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1.

Purpose

Social life cycle assessment (SLCA) is developing rapidly and represents a valuable complement to other life cycle methods. As methodological development continues, a growing number of case studies have noted the need for more scientific rigor in areas like data collection, allocation methods, and incorporation of values and cultural context. This work aims to identify opportunities, especially in the social sciences, to improve rigor in SLCA.

Methods

A review of existing literature and tools is based on both hand coding of the SLCA literature as represented in Web of Science’s “All Collections” database and on computer-aided review of the SLCA and other related literatures (including social impact assessment (SIA), life cycle sustainability assessment (LCSA), and corporate social responsibility (CSR)) using a text mining technique known as topic modeling. Rapid diagnosing of potentially valuable contributions from literatures outside of SLCA through computer-aided review led to more detailed, manual investigation of those literatures for further insight.

Results and discussion

Data collection can benefit from increased standardization and integration with social science methods, especially frameworks for surveys and interviews. Sharing examples of questionnaires and ethics committee protocols will likely improve SLCA’s accessibility. SIA and CSR also represent empirical data sources for SLCA. Impact allocation techniques can benefit from reintegration with those in ELCA, in particular by allocating (when necessary) at facility—rather than product—level. The focus on values and subjectivity in SLCA is valuable not only for SLCA but also for other methods, most notably ELCA. Further grounding in social science is likely to improve rigor in SLCA.

Conclusions

SLCA is increasingly robust and contributing to interdisciplinary discussions of how best to consider social impacts. This work makes three major recommendations for continued growth: first, that SLCA standardize human subject research used for data gathering; second, that SLCA adopt allocation techniques from ELCA; and third, that SLCA continue to draw on social science and other literatures to rigorously include value systems.
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2.

Purpose

This paper seeks ways to address positive social impacts in social life cycle assessment (SLCA) and attempts to answer two questions: How can the SLCA methodology be improved in order to systematically identify all potential positive impacts in the supply chain? How can positive impacts be taken into consideration along with negative impacts in SLCA? In order for SLCA to be an attractive tool, it needs to provide users with the possibility to include positive impacts, not as variables stipulating lack of negative impacts but rather as fulfilment of positive potentials.

Methods

By scrutinising the social impacts addressed in the SLCA UNEP/SETAC Guidelines today and reviewing approaches for positive impacts in other research fields, a developed approach to capture and aggregate positive social impacts in SLCA is proposed. To exemplify the application, the case of vehicle fuels is used to investigate the possibilities of addressing positive impacts in SLCA. This includes a literature review on potential positive social impacts linked to vehicle fuels.

Results and discussion

The subcategories in the SLCA Guidelines are proposed to be divided into positive and negative impacts and complemented with some additional positive impacts. Related indicators are proposed. A draft approach for assessing positive impacts is developed where the proposed indicators are categorised in four different levels, from low to very high potential positive impact. The possibility to aggregate positive social impacts is discussed. Besides multi-criteria decision analysis (MCDA), few useful ideas for aggregating positive impacts in SLCA were found in the literature that mostly focused on surveys and monetarisation. Positive social impacts linked to vehicle fuels (fossil fuels and biofuels) are identified, and the proposed approach is schematically applied to vehicle fuels.

Conclusions

The SLCA methodology may be refined in order to better identify and assess positive impacts, and approaches developed for capturing and aggregating such impacts are proposed. Challenges of aggregating positive and negative social impacts still remain. The knowledge on social impacts from vehicle fuels could be improved by applying the proposed approach. However, the approach needs more development to be practically applicable.
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3.

Purpose

In social life cycle assessment (SLCA), to measure the social performance, it is necessary to consider the subcategory indicators related to each stakeholder dimension, such as workers, local community, society, consumers and value chain participants. Current methods in SLCA scientific literature consider a standard arbitrary linear score set to translate qualitative performances into a quantitative assessment for all subcategory indicators, i.e., it translate a A, B, C, D scoring into a 4, 3, 2, 1 ordinal scale. This assumption does not cover the complexity of the subcategory indicators in the social life cycle assessment phase. The aim of this paper is to set out a customized scoring and weighting approach for impact assessment in SLCA beyond the assumption of arbitrary linearity and equal weighting.

