Use of this instrument should encourage developers to create guidelines that reflect relevant research evidence more accurately. Potential users or groups adapting guidelines for local use could apply the instrument to help decide which one to follow. The National Health Service Executive is using the instrument to assist in deciding which guidelines to recommend to the UK National Health Service. This methodology forms the basis of a common approach to assessing guideline quality in Europe.

The atmospheres of late M stars represent a significant challenge in the characterization of any transiting exoplanets due to the presence of strong molecular features in the stellar atmosphere. TRAPPIST-1 is an ultra-cool dwarf, host to seven transiting planets, and contains its own molecular signatures which can potentially be imprinted on planetary transit lightcurves due to inhomogeneities in the occulted stellar photosphere. We present a case study on TRAPPIST-1g, the largest planet in the system, using a new observation together with previous data, to disentangle the atmospheric transmission of the planet from that of the star. We use the out-of-transit stellar spectra to reconstruct the stellar flux based on one-, two-, and three-temperature components. We find that TRAPPIST-1 is a 0.08 M * , 0.117 R * , M8V star with a photospheric effective temperature of 2400 K, with ∼35% 3000 K spot coverage and a very small fraction, <3%, of ∼5800 K hot spot. We calculate a planetary radius for TRAPPIST-1g to be R p = 1.124 R ⊕ with a planetary density of ρ p = 0.8214 ρ ⊕ . Based on the stellar reconstruction there are eleven plausible scenarios for the combined stellar photosphere and planet transit geometry; in our analysis we are able to rule out 8 of the 11 scenarios. Using planetary models we evaluate the remaining scenarios with respect to the transmission spectrum of TRAPPIST-1g. We conclude that the planetary transmission spectrum is likely not contaminated by any stellar spectral features, and are able to rule out a clear solar H 2 /He-dominated atmosphere at greater than 3-sigma.

Measuring the abundances of carbon and oxygen in exoplanet atmospheres is considered a crucial avenue for unlocking the formation and evolution of exoplanetary systems1,2. Access to the chemical inventory of an exoplanet requires high-precision observations, often inferred from individual molecular detections with low-resolution space-based3–5 and high-resolution ground-based6–8 facilities. Here we report the medium-resolution (R ≈ 600) transmission spectrum of an exoplanet atmosphere between 3 and 5 μm covering several absorption features for the Saturn-mass exoplanet WASP-39b (ref. 9), obtained with the Near Infrared Spectrograph (NIRSpec) G395H grating of JWST. Our observations achieve 1.46 times photon precision, providing an average transit depth uncertainty of 221 ppm per spectroscopic bin, and present minimal impacts from systematic effects. We detect significant absorption from CO2 (28.5σ) and H2O (21.5σ), and identify SO2 as the source of absorption at 4.1 μm (4.8σ). Best-fit atmospheric models range between 3 and 10 times solar metallicity, with sub-solar to solar C/O ratios. These results, including the detection of SO2, underscore the importance of characterizing the chemistry in exoplanet atmospheres and showcase NIRSpec G395H as an excellent mode for time-series observations over this critical wavelength range10.

Transmission spectroscopy 1,2,3 of exoplanets has revealed signatures of water vapor, aerosols, and alkali metals in a few dozen exoplanet atmospheres 4,5 . However, these previous inferences with the Hubble and Spitzer Space Telescopes were hindered by the observations' relatively narrow wavelength range and spectral resolving power, which precluded the unambiguous identification of other chemical species -in particular the primary carbon-bearing molecules 6,7 . Here we report a broad-wavelength 0.5-5.5 µm atmospheric transmission spectrum of WASP39 b 8 , a 1200 K, roughly Saturn-mass, Jupiter-radius exoplanet, measured with JWST NIRSpec's PRISM mode 9 as part of the JWST Transiting Exoplanet Community Early Release Science Team program 10,11,12 . We robustly detect multiple chemical species at high significance, including Na (19σ), H 2 O (33σ), CO 2 (28σ), and CO (7σ). The non-detection of CH 4 , combined with a strong CO 2 feature, favours atmospheric models with a super-solar atmospheric metallicity. An unanticipated absorption feature at 4µm is best explained by SO 2 (2.7σ), which could be a tracer of atmospheric photochemistry. These observations demonstrate JWST's sensitivity to a rich diversity of exoplanet compositions and chemical processes.We observed one transit of WASP-39b on 10 July 2022 with JWST's Near InfraRed Spectrograph (NIRSpec) 9,13 , using the PRISM mode, as part of the JWST Transiting Exoplanet Community Early Release Science Program (ERS Program 1366) (PIs: N. Batalha, J. Bean, K. Stevenson) 10,11 . These observations cover the 0.5-5.5µm wavelength range at a native resolving power of R = λ/∆λ ∼ 20-300. WASP-39b was selected for this JWST ERS Program due to previous space-and ground-based observations revealing strong alkali metal absorption and multiple prominent H 2 O bands 4,6,14,15,16 , suggesting strong signal-to-noise could be obtained with JWST. However, the limited wavelength range of existing transmission spectra (0.3-1.65µm, combined with two wide photometric Spitzer channels at 3.6 and 4.5µm) left several important questions unresolved. Previous estimates of WASP-39b's atmospheric metallicity-a measure of the relative abundance of all gases heavier than hydrogen or helium-vary by four orders of magnitude 6,16,17,18,19,20 . Accurate determinations of metallicity can elucidate formation pathways and provide greater insight into the planet's history 21 . The JWST NIRSpec PRISM observations we present here offer a more detailed view into WASP-39b's atmospheric composition than has previously been possible (see ref. 21 for an initial infrared analysis of this data).We obtained time-series spectroscopy over 8.23 hours centered around the transit event to extract the wavelength-dependent absorption by the planet's atmosphere-i.e., the transmission spectrum, which probes the planet's day-night terminator region near millibar pressures. We used NIRSpec PRISM in Bright Object Time Series (BOTS) mode. WASP-39 is a bright, nearby, relatively inactive 23 G7 type star with an effective tempe...