Shelly deposits at Moyjil (Point Ritchie, Warrnambool), Victoria, together with ages determined from a variety of techniques, have long excited interest in the possibility of a preserved early human influence in far south-eastern Australia. This paper presents a detailed analysis of the stratigraphy of the host Bridgewater Formation (Pleistocene) at Moyjil and provides the context to the shelly deposits, evidence of fire and geochronological sampling. We have identified five superposed calcarenite–palaeosol units in the Bridgewater Formation, together with two prominent erosional surfaces that may have hosted intensive human activity. Part of the sequence is overlain by the Tower Hill Tuff, previously dated as 35 ka. Coastal marine erosion during the Last Interglacial highstand created a horizontal surface on which deposits of stones and shells subsequently accumulated. Parts of the erosional surface and some of the stones are blackened, perhaps by fire. The main shell deposit was formed by probable mass flow, and additional shelly remains are dispersed in the calcareous sand that buried the surface.

The Lower Miocene Santa Cruz Formation in southern Patagonia (Austral Basin, Argentina) contains several horizons of pedogenic calcretes, which record −17.5 myr old vegetation adapted to a shallow and fluctuating water table at paleolatitude of 56°S. To reconstruct the paleoenvironment, paleoclimate and paleoecosystem, we performed a multiproxy study of the calcretes examining abiotic and biotic components. The calcretes exhibit a variety of morphologies (horizontal and vertical rhizoliths, laminar structure, nodules, massive crusts), microfabrics (Beta-predominant over Alpha-microfabrics), and δ 18 O and δ 13 C values that fluctuate within each morphotype and throughout the analysed interval. Microfossils and phytoliths in the host material of the calcretes indicate fluctuating terrestrial, freshwater, and marine conditions, and record an ecosystem dominated by herbaceous plants and arboreal elements in association with a typical coastal "Santacrucian" vertebrate fauna. We propose that the calcretes developed in soils in a coastal/fluvial setting during pauses in floodplain aggradation that typically lasted between 8-25 ka and 400 ka years. Variable sedimentation rates in different parts of the coastal/fluvial floodplain, the fine texture of the host sediment, and the influence of a fluctuating water table also influenced the formation of the calcrete. A high water table in low relief areas of the floodplain created the conditions necessary to form a horizontally extended rhizolithic system that, jointly with the biotic proxy, can be correlated with a radicular pattern similar to the arboreal elements from coastal settings. Abiotic and biotic proxies of the studied interval attest to environmental fluctuations recorded at different scales that took place under temperate warm and subhumid climates with a marked rainfall seasonality, with a slight increase in the aridity towards the top of the studied interval. Under these conditions a subtropical fauna and a C 3 -dominated ecosystem developed coincident with the onset of the Mid-Miocene Climatic Optimum in Patagonia.

Summary Robotic-assisted thoracoscopic surgery (RTS) is safe and effective, but is associated with high capital and operating costs that are not reimbursed by the Canadian government. Currently, patients have access to RTS only when it is supported by research or philanthropic funds. In a recent study, we assessed the extent of patient-reported satisfaction with RTS, whether patients would have been willing to pay out of pocket for it, and what factors were associated with patients’ willingness to pay. Many patients (290 of 411 [70.56%]) stated that they would have paid the additional $2000 to supplement the government health care coverage to have access to RTS. Factors found to be significantly associated with participants’ willingness to pay were an annual income of $60 000 or more ( p = 0.034), private insurance coverage ( p = 0.007), overall experience with RTS rated as 8 or higher out of 10 ( p < 0.001), and overall postoperative postdischarge experience rated as satisfying or very satisfying ( p = 0.004).