Methods

This method overcomes the linearity assumption and develops specific value functions for each subcategory indicator and an approach to establish the weighting factors between the indicators for each social dimension (workers, local community, and society). The value function and weighting factors are based on the considered opinions of SLCA experts in Québec.

Results and discussion

The results show that value functions with different shapes used to score the performance of the product within each subcategory indicator influence SLCA results and have the potential to reverse the conclusions. The customized score is more realistic than the linear score because it can better capture the complexity of the subcategory indicators based on SLCA expert judgment.

Conclusions

Our approach addresses a methodological weakness of the impact assessment phase of SLCA through a more representative performance of the potential social impacts based on the judgment of the SLCA expert rather than a simplified assumption of linearity and equal weighting among indicators. This approach may be applied to all types of product systems.

Recommendations

The value functions and weighting factors cannot be generalized for all cases and the proposed approach must be adapted for each study. We stopped at the aggregation of the subcategory indicators based on expert judgment at the stakeholder level. If a complete aggregation in a single score is required, we recommend developing a framework that accounts for the value judgment of the decision-maker rather than the SLCA expert.
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4.

Purpose

The main purpose of this review is to investigate the methodology of social life cycle assessment (SLCA) through its application to case studies. In addition, the following research aims to define the trends related to the SLCA by researchers and consultants. This study will help to map the current situation and to highlight the hot spots and weaknesses of the application of the SLCA theory.

Methods

The SLCA could be considered as a useful methodology to provide decision support in order to compare products and/or improve the social effects of the life cycle of a product. Furthermore, the results of the case studies analyzed may influence decision makers significantly. For this reason, a systematic literature review of case studies was carried out in which SLCA was applied in order to analyze closely the application of the stages of this methodology. In this study, the major phases of the technical framework for a SLCA were analyzed. Specific attention was paid to detect the positive impacts that emerged in the case studies, which were also studied by administering a questionnaire to the authors of the analyzed case studies and to a number of experts in the field of SLCA.

Results and discussion

The 35 case studies examined in this paper, even though they do not deviate from the 40 identified by the previous processing, are still significantly different in terms of outcome produced. It is important to clarify that the authors who developed the case studies considered the steps defined in the SETAC/SETAC guidelines, borrowed from the ISO 14044 standard.

Conclusions

The data resulting from this analysis could help both practitioners and researchers to understand what the issues are, on which it is still necessary to investigate and work, in order to solidify the SLCA methodology and define its role in the context of life cycle sustainability assessment (LCSA).
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5.

Purpose

This paper aims to investigate the applicability of social life cycle assessment (SLCA) to the social impacts analysis of product-service systems (PSS). The purpose is to discuss the main challenges for this approach to comparing PSS business model alternatives and analyzing the social consequences of PSS introduction into the market.

Methods

Two PSS solutions were considered to investigate the applicability and the challenges for SLCA when applied to PSS assessment. A comparative analysis was discussed based on UNEP/SETAC guidelines. The subcategories and social indicators suggested in the guidelines were analyzed, and the indicators considered suitable for the comparison of PSS alternatives, considering the use phase, were identified. Other indicators from the PSS literature were also added to those from the guidelines. To analyze the consequences of PSS implementation, the applicability of consequential SLCA was discussed.

Results and discussion

The main results pointed out that only a few indicators in the SLCA guidelines could be used for comparative PSS analysis. This occurred because only some of the guidelines could be linked to the processes of each PSS. Other indicators identified in the PSS literature are suggested to complement the comparative analysis of PSS alternatives. Concerning the effects of PSS introduction, it can cause social impacts with regard to the company and stakeholders directly involved in the changes in addition to the effects that may occur in other products and services systems as a result of consumers’ behavior and PSS interaction in the market. The consequential modeling is suggested as appropriate for this analysis.

Conclusions

The SLCA approach can be considered suitable for PSS social issues analysis, although there are limitations for a full analysis in this study. Some major challenges for its applicability were identified. First, PSS functional unit modeling should be investigated considering all PSS elements (products and services) and the functions provided by the system. Second, only few indicators in the guidelines were considered appropriate for PSS comparative analysis before its introduction. Finally, concerning consequential SLCA, this could be explored in the context of PSS, but there is still scarce research on this subject. In short, to establish SLCA as a useful and applicable methodology to assess the social impacts of a PSS, further research is required, especially regarding the consequential SLCA.
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6.

