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Sample records for asthma european network

  1. GA2LEN (Global Allergy and Asthma European Network) addresses the allergy and asthma 'epidemic'

    DEFF Research Database (Denmark)

    Bousquet, J; Burney, P G; Zuberbier, T;

    2009-01-01

    and the first papers are being published. Achievements of the Global Allergy and Asthma European Network can be grouped as follows: (i) those for a durable infrastructure built up during the project phase, (ii) those which are project-related and based on these novel infrastructures, and (iii) the development......Allergic diseases represent a major health problem in Europe. They are increasing in prevalence, severity and costs. The Global Allergy and Asthma European Network (GA(2)LEN), a Sixth EU Framework Program for Research and Technological Development (FP6) Network of Excellence, was created in 2005...... as a vehicle to ensure excellence in research bringing together research and clinical institutions to combat fragmentation in the European research area and to tackle allergy in its globality. The Global Allergy and Asthma European Network has benefited greatly from the voluntary efforts of researchers who...

  2. GA2LEN (Global Allergy and Asthma European Network) addresses the allergy and asthma 'epidemic'.

    Science.gov (United States)

    Bousquet, J; Burney, P G; Zuberbier, T; Cauwenberge, P V; Akdis, C A; Bindslev-Jensen, C; Bonini, S; Fokkens, W J; Kauffmann, F; Kowalski, M L; Lodrup-Carlsen, K; Mullol, J; Nizankowska-Mogilnicka, E; Papadopoulos, N; Toskala, E; Wickman, M; Anto, J; Auvergne, N; Bachert, C; Bousquet, P J; Brunekreef, B; Canonica, G W; Carlsen, K H; Gjomarkaj, M; Haahtela, T; Howarth, P; Lenzen, G; Lotvall, J; Radon, K; Ring, J; Salapatas, M; Schünemann, H J; Szczecklik, A; Todo-Bom, A; Valovirta, E; von Mutius, E; Zock, J P

    2009-07-01

    Allergic diseases represent a major health problem in Europe. They are increasing in prevalence, severity and costs. The Global Allergy and Asthma European Network (GA(2)LEN), a Sixth EU Framework Program for Research and Technological Development (FP6) Network of Excellence, was created in 2005 as a vehicle to ensure excellence in research bringing together research and clinical institutions to combat fragmentation in the European research area and to tackle allergy in its globality. The Global Allergy and Asthma European Network has benefited greatly from the voluntary efforts of researchers who are strongly committed to this model of pan-European collaboration. The network was organized in order to increase networking for scientific projects in allergy and asthma around Europe and to make GA(2)LEN the world leader in the field. Besides these activities, research has also been carried out and the first papers are being published. Achievements of the Global Allergy and Asthma European Network can be grouped as follows: (i) those for a durable infrastructure built up during the project phase, (ii) those which are project-related and based on these novel infrastructures, and (iii) the development and implementation of guidelines. The major achievements of GA(2)LEN are reported in this paper. PMID:19392994

  3. [GA2LEN (Global Allergy and Asthma European Network)].

    Science.gov (United States)

    Bousquet, J; Kauffmann, F; Demoly, P; Leynaert, B; Bousquet, P J; Demenais, F; Lenzen, G; Burney, P-G; Zuberbier, T; Van Cauwenberge, P

    2009-06-01

    Allergic diseases represent a major health problem in Europe. They are increasing in prevalence, severity and costs. GA2LEN (Global Allergy and Asthma European Network), an FP6 Network of Excellence, was created in 2005 as a vehicle to ensure excellence in research bringing together research and clinical institutions to combat fragmentation in the European research area and to tackle Allergy in its globality. GA2LEN benefited greatly from the voluntary efforts of researchers who are strongly committed to this model of pan-European collaboration. The network was organized in order to increase networking for scientific projects in allergy and asthma around Europe and to make GA2LEN the world leader in the field. Besides these activities, research has been jointly made and the first papers are being published. GA2LEN achievements in general can be grouped as those for a durable infrastructure built up during the project phase those which are project-related work based on these novel infrastructures, and the development and implementations of guidelines. The major achievements of GA2LEN are reported in this paper. PMID:19623103

  4. [GA(2)LEN (Global Allergy and Asthma European Network): European network of excellence for asthma and allergic diseases].

    Science.gov (United States)

    Gjomarkaj, M; Pace, E; Canonica, G W; Bonini, S; Ricci, G; Burney, P; Zuberbier, T; Van Cauwenberge, P; Bousquet, J

    2009-12-01

    Allergic diseases represent some of the main health problems in Europe. These are increasing in prevalence, seriousness and social cost. The Global Allergy and Asthma European Network (GA(2)LEN), a network of excellence of the 6 degrees management program, was created in the 2005 with the aim to gather the European leader institutions of the research and clinical assistance fields, in order to guarantee the excellence and avoid the fragmentation of the energy spent in fighting allergy diseases in general. The GA(2)LEN has drawn a great advantage from the personal efforts of every single researcher who have proved their strong motivation in carrying on this "pan-European" model of collaboration. The network has been organized in order to increase the team work in scientific research projects in allergic and asthma disease field, making the GA(2)LEN the worldwide leader in this area. On these basis research projects have been carried on about which first data have been already published. The activities of the GA(2)LEN include in general the establishment of a lasting organization of the planning phase, the activity linked to every single project and to the improving on the existing projects, as well as the draft of new guidelines. This review reports the main achieved goals. PMID:20010485

  5. [Global Allergy and Asthma European Network (GA2LEN) addresses the epidemic of allergy and asthma].

    Science.gov (United States)

    Panzer, Petr Cáp Petr Burney Peter Zuberbier Torsten; van Cauvenberg, Paul; Bousquet, Jean

    2010-01-01

    Allergic diseases represent a major health problem in Europe. They are increasing in prevalence, severity and costs. GA2LEN, an FP6 Network of Excellence, was created in 2005 as a vehicle to ensure excellence in research bringing together research and clinical institutions to combat fragmentation in the European research area and to tackle Allergy in its globality. GA2LEN benefited greatly from the voluntary efforts of researchers who are strongly committed to this model of pan-European collaboration. The network was organized in order to increase networking for scientific projects in allergy and asthma around Europe and to make GA2LEN the world leader in the field. Besides these activities, research has been jointly made and the first papers are being published. GA2LEN achievements in general can be grouped as those for a durable infrastructure built up during the project phase those which are project-related work based on these novel infrastructures, and the development and implementations of guidelines. The major achievements of GA2LEN are reported in this paper. PMID:20662458

  6. The ENFUMOSA cross-sectional European multicentre study of the clinical phenotype of chronic severe asthma

    NARCIS (Netherlands)

    Abraham, B; Anto, JM; Barreiro, E; Bel, EHD; Bonsignore, G; Bousquet, J; Castellsague, J; Chanez, P; Cibella, F; Cuttitta, G; Dahlen, B; Dahlen, SE; Drews, N; Djukanovic, R; Fabbri, LM; Folkerts, G; Gaga, M; Gratziou, C; Guerrera, G; Holgate, ST; Howarth, PH; Johnston, SL; Kanniess, F; Kips, JC; Kerstjens, HAM; Kumlin, M; Magnussen, H; Nijkamp, FP; Papageorgiou, N; Papi, A; Postma, DS; Pauwels, RA; Rabe, KF; Richter, K; Roldaan, AC; Romagnoli, M; Roquet, A; Sanjuas, C; Siafakas, NM; Timens, W; Tzanakis, N; Vachier, [No Value; Vignola, AM; Watson, L; Yourgioti, G

    2003-01-01

    Since severe asthma is a poorly understood, major health problem, 12 clinical specialist centres in nine European countries formed a European Network For Understanding Mechanisms Of Severe Asthma (ENFUMOSA). In a cross-sectional observational study, a total of 163 subjects with severe asthma were co

  7. European birth cohort studies on asthma and atopic diseases

    DEFF Research Database (Denmark)

    Keil, T; Kulig, M; Simpson, A;

    2006-01-01

    BACKGROUND: The reasons for the rise in asthma and allergies remain unclear. To identify risk or protective factors, it is essential to carry out longitudinal epidemiological studies, preferably birth cohort studies. In Europe, several birth cohort studies on asthma and atopic diseases have been...... initiated over the last two decades. AIM: One of the work packages within the Global Allergy and Asthma European Network (GA(2)LEN) project was designed to identify and compare European birth cohorts on asthma and atopic diseases. The present review (part I) describes their objectives, study settings......, recruitment process and follow-up rates. A subsequent review (part II) will compare outcome and exposure parameters. METHODS: For each birth cohort, we collected detailed information regarding recruitment process, study setting, baseline data (pregnancy, birth, parents/siblings) as well as follow-up rates...

  8. Cutaneous manifestations in patients with mastocytosis: Consensus report of the European Competence Network on Mastocytosis; the American Academy of Allergy, Asthma & Immunology; and the European Academy of Allergology and Clinical Immunology.

    Science.gov (United States)

    Hartmann, Karin; Escribano, Luis; Grattan, Clive; Brockow, Knut; Carter, Melody C; Alvarez-Twose, Ivan; Matito, Almudena; Broesby-Olsen, Sigurd; Siebenhaar, Frank; Lange, Magdalena; Niedoszytko, Marek; Castells, Mariana; Oude Elberink, Joanna N G; Bonadonna, Patrizia; Zanotti, Roberta; Hornick, Jason L; Torrelo, Antonio; Grabbe, Jürgen; Rabenhorst, Anja; Nedoszytko, Boguslaw; Butterfield, Joseph H; Gotlib, Jason; Reiter, Andreas; Radia, Deepti; Hermine, Olivier; Sotlar, Karl; George, Tracy I; Kristensen, Thomas K; Kluin-Nelemans, Hanneke C; Yavuz, Selim; Hägglund, Hans; Sperr, Wolfgang R; Schwartz, Lawrence B; Triggiani, Massimo; Maurer, Marcus; Nilsson, Gunnar; Horny, Hans-Peter; Arock, Michel; Orfao, Alberto; Metcalfe, Dean D; Akin, Cem; Valent, Peter

    2016-01-01

    Cutaneous lesions in patients with mastocytosis are highly heterogeneous and encompass localized and disseminated forms. Although a classification and criteria for cutaneous mastocytosis (CM) have been proposed, there remains a need to better define subforms of cutaneous manifestations in patients with mastocytosis. To address this unmet need, an international task force involving experts from different organizations (including the European Competence Network on Mastocytosis; the American Academy of Allergy, Asthma & Immunology; and the European Academy of Allergology and Clinical Immunology) met several times between 2010 and 2014 to discuss the classification and criteria for diagnosis of cutaneous manifestations in patients with mastocytosis. This article provides the major outcomes of these meetings and a proposal for a revised definition and criteria. In particular, we recommend that the typical maculopapular cutaneous lesions (urticaria pigmentosa) should be subdivided into 2 variants, namely a monomorphic variant with small maculopapular lesions, which is typically seen in adult patients, and a polymorphic variant with larger lesions of variable size and shape, which is typically seen in pediatric patients. Clinical observations suggest that the monomorphic variant, if it develops in children, often persists into adulthood, whereas the polymorphic variant may resolve around puberty. This delineation might have important prognostic implications, and its implementation in diagnostic algorithms and future mastocytosis classifications is recommended. Refinements are also suggested for the diagnostic criteria of CM, removal of telangiectasia macularis eruptiva perstans from the current classification of CM, and removal of the adjunct solitary from the term solitary mastocytoma.

  9. European Network Against Racism:

    DEFF Research Database (Denmark)

    Nielsen, Helene Pristed

    From the point of view of social movement theory, ENAR (European Network Against Racism) is a strange creature. Partly being an outcome of the European Year Against Racism celebrated in 1997, ENAR was created in 1998 explicitly as an interlocutor with the European Commission in terms of its...

  10. Researching asthma across the ages: Insights from the NHLBI Asthma Network

    OpenAIRE

    Cabana, Michael D; Kunselman, Susan J.; Nyenhuis, Sharmilee; Wechsler, Michael E.

    2014-01-01

    Clinical asthma studies across different age groups, or ‘cross-age’ studies, can potentially offer insight into the similarities, differences and relationships between childhood and adult asthma. The National Institutes of Health Asthma Research Network (AsthmaNet) is unique and innovative in that it has merged pediatric and adult asthma research into one clinical research network. This combination enhances scientific exchange between pediatric and adult asthma investigators and encourages th...

  11. The European Geoparks Network

    Institute of Scientific and Technical Information of China (English)

    NickolasZouros

    2004-01-01

    The European Geoparks Network was established in June 2000 by four regions of different European Countries--France, Germany, Spain and Greece--with similar natural and socioeconomic characteristics. These four regions are rural areas, with a particular geological heritage, natural beauty and high cultural potential, all facing problems of slow economic development,

  12. European nuclear education network

    International Nuclear Information System (INIS)

    In most countries within the European Union that rely to a significant extent on nuclear power, neither undergraduate nor PhD education is producing a sufficient number of engineers and doctors to fill the needs of the industry. As a result of an EU-supported project, a new education organisation, European Nuclear Education Network (ENEN), has recently been established, with the aim to establish a European master's degree of nuclear engineering. Recently, a new EU project, Nuclear European Platform of Training and University Organisations (NEPTUNO), has been launched, aiming at the practical implementation of ENEN and harmonisation of training activities. (author)

  13. European Schoolnet: Enabling School Networking

    Science.gov (United States)

    Scimeca, Santi; Dumitru, Petru; Durando, Marc; Gilleran, Anne; Joyce, Alexa; Vuorikari, Riina

    2009-01-01

    School networking is increasingly important in a globalised world, where schools themselves can be actors on an international stage. This article builds on the activities and experience of the longest established European initiative in this area, European Schoolnet (EUN), a network of 31 Ministries of Education. First, we offer an introduction…

  14. Manifesto on small airway involvement and management in asthma and chronic obstructive pulmonary disease: an Interasma (Global Asthma Association - GAA and World Allergy Organization (WAO document endorsed by Allergic Rhinitis and its Impact on Asthma (ARIA and Global Allergy and Asthma European Network (GA2LEN

    Directory of Open Access Journals (Sweden)

    F. Braido

    2016-10-01

    Full Text Available Abstract Evidence that enables us to identify, assess, and access the small airways in asthma and chronic obstructive pulmonary disease (COPD has led INTERASMA (Global Asthma Association and WAO to take a position on the role of the small airways in these diseases. Starting from an extensive literature review, both organizations developed, discussed, and approved the manifesto, which was subsequently approved and endorsed by the chairs of ARIA and GA2LEN. The manifesto describes the evidence gathered to date and defines and proposes issues on small airway involvement and management in asthma and COPD with the aim of challenging assumptions, fostering commitment, and bringing about change. The small airways (defined as those with an internal diameter <2 mm are involved in the pathogenesis of asthma and COPD and are the major determinant of airflow obstruction in these diseases. Various tests are available for the assessment of the small airways, and their results must be integrated to confirm a diagnosis of small airway dysfunction. In asthma and COPD, the small airways play a key role in attempts to achieve disease control and better outcomes. Small-particle inhaled formulations (defined as those that, owing to their size [usually <2 μm], ensure more extensive deposition in the lung periphery than large molecules have proved beneficial in patients with asthma and COPD, especially those in whom small airway involvement is predominant. Functional and biological tools capable of accurately assessing the lung periphery and more intensive use of currently available tools are necessary. In patients with suspected COPD or asthma, small airway involvement must be assessed using currently available tools. In patients with subotpimal disease control and/or functional or biological signs of disease activity, the role of small airway involvement should be assessed and treatment tailored. Therefore, the choice between large- and small-particle inhaled

  15. European vehicle passive safety network

    NARCIS (Netherlands)

    Wismans, J.S.H.M.; Janssen, E.G.

    1999-01-01

    The general objective of the European Vehicle Passive Safety Network is to contribute to the reduction of the number of road traffic victims in Europe by passive safety measures. The aim of the road safety policy of the European Commission is to reduce the annual total of fatalities to 18000 in 2010

  16. European ecological networks and greenways

    DEFF Research Database (Denmark)

    Kristiansen, Ib; Jongman, Rob H.G.; Kulvik, Mart

    2004-01-01

    In the context of European integration, networks are becoming increasingly important in both social and ecological sense. Since the beginning of the 1990s, societal and scientific exchanges are being restructured as the conceptual approaches towards new nature conservation strategies have been...... renewed. Within the framework of nature conservation, the notion of an ecological network has become increasingly important. Throughout Europe, regional and national approaches are in different phases of development, which are all based on recent landscape ecological principles. Ecological networks....... This complex interaction between cultural and natural features results in quite different ways for the elaboration of ecological networks and greenways....

  17. European environmental communication networks

    International Nuclear Information System (INIS)

    The goal of this presentation is apprise of special community - representatives of state and public administration, self-administration, workers of scientific institutes, schools, private companies and next privies subjects of areas of the environment with possibilities of access to actual environmental information by the Internet. Web-sites of environmental communication networks with data about the environment are presented

  18. European birth cohort studies on asthma and atopic diseases

    DEFF Research Database (Denmark)

    Keil, T; Kulig, M; Simpson, A;

    2006-01-01

    variables (e.g. pet ownership, tobacco smoke exposure and day-care) and selected outcome measures for atopy, asthma or allergic rhinitis (e.g. sensitization assessed by IgE or skin prick tests, doctor's diagnosis of asthma, parental perception regarding asthma/wheezing or hay fever symptoms)....

  19. European ecological networks and greenways

    NARCIS (Netherlands)

    Jongman, R.H.G.; Külvik, M.; Kristiansen, I.

    2004-01-01

    In the context of European integration, networks are becoming increasingly important in both social and ecological sense. Since the beginning of the 1990s, societal and scientific exchanges are being restructured as the conceptual approaches towards new nature conservation strategies have been renew

  20. Clinical and inflammatory characteristics of the European U-BIOPRED adult severe asthma cohort.

    Science.gov (United States)

    Shaw, Dominick E; Sousa, Ana R; Fowler, Stephen J; Fleming, Louise J; Roberts, Graham; Corfield, Julie; Pandis, Ioannis; Bansal, Aruna T; Bel, Elisabeth H; Auffray, Charles; Compton, Chris H; Bisgaard, Hans; Bucchioni, Enrica; Caruso, Massimo; Chanez, Pascal; Dahlén, Barbro; Dahlen, Sven-Erik; Dyson, Kerry; Frey, Urs; Geiser, Thomas; Gerhardsson de Verdier, Maria; Gibeon, David; Guo, Yi-Ke; Hashimoto, Simone; Hedlin, Gunilla; Jeyasingham, Elizabeth; Hekking, Pieter-Paul W; Higenbottam, Tim; Horváth, Ildikó; Knox, Alan J; Krug, Norbert; Erpenbeck, Veit J; Larsson, Lars X; Lazarinis, Nikos; Matthews, John G; Middelveld, Roelinde; Montuschi, Paolo; Musial, Jacek; Myles, David; Pahus, Laurie; Sandström, Thomas; Seibold, Wolfgang; Singer, Florian; Strandberg, Karin; Vestbo, Jorgen; Vissing, Nadja; von Garnier, Christophe; Adcock, Ian M; Wagers, Scott; Rowe, Anthony; Howarth, Peter; Wagener, Ariane H; Djukanovic, Ratko; Sterk, Peter J; Chung, Kian Fan

    2015-11-01

    U-BIOPRED is a European Union consortium of 20 academic institutions, 11 pharmaceutical companies and six patient organisations with the objective of improving the understanding of asthma disease mechanisms using a systems biology approach.This cross-sectional assessment of adults with severe asthma, mild/moderate asthma and healthy controls from 11 European countries consisted of analyses of patient-reported outcomes, lung function, blood and airway inflammatory measurements.Patients with severe asthma (nonsmokers, n=311; smokers/ex-smokers, n=110) had more symptoms and exacerbations compared to patients with mild/moderate disease (n=88) (2.5 exacerbations versus 0.4 in the preceding 12 months; plife, and higher levels of anxiety and depression. They also had a higher incidence of nasal polyps and gastro-oesophageal reflux with lower lung function. Sputum eosinophil count was higher in severe asthma compared to mild/moderate asthma (median count 2.99% versus 1.05%; p=0.004) despite treatment with higher doses of inhaled and/or oral corticosteroids.Consistent with other severe asthma cohorts, U-BIOPRED is characterised by poor symptom control, increased comorbidity and airway inflammation, despite high levels of treatment. It is well suited to identify asthma phenotypes using the array of "omic" datasets that are at the core of this systems medicine approach. PMID:26357963

  1. Asthma, COPD and overlap syndrome: a longitudinal study in young European adults.

    Science.gov (United States)

    de Marco, Roberto; Marcon, Alessandro; Rossi, Andrea; Antó, Josep M; Cerveri, Isa; Gislason, Thorarinn; Heinrich, Joachim; Janson, Christer; Jarvis, Deborah; Kuenzli, Nino; Leynaert, Bénédicte; Probst-Hensch, Nicole; Svanes, Cecilie; Wjst, Matthias; Burney, Peter

    2015-09-01

    We compared risk factors and clinical characteristics, 9-year lung function change and hospitalisation risk across subjects with the asthma-chronic obstructive pulmonary disease (COPD) overlap syndrome (ACOS), asthma or COPD alone, or none of these diseases.Participants in the European Community Respiratory Health Survey in 1991-1993 (aged 20-44 years) and 1999-2001 were included. Chronic airflow obstruction was defined as pre-bronchodilator forced expiratory volume in 1 s (FEV1)/forced vital capacitynormal on both occasions. Based on their history of respiratory symptoms, spirometry and risk factors, subjects were classified as having asthma alone (n=941), COPD alone (n=166), ACOS (n=218) and none of these (n=5659).Subjects with ACOS shared risk factors and clinical characteristics with subjects with asthma alone, but they had an earlier age of asthma onset. FEV1 change in the ACOS group (-25.9 mL·year(-1)) was similar to that in the asthma group (-25.3 mL·year(-1)), and lower (p<0.001) than in the COPD group (-37.3 mL·year(-1)). ACOS was associated with the highest hospitalisation rate.Among young adults aged 20-44 years, ACOS seems to represent a form of severe asthma, characterised by more frequent hospitalisations, and to be the result of early-onset asthma that has progressed to fixed airflow obstruction. PMID:26113674

  2. Management of asthma: the current US and European guidelines.

    Science.gov (United States)

    Reddy, Ashwini P; Gupta, Meera R

    2014-01-01

    Asthma management guidelines aim to improve the implementation of current knowledge into daily clinical practice by establishing a consensus of scientific practices for the management of asthma. Initial guidelines were based on consensus of expert opinion in order to employ a severity-based classification system as a guide to treatment. However, advances in asthma research led to the development of evidence-based guidelines and a major paradigm shift to control-based asthma management. Control-based management is central to the published guidelines developed by The National Heart, Lung, and Blood Institute (NHLBI), The Global Initiative for Asthma (GINA), and The British Thoracic Society (BTS), each one using the same volume of evidence but emphasizing aspects particular to their specific patient populations and socioeconomic needs. This chapter summarizes the evolution of these guidelines and summarizes the key points and evidence used in the recommendations for the assessment, monitoring, and management of asthma in all ages, with particular emphasis on the NHLBI guidelines.

  3. Network analysis of single nucleotide polymorphisms in asthma

    Science.gov (United States)

    Renkonen, Jutta; Joenväärä, Sakari; Parviainen, Ville; Mattila, Pirkko; Renkonen, Risto

    2010-01-01

    Background: Asthma is a chronic inflammatory disease of the airways with a complex genetic background. In this study, we carried out a meta-analysis of single nucleotide polymorphisms (SNPs) thought to be associated with asthma. Methods: The literature (PubMed) was searched for SNPs within genes relevant in asthma. The SNP-modified genes were converted to corresponding proteins, and their protein–protein interactions were searched from six different databases. This interaction network was analyzed using annotated vocabularies (ontologies), such as the Gene Ontology and Nature pathway interaction databases. Results: In total, 127 genes with SNPs related to asthma were found in the literature. The corresponding proteins were then entered into a large protein–protein interaction network with the help of various databases. Ninety-six SNP-related proteins had more than one interacting protein each, and a network containing 309 proteins and 644 connections was generated. This network was significantly enriched with a gene ontology entitled “protein binding” and several of its daughter categories, including receptor binding and cytokine binding, when compared with the background human proteome. In the detailed analysis, the chemokine network, including eight proteins and 13 toll-like receptors, were shown to interact with each other. Of great interest are the nonsynonymous SNPs which code for an alternative amino acid sequence of proteins and, of the toll-like receptor network, TLR1, TLR4, TLR5, TLR6, TLR10, IL4R, and IL13 are among these. Conclusions: Protein binding, toll-like receptors, and chemokines dominated in the asthma-related protein interaction network. Systems level analysis of allergy-related mutations can provide new insights into the pathogenetic mechanisms of disease. PMID:21437052

  4. Prevalence of asthma symptoms in schoolchildren, and climate in west European countries: an ecologic study

    Science.gov (United States)

    Arnedo-Pena, Alberto; García-Marcos, Luis; Bercedo-Sanz, Alberto; Aguinaga-Ontoso, Inés; González-Díaz, Carlos; García-Merino, Águeda; Busquets-Monge, Rosa; Suárez-Varela, Maria Morales; Batlles-Garrido, Juan; Blanco-Quirós, Alfredo A.; López-Silvarrey, Angel; García-Hernández, Gloria; Fuertes, Jorge

    2013-09-01

    The aim of the present study was to estimate the associations between the prevalence of asthma symptoms in schoolchildren and meteorological variables in west European countries that participated in the International Study of Asthma and Allergies in Children (ISAAC), Phase III 1997-2003. An ecologic study was carried out. The prevalence of asthma was obtained from this study from 48 centers in 14 countries, and meteorological variables from those stations closest to ISAAC centers, together with other socioeconomic and health care variables. Multilevel mixed-effects linear regression models were used. For schoolchildren aged 6-7 years, the prevalence rate of asthma decreased with an increase in mean annual sunshine hours, showed a positive association with rainy weather, and warm temperature, and a negative one with relative humidity and physician density (PD). Current wheeze prevalence was stronger in autumn/winter seasons and decreased with increasing PD. Severe current wheeze decreased with PD. For schoolchildren aged 13-14 years, the prevalence rates of asthma and current wheeze increased with rainy weather, and these rates decreased with increased PD. Current wheeze, as measured by a video questionnaire, was inversely associated with sunny weather, and nurse density. Severe current wheeze prevalence was stronger during autumn/winter seasons, decreased with PD, and indoor chlorinated public swimming pool density, and increased with rainy weather. Meteorological factors, including sunny and rainy weather, and PD may have some effect on the prevalence rates of asthma symptoms in children from west European countries.

  5. Asthma

    Science.gov (United States)

    ... it as a kid. What Causes an Asthma Flare-Up? Anything that causes an asthma flare-up (attack) is called an asthma trigger. Different kids ... doctor will think about what causes the asthma flare-ups, how fast the flare-ups happen, and how ...

  6. European surveillance network for influenza in pigs

    NARCIS (Netherlands)

    Simon, Gaëlle; Larsen, Lars E.; Dürrwald, Ralf; Foni, Emanuela; Harder, Timm; Reeth, Van Kristien; Markowska-Daniel, Iwona; Reid, Scott M.; Dan, Adam; Maldonado, Jaime; Huovilainen, Anita; Billinis, Charalambos; Davidson, Irit; Agüero, Montserrat; Vila, Thaïs; Hervé, Séverine; Breum, Solvej Østergaard; Chiapponi, Chiara; Urbaniak, Kinga; Kyriakis, Constantinos S.; Brown, Ian H.; Loeffen, Willie; Meulen, Van der Karen; Schlegel, Michael; Bublot, Michel; Kellam, Paul; Watson, Simon; Lewis, Nicola S.; Pybus, Oliver G.; Webby, Richard; Chen, Hualan; Vincent, Amy L.

    2014-01-01

    Swine influenza causes concern for global veterinary and public health officials. In continuing two previous networks that initiated the surveillance of swine influenza viruses (SIVs) circulating in European pigs between 2001 and 2008, a third European Surveillance Network for Influenza in Pigs (

  7. Meta-analysis of determinants for pet ownership in 12 European birth cohorts on asthma and allergies: a GA2LEN initiative

    DEFF Research Database (Denmark)

    Eller, E; Roll, S; Chen, C-M;

    2008-01-01

    with and without allergies. METHODS: Within the EU-funded network of excellence GA(2)LEN, we performed meta-analyses with data from 12 ongoing European birth cohort studies on asthma and allergy. Each of the birth cohort studies enrolled between 485 and 4089 children. Pet ownership, allergic status (asthma......, but not dogs. Convenient ground access significantly increased the odds, whereas crowding at home was not associated with cat or dog ownership. CONCLUSIONS: The chances to own a cat or dog were significantly reduced in allergic families, in parents with a higher educational level, and in homes without...

  8. ENEN - European nuclear engineering network

    International Nuclear Information System (INIS)

    The paper presents the main objectives and expected results of European Project FP5 - ENEN - 'European Nuclear Engineering Network'. The underlying objective of the work is safeguarding the nuclear knowledge and expertise through the preservation of higher nuclear engineering education. Co-operation between universities and universities and research centres, will entail a better use of dwindling teaching capacity, scientific equipment and research infrastructure. 'Today, the priorities of the scientific community regarding basic research lie elsewhere than in nuclear sciences. Taken together, these circumstances create a significantly different situation from three to four decades ago when much of the present competence base was in fact generated. In addition, many of the highly competent engineers and scientists, who helped create the present nuclear industry, and its regulatory structure, are approaching retirement age. These competence issues need to be addressed at Community level and a well designed Community research and training programme should play a role that is more important than ever before. This is an area where the concept of an European research area should be further explored'. The outcome from this project should be a clear road map for the way ahead in nuclear engineering education in Europe. The underlying objective of the concerted action is the preservation of nuclear knowledge and expertise through the preservation of higher nuclear engineering education. 'Many diverse technologies, currently serving nations world-wide, would be affected by an inadequate number of future nuclear scientists and engineers. Nuclear technology is widespread and multidisciplinary: nuclear and reactor physics, thermal hydraulics and mechanics, material science, chemistry, health science, information technology and a variety of other areas. Yet the advancement of this technology, with all its associated benefits, will be threatened if not curtailed unless the

  9. Asthma medication prescribing before, during and after pregnancy : A study in seven European regions

    NARCIS (Netherlands)

    Charlton, Rachel A; Pierini, Anna; Klungsøyr, Kari; Neville, Amanda J; Jordan, Susan; Jong-van den Berg, de Lolkje; Thayer, Daniel; Bos, H Jens; Puccini, Aurora; Hansen, Anne V; Gini, Rosa; Engeland, Anders; Nybo Andersen, Anne-Marie; Dolk, Helen; Garne, Ester

    2016-01-01

    OBJECTIVES: To explore utilisation patterns of asthma medication before, during and after pregnancy as recorded in seven European population-based databases. DESIGN: A descriptive drug utilisation study. SETTING: 7 electronic healthcare databases in Denmark, Norway, the Netherlands, Italy (Emilia Ro

  10. Asthma

    Science.gov (United States)

    ... by allergens or physical activity. Occasionally, doctors use X-rays to diagnose asthma. Doctors treat each asthma case ... them. If you get flare-ups during a game or workout, stop what you're doing until ...

  11. Transport Network in Concept European Road

    Directory of Open Access Journals (Sweden)

    Stegaroiu Valentin

    2010-12-01

    Full Text Available Formation of the Single Market for services, transport, includes the right of freedom to provide services throughout the Community. Liberalization of the transporter interacts with the construction of Trans- European Networks (TENS which are generated by the process of European integration against the background of economy globalization. European Union gives priority to road transport networks into a single coherent and easy to move factors of w ealth creators, to ensure resource flows between European countries and between them and the world. This complex dynamic process and is stimulated generating factors such as opening of national borders, increased competition, etc. Transport network is localized both in the class of networks established in stages, as political decision-making networks and in networks mainly economic category (pan- European. Currently EU countries work together in committees established for each of the 10 pan-European corridors for implementation of projects for new construction or modernization of transport infrastructure, conditions for the gradual homogenization of transport in the EU. It is estimated that 2010 will mark the upper limit of the quantitative development of European transport.

  12. WDM networking on a European Scale

    DEFF Research Database (Denmark)

    Parnis, Noel; Limal, Emmanuel; Hjelme, Dag R.;

    1998-01-01

    Four different topological approaches to designing a pan-European optical network are discussed. For such an ultra-high capacity large-scale network, it is necessary to overcome physical path length limitations and to limit Optical Cross-Connect (OXC) complexity.......Four different topological approaches to designing a pan-European optical network are discussed. For such an ultra-high capacity large-scale network, it is necessary to overcome physical path length limitations and to limit Optical Cross-Connect (OXC) complexity....

  13. Asthma

    Directory of Open Access Journals (Sweden)

    Kim Harold

    2011-11-01

    Full Text Available Abstract Asthma is the most common respiratory disorder in Canada. Despite significant improvement in the diagnosis and management of this disorder, the majority of Canadians with asthma remain poorly controlled. In most patients, however, control can be achieved through the use of avoidance measures and appropriate pharmacological interventions. Inhaled corticosteroids (ICSs represent the standard of care for the majority of patients. Combination ICS/long-acting beta2-agonists (LABA inhalers are preferred for most adults who fail to achieve control with ICS therapy. Allergen-specific immunotherapy represents a potentially disease-modifying therapy for many patients with asthma, but should only be prescribed by physicians with appropriate training in allergy. Regular monitoring of asthma control, adherence to therapy and inhaler technique are also essential components of asthma management. This article provides a review of current literature and guidelines for the appropriate diagnosis and management of asthma.

  14. A case-control study of the relation between plasma selenium and asthma in European populations

    DEFF Research Database (Denmark)

    Burney, P; Potts, J; Makowska, J;

    2008-01-01

    BACKGROUND: There is evidence that selenium levels are relatively low in Europe and may be falling. Low levels of selenium or low activity of some of the enzymes dependent on selenium have been associated with asthma. METHODS: The GA(2)LEN network has organized a multicentre case-control study in...

