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Secondary outcomes included impacts on breathlessness, disability and quality of life.
From the education system perspective, the most frequently cited effects included impacts on the learning activities of students, school activities, and the volume of work for teachers.
While measures of impact on knowledge, attitude or use of reviews were included, impact on patient care was also encompassed.
20 Exploratory end points included impact on productivity and activity, as measured by the Work Productivity and Activity Impairment (WPAI-Asthma) questionnaire, 23 and Euro Quality of Life-5D Questionnaire (EQ-5D).
Eight instruments were included: Impact on Participation and Autonomy, Keele Assessment of Participation, Participation Survey/Mobility, Participation Measure-Post Acute Care, Participation Objective Participation Subjective, Participation Scale (P-Scale), Rating of Perceived Participation and World Health Organization Disability Assessment Schedule II (WHODAS II).
This in turn presents other concerns, including impacts on air quality.
Impact assessments are familiar jargon in Whitehall: the previous government introduced a series of tests for all policies, including impacts on equality and sustainability.
The company's report takes "a strongly negative stance", arguing that the fallout could include impacts on the company's reputation, to criminal prosecution of Lonmin officials and short-term pressures on its stock.
Human rights groups and environmentalists had earlier said the social and ecological risks had been grossly neglected, including impacts on biodiversity, aquatic ecosystems, greenhouse gas emissions, and implications for downstream communities.
But some threats have become more pronounced, it notes, including impacts on agriculture. .
Aspects to be considered in depth include impacts on water quality, sediment and habitat loss.
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