Purpose

The 1990s produced two distinct engineering ideologies of sustainability—one emphasizing engineering innovation and the other emphasizing socio-cultural change. The technological change ideology of sustainability refers to engineering reform controlled and directed by engineers themselves—in other words, technological practices can be improved through the application of expertise. The technopolitics’ ideology of sustainability is about engineering challenge; it places more emphasis on the devolution of expertise from the existing model of engineering and society, and it questions the dominant values of engineering practice. In this article, I present a historico-philosophical perspective on the development of social life cycle assessment (SLCA) to highlight how the dialectic between sustainability and engineering has been defined largely by the ideology of technological change.

Methods

I provide original historical evidence regarding the roles of key actors and institutions in fitting the life cycle perspective and corporate social responsibility (CSR) into sustainable development. Primary data for this chapter is based on archival materials as well as on 30, in depth, semi-structured interviews with North American and European LCA and SLCA experts. Other primary data were collected from participant observation in SLCA webinars and workshops.

Results and discussion

Technology is at the heart of SLCA—it is a shared faith in technology as the solution. At the same time, there is growing appreciation amongst SLCA proponents that such technology must be construed more critically. Although it remains a subaltern current within LCA, SLCA is evidence of how technological change and technopolitics are starting to converge and influence each other—a probe toward a more reflective form of engineering discourse and toward the formation of a new hybrid sustainability ideology.

Conclusions

SLCA, I argue in this article, is an ideological hybrid where there are many spots of dissent and disagreement but also some surprising fundamental alignments between those who see engineering as techniques and those who believe that engineering needs to be socially and politically contextualized. Yet, even as the concepts of sustainable development, CSR, and LCA provide the intellectual and institutional mold within which SLCA becomes conceivable, these concepts may also obscure the historicity of sustainability engineering.
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7.

Purpose

The majority of sustainability studies of dairy farms focused on environmental performance and profitability; however, social aspect has been hardly assessed. This study aims to investigate the social impacts of dairy farm via a case study using a social life cycle assessment framework.

Methods

The assessment was carried out applying the social LCA Guideline by UNEP-SETAC. Nineteen suitable social indicators were selected from four stakeholder categories of the guideline. Characterization and normalization were further developed based on data availability. National farm survey data was used as foreground data for farm activities, supplemented with background data from public database and life cycle working environment (LCWE) data by Gabi database. All indicators were divided into three groups: functional unit-related quantitative indicators, non-functional unit-related quantitative indicators and semi-quantitative indicators.

Results and discussion

Irish dairy farming has positive social impacts on value chain actors and society, predominantly positive impacts for local community and generally positive values for workers. The main negative impacts are health and safety issue, equal opportunity for workers, and safe and healthy living conditions for the local community. Possible actions to improve the social performance include introducing more efficient and robotic milk production systems; applying better handling methods and using real time decision support to operational management for emissions reduction.

Conclusions

This study is the first attempt of social LCA in Ireland. It demonstrated a possible method to carry out SLCA for Irish dairy sector. The results identified the positive and negative social hotspot of dairy farm with recommendation for future improvement.
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8.

Purpose

Social life cycle assessment (SLCA) is a methodology under continuous development, which may be applied at different scales: from products to economic sectors up to systems at region (meso) and country (macro) scales. Traditionally, SLCA has been focusing on the assessment of negative social externalities, whereas also positive social impacts could be associated to human interventions. The purpose of the present study is to understand how positive impacts are defined in published literature and how they could be assessed through indicators. The aim is to clarify the concept among scholars and to support decision making in business and policy context.

Methods

The study uses a systematic review approach in order to analyse the types of indicators adopted. In the field of SLCA and according to Paragahawewa et al. (2009), “[I]ndicators are ‘pointers’ to the state of the impact categories (and/or subcategories) being evaluated by the SLCA”. Indicators can be quantitative, semi-quantitative or qualitative (UNEP/SETAC 2009). This review was carried out in order to identify and analyse positive impacts and indicators. After careful scrutiny, 47 papers containing theoretical frameworks were considered, as well as 46 papers presenting case studies.