  15. ENEN - European Nuclear Educational Network Association

    International Nuclear Information System (INIS)

    After the pioneering initiative of BNEN, the Belgian Nuclear higher Education Network, other countries, e.g. Italy, United Kingdom, Germany, Switzerland, etc., created their own pool of education. At the European level the ENEN Association (European Nuclear Education Network) is a sustainable product generated by an FP5 project. The main objective of the ENEN Association is the preservation and the further development of higher nuclear education and expertise. This objective is realized through the co-operation between European universities, involved in education and research in the nuclear engineering field, nuclear research centres and nuclear industry

  16. Update on asthma control in five European countries: results of a 2008 survey

    Directory of Open Access Journals (Sweden)

    P. Demoly

    2010-06-01

    Full Text Available The 2006 European National Health and Wellness Survey (NHWS showed that a large proportion of asthmatics had uncontrolled asthma. The current analysis estimated the prevalence of asthma and asthma control (Asthma Control TestTM (ACT; QualityMetric Inc., Lincoln, RI, USA in five European countries using the 2008 NHWS. Health-related quality of life (HRQoL, using the Short Form-12 (SF-12 health survey, and work productivity/activity impairment were assessed. Of 3,619 respondents aged 18 yrs, the prevalence of self-reported physician diagnosis of asthma was 6.1% (15 million people; 56.6% of treated asthmatics were not well-controlled (NWC; ACT score 19. Individual components of the ACT showed that, compared with at least well-controlled patients (ALWC; ACT score 20, NWC patients had activity limitations at least some of the time (40.8% versus 1.5%, p<0.001, were breathless 3 times per week (72.5% versus 5.4%, p<0.001, suffered sleep difficulties due to asthma at least once per week (60.3% versus 4.6%, p<0.001 and required rescue medication 2–3 times per week (77.4% versus 15.9%, p<0.001. NWC patients had also received more healthcare contact in the past 6 months, including hospitalisation (17.4% versus 9.9%, p<0.001. The SF-12 physical and mental summary scores were 7.46 and 4.73 points higher, respectively, for ALWC patients compared with NWC patients (p<0.001. ALWC patients reported less absenteeism (5.5% versus 12.2% and work impairment (15.4% versus 30.0% than NWC patients (both p<0.001. The proportion of asthmatics with NWC asthma has not improved since 2006. ALWC asthma is associated with a significant positive impact on healthcare resource use, HRQoL and work productivity.

  17. Europeans build 10-GigE network

    CERN Multimedia

    2003-01-01

    " CERN, SURFnet and the University of Amsterdam announced that they have succeeded in building and testing a Trans European 10 Gbps Ethernet (10 GE) network. Crossing four countries and spanning 1700 km, the network uses the new 10 GE WAN PHY transmission technology capable of transmitting the equivalent of 1.5 complete data CDs every second" (1 page).

  18. European Networks and Ideas: Changing National Policies?

    Directory of Open Access Journals (Sweden)

    Beate Kohler-Koch

    2002-04-01

    Full Text Available Wider involvement and better knowledge are keywords in the recent White Paper on European Governance. The political discourse has, quite obviously, taken up the academic debate about the importance of ideas and networks. The Commission is seen as an ideational entrepreneur which by arguing and networking is able to induce autonomous actors with quite diverse interests to follow a European course of action. Regional policy has been a most promising field of research to confirm this hypothesis. Recent investigations can be read, however, in quite a different way. The paper questions established conventional wisdom concerning the importance of European ideas and networks for policy change and raises the question how ideational and network competition could be explored in a better way.

  19. The European Network of Uropathology

    DEFF Research Database (Denmark)

    Egevad, Lars; Algaba, Ferran; Berney, Dan M;

    2009-01-01

    individual members from 338 pathology laboratories in 15 Western European countries. E-mail is used for all communication, and studies are carried out through interactive Web sites. Information e-mails are sent regularly, and 2 Web-based surveys on handling and reporting of urologic specimens have been...

  20. ENGL, the European Network of GMO Laboratories

    OpenAIRE

    KREYSA JOACHIM; Van den Eede, Guy; Mazzara, Marco

    2013-01-01

    When the current EU policy on Genetically Modified Organism (GMO) was designed, GMO-specific detection methods were not generally available. Under the leadership of the Joint Research Centre of the European Commission (JRC), a European Network of GMO Laboratories was formed, the ENGL. ENGL brings together the GMO control laboratories (including NRL) of the EU to establish standards, spread good practices, and discuss problems. Its standards are today used throughout the EU and beyond. ...

  1. New insight into genes in association with asthma: literature-based mining and network centrality analysis

    Institute of Scientific and Technical Information of China (English)

    LIANG Rui; WANG Lei; WANG Gang

    2013-01-01

    Background Asthma is a heterogeneous disease for which a strong genetic basis has been firmly established.Until now no studies have been undertaken to systemically explore the network of asthma-related genes using an internally developed literature-based discovery approach.This study was to explore asthma-related genes by using literaturebased mining and network centrality analysis.Methods Literature involving asthma-related genes were searched in PubMed from 2001 to 2011.Integration of natural language processing with network centrality analysis was used to identify asthma susceptibility genes and their interaction network.Asthma susceptibility genes were classified into three functional groups by gene ontology (GO) analysis and the key genes were confirmed by establishing asthma-related networks and pathways.Results Three hundred and twenty-six genes related with asthma such as IGHE (IgE),interleukin (IL)-4,5,6,10,13,17A,and tumor necrosis factor (TNF)-alpha were identified.GO analysis indicated some biological processes (developmental processes,signal transduction,death,etc.),cellular components (non-structural extracellular,plasma membrane and extracellular matrix),and molecular functions (signal transduction activity) that were involved in asthma.Furthermore,22 asthma-related pathways such as the Toll-like receptor signaling pathway,hematopoietic cell lineage,JAK-STAT signaling pathway,chemokine signaling pathway,and cytokine-cytokine receptor interaction,and 17 hub genes,such as JAK3,CCR1-3,CCR5-7,CCR8,were found.Conclusions Our study provides a remarkably detailed and comprehensive picture of asthma susceptibility genes and their interacting network.Further identification of these genes and molecular pathways may play a prominent role in establishing rational therapeutic approaches for asthma.

  2. European networks in industrial integrity

    International Nuclear Information System (INIS)

    Several institutions and electrical utilities in Europe, including the Joint Research Centre (JRC), have the capability to deal with several of the problems posed by the operation and aging of structural components and with their structural integrity assessment. These institutions and the JRC have developed cooperative programmes and organized themselves into networks. This article describes the structure and objective of the existing networks. 3 figs

  3. European Competence Network on Mastocytosis (ECNM)

    DEFF Research Database (Denmark)

    Valent, Peter; Arock, Michel; Bonadonna, Patrizia;

    2012-01-01

    The European Competence Network on Mastocytosis (ECNM) was initiated in 2002 as a multidisciplinary and multinational cooperative approach to increase awareness and to improve diagnosis and therapy of mastocytosis. The network is composed of local centers, physicians, and scientists who have...... include sufficient numbers of patients and robust evaluations, will be conducted. These studies will increase our knowledge about optimal management and therapy of patients with mastocytosis in the future....

  4. Population prevalence of asthma and its determinants based on European Community Respiratory Health Survey in the United Arab Emirates

    OpenAIRE

    Mahboub Bassam H; Al-Hammadi Suleiman; Rafique Mohamed; Sulaiman Nabil; Pawankar Ruby; Al Redha Abdulla I; Mehta Atul C

    2012-01-01

    Abstract Background No population study has explored the population distribution of adult asthma in the United Arab Emirates (UAE). The objective is to estimate asthma prevalence in general population in UAE. Methods Using standard European Community Respiratory Health Survey (ECRHS) questionnaires and tools, this is a cross-sectional assessment of a random sample of the population in established quotas of the seven Emirates in the UAE. We surveyed 1,220 participants, of which 63.2% were male...

  5. Qingfei Xiaoyan Wan alleviates asthma through multi-target network regulation

    OpenAIRE

    Zhao, Zhenying; Miao, Yingbo; Pan, Pengwei; Cheng, Binfeng; Bai, Gang; Wu, Hong

    2013-01-01

    Background Qingfei Xiaoyan Wan (QFXY), a traditional Chinese formula, is widely used for relieving cough, asthma, upper respiratory tract infection, bronchitis, pneumonia, and etc. in clinic. Comparing with other anti-asthma drugs, it is characterised with moderate and persistent efficacy as well as few side effects, however, the underlying action mechanism still remains elusive. This study aimed to identify QFXY multi-target network regulation as an asthma controller. Methods This study esta...

  6. The European Nuclear Education Network Association - ENEN

    International Nuclear Information System (INIS)

    The temporary network, established through the European 5. Framework Programme project ENEN, was given a more permanent character by the foundation of the European Nuclear Education Network Association, a non-profit-making association according to the French law of 1901, pursuing a pedagogic and scientific aim. Its main objective is the preservation and the further development of higher nuclear education and expertise. This objective is realized through the co-operation between the European universities, involved in education and research in the nuclear engineering field, the nuclear research centres and the nuclear industry. The membership of the ENEN Association now consists of 35 universities members and 6 research centres. The paper briefly describes the history and structure of the ENEN Association and elaborates on the objectives and activities of its five committees during its first two years of operation. Supported by the 5. and 6. Framework Programme of the European Community, the ENEN Association established the delivery of the European Master of Science in Nuclear Engineering certificate. In particular, education and training courses have been developed and offered to materialize the core curricula and optional fields of study in a European exchange structure. Pilot editions of those courses and try-outs of training programmes have been successfully organised with a satisfying interest, attendance and performance by the students and the support of nuclear industries and international organisations. The involvement of ENEN in the 6. EC Framework project EUROTRANS will further enlarge its field of activities into a realm of nuclear disciplines. The ENEN Association further contributes to the management of nuclear knowledge within the European Union as well as on a world-wide level, through contacts with its sister Network ANENT in Asia, and by its participation to activities of the World Nuclear University. (author)

  7. The European Nuclear Education Network Association - ENEN

    International Nuclear Information System (INIS)

    The temporary network, established through the European 5th Framework Programme project ENEN, was given a more permanent character by the foundation of the European Nuclear Education Network Association, a non-profit-making association according to the French law of 1901, pursuing a pedagogic and scientific aim. Its main objective is the preservation and the further development of higher nuclear education and expertise. This objective is realized through the co-operation between the European universities, involved in education and research in the nuclear engineering field, the nuclear research centres and the nuclear industry. The membership of the ENEN Association now consists of 35 universities members and 6 research centres. The paper briefly describes the history and structure of the ENEN Association and elaborates on the objectives and activities of its five committees during its first two years of operation. Supported by the 5th and 6th Framework Programme of the European Community, the ENEN Association established the delivery of the European Master of Science in Nuclear Engineering certificate. In particular, education and training courses have been developed and offered to materialise the core curricula and optional fields of study in a European exchange structure. Pilot editions of those courses and try-outs of training programmes have been successfully organised with a satisfying interest, attendance and performance by the students and the support of nuclear industries and international organisations. The involvement of ENEN in the 6th EC Framework project EUROTRANS will further enlarge its field of activities into a realm of nuclear disciplines. The ENEN Association further contributes to the management of nuclear knowledge within the European Union as well as on a world-wide level, through contacts with its sister Network ANENT in Asia, and by its participation to activities of the World Nuclear University. (author)

  8. Clinical and inflammatory characteristics of the European U-BIOPRED adult severe asthma cohort

    DEFF Research Database (Denmark)

    Shaw, Dominick E; Sousa, Ana R; Fowler, Stephen J;

    2015-01-01

    compared to patients with mild/moderate disease (n=88) (2.5 exacerbations versus 0.4 in the preceding 12 months; plife, and higher levels of anxiety and depression. They also had a higher incidence of nasal polyps and gastro-oesophageal reflux with lower lung function. Sputum......U-BIOPRED is a European Union consortium of 20 academic institutions, 11 pharmaceutical companies and six patient organisations with the objective of improving the understanding of asthma disease mechanisms using a systems biology approach.This cross-sectional assessment of adults with severe...

  9. Asthma and allergy - resources

    Science.gov (United States)

    Resources - asthma and allergy ... The following organizations are good resources for information on asthma and allergies : Allergy and Asthma Network Mothers of Asthmatics -- www.aanma.org American Academy of Allergy, Asthma ...

  10. Topology of the European Network of Earth Observation Networks and the need for an European Network of Networks

    Science.gov (United States)

    Masó, Joan; Serral, Ivette; McCallum, Ian; Blonda, Palma; Plag, Hans-Peter

    2016-04-01

    ConnectinGEO (Coordinating an Observation Network of Networks EnCompassing saTellite and IN-situ to fill the Gaps in European Observations" is an H2020 Coordination and Support Action with the primary goal of linking existing Earth Observation networks with science and technology (S&T) communities, the industry sector, the Group on Earth Observations (GEO), and Copernicus. The project will end in February 2017. ConnectinGEO will initiate a European Network of Earth Observation Networks (ENEON) that will encompass space-based, airborne and in-situ observations networks. ENEON will be composed of project partners representing thematic observation networks along with the GEOSS Science and Technology Stakeholder Network, GEO Communities of Practices, Copernicus services, Sentinel missions and in-situ support data representatives, representatives of the European space-based, airborne and in-situ observations networks. This communication presents the complex panorama of Earth Observations Networks in Europe. The list of networks is classified by discipline, variables, geospatial scope, etc. We also capture the membership and relations with other networks and umbrella organizations like GEO. The result is a complex interrelation between networks that can not be clearly expressed in a flat list. Technically the networks can be represented as nodes with relations between them as lines connecting the nodes in a graph. We have chosen RDF as a language and an AllegroGraph 3.3 triple store that is visualized in several ways using for example Gruff 5.7. Our final aim is to identify gaps in the EO Networks and justify the need for a more structured coordination between them.

  11. The European debate on governance networks

    DEFF Research Database (Denmark)

    Sørensen, Eva; Torfing, Jacob

    2014-01-01

    This paper aims to take stock of the European debate on governance networks in order to assess whether or not it has succeeded to develop a new a viable paradigm based on clear concepts, sound theories and methods and an expansive research agenda. The political and institutional conditions for th...... development, the European debate on governance networks provides a new and important paradigm for understanding the emerging forms of multilateral action and pluricentric governance.......This paper aims to take stock of the European debate on governance networks in order to assess whether or not it has succeeded to develop a new a viable paradigm based on clear concepts, sound theories and methods and an expansive research agenda. The political and institutional conditions for the...... emergence of the Europe governance debate are analyzed and the notions of ‘governance’ and ‘governance networks’ are critically examined and defined. A brief assessment of the empirical significance of governance networks at different levels of governing is followed by a presentation and comparison of the...

  12. The European Commission as Network Broker

    DEFF Research Database (Denmark)

    Borras, Susana

    2007-01-01

    Recent transformations in the European Union have been putting significant pressure on the management function of the European Commission. Examining its brokerage position in policy networks, this article asks what kind of role does the Commission have in the political interactions in Brussels...... after the year 2000. Developing a conceptual framework about brokerage roles in EU policy, the article uses a combination of quantitative and qualitative data in an empirical analysis of two very different cases where the Commission has been embattled the past years. The article argues that previous...... reports of the Commission's demise are much exaggerated, because it continues playing a leading role in managing interaction between multiple actors at different levels of governance. The empirical results show that the Commission is a resilient central network broker....

  13. European VLBI Network: Present and Future

    CERN Document Server

    Zensus, J A

    2015-01-01

    The European VLBI Network is a collaboration of the major radio astronomical institutes in Europe, Asia, South Africa and Puerto Rico. Established four decades ago, since then it has constantly improved its performance in terms made using resolution, data bit-rate and image fidelity with improvements in performance, and the addition of new stations and observing capabilities. The EVN provides open skies access and has over time become a common-user facility. In this contribution we discuss the present status and perspectives for the array in a continuously changing environment, especially in the era of ALMA and with the Square Kilometre Array ante portas.

  14. Predicting Asthma Outcome Using Partial Least Square Regression and Artificial Neural Networks

    Directory of Open Access Journals (Sweden)

    E. Chatzimichail

    2013-01-01

    Full Text Available The long-term solution to the asthma epidemic is believed to be prevention and not treatment of the established disease. Most cases of asthma begin during the first years of life; thus the early determination of which young children will have asthma later in their life counts as an important priority. Artificial neural networks (ANN have been already utilized in medicine in order to improve the performance of the clinical decision-making tools. In this study, a new computational intelligence technique for the prediction of persistent asthma in children is presented. By employing partial least square regression, 9 out of 48 prognostic factors correlated to the persistent asthma have been chosen. Multilayer perceptron and probabilistic neural networks topologies have been investigated in order to obtain the best prediction accuracy. Based on the results, it is shown that the proposed system is able to predict the asthma outcome with a success of 96.77%. The ANN, with which these high rates of reliability were obtained, will help the doctors to identify which of the young patients are at a high risk of asthma disease progression. Moreover, this may lead to better treatment opportunities and hopefully better disease outcomes in adulthood.

  15. The European Nucelar Engineering Network Program (ENEN)

    International Nuclear Information System (INIS)

    As of 2002 there are 439 Nuclear Power Plants (NPP) and 264 Research Reactors (RR) in operation world-wide, out of these countries, 11 countries in Europe account for 145 NPP and 18 countries in Europe for 37 RR. A large fraction of both the NPP and the RR are over 30 years old. The same age problem exists also among the qualified nuclear staff. Most of the nuclear staff joined those facilities in the 60-ties and 70-ties and are now approaching retirement age. Due to this fact a large amount of experience and competence will be lost in the next decade [1]. Therefore it is of utmost importance to improve and harmonize the nuclear educational system among European countries. Having this target in mind an EU project, the European Nuclear Engineering Network (ENEN), was submitted by 17 countries to the European Union. The proposal was accepted and the two year project started officially on January 1's't 2002. In this paper a survey on the history and the structure of ENEN is given, the targets and timetables of the individual 10 Work Packages are discussed and the results up to September 2002 are presented.(author)

  16. Pooling birth cohorts in allergy and asthma: European Union-funded initiatives - a MeDALL, CHICOS, ENRIECO, and GA²LEN joint paper.

    Science.gov (United States)

    Bousquet, Jean; Anto, Josep; Sunyer, Jordi; Nieuwenhuijsen, Mark; Vrijheid, Martine; Keil, Thomas

    2013-01-01

    Long-term birth cohort studies are essential to understanding the life course and childhood predictors of allergy and the complex interplay between genes and the environment (including lifestyle and socioeconomic determinants). Over 100 cohorts focusing on asthma and allergy have been initiated in the world over the past 30 years. Since 2004, several research initiatives funded under the EU Framework Program for Research and Technological Development FP6-FP7 have attempted to identify, compare, and evaluate pooling data from existing European birth cohorts (GA(2)LEN: Global Allergy and European Network, FP6; ENRIECO: Environmental Health Risks in European Birth Cohorts, FP7; CHICOS: Developing a Child Cohort Research Strategy for Europe, FP7; MeDALL: Mechanisms of the Development of ALLergy, FP7). However, there is a general lack of knowledge about these initiatives and their potentials. The aim of this paper is to review current and past EU-funded projects in order to make a summary of their goals and achievements and to suggest future research needs of these European birth cohort networks.

  17. European Nuclear Education Network (ENEN) Association Initiative

    International Nuclear Information System (INIS)

    The main objective of the ENEN Association is the preservation and further development of a higher nuclear education and expertise. This objective should be achieved through the co-operation between European universities involved in education and research in the nuclear engineering field, research centers and the nuclear industry. To reach this objective, the ENEN Association has to: Promote and develop the collaboration in nuclear engineering education of engineers and researchers required by the nuclear industry and the regulatory bodies; Ensure the quality of nuclear academic engineering education and training; Increase the attractiveness for engagement in the nuclear field for students and young academics. The basic objectives of the ENEN Association shall be to: Deliver an European Master of Science Degree in Nuclear Engineering and promote PhD studies; Promote exchange of students and teachers participating in the frame of this network; Increase the number of students by providing incentives; Establish a framework for mutual recognition; Foster and strengthen the relationship with research laboratories and networks, industry and regulatory bodies, by involving them in (or association them with) nuclear academic education and by offering continuous training. The aims of the ENEN Association shall be achieved by: Discussion on educational objectives, methods and course contents among the members and with external partners, particularly national European industries; Organization of internal audits on the quality of nuclear engineering curricula; Awarding the label of 'European Master degree of Science in Nuclear Engineering' to the curricula satisfying the criteria set up by the ENEN Association; Cooperation between the members, and with the research centers and the nuclear industry for enhancement of mobility of teachers and students, organization of training and advanced courses, use of large research and teaching facilities or infrastructures; Cooperation

  18. SOME UNUSUAL SOLUTIONS FOR EUROPEAN NETWORKS

    Directory of Open Access Journals (Sweden)

    Vernescu V

    2012-03-01

    Full Text Available Authors present several non-conventional solutions unused in Europe which are, however, frequently adopted in some medium (M and low (L voltages (V networks from North-American and Australian countries, especially in low density areas of consumption in rural and urban distribution. The proposed solutions may assure diversified supply possibilities in our middle and South–Eastern regions, as regards modernizing and upgrading the distribution networks. The solutions try to propose to adapt our European practice to the North-American experience, aiming at developing more flexible, cheaper and safer supply of the consumers, both at MV and at LV networks. Several original solutions promoted in Romanian networks and their peculiarities are also described. The paper presents distribution schemes at medium voltage in connection with low voltage supply in different condition of neutral treatment at MV or LV. It also shows the measures to be adopted in order to diminish the investment expenses in low voltage at the supplied consumers. The technical condition of co-existence of OHEL at MV and LV on the same poles, without jeopardizing the LV equipment, is necessary. Among the solutions proposed, the authors also describe the unconventional one, consisting in the supply of isolated monophase consumer at MV by ground return and also the conditions necessary for sure and safe operation of this particularly connection. Finally, there are shown some conclusions about the necessity to assure imposed environmental conditions.

  19. Population prevalence of asthma and its determinants based on European Community Respiratory Health Survey in the United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Mahboub Bassam H

    2012-02-01

    Full Text Available Abstract Background No population study has explored the population distribution of adult asthma in the United Arab Emirates (UAE. The objective is to estimate asthma prevalence in general population in UAE. Methods Using standard European Community Respiratory Health Survey (ECRHS questionnaires and tools, this is a cross-sectional assessment of a random sample of the population in established quotas of the seven Emirates in the UAE. We surveyed 1,220 participants, of which 63.2% were male, and 20.1% were UAE Nationals, with a mean (SD age of 32.9 (14.1 years. Results Prevalence of individual respiratory symptoms from the ECRHS screening questionnaire in all participants were generally ranging 8 - 10%, while participants 20-44 years presented lower prevalence in all symptoms (p Conclusion We conclude that asthma is common in the UAE, and gender differences are not observed in reported asthma symptoms in young adults. This being the first population based study exploring the prevalence of asthma and its determinants in the United Arab Emirates based on the ECRHS.

  20. Complementary and alternative medicine for children's asthma: satisfaction, care provider responsiveness, and networks of care.

    Science.gov (United States)

    Freidin, Betina; Timmermans, Stefan

    2008-01-01

    We explain why some caretakers opt for alternative medicine for the treatment of children's asthma whereas others do not. In the past 15 years, asthma care has been standardized, with clinical practice guidelines centered on advanced pharmacological regimes. Clinicians argue that with proper biomedical treatment and environmental control, asthma should be a manageable chronic disease. Yet many patients forego available pharmacological treatments for alternative medicine or complement prescribed drugs with unconventional treatments. On the basis of open-ended, in-depth qualitative interviews with 50 mothers of children with asthma, we argue that the experience with biomedical treatments, social influence in mother's network of care, concerns about adverse and long-term effects, health care providers' responsiveness to such concerns, and familiarity with alternative treatments explain why some families rely on alternative medicine and others do not. PMID:18174534

  1. Identifying a biomarker network for corticosteroid resistance in asthma from bronchoalveolar lavage samples.

    Science.gov (United States)

    Vargas, José Eduardo; Porto, Bárbara Nery; Puga, Renato; Stein, Renato Tetelbom; Pitrez, Paulo Márcio

    2016-07-01

    Corticosteroid resistance (CR) is a major barrier to the effective treatment of severe asthma. Hence, a better understanding of the molecular mechanisms involved in this condition is a priority. Network analysis is an emerging strategy to explore this complex heterogeneous disorder at system level to identify a small own network for CR in asthma. Gene expression profile of GSE7368 from bronchoalveolar lavage (BAL) of CR in subjects with asthma was downloaded from the gene expression omnibus (GEO) database and compared to BAL of corticosteroid-sensitive (CS) patients. DEGs were identified by the Limma package in R language. In addition, DEGs were mapped to STRING to acquire protein-protein interaction (PPI) pairs. Topological properties of PPI network were calculated by Centiscape, ClusterOne and BINGO. Subsequently, text-mining tools were applied to design one own cell signalling for CR in asthma. Thirty-five PPI networks were obtained; including a major network consisted of 370 nodes, connected by 777 edges. After topological analysis, a minor PPI network composed by 48 nodes was indentified, which is composed by most relevant nodes of major PPI network. In this subnetwork, several receptors (EGFR, EGR1, ESR2, PGR), transcription factors (MYC, JAK), cytokines (IL8, IL6, IL1B), one chemokine (CXCL1), one kinase (SRC) and one cyclooxygenase (PTGS2) were described to be associated with inflammatory environment and steroid resistance in asthma. We suggest a biomarker network composed by 48 nodes that could be potentially explored with diagnostic or therapeutic use. PMID:27188427

  2. Types, frequency and impact of asthma triggers on patients’ lives: a quantitative study in five European countries

    OpenAIRE

    Price, David; Dale, Peter; Elder, Emma; Kenneth R Chapman

    2013-01-01

    Objective: To identify the types, frequency and impact of asthma triggers and the relationship to asthma control among adults with asthma in Europe. Methods: Adults with self-reported physician-diagnosed asthma receiving maintenance asthma treatment and self-reported exposure to known asthma triggers completed an online questionnaire; a subset completed a diary over 3–4 weeks. Information on asthma control (Asthma Control Test™ [ACT]), asthma triggers, frequency of exposure and behaviours in ...

  3. Asthma prevalence in Olympic summer athletes and the general population: an analysis of three European countries.

    NARCIS (Netherlands)

    Burns, J.; Mason, C.; Mueller, N.; Ohlander, J.; Zock, J.P.; Drobnic, F.; Wolfarth, B.; Heinrich, J.; Omenass, E.; Stensrud, T.; Nowak, D.; Radon, K.

    2015-01-01

    Background: Some studies have shown a higher prevalence of asthma in elite athletes as compared to the general population. It is inconclusive to what extent certain sport categories are especially affected. The present study offered a unique opportunity to assess these differences in asthma prevalen

  4. Comparative effectiveness of asthma interventions within a practice based research network

    Directory of Open Access Journals (Sweden)

    Hebert Lisa

    2011-08-01

    Full Text Available Abstract Background Asthma is a chronic lung disease that affects more than 23 million people in the United States, including 7 million children. Asthma is a difficult to manage chronic condition associated with disparities in health outcomes, poor medical compliance, and high healthcare costs. The research network coordinating this project includes hospitals, urgent care centers, and outpatient clinics within Carolinas Healthcare System that share a common electronic medical record and billing system allowing for rapid collection of clinical and demographic data. This study investigates the impact of three interventions on clinical outcomes for patients with asthma. Interventions are: an integrated approach to care that incorporates asthma management based on the chronic care model; a shared decision making intervention for asthma patients in underserved or disadvantaged populations; and a school based care approach that examines the efficacy of school-based programs to impact asthma outcomes including effectiveness of linkages between schools and the healthcare providers. Methods/Design This study will include 95 Practices, 171 schools, and over 30,000 asthmatic patients. Five groups (A-E will be evaluated to determine the effectiveness of three interventions. Group A is the usual care control group without electronic medical record (EMR. Group B practices are a second control group that has an EMR with decision support, asthma action plans, and population reports at baseline. A time delay design during year one converts practices in Group B to group C after receiving the integrated approach to care intervention. Four practices within Group C will receive the shared decision making intervention (and become group D. Group E will receive a school based care intervention through case management within the schools. A centralized database will be created with the goal of facilitating comparative effectiveness research on asthma outcomes

  5. Scaling the Romani grassroots: Europeanization and transnational networking

    NARCIS (Netherlands)

    H. van Baar

    2009-01-01

    This paper analyzes new Romany media networks in Europe and their relations to post-1989 processes of Europeanization. The paper breaks with the understanding of European governance as operating at and through different kinds of hierarchically organized levels. Instead, it introduces Foucault’s conc

  6. The European aerospace R&D collaboration network

    OpenAIRE

    Guffarth, Daniel; Barber, Michael J.

    2013-01-01

    We describe the development of the European aerospace R&D collaboration network from 1987 to 2013 with the help of the publicly available raw data of the European Framework Programmes and the German Förderkatalog. In line with the sectoral innovation system approach, we describe the evolution of the aerospace R&D network on three levels. First, based on their thematic categories, all projects are inspected and the development of technology used over time is described. Second, the composition ...

  7. ENER European network for Energy Economics Research. Final report. Thematic Network (ENERGIE Programme), European Commission, DG Research

    Energy Technology Data Exchange (ETDEWEB)

    Eichhammer, W.

    2004-11-15

    Objectives of the Forum of the European Network for Energy Economics Research ENER: to bring to debate latest research results based on both qualitative and quantitative analysis (modelling analysis results) in fields concerning the relationship of energy, climate change and economy to relevant stakeholders in policy, industry, academia and NGOs in foru forums; to strengthen the links between national centres in energy/environment, policy and economics research, in particular with Eastern European countries, in view of their accession to the European Union, and with Switzerland. The Network thus expands links which have been previously growing among EU centres of competence in energy economics research to the EU accession countries and close neighbours; to use the network as a sprinboard for collaborative research on a European scale which will as the final objective of the Network overpass the limited activities proposed in the current frame. (orig.)

  8. Biotechnology worldwide and the 'European Biotechnology Thematic Network' Association (EBTNA).

    Science.gov (United States)

    Bruschi, F; Dundar, M; Gahan, P B; Gartland, K; Szente, M; Viola-Magni, M P; Akbarova, Y

    2011-09-01

    The European Biotechnology Congress 2011 held under the auspices of the European Biotechnology Thematic Network Association (EBTNA) in conjunction with the Turkish Medical Genetics Association brings together a broad spectrum of biotechnologists from around the world. The subsequent abstracts indicate the manner in which biotechnology has permeated all aspects of research from the basic sciences through to small and medium enterprises and major industries. The brief statements before the presentation of the abstracts aim to introduce not only Biotechnology in general and its importance around the world, but also the European Biotechnology Thematic Network Association and its aims especially within the framework of education and ethics in biotechnology.

  9. European Marine Observation Data Network - EMODnet Physics

    Science.gov (United States)

    Manzella, Giuseppe M. R.; Novellino, Antonio; D'Angelo, Paolo; Gorringe, Patrick; Schaap, Dick; Pouliquen, Sylvie; Loubrieu, Thomas; Rickards, Lesley

    2015-04-01

    The EMODnet-Physics portal (www.emodnet-physics.eu) makes layers of physical data and their metadata available for use and contributes towards the definition of an operational European Marine Observation and Data Network (EMODnet). It is based on a strong collaboration between EuroGOOS associates and its regional operational systems (ROOSs), and it is bringing together two very different marine communities: the "real time" ocean observing institute/centers and the National Oceanographic Data Centres (NODCs) that are in charge of ocean data validation, quality check and update for marine environmental monitoring. The EMODnet-Physics is a Marine Observation and Data Information System that provides a single point of access to near real time and historical achieved data (www.emodnet-physics.eu/map) it is built on existing infrastructure by adding value and avoiding any unless complexity, it provides data access to users, it is aimed at attracting new data holders, better and more data. With a long-term vision for a pan European Ocean Observation System sustainability, the EMODnet-Physics is supporting the coordination of the EuroGOOS Regional components and the empowerment and improvement of their data management infrastructure. In turn, EMODnet-Physics already implemented high-level interoperability features (WMS, Web catalogue, web services, etc…) to facilitate connection and data exchange with the ROOS and the Institutes within the ROOSs (www.emodnet-physics.eu/services). The on-going EMODnet-Physics structure delivers environmental marine physical data from the whole Europe (wave height and period, temperature of the water column, wind speed and direction, salinity of the water column, horizontal velocity of the water column, light attenuation, and sea level) as monitored by fixed stations, ARGO floats, drifting buoys, gliders, and ferry-boxes. It does provide discovering of data sets (both NRT - near real time - and Historical data sets), visualization and free

  10. The Network of European Research and Development Projects

    CERN Document Server

    Barber, M J; Krüger, T; Roediger-Schluga, T

    2005-01-01

    We describe collaboration networks consisting of research projects funded by the European Union and the organizations involved in those projects. The networks are of substantial size and complexity, but are important to understand due to the significant impact they could have on research policies and national economies in the EU. In empirical determinations of the network properties, we observe characteristics similar to other collaboration networks, including scale-free degree distributions, small diameter, and high clustering. We present some plausible models for the formation and structure of networks with the observed properties.

  11. Transgovernmental networks in the European Union

    DEFF Research Database (Denmark)

    Hobolth, Mogens; Martinsen, Dorte Sindbjerg

    2013-01-01

    -alarm oversight mechanisms by means of transgovernmental networks (TGNs) to its toolbox. This article examines the work mode, horizontalness and effectiveness of such networks as newer governance tools to oversee and monitor the compliance with EU law. It draws on a unique dataset on the Solvit network, enabling...... us to examine effectiveness and variation of a transgovernmental network in operation. The article substantiates the relevance of TGNs in identifying and solving manifold and complex problems of misapplied EU law, finds that the Commission constitutes a focal point in this type of multilevel...

  12. European Cities in the World City Network

    NARCIS (Netherlands)

    P. Taylor (Peter)

    2003-01-01

    textabstractThis is primarily an empirical paper that brings together selected results from the GaWC research programme. The latter studies inter-city relations at a global scale. Empirical research is based upon a model of world city network network formation as a product of the location strategies

  13. Creation of a European network dedicated to technology transfer

    CERN Document Server

    2008-01-01

    The CERN Council recently approved the creation of a technology transfer network, whose aim will be to improve European industry’s access to the technologies developed by the particle physics community in the Member States. The gas detectors for the TOTEM experiment (GEM) offer potential for fruitful collaboration within the framework of the TT network. Many other technologies are going down the same road.The desire to set up a technology transfer network follows on from the European Strategy for Particle Physics, approved by the CERN Council on 14 July 2006 in Lisbon. In this context, special emphasis was laid on European industry’s participation in the implementation of particle physics programmes and, in particular, its access to the new technologies developed by the scientific community. It was recognised that effort needs to be put into improving the efficiency of technology transfer...

