar socio-economic status. Another significant factor affecting set-out rate, herein named the 'Nant-y-Gwyddon effect', is also described. [ABSTRACT FROM AUTHOR]

Study Objective: To assess procedural success, patient acceptability, and cost-saving potential of operative hysteroscopy using conventional equipment and local anesthetic in an outpatient clinic., Design: Feasibility study/service evaluation (Canadian Task Force classification II-3)., Setting: Outpatient (office) clinic in a large UK teaching hospital., Patients: One hundred eighteen women with diagnosed or suspected intrauterine myomas or polyps., Interventions: Operative hysteroscopy (122 monopolar resection procedures using 8- or 10-mm diameter rigid resectoscopes with glycine solution for uterine irrigation) with the patient under local anesthesia in an outpatient (office) clinic., Measurements and Main Results: Procedural success, duration of procedure, pathologic measurements, glycine irrigant deficit, patient pain scores and satisfaction, and comparative costs were recorded. Success of outpatient procedures was 90% (110 of 122 attempted), with a significantly reduced median procedure duration compared with a surgical setting using local (-7 minutes; p = .009) or general (-12.5 minutes; p < .001) anesthetic. Glycine irrigant absorption was low (median deficit, 0 mL), and no deficit was observed in 81% of patients. Mean (SD) estimated disease volume was comparable to that of hysteroscopic resection procedures in a surgical setting (3.38 [5.09] cm(3)), and weight was 1.8 (1.84) g. Patients tolerated the procedure well and reported low pain scores (highest median periprocedure pain measurement was 1.25 of 10), and 7-day follow-up satisfaction responses were positive. Retrospective cost analysis demonstrated that operative resection in an outpatient clinic was less expensive than in a surgical setting using general anesthetic (-$1003) or local anaesthetic (-$234). Reduced staff costs were the primary reason for this saving., Conclusions: Operative hysteroscopic resection of myomas and polyps is feasible and well tolerated by patients in an outpatient/office setting using local anaesthetic and conventional equipment. The outpatient procedure is less expensive and its duration is shorter than in a surgical setting., (Copyright © 2014 AAGL. Published by Elsevier Inc. All rights reserved.)