Results and discussion

Compared to environmental life cycle assessment (E-LCA), where the presence of positive impacts is lower, evaluating benefits or positive impacts can still play a major role in SLCA (Benoît et al. 2010). A quarter of the analysed papers on theoretical frameworks take into account the topic of positive impacts and indicators. Results from case study analysis highlight as “workers”, was the most considered stakeholder (in 100 % of the analysed papers), and as the majority of positive indicators used in the case study analysed are recorded in relation to “other value chain actors”. Within the concept of “positive impacts”, no reference should be made merely to the utility of a product or service. In a broader sense, we could refer to solutions improving the conditions of one or various stakeholders involved. In other words, these are solutions that carry a positive contribution to one or more stakeholders without harming others.

Conclusions

So far, positive impacts are barely covered in literature. There is a clear need of streamlining definition and indicators, especially if they should be applied in a policy context complementing traditional—and often monetary-based, cost-benefit analysis (CBA).
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9.
10.

Introduction

Data sharing is being increasingly required by journals and has been heralded as a solution to the ‘replication crisis’.

Objectives

(i) Review data sharing policies of journals publishing the most metabolomics papers associated with open data and (ii) compare these journals’ policies to those that publish the most metabolomics papers.

Methods

A PubMed search was used to identify metabolomics papers. Metabolomics data repositories were manually searched for linked publications.

Results

Journals that support data sharing are not necessarily those with the most papers associated to open metabolomics data.

Conclusion

Further efforts are required to improve data sharing in metabolomics.
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11.

Purpose

Practitioners of life cycle assessment (LCA) acknowledge that more input from social scientists can help advance the cause of life cycle management (LCM). This commentary offers a social science perspective on a long-running question within LCA, namely, how the field should manage not only stakeholders’ values but also those of practitioners themselves.

Methods

More than 60 interviews were conducted with LCA practitioners and their industry clients. Qualitative data were also collected through participant observation at several LCA and LCM conferences, a study of the field’s history, and extensive content and discourse analysis of LCA publications and online forums.

Results and discussion

Results show that LCA practitioners’ values are informed partly by the knowledge acquired through their LCA work. At the same time, LCA standards and professional norms implicitly advise practitioners to keep those values out of their work as much as possible, so as not to compromise its apparent objectivity. By contrast, many social scientists contend openly that value-based judgments, based on “situated knowledge,” can actually enhance the rigor, accountability, and credibility of scientific assessments.

Conclusions

LCA practitioners’ own situated knowledge justifies not only the value choices required by LCA but also their evaluative judgments of contemporary life cycle-based sustainability initiatives. This more critical voice could advance the goals of LCM while also boosting the credibility of LCA more generally.
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12.

Purpose

This paper explores the issue of fairness in global supply chains. Taking the Western European clothing supply chain as a case study, we demonstrate how applying a normative indicator in Social Life Cycle Assessment (SLCA) can contribute academic and practical insights into debates on fairness. To do so, we develop a new indicator that addresses some of the limitations of the living wage for SLCA.

Methods

We extend the standard form of living wage available for developing countries to include income tax and social security contributions. We call this extension ‘living labour compensation’. Using publically available data, we estimate net living wages, gross living wages, and living labour compensation rates for Brazil, Russia, India, and China (BRIC) in 2005. We then integrate living labour compensation rates into an input-output framework, which we use to compare living labour compensation and actual labour compensation in the BRIC countries in the Western European clothing supply chain in 2005.

Results and discussion

We find that in 2005, actual labour compensation in the Western European clothing supply chain was around half of the living labour compensation level, with the greatest difference being in the Agricultural sector. Therefore, we argue that BRIC pay in the Western European clothing supply chain was unfair. Furthermore, our living labour compensation estimates for BRIC in 2005 are ~ 35% higher than standard living wage estimates. Indeed, adding income taxes and employee social security contributions alone increases the living wage by ~ 10%. Consequently, we argue there is a risk that investigations based on living wages are not using a representative measure of fairness from the employee’s perspective and are substantially underestimating the cost of living wages from an employer’s perspective. Finally, we discuss implications for retailers and living wage advocacy groups.