  14. Evaluating an educational intervention to inprove the treatment of asthma in four European countries

    NARCIS (Netherlands)

    Veninga, CCM; Lagerlov, P; Wahlstrom, R; Muskova, M; Denig, P; Berkhof, J; Kochen, MM; Haaijer-Ruskamp, FM

    1999-01-01

    In the international Drug Education Project, a new educational program for peer groups of doctors was developed and tested to improve the treatment of asthma patients in The Netherlands, Norway, Sweden, and Slovakia. Individualized feedback on prescribing and the underlying decision strategy was pre

  15. The development of the MeDALL Core Questionnaires for a harmonized follow-up assessment of eleven European birth cohorts on asthma and allergies

    DEFF Research Database (Denmark)

    Hohmann, Cynthia; Pinart, Mariona; Tischer, Christina;

    2014-01-01

    of the harmonized MeDALL-Core Questionnaire (MeDALL-CQ) used prospectively in 11 European birth cohorts. METHODS: The harmonization of questions was accomplished in 4 steps: (i) collection of variables from 14 birth cohorts, (ii) consensus on questionnaire items, (iii) translation and back...... plan, conduct and support future common asthma and allergy research initiatives in Europe....

  16. Evaluation of a Partial Genome Screening of Two Asthma Susceptibility Regions Using Bayesian Network Based Bayesian Multilevel Analysis of Relevance

    OpenAIRE

    Ildikó Ungvári; Gábor Hullám; Péter Antal; Petra Sz Kiszel; András Gézsi; Éva Hadadi; Viktor Virág; Gergely Hajós; András Millinghoffer; Adrienne Nagy; András Kiss; Semsei, Ágnes F.; Gergely Temesi; Béla Melegh; Péter Kisfali

    2012-01-01

    Genetic studies indicate high number of potential factors related to asthma. Based on earlier linkage analyses we selected the 11q13 and 14q22 asthma susceptibility regions, for which we designed a partial genome screening study using 145 SNPs in 1201 individuals (436 asthmatic children and 765 controls). The results were evaluated with traditional frequentist methods and we applied a new statistical method, called bayesian network based bayesian multilevel analysis of relevance (BN-BMLA). Th...

  17. The European Narcolepsy Network (EU-NN) database.

    Science.gov (United States)

    Khatami, Ramin; Luca, Gianina; Baumann, Christian R; Bassetti, Claudio L; Bruni, Oliviero; Canellas, Francesca; Dauvilliers, Yves; Del Rio-Villegas, Rafael; Feketeova, Eva; Ferri, Raffaele; Geisler, Peter; Högl, Birgit; Jennum, Poul; Kornum, Birgitte R; Lecendreux, Michel; Martins-da-Silva, Antonio; Mathis, Johannes; Mayer, Geert; Paiva, Teresa; Partinen, Markku; Peraita-Adrados, Rosa; Plazzi, Guiseppe; Santamaria, Joan; Sonka, Karel; Riha, Renata; Tafti, Mehdi; Wierzbicka, Aleksandra; Young, Peter; Lammers, Gert Jan; Overeem, Sebastiaan

    2016-06-01

    Narcolepsy with cataplexy is a rare disease with an estimated prevalence of 0.02% in European populations. Narcolepsy shares many features of rare disorders, in particular the lack of awareness of the disease with serious consequences for healthcare supply. Similar to other rare diseases, only a few European countries have registered narcolepsy cases in databases of the International Classification of Diseases or in registries of the European health authorities. A promising approach to identify disease-specific adverse health effects and needs in healthcare delivery in the field of rare diseases is to establish a distributed expert network. A first and important step is to create a database that allows collection, storage and dissemination of data on narcolepsy in a comprehensive and systematic way. Here, the first prospective web-based European narcolepsy database hosted by the European Narcolepsy Network is introduced. The database structure, standardization of data acquisition and quality control procedures are described, and an overview provided of the first 1079 patients from 18 European specialized centres. Due to its standardization this continuously increasing data pool is most promising to provide a better insight into many unsolved aspects of narcolepsy and related disorders, including clear phenotype characterization of subtypes of narcolepsy, more precise epidemiological data and knowledge on the natural history of narcolepsy, expectations about treatment effects, identification of post-marketing medication side-effects, and will contribute to improve clinical trial designs and provide facilities to further develop phase III trials. PMID:26809504

  18. Network Codes – European Energy Law in the Making

    Directory of Open Access Journals (Sweden)

    Grzegorz Błajszczak

    2015-06-01

    Full Text Available The European Union is preparing a series of regulations governing in detail various aspects of grid operation and free-market trade in electricity and gas, the so-called network codes. The paper reviews this process of European energy legislation development. Also discussed are the European Union bodies and major stakeholders in this process, as well as the national law making and enforcing agencies. In the past, law in Poland was created by Polish citizens. After joining the European Union the law in effect is largely created elsewhere by someone else, even if with significant participation of Polish representatives. The law on energy is not only important for producers, distributors and trading companies, but it strongly effects industrial competitiveness and hence the quality of life of the population.

  19. A European network for nuclear medicine and radiotherapy. EMIR

    International Nuclear Information System (INIS)

    Nuclear medicine and radiotherapy make a vital contribution to the diagnosis and treatment of major disease. This role is likely to expand with new developments including availability of new medical isotopes. A European network (EMIR) was initiated in 2001 by the Joint Research Centre (JRC) of the European Commission, to identify and solve difficulties that constrain nuclear medicine and radiotherapy development in Europe and facilitate closer interdisciplinary collaboration. Participating organisations include the main European associations of medical radiation specialists, radiopharmaceutical/radioisotope producers, nuclear research reactor institutions, research organizations and the JRC. The steering committee established task groups focusing on eight key areas for development. Liaison with non-European organizations will be encouraged. (author)

  20. Geography versus topology in the European Ownership Network

    International Nuclear Information System (INIS)

    In this paper, we investigate the network of ownership relationships among European firms and its embedding in the geographical space. We carry out a detailed analysis of geographical distances between pairs of nodes, connected by edges or by shortest paths of varying length. In particular, we study the relation between geographical distance and network distance in comparison with a random spatial network model. While the distribution of geographical distance can be fairly well reproduced, important deviations appear in the network distance and in the size of the largest strongly connected component. Our results show that geographical factors allow us to capture several features of the network, while the deviations quantify the effect of additional economic factors at work in shaping the topology. The analysis is relevant to other types of geographically embedded networks and sheds light on the link formation process in the presence of spatial constraints.

  1. Mobility and power in networked European space

    DEFF Research Database (Denmark)

    Richardson, Tim; Jensen, Ole B.

    This paper seeks to contribute to debates about how urban, social and critical theory can conceptualise the socio-technologies of connection, resilience, mobility, and collapse in contemporary urban space. The paper offers a theoretical frame for conceptualising this New Urban Condition, focusing...... on themes of mobility, power, flow, network and scale. The analysis suggests the importance of close atention to the knowledge claims which are deployed in multi-level struggles to assert smooth futures in face of dysfunction....

  2. Asthma control and management in 8,000 European patients : the REcognise Asthma and LInk to Symptoms and Experience (REALISE) survey

    NARCIS (Netherlands)

    Price, David; Fletcher, Monica; van der Molen, Thys

    2014-01-01

    BACKGROUND: Asthma is one of the most common chronic diseases in the world, and previous studies have reported low levels of control. Recent developments in the availability and use of online sources of information about asthma might add to patients' knowledge and help improve control. AIMS: To inve

  3. The European VLF/LF radio network: current status

    Science.gov (United States)

    Biagi, Pier Francesco; Maggipinto, Tommaso; Ermini, A.

    2014-11-01

    For several years researches about correlation between seismicity and disturbances in radio broadcasting are being carried out: in particular, the Japanese Pacific VLF radio network and the European VLF-LF radio network have been developed during the last years. The European network has been developed starting from two LF receivers located in central Italy in 1996. Up to now, 11 receivers of a new type, able to sample the VLF and LF intensity of ten radio signals, are being into operation in different European countries. The daily updating of data is effective and the data bank is located at the Department of Physics of the University of Bari (Italy) which is the central node of the network. In order to discover anomalies, the software able to carry out automatically a daily data analysis by the Wavelet spectra method has been planned and realized. At the moment, the software operates on four signals (two LF and two VLF) collected by one of the receiver located in Italy. If the anomaly is particularly strong a warning system gives an advise on the work station into operation in the central node of the Network. In any case, before assuming an anomaly as a seismic anomaly, geomagnetic and meteorological data must be checked as well as any possible instrumental malfunction. At present these controls are carried out only discontinuously by the researchers of the Bari Team.

  4. A holey web: the European network of news flows - a network analysis

    NARCIS (Netherlands)

    J. Moller

    2010-01-01

    This study investigates the structure of the European network of newsflows. According to recent literature in the field, the horizontal integration of national public spheres is a constitutive element of a European public sphere. Based on a sample of news items in 25 countries, we present a comprehe

  5. Gap analysis of the European Earth Observation Networks

    Science.gov (United States)

    Closa, Guillem; Serral, Ivette; Maso, Joan

    2016-04-01

    Earth Observations (EO) are fundamental to enhance the scientific understanding of the current status of the Earth. Nowadays, there are a lot of EO services that provide large volume of data, and the number of datasets available for different geosciences areas is increasing by the day. Despite this coverage, a glance of the European EO networks reveals that there are still some issues that are not being met; some gaps in specific themes or some thematic overlaps between different networks. This situation requires a clarification process of the actual status of the EO European networks in order to set priorities and propose future actions that will improve the European EO networks. The aim of this work is to detect the existing gaps and overlapping problems among the European EO networks. The analytical process has been done by studying the availability and the completeness of the Essential Variables (EV) data captured by the European EO networks. The concept of EVs considers that there are a number of parameters that are essential to characterize the state and trends of a system without losing significant information. This work generated a database of the existing gaps in the European EO network based on the initial GAIA-CLIM project data structure. For each theme the missing or incomplete data about each EV was indentified. Then, if incomplete, the gap was described by adding its type (geographical extent, vertical extent, temporal extent, spatial resolution, etc), the cost, the remedy, the feasibility, the impact and the priority, among others. Gaps in EO are identified following the ConnectinGEO methodology structured in 5 threads; identification of observation requirements, incorporation of international research programs material, consultation process within the current EO actors, GEOSS Discovery and Access Broker analysis, and industry-driven challenges implementation. Concretely, the presented work focuses on the second thread, which is based on

  6. Realising the European network of biodosimetry: RENEB-status quo

    International Nuclear Information System (INIS)

    Creating a sustainable network in biological and retrospective dosimetry that involves a large number of experienced laboratories throughout the European Union (EU) will significantly improve the accident and emergency response capabilities in case of a large-scale radiological emergency. A well-organised cooperative action involving EU laboratories will offer the best chance for fast and trustworthy dose assessments that are urgently needed in an emergency situation. To this end, the EC supports the establishment of a European network in biological dosimetry (RENEB). The RENEB project started in January 2012 involving cooperation of 23 organisations from 16 European countries. The purpose of RENEB is to increase the biodosimetry capacities in case of large-scale radiological emergency scenarios. The progress of the project since its inception is presented, comprising the consolidation process of the network with its operational platform, intercomparison exercises, training activities, proceedings in quality assurance and horizon scanning for new methods and partners. Additionally, the benefit of the network for the radiation research community as a whole is addressed. (authors)

  7. Homophily in coauthorship networks of East European sociologists

    Science.gov (United States)

    Hâncean, Marian-Gabriel; Perc, Matjaž

    2016-01-01

    We study to what degree and how homophily and network properties affect individual citation counts of researchers in the sociology departments of three East European countries, namely Poland, Romania, and Slovenia. We built first-order personal coauthorship networks out of the Web of Science publication records. Each sociologist is assigned as a focal node or ego, while her coauthors are alters. We analyze the data using structural measurements methods, hierarchical regression models, and we make visualizations based on the clustered graph technique. For all three populations, our results indicate that the mean score of the citations of alters substantially predicts the citation counts of egos. In particular, citation similarity increases the chances for coauthorship ties. Evidence for the impact of network properties on the citation levels of egos is mixed. For Poland, normalized ego-betweenness shows a negative effect on citation counts, while network density displays a positive one. For Romania and Slovenia, network characteristics have only a minor impact. Even if the visual summarization of the personal networks uncovers a wide palette of coauthorship patterns, homophily appears to be pervasive. These results are relevant for domestic policy makers who aim to improve the aggregated research performance in East European countries. PMID:27786271

  8. Multiple Hub Network Choice in the Liberalized European Market

    Science.gov (United States)

    Berechman, Joseph; deWit, Jaap

    1997-01-01

    . In the meantime, open skies agreements have been concluded between the USA and most of the EU member states to facilitate strategic alliances between airlines of the states involved. As a result of this on-going liberalization the model of the single 'national' carrier using the national home base as its single hub for the designated third, fourth and sixth freedom operations will stepwise disappear. Within the EU the concept of the national carrier has already been replaced by that of the community carrier. State ownership in more and more European carriers is reduced. On the longer run mergers or even bankruptcy will further undermine the "single national carrier - single national hub" model in Europe. In the meantime, strategic alliances between national carriers in Europe will already reduce the airlines' loyalty to a single airport. Profit maximization and accountability to share holders will supersede the loyalty of these newly emerging alliances, probably looking for the opportunities of a multiple hub network to adequately cover the whole European market. As a consequence, some European airports might see a substantial decline in arriving, departing and transfer traffic, thus in revenues and financial solvency, as well as in their connection to other inter-continental and intra-European destinations. At the same time, other airports might realize a significant increase in traffic as they will be sought after by the profit maximizing airlines as their major gateway hubs. Which will be the losing airports and which will be the winning ones? Can airports anticipate the actions of airlines in deregulated markets and utilize policies which will improve their relative position? If so, what should be these anticipatory policies? These questions become the more urgent, since an increasing number of major European airports will be privatized in the near future. Although increasing airport congestion in Europe will also be reflected in a growing demand pressure for

  9. Asthma and exposure to cleaning products: a European Academy of Allergy and Clinical Immunology task force consensus statement.

    NARCIS (Netherlands)

    Siracusa, A.; Blay, F. de; Folletti, I.; Moscato, G.; Olivieri, M.; Quirce, S.; Raulf-Heimsoth, M.; Sastra, J.; Tarlo, S.M.; Walusiak-Skorupa, J.; Zock, J.P.

    2013-01-01

    Professional and domestic cleaning is associated with work-related asthma (WRA). This position paper reviews the literature linking exposure to cleaning products and the risk of asthma and focuses on prevention. Increased risk of asthma has been shown in many epidemiological and surveillance studies

  10. European consensus statement on diagnosis and treatment of adult ADHD: the European Network adult ADHD

    LENUS (Irish Health Repository)

    Kooij, Sandra JJ

    2010-09-03

    Abstract Background Attention deficit hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that persists into adulthood in the majority of cases. The evidence on persistence poses several difficulties for adult psychiatry considering the lack of expertise for diagnostic assessment, limited treatment options and patient facilities across Europe. Methods The European Network Adult ADHD, founded in 2003, aims to increase awareness of this disorder and improve knowledge and patient care for adults with ADHD across Europe. This Consensus Statement is one of the actions taken by the European Network Adult ADHD in order to support the clinician with research evidence and clinical experience from 18 European countries in which ADHD in adults is recognised and treated. Results Besides information on the genetics and neurobiology of ADHD, three major questions are addressed in this statement: (1) What is the clinical picture of ADHD in adults? (2) How can ADHD in adults be properly diagnosed? (3) How should ADHD in adults be effectively treated? Conclusions ADHD often presents as an impairing lifelong condition in adults, yet it is currently underdiagnosed and treated in many European countries, leading to ineffective treatment and higher costs of illness. Expertise in diagnostic assessment and treatment of ADHD in adults must increase in psychiatry. Instruments for screening and diagnosis of ADHD in adults are available and appropriate treatments exist, although more research is needed in this age group.

  11. European Marine Observation and Data Network EMODnet Physics

    Directory of Open Access Journals (Sweden)

    Antonio Novellino

    2014-10-01

    Full Text Available Recently the European Commission undertook steps towards a European Marine Observation and Data Network (EMODnet in order to standardize method for observing and assessing the grade of the Member States seas and improve access to high quality data. Since 2008-2009, European Commission, represented by the Directorate-General for Maritime Affairs and Fisheries (DG MARE, is running several service contracts for creating pilot thematic components of the ur-EMODNET: Biology, Bathymetry, Chemistry, Geology, Habitats, and Physics.The existing EMODnet-Physics portal (www.emodnet-physics.eu is based on a strong collaboration between EuroGOOS member institutes and its regional operational oceanographic systems (ROOSs, and the National Oceanographic Data Centres (NODCs, and it is a marine observation information system. It includes systems for physical data from the whole Europe (wave height andperiod, temperature of the water column, wind speed and direction, salinity of the water column, horizontal velocity of the water column, light attenuation, and sea level provided mainly by fixed stations and ferry-box platforms, discovering related data sets (both near real time and historical data sets, viewing and downloading of the data from about 2100 platforms (www.emodnetphysics.eu/map and thus contributing towards the definition of an operational European Marine Observation and Data Network (EMODnet.

  12. European network for research in global change (ENRICH)

    Energy Technology Data Exchange (ETDEWEB)

    Ghazi, A. [European Commission, Bruxelles (Belgium). DG XII/JRC

    1995-12-31

    While approaching the beginning of the twenty first century, the scientific community is faced with the formidable tasks of monitoring and detecting, understanding and predicting changes in the Earth System and its interactions with human beings. A crucial challenge is to make scientific research results accessible and usable for those involved in the decision making process related to the concept of Sustainable Development. Major international scientific programmes under the umbrella of ICSU, such as the IGBP and WCRP, are dealing with these issues. Although there exist many well developed global change research programmes in several European countries and effective collaboration networks between research institutes, there is an urgent need for overall communication with a view to promoting wider international links ensuring complementarity, synergy and coherence. Recognizing the importance of promoting coherence in research and utilising research results for various European Union (EU) policies, the European Commissioner responsible for Science, Research and Development wrote in March 1992 to all the EU Research Ministers to propose an initiative in this domain. In a rapid response, a group of Senior Experts from the EU Member States was set up in April 1992. This Group established a Task Force to develop the concept of the European Network for Research In Global CHange (ENRICH) which was approved in July 1993

  13. Network bipartivity and the transportation efficiency of European passenger airlines

    Science.gov (United States)

    Estrada, Ernesto; Gómez-Gardeñes, Jesús

    2016-06-01

    The analysis of the structural organization of the interaction network of a complex system is central to understand its functioning. Here, we focus on the analysis of the bipartivity of graphs. We first introduce a mathematical approach to quantify bipartivity and show its implementation in general and random graphs. Then, we tackle the analysis of the transportation networks of European airlines from the point of view of their bipartivity and observe significant differences between traditional and low cost carriers. Bipartivity shows also that alliances and major mergers of traditional airlines provide a way to reduce bipartivity which, in its turn, is closely related to an increase of the transportation efficiency.

  14. Networking as a tool to promote stakeholder involvement: Example of the European ALARA Network

    International Nuclear Information System (INIS)

    The European ALARA Network (EAN), set up in 1996 by the European Commission, has helped reveal stakeholders needs regarding feedback on good radiation protection practice and helped towards stakeholders' satisfaction through their direct involvement into the network's life. Good examples of that involvement are the EAN workshops. The stakeholders are involved during the preparation phase, the workshops themselves, the development of recommendations and finally within the follow up actions. More and more categories of stakeholders are interested in topics covered within the EAN, and other similar networks are being set up in other regions. (author)

  15. Validation of the Korean version of the European Community Respiratory Health Survey screening questionnaire for use in epidemiologic studies for adult asthma

    OpenAIRE

    Song, Woo-Jung; Lee, So-Hee; Kang, Min-Gyu; Kim, Ju-Young; Kim, Mi-Young; Jo, Eun-Jung; Lee, Suh-Young; Lee, Seung-eun; Kim, Min-Hye; Yang, Min-Suk; Kim, Sae-Hoon; Kang, Hye-Ryun; Park, Hye-Kyung; Park, Heung-Woo; Chang, Yoon-Seok

    2015-01-01

    Background Standardized questionnaire is one of key instruments for general population surveys. Objective The present study aimed to develop and validate the Korean version of the European Community Respiratory Health Survey (ECRHS) screening questionnaire for adult asthma surveys. Methods The ECRHS screening questionnaire was translated into Korean language according to the international criteria. Study participants were prospectively recruited from six referral hospitals and one health chec...

  16. Evaluation of a partial genome screening of two asthma susceptibility regions using bayesian network based bayesian multilevel analysis of relevance.

    Directory of Open Access Journals (Sweden)

    Ildikó Ungvári

    Full Text Available Genetic studies indicate high number of potential factors related to asthma. Based on earlier linkage analyses we selected the 11q13 and 14q22 asthma susceptibility regions, for which we designed a partial genome screening study using 145 SNPs in 1201 individuals (436 asthmatic children and 765 controls. The results were evaluated with traditional frequentist methods and we applied a new statistical method, called bayesian network based bayesian multilevel analysis of relevance (BN-BMLA. This method uses bayesian network representation to provide detailed characterization of the relevance of factors, such as joint significance, the type of dependency, and multi-target aspects. We estimated posteriors for these relations within the bayesian statistical framework, in order to estimate the posteriors whether a variable is directly relevant or its association is only mediated.With frequentist methods one SNP (rs3751464 in the FRMD6 gene provided evidence for an association with asthma (OR = 1.43(1.2-1.8; p = 3×10(-4. The possible role of the FRMD6 gene in asthma was also confirmed in an animal model and human asthmatics.In the BN-BMLA analysis altogether 5 SNPs in 4 genes were found relevant in connection with asthma phenotype: PRPF19 on chromosome 11, and FRMD6, PTGER2 and PTGDR on chromosome 14. In a subsequent step a partial dataset containing rhinitis and further clinical parameters was used, which allowed the analysis of relevance of SNPs for asthma and multiple targets. These analyses suggested that SNPs in the AHNAK and MS4A2 genes were indirectly associated with asthma. This paper indicates that BN-BMLA explores the relevant factors more comprehensively than traditional statistical methods and extends the scope of strong relevance based methods to include partial relevance, global characterization of relevance and multi-target relevance.

  17. Does pet ownership in infancy lead to asthma or allergy at school age? Pooled analysis of individual participant data from 11 European birth cohorts.

    Directory of Open Access Journals (Sweden)

    Karin C Lødrup Carlsen

    Full Text Available OBJECTIVE: To examine the associations between pet keeping in early childhood and asthma and allergies in children aged 6-10 years. DESIGN: Pooled analysis of individual participant data of 11 prospective European birth cohorts that recruited a total of over 22,000 children in the 1990s. EXPOSURE DEFINITION: Ownership of only cats, dogs, birds, rodents, or cats/dogs combined during the first 2 years of life. OUTCOME DEFINITION: Current asthma (primary outcome, allergic asthma, allergic rhinitis and allergic sensitization during 6-10 years of age. DATA SYNTHESIS: Three-step approach: (i Common definition of outcome and exposure variables across cohorts; (ii calculation of adjusted effect estimates for each cohort; (iii pooling of effect estimates by using random effects meta-analysis models. RESULTS: We found no association between furry and feathered pet keeping early in life and asthma in school age. For example, the odds ratio for asthma comparing cat ownership with "no pets" (10 studies, 11489 participants was 1.00 (95% confidence interval 0.78 to 1.28 (I(2 = 9%; p = 0.36. The odds ratio for asthma comparing dog ownership with "no pets" (9 studies, 11433 participants was 0.77 (0.58 to 1.03 (I(2 = 0%, p = 0.89. Owning both cat(s and dog(s compared to "no pets" resulted in an odds ratio of 1.04 (0.59 to 1.84 (I(2 = 33%, p = 0.18. Similarly, for allergic asthma and for allergic rhinitis we did not find associations regarding any type of pet ownership early in life. However, we found some evidence for an association between ownership of furry pets during the first 2 years of life and reduced likelihood of becoming sensitized to aero-allergens. CONCLUSIONS: Pet ownership in early life did not appear to either increase or reduce the risk of asthma or allergic rhinitis symptoms in children aged 6-10. Advice from health care practitioners to avoid or to specifically acquire pets for primary prevention of asthma or allergic

  18. Respiratory symptoms in adults are related to impaired quality of life, regardless of asthma and COPD: results from the European community respiratory health survey

    Directory of Open Access Journals (Sweden)

    Bakke Per S

    2010-09-01

    Full Text Available Abstract Background Respiratory symptoms are common in the general population, and their presence is related to Health-related quality of life (HRQoL. The objective was to describe the association of respiratory symptoms with HRQoL in subjects with and without asthma or COPD and to investigate the role of atopy, bronchial hyperresponsiveness (BHR, and lung function in HRQoL. Methods The European Community Respiratory Health Survey (ECRHS I and II provided data on HRQoL, lung function, respiratory symptoms, asthma, atopy, and BHR from 6009 subjects. Generic HRQoL was assessed through the physical component summary (PCS score and the mental component summary (MCS score of the SF-36. Factor analyses and linear regressions adjusted for age, gender, smoking, occupation, BMI, comorbidity, and study centre were conducted. Results Having breathlessness at rest in ECRHS II was associated with mean score (95% CI impairment in PCS of -8.05 (-11.18, -4.93. Impairment in MCS score in subjects waking up with chest tightness was -4.02 (-5.51, -2.52. The magnitude of HRQoL impairment associated with respiratory symptoms was similar for subjects with and without asthma/COPD. Adjustments for atopy, BHR, and lung function did not explain the association of respiratory symptoms and HRQoL in subjects without asthma and/or COPD. Conclusion Subjects with respiratory symptoms had poorer HRQoL; including subjects without a diagnosis of asthma or COPD. These findings suggest that respiratory symptoms in the absence of a medical diagnosis of asthma or COPD are by no means trivial, and that clarifying the nature and natural history of respiratory symptoms is a relevant challenge. Several community studies have estimated the prevalence of common respiratory symptoms like cough, dyspnoea, and wheeze in adults 123. Although the prevalence varies to a large degree between studies and geographical areas, respiratory symptoms are quite common. The prevalences of respiratory

  19. How to assess extreme weather impacts - case European transport network

    Science.gov (United States)

    Leviäkangas, P.

    2010-09-01

    To assess the impacts of climate change and preparing for impacts is a process. This process we must understand and learn to apply. EWENT (Extreme Weather impacts on European Networks of Transport) will be a test bench for one prospective approach. It has the following main components: 1) identifying what is "extreme", 2) assessing the change in the probabilities, 3) constructing the causal impact models, 4) finding appropriate methods of pricing and costing, 5) finding alternative strategy option, 6) assessing the efficiency of strategy option. This process follows actually the steps of standardized risk management process. Each step is challenging, but if EWENT project succeeds to assess the extreme weather impacts on European transport networks, it is one possible benchmark how to carry out similar analyses in other regions and on country level. EWENT approach could particularly useful for weather and climate information service providers, offering tools for transport authorities and financiers to assess weather risks, and then rationally managing the risks. EWENT project is financed by the European Commission and participated by met-service organisations and transport research institutes from different parts of Europe. The presentation will explain EWENT approach in detail and bring forth the findings of the first work packages.

  20. Transgovernmental Networks in the European Security and Defense Policy

    Directory of Open Access Journals (Sweden)

    Bastien Irondelle

    2010-08-01

    Full Text Available An increasing number of authors describe the European Union as an advanced form of transgovernmentalism. Whether called Europeanization, supranational intergovernmentalism, multilevel governance, administrative fusion or Brusselisation, the transgovernmentalist thesis states that European politics is shaped by the growing interaction of national government officials at every level of the decision-making process. This paper tests the transgovernmentalist thesis by looking at patterns of formal and informal cooperation in the framework of the European Security and Defence Policy (ESDP. The data is based on a questionnaire circulated among 73 defence officials in France, Germany, the United Kingdom and Brussels-based institutions. The results are analyzed through social network analysis. We find that the governance of ESDP is characterized by a weak form of transgovernmentalism, in which cross-border links do exist but formal state actors occupy strategic positions. In particular, two groups display transgovernmental features: a core policy group of crisis management and capability development officials in and around the Council, and a Franco-German group of capital-based defence actors.

  1. European primary care surveillance networks: an overview of structure and operation.

    NARCIS (Netherlands)

    Deckers, J.G.M.; Paget, W.J.; Schellevis, F.G.; Fleming, D.M.

    2004-01-01

    In many European countries, primary care networks have a important role in public health surveillance. The networks are organised and function differently in EU member states. Their information is a potential source for a European health information and monitoring system as envisaged in the European

  2. Network of participants in European research: accepted versus rejected proposals

    Science.gov (United States)

    Tsouchnika, Maria; Argyrakis, Panos

    2014-12-01

    We investigate the network formed by the collaboration of researchers seeking funding by the European Commission by submitting research proposals. Institutions are network nodes and collaborations are links between the nodes. We constructed one network for the accepted proposals and one for the rejected ones, in order to look for any structural differences between them. To this end, first, we compare the size of the largest connected components and the resulting degree distributions. The latter show notable difference only in the region of relatively small degrees. We calculate the assortative mixing by participant type, i.e. a property which indicates whether the participant is a university/research institute, a company (non-profit included), or undefined. By aggregating the data of both networks into three geographical scales (city, region, country), we compare the degree assortativity and average node weight, in all scales. With respect to these two features the networks display similar behaviour. Finally, we compare a series of centrality measures and the Minimum Spanning Trees, at the country scale, to assess the relative performance of the countries. We find that five countries, France, Germany, the United Kingdom, Spain and Italy, play a central role in both networks, however, their relative significance is not the same.

  3. EARLINET: towards an advanced sustainable European aerosol lidar network

    Directory of Open Access Journals (Sweden)

    G. Pappalardo

    2014-03-01

    Full Text Available The European Aerosol Research Lidar Network, EARLINET was founded in 2000 as a research project for establishing a quantitative, comprehensive and statistically significant database for the horizontal, vertical, and temporal distribution of aerosols on a continental scale. Since then EARLINET is continuing to provide the most extensive collection of ground-based data for the aerosol vertical distribution over Europe. This paper gives an overview of the network's main developments since 2000 and introduces the dedicated EARLINET special issue which reports on the present innovative and comprehensive technical solutions and scientific results related to the use of advanced lidar remote sensing techniques for the study of aerosol properties as developed within the network in the last thirteen years. Since 2000, EARLINET has strongly developed in terms of number of stations and spatial distribution, from 17 stations in 10 countries in 2000, to 27 stations in 16 countries in 2013. EARLINET has strongly developed also in terms of technological advances with the spread of advanced multi-wavelength Raman lidar stations in Europe. The developments for the quality assurance strategy, the optimization of instruments and data processing and dissemination of data have contributed to a significant improvement of the network towards a more sustainable observing system, with an increase of the observing capability and a reduction of operational costs. Consequently, EARLINET data have already been extensively used for many climatological studies, long-range transport events, Saharan dust outbreaks, plumes from volcanic eruptions and for model evaluation and satellite data validation and integration. Future plans are in the direction of continuous measurements and near real time data delivery in close cooperation with other ground-based networks, as in the ACTRIS research infrastructure, and with the modelling and satellite community, bridging the research

  4. European Nuclear Education Network ENEN, Ten years of experience

    International Nuclear Information System (INIS)

    Conclusions: Networking between European Universities based on mutual recognition (ECTS Bologna system) enabled: • Development of new academic programmes at a Master level; • Mobility of students to hosting universities, members of ENEN; • Mobility of Professors to teach in other Universities, when needed; • Maintain the quality of the educational programmes; • Joint and successful organisation of activities in the fields of: Education, Training and Knowledge Management; • The establishment of bridges between the Universities and the end-users (industries, regulatory bodies, research centres, etc.)

  5. Trans-European transport network and cross-border governance

    DEFF Research Database (Denmark)

    Guasco, Clement Nicolas

    2014-01-01

    This article looks at the implementation of trans-European transport corridors in the EU and the influence it has on governance within EU member-states. It considers the implementation of such a scheme in the context of cross-border cooperation and discusses the system of governance necessary...... for coordinating knowledge, efforts and solutions across several national systems. In order to understand this governance setting, one needs to understand the specific quality of transnational governance in the EU, which is neither purely international nor federally integrated. The transport corridor between Malmö...... and Hamburg is taken as a case for discussion. Cross-border governance is analyzed within a multi-level policy network approach including actors from supranational, national and subnational levels, in order to determine the existence of a policy network across the borders. The main finding is a depiction...

  6. Trans-European transport network and cross-border governance

    DEFF Research Database (Denmark)

    Guasco, Clement Nicolas

    2014-01-01

    This article looks at the implementation of trans-European transport corridors in the EU and the influence it has on governance within EU member-states. It considers the implementation of such a scheme in the context of cross-border cooperation and discusses the system of governance necessary for...... coordinating knowledge, efforts and solutions across several national systems. In order to understand this governance setting, one needs to understand the specific quality of transnational governance in the EU, which is neither purely international nor federally integrated. The transport corridor between Malmö...... and Hamburg is taken as a case for discussion. Cross-border governance is analyzed within a multi-level policy network approach including actors from supranational, national and subnational levels, in order to determine the existence of a policy network across the borders. The main finding is a...

  7. Special features in managing European Training Networks (ETN)

    Science.gov (United States)

    Henkel, Daniela; Eisenhauer, Anton; Drossou-Berendes, Alexandra

    2016-04-01

    The Marie Skłodowska-Curie European Training Networks (ETN) within Horizon 2020, the EU Framework Programme for Research and Innovation, aim to train a new generation of creative and innovative early-stage researchers with focus on both scientific excellence and researchers' career development extending the traditional academic research training, and providing researchers with tools to develop scientific expertise and transferable skills needed to establish career perspectives in academia as well as non-academia. This profile is different from what we know from "typical" collaborative projects, and project consortia face specific challenges with regard to international recruitment, joint organization of network activities, financial regulations, etc. The poster will give an overview of the main ETN features emphasizing special requirements and needs, and identifying main challenges, which may rise.

  8. Nocturnal Asthma

    Science.gov (United States)

    ... Medical Director, Health Initiatives View full profile Nocturnal Asthma Worsening of asthma at night, or nocturnal asthma, ... give extra protection during the night. More Nocturnal Asthma Information Back to Asthma: Types Print Page Email ...

  9. Asthma Basics

    Science.gov (United States)

    ... Tropical Delight: Melon Smoothie Pregnant? Your Baby's Growth Asthma Basics KidsHealth > For Parents > Asthma Basics Print A ... Asthma Categories en español Asma: aspectos fundamentales About Asthma Asthma is a common lung condition in kids ...

  10. Network evolution, success, and regional development in the European aerospace industry

    OpenAIRE

    Guffarth, Daniel; Barber, Michael J.