Conclusions

Living labour compensation extends the living wage, maintaining its strengths and addressing key weaknesses. It can be estimated for multiple countries from publically available data and can be applied in an input-output framework. Therefore, it is able to provide a normative assessment of fairness in complex global supply chains. Applying it to the Western European clothing supply chain, we were able to show that pay for workers in Brazil, Russia, India, and China is unfair, and draw substantive conclusions for practice.
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13.

Purpose

The pressure on brand firms in the electronics industry to improve the labor conditions of their workers in their global production networks is increasing. Given the significance of mitigating the impacts of production on labor, this study used the new development method of social life cycle impact assessment (SLCIA) for conducting labor impact assessment. An illustrative example in an integrated circuit (IC) packaging company is presented to demonstrate the assessment of the impacts and the identification of the potential for improvement of labor practices among three factories.

Methods

SLCIA method was proposed based on the UNEP/SETAC Guidelines that were reviewed in our previous work, Part 1 (in a previous article): Methodology. The proposed method was used to assess the impacts of operations on labor in the three factories of an IC packaging company. Nineteen indicators of labor–stakeholders were used to collect data from factories and organizations in 2012. The obtained values from these three factories were translated into social impact scores that ranged from 1 to 5. The score of each indicator was multiplied by the weights of each indicator, and a final score of labor situations was generated to identify the hotspots of labor impacts and to identify the factory with better labor performance.

Results and discussion

The main goal of this study is to demonstrate the effectiveness of our proposed SLCIA method in assessing the labor impacts in the electronics industry. Among three factories of IC packaging, factory C was ranked as having the lowest social impact on labor with a higher performance, followed by factories B and A. In addition, the results show that four indicators, “lacking labor union,” “did not hire a sufficient number of disabled employees,” “overtime work that exceeded the legal limit,” and “excessive number of dispatched workers,” were recognized as the main social impacts on labor in IC packaging production.

Conclusions

The SLCA technique was used to assess the impacts of the production processes of three IC packaging factories on the labor conditions of their factory workers. The proposed method shed light on the significant impacts of such processes. The proposed model demonstrated its potential advantage by systematically and effectively identifying the labor impact hotspots, which could assist managers in devising strategies that could improve the labor situations within their organizations.
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14.

Purpose

The Social Life Cycle Assessment guidelines (UNEP-SETAC 2009) distinguish two different SLCA approaches, type I and type II. Few comprehensive and analytical reviews have been undertaken to examine the multiplicity of approaches that have been developed within type I SLCA. This paper takes on the task of exploring the evaluation methods used in type I SLCA methods.

Methods

In order to tackle this work, a critical literature review was undertaken, covering a total of 32 reviewed articles, ranging from 2006 to 2015. Those articles have been selected for they make explicit reference to type I, performance reference points (PRPs), corporate behavior assessment, and social performance assessment or if their assessment methods generated a result located at the same point as the inventory data, with regards to the impact pathway. The selected articles were analyzed with a focus on the inventory data used, the aggregation of inventory data on the functional unit, and the type of characterization and weighting methods used. This analysis allowed to make explicit the often implicit logic underlying the evaluation methods and to identify the common denominators of type I SLCA.

Results and discussion

The analysis highlighted the multiplicity of approaches that are comprised within type I SLCA today, both in terms of the data collected (in particular, its positioning along the impact pathway); the presence of some optional steps, such as the scaling of inventory data on the functional unit (FU); and in terms of the different characterization and weighting steps. With regards to data collection, this review has highlighted that the furthest indicators are positioned along the impact pathway, the hardest it is to justify the link between them and the activities of companies in the product system. The analysis also suggested that an important differentiating factor among type I SLCA methods lies in “what the inventory data is assessed against” at the characterization step and how it is ultimately weighted. To illustrate this, a typology of six characterization methods and five types of weighting methods was presented.

Conclusions

It is interesting to identify which approaches are most appropriate to respond to the various questions that SLCA aims to respond to. A question that arises is what approaches are most likely to tell us anything about the impact of a product system on social well-being? This question is particularly relevant in the absence of well-documented impact pathways between activities within product systems and impact on social well-being.
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15.

Purpose

A cradle-to-gate, input/output-based social life cycle assessment (SLCA) was conducted using the Swedish clothing consumption as a case study. The aim was to investigate the influence of the cut-off rule and the definition of “hotspots” in social hotspot assessment. A second aim was to identify social hotspots of Swedish clothing on a national level.

Methods

The case study was based on the SLCA methodology provided in the Guidelines for Social Life Cycle Assessment of Products (Benoît and Mazijn 2009). An input/output model was used to define the product system from cradle to gate. The negative social hotspots were evaluated for a set of social indicators that were selected by consumers. The impact assessment was conducted on a sector and country level by using the Social Hotspots Database. The identified sectors of the economy with high and very high levels of risk were listed for each social indicator.

Results and discussion

The results pinpointed some hotspots throughout the supply chain for Swedish clothing consumption. Some unexpected sectors such as commerce and business services in Bangladesh were identified as important hotspots as well as main sectors in the production phase such as plant fibres, textiles and garments that would be expected also on the bases of a traditional process analysis. A sensitivity analysis on different cut-off values showed the extent to which the choice of cut-off rule can directly affect the results via influence over the number of country-specific sectors (CSSs) in the product system. The influence of the hotspot definition was investigated by evaluating the working hour intensity for low- and medium-risk levels for three different indicators. The results show that for child labour, 92 % of the share of working hours was associated with low- and medium-risk levels. Therefore, the evaluation of risk levels other than high and very high can provide a more complete picture of the hotspots.

Conclusions

The application of input/output-based SLCA on the clothing production supply chain provided a more complete picture of the social hotspots than with traditional process-based SLCA. Some unexpected sectors related to commerce and business appeared as social hotspots in the clothing industry. The study explored some important parameters in applying an input/output-based SLCA. The results show that the cut-off values and definition of hotspots in relation to risk levels can directly influence the results.
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16.

Purpose

This paper is part 2 of our twin articles on income reference points for social life cycle assessment (SLCA). The purpose of this article is to provide a well-founded fair minimum wage standard, which enables the determination of the preventative costs for the impact category of unfair prices for labour in preventative costs-based SLCA.

Methods

A five-step procedure was followed, comprising of (1) definition of the impact category and characterization factor, (2) a literature survey on standards and practices on fixing of minimum and living wages, (3) our proposal of a fair minimum wage based on the principles set in ILO conventions, the $2 World Bank moderate poverty line and a country level benchmark, (4) a literature study on current sub-fair wages and (5) a proposal of how to use the findings. For justification of the results, the results were compared with other systems and tested the sensitivity of the results to changes in the composition of the benchmark group of countries.

Results and discussion

Because literature showed that an absolute minimum wage is only suited for the lowest-income countries and relative minimum wage only for higher income countries, this paper proposes a relative system, bottom cutoff by an adjusted absolute minimum wage. The mean proportion of the minimum wage of the gross national income (GNI) per capita in a benchmark group of the top 20 % performing countries in the Sustainable Society Index—Human Development, is used as the relative principle for a fair minimum wage. The proposed absolute minimum wage is based on the 2005 World Bank $2 (PPP) poverty line. The proposed relative system, based on 2011 data, is 44.4 % of a country’s GNI per capita and the proposed absolute minimum wage is $1547 (PPP) per year and $0.830 (PPP) per hour.

Conclusions

A well-founded set of fair minimum wage targets is proposed for 183 countries to be used in SLCA and beyond. We also propose to use the difference between actual payment and a target determined according to the here presented methods as the measure in preventative costs-based LCA, such as the EcoCost system and the Oiconomy system.
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17.