    2014-01-01

    The success breeds success hypothesis has been mainly applied to theoretical network approaches. We investigate the European aerospace industry using data on the European Framework Programmes and on Airbus suppliers, focusing on the success breeds success hypothesis at four levels of analysis: the spatial structure of the European aerospace R&D collaboration network, its topological architecture, the individual actors that make up the network, and through a comparison of the Airbus invention ...

  11. Influence of asthma definition on the asthma-obesity relationship

    OpenAIRE

    Cetlin Andrea; Gutierrez Manoel; Bettiol Heloísa; Barbieri Marco; Vianna Elcio

    2012-01-01

    Abstract Background Epidemiological studies suggest an association between obesity and asthma in adults and children. Asthma diagnosis criteria are different among studies. The aim of this study was to test the influence of asthma definition on the asthma-obesity relationship. Methods In a cross-sectional analysis of 1922 men and women, subjects completed a translated questionnaire from the European Community Respiratory Health Survey and underwent spirometry and a bronchial challenge test. W...

  12. National and international interlocking directorates within Europe : Corporate networks within and among fifteen European countries

    NARCIS (Netherlands)

    van Veen, K.; Kratzer, J.

    2011-01-01

    This article focuses on the structural aspects of interlocking directorate networks within and among fifteen European countries. The results show large quantitative differences in network densities within countries. These differences are strongly and significantly related to the 'variety of capitali

  13. Drug prescribing data used in the assessment of general practitioners’ treatment of asthma and urinary tract infection – Experience from the European Drug Education Project

    Directory of Open Access Journals (Sweden)

    Per Lagerløv

    2009-11-01

    Full Text Available  ABSTRACTDescribing drug treatment given by general practitioners, and quantifying changes in their prescribingbehaviour due to educational intervention, were important parts of the method developed and appliedby the European Drug Education Project. Based on the physicians’ prescription data, individual patientswere defined as having either asthma or urinary tract infections. Prescribing indicators were establishedfor assessing the quality (acceptable or unacceptable of the drug treatment. The diagnose definitionsand prescribing indicators are discussed in more detail in relation to feeding back individual prescribingdata to educational groups of physicians to improve the quality of their drug therapy.

  14. The European Nuclear Society Young Generation Network: Five years of networking experience

    International Nuclear Information System (INIS)

    In 1995, Mr Jan Runermark (Sweden), aware of a need for an exchange of knowledge from the older to the younger generation, came up with the idea of starting a European Nuclear Society Young Generation Network. A first network was formed with Sweden, the Netherlands, Spain, Finland, Germany and Belgium. The ENSYGN is now affiliated to the European Nuclear Society and brings together young students and professionals from 21 member countries Belgium, Bulgaria, Croatia, Czech Republic, Denmark Finland, France, Germany, Hungary, Italy, Netherlands, Poland, Romania, Russia, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Ukraine, and United Kingdom, The ENSYGN Core group meets (at least) twice a year and elects its own chair and co chair for a term of two years. The ENSYGN chair has a seat in the ENS Steering Committee and in the ENS Board. The ENSYGN works closely together with other young generation networks from the US, Australia, Japan and South America. ENSYGN organises workshops and courses on European level, takes part in international meetings (fl. UNFCCC, OECD) and stimulates networking on national level

  15. Progress of the European Assistive Technology Information Network.

    Science.gov (United States)

    Gower, Valerio; Andrich, Renzo

    2015-01-01

    The European Assistive Technology Information Network (EASTIN), launched in 2005 as the result of a collaborative EU project, provides information on Assistive Technology products and related material through the website www.eastin.eu. In the past few years several advancements have been implemented on the EASTIN website thanks to the contribution of EU funded projects, including a multilingual query processing component for supporting non expert users, a user rating and comment facility, and a detailed taxonomy for the description of ICT based assistive products. Recently, within the framework of the EU funded project Cloud4All, the EASTIN information system has also been federated with the Unified Listing of assistive products, one of the building blocks of the Global Public Inclusive Infrastructure initiative. PMID:26294498

  16. MUPBED: A Pan-European Prototype for Multi-Domain Research Networks

    DEFF Research Database (Denmark)

    Spaeth, Jan; Cavazzoni, Carlo; Foisel, Hans-Martin;

    2009-01-01

    Integration and full interoperability are challenging areas of research in wide-area networks today. A European project, MUPBED, has recently concluded and achieved the main result of integrating and demonstrating technologies and network solutions that enable the operation of future European res...

  17. The European Judicial Training Network and its Role in the Strategy for the Europeanization of National Judges

    Directory of Open Access Journals (Sweden)

    Simone Benvenuti

    2015-07-01

    Full Text Available This article addresses the building of a European Judicial Training Framework (EJT, notably the establishment, organization and functioning of the European Judicial Training Network (EJTN. After describing the EJTN and retracing its distinctive features – co-operation, decentralization, complementarity, targeting –, the article underlines its peculiar function within EJT, which reflects the role of EJT itself in the strategy for Europeanization of national judges. It then concludes by pointing out and situating other strategic areas where important synergies with EJT for the purpose of judicial Europeanization can be strengthened, notably enhancement of transnational judicial networks and introduction of knowledge management tools in national systems. The article is based on the analysis of documents and scientific literature as well as on empirical research and semi-structured interviews conducted by the author in 2013 and 2014.

  18. Proceedings of the 6th European VLBI Network Symposium

    Science.gov (United States)

    Ros, Eduardo; Porcas, Richard W.; Lobanov, Andrei P.; Zensus, J. Anton

    This volume contains the papers presented at the 6th Symposium of the European VLBI Network, held in Bonn on 25-28 June 2002. The initial aim of these biennial gatherings of European VLBI practitioners was to review in a timely manner new results and technical developments related to Very Long Baseline Interferometry. Now, however, interest and participation in the EVN Symposia reaches far beyond Europe, reflecting the fact that scientific research and development programs are carried out to a high degree in international and often truly global collaborations. More than 120 scientists from around the world registered for participation in the Symposium. The Symposium was hosted by the Max-Planck-Institut für Radioastronomie and was held at the Gustav Stresemann Institut. In addition to the scientific sessions and poster presentations, the program included an EVN Users Meeting, an MPIfR versus Rest-of-the-World football match (highly appropriate given the competing World Cup event!), a visit to the MPIfR's 100m radio telescope in Effelsberg, and a Conference Dinner held in the nearby old walled town of Bad Müunstereifel. To maximize the usefulness of these proceedings (and possibly as a daring precedent) the Editors decided to demand the written versions of talks and posters and to complete the editorial work before the meeting, and to deliver the book to the participants at the beginning of the Symposium. We thank the authors for their cooperation in delivering publication-ready electronic manuscripts and for meeting the strict deadlines. It is highly gratifying that only a handful of the 100 presentations are not represented in this volume. The editors have made minor changes to some of the contributions in order to improve readability, and take responsibility for any errors arising from these changes. Besides the authors, many individuals have contributed to the preparation of the meeting and its proceedings. In addition to many members of the MPIfR staff, we

  19. European Conference on Game Theory & Networking Games and Management

    CERN Document Server

    Mazalov, Vladimir

    2016-01-01

    This contributed volume contains fourteen papers based on selected presentations from the European Conference on Game Theory SING11-GTM 2015, held at Saint Petersburg State University in July 2015, and the Networking Games and Management workshop, held at the Karelian Research Centre of the Russian Academy of Sciences in Petrozvavodsk, Russia, also in July 2015. These papers cover a wide range of topics in game theory, including recent advances in areas with high potential for future work, as well as new developments on classical results. Some of these include A new approach to journal ranking using methods from social choice theory; A differential game of a duopoly in which two firms are competing for market share in an industry with network externalities; The impact of information propagation in the model of tax audits; A voting model in which the results of previous votes can affect the process of coalition formation in a decision-making body; The Selten-Szidarovsky technique for the analysis of Nash equil...

  20. European network infrastructures of observatories for terrestrial Global Change research

    Science.gov (United States)

    Vereecken, H.; Bogena, H.; Lehning, M.

    2009-04-01

    The earth's climate is significantly changing (e.g. IPCC, 2007) and thus directly affecting the terrestrial systems. The number and intensity hydrological extremes, such as floods and droughts, are continually increasing, resulting in major economical and social impacts. Furthermore, the land cover in Europe has been modified fundamentally by conversions for agriculture, forest and for other purposes such as industrialisation and urbanisation. Additionally, water resources are more than ever used for human development, especially as a key resource for agricultural and industrial activities. As a special case, the mountains of the world are of significant importance in terms of water resources supply, biodiversity, economy, agriculture, traffic and recreation but particularly vulnerable to environmental change. The Alps are unique because of the pronounced small scale variability they contain, the high population density they support and their central position in Europe. The Alps build a single coherent physical and natural environment, artificially cut by national borders. The scientific community and governmental bodies have responded to these environmental changes by performing dedicated experiments and by establishing environmental research networks to monitor, analyse and predict the impact of Global Change on different terrestrial systems of the Earths' environment. Several European network infrastructures for terrestrial Global Change research are presently immerging or upgrading, such as ICOS, ANAEE, LifeWatch or LTER-Europe. However, the strongest existing networks are still operating on a regional or national level and the historical growth of such networks resulted in a very heterogeneous landscape of observation networks. We propose therefore the establishment of two complementary networks: The NetwOrk of Hydrological observAtories, NOHA. NOHA aims to promote the sustainable management of water resources in Europe, to support the prediction of

  1. Response criteria for myelofibrosis with myeloid metaplasia: results of an initiative of the European Myelofibrosis Network (EUMNET)

    DEFF Research Database (Denmark)

    Barosi, Giovanni; Bordessoule, Dominique; Briere, Jean;

    2005-01-01

    The European Myelofibrosis Network (EUMNET), a European research network on myelofibrosis with myeloid metaplasia (MMM), has developed a definition of response for the disease by using clinicohematologic, histologic, and cytogenetic criteria. A core set of 5 clinicohematologic criteria was select...

  2. Difficult asthma.

    OpenAIRE

    Ahmet Uslu; Tülay Özdemir

    1989-01-01

    Difficult asthma is a distinct entity of asthma, comprising approximately %5 of asthmatic patients. There is no agreed definition of difficult asthma. It will include asthma uncontrolled by new standard therapy, steroid dependent, steroid resistant and severe asthma. In this study difficult asthma; clinical features, risk factors, pathophysiology and novel therapies are summarized by literatures.

  3. A Network-Based Systematic Study for the Mechanism of the Treatment of Zhengs Related to Cough Variant Asthma

    Directory of Open Access Journals (Sweden)

    Di Chen

    2013-01-01

    Full Text Available Traditional Chinese medicine (TCM has shown significant efficacy in the treatment of cough variant asthma (CVA, a special type of asthma. However, there is shortage of explanations for relevant mechanism of treatment. As Zhengs differentiation is a critical concept in TCM, it is necessary to explain the mechanism of treatment of Zhengs. Based on TCM clinical cases, this study illustrated the mechanism of the treatment of three remarkably relevant Zhengs for CVA: “FengXieFanFei,” “FeiQiShiXuan”, and “QiDaoLuanJi.” To achieve this goal, five steps were carried out: (1 determining feature Zhengs and corresponding key herbs of CVA by analyses of clinical cases; (2 finding out potential targets of the key herbs and clustering them based on their functional annotations; (3 constructing an ingredient-herb network and an ingredient network; (4 identifying modules of the ingredient network; (5 illustrating the mechanism of the treatment by further mining the latent biological implications within each module. The systematic study reveals that the treatment of “FengXieFanFei,” “FeiQiShiXuan,” and “QiDaoLuanJi” has effects on the regulation of multiple bioprocesses by herbs containing different ingredients with functions of steroid metabolism regulation, airway inflammation, and ion conduction and transportation. This network-based systematic study will be a good way to boost the scientific understanding of mechanism of the treatment of Zhengs.

  4. Aerosol radiative forcing in the European Skynet Radiometers network

    Science.gov (United States)

    Estelles, V.; Campanelli, M.; Expósito, F. J.; Utrillas, M. P.; Díaz, J. P.; Martínez-Lozano, J. A.

    2012-04-01

    a variety of sites. In contrast to AERONET, the European Skynet Radiometers network (ESR) is a new research network based in Europe and federated with Skynet-Asia, that uses the Prede POM radiometer, but also elaborates Cimel CE318 measurements. ESR algorithms are open and publicly available. Comparison of aerosol properties derived by ESR with AERONET were already performed (Estellés et al., 2012) with good results. In this study we present a preliminary implementation of a direct aerosol forcing methodology in ESR. The methodology is based on the García et al. (2008) implementation, although it assumes the RSTAR radiative transfer code and the SKYRAD aerosol inversions. Solar radiation data from Burjassot site (Valencia, Spain) and La Laguna (Canary Islands, Spain) are available for the validation, representing urban and maritime/dust environments, respectively.

  5. Traditional Therapies for Severe Asthma.

    Science.gov (United States)

    Wang, Eileen; Hoyte, Flavia C L

    2016-08-01

    Severe asthma is a complex and heterogeneous disease. The European Respiratory Society and American Thoracic Society guidelines define severe asthma for patients 6 years or older as "asthma which requires treatment with high-dose inhaled corticosteroids…plus a second controller or systemic corticosteroids to prevent it from becoming 'uncontrolled' or which remains 'uncontrolled' despite this therapy." This article reviews available traditional therapies, data behind their uses in severe asthma, and varying recommendations. As various asthma endotypes and phenotypes are better understood and characterized, targeted therapies should help improve disease outcomes, efficacy, and cost-effectiveness. PMID:27401628

  6. Social networks: a new source of psychological stress or a way to enhance self-esteem? Negative and positive implications in bronchial asthma.

    Science.gov (United States)

    D'Amato, G; Cecchi, L; Liccardi, G; Pellegrino, F; D'Amato, M; Sofia, M

    2012-01-01

    The Internet and, in particular, social networks are an increasingly important part of daily life for both adolescents and adults who maintain a virtual relationship with others sharing interests and goals. Very often, they disclose more about themselves online than they do in person. However, cyberbullying and cyberostracism can be problematic for adolescents and sensitive individuals, who might be negatively affected by social networks. Some studies have shown an increased risk of depression, whereas others suggest beneficial effects through enhanced communication, social connection, and self-esteem. Bronchial asthma is an increasingly frequent disease in the industrialized world, and psychological implications play a role in increasing or in reducing its severity. One year after the case report of an asthma exacerbation that may have been triggered by Facebook, it seems reasonable to analyze the effects of social networks on bronchial asthma.

  7. Social networks: a new source of psychological stress or a way to enhance self-esteem? Negative and positive implications in bronchial asthma.

    Science.gov (United States)

    D'Amato, G; Cecchi, L; Liccardi, G; Pellegrino, F; D'Amato, M; Sofia, M

    2012-01-01

    The Internet and, in particular, social networks are an increasingly important part of daily life for both adolescents and adults who maintain a virtual relationship with others sharing interests and goals. Very often, they disclose more about themselves online than they do in person. However, cyberbullying and cyberostracism can be problematic for adolescents and sensitive individuals, who might be negatively affected by social networks. Some studies have shown an increased risk of depression, whereas others suggest beneficial effects through enhanced communication, social connection, and self-esteem. Bronchial asthma is an increasingly frequent disease in the industrialized world, and psychological implications play a role in increasing or in reducing its severity. One year after the case report of an asthma exacerbation that may have been triggered by Facebook, it seems reasonable to analyze the effects of social networks on bronchial asthma. PMID:23101183

  8. European Network of Interest in the measurement and analysis of mean sea levels from tide gauges

    OpenAIRE

    Woodworth, P. L.; Spencer, N. E.; Alcock, G

    1989-01-01

    This report attempts to define a representative current 'network' or community of engineers and scientists engaged in the measurement and analysis of European mean sea levels. Addresses are provided for PSMSL date suppliers, for GLOSS contacts and for individual researchers.

  9. Report of the European Myeloma Network on multiparametric flow cytometry in multiple myeloma and related disorders

    DEFF Research Database (Denmark)

    Rawstron, Andy C; Orfao, Alberto; Beksac, Meral;

    2008-01-01

    The European Myeloma Network (EMN) organized two flow cytometry workshops. The first aimed to identify specific indications for flow cytometry in patients with monoclonal gammopathies, and consensus technical approaches through a questionnaire-based review of current practice in participating...

  10. Precision medicine in patients with allergic diseases: Airway diseases and atopic dermatitis-PRACTALL document of the European Academy of Allergy and Clinical Immunology and the American Academy of Allergy, Asthma & Immunology.

    Science.gov (United States)

    Muraro, Antonella; Lemanske, Robert F; Hellings, Peter W; Akdis, Cezmi A; Bieber, Thomas; Casale, Thomas B; Jutel, Marek; Ong, Peck Y; Poulsen, Lars K; Schmid-Grendelmeier, Peter; Simon, Hans-Uwe; Seys, Sven F; Agache, Ioana

    2016-05-01

    In this consensus document we summarize the current knowledge on major asthma, rhinitis, and atopic dermatitis endotypes under the auspices of the PRACTALL collaboration platform. PRACTALL is an initiative of the European Academy of Allergy and Clinical Immunology and the American Academy of Allergy, Asthma & Immunology aiming to harmonize the European and American approaches to best allergy practice and science. Precision medicine is of broad relevance for the management of asthma, rhinitis, and atopic dermatitis in the context of a better selection of treatment responders, risk prediction, and design of disease-modifying strategies. Progress has been made in profiling the type 2 immune response-driven asthma. The endotype driven approach for non-type 2 immune response asthma, rhinitis, and atopic dermatitis is lagging behind. Validation and qualification of biomarkers are needed to facilitate their translation into pathway-specific diagnostic tests. Wide consensus between academia, governmental regulators, and industry for further development and application of precision medicine in management of allergic diseases is of utmost importance. Improved knowledge of disease pathogenesis together with defining validated and qualified biomarkers are key approaches to precision medicine.

  11. Mathematics Education & Digital Technologies: Facing the Challenge of Networking European Research Teams

    Science.gov (United States)

    Bottino, Rosa Maria; Kynigos, Chronis

    2009-01-01

    This paper introduces the "IJCML" Special Issue dedicated to digital technologies and mathematics education and, in particular, to the work performed by the European Research Team TELMA (Technology Enhanced Learning in Mathematics). TELMA was one of the initiatives of the Kaleidoscope Network of Excellence established by the European Community…

  12. The Impact of Social Networks on Innovation: The Case of European Regions

    Directory of Open Access Journals (Sweden)

    Alfonso Badiola-Sánchez

    2014-04-01

    Full Text Available This research analyses the relationship between the use of social networks and the generation of innovations in European regions through a production function of innovations using human capital, technological capital and virtual relational capital with the new theoretical approach. For this, it is estimated an econometric model of panel data for the period 2007-2011 and 190 European regions.

  13. Compassionate use of interventions: results of a European Clinical Research Infrastructures Network (ECRIN) survey of ten European countries

    LENUS (Irish Health Repository)

    Whitfield, Kate

    2010-11-12

    Abstract Background \\'Compassionate use\\' programmes allow medicinal products that are not authorised, but are in the development process, to be made available to patients with a severe disease who have no other satisfactory treatment available to them. We sought to understand how such programmes are regulated in ten European Union countries. Methods The European Clinical Research Infrastructures Network (ECRIN) conducted a comprehensive survey on clinical research regulatory requirements, including questions on regulations of \\'compassionate use\\' programmes. Ten European countries, covering approximately 70% of the EU population, were included in the survey (Austria, Denmark, France, Germany, Hungary, Ireland, Italy, Spain, Sweden, and the UK). Results European Regulation 726\\/2004\\/EC is clear on the intentions of \\'compassionate use\\' programmes and aimed to harmonise them in the European Union. The survey reveals that different countries have adopted different requirements and that \\'compassionate use\\' is not interpreted in the same way across Europe. Four of the ten countries surveyed have no formal regulatory system for the programmes. We discuss the need for \\'compassionate use\\' programmes and their regulation where protection of patients is paramount. Conclusions \\'Compassionate use\\' is a misleading term and should be replaced with \\'expanded access\\'. There is a need for expanded access programmes in order to serve the interests of seriously ill patients who have no other treatment options. To protect these patients, European legislation needs to be more explicit and informative with regard to the regulatory requirements, restrictions, and responsibilities in expanded access programmes.

  14. Planning and realization of broadband network in accordance with guidelines from European digital agenda

    OpenAIRE

    Simšič, Jaka

    2016-01-01

    Thesis contains description of European Digital Agenda (EDA) guidelines regarding the need for fast and ultra fast internet access. Republic of Slovenia supported those guidelines in document Digital Slovenia 2020 and with that confirmed the intention to fulfill the requirements set by European Commission in EDA. Current state of communication network does not suffice those guidelines. According to Agency for communication networks and services of the Republic of Slovenia (AKOS) copper connec...

  15. Evolution and prospects cable networks for broadband services : A technical perspective of the European and specifically the Dutch cable networks

    NARCIS (Netherlands)

    Anonymous

    2012-01-01

    European cable networks have played an important role in the development of broadcast television and broadband services. The delivery of Gigabit broadband services is considered to be the next access network challenge in the development of broadband services. In this whitepaper we have studied and a

  16. European Surveillance Network for Influenza in Pigs: Surveillance Programs, Diagnostic Tools and Swine Influenza Virus Subtypes Identified in 14 European Countries from 2010 to 2013

    DEFF Research Database (Denmark)

    Simon, Gaelle; Larsen, Lars Erik; Duerrwald, Ralf;

    2014-01-01

    Swine influenza causes concern for global veterinary and public health officials. In continuing two previous networks that initiated the surveillance of swine influenza viruses (SIVs) circulating in European pigs between 2001 and 2008, a third European Surveillance Network for Influenza in Pigs (...

  17. Pediatric Asthma

    Science.gov (United States)

    ... MD Dept. of Pediatrics View full profile Pediatric Asthma: Overview For some children with asthma, their first ... Calendar Read the News View Daily Pollen Count Asthma Treatment Program At National Jewish Health, we offer ...

  18. Asthma in childhood.

    Science.gov (United States)

    de Benedictis, Fernando Maria; Attanasi, Marina

    2016-03-01

    Several topics on childhood asthma were addressed in the Paediatric Clinical Year in Review session at the 2015 European Respiratory Society International Congress. With regard to the relationship between lower respiratory tract infections and asthma, it emerges that is the number of respiratory episodes in the first years of life, but not the particular viral trigger, to be associated with later asthma development. Understanding which characteristics of individual patients are associated with an increased risk for asthma exacerbation is a critical step to implement strategies preventing these seasonal events. Recent data suggest the possibility that exhaled volatile organic compounds may qualify as biomarkers in detecting early signs of asthma. Adding information of exhaled volatile organic compounds and expression of inflammation genes to a clinical tool significantly improves asthma prediction in preschool wheezy children. Personal communication with children and adolescents is likely more important than the tools actually used for monitoring asthma. Systemic corticosteroids do not affect the long-term prognosis in children with first viral-induced wheezing episode and should be used cautiously during acute episodes. Finally, stress and a polymorphism upstream of a specific gene are both associated with reduced bronchodilator response in children with asthma.

  19. Asthma in childhood

    Directory of Open Access Journals (Sweden)

    Fernando Maria de Benedictis

    2016-03-01

    Full Text Available Several topics on childhood asthma were addressed in the Paediatric Clinical Year in Review session at the 2015 European Respiratory Society International Congress. With regard to the relationship between lower respiratory tract infections and asthma, it emerges that is the number of respiratory episodes in the first years of life, but not the particular viral trigger, to be associated with later asthma development. Understanding which characteristics of individual patients are associated with an increased risk for asthma exacerbation is a critical step to implement strategies preventing these seasonal events. Recent data suggest the possibility that exhaled volatile organic compounds may qualify as biomarkers in detecting early signs of asthma. Adding information of exhaled volatile organic compounds and expression of inflammation genes to a clinical tool significantly improves asthma prediction in preschool wheezy children. Personal communication with children and adolescents is likely more important than the tools actually used for monitoring asthma. Systemic corticosteroids do not affect the long-term prognosis in children with first viral-induced wheezing episode and should be used cautiously during acute episodes. Finally, stress and a polymorphism upstream of a specific gene are both associated with reduced bronchodilator response in children with asthma.

  20. Revealing the acute asthma ignorome: characterization and validation of uninvestigated gene networks.

    Science.gov (United States)

    Riba, Michela; Garcia Manteiga, Jose Manuel; Bošnjak, Berislav; Cittaro, Davide; Mikolka, Pavol; Le, Connie; Epstein, Michelle M; Stupka, Elia

    2016-01-01

    Systems biology provides opportunities to fully understand the genes and pathways in disease pathogenesis. We used literature knowledge and unbiased multiple data meta-analysis paradigms to analyze microarray datasets across different mouse strains and acute allergic asthma models. Our combined gene-driven and pathway-driven strategies generated a stringent signature list totaling 933 genes with 41% (440) asthma-annotated genes and 59% (493) ignorome genes, not previously associated with asthma. Within the list, we identified inflammation, circadian rhythm, lung-specific insult response, stem cell proliferation domains, hubs, peripheral genes, and super-connectors that link the biological domains (Il6, Il1ß, Cd4, Cd44, Stat1, Traf6, Rela, Cadm1, Nr3c1, Prkcd, Vwf, Erbb2). In conclusion, this novel bioinformatics approach will be a powerful strategy for clinical and across species data analysis that allows for the validation of experimental models and might lead to the discovery of novel mechanistic insights in asthma. PMID:27097888

  1. Letter to Editor: RESITA NETWORK - ACADEMIC ENTREPRENEURSHIP AND INNOVATION NETWORK OF SOUTH EASTERN EUROPEAN UNIVERSITIES: AN EXAMPLE OF SUCCESSFUL NETWORKING IN ENTREPRENEURSHIP AND INNOVATION AT ACADEMIC LEVEL

    Directory of Open Access Journals (Sweden)

    Peter Schulte

    2013-05-01

    Full Text Available The foundation, development, activities, and wider social impact of the AcademicEntrepreneurship and Innovation Network of South Eastern European Universities, or shortlyRESITA Network, is presented in this paper as a positive example of successful networking inentrepreneurship and innovation at academic level.

  2. The Non-Discrimination Obligation Of Energy Network Operators : European rules and regulatory practice

    NARCIS (Netherlands)

    Kruimer, H.T.

    2013-01-01

    In this dissertation Hannah Kruimer analyses the application of the legal principle of non-discrimination in the context of energy network operation. Since the early 1990s the duty not to discriminate has applied to energy network operators, in order to achieve a liberalised European energy market,

  3. The European Nuclear Science network touches base at CERN

    CERN Multimedia

    Antonella Del Rosso

    2012-01-01

    ENSAR (European Nuclear Science and Applications Research) is an EU-supported project, which aims at fostering cooperation within the European low-energy nuclear physics community through the active sharing of expertise and best practices. The project also includes a transnational access programme to allow a large community of users to access the participating facilities, which include CERN’s ISOLDE. In the last week of April, CERN hosted the General Assembly and Programme Coordination Committee meetings, about 18 months after the project’s kick-off.   Participants in the ENSAR project. ENSAR involves 30 partner institutes, which include the seven large nuclear physics facilities in Europe. A large part of the European nuclear physics community is represented in ENSAR, in particular scientists who are performing research related to nuclear structure, nuclear astrophysics and applications of nuclear science. In 2010, the project was awarded 8 million euros from the Europe...

  4. The European Marine Observing Network and the development of an Integrated European Ocean Observing System. An EuroGOOS perspective

    Science.gov (United States)

    Fernandez, Vicente; Gorringe, Patrick; Nolan, Glenn

    2016-04-01

    The ocean benefits many sectors of society, being the biggest reservoir of heat, water, carbon and oxygen and playing a fundamental role regulating the earth's climate. We rely on the oceans for food, transport, energy and recreation. Therefore, a sustained marine observation network is crucial to further our understanding of the oceanic environment and to supply scientific data to meet society's need. Marine data and observations in Europe, collected primarily by state governmental agencies, is offered via five Regional Operational Oceanographic Systems (ROOS) within the context of EuroGOOS (http://www.eurogos.eu), an International Non-Profit Association of national governmental agencies and research organizations (40 members from 19 member states) committed to European-scale operational oceanography within the context of the Intergovernmental Global Ocean Observing System (GOOS). Strong cooperation within these regions, enabling the involvement of additional partners and countries, forms the basis of EuroGOOS work. Ocean data collected from different type of sensors (e.g. moored buoys, tide gauges, Ferrybox systems, High Frequency radars, gliders and profiling floats) is accessible to scientist and other end users through data portals and initiatives such as the European Marine Observations and Data Network (EMODnet) (www.emodnet.eu) and the Copernicus Marine Service Copernicus (www.copernicus.eu). Although a relatively mature European ocean observing capability already exists and its well-coordinated at European level, some gaps have been identified, for example the demand for ecosystem products and services, or the case that biogeochemical observations are still relatively sparse particularly in coastal and shelf seas. Assessing gaps based on the capacity of the observing system to answer key societal challenges e.g. site suitability for aquaculture and ocean energy, oil spill response and contextual oceanographic products for fisheries and ecosystems is still

  5. European Managers' Interpretations of Participation: A Semantic Network Analysis.

    Science.gov (United States)

    Stohl, Cynthia

    1993-01-01

    Explores cultural variations in managers' interpretations of a key communicative process: worker participation. Finds that semantic patterns derived from structural analyses indicate cultural differences in meanings managers from five European Community nations attach to the term "participation." Supports two of G. Hofstede's dimensions of…

  6. tEACH - European network for teaching communication in healthcare

    DEFF Research Database (Denmark)

    Nielsen, Annegrethe

    2014-01-01

    (efteruddannelse af læger) & Annegrethe Nielsen (jordemoderuddannelsen), Danmark – alle medlemmer af tEACH Baggrund European Association of Communication in Healthcare (EACH, www.each.eu) blev stiftet i 2001 som et fælles europæisk samarbejde omkring kommunikation på sundhedsområdet. Kommunikationsundervisning er...

  7. European experience on air and water pollution control: monitoring network and warning station

    Energy Technology Data Exchange (ETDEWEB)

    Aflalo, Sergio S. [Groupe Environnement S.A., Poissy (France)

    1993-12-31

    After a review of the energy consumption and pollutants emitted in the European Community, especially those concerning the `green house effect`, the author proceeded a summary of the actual legislation and Europeans directives, and also, the Best Available Technology for reducing air pollution is discussed. Original Air Quality monitoring networks performed by Environnement SA are described including measurements obtained around Paris and other areas of France. 7 refs., 11 figs.

  8. The European ALMA Regional Centre Network: A Geographically Distributed User Support Model

    CERN Document Server

    Hatziminaoglou, Evanthia; Andreani, Paola; Barta, Miroslav; Bertoldi, Frank; Brand, Jan; Gueth, Frederique; Hogerheijde, Michiel; Maercker, Matthias; Massardi, Marcella; Muehle, Stefanie; Muxlow, Thomas; Richards, Anita; Schilke, Peter; Tilanus, Remo; Vlemmings, Wouter; Afonso, Jose; Messias, Hugo

    2016-01-01

    In recent years there has been a paradigm shift from centralised to geographically distributed resources. Individual entities are no longer able to host or afford the necessary expertise in-house, and, as a consequence, society increasingly relies on widespread collaborations. Although such collaborations are now the norm for scientific projects, more technical structures providing support to a distributed scientific community without direct financial or other material benefits are scarce. The network of European ALMA Regional Centre (ARC) nodes is an example of such an internationally distributed user support network. It is an organised effort to provide the European ALMA user community with uniform expert support to enable optimal usage and scientific output of the ALMA facility. The network model for the European ARC nodes is described in terms of its organisation, communication strategies and user support.

  9. [ECRIN (European clinical research infrastructures network), a pan-European infrastructure for clinical research].

    OpenAIRE

    Demotes-Mainard, Jacques

    2010-01-01

    International audience Clinical research plays a key role both in the development of innovative health products and in the optimisation of medical strategies, leading to evidence-based practice and healthcare cost containment. ECRIN is a distributed ESFRI-roadmap pan-European infrastructure designed to support multinational clinical research, making Europe a single area for clinical studies, taking advantage of its population size to access patients, and unlocking latent scientific providi...

  10. Introduction to the EC's Marie Curie Initial Training Network (MC-ITN) project: Particle Training Network for European Radiotherapy (PARTNER)

    CERN Document Server

    Dosanjh, Manjit

    2013-01-01

    PARTNER (Particle Training Network for European Radiotherapy) is a project funded by the European Commission’s Marie Curie-ITN funding scheme through the ENLIGHT Platform for 5.6 million Euro. PARTNER has brought together academic institutes, research centres and leading European companies, focusing in particular on a specialized radiotherapy (RT) called hadron therapy (HT), interchangeably referred to as particle therapy (PT). The ultimate goal of HT is to deliver more effective treatment to cancer patients leading to major improvement in the health of citizens. In Europe, several hundred million Euro have been invested, since the beginning of this century, in PT. In this decade, the use of HT is rapidly growing across Europe, and there is an urgent need for qualified researchers from a range of disciplines to work on its translational research. In response to this need, the European community of HT, and in particular 10 leading academic institutes, research centres, companies and small and medium-sized en...

  11. Analyzing and modeling European R&D collaborations: Challenges and opportunities from a large social network

    CERN Document Server

    Barber, Michael J; Scherngell, Thomas

    2010-01-01

    Networks have attracted a burst of attention in the last decade, with applications to natural, social, and technological systems. While networks provide a powerful abstraction for investigating relationships and interactions, the preparation and analysis of complex real-world networks nonetheless presents significant challenges. In particular social networks are characterized by a large number of different properties and generation mechanisms which require a rich set of indicators. The objective of the current study is to analyze large social networks with respect to their community structure and mechanisms of network formation. As a case study, we consider networks derived from the European Union's Framework Programs for Research and Technological Development using methods from statistical physics and economic geography.