Purpose

This paper is part 1 of our twin articles on income reference points for Social Life Cycle Assessment (SLCA). Preventative costs based LCA systems, such as the EcoCost system and the Oiconomy system, need targets (performance reference points) to determine the marginal preventative costs, the costs of the most expensive measure that globally needs to be employed to reach the target. To extend the EcoCost system for social issues, targets are required for issues like fair wages and fair inequality of wages, issues for which no agreed standard, no effect level or target exists. One way of setting targets is to take best practices as benchmark, e.g. the practices of a group of best performing countries. The purpose of this part 1 article is to first develop a well-founded benchmark group of the 20 % best performing countries and thereafter propose a well-founded target for the issue of inequality for preventative costs based SLCA, which can also serve as performance reference point for SLCA in general and for other uses. In part 2, for the same purposes and using the same benchmark group, we propose targets for fair minimum wages for every country.

Methods

A benchmark group of countries for the setting of targets was determined by an assessment of available country performance indicators, based on 5 criteria. Thereafter, we derived a proposal for a maximum inequality ratio based on existing democratically determined inequality ratios in the benchmark group.

Results and discussion

The Sustainable Society Index–Human Wellbeing proved the best indicator for a country benchmark for preventative cost-based SLCA. Using the average of maximum democratically determined income differences in a benchmark group of countries determined by this index, a performance reference point for SLCA for the issue of fair inequality was derived and proposed, resulting in a maximum ratio of income differences for governmental institutions of 14.1, for government ruled companies of 18.3 and for industry of a factor 23.8.

Conclusions

It proved possible to derive a target for maximum inequality of wages, based on democratic choices in a benchmark group of the 20 % best performing countries. The target for governmental institutions may be called objective, and proposed augmentations for government ruled companies and industry, though value choices, seem reasonable for the consumer who requires prevention of all possible harm as consequence of his purchase choices and who, as a voter, contributes to governmental standards.
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18.

Background

The primary purpose of this study was to assess the effect of a caregiver’s relaxation on the gastric motility function of the patient. The secondary purpose was to evaluate changes in the caregiver’s willingness to perform self-care following feedback on the results of the primary purpose.

Methods

Subjects were 26 patients with a decreased level of consciousness who received gastrostomy tube feeding and their 26 family caregivers. We compared the patient’s gastric motility under the condition of having his or her hand held with and without caregiver relaxation (crossover study). Changes in the caregiver’s willingness to perform self-care following feedback on the results was evaluated using self-administered questionnaires. Hypnosis was used for relaxation. The outcomes assessed for gastric motility function were the motility index and gastric emptying rate by ultrasonography examination.

Results

Hand-holding by the family caregiver while he or she was receiving relaxation enhanced the patient’s gastric motility function. By giving feedback on the results, the caregiver’s willingness to adopt self-care was increased and his or her sense of guilt was reduced.

Conclusions

This study suggested that a caregiver’s relaxation increases the gastric motility function of the patient and that gettinng feedback including the positive results increases the caregiver’s willingness to perform self-care, which consequently reduce the caregiver burden.
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19.

Introduction

Collecting feces is easy. It offers direct outcome to endogenous and microbial metabolites.

Objectives

In a context of lack of consensus about fecal sample preparation, especially in animal species, we developed a robust protocol allowing untargeted LC-HRMS fingerprinting.

Methods

The conditions of extraction (quantity, preparation, solvents, dilutions) were investigated in bovine feces.

Results

A rapid and simple protocol involving feces extraction with methanol (1/3, M/V) followed by centrifugation and a step filtration (10 kDa) was developed.

Conclusion

The workflow generated repeatable and informative fingerprints for robust metabolome characterization.
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20.

Background

To gain new insights for support for older people with low mood, we explored the perceptions of ‘screenpositive’ older people on underlying causes and possible solutions.

Design and method

We conducted two in-depth interviews with 38 participants (≥77 years) who screened positive for depressive symptoms in general practice. To investigate the influence of the presence of complex health problems, we included 19 persons with and 19 without complex problems. Complex problems were defined as a combination of functional, somatic, psychological or social problems.

Results

All participants used several cognitive, social or practical coping strategies. Four patterns emerged: mastery, acceptance, ambivalence, and need for support. Some participants, especially those with complex problems, were ambivalent about possible interventions.

Conclusion

Most older participants perceived their coping strategies as sufficient. General practitioners can support self-management by exploring the (effectiveness of) personal coping strategies, providing information, elaborating on perceptions of risks and discussing alternative options with older persons.
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