  12. The community structure of the European network of interlocking directorates 2005-2010.

    Science.gov (United States)

    Heemskerk, Eelke M; Daolio, Fabio; Tomassini, Marco

    2013-01-01

    The boards of directors at large European companies overlap with each other to a sizable extent both within and across national borders. This could have important economic, political and management consequences. In this work we study in detail the topological structure of the networks that arise from this phenomenon. Using a comprehensive information database, we reconstruct the implicit networks of shared directorates among the top 300 European firms in 2005 and 2010, and suggest a number of novel ways to explore the trans-nationality of such business elite networks. Powerful community detection heuristics indicate that geography still plays an important role: there exist clear communities and they have a distinct national character. Nonetheless, from 2005 to 2010 we observe a densification of the boards interlocks network and a larger transnational orientation in its communities. Together with central actors and assortativity analyses, we provide statistical evidence that, at the level of corporate governance, Europe is getting closer. PMID:23894318

  13. The community structure of the European network of interlocking directorates 2005-2010.

    Directory of Open Access Journals (Sweden)

    Eelke M Heemskerk

    Full Text Available The boards of directors at large European companies overlap with each other to a sizable extent both within and across national borders. This could have important economic, political and management consequences. In this work we study in detail the topological structure of the networks that arise from this phenomenon. Using a comprehensive information database, we reconstruct the implicit networks of shared directorates among the top 300 European firms in 2005 and 2010, and suggest a number of novel ways to explore the trans-nationality of such business elite networks. Powerful community detection heuristics indicate that geography still plays an important role: there exist clear communities and they have a distinct national character. Nonetheless, from 2005 to 2010 we observe a densification of the boards interlocks network and a larger transnational orientation in its communities. Together with central actors and assortativity analyses, we provide statistical evidence that, at the level of corporate governance, Europe is getting closer.

  14. The persistent heterogeneity of trade patterns: A comparison of four European Automotive Global Production Networks

    OpenAIRE

    Vincent FRIGANT (E3i-IFReDE-GRES); Zumpe, Martin

    2014-01-01

    In this paper, we examine the structure and the evolution of international exchanges of auto parts over the 2000-2012 period for four European countries. The first part of our study reviews the literature and points out four stylized facts about the geography of automotive supply networks. In section 2 we propose an analysis of the organisation of automotive supply chains based on the global production networks framework. We give details about this approach by stating the nature of trade flow...

  15. Central European MetEor NeTwork: Current status and future activities

    Science.gov (United States)

    Srba, J.; Koukal, J.; Ferus, M.; Lenža, L.; Gorková, S.; Civiš, S.; Simon, J.; Csorgei, T.; Jedlièka, M.; Korec, M.; Kaniansky, S.; Polák, J.; Spurný, M.; Brázdil, T.; Mäsiar, J.; Zima, M.; Delinèák, P.; Popek, M.; Bahýl, V.; Piffl, R.; Èechmánek, M.

    2016-06-01

    The Central European video Meteor Network (CEMeNt) established in 2010 is a platform for cross-border cooperation in the field of video meteor observations between Czech Republic and Slovakia. During five years of operation the CEMeNt network went through an extensive development. In total, 37 video systems were working on 20 permanent stations located in Czech Republic and Slovakia during 2015. In this paper we summarize CEMeNt current status and introduce some future activities.

  16. Infection control in the management of highly pathogenic infectious diseases: consensus of the European Network of Infectious Disease

    DEFF Research Database (Denmark)

    Brouqui, Philippe; Puro, Vincenzo; Fusco, Francesco M;

    2009-01-01

    The European Network for Infectious Diseases (EUNID) is a network of clinicians, public health epidemiologists, microbiologists, infection control, and critical-care doctors from the European member states, who are experienced in the management of patients with highly infectious diseases. We aim...

  17. Trade integration and trade imbalances in the European Union: a network perspective

    CERN Document Server

    Krings, Gautier M; Delvenne, Jean-Charles

    2013-01-01

    We study the ever more integrated and ever more unbalanced trade relationships between European countries. To better capture the complexity of economic networks, we propose two global measures that assess the trade integration and the trade imbalances of the European countries. These measures are the network (or indirect) counterparts to traditional (or direct) measures such as the trade-to-GDP (Gross Domestic Product) and trade deficit-to-GDP ratios. Our indirect tools account for the European inter-country trade structure and follow (i) a decomposition of the global trade flow into elementary flows that highlight the long-range dependencies between exporting and importing economies and (ii) the commute-time distance for trade integration,which measures the impact of a perturbation in the economy of a country on another country, possibly through intermediate partners by domino effect. Our application addresses the impact of the launch of the Euro. We find that the indirect imbalance measures better identify ...

  18. The European Network of Analytical and Experimental Laboratories for Geosciences

    Science.gov (United States)

    Freda, Carmela; Funiciello, Francesca; Meredith, Phil; Sagnotti, Leonardo; Scarlato, Piergiorgio; Troll, Valentin R.; Willingshofer, Ernst

    2013-04-01

    Integrating Earth Sciences infrastructures in Europe is the mission of the European Plate Observing System (EPOS).The integration of European analytical, experimental, and analogue laboratories plays a key role in this context and is the task of the EPOS Working Group 6 (WG6). Despite the presence in Europe of high performance infrastructures dedicated to geosciences, there is still limited collaboration in sharing facilities and best practices. The EPOS WG6 aims to overcome this limitation by pushing towards national and trans-national coordination, efficient use of current laboratory infrastructures, and future aggregation of facilities not yet included. This will be attained through the creation of common access and interoperability policies to foster and simplify personnel mobility. The EPOS ambition is to orchestrate European laboratory infrastructures with diverse, complementary tasks and competences into a single, but geographically distributed, infrastructure for rock physics, palaeomagnetism, analytical and experimental petrology and volcanology, and tectonic modeling. The WG6 is presently organizing its thematic core services within the EPOS distributed research infrastructure with the goal of joining the other EPOS communities (geologists, seismologists, volcanologists, etc...) and stakeholders (engineers, risk managers and other geosciences investigators) to: 1) develop tools and services to enhance visitor programs that will mutually benefit visitors and hosts (transnational access); 2) improve support and training activities to make facilities equally accessible to students, young researchers, and experienced users (training and dissemination); 3) collaborate in sharing technological and scientific know-how (transfer of knowledge); 4) optimize interoperability of distributed instrumentation by standardizing data collection, archive, and quality control standards (data preservation and interoperability); 5) implement a unified e-Infrastructure for data

  19. Introduction to the EC's marie curie initial training network (MC-ITN) project. Particle training network for European radiotherapy (PARTNER)

    International Nuclear Information System (INIS)

    PARTNER (Particle Training Network for European Radiotherapy) is a project funded by the European Commission's Marie Curie-ITN funding scheme through the ENLIGHT Platform for 5.6 million Euro. PARTNER has brought together academic institutes, research centres and leading European companies, focusing in particular on a specialized radiotherapy (RT) called hadron therapy (HT), interchangeably referred to as particle therapy (PT). The ultimate goal of HT is to deliver more effective treatment to cancer patients leading to major improvement in the health of citizens. In Europe, several hundred million Euro have been invested, since the beginning of this century, in PT. In this decade, the use of HT is rapidly growing across Europe, and there is an urgent need for qualified researchers from a range of disciplines to work on its translational research. In response to this need, the European community of HT, and in particular 10 leading academic institutes, research centres, companies and small and medium-sized enterprises, joined together to form the PARTNER consortium. All partners have international reputations in the diverse but complementary fields associated with PT: clinical, radiobiological and technological. Thus the network incorporates a unique set of competencies, expertise, infrastructures and training possibilities. This paper describes the status and needs of PT research in Europe, the importance of and challenges associated with the creation of a training network, the objectives, the initial results, and the expected long-term benefits of the PARTNER initiative. (author)

  20. Introduction to the EC's Marie Curie Initial Training Network (MC-ITN) project: Particle Training Network for European Radiotherapy (PARTNER).

    Science.gov (United States)

    Dosanjh, Manjit; Magrin, Giulio

    2013-07-01

    PARTNER (Particle Training Network for European Radiotherapy) is a project funded by the European Commission's Marie Curie-ITN funding scheme through the ENLIGHT Platform for 5.6 million Euro. PARTNER has brought together academic institutes, research centres and leading European companies, focusing in particular on a specialized radiotherapy (RT) called hadron therapy (HT), interchangeably referred to as particle therapy (PT). The ultimate goal of HT is to deliver more effective treatment to cancer patients leading to major improvement in the health of citizens. In Europe, several hundred million Euro have been invested, since the beginning of this century, in PT. In this decade, the use of HT is rapidly growing across Europe, and there is an urgent need for qualified researchers from a range of disciplines to work on its translational research. In response to this need, the European community of HT, and in particular 10 leading academic institutes, research centres, companies and small and medium-sized enterprises, joined together to form the PARTNER consortium. All partners have international reputations in the diverse but complementary fields associated with PT: clinical, radiobiological and technological. Thus the network incorporates a unique set of competencies, expertise, infrastructures and training possibilities. This paper describes the status and needs of PT research in Europe, the importance of and challenges associated with the creation of a training network, the objectives, the initial results, and the expected long-term benefits of the PARTNER initiative.

  1. Report from the european myeloma network on interphase FISHin multiple myeloma and related disorders

    DEFF Research Database (Denmark)

    Ross, Fiona; Avet-Loiseau, Herve; Ameye, Genevieve;

    2012-01-01

    The European Myeloma Network has organized two workshops on fluorescence in situ hybridization in multiple myeloma. The first aimed to identify specific indications and consensus technical approaches of current practice. A second workshop followed a quality control exercise in which 21 laboratori...

  2. Trans-European transport networks influence on the regional development and urban systems: Serbian experience

    Directory of Open Access Journals (Sweden)

    Maksin-Mićić Marija

    2004-01-01

    Full Text Available The trans-European transport network has different effects at macro regional mezzo-regional and micro-regional level, and its effectiveness rises with the lower regional levels. Possible approaches to the trans-European transport network impact and effect survey and policy options have been pointed out. The importance of increased accessibility and mobility for regional expansion and for a more balanced and polycentric system of city networks has been underlined. Changes in the spatial organization utilization and structure of cities, as well as in social benefits and losses subsequent to impacts of trans-European transport corridor "X" section Belgrade-Niš have been analyzed. The new trans-European or major transport infrastructure does not per se create regional and urban system network development, although it can affect the conditions for the processes that create growth and development. The effects can be increased by co-ordination of measures of regional, spatial and urban policy, land use transport, environmental and other policies. The necessary measure is the introduction of spatial impact assessment as sartorial policy instrument for the large transport infrastructure plans and projects.

  3. Position statement on the role of healthcare professionals, patient organizations and industry in European Reference Networks

    NARCIS (Netherlands)

    C.E.M. Hollak; M. Biegstraaten; M.R. Baumgartner; N. Belmatoug; B. Bembi; A. Bosch; M. Brouwers; H. Dekker; D. Dobbelaere; M. Engelen; M.C. Groenendijk; R. Lachmann; J.G. Langendonk; M. Langeveld; G. Linthorst; E. Morava; B. Tien Poll-The; S. Rahman; M.E. Rubio-Gozalbo; U. Spiekerkoetter; E. Treacy; R. Wanders; J. Zschocke; R. Hagendijk

    2016-01-01

    A call from the EU for the set-up of European Reference Networks (ERNs) is expected to be launched in the first quarter of 2016. ERNs are intended to improve the care for patients with low prevalent or rare diseases throughout the EU by, among other things, facilitating the pooling and exchange of e

  4. The dynamics of the European water research network : A diversifying community with a stable core

    NARCIS (Netherlands)

    Heringa, P.; Hessels, L.; van der Zouwen, Marielle

    2015-01-01

    Both in water management and in research policy there is a call for more integrative approaches to tackle large societal challenges. This requires collaboration in networks of actors with different institutional and geographical backgrounds. However, our understanding of the European water research

  5. Report of the European Myeloma Network on multiparametric flow cytometry in multiple myeloma and related disorders

    NARCIS (Netherlands)

    Rawstron, Andy C.; Orfao, Alberto; Beksac, Meral; Bezdickova, Ludmila; Broolmans, Rik A.; Bumbea, Horia; Dalva, Klara; Fuhler, Gwenny; Gratama, Jan; Hose, Dirk; Kovarova, Lucie; Lioznov, Michael; Mateo, Gema; Morilla, Ricardo; Mylin, Anne K.; Omede, Paola; Pellat-Deceunynck, Catherine; Andres, Martin Perez; Petrucci, Maria; Ruggeri, Marina; Rymkiewicz, Grzegorz; Schmitz, Alexander; Schreder, Martin; Seynaeve, Carine; Spacek, Martin; de Tute, Ruth M.; Van Valckenborgh, Els; Weston-Bell, Nicky; Owen, Roger G.; Miguel, Jesus F. San; Sonneveld, Pieter; Johnsen, Hans E.

    2008-01-01

    The European Myeloma Network (EMN) organized two flow cytometry workshops. The first aimed to identify specific indications for flow cytometry in patients with monoclonal gammopathies, and consensus technical approaches through a questionnaire-based review of current practice in participating labora

  6. Report of the European Myeloma Network on multiparametric flow cytometry in multiple myeloma and related disorders

    NARCIS (Netherlands)

    A.C. Rawstron; A. Orfao (Alberto); M. Beksaç (Meral); L. Bezdickova (Ludmila); R.A. Brooimans (Rik); H. Bumbea (Horia); K. Dalva (Klara); G.M. Fuhler (Gwenny); J.W. Gratama (Jan-Willem); D. Hose (Dirk); L. Kovarova (Lucie); M. Lioznov (Michael); G. Mateo (Gema); R. Morilla (Ricardo); A.K. Mylin (Anne); P. Omedé (Paola); C. Pellat-Deceunynck (Catherine); M.P. Andres; M. Petrucci (Maria); M. Ruggeri (Marina); G. Rymkiewicz (Grzegorz); A. Schmitz; M. Schreder (Martin); C.M. Seynaeve (Caroline); M. Spacek (Martin); R.M. de Tute (Ruth); E. van Valckenborgh (Els); N. Weston-Bell (Nicky); R.G. Owen (Roger); J.F. San Miguel (Jesús Fernando); P. Sonneveld (Pieter); H.E. Johnsen (Hans)

    2008-01-01

    textabstractThe European Myeloma Network (EMN) organized two flow cytometry workshops. The first aimed to identify specific indications for flow cytometry in patients with monoclonal gammopathies, and consensus technical approaches through a questionnaire-based review of current practice in particip

  7. Beyond the Myth of Nationality: A Study on the Networks of European Commission Officials

    NARCIS (Netherlands)

    Suvarierol, S.

    2007-01-01

    Working and communicating with and across nations and nationalities makes cultural differences a permanent part of everyday reality in multinational organisations like the European Commission. It has been frequently argued that nationality forms an important basis for forming networks in and around

  8. Innovation in European Vocational Education and Training: Network Learning in England, Finland and Germany

    Science.gov (United States)

    Heikkila, Eila

    2013-01-01

    This article presents a comparative study of innovation in vocational education and training (VET) in three innovative European countries: England, Finland and Germany. The focus is on innovation emerging from VET practitioners' (directors, teachers, project coordinators, etc.) participation in inter-organisational networks with local,…

  9. Towards the creation of a European Network of Earth Observation Networks within GEO. The ConnectinGEO project.

    Science.gov (United States)

    Masó, Joan; Serral, Ivette; Menard, Lionel; Wald, Lucien; Nativi, Stefano; Plag, Hans-Peter; Jules-Plag, Shelley; Nüst, Daniel; Jirka, Simon; Pearlman, Jay; De Maziere, Martine

    2015-04-01

    ConnectinGEO (Coordinating an Observation Network of Networks EnCompassing saTellite and IN-situ to fill the Gaps in European Observations" is a new H2020 Coordination and Support Action with the primary goal of linking existing Earth Observation networks with science and technology (S&T) communities, the industry sector, the Group on Earth Observations (GEO), and Copernicus. ConnectinGEO aims to facilitate a broader and more accessible knowledge base to support the needs of GEO, its Societal Benefit Areas (SBAs) and the users of the Global Earth Observing System of Systems (GEOSS). A broad range of subjects from climate, natural resources and raw materials, to the emerging UN Sustainable Development Goals (SDGs) will be addressed. The project will generate a prioritized list of critical gaps within available observation data and models to translate observations into practice-relevant knowledge, based on stakeholder consultation and systematic analysis. Ultimately, it will increase coherency of European observation networks, increase the use of Earth observations for assessments and forecasts and inform the planning for future observation systems. ConnectinGEO will initiate a European Network of Earth Observation Networks (ENEON) that will encompass space-based, airborne and in-situ observations networks. ENEON will be composed by project partners representing thematic observation networks along with the GEOSS Science and Technology Stakeholder Network, GEO Communities of Practices, Copernicus services, Sentinel missions and in-situ support data representatives, representatives of the space-based, airborne and in-situ observations European networks (e.g. EPOS, EMSO and GROOM, etc), representatives of the industry sector and European and national funding agencies, in particular those participating in the future ERA-PlaNET. At the beginning, the ENEON will be created and managed by the project. Then the management will be transferred to the network itself to ensure

  10. European surveillance network for influenza in pigs 3 (ESNIP 3)

    DEFF Research Database (Denmark)

    Reid, Scott M.; Simon, Gaëlle; Larsen, Lars Erik;

    sequencing using the latest technology. The virus bank and electronic database will be expanded and formally curated with relevant SIV isolates together with information for global dissemination within and out with the consortium to the wider scientific and veterinary community. Conclusions: All data...... influenza virus (SIV) experimentally and in the field. Three work packages aim to increase knowledge of the epidemiology and evolution of SIV in European pigs to inform changes in disease trends and variation in contemporary viruses through organised field surveillance programmes. Results: An inventory...... of the programmes that are currently active in fifteen of the partners showed that passive surveillance was primarily used. Detected virus strains will be characterised by antigenic cartography (informing better evidence-based approaches for selection of vaccine strains) and genetically through full genome...

  11. European health telematics networks for positron emission tomography

    Energy Technology Data Exchange (ETDEWEB)

    Kontaxakis, George [Universidad Politecnica de Madrid, ETSI Telecomunicacion, Madrid 28040 (Spain)]. E-mail: g.kontaxakis@upm.es; Pozo, Miguel Angel [Centro PET Complutense, Madrid 28040 (Spain); Universidad Complutense de Madrid, Instituto Pluridisciplinar, Madrid 28040 (Spain); Ohl, Roland [MedCom Gesellschaft fuer medizinische Bildverarbeitung mbH, Darmstadt 64283 (Germany); Visvikis, Dimitris [U650 INSERM, Lab. du Traitement de L' Information Medicale, University of Brest Occidentale, CHU Morvan, Brest 29609 (France); Sachpazidis, Ilias [Fraunhofer Institute for Computer Graphics, Darmstadt 64283 (Germany); Ortega, Fernando [Fundacion Instituto Valenciano de Oncologia, Valencia 46009 (Spain); Guerra, Pedro [Universidad Politecnica de Madrid, ETSI Telecomunicacion, Madrid 28040 (Spain); Cheze-Le Rest, Catherine [Dept. Medicine Nucleaire, CHU Morvan, Brest 29609 (France); Selby, Peter [MedCom Gesellschaft fuer medizinische Bildverarbeitung mbH, Darmstadt 64283 (Germany); Pan, Leyun [German Cancer Research Centre, Clinical Cooperation Unit Nuclear Medicine, Heidelberg 69120 (Germany); Diaz, Javier [Fundacion Instituto Valenciano de Oncologia, Valencia 46009 (Spain); Dimitrakopoulou-Strauss, Antonia [German Cancer Research Centre, Clinical Cooperation Unit Nuclear Medicine, Heidelberg 69120 (Germany); Santos, Andres [Universidad Politecnica de Madrid, ETSI Telecomunicacion, Madrid 28040 (Spain); Strauss, Ludwig [German Cancer Research Centre, Clinical Cooperation Unit Nuclear Medicine, Heidelberg 69120 (Germany); Sakas, Georgios [MedCom Gesellschaft fuer medizinische Bildverarbeitung mbH, Darmstadt 64283 (Germany); Fraunhofer Institute for Computer Graphics, Darmstadt 64283 (Germany)

    2006-12-20

    A pilot network of positron emission tomography centers across Europe has been setup employing telemedicine services. The primary aim is to bring all PET centers in Europe (and beyond) closer, by integrating advanced medical imaging technology and health telematics networks applications into a single, easy to operate health telematics platform, which allows secure transmission of medical data via a variety of telecommunications channels and fosters the cooperation between professionals in the field. The platform runs on PCs with Windows 2000/XP and incorporates advanced techniques for image visualization, analysis and fusion. The communication between two connected workstations is based on a TCP/IP connection secured by secure socket layers and virtual private network or jabber protocols. A teleconsultation can be online (with both physicians physically present) or offline (via transmission of messages which contain image data and other information). An interface sharing protocol enables online teleconsultations even over low bandwidth connections. This initiative promotes the cooperation and improved communication between nuclear medicine professionals, offering options for second opinion and training. It permits physicians to remotely consult patient data, even if they are away from the physical examination site.

  12. The European VLF/LF Radio Network: the current status

    Science.gov (United States)

    Biagi, Pier Francesco; Maggipinto, Tommaso; Schiavulli, Luigi; Ligonzo, Teresa; Colella, Roberto; Ermini, Anita; Martinelli, Giovanni; Palangio, Paolo; Moldovan, Iren; Silva, Hugo; Contadakis, Michael; Frantzis, Xenophon; Katzis, Konstantinos; Buyuksarac, Aydin; D'Amico, Sebastiano

    2014-05-01

    Since 2009 a network of VLF (20-60 kHz) and LF (150-300 kHz) radio receivers has been put into operation in Europe in order to study earthquakes precursors. At the moment the network consists of eleven receivers four of which are located in Italy, two in Greece and one in Portugal, Romania, Malta, Cyprus and Turkey. The data (sampling rate of 1min) are downloaded automatically at the end of each day and they are stored in the server located at the Department of Physics of the University of Bari (Italy), that is the central node of the network. Still, in some case, problems of connection exist. The different trends are open and visible on the web site: http://beta.fisica.uniba.it/infrep/Hom.aspx. The data files can be downloaded by the same web site but they are protected by username and password. Among the different methods of data analysis the Wavelet spectra appear to be the most sensitive ones. The software able to apply this technique on the radio data automatically at the end of each day has been planned and realized. At the moment it operates on four signals collected by one of the Italian receivers; if an anomaly stands up and it is over a fixed threshold a warning advise appears. In the web site, this activity is protected by a specific username and password.

  13. The Second Workshop of the European Network for Work Information (ENWI)

    DEFF Research Database (Denmark)

    Borlund, Pia; Mandl, Thomas; Womser-Hacker, Christa

    2013-01-01

    The second workshop of ENWI was held in Malmö, Sweden, June 12-13, 2013. ENWI is the European Network for Work Information which intends to establish a group of researchers who share a common interest in the study of workplace information practices. The better understanding of people...... and their tasks, and how information is part of their work is a primary goal of ENWI. Furthermore, the design and study of better technology tools supporting information practices and knowledge work is also in the focus of the network. The second workshop strengthened the network by identifying common terminology...

  14. Target species - species of European concern; a database driven selection of plant and animal species for the implementation of the Pan European Ecological Network

    NARCIS (Netherlands)

    Ozinga, W.A.; Heer, de M.; Hennekens, S.M.; Opstal, van A.J.F.M.; Schaminée, J.H.J.; Sierdsema, H.; Smits, N.A.C.; Stumpel, A.H.P.; Swaay, van C.

    2005-01-01

    The concept of ecological networks is becoming increasingly important in both policies and practices of nature conservation throughout Europe. The establishment of the Pan Ecological European Network (PEEN) can be seen as one of the priority issues for nature conservation. For the establishment of s

  15. Multi-scale analysis of the European airspace using network community detection.

    Directory of Open Access Journals (Sweden)

    Gérald Gurtner

    Full Text Available We show that the European airspace can be represented as a multi-scale traffic network whose nodes are airports, sectors, or navigation points and links are defined and weighted according to the traffic of flights between the nodes. By using a unique database of the air traffic in the European airspace, we investigate the architecture of these networks with a special emphasis on their community structure. We propose that unsupervised network community detection algorithms can be used to monitor the current use of the airspace and improve it by guiding the design of new ones. Specifically, we compare the performance of several community detection algorithms, both with fixed and variable resolution, and also by using a null model which takes into account the spatial distance between nodes, and we discuss their ability to find communities that could be used to define new control units of the airspace.

  16. Multi-scale analysis of the European airspace using network community detection

    CERN Document Server

    Gurtner, Gérald; Cipolla, Marco; Lillo, Fabrizio; Mantegna, Rosario Nunzio; Miccichè, Salvatore; Pozzi, Simone

    2013-01-01

    We show that the European airspace can be represented as a multi-scale traffic network whose nodes are airports, sectors, or navigation points and links are defined and weighted according to the traffic of flights between the nodes. By using a unique database of the air traffic in the European airspace, we investigate the architecture of these networks with a special emphasis on their community structure. We propose that unsupervised network community detection algorithms can be used to monitor the current use of the airspaces and improve it by guiding the design of new ones. Specifically, we compare the performance of three community detection algorithms, also by using a null model which takes into account the spatial distance between nodes, and we discuss their ability to find communities that could be used to define new control units of the airspace.

  17. Trade integration and trade imbalances in the European Union: a network perspective.

    Directory of Open Access Journals (Sweden)

    Gautier M Krings

    Full Text Available We study the ever more integrated and ever more unbalanced trade relationships between European countries. To better capture the complexity of economic networks, we propose two global measures that assess the trade integration and the trade imbalances of the European countries. These measures are the network (or indirect counterparts to traditional (or direct measures such as the trade-to-GDP (Gross Domestic Product and trade deficit-to-GDP ratios. Our indirect tools account for the European inter-country trade structure and follow (i a decomposition of the global trade flow into elementary flows that highlight the long-range dependencies between exporting and importing economies and (ii the commute-time distance for trade integration, which measures the impact of a perturbation in the economy of a country on another country, possibly through intermediate partners by domino effect. Our application addresses the impact of the launch of the Euro. We find that the indirect imbalance measures better identify the countries ultimately bearing deficits and surpluses, by neutralizing the impact of trade transit countries, such as the Netherlands. Among others, we find that ultimate surpluses of Germany are quite concentrated in only three partners. We also show that for some countries, the direct and indirect measures of trade integration diverge, thereby revealing that these countries (e.g. Greece and Portugal trade to a smaller extent with countries considered as central in the European Union network.

  18. IS-ENES: The Infrastructure for the European Network for Earth System modelling

    Science.gov (United States)

    Joussaume, Sylvie

    2013-04-01

    IS-ENES is the distributed e-infrastructure of models, model data and metadata of the European Network for Earth System Modelling (ENES). This network gathers together the European climate modelling community working on understanding and predicting climate variability and change. It organizes and supports European contributions to international experiments used in assessments of the Intergovernmental Panel on Climate Change, such as the Fifth Coupled Model Intercomparison Project (CMIP5) and the Coordinated regional Climate Downscaling Experiments (CORDEX). IS-ENES is supported by FP7 and is entering its second 4-year phase (http://is.enes.org). IS-ENES integrates the European climate modelling community, stimulates common developments of software for models and their environments, fosters the execution and exploitation of high-end simulations, in particular using the European PRACE facilities, and supports the dissemination of model results to the climate research and climate impact communities. The central point of entry to IS-ENES services, the ENES Portal (http://enes.org), integrates information on the European climate models and provides access to models and software environments needed to run and exploit model simulations, such as the climate data operators, as well as to simulation data, metadata and processing utilities. IS-ENES supports the European contribution to the international Earth System Grid Federation data distribution for CMIP5 and CORDEX. In order to help the use of climate model results for impact studies, e.g. in water management, a prototype portal climate4impact (http://www.climate4impact.eu) has been developed providing access to guidance on how to use global climate model results through documentation of use cases, and will be further developed in IS-ENES2. Adaptation to climate change requires strengthening the integration between the climate and hydro-meteorological communities and the e-infrastructure IS-ENES2 might contribute to this

  19. Local food in European supply chains: reconnection and electronic networks

    Directory of Open Access Journals (Sweden)

    Georgina Holt

    2007-04-01

    Full Text Available Après une présentation du marché des produits locaux/localisés en Grande Bretagne, ainsi qu’une définition du concept en fonction des circuits de distribution courts, de l’agriculture biologique et du commerce équitable, cet article se fonde sur des études de cas, issus de projets de recherche européens, pour identifier des différents types de réseaux concernés par les concept de produit locaux durables. Les habitudes historiques concernant l’achat des produits alimentaires jouent ici un rôle central et l’article observe l’équilibre entre les composants historiques, sociaux et environnementaux des produits locaux/localisés. A partir de ces terrains de recherche et de ces expériences il s’est avéré possible de déterminer différentes compréhensions de « produits locaux » en relation avec le concept de « distance alimentaire/ food miles ». En se référant à six cas donnés, cet article souligne l’importance des systèmes localisés en matière de durabilité alimentaire, et met en valeur le poids des qualités humaines et sociales dans la balance commerciale.After giving an overview of the market for local food in the UK, as well as a definition of the concept in relation to short supply chains, organic agriculture and fair trade, the article draws on cases encountered through EC-funded research and networking to identify different types of network concerned with the concept of sustaining local food. Historical uses of shopping habits play here a central role and the article observes the balance between historical, social and environmental components of local food. From these researches and experiences, it has been possible to demonstrate a range of understandings in relation to the concept of ‘food miles’. With reference to six cases, the article underlines the importance of local food systems within food sustainability, and highlights the weight of human and social qualities in the market balance.

  20. Practical approach to data collection in a European dialysis network

    Institute of Scientific and Technical Information of China (English)

    2003-01-01

    @@ Collection of Dialysis Treatment Data and Patient-Related Information in a Single Dialysis Unit State-of-the-art dialysis machines are capable of automatically collecting huge volumes of dialysis treatment data (blood and dialysate flow rates, venous and arterial pressures, ultrafiltration rate, ultrafiltration volume, transmembrane pressure, conductivity, etc.) and displaying the information on the monitor screen. Commercially available software allows this information to be exported to a clinical database on a server through a local network in the clinic, enabling healthcare professionals to further process, display, and evaluate the data. Moreover, on-line sensors can be used to monitor patient-related information, e.g.effective ionic dialysance as a marker of urea clearance[1-3], urea removal and additional parameters(e.g. whole-body Kt/V) based on dialysate urea measurements[4,5], and blood volume changes[6]. Although many of these sensors are available in dialysis machines, their clinical value in routine dialysis is still subject to debate[7].

  1. Artificial neural network approach for selection of susceptible single nucleotide polymorphisms and construction of prediction model on childhood allergic asthma

    Directory of Open Access Journals (Sweden)

    Kobayashi Takeshi

    2004-09-01

    Full Text Available Abstract Background Screening of various gene markers such as single nucleotide polymorphism (SNP and correlation between these markers and development of multifactorial disease have previously been studied. Here, we propose a susceptible marker-selectable artificial neural network (ANN for predicting development of allergic disease. Results To predict development of childhood allergic asthma (CAA and select susceptible SNPs, we used an ANN with a parameter decreasing method (PDM to analyze 25 SNPs of 17 genes in 344 Japanese people, and select 10 susceptible SNPs of CAA. The accuracy of the ANN model with 10 SNPs was 97.7% for learning data and 74.4% for evaluation data. Important combinations were determined by effective combination value (ECV defined in the present paper. Effective 2-SNP or 3-SNP combinations were found to be concentrated among the 10 selected SNPs. Conclusion ANN can reliably select SNP combinations that are associated with CAA. Thus, the ANN can be used to characterize development of complex diseases caused by multiple factors. This is the first report of automatic selection of SNPs related to development of multifactorial disease from SNP data of more than 300 patients.

  2. INTERGEO - Central/East European Collaboration Network on direct application of geothermal energy

    Energy Technology Data Exchange (ETDEWEB)

    Popovski, K. [Central/East European Collaboration Network on Direct Application of Geothermal Energy, Bitola (Yugoslavia); Arpasi, M. [International Geothermal Association - European Branch, Budapest (Hungary)

    1997-12-01

    A proposal for organisation of a Network to be known as INTERGEO is presented, which should extend and reinforce the cooperation for the development of the direct application of geothermal energy between the developed EC countries and the ones of the so called Central/East European region. Unter the term `developed countries` for this particular energy source utilisation mainly Italy, France and Germany should be understood. The Central/East European region consists the following countries: Albania, Bosnia and Herzegovina, Bulgaria, Belarus, Croatia, Czech Republic, Estonia, Hungary, Latvia, Lituania, Macedonia, Moldova, Poland, Roumania, Slovenia, Slovakia, Turkey, Ukraine and Yugoslavia. The idea itself, the need and possibilities for organisation, possible plan of action and expected benefits for the EC and Central/East European countries are elaborated in order to come to the conclusions for the proposal justifiableness and feasibility for realisation. (orig.)

  3. European network for promoting the physical health of residents in psychiatric and social care facilities (HELPS)

    DEFF Research Database (Denmark)

    Weiser, Prisca; Becker, Thomas; Losert, Carolin;

    2009-01-01

    as to hold resonance for community dwelling people with mental health problems. DISCUSSION: A general strategy on health promotion for people with mental disorders must take into account behavioural, environmental and iatrogenic health risks. A European health promotion toolkit needs to consider...... by promoting behaviour-based and/or environment-based interventions. METHODS AND DESIGN: HELPS is an interdisciplinary European network that aims at (i) gathering relevant knowledge on physical illness in people with mental illness, (ii) identifying health promotion initiatives in European countries that meet...... across different settings in Europe. HELPS will develop and implement a "physical health promotion toolkit". The toolkit will provide information to empower residents and staff to identify the most relevant risk factors in their specific context and to select the most appropriate action out of a range...

  4. The European General Practice Research Network Presents the Translations of Its Comprehensive Definition of Multimorbidity in Family Medicine in Ten European Languages

    OpenAIRE

    Jean Yves Le Reste; Patrice Nabbe; Charles Rivet; Charilaos Lygidakis; Christa Doerr; Slawomir Czachowski; Heidrun Lingner; Stella Argyriadou; Djurdjica Lazic; Radost Assenova; Melida Hasaganic; Miquel Angel Munoz; Hans Thulesius; Bernard Le Floch; Jeremy Derriennic

    2015-01-01

    Background Multimorbidity, according to the World Health Organization, exists when there are two or more chronic conditions in one patient. This definition seems inaccurate for the holistic approach to Family Medicine (FM) and long-term care. To avoid this pitfall the European General Practitioners Research Network (EGPRN) designed a comprehensive definition of multimorbidity using a systematic literature review. Objective To translate that English definition into European languages and to va...

  5. Supplier Networks and the Importance of Information Technology: Outlook on the European Automotive Industry

    Science.gov (United States)

    Gil, Maria José Alvarez; Kulcsar, Borbala; Aksoy, Dilan

    The trends in the automotive industry changed radically from the beginning of the 80s. Increasing competition, new systems and developments compelled the companies to re-evaluate and re-design their investments and processes, by extending their networks to other parts of the world in order to gain more market. This trend could be observed first in the Western-European countries and later in Eastern-Europe. With entering new areas the companies had to face with several difficulties coming inter alia from the decisions of supplier network and information system implementation. In our study we analyze the strategic decisions of major carmaker companies entering the Eastern-European market. Our research includes two case studies of the Hungarian automotive sector.

  6. The informal networks in food procurement by older people - A cross European comparison

    DEFF Research Database (Denmark)

    Turrini, Aida; D'Addezio, Laura; Maccati, Fabrizia;

    2010-01-01

    , and effective informal networks may be an important supportive service for older adults. The comparison across countries highlighted relationships between food procurement capabilities and social networks. These findings may be used to develop resources to better meet the nutritional needs of older adults.......Healthy dietary profiles contribute to successful aging, and dietary intake is dependent upon food procurement capabilities. Both formal and informal social networks can contribute to grocery shopping capabilities and methods of food procurement. This investigation explores the role of informal...... networks in food procurement methods among adults aged 65 years and older, and compares differences across eight European countries. Food shopping ways (FSW), identified by quantitative analysis (cluster analysis and correspondence analysis), guided the content qualitative analysis which was carried out...

  7. European Myeloma Network recommendations on the evaluation and treatment of newly diagnosed patients with multiple myeloma

    OpenAIRE

    Engelhardt, Monika; Terpos, Evangelos; Kleber, Martina; Gay, Francesca; Wäsch, Ralph; Morgan, Gareth; Cavo, Michele; van de Donk, Niels; Beilhack, Andreas; Bruno, Benedetto; Johnsen, Hans Erik; Hajek, Roman; Driessen, Christoph; Ludwig, Heinz; Beksac, Meral

    2014-01-01

    Multiple myeloma management has undergone profound changes in the past thanks to advances in our understanding of the disease biology and improvements in treatment and supportive care approaches. This article presents recommendations of the European Myeloma Network for newly diagnosed patients based on the GRADE system for level of evidence. All patients with symptomatic disease should undergo risk stratification to classify patients for International Staging System stage (level of evidence: ...

  8. Facilitating assessments of alien invasions in the Mediterranean: the European Alien Species Information Network (EASIN)

    OpenAIRE

    KATSANEVAKIS STYLIANOS MARIOS; SUMARES DA CRUZ NUNES ANA LUISA; TROMBETTI MARCO; DERIU IVAN; Cardoso, Ana

    2013-01-01

    The European Alien Species Information Network (EASIN) provides tools and services for the exploration of alien species information in Europe. Efficient widgets can be used for the easy creation of distribution maps of any aggregation of alien species. Herein, we investigated distribution patterns of marine alien species in the Mediterranean Sea, using EASIN tools and data from various sources. These patterns differ depending on the pathway of introduction, indicating that human activities sh...

  9. Pooling birth cohorts in allergy and asthma

    DEFF Research Database (Denmark)

    Bousquet, Jean; Anto, Josep; Sunyer, Jordi;

    2013-01-01

    Long-term birth cohort studies are essential to understanding the life course and childhood predictors of allergy and the complex interplay between genes and the environment (including lifestyle and socioeconomic determinants). Over 100 cohorts focusing on asthma and allergy have been initiated i...... of this paper is to review current and past EU-funded projects in order to make a summary of their goals and achievements and to suggest future research needs of these European birth cohort networks....... in the world over the past 30 years. Since 2004, several research initiatives funded under the EU Framework Program for Research and Technological Development FP6-FP7 have attempted to identify, compare, and evaluate pooling data from existing European birth cohorts (GA(2)LEN: Global Allergy and European...... Network, FP6; ENRIECO: Environmental Health Risks in European Birth Cohorts, FP7; CHICOS: Developing a Child Cohort Research Strategy for Europe, FP7; MeDALL: Mechanisms of the Development of ALLergy, FP7). However, there is a general lack of knowledge about these initiatives and their potentials. The aim...

  10. LIDAR sensing of aerosol processes over sofia region in the frame of the European Aerosol Research Lidar Network (EARLINET)

    International Nuclear Information System (INIS)

    An overview is given of the remote sensing of the atmospheric processes over Sofia region by using lidars. Results obtained in the Institute of Electronics in the frame of the European Aerosol Research Lidar Network are presented and discussed

  11. Unravelling Networks In Supply Chain Management: A European Lesson In How To Destroy Value And Undermine Confidence

    OpenAIRE

    Asquith, A

    2005-01-01

    This paper seeks to examine the application and operationalisalion of network theory within a European supply chain context by the use of a case study. The case study organisation is a medium-sized companv based in the European Union but operating in the global market place. The paper will argue that whilst there is now an established theory of networking within the supply chain environment, the actions within the case study organisation actually run contra to the established practise. As the...

  12. "SWING": A European project for a new application of an ionospheric network

    Science.gov (United States)

    Zolesi, B.; Bianchi, C.; Meloni, A.; Baskaradas, J. A.; Belehaki, A.; Altadill, D.; Dalle Mese, E.

    2016-05-01

    The SWING (Short Wave critical Infrastructure Network based on a new Generation high survival radio communication system) is a European project aimed at studying a high survival high-frequency (HF) radio network to link European Critical Infrastructures (ECIs). This system is thought to replace broadband internet communication, maintaining the minimum flux of essential information for the ECIs management and control, in case of wide-scale threats, including terrorist attacks, able to put out of order internet links over the Mediterranean region. SWING is designed to evaluate the threat and increase the security awareness, as well as the level of protection, of analogous and/or interdependent ECIs. In order to meet these goals, SWING was finalized to recognize how and when the internet communication fails and to develop the standard software and hardware tools necessary for implementing communication protocols suited for a reliable and interoperable short-wave (SW) or high-frequency (HF) radio network backup. The internet broadband description and internet failure recognition were taken into consideration in the project but are not treated in this paper. It has been assessed that in case of complete failure of the internet broadband communication fundamental information for the management and control of ECIs over the Mediterranean region can be maintained with a HF network, even in case of moderate ionospheric perturbations.

  13. Striking the balance: Challenges and perspectives for the protected areas network in northeastern European Russia.

    Science.gov (United States)

    Degteva, Svetlana V; Ponomarev, Vasily I; Eisenman, Sasha W; Dushenkov, Vyacheslav

    2015-10-01

    Increasing anthropogenic pressure on the largest remaining tracts of old-growth boreal forest in Europe necessitates additional conservation of ecosystems and biodiversity in northeastern European Russia. In a regional network comprising 8 % of the Nenets Autonomous District and 13.5 % of the Komi Republic, 248 areas have varying protected statuses as state nature reserves (zapovedniks), national parks, reserves/sanctuaries (zakazniks), or natural monuments. Due to increased natural resource extraction in this relatively pristine area, designation of additional protected areas is critical for the protection of key ecological sites. The history of ecological preservation in these regions is herein described, and recent recommendations for incorporating additional ecologically representative areas into the regional network are presented. If the protected area network can be expanded, the overall environmental stability in these globally significant ecosystems may remain intact, and can help Russia meet the 2020 Aichi conservation targets, as set forth by the Convention of Biological Diversity.

  14. The Central and Eastern European Earthquake Research Network - CE3RN

    Science.gov (United States)

    Bragato, Pier Luigi; Costa, Giovanni; Gallo, Antonella; Gosar, Andrej; Horn, Nikolaus; Lenhardt, Wolfgang; Mucciarelli, Marco; Pesaresi, Damiano; Steiner, Rudolf; Suhadolc, Peter; Tiberi, Lara; Živčić, Mladen; Zoppé, Giuliana

    2014-05-01

    The region of the Central and Eastern Europe is an area characterised by a relatively high seismicity. The active seismogenic structures and the related potentially destructive events are located in the proximity of the political boundaries between several countries existing in the area. An example is the seismic region between the NE Italy (FVG, Trentino-Alto Adige and Veneto), Austria (Tyrol, Carinthia) and Slovenia. So when a destructive earthquake occurs in the area, all the three countries are involved. In the year 2001 the Agencija Republike Slovenije za Okolje (ARSO) in Slovenia, the Department of Mathematics and Geoscience of the University of Trieste (DMG), the OGS (Istituto Nazionale di Oceanografia e di Geofisica Sperimentale) in Italy and the Zentralanstalt für Meteorologie und Geodynamik (ZAMG) in Austria signed an agreement for the real-time seismological data exchange in the Southeastern Alps region. Soon after the Interreg IIIa Italia-Austria projects "Trans-National Seismological Networks in the South-Eastern Alps" and "FASTLINK" started. The main goal of these projects was the creation of a transfrontier network for the common seismic monitoring of the region for scientific and civil defense purposes. During these years the high quality data recorded by the transfrontier network has been used, by the involved institutions, for their scientific research, for institutional activities and for the civil defense services. Several common international projects have been realized with success. The instrumentation has been continuously upgraded, the installations quality improved as well as the data transmission efficiency. In the 2013 ARSO, DMG, OGS and ZAMG decided to name the cooperative network "Central and Eastern European Earthquake Research Network - CE3RN". The national/regional seismic networks actually involved in the CE3RN network are: • Austrian national BB network (ZAMG - OE) • Friuli Veneto SP network (OGS - FV) • Friuli VG

  15. The management of work-related asthma guidelines: a broader perspective

    NARCIS (Netherlands)

    Baur, X.; Aasen, T.B.; Burge, P.S.; Heederik, D.

    2012-01-01

    The aim of the European Respiratory Society work-related asthma guidelines is to present the management and prevention options of work-related asthma and their effectiveness. Work-related asthma accounts for 5-25% of all adult asthma cases and is responsible for a significant socioeconomic burden. S

  16. AMES, NESC and ENIQ: European networks in the field of structural integrity involving NDE and inspection effectiveness assessment

    International Nuclear Information System (INIS)

    Three European networks on structural integrity aspects of ageing nuclear components are presently managed by the Institute for Advanced Materials of the Joint Research Centre of the European Commission: AMES (Ageing Materials Evaluation and Studies), ENIQ (European Network for Inspection Qualification) and NESC (Network for Evaluating Steel Components). All three networks involve actions, which aim at the effectiveness and reliability assessment of NDE techniques and of inspection procedures: Either for materials damage detection and characterisation or for defect detection and evaluation. This paper is describing very generally the objectives of the three networks and is then concentrating on the results obtained in ENIQ, which are relevant with ISI and regulatory issues. (orig./DGE)

  17. Best of enemies: Using social network analysis to explore a policy network in European smoke-free policy.

    Science.gov (United States)

    Weishaar, Heide; Amos, Amanda; Collin, Jeff

    2015-05-01

    Networks and coalitions of stakeholders play a crucial role in the development and implementation of policies, with previous research highlighting that networks in tobacco control are characterised by an antagonism between supporters and opponents of comprehensive tobacco control policies. This UK-based study used quantitative and qualitative network analysis (drawing on 176 policy submissions and 32 interviews) to systematically map and analyse a network of actors involved in the development of European Union (EU) smoke-free policy. Policy debates were dominated by two coalitions of stakeholders with starkly opposing positions on the issue. One coalition, consisting primarily of health-related organisations, supported comprehensive EU smoke-free policy, whereas the other, led by tobacco manufacturers' organisations, opposed the policy initiative. The data suggest that, aided by strong political commitment of EU decision makers to develop smoke-free policy, advocates supporting comprehensive EU policy were able to frame policy debates in ways which challenged the tobacco industry's legitimacy. They then benefited from the stark polarisation between the two coalitions. The paper provides empirical evidence of the division between two distinct coalitions in tobacco policy debates and draws attention to the complex processes of consensus-seeking, alliance-building and strategic action which are integral to the development of EU policy. Highlighting network polarisation and industry isolation as factors which seemed to increase tobacco control success, the study demonstrates the potential significance and value of FCTC article 5.3 for tobacco control policy-making. PMID:25863723

  18. The European general practice research network presents the translations of its comprehensive definition of multimorbidity in family medicine in ten European languages.

    OpenAIRE

    Le Reste, Jean Yves; Nabbe, Patrice; Rivet, Charles; Lygidakis, Charilaos; Doerr, Christa; Czachowski, Slawomir; Lingner, Heidrun; Argyriadou, Stella; Lazic, Djurdjica; Assenova, Radost; Hasaganic, Melida; Munoz, Miquel Angel; Thulesius, Hans; Le Floch, Bernard; Derriennic, Jeremy

    2015-01-01

    Multimorbidity, according to the World Health Organization, exists when there are two or more chronic conditions in one patient. This definition seems inaccurate for the holistic approach to Family Medicine (FM) and long-term care. To avoid this pitfall the European General Practitioners Research Network (EGPRN) designed a comprehensive definition of multimorbidity using a systematic literature review.

  19. I-MOVE: a European network to measure the effectiveness of influenza vaccines.

    Science.gov (United States)

    Valenciano, M; Ciancio, Bc

    2012-01-01

    Since 2007, the European Centre for Disease Prevention and Control (ECDC) has supported I-MOVE (influenza monitoring vaccine effectiveness), a network to monitor seasonal and pandemic influenza vaccine effectiveness (IVE) in the European Union (EU) and European Economic Area (EEA). To set up I-MOVE, we conducted a literature review and a survey on methods used in the EU/EEA to measure IVE and held expert consultations to guide the development of generic protocols to estimate IVE in the EU/EEA. On the basis of these protocols, from the 2008/09 season, I-MOVE teams have conducted multicentre case–control, cohort and screening method studies, undertaken within existing sentinel influenza surveillance systems. The estimates obtained include effectiveness against medically attended laboratory-confirmed influenza and are adjusted for the main confounding factors described in the literature. I-MOVE studies are methodologically sound and feasible: the availability of various study designs, settings and outcomes provides complementary evidence, facilitating the interpretation of the results. The IVE estimates have been useful in helping to guide influenza vaccine policy at national and European level. I-MOVE is a unique platform for exchanging views on methods to estimate IVE. The scientific knowledge and experience in practical, managerial and logistic issues can be adapted to monitor surveillance of the effectiveness of other vaccines. PMID:23041022

  20. Allergic Rhinitis and its Impact on Asthma (ARIA)

    DEFF Research Database (Denmark)

    Bousquet, J; Schünemann, H J; Samolinski, B;

    2012-01-01

    Allergic rhinitis (AR) and asthma represent global health problems for all age groups. Asthma and rhinitis frequently coexist in the same subjects. Allergic Rhinitis and its Impact on Asthma (ARIA) was initiated during a World Health Organization workshop in 1999 (published in 2001). ARIA has rec...... workshop report, it is important to make a summary of its achievements and identify the still unmet clinical, research, and implementation needs to strengthen the 2011 European Union Priority on allergy and asthma in children....

  1. Inside the Mechanics of Network Development: How Competition and Strategy Reorganize European Air Traffic

    Science.gov (United States)

    Huber, Hans

    2006-01-01

    Air transport forms complex networks that can be measured in order to understand its structural characteristics and functional properties. Recent models for network growth (i.e., preferential attachment, etc.) remain stochastic and do not seek to understand other network-specific mechanisms that may account for their development in a more microscopic way. Air traffic is made up of many constituent airlines that are either privately or publicly owned and that operate their own networks. They follow more or less similar business policies each. The way these airline networks organize among themselves into distinct traffic distributions reveals complex interaction among them, which in turn can be aggregated into larger (macro-) traffic distributions. Our approach allows for a more deterministic methodology that will assess the impact of airline strategies on the distinct distributions for air traffic, particularly inside Europe. One key question this paper is seeking to answer is whether there are distinct patterns of preferential attachment for given classes of airline networks to distinct types of European airports. Conclusions about the advancing degree of concentration in this industry and the airline operators that accelerate this process can be drawn.

  2. Lean on me? The influence of parental separation and divorce on children’s support networks in four European countries

    NARCIS (Netherlands)

    Kalmijn, M.; Dronkers, J.

    2015-01-01

    Using data on 14-year old children in four European countries, this study compares the support networks of children in intact and separated families. It is found that a parental separation has significant effects on the nature of these networks. Children of separated parents are less likely to inclu

  3. ENES the European Network for Earth System modelling and its infrastructure projects IS-ENES

    Science.gov (United States)

    Guglielmo, Francesca; Joussaume, Sylvie; Parinet, Marie

    2016-04-01

    The scientific community working on climate modelling is organized within the European Network for Earth System modelling (ENES). In the past decade, several European university departments, research centres, meteorological services, computer centres, and industrial partners engaged in the creation of ENES with the purpose of working together and cooperating towards the further development of the network, by signing a Memorandum of Understanding. As of 2015, the consortium counts 47 partners. The climate modelling community, and thus ENES, faces challenges which are both science-driven, i.e. analysing of the full complexity of the Earth System to improve our understanding and prediction of climate changes, and have multi-faceted societal implications, as a better representation of climate change on regional scales leads to improved understanding and prediction of impacts and to the development and provision of climate services. ENES, promoting and endorsing projects and initiatives, helps in developing and evaluating of state-of-the-art climate and Earth system models, facilitates model inter-comparison studies, encourages exchanges of software and model results, and fosters the use of high performance computing facilities dedicated to high-resolution multi-model experiments. ENES brings together public and private partners, integrates countries underrepresented in climate modelling studies, and reaches out to different user communities, thus enhancing European expertise and competitiveness. In this need of sophisticated models, world-class, high-performance computers, and state-of-the-art software solutions to make efficient use of models, data and hardware, a key role is played by the constitution and maintenance of a solid infrastructure, developing and providing services to the different user communities. ENES has investigated the infrastructural needs and has received funding from the EU FP7 program for the IS-ENES (InfraStructure for ENES) phase I and II

  4. Wheezing and Asthma in Infants

    Science.gov (United States)

    ... Cooperate While Using the Nebulizer? Handling an Asthma Flare-Up What's an Asthma Flare-Up? Asthma Center Asthma Basics Managing Asthma When Your ... a Health Problem Asthma Center Handling an Asthma Flare-Up How Do Asthma Medicines Work? Asthma Asthma Center ...

  5. Asthma pharmacotherapy.

    Science.gov (United States)

    Schofield, Minka L

    2014-02-01

    Asthma is a chronic inflammatory disease of the airway that leads to airway obstruction via bronchoconstriction, edema, and mucus hypersecretion. The National Asthma Education and Prevention Program has outlined evidence-based guidelines to standardize asthma therapy and improve outcomes. The initial recommendation of choice for persistent asthmatic patients is an inhaled corticosteroid (ICS). Long-acting beta-2 agonists in combination with ICS, oral corticosteroids, leukotriene modifiers, and anti-IgE therapeutic options can be considered for patients with persistent or worsening symptoms. Many novel therapies are being developed, with an emphasis on anti-inflammatory mechanisms, gene expression, and cytokine modification.

  6. Information Reference Models for European Pork Supply Networks - Identifying Gaps in Information Infrastructures

    DEFF Research Database (Denmark)

    Lehmann, Richard J.; Hermansen, John Erik; Fritz, Melanie;

    2011-01-01

    Several global developments such as diminishing production resources, limits in the availability of water and the growing demand for bio-energy as well as sector-wide crises (e.g. BSE, swine fever, dioxin) have led to a changing attitude of society towards the conse-quences of the food system‘s...... models for European pork supply networks, which give an aggregated overview about information availability and exchange in the pork sector, identify additional information demands of decision makers at different stages of pork production, and identify gaps in the existing information infrastructure....... The models support different parties involved in pork production, such as enterprises, system developers and consultants, in developing enterprise or network specific solutions....

  7. Power flow tracing in a simplified highly renewable European electricity network

    CERN Document Server

    Tranberg, Bo; Rodriguez, Rolando A; Andresen, Gorm B; Schäfer, Mirko; Greiner, Martin

    2015-01-01

    The increasing transmission capacity needs in a future energy system raise the question how associated costs should be allocated to the users of a strengthened power grid. In contrast to straightforward oversimplified methods, a flow tracing based approach provides a fair and consistent nodal usage and thus cost assignment of transmission investments. This technique follows the power flow through the network and assigns the link capacity usage to the respective sources or sinks using a diffusion-like process, thus taking into account the underlying network structure and injection pattern. As a showcase, we apply power flow tracing to a simplified model of the European electricity grid with a high share of renewable wind and solar power generation, based on long-term weather and load data with an hourly temporal resolution.

  8. The Diffusion of Health Economics Knowledge in Europe: The EURONHEED (European Network of Health Economics Evaluation Database) Project

    OpenAIRE

    Gerard de Pouvourville; Philippe Ulmann; John Nixon; Stephanie Boulenger; Julie Glanville; Michael Drummond

    2005-01-01

    This paper overviews the EURONHEED (EUROpean Network of Health Economics Evaluation Databases) project. Launched in 2003, this project is funded by the EU. Its aim is to create a network of national and international databases dedicated to health economic evaluation of health services and innovations. Seven centres (France, Germany, Italy, The Netherlands, Spain, Sweden and the UK) are involved covering 17 countries. The network is based on two existing databases, the French CODECS (COnnaissa...

  9. Lean on me? The influence of parental separation and divorce on children’s support networks in four European countries

    OpenAIRE

    Kalmijn, M.; Dronkers, J.

    2015-01-01

    Using data on 14-year old children in four European countries, this study compares the support networks of children in intact and separated families. It is found that a parental separation has significant effects on the nature of these networks. Children of separated parents are less likely to include the father in their networks and also less likely to include the mother, although this latter effect is smaller than the former. Conflict after separation is negatively associated with the prese...

  10. How Is Asthma Diagnosed?

    Science.gov (United States)

    ... page from the NHLBI on Twitter. How Is Asthma Diagnosed? Your primary care doctor will diagnose asthma ... other disease may be causing your symptoms. Diagnosing Asthma in Young Children Most children who have asthma ...

  11. Exercise and Asthma

    Science.gov (United States)

    ... Issues Listen Español Text Size Email Print Share Exercise and Asthma Page Content Article Body Almost every ... children more likely to develop asthma. How does exercise cause asthma symptoms? The symptoms of asthma are ...

  12. Childhood Asthma

    Science.gov (United States)

    ... Training Grants & Awards Program Directors Practice Resources ASTHMA IQ Consultation and Referral Guidelines Practice Financial Survey Practice ... one child. Unfortunately, there is not a single test that provides all the answers. An allergist / immunologist, ...

  13. Occupational asthma

    Science.gov (United States)

    ... occupational exposure; Irritant-induced reactive airways disease Images Spirometry Respiratory system References Lemiere C, Vandenplas O. Occupational allergy and asthma. In: Adkinson NF Jr., Bochner BS, Burks AW, ...

  14. Optimization of European call options considering physical delivery network and reservoir operation rules

    Science.gov (United States)

    Cheng, Wei-Chen; Hsu, Nien-Sheng; Cheng, Wen-Ming; Yeh, William W.-G.

    2011-10-01

    This paper develops alternative strategies for European call options for water purchase under hydrological uncertainties that can be used by water resources managers for decision making. Each alternative strategy maximizes its own objective over a selected sequence of future hydrology that is characterized by exceedance probability. Water trade provides flexibility and enhances water distribution system reliability. However, water trade between two parties in a regional water distribution system involves many issues, such as delivery network, reservoir operation rules, storage space, demand, water availability, uncertainty, and any existing contracts. An option is a security giving the right to buy or sell an asset; in our case, the asset is water. We extend a flow path-based water distribution model to include reservoir operation rules. The model simultaneously considers both the physical distribution network as well as the relationships between water sellers and buyers. We first test the model extension. Then we apply the proposed optimization model for European call options to the Tainan water distribution system in southern Taiwan. The formulation lends itself to a mixed integer linear programming model. We use the weighing method to formulate a composite function for a multiobjective problem. The proposed methodology provides water resources managers with an overall picture of water trade strategies and the consequence of each strategy. The results from the case study indicate that the strategy associated with a streamflow exceedence probability of 50% or smaller should be adopted as the reference strategy for the Tainan water distribution system.

  15. Southeastern European Health Network (SEEHN) Communicable Diseases Surveillance: a decade of bridging trust and collaboration.

    Science.gov (United States)

    Bino, Silvia; Cavaljuga, Semra; Kunchev, Angel; Lausevic, Dragan; Kaic, Bernard; Pistol, Adriana; Kon, Predrag; Karadjovski, Zarko; Georghita, Stela; Cicevalieva, Snezana

    2013-01-01

    The communicable disease threats and changes that began emerging in south-east Europe in the early 1990s - after a decade of war and while political and health systems region-wide were undergoing dramatic changes - demanded a novel approach to infectious disease surveillance. Specifically, they called for an approach that was focused on cross-border collaboration and aligned with European Union standards and requirements. Thus, the Southeastern European Health network (SEEHN) was established in 2001 as a cooperative effort among the governments of Albania, Bosnia and Herzegovina, Bulgaria, Croatia, Moldova, Montenegro, Romania, Serbia, and the former Yugoslav Republic of Macedonia. In 2002, SEEHN initiated a communicable diseases project aimed at strengthening both national and regional surveillance systems with a focus on cross-border collaboration. Over time, SEEHN has nurtured growth of a regional fabric of SEE experts in communicable diseases surveillance and response who are able to discuss emerging issues and best practices at any time and without being constrained by the rigidity of traditional or existing systems. Main achievements to date include joint preparation of influenza pandemic preparedness plans at both national and regional levels and the introduction of molecular techniques into influenza surveillance laboratories region-wide. Here, we describe the history of the SEEHN communicable disease project; major activities and accomplishments; and future sustainability of the regional infectious disease surveillance network that has emerged and grown over the past decade. PMID:23362410

  16. European Nuclear Education Network Association - Support for nuclear education, training and knowledge management

    International Nuclear Information System (INIS)

    Developed in 2002-2003 the FP5 EURATOM project 'European Nuclear Engineering Network - ENEN' aimed to establish the basis for conserving nuclear knowledge and expertise, to create an European Higher Education Area for nuclear disciplines and to facilitate the implementation of the Bologna declaration in the nuclear disciplines. In order to ensure the continuity of the achievements and results of the ENEN project, on 22 September 2003, the European Nuclear Higher Education Area was formalized by creating the European Nuclear Education Network Association. ENEN Association goals are oriented towards universities by developing a more harmonized approach for education in the nuclear sciences and engineering in Europe, integrating European education and training in nuclear safety and radiation protection and achieving a better cooperation and sharing of resources and capabilities at the national and international level. At the same time it is oriented towards the end-users (industries, regulatory bodies, research centers, universities) by creating a secure basis of knowledge and skills of value to the EU. It maintains an adequate supply of qualified human resources for design, construction, operation and maintenance of nuclear infrastructures and plants. Also it maintains the necessary competence and expertise for the continued safe use of nuclear energy and applications of radiation in industry and medicine. In 2004-2005, 35 partners continued and expanded the started in FP 5 ENEN Association activities with the FP6 project 'NEPTUNO- Nuclear Education Platform for Training and Universities Organizations'. Thus ENEN established and implemented the European Master of Science in Nuclear Engineering, expanded its activities from education to training, organized and coordinated training sessions and pilot courses and included in its activities the Knowledge Management. At present, the ENEN Association gathers 45 universities, 7 research centers and one multinational company

  17. ESONET - European Seas Observatory NETwork. Network of Excellence (NoE). Periodic activity report : revision #1

    OpenAIRE

    PUILLAT Ingrid; Rolin, Jean-francois; Person, Roland

    2008-01-01

    The Network of Excellence ESONET started on 1st March 2007. The kick off meeting was held in Brest on 21-22-23 March 2007. Long term monitoring of environmental processes related to ecosystem life and evolution, global changes and geohazards, is now recognized as a necessary by the scientific community. To better understand geophysical, biogeochemical, oceanographic and biological active phenomena scientists need long time series of data coming from the deep sea and the seafloor at key pro...

  18. Increased prevalence of symptoms of rhinitis but not of asthma between 1990 and 2008 in Swedish adults: comparisons of the ECRHS and GA²LEN surveys.

    Directory of Open Access Journals (Sweden)

    Anders Bjerg

    Full Text Available BACKGROUND: The increase in asthma prevalence until 1990 has been well described. Thereafter, time trends are poorly known, due to the low number of high quality studies. The preferred method for studying time trends in prevalence is repeated surveys of similar populations. This study aimed to compare the prevalence of asthma symptoms and their major determinants, rhinitis and smoking, in Swedish young adults in 1990 and 2008. METHODS: In 1990 the European Community Respiratory Health Survey (ECRHS studied respiratory symptoms, asthma, rhinitis and smoking in a population-based sample (86% participation in Sweden. In 2008 the same symptom questions were included in the Global Allergy and Asthma European Network (GA(2LEN survey (60% participation. Smoking questions were however differently worded. The regions (Gothenburg, Uppsala, Umeå and age interval (20-44 years surveyed both in 1990 (n = 8,982 and 2008 (n = 9,156 were analysed. RESULTS: The prevalence of any wheeze last 12 months decreased from 20% to 16% (p<0.001, and the prevalence of "asthma-related symptoms" was unchanged at 7%. However, either having asthma attacks or using asthma medications increased from 6% to 8% (p<0.001, and their major risk factor, rhinitis, increased from 22% to 31%. Past and present smoking decreased. CONCLUSION: From 1990 to 2008 the prevalence of obstructive airway symptoms common in asthma did not increase in Swedish young adults. This supports the few available international findings suggesting the previous upward trend in asthma has recently reached a plateau. The fact that wheeze did not increase despite the significant increment in rhinitis, may at least in part be due to the decrease in smoking.

  19. A small-world methodology of analysis of interchange energy-networks: The European behaviour in the economical crisis

    International Nuclear Information System (INIS)

    European energy policy pursues the objective of a sustainable, competitive and reliable supply of energy. In 2007, the European Commission adopted a proper energy policy for Europe supported by several documents and included an action plan to meet the major energy challenges Europe has to face. A farsighted diversified yearly mix of energies was suggested to countries, aiming at increasing security of supply and efficiency, but a wide and systemic view of energy interchanges between states was missing. In this paper, a Small-World methodology of analysis of Interchange Energy-Networks (IENs) is presented, with the aim of providing a useful tool for planning sustainable energy policies. A proof case is presented to validate the methodology by considering the European IEN behaviour in the period of economical crisis. This network is approached as a Small World Net from a modelling point of view, by supposing that connections between States are characterised by a probability value depending on economic/political relations between countries. - Highlights: • Different view of the imports and exports of electric energy flows between European for potential use in ruling exchanges. • Panel data from 1996 to 2010 as part of a network of exchanges was considered from Eurostat official database. • The European import/export energy flows modelled as a network with Small World phenomena, interpreting the evolution over the years. • Interesting systemic tool for ruling and governing energy flows between countries

  20. DIZZYNET--a European network initiative for vertigo and balance research: visions and aims.

    Science.gov (United States)

    Zwergal, Andreas; Brandt, Thomas; Magnusson, Mans; Kennard, Christopher

    2016-04-01

    Vertigo is one of the most common complaints in medicine. Despite its high prevalence, patients with vertigo often receive either inappropriate or inadequate treatment. The most important reasons for this deplorable situation are insufficient interdisciplinary cooperation, nonexistent standards in diagnostics and therapy, the relatively rare translations of basic science findings to clinical applications, and the scarcity of prospective controlled multicenter clinical trials. To overcome these problems, the German Center for Vertigo and Balance Disorders (DSGZ) started an initiative to establish a European Network for Vertigo and Balance Research called DIZZYNET. The central aim is to create a platform for collaboration and exchange among scientists, physicians, technicians, and physiotherapists in the fields of basic and translational research, clinical management, clinical trials, rehabilitation, and epidemiology. The network will also promote public awareness and help establish educational standards in the field. The DIZZYNET has the following objectives as regards structure and content: to focus on multidisciplinary translational research in vertigo and balance disorders, to develop interdisciplinary longitudinal and transversal networks for patient care by standardizing and personalizing the management of patients, to increase methodological competence by implementing common standards of practice and quality management, to internationalize the infrastructure for prospective multicenter clinical trials, to increase recruitment capacity for clinical trials, to create a common data base for patients with vertigo and balance disorders, to offer and promote attractive educational and career paths in a network of cooperating institutions. In the long term, the DIZZYNET should serve as an internationally visible network for interdisciplinary and multiprofessional research on vertigo and balance disorders. It ideally should equally attract the afflicted patients and

  1. Modeling the Multi-layer Nature of the European Air Transport Network: Resilience and Passengers Re-scheduling under random failures

    CERN Document Server

    Cardillo, Alessio; Gómez-Gardeñes, Jesús; Romance, Miguel; del Amo, Alejandro J García; Boccaletti, Stefano

    2012-01-01

    We study the dynamics of the European Air Transport Network by using a multiplex network formalism. We will consider the set of flights of each airline as an interdependent network and we analyze the resilience of the system against random flight failures in the passenger's rescheduling problem. A comparison between the single-plex approach and the corresponding multiplex one is presented illustrating that the multiplexity strongly affects the robustness of the European Air Network.

  2. European Healthy City Network Phase V: patterns emerging for healthy urban planning.

    Science.gov (United States)

    Grant, Marcus

    2015-06-01

    There is a tradition of planning cities and their infrastructure to successfully tackle communicable disease arising from urban development. Non-communicable disease follows a different course. Development brings in its wake a basket of adverse health and health equity outcomes that are proving difficult to tackle. In response, within Phase V of the European Healthy Cities Network, municipalities have implemented a range of policy and physical interventions using a settings approach. Owing to the time lag between physical interventions and health outcomes, this research interrogates city activity itself to develop better understanding. Self-reported city case studies and questionnaire data were analysed to reveal patterns using an inductive approach. Findings indicate that some categories of intervention, such as whole city planning and transport, have a systemic impact across the wider determinants of health. Addressing transferability and stakeholder understanding helped cities create conditions for successful outcomes. Cities had varying urban development approaches for tackling climate change. Improvements to current practice are discussed, including; a distinction between supply side and demand side in healthy urban planning; valuing co-benefits and developing integrative approaches to the evidence-base. This evaluative article is important for cities wanting to learn how to maximize benefits to public health through urban development and for researchers exploring, with a systemic approach, the experiences of European cities acting at the interface of urban development and public health. This article also provides recommendations for future phases of the WHO European Healthy Cities programme, posing questions to better address governance and equity in spatial planning.

  3. Clinical Neuropathology Views - 2/2016: Digital networking in European neuropathology: An initiative to facilitate truly interactive consultations.

    Science.gov (United States)

    Idoate, Miguel A; García-Rojo, Marcial

    2016-01-01

    Digital technology is progressively changing our vision of the practice of neuropathology. There are a number of facts that support the introduction of digital neuropathology. With the development of wholeslide imaging (WSI) systems the difficulties involved in implementing a neuropathology network have been solved. A relevant difficulty has been image standardization, but an open digital image communication protocol defined by the Digital Imaging and Communications in Medicine (DICOM) standard is already a reality. The neuropathology network should be established in Europe because it is the expected geographic context for relationships among European neuropathologists. There are several limitations in the implementation of a digital neuropathology consultancy network such as financial support, operational costs, legal issues, and technical assistance of clients. All of these items have been considered and should be solved before implementing the proposal. Finally, the authors conclude that a European digital neuropathology network should be created for patients' benefit. PMID:26833552

  4. Spectral network based on component cells under the SOPHIA European project

    Energy Technology Data Exchange (ETDEWEB)

    Núñez, Rubén, E-mail: ruben.nunez@ies-def.upm.es; Antón, Ignacio; Askins, Steve; Sala, Gabriel [Instituto de Energía Solar - Universidad Politécnica de Madrid, Ciudad Universitaria, 28040 Madrid (Spain); Domínguez, César; Voarino, Philippe [CEA-INES, 50 avenue du Lac Léman, 73375 Le Bourget-du-Lac (France); Steiner, Marc; Siefer, Gerald [Fraunhofer ISE, Heidenhofstr. 2, 79110 Freiburg (Germany); Fucci, Rafaelle; Roca, Franco [ENEA, P.le E.Fermi 1, Località Granatello, 80055 Portici (Italy); Minuto, Alessandro; Morabito, Paolo [RSE, Via Rubattino 54, 20134 Milan (Italy)

    2015-09-28

    In the frame of the European project SOPHIA, a spectral network based on component (also called isotypes) cells has been created. Among the members of this project, several spectral sensors based on component cells and collimating tubes, so-called spectroheliometers, were installed in the last years, allowing the collection of minute-resolution spectral data useful for CPV systems characterization across Europe. The use of spectroheliometers has been proved useful to establish the necessary spectral conditions to perform power rating of CPV modules and systems. If enough data in a given period of time is collected, ideally a year, it is possible to characterize spectrally the place where measurements are taken, in the same way that hours of annual irradiation can be estimated using a pyrheliometer.

  5. What's So Special About Policy Networks? – An Exploration of the Concept and Its Usefulness in Studying European Governance

    Directory of Open Access Journals (Sweden)

    Tanja A. Börzel

    1997-08-01

    Full Text Available A 'Babylonian' variety of policy network concepts and applications can be found in the literature. Neither is there a common understanding of what a policy networks actually is, nor has it been agreed upon whether policy networks constitute a mere metaphor, a method, an analytical tool or a proper theory. The aim of this paper is to review the state of the art in the field of policy networks and to explore their usefulness in studying European policy-making and European governance. It is argued that policy networks are more than an analytical tool box for studying these phenomena. What is so special then about policy networks? They constitute arenas for non-strategic, communicative action providing solutions for collective action problems and accounting for more efficient and legitimate policy-making. Yet, a theoretically ambitious policy network approach has to, first, show that policy networks do not only exist but are relevant for policy process and policy outcome, and second, tackle the problem of the ambiguity of policy networks, which can do both enhance and reduce the efficiency and legitimacy of policy-making.

  6. What's So Special About Policy Networks? An Exploration of the Concept and Its Usefulness in Studying European Governance

    Directory of Open Access Journals (Sweden)

    Tanja A. Börzel

    1997-08-01

    Full Text Available A 'Babylonian' variety of policy network concepts and applications can be found in the literature. Neither is there a common understanding of what a policy networks actually is, nor has it been agreed upon whether policy networks constitute a mere metaphor, a method, an analytical tool or a proper theory. The aim of this paper is to review the state of the art in the field of policy networks and to explore their usefulness in studying European policy-making and European governance. It is argued that policy networks are more than an analytical tool box for studying these phenomena. What is so special then about policy networks? They constitute arenas for non-strategic, communicative action providing solutions for collective action problems and accounting for more efficient and legitimate policy-making. Yet, a theoretically ambitious policy network approach has to, first, show that policy networks do not only exist but are relevant for policy process and policy outcome, and second, tackle the problem of the ambiguity of policy networks, which can do both enhance and reduce the efficiency and legitimacy of policy-making.

  7. COST Action ES1401 TIDES: a European network on TIme DEpendent Seismology

    Science.gov (United States)

    Morelli, Andrea

    2016-04-01

    Using the full-length records of seismic events and background ambient noise, today seismology is going beyond still-life snapshots of the interior of the Earth, and look into time-dependent changes of its properties. Data availability has grown dramatically with the expansion of seismographic networks and data centers, so as to enable much more detailed and accurate analyses. COST Action ES1401 TIDES (TIme DEpendent Seismology; http://tides-cost.eu) aims at structuring the EU seismological community to enable development of data-intensive, time-dependent techniques for monitoring Earth active processes (e.g., earthquakes, volcanic eruptions, landslides, glacial earthquakes) as well as oil/gas reservoirs. The main structure of TIDES is organised around working groups on: Workflow integration of data and computing resources; Seismic interferometry and ambient noise; Forward problems and High-performance computing applications; Seismic tomography, full waveform inversion and uncertainties; Applications in the natural environment and industry. TIDES is an open network of European laboratories with complementary skills, and is organising a series of events - workshops and advanced training schools - as well as supporting short-duration scientific stays. The first advanced training school was held in Bertinoro (Italy) on June 2015, with attendance of about 100 participants from 20 European countries, was devoted to how to manage and model seismic data with modern tools. The next school, devoted to ambient noise, will be held in 2016 Portugal: the program will be announced at the time of this conference. TIDES will strengthen Europe's role in a critical field for natural hazards and natural resource management.

  8. Bronchial asthma

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    2008049 Activation ralated genes of memory CD+4 T cells in asthma patients. PI Weifeng(皮卫峰),et al. Dept Respir Med, Xinhua Hosp, Sch Med, Shanghai Jiaotong Univ, Shanghai 200092. Chin J Tuberc Respir Dis 2007;30(12):932-935. Objective To screen and identify the genes of activated memory CD+4 T cells in asthma. Methods Differential display polymerase chain reaction(DDPCR) was utilized to identify genes of memory CD+4 T cells after activation from asthmatic patients and normal individuals,

  9. Policy Formulation and Networks of Practice in European eLearning: The Emergence of a European E-Learning Area

    Science.gov (United States)

    Salajan, Florin D.

    2013-01-01

    This article discusses the emergence of a European E-Learning Area (EELA) as a consequence of three factors that can be observed in the e-learning developments over the past decade. The first factor consists of the carving of a policy sector in e-learning via formal instruments such as the eLearning Programme, the Lifelong Learning Programme and…

  10. The European general practice research network presents the translations of its comprehensive definition of multimorbidity in family medicine in ten European languages.

    Directory of Open Access Journals (Sweden)

    Jean Yves Le Reste

    Full Text Available Multimorbidity, according to the World Health Organization, exists when there are two or more chronic conditions in one patient. This definition seems inaccurate for the holistic approach to Family Medicine (FM and long-term care. To avoid this pitfall the European General Practitioners Research Network (EGPRN designed a comprehensive definition of multimorbidity using a systematic literature review.To translate that English definition into European languages and to validate the semantic, conceptual and cultural homogeneity of the translations for further research.Forward translation of the EGPRN's definition of multimorbidity followed by a Delphi consensus procedure assessment, a backward translation and a cultural check with all teams to ensure the homogeneity of the translations in their national context. Consensus was defined as 70% of the scores being higher than 6. Delphi rounds were repeated in each country until a consensus was reached.229 European medical expert FPs participated in the study. Ten consensual translations of the EGPRN comprehensive definition of multimorbidity were achieved.A comprehensive definition of multimorbidity is now available in English and ten European languages for further collaborative research in FM and long-term care.

  11. Demand patterns for HIV-tests in general practice: information collected by sentinel networks in 5 European countries.

    NARCIS (Netherlands)

    Casteren, V. van; Leurquin, P.; Bartelds, A.; Gurtner, F.; Massari, V.; Maurice-Tison, S.; Vega, A.T.; Mak, R.

    1993-01-01

    This study describes a 1 year international data collection on the demand pattern for HIV-antibody tests in general practice recorded by 6 sentinel networks in 5 European countries. The purpose of the recording was to evaluate the use of HIV-antibody testing by general practitioners and the demand

  12. Clinical, polysomnographic and genome-wide association analyses of narcolepsy with cataplexy: a European Narcolepsy Network study

    NARCIS (Netherlands)

    Luca, G. De; Haba-Rubio, J.; Dauvilliers, Y.; Lammers, G.J.; Overeem, S.; Donjacour, C.E.; Mayer, G.; Javidi, S.; Iranzo, A.; Santamaria, J.; Peraita-Adrados, R.; Hor, H.; Kutalik, Z.; Plazzi, G.; Poli, F.; Pizza, F.; Arnulf, I.; Lecendreux, M.; Bassetti, C.; Mathis, J.; Heinzer, R.; Jennum, P.; Knudsen, S.; Geisler, P.; Wierzbicka, A.; Feketeova, E.; Pfister, C.; Khatami, R.; Baumann, C.; Tafti, M.

    2013-01-01

    The aim of this study was to describe the clinical and PSG characteristics of narcolepsy with cataplexy and their genetic predisposition by using the retrospective patient database of the European Narcolepsy Network (EU-NN). We have analysed retrospective data of 1099 patients with narcolepsy diagno

  13. The European Science Foundation (ESF) Network SEDIFLUX — An introduction and overview

    Science.gov (United States)

    Beylich, Achim A.; Etienne, Samuel; Etzelmüller, Bernd; Gordeev, Vyacheslav V.; Käyhkö, Jukka; Rachold, Volker; Russell, Andrew J.; Schmidt, Karl-Heinz; Sæmundsson, Þorsteinn; Tweed, Fiona S.; Warburton, Jeff

    2006-10-01

    Climate change will cause major changes in the Earth surface systems, especially in high-latitude and high-altitude cold environments. Geomorphological processes operating at the Earth's surface, transferring sediments and changing landforms are dependent on climate and will be significantly affected by climate change. More reliable modelling of sediment transfer processes operating under present-day climatic settings is needed to determine the consequences of climate change. It is necessary to collect and to compare data and knowledge from a wide range of different high-latitude and high-altitude cold environments and to develop more standardized methods and approaches for future research on sediment fluxes and relationships between climate and sedimentary transfer processes. In Europe, the wide range of high-latitude and high-altitude cold environments provides great potential to investigate climate-process relationships and to model the effects of climate change by using space for time substitution. The European Science Foundation (ESF) Network (01.01.2004-31.12.2006) "Sedimentary Source-to-Sink-Fluxes in Cold Environments" ( SEDIFLUX) is bringing together leading scientists, young scientists and research teams from different fields. SEDIFLUX forms a framework for an integrated and multidisciplinary investigation of the addressed topic and is a major catalyst for strengthening and extending contacts, collaborative research activities and mobility of scientists in Europe. It also points to areas within Europe that would benefit from wider research collaboration (e.g. Russia, Poland). The SEDIFLUX Steering Committee consists of scientists from seven European countries: Achim A. Beylich, Co-ordinator of SEDIFLUX (Trondheim, Norway), Samuel Etienne (Clermont-Ferrand, France), Bernd Etzelmüller (Oslo, Norway), Vyacheslav V. Gordeev (Moscow, Russia), Jukka Käyhkö (Turku, Finland), Volker Rachold (Potsdam, Germany), Andrew J. Russell (Newcastle, England, UK), Karl

  14. Educating the next generation of atmospheric scientists within a European Network of Excellence

    Science.gov (United States)

    Schuepbach, E.; Uherek, E.; Ladstätter-Weissenmayer, A.; Jacob, M. J.

    In order to promote the next generation of atmospheric scientists, the task Training and Education (T&E) in ACCENT, the European Network of Excellence in Atmospheric Composition Change ( www.accent-network.org) has developed and implemented an Integrated Learning Environment (ILE). For school teachers and their students, the Internet-based "Global Change Magazine" provides up-to-date and freely accessible scientific material in English and five other languages. Additionally, T&E has produced online teaching material for early-career scientists. These e-learning modules are now being used in University Master's courses across Europe. T&E also organised training events for early-career scientists, combining scientific content with development in transferable skills, to focus on interdisciplinary collaboration, interaction with senior scientists, communication with stakeholders, and dissemination to the general public. Evaluation based on participant feedback evidences the effectiveness of these events, e.g., in terms of motivation to remain in the field. Methodologies and materials from T&E are being published in a Handbook on Best Practice, intended for both educators and scientists around the globe who are involved in education in the field of air quality and climate change science.

  15. European Research on the Corium issues within the SARNET network of excellence

    International Nuclear Information System (INIS)

    Within SARNET, the corium topic covers all the behaviors of corium from early phase of core degradation to in or ex-vessel corium recovery with the exception of corium interaction with water, direct containment heating and fission product release. The corium topic regroups in three work packages the critical mass of competence required to improve significantly the corium behavior knowledge. The spirit of the SARNET networking is to share the knowledge, the facilities and the simulation tools for severe accidents, so to reach a better efficiency and to rationalize the R and D effort at European level. Extensive benchmarking has been launched in most of the areas of research. These benchmarks were mainly dedicated to the recalculation of experiments, while, in the next periods, a larger focus will be given to integral experiments or reactor applications. Eventually, all the knowledge will be accumulated in the ASTEC severe accident simulation code through physical model improvements and extension of validation database. This paper summarizes the progress that has been achieved in the frame of the networking activities. A special focus is placed on the melt pool and debris coolability and corium-concrete interaction, in which, the effects due to multidimensional geometries and heterogeneities has been shown, during SARNET, to play a crucial role and for which further research is still needed. (authors)

  16. Animal models of asthma

    OpenAIRE

    Akkoç, Tunç

    2014-01-01

    ABSTRACT: Allergic disease such as asthma, rhinitis, and eczema are increasing prevelanceand affect up to 15% of population in Westernized countries. Among them, asthma is achronic inflammatory disease of airways and the underlying physiological and immunologicalprocesses are not fully understood. Mouse models of asthma dupicates many featuresof human asthma, including airway hyperreactivity, andairway inflammation. Therefore, relevantmodels for asthma are important to understand the mechanis...

  17. Thunderstorm asthma.

    Science.gov (United States)

    2014-10-01

    AN ASSOCIATION between asthma and thunderstorms based on retrospective data has been noted in several papers. This study, however, draws on almost-real-time, anonymised attendance data from 35 emergency departments (EDs) in the UK, and lightning-strike plots from the Met Office. PMID:25270814

  18. European surveillance network for influenza in pigs: surveillance programs, diagnostic tools and Swine influenza virus subtypes identified in 14 European countries from 2010 to 2013.

    Directory of Open Access Journals (Sweden)

    Gaëlle Simon

    Full Text Available Swine influenza causes concern for global veterinary and public health officials. In continuing two previous networks that initiated the surveillance of swine influenza viruses (SIVs circulating in European pigs between 2001 and 2008, a third European Surveillance Network for Influenza in Pigs (ESNIP3, 2010-2013 aimed to expand widely the knowledge of the epidemiology of European SIVs. ESNIP3 stimulated programs of harmonized SIV surveillance in European countries and supported the coordination of appropriate diagnostic tools and subtyping methods. Thus, an extensive virological monitoring, mainly conducted through passive surveillance programs, resulted in the examination of more than 9 000 herds in 17 countries. Influenza A viruses were detected in 31% of herds examined from which 1887 viruses were preliminary characterized. The dominating subtypes were the three European enzootic SIVs: avian-like swine H1N1 (53.6%, human-like reassortant swine H1N2 (13% and human-like reassortant swine H3N2 (9.1%, as well as pandemic A/H1N1 2009 (H1N1pdm virus (10.3%. Viruses from these four lineages co-circulated in several countries but with very different relative levels of incidence. For instance, the H3N2 subtype was not detected at all in some geographic areas whereas it was still prevalent in other parts of Europe. Interestingly, H3N2-free areas were those that exhibited highest frequencies of circulating H1N2 viruses. H1N1pdm viruses were isolated at an increasing incidence in some countries from 2010 to 2013, indicating that this subtype has become established in the European pig population. Finally, 13.9% of the viruses represented reassortants between these four lineages, especially between previous enzootic SIVs and H1N1pdm. These novel viruses were detected at the same time in several countries, with increasing prevalence. Some of them might become established in pig herds, causing implications for zoonotic infections.

  19. European surveillance network for influenza in pigs: surveillance programs, diagnostic tools and Swine influenza virus subtypes identified in 14 European countries from 2010 to 2013.

    Science.gov (United States)

    Simon, Gaëlle; Larsen, Lars E; Dürrwald, Ralf; Foni, Emanuela; Harder, Timm; Van Reeth, Kristien; Markowska-Daniel, Iwona; Reid, Scott M; Dan, Adam; Maldonado, Jaime; Huovilainen, Anita; Billinis, Charalambos; Davidson, Irit; Agüero, Montserrat; Vila, Thaïs; Hervé, Séverine; Breum, Solvej Østergaard; Chiapponi, Chiara; Urbaniak, Kinga; Kyriakis, Constantinos S; Brown, Ian H; Loeffen, Willie

    2014-01-01

    Swine influenza causes concern for global veterinary and public health officials. In continuing two previous networks that initiated the surveillance of swine influenza viruses (SIVs) circulating in European pigs between 2001 and 2008, a third European Surveillance Network for Influenza in Pigs (ESNIP3, 2010-2013) aimed to expand widely the knowledge of the epidemiology of European SIVs. ESNIP3 stimulated programs of harmonized SIV surveillance in European countries and supported the coordination of appropriate diagnostic tools and subtyping methods. Thus, an extensive virological monitoring, mainly conducted through passive surveillance programs, resulted in the examination of more than 9 000 herds in 17 countries. Influenza A viruses were detected in 31% of herds examined from which 1887 viruses were preliminary characterized. The dominating subtypes were the three European enzootic SIVs: avian-like swine H1N1 (53.6%), human-like reassortant swine H1N2 (13%) and human-like reassortant swine H3N2 (9.1%), as well as pandemic A/H1N1 2009 (H1N1pdm) virus (10.3%). Viruses from these four lineages co-circulated in several countries but with very different relative levels of incidence. For instance, the H3N2 subtype was not detected at all in some geographic areas whereas it was still prevalent in other parts of Europe. Interestingly, H3N2-free areas were those that exhibited highest frequencies of circulating H1N2 viruses. H1N1pdm viruses were isolated at an increasing incidence in some countries from 2010 to 2013, indicating that this subtype has become established in the European pig population. Finally, 13.9% of the viruses represented reassortants between these four lineages, especially between previous enzootic SIVs and H1N1pdm. These novel viruses were detected at the same time in several countries, with increasing prevalence. Some of them might become established in pig herds, causing implications for zoonotic infections.

  20. [Severe asthma].

    Science.gov (United States)

    González, Claudio D

    2016-01-01

    The objectives of this work were to investigate the frequency of severe asthma (SA) according to WHO definition and to compare SA patients' characteristics with those of non-severe asthma (NSA); secondly, to investigate the level of control reached throughout a period of regular treatment. Between 1-1-2005 and 12-31-2014, 471 medical records from patients with bronchial asthma assisted in Buenos Aires City were analyzed. SA frequency was 40.1% (189/471), being significantly higher among patients from the public health system (47.7%, 108/226 vs. 33%, 81/245, p = 0.001). SA patients were older than NSA ones (51.3 ± 17.4 vs. 42.6 ± 17.1 years, p = 0.000), presented longer time since onset of the disease (median 30 vs. 20 years, p = 0.000), lower educational levels (secondary level or higher 41.7% vs. 58.1%, p = 0.000), lower frequency of rhinitis (47% vs. 60.6%, p = 0.004), more severe levels of airway obstruction (FEV% 50.2 ± 13.7 vs. 77.7 ± 12.4, p = 0.000), more frequent antecedents of Near Fatal Asthma (11.1% vs. 2.8%, p = 0.000), higher levels of serum IgE (median of 410 vs. 279 UI/l, p = 0.01) and higher demand of systemic steroids requirements and hospitalizations (68.7% vs. 50.7%, p = 0.000 and 37.5% vs. 15.9%, p = 0.000, respectively). A 30.6% of SA patients (58/189) reached a follow-up period of 12 months, 13 (22.5%) of whom reached the controlled asthma level. The frequency of SA found seems to be considerable. Multicenter studies to investigate the levels of control reached by SA patients with access to proper treatment are recommended.

  1. Social Network Type and Long-Term Condition Management Support: A Cross-Sectional Study in Six European Countries

    Science.gov (United States)

    2016-01-01

    Background Network types and characteristics have been linked to the capacity of inter-personal environments to mobilise and share resources. The aim of this paper is to examine personal network types in relation to long-term condition management in order to identify the properties of network types most likely to provide support for those with a long-term condition. Method A cross-sectional observational survey of people with type 2 diabetes using interviews and questionnaires was conducted between April and October 2013 in six European countries: Greece, Spain, Bulgaria, Norway, United Kingdom, and Netherlands. 1862 people with predominantly lower socio-economic status were recruited from each country. We used k-means clustering analysis to derive the network types, and one-way analysis of variance and multivariate logistic regression analysis to explore the relationship between network type socio-economic characteristics, self-management monitoring and skills, well-being, and network member work. Results Five network types of people with long-term conditions were identified: restricted, minimal family, family, weak ties, and diverse. Restricted network types represented those with the poorest self-management skills and were associated with limited support from social network members. Restricted networks were associated with poor indicators across self-management capacity, network support, and well-being. Diverse networks were associated with more enhanced self-management skills amongst those with a long-term condition and high level of emotional support. It was the three network types which had a large number of network members (diverse, weak ties, and family) where healthcare utilisation was most likely to correspond to existing health needs. Discussion Our findings suggest that type of increased social involvement is linked to greater self-management capacity and potentially lower formal health care costs indicating that diverse networks constitute the optimal

  2. Test Your Asthma Knowledge

    Science.gov (United States)

    ... Issue Past Issues Special Section Test Your Asthma Knowledge Past Issues / Fall 2007 Table of Contents For ... Asthma: A Chance to Heal / Test Your Asthma Knowledge Fall 2007 Issue: Volume 2 Number 4 Page ...

  3. Asthma triggers (image)

    Science.gov (United States)

    ... things make your asthma worse. These are called asthma "triggers". Avoiding them is your first step toward feeling better. The most common asthma triggers are mold, pets, dust, grasses, pollen, cockroaches, odors ...

  4. Allergies, asthma, and dust

    Science.gov (United States)

    Reactive airway disease - dust; Bronchial asthma - dust; Triggers - dust ... Things that make allergies or asthma worse are called triggers. Dust is a common trigger. When your asthma or allergies become worse due to dust, you are ...

  5. Allergies, asthma, and molds

    Science.gov (United States)

    Reactive airway - mold; Bronchial asthma - mold; Triggers - mold; Allergic rhinitis - pollen ... Things that make allergies or asthma worse are called triggers. Mold is a common trigger. When your asthma or allergies become worse due to mold, you are ...

  6. Asthma in Children

    Science.gov (United States)

    ... have asthma. Nearly 9 million of them are children. Children have smaller airways than adults, which makes asthma especially serious for them. Children with asthma may experience wheezing, coughing, chest tightness, ...

  7. Asthma and Food Allergies

    Science.gov (United States)

    ... Español Text Size Email Print Share Asthma and Food Allergies Page Content Article Body A family history of ... child may develop asthma . Children with asthma and food allergies are at increased risk for anaphylaxis, a severe ...

  8. Asthma Medications and Pregnancy

    Science.gov (United States)

    ... MD Medical Director, Health Initiatives View full profile Asthma and Pregnancy: Asthma Medications We would like to avoid all medicine ... make sure you are using it correctly. Other Asthma Related Medication Treatment Annual influenza vaccine (flu shot) ...

  9. Exercise-Induced Asthma

    Science.gov (United States)

    ... Melon Smoothie Pregnant? Your Baby's Growth Exercise-Induced Asthma KidsHealth > For Parents > Exercise-Induced Asthma Print A ... previous continue Tips for Kids With Exercise-Induced Asthma For the most part, kids with exercise-induced ...

  10. Asthma action plan

    OpenAIRE

    Public Health Agency

    2014-01-01

    This action plans allow each child (or parent/carer) to record his or her asthma treatment to help manage their asthma when they are well, when their symptoms get worse and when they are suffering an asthma attack.

  11. Mapping Judicial Dialogue across National Borders: An Exploratory Network Study of Learning from Lobbying among European Intellectual Property Judges

    Directory of Open Access Journals (Sweden)

    Emmanuel Lazega

    2012-05-01

    Full Text Available This paper looks at dialogue and collective learning across borders through personal networks of judges. We focus on judges participating in the Venice Forum, bringing together European patent judges involved in institutional lobbying for the construction of a European Patent Court. Empirical observation shows that personal networks of discussion with foreign judges, reading of their work and references to their decisions do exist in this milieu and can be mapped. Our network study shows that judges from some European countries are more active in this dialogue than judges from other countries. The learning process is driven, to some extent, by a small subset of super-central judges who frame this dialogue and can be considered to be opinion leaders in this social milieu. We measure a strong level of consensus among the judges on several controversial issues surrounding the procedure of a possible future European Patent Court. But strong differences between them remain. Dialogue and collective learning do not, by themselves, lead to convergence towards a uniform position in these controversies.

  12. Intraregional differences in asthma prevalence and risk factors for asthma among adolescents in Split-Dalmatia County, Croatia

    OpenAIRE

    Gudelj, Ivan; Kobal, Iva Mrkić; Škvorc, Helena Munivrana; Miše, Kornelija; Vrbica, Žarko; Plavec, Davor; Tudorić, Neven

    2012-01-01

    Summary Background Our aim was to assess the differences in intraregional prevalence of asthma in adolescents in Split-Dalmatia County to determine asthma risk factors in our population and estimate the specificity and sensitivity of the questionnaire used. Material/Methods We conducted the study using the European Community Respiratory Health Survey II short questionnaire supplemented by some questions from the International Study of Asthma in Childhood questionnaire. The participants suspec...

  13. Science Objectives and Design of the European Seas Observatory NETwork (ESONET)

    Science.gov (United States)

    Ruhl, H.; Géli, L.; Karstensen, J.; Colaço, A.; Lampitt, R.; Greinert, J.; Phannkuche, O.; Auffret, Y.

    2009-04-01

    The needs for a network of ocean observing systems cross many applied and research areas of earth and marine science. Many of the science areas that can be examined using such systems have direct impacts on societal health and well being and our understanding of ocean function in a shifting climate. The European Seas Observatory NETwork (ESONET) Network of Excellence has been evaluating ocean observatory design requirements, data management needs, standardization and interoperability concerns, social implications, outreach and education, as well as financial and legal aspects of developing such a system. ESONET has great potential to address a growing set of Earth science questions that require a broad and integrated network of ocean and seafloor observations. ESONET activities are also importantly integrating researchers in the European Community, as well as internationally. There is now wide recognition that research addressing science questions of international priority, such as understanding the potential impacts of climate change or geohazards like earthquakes and tsunamis should be conducted in a framework that can address questions across adequate temporal and spatial scales. We will present the relevant science priorities in the four interconnected fields of geoscience, physical oceanography, biogeochemistry, and marine ecology, and some of the practical ways in which these questions can be addressed using ESONET. Several key questions persist that will require comprehensive interdisciplinary approaches including: How can monitoring of factors such as seismic activity, fluid pore chemistry and pressure, improve seismic, slope failure, and tsunami warning? To what extent do seabed processes influence ocean physics, biogeochemistry, and marine ecosystems? How are physical and biogeochemical processes that occur at differing scales related? What aspects of physical oceanography and biogeochemical cycling will be most sensitive to climate change? What will the

  14. ECRHS Screening Questionnaire Scoring: A Methodological Suggestion for Asthma Assessment.

    Science.gov (United States)

    Biino, G.; Rezzani, C.; Grassi, M.; Marinoni, A.

    2001-01-01

    Investigated the unidimensionality of the European Community Respiratory Health Survey (ECRHS) screening questionnaire and determined and validated a scoring of asthma-like symptoms seriousness. Data from 6,946 adults at 3 Italian screening centers found a single dimension underlying the screening questionnaire. A scoring of asthma-like symptoms…

  15. On the nature of FRB 150418: clues from European VLBI Network and e-MERLIN observations

    CERN Document Server

    Giroletti, M; Garrett, M; Paragi, Z; Yang, J; Hada, K; Muxlow, T W B; Cheung, C C

    2016-01-01

    We investigate the nature of the compact, and possibly variable nuclear radio source in the centre of WISE J0716-19, the proposed host galaxy of fast radio burst, FRB 150418. We observed WISE J0716-19 at 5.0 GHz with the European VLBI Network four times between 2016 March 16 and June 2. At three epochs, we simultaneously observed the source with e-MERLIN at the same frequency. We detected a compact source in the EVN data in each epoch with a significance up to ~8sigma. The four epochs yielded consistent results within their uncertainties, for both peak surface intensity and positions. The mean values for these quantities are I_peak = (115+-9) {\\mu}Jy/beam and r.a. = 07:16:34.55496(7), dec. = -19:00:39.4754(8), respectively. The e-MERLIN data provided ~3-5sigma detections, at a position consistent with those of the EVN data. The presence of emission on angular scales intermediate between the EVN and e-MERLIN is consistent with being null. The brightness temperature of the EVN core is Tb~10^8.5K, close to the v...

  16. Analysis of the LF data collected by the European radio network during one year

    Science.gov (United States)

    Biagi, Pier Francesco; Righetti, Flavia; Maggipinto, Tommaso; Ermini, Anita; Moldovan, Iren; Moldovan, Adrian; Buyuksarac, Aydin; da Silva, Hugo; Bezzeghoud, Mourad; Contadakis, Michael E.

    2011-04-01

    During 2008 a radio receiver was developed by the Italian factory Elettronika. The receiver is an equipment working in VLF (15-60 kHz) and LF (150-300 kHz) bands. It can monitor 10 frequencies distributed in these bands and, for each of them, saves the electric field intensity. During 2009 six receivers were installed for the realization of the "European VLF/LF network". Actually, two of them are into operation in Italy and one in Greece, Turkey, Portugal and Romania, respectively; a sampling rate of 1 minute is used. The LF radio data collected from July 2009 to December 2010 have been analysed. At first, for each radio signal, the day time data and the night time ones were separated. Taking into account that the LF signals are characterized by the ground wave and the sky wave propagation modes, the day data are related to the ground wave and the night data to the sky wave. In a first analysis the effect of the solar activity and of the thunderstorm activity was pointed out in the different trends. Then the wavelet analysis was applied on the same trends. Some anomalies probably related to earthquakes occurred nearby some transmitter-receiver path with M>5 were revealed.

  17. European VLBI Network imaging of 6.7 GHz methanol masers

    CERN Document Server

    Bartkiewicz, Anna; van Langevelde, Huib J

    2016-01-01

    Methanol masers at 6.7 GHz are well known tracers of high-mass star-forming regions. However, their origin is still not clearly understood. We aimed to determine the morphology and velocity structure for a large sample of the maser emission with generally lower peak flux densities than those in previous surveys. Using the European VLBI Network we imaged the remaining sources (17) from a sample of sources that were selected from the unbiased survey using the Torun 32 m dish. Together they form a database of a total of 63 source images with high sensitivity, milliarcsecond angular resolution and very good spectral resolution for detailed studies. We studied in detail the properties of the maser clouds and calculated the mean and median values of the projected size (17.4 au and 5.5 au, respectively) as well as the FWHM of the line (0.373 km s$^{-1}$ and 0.315 km s$^{-1}$ for the mean and median values, respectively), testing whether it was consistent with Gaussian profile. We also found maser clouds with velocit...

  18. Eurosdr - the Pan-European Network for Mapping Agencies and Academia

    Science.gov (United States)

    Streilein, A.; Remondino, F.; Pfeifer, N.; Trollvik, J. A.; Stoter, J.; Crompvoets, J.; Potůčková, M.

    2016-06-01

    EuroSDR (http://www.eurosdr.net/) is a non-profit organisation that provides a pan-European network that brings together mapping / cadastre agencies and academia for the purpose of applied research, and securing timely, research-based knowledge that allows the agencies to play their role as content providers and government competence centres for geographic information and spatial data infrastructures. EuroSDR is the recognised provider of research-based knowledge to a Europe where citizens can readily benefit from geographic information. Its mission is to develop and improve methods, systems and standards for the acquisition, processing, production, maintenance, management, visualization, and dissemination of geographic reference data in support of applications and service delivery. EuroSDR delivers advanced research-based knowledge. Its value is generated by facilitating interaction between research organisations and the public and private sector with the aim of exchanging ideas and knowledge about relevant research topics; by facilitating and contributing to research projects; and by transferring knowledge and research results to real world applications. The paper gives an overview about EuroSDR research principles, research alliances, objectives and action plans of each of the technical commissions.

  19. Asthma and Allergy Foundation of America

    Science.gov (United States)

    ... Researchers & Academics Sponsors & Supporters Donate Contact AAFA Asthma Asthma Triggers Allergens and Allergic Asthma Tobacco Smoke Air Pollution ... Feed Subscribe Asthma Capitals Asthma Facts Asthma Research Asthma Triggers Allergy Capitals Allergy Facts Allergy Research Allergy Treatment ...

  20. Interpreting canopy development and physiology using a European phenology camera network at flux sites

    Science.gov (United States)

    Wingate, L.; Ogée, J.; Cremonese, E.; Filippa, G.; Mizunuma, T.; Migliavacca, M.; Moisy, C.; Wilkinson, M.; Moureaux, C.; Wohlfahrt, G.; Hammerle, A.; Hörtnagl, L.; Gimeno, C.; Porcar-Castell, A.; Galvagno, M.; Nakaji, T.; Morison, J.; Kolle, O.; Knohl, A.; Kutsch, W.; Kolari, P.; Nikinmaa, E.; Ibrom, A.; Gielen, B.; Eugster, W.; Balzarolo, M.; Papale, D.; Klumpp, K.; Köstner, B.; Grünwald, T.; Joffre, R.; Ourcival, J.-M.; Hellstrom, M.; Lindroth, A.; George, C.; Longdoz, B.; Genty, B.; Levula, J.; Heinesch, B.; Sprintsin, M.; Yakir, D.; Manise, T.; Guyon, D.; Ahrends, H.; Plaza-Aguilar, A.; Guan, J. H.; Grace, J.

    2015-10-01

    Plant phenological development is orchestrated through subtle changes in photoperiod, temperature, soil moisture and nutrient availability. Presently, the exact timing of plant development stages and their response to climate and management practices are crudely represented in land surface models. As visual observations of phenology are laborious, there is a need to supplement long-term observations with automated techniques such as those provided by digital repeat photography at high temporal and spatial resolution. We present the first synthesis from a growing observational network of digital cameras installed on towers across Europe above deciduous and evergreen forests, grasslands and croplands, where vegetation and atmosphere CO2 fluxes are measured continuously. Using colour indices from digital images and using piecewise regression analysis of time series, we explored whether key changes in canopy phenology could be detected automatically across different land use types in the network. The piecewise regression approach could capture the start and end of the growing season, in addition to identifying striking changes in colour signals caused by flowering and management practices such as mowing. Exploring the dates of green-up and senescence of deciduous forests extracted by the piecewise regression approach against dates estimated from visual observations, we found that these phenological events could be detected adequately (RMSE green and blue colour fractions derived from digital images could be modelled mechanistically using the PROSAIL model parameterised with information of seasonal changes in canopy leaf area and leaf chlorophyll and carotenoid concentrations. From a model sensitivity analysis we found that variations in colour fractions, and in particular the late spring `green hump' observed repeatedly in deciduous broadleaf canopies across the network, are essentially dominated by changes in the respective pigment concentrations. Using the model we

  1. Online social networking in adolescence: patterns of use in six European countries and links with psychosocial functioning.

    OpenAIRE

    Tsitsika, A.K.; Tzavela, E.C.; Janikian, M.; Olafsson, K.; Iordache, A; Schoenmakers, T.M.; Tzavara, C.; Richardson, C.

    2014-01-01

    Purpose: Online communication tools, such as social networking sites (SNS), have been comprehensively embraced by adolescents and have become a dominant daily social practice. Recognizing SNS as a key context of adolescent development, this study aimed to investigate associations between heavier SNS use, and adolescent competencies and internalizing problems. Methods: Data was collected in six European countries: Greece, Spain, Poland, the Netherlands, Romania, and Iceland. Participants were ...

  2. Ocean Data and Information Network for European Countries in Economical Transition (ODINECET): Progress report 2005-2006

    OpenAIRE

    Kalenchits, Maria

    2007-01-01

    The official endorsement to proceed with the establishing of a European ODIN for Eastern countries was given by IODE at its XVIII meeting, following the suggestion in the 2005 GEMIM report to IODE. The project document was prepared by the Coordinating Group, presented and reviewed at the ODINECET kick-off meeting (Oostende, 25 March 2006). On 19 April 2006 a Project Proposal was prepared. In the first stages, this network focus on aquatic information management mainly, building on the alre...

  3. Effect of spatial sampling from European flux towers for estimating carbon and water fluxes with artificial neural network

    DEFF Research Database (Denmark)

    Papale, D.; Black, T Andrew; Carvalhais, Nuno;

    2015-01-01

    -output relationships, while prediction for conditions outside the training domain is generally uncertain. In this work, artificial neural networks (ANNs) were used for the prediction of gross primary production (GPP) and latent heat flux (LE) on local and European scales with the aim to assess the portion...... on prediction uncertainty in both, regional GPP and LE budgets and their interannual variability. Results obtained show that for ANN upscaling for continents with relatively small networks of sites, the error due to the sampling can be large and needs to be considered and quantified. The analysis of the spatial...

  4. Asthma and obesity

    DEFF Research Database (Denmark)

    Juel, Caroline Trunk-Black; Ali, Zarqa; Nilas, Lisbeth;

    2012-01-01

    Obesity is a major health problem, and obesity is associated with a high incidence of asthma and poor asthma control. The aim of the present paper is to systematically review the current knowledge of the effect on overall asthma control of weight reduction in overweight and obese adults with asthma....

  5. Vascular Biomarkers in Asthma and COPD.

    Science.gov (United States)

    Bakakos, Petros; Patentalakis, George; Papi, Alberto

    2016-01-01

    Bronchial asthma and chronic obstructive pulmonary disease (COPD) remain a global health problem with significant morbidity and mortality. The changes in bronchial microvasculature that occurin asthma and COPD contribute to airway wall remodeling. Angiogenesis seems to be more prevalent in asthma and vasodilatation seemsmore relevant in COPD while vascular leak is present in both diseases. Recently, there has been increased interest in the vascular component of airway remodeling in chronic bronchial inflammation of asthma and COPD although its role in the progression of the diseases has not been fully elucidated. Various cells andmediators are involved in the vascular remodeling in asthma and COPD while proinflammatory cytokines and growth factors exert angiogenic and antiangiogenic effects. Vascular endothelial growth factor (VEGF) is a key regulator of blood vessel growth mainly in asthma but also in COPD. In asthmatic airways VEGF promotes proliferation and differentiation of endothelial cells and induces vascular leakage and permeability. It has also been involved in enhanced allergic sensitization, upregulated subsequent T-helper-2 type inflammatory responses, chemotaxis for monocytes and eosinophils, and airway oedema. Impaired VEGF signaling has been associated with emphysema in animal models. Studies on lung biopsies have shown a decreasing effect of anti-asthma drugs to the vascular component of airway remodeling. There is less available evidence on the effect of the currently used drugs on airway microvascular network in COPD. This review article explores the current knowledge regarding vascular biomarkers in asthma and COPD as well as the therapeutic implications of these mediators. PMID:26420364

  6. Semantically supporting data discovery, markup and aggregation in the European Marine Observation and Data Network (EMODnet)

    Science.gov (United States)

    Lowry, Roy; Leadbetter, Adam

    2014-05-01

    The semantic content of the NERC Vocabulary Server (NVS) has been developed over thirty years. It has been used to mark up metadata and data in a wide range of international projects, including the European Commission (EC) Framework Programme 7 projects SeaDataNet and The Open Service Network for Marine Environmental Data (NETMAR). Within the United States, the National Science Foundation projects Rolling Deck to Repository and Biological & Chemical Data Management Office (BCO-DMO) use concepts from NVS for markup. Further, typed relationships between NVS concepts and terms served by the Marine Metadata Interoperability Ontology Registry and Repository. The vast majority of the concepts publicly served from NVS (35% of ~82,000) form the British Oceanographic Data Centre (BODC) Parameter Usage Vocabulary (PUV). The PUV is instantiated on the NVS as a SKOS concept collection. These terms are used to describe the individual channels in data and metadata served by, for example, BODC, SeaDataNet and BCO-DMO. The PUV terms are designed to be very precise and may contain a high level of detail. Some users have reported that the PUV is difficult to navigate due to its size and complexity (a problem CSIRO have begun to address by deploying a SISSVoc interface to the NVS), and it has been difficult to aggregate data as multiple PUV terms can - with full validity - be used to describe the same data channels. Better approaches to data aggregation are required as a use case for the PUV from the EC European Marine Observation and Data Network (EMODnet) Chemistry project. One solution, proposed and demonstrated during the course of the NETMAR project, is to build new SKOS concept collections which formalise the desired aggregations for given applications, and uses typed relationships to state which PUV concepts contribute to a specific aggregation. Development of these new collections requires input from a group of experts in the application domain who can decide which PUV

  7. Genetic data from avian influenza and avian paramyxoviruses generated by the European network of excellence (EPIZONE) between 2006 and 2011—Review and recommendations for surveillance

    DEFF Research Database (Denmark)

    Dundon, William G.; Heidari, Alireza; Fusaro, Alice;

    2012-01-01

    Since 2006, the members of the molecular epidemiological working group of the European “EPIZONE” network of excellence have been generating sequence data on avian influenza and avian paramyxoviruses from both European and African sources in an attempt to more fully understand the circulation and ...

  8. Network of Research Infrastructures for European Seismology (NERIES)-Web Portal Developments for Interactive Access to Earthquake Data on a European Scale

    Science.gov (United States)

    Spinuso, A.; Trani, L.; Rives, S.; Thomy, P.; Euchner, F.; Schorlemmer, D.; Saul, J.; Heinloo, A.; Bossu, R.; van Eck, T.

    2009-04-01

    The Network of Research Infrastructures for European Seismology (NERIES) is European Commission (EC) project whose focus is networking together seismological observatories and research institutes into one integrated European infrastructure that provides access to data and data products for research. Seismological institutes and organizations in European and Mediterranean countries maintain large, geographically distributed data archives, therefore this scenario suggested a design approach based on the concept of an internet service oriented architecture (SOA) to establish a cyberinfrastructure for distributed and heterogeneous data streams and services. Moreover, one of the goals of NERIES is to design and develop a Web portal that acts as the uppermost layer of the infrastructure and provides rendering capabilities for the underlying sets of data The Web services that are currently being designed and implemented will deliver data that has been adopted to appropriate formats. The parametric information about a seismic event is delivered using a seismology-specific Extensible mark-up Language(XML) format called QuakeML (https://quake.ethz.ch/quakeml), which has been formalized and implemented in coordination with global earthquake-information agencies. Uniform Resource Identifiers (URIs) are used to assign identifiers to (1) seismic-event parameters described by QuakeML, and (2) generic resources, for example, authorities, locations providers, location methods, software adopted, and so on, described by use of a data model constructed with the resource description framework (RDF) and accessible as a service. The European-Mediterranean Seismological Center (EMSC) has implemented a unique event identifier (UNID) that will create the seismic event URI used by the QuakeML data model. Access to data such as broadband waveform, accelerometric data and stations inventories will be also provided through a set of Web services that will wrap the middleware used by the

  9. The need for scientists and judges to work together: regarding a new European network

    Directory of Open Access Journals (Sweden)

    Santosuosso Amedeo

    2003-07-01

    Full Text Available Abstract Is it always true to say that science is, by definition, universal whilst laws and the courts which apply them are a classic state and national expression? Yes and no. In recent years a new scenario has opened all over the world. Courts intervene more and more in disputes on matters related to scientific procedures in the biological field. In doing so the courts' decisions are affected by scientific issues and ways of reasoning and, on the other hand, affect the scientific field and its way of reasoning. While the old matter of bioethics was still alive and while judges were improving their skill in dealing with hard matters, like refusal of medical treatments, abortion, euthanasia et cetera, a new challenge appeared on the horizon, the challenge of biological sciences, and especially of the most troubled field of human genetics. A completely new awareness is developing among judges that they belong to an international judiciary community, as informal as it is real. Such a community is, even at an embryonic stage, sufficiently universal to be able to come together with the international scientific community. The authors maintain we are in urgent need for new interaction between judges and scientists and of new international means in the light of such cooperation. Judges and jurists need to become better acquainted with scientific questions and learn to exchange ideas with scientists. They also need to set themselves against the latters' conceptual systems and be willing to put their own up for discussion. A European Network for Life Sciences, Health and the Courts is taking its first steps, and judges and scientists are working side by side to tackle the new challenges. The provisional headquarters are located at the University of Pavia (I, Laboratorio di Biologia dello Sviluppo and Collegio Ghislieri (e-mail:. enlsc@unipv.it. ENLSC activity is inspired by the following idea: to be against science is as much antiscientific as to be

  10. European Myeloma Network guidelines for the management of multiple myeloma-related complications.

    Science.gov (United States)

    Terpos, Evangelos; Kleber, Martina; Engelhardt, Monika; Zweegman, Sonja; Gay, Francesca; Kastritis, Efstathios; van de Donk, Niels W C J; Bruno, Benedetto; Sezer, Orhan; Broijl, Annemiek; Bringhen, Sara; Beksac, Meral; Larocca, Alessandra; Hajek, Roman; Musto, Pellegrino; Johnsen, Hans Erik; Morabito, Fortunato; Ludwig, Heinz; Cavo, Michele; Einsele, Hermann; Sonneveld, Pieter; Dimopoulos, Meletios A; Palumbo, Antonio

    2015-10-01

    The European Myeloma Network provides recommendations for the management of the most common complications of multiple myeloma. Whole body low-dose computed tomography is more sensitive than conventional radiography in depicting osteolytic disease and thus we recommend it as the novel standard for the detection of lytic lesions in myeloma (grade 1A). Myeloma patients with adequate renal function and bone disease at diagnosis should be treated with zoledronic acid or pamidronate (grade 1A). Symptomatic patients without lytic lesions on conventional radiography can be treated with zoledronic acid (grade 1B), but its advantage is not clear for patients with no bone involvement on computed tomography or magnetic resonance imaging. In asymptomatic myeloma, bisphosphonates are not recommended (grade 1A). Zoledronic acid should be given continuously, but it is not clear if patients who achieve at least a very good partial response benefit from its continuous use (grade 1B). Treatment with erythropoietic-stimulating agents may be initiated in patients with persistent symptomatic anemia (hemoglobin <10g/dL) in whom other causes of anemia have been excluded (grade 1B). Erythropoietic agents should be stopped after 6-8 weeks if no adequate hemoglobin response is achieved. For renal impairment, bortezomib-based regimens are the current standard of care (grade 1A). For the management of treatment-induced peripheral neuropathy, drug modification is needed (grade 1C). Vaccination against influenza is recommended; vaccination against streptococcus pneumonia and hemophilus influenza is appropriate, but efficacy is not guaranteed due to suboptimal immune response (grade 1C). Prophylactic aciclovir (or valacyclovir) is recommended for patients receiving proteasome inhibitors, autologous or allogeneic transplantation (grade 1A). PMID:26432383

  11. European Myeloma Network Guidelines for the Management of Multiple Myeloma-related Complications

    Science.gov (United States)

    Terpos, Evangelos; Kleber, Martina; Engelhardt, Monika; Zweegman, Sonja; Gay, Francesca; Kastritis, Efstathios; van de Donk, Niels W.C.J.; Bruno, Benedetto; Sezer, Orhan; Broijl, Annemiek; Bringhen, Sara; Beksac, Meral; Larocca, Alessandra; Hajek, Roman; Musto, Pellegrino; Johnsen, Hans Erik; Morabito, Fortunato; Ludwig, Heinz; Cavo, Michele; Einsele, Hermann; Sonneveld, Pieter; Dimopoulos, Meletios A.; Palumbo, Antonio

    2015-01-01

    The European Myeloma Network provides recommendations for the management of the most common complications of multiple myeloma. Whole body low-dose computed tomography is more sensitive than conventional radiography in depicting osteolytic disease and thus we recommend it as the novel standard for the detection of lytic lesions in myeloma (grade 1A). Myeloma patients with adequate renal function and bone disease at diagnosis should be treated with zoledronic acid or pamidronate (grade 1A). Symptomatic patients without lytic lesions on conventional radiography can be treated with zoledronic acid (grade 1B), but its advantage is not clear for patients with no bone involvement on computed tomography or magnetic resonance imaging. In asymptomatic myeloma, bisphosphonates are not recommended (grade 1A). Zoledronic acid should be given continuously, but it is not clear if patients who achieve at least a very good partial response benefit from its continuous use (grade 1B). Treatment with erythropoietic-stimulating agents may be initiated in patients with persistent symptomatic anemia (hemoglobin <10g/dL) in whom other causes of anemia have been excluded (grade 1B). Erythropoietic agents should be stopped after 6–8 weeks if no adequate hemoglobin response is achieved. For renal impairment, bortezomib-based regimens are the current standard of care (grade 1A). For the management of treatment-induced peripheral neuropathy, drug modification is needed (grade 1C). Vaccination against influenza is recommended; vaccination against streptococcus pneumonia and hemophilus influenza is appropriate, but efficacy is not guaranteed due to suboptimal immune response (grade 1C). Prophylactic aciclovir (or valacyclovir) is recommended for patients receiving proteasome inhibitors, autologous or allogeneic transplantation (grade 1A). PMID:26432383

  12. Imaging of Asthma.

    Science.gov (United States)

    Richards, John Caleb; Lynch, David; Koelsch, Tilman; Dyer, Debra

    2016-08-01

    Asthma is one of the most common diseases of the lung. Asthma manifests with common, although often subjective and nonspecific, imaging features at radiography and high-resolution computed tomography. The primary role of imaging is not to make a diagnosis of asthma but to identify complications, such as allergic bronchopulmonary aspergillosis, or mimics of asthma, such as hypersensitivity pneumonitis. This article reviews the imaging features of asthma as well as common complications and mimics. PMID:27401624

  13. ENETRAP II: European network of education and training in radiation protection, data base training

    International Nuclear Information System (INIS)

    Development and implementation of a European standard for high quality initial training and professional development continued in the Radiation Protection Expert-RPE and Radiation Protection Officer-RPO, also of a methodology for the mutual recognition of these professionals by making use of the available instruments of the European Union (GE).

  14. Salmeterol in the treatment of childhood asthma

    NARCIS (Netherlands)

    A.A.P.H. Vaessen-Verberne (Anja)

    1997-01-01

    textabstractAsthma is the most common chronic disease of childhood. Although mortality rates in the Netherlands and other Western European countries are low, astlmm causes a great deal of morbidity and school absence. Incidence rates in our country are about 10% and recent epidemiologic studies show

  15. European network for health technology assessment, EUnetHTA: planning, development, and implementation of a sustainable European network for health technology assessment

    DEFF Research Database (Denmark)

    Kristensen, Finn Børlum; Mäkelä, Marjukka; Neikter, Susanna Allgurin;

    2009-01-01

    . The Project developed a model for sustainable continuation of the EUnetHTA Collaboration. CONCLUSIONS: The EUnetHTA Project achieved its goals by producing a suite of practical tools, a strong network, and plans for continuing the work in a sustainable EUnetHTA Collaboration that facilitates and promotes...

  16. Stay away from asthma triggers

    Science.gov (United States)

    Asthma triggers - stay away from; Asthma triggers - avoiding; Reactive airway disease - triggers; Bronchial asthma - triggers ... to them. Have someone who does not have asthma cut the grass, or wear a facemask if ...

  17. Obesity and Asthma

    DEFF Research Database (Denmark)

    Juel, Caroline Trunk-Black; Ulrik, Charlotte Suppli

    2013-01-01

    Asthma is more prevalent in obese compared with normal weight subjects. Our aim has been to review current knowledge of the impact of obesity on asthma severity, asthma control, and response to therapy.Several studies have shown that overweight and obesity is associated with more severe asthma...... and impaired quality of life compared with normal weight individuals. Furthermore, obesity is associated with poorer asthma control, as assessed by asthma control questionnaires, limitations in daily activities, breathlessness and wheezing, use of rescue medication, unscheduled doctor visits, emergency...... department visits, and hospitalizations for acute asthma. Studies of the impact of a high body mass index (BMI) on response to asthma therapy have, however, revealed conflicting results. Most studies show that overweight and obesity is associated with less favorable response to asthma therapy with regard...

  18. European VLBI Network imaging of 6.7 GHz methanol masers

    Science.gov (United States)

    Bartkiewicz, A.; Szymczak, M.; van Langevelde, H. J.

    2016-03-01

    Context. Methanol masers at 6.7 GHz are well known tracers of high-mass star-forming regions. However, their origin is still not clearly understood. Aims: We aimed to determine the morphology and velocity structure for a large sample of the maser emission with generally lower peak flux densities than those in previous surveys. Methods: Using the European VLBI Network (EVN) we imaged the remaining sources from a sample of sources that were selected from the unbiased survey using the Torun 32 m dish. In this paper we report the results for 17 targets. Together they form a database of a total of 63 source images with high sensitivity (3σrms = 15-30 mJy beam-1), milliarcsecond angular resolution (6-10 mas) and very good spectral resolution (0.09 km s-1 or 0.18 km s-1) for detailed studies. Results: We studied in detail the properties of the maser clouds and calculated the mean and median values of the projected size (17.4 ± 1.2 au and 5.5 au, respectively) as well as the FWHM of the line (0.373 ± 0.011 km s-1 and 0.315 km s-1 for the mean and median values, respectively), testing whether it was consistent with Gaussian profile. We also found maser clouds with velocity gradients (71%) that ranged from 0.005 km s-1 au-1 to 0.210 km s-1 au-1. We tested the kinematic models to explain the observed structures of the 6.7 GHz emission. There were targets where the morphology supported the scenario of a rotating and expanding disk or a bipolar outflow. Comparing the interferometric and single-dish spectra we found that, typically, 50-70% of the flux was missing. This phenomena is not strongly related to the distance of the source. Conclusions: The EVN imaging reveals that in the complete sample of 63 sources the ring-like morphology appeared in 17% of sources, arcs were seen in a further 8%, and the structures were complex in 46% cases. The ultra-compact (UC) H II regions coincide in position in the sky for 13% of the sources. They are related both to extremely high and low

  19. Evaluating the connectivity of a protected areas' network under the prism of global change: the efficiency of the European Natura 2000 network for four birds of prey.

    Directory of Open Access Journals (Sweden)

    Antonios D Mazaris

    Full Text Available Climate and land use changes are major threats to biodiversity. To preserve biodiversity, networks of protected areas have been established worldwide, like the Natura 2000 network across the European Union (EU. Currently, this reserve network consists of more than 26000 sites covering more than 17% of EU terrestrial territory. Its efficiency to mitigate the detrimental effects of land use and climate change remains an open research question. Here, we examined the potential current and future geographical ranges of four birds of prey under scenarios of both land use and climate changes. By using graph theory, we examined how the current Natura 2000 network will perform in regard to the conservation of these species. This approach determines the importance of a site in regard to the total network and its connectivity. We found that sites becoming unsuitable due to climate change are not a random sample of the network, but are less connected and contribute less to the overall connectivity than the average site and thus their loss does not disrupt the full network. Hence, the connectivity of the remaining network changed only slightly from present day conditions. Our findings highlight the need to establish species-specific management plans with flexible conservation strategies ensuring protection under potential future range expansions. Aquila pomarina is predicted to disappear from the southern part of its range and to become restricted to northeastern Europe. Gyps fulvus, Aquila chrysaetos, and Neophron percnopterus are predicted to locally lose some suitable sites; hence, some isolated small populations may become extinct. However, their geographical range and metapopulation structure will remain relatively unaffected throughout Europe. These species would benefit more from an improved habitat quality and management of the existing network of protected areas than from increased connectivity or assisted migration.

  20. Evaluating the connectivity of a protected areas' network under the prism of global change: the efficiency of the European Natura 2000 network for four birds of prey.

    Science.gov (United States)

    Mazaris, Antonios D; Papanikolaou, Alexandra D; Barbet-Massin, Morgane; Kallimanis, Athanasios S; Jiguet, Frédéric; Schmeller, Dirk S; Pantis, John D

    2013-01-01

    Climate and land use changes are major threats to biodiversity. To preserve biodiversity, networks of protected areas have been established worldwide, like the Natura 2000 network across the European Union (EU). Currently, this reserve network consists of more than 26000 sites covering more than 17% of EU terrestrial territory. Its efficiency to mitigate the detrimental effects of land use and climate change remains an open research question. Here, we examined the potential current and future geographical ranges of four birds of prey under scenarios of both land use and climate changes. By using graph theory, we examined how the current Natura 2000 network will perform in regard to the conservation of these species. This approach determines the importance of a site in regard to the total network and its connectivity. We found that sites becoming unsuitable due to climate change are not a random sample of the network, but are less connected and contribute less to the overall connectivity than the average site and thus their loss does not disrupt the full network. Hence, the connectivity of the remaining network changed only slightly from present day conditions. Our findings highlight the need to establish species-specific management plans with flexible conservation strategies ensuring protection under potential future range expansions. Aquila pomarina is predicted to disappear from the southern part of its range and to become restricted to northeastern Europe. Gyps fulvus, Aquila chrysaetos, and Neophron percnopterus are predicted to locally lose some suitable sites; hence, some isolated small populations may become extinct. However, their geographical range and metapopulation structure will remain relatively unaffected throughout Europe. These species would benefit more from an improved habitat quality and management of the existing network of protected areas than from increased connectivity or assisted migration. PMID:23527237

  1. Digital Construction Promotes the Innovation of Asthma Network Management Mode%数字化建设推进哮喘病网络管理模式的创新

    Institute of Scientific and Technical Information of China (English)

    吴建华; 代静; 吴俊丽; 赵芮

    2016-01-01

    目的:依据支气管哮喘(简称哮喘)专业特点,从当前数字化医院建设中存在的哮喘管理问题及需求出发,创新哮喘管理模式。方法:课题依托医院数字化的信息平台及六级病历系统,通过建立“哮喘的数字化网络管理平台”,进行医疗与管理的充分融合。结果:采用数字化网络管理模式对哮喘患者实施集中管理,定期短信提醒复诊督导及通知集中宣教,利用微信及QQ群与患者相互沟通,交流灵活,使患者可随时随地的接受健康指导、病情评估、随访提醒等,突破了空间的限制,同时提高了患者用药依从性,促进医患互动,大大提高了医护工作质量和效率,全面实现医院对慢性病管理的规范化、科学化、精细化,提高医院的管理水平。结论:改进现有的哮喘管理模式,探索一种医、护、患三方紧密联系的医疗服务模式,切实推广并落实哮喘的规范化治疗和管理,对提高哮喘的总体控制水平具有重要的意义,值得进行开展及推广。%Objective: On the basis of professional characteristics of bronchial asthma (hereafter referred to as asthma), starting from asthma management problems and demand existing in the current digital hospital construction, to innovate the asthma management mode. Methods: Relying on the digital information platform and six levels of medical record system of the hospital, through the establishment of the digital network management platform of asthma, the subject fully integrates healthcare and management. Results:With digital network management mode, centralized management of patients with asthma is implemented, subsequent visit is reminded of and propaganda and education are informed of regularly with SMS, with WeChat and QQ group patients are communicated with, the communication is flexible, so that the patients can accept health guidance, condition evaluation, follow-up reminder and

  2. Recognition and management of asthma in children and young people.

    Science.gov (United States)

    Pinfield, Jenny; Gaskin, Kerry; Bentley, Jackie; Rouse, Jo

    2015-09-16

    Asthma is a common childhood disorder that has global significance. Developing an understanding of the aetiology, effects, diagnosis and management of the disorder enables healthcare practitioners to reduce the physical, psychological and social effects of asthma on children, families and healthcare systems. This article refers to the Scottish Intercollegiate Guidelines Network and British Thoracic Society guideline on the management of asthma, and enables the reader to incorporate this guidance into their practice.

  3. NETOUR: A EUROPEAN NETWORK FOR EXCELLENCE IN TOURISM THROUGH ORGANIZATIONS AND UNIVERSITIES IN RUSSIA

    OpenAIRE

    Andrades, Lidia; Dimanche, Frederic

    2013-01-01

    Russia is one of the fastest growing tourism markets (+8% growth in 2011) with many resources that are yet untapped. This paper presents NETOUR, a project of European and Russian universities that aims at boosting Russia’s competitiveness as a tourism destination. The purpose of this project, funded by the European Commission through a TEMPUS grant, is to propose a model for cooperation between universities and the main stakeholders in the tourism sector, in order to favour its sustainable de...

  4. When the Network Strategy Is Not Enough -The Case of European Full-Service Airlines

    OpenAIRE

    Koivula, Lotta; Mirzayev, Elshad

    2005-01-01

    The 1990s were one of the most profitable periods for European airline companies, mainly because of development of world economy and increasing globalisation trends. However, towards the end of the decade, a global economic downturn, high oil prices and new forms of competition turned the industry towards troubled times. The European air-travel industry had to face and accept the new airline business concept, called low-cost or no-frill airlines. In these conditions, traditional airlines had ...

  5. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... Asthma among Persons with Current Asthma Asthma and Obesity Percentage of People with Asthma who Smoke Insurance ... Asthma NCHS Asthma FastStats Survey Questions Resources for Health Professionals and Schools Healthcare Professionals Public Health Professionals ...

  6. For Parents of Children with Asthma

    Science.gov (United States)

    ... Asthma > Managing Asthma For Parents of Children with Asthma Your Child's Asthma: A Parent's Guide to Better Breathing This step- ... health considerations you should keep in mind. Diagnosing Asthma in Young Children Most children who have asthma ...

  7. Towards a Pan-European network for the mitigation of ionospheric threats (Invited)

    Science.gov (United States)

    Jakowski, N.; Hlubek, N.; Sato, H.; Berdermann, J.; Aquino, M. H.

    2013-12-01

    space weather can have on GNSS. One possible application is the estimation of the strongest possible influence of the ionosphere. This can then be used as a safety margin to fulfill the high safety requirements of aircrafts landing with GNSS and GBAS. GNSS receivers are a crucial component in countless modern systems, e.g. in telecommunication, navigation, remote sensing and precision timing. Additionally the demands on these systems with respect to accuracy, reliability and safety are permanently growing. Considering the fact that the ionospheric impact cannot be ignored enhanced research activities are required to improve current solutions for correcting or mitigating the ionospheric impact or at least to provide awareness of current threats. It is reported how the current EC funded research project TRANSMIT focuses on bringing together young researchers in this field in order to establish a Pan-European network for Ionospheric Perturbation Detection and Monitoring (IPDM) in the upcoming years. To highlight essential results of these researchers, a prototype solution is being prepared to be accessible via internet (http://swaciweb.dlr.de ).

  8. Advanced power converters for universal and flexible power management in future electricity network - Converter applications in future European electricity network

    DEFF Research Database (Denmark)

    Iov, Florin; Blaabjerg, Frede

    The present report summarizes the work done in the Work Package 2 where the main goal is to provide essential data for the other workpackages in the UNIFLEX-PM project and determines in detail the performance requirements that will be placed upon power converters to make the Future European...

  9. Involving stakeholders and developing a policy for stakeholder involvement in the European network for Health Technology Assessment, EUnetHTA

    DEFF Research Database (Denmark)

    Palmhøj Nielsen, Camilla; Wadmann, Sarah; Børlum Kristensen, Finn;

    2009-01-01

    Objectives: This article explains how the issue of stakeholder involvement was addressed in the European network for Health Technology Assessment (EUnetHTA) Project and describes the structures of future stakeholder involvement in the EUnetHTA Collaboration. Methods: Initiatives led to a dialogue...... of stakeholder opinions on HTA and EUnetHTA, and development of a draft stakeholder policy. Results: First steps were taken to organize processes to consolidate the legitimacy of EUnetHTA and its products and encourage the representation of interests, thus contributing to promoting the utilization of HTA...

  10. Statistically validated mobile communication networks: Evolution of motifs in European and Chinese data

    CERN Document Server

    Li, Ming-Xia; Jiang, Zhi-Qiang; Kaski, Kimmo; Kertész, Janos; Miccichè, Salvatore; Tumminello, Michele; Zhou, Wei-Xing; Mantegna, Rosario N

    2014-01-01

    Big data open up unprecedented opportunities to investigate complex systems including the society. In particular, communication data serve as major sources for computational social sciences but they have to be cleaned and filtered as they may contain spurious information due to recording errors as well as interactions, like commercial and marketing activities, not directly related to the social network. The network constructed from communication data can only be considered as a proxy for the network of social relationships. Here we apply a systematic method, based on multiple hypothesis testing, to statistically validate the links and then construct the corresponding Bonferroni network, generalized to the directed case. We study two large datasets of mobile phone records, one from Europe and the other from China. For both datasets we compare the raw data networks with the corresponding Bonferroni networks and point out significant differences in the structures and in the basic network measures. We show eviden...

  11. Asthma, guides for diagnostic and handling

    International Nuclear Information System (INIS)

    The paper defines the asthma, includes topics as diagnostic, handling of the asthma, special situations as asthma and pregnancy, handling of the asthmatic patient's perioperatory and occupational asthma

  12. Paediatric asthma and obesity.

    Science.gov (United States)

    Lucas, Sean R; Platts-Mills, Thomas A E

    2006-12-01

    None of the explanations proposed for the increase in paediatric asthma have been adequate. It is becoming apparent that the cause of the increase in asthma must be multi-factorial. Increasing attention has been focused on the role of lifestyle in the development of asthma. Lifestyle changes that have occurred in children are those in diet and decreased physical activity, with obesity being the product of these changes. The increase in asthma, obesity and a sedentary lifestyle have occurred together. However, a temporal relationship between asthma, obesity and decreased physical activity has not been determined in the paediatric literature. Limited data suggest that decreased physical activity could be playing a role in the aetiology of asthma independent of obesity. Furthermore, there has been substantial research on the benefits of exercise programmes for paediatric patients with asthma. Longitudinal trials monitoring physical activity, obesity and the development of asthma are needed. PMID:17098637

  13. Allergies, asthma, and pollen

    Science.gov (United States)

    Reactive airway - pollen; Bronchial asthma - pollen; Triggers - pollen; Allergic rhinitis - pollen ... Things that make allergies or asthma worse are called triggers. It is important to know your triggers because avoiding them is your first step toward feeling better. ...

  14. Asthma - child - discharge

    Science.gov (United States)

    Pediatric asthma - discharge; Wheezing - discharge; Reactive airway disease - discharge ... Your child has asthma , which causes the airways of the lungs to swell and narrow. In the hospital, the doctors and nurses helped ...

  15. Smoking and asthma

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000504.htm Smoking and asthma To use the sharing features on ... your allergies or asthma worse are called triggers. Smoking is a trigger for many people who have ...

  16. Managing Allergies, Asthma 101

    Science.gov (United States)

    ... medlineplus.gov/news/fullstory_158635.html Managing Allergies, Asthma 101 Doctor offers advice to students who will ... 3, 2016 (HealthDay News) -- Teens with allergies or asthma who are heading for college later this year ...

  17. Identifying asthma triggers.

    Science.gov (United States)

    McCarty, Justin C; Ferguson, Berrylin J

    2014-02-01

    Asthma has many triggers including rhinosinusitis; allergy; irritants; medications (aspirin in aspirin-exacerbated respiratory disease); and obesity. Paradoxic vocal fold dysfunction mimics asthma and may be present along with asthma. This article reviews each of these triggers, outlining methods of recognizing the trigger and then its management. In many patients more than one trigger may be present. Full appreciation of the complexity of these relationships and targeted therapy to the trigger is needed to best care for the patient with asthma.

  18. Genetics of asthma

    DEFF Research Database (Denmark)

    Thomsen, Simon F

    2015-01-01

    Asthma runs in families, and children of asthmatic parents are at increased risk of asthma. Prediction of disease risk is pivotal for the clinician when counselling atopic families. However, this is not always an easy task bearing in mind the vast and ever-increasing knowledge about asthma genetics...... of methods and advances in asthma genetics in an attempt to help the clinician keep track of the most important knowledge in the field....

  19. Asthma in Africa

    OpenAIRE

    Emmanuel O D Addo-Yobo; Ashley Woodcock; Adorkor Allotey; Benjamin Baffoe-Bonnie; David Strachan; Adnan Custovic

    2007-01-01

    Editors' Summary Background. The proportion of children with asthma is thought to be increasing worldwide, and particularly among children that live in more developed countries. However, it is not clear why this is, since many different aspects of lifestyle and the environment have been linked with the onset of asthma. In Africa, asthma has typically been thought of as being very uncommon, and indeed in many African dialects there is no word for asthma or the symptoms, such as wheezing, that ...

  20. Statistically validated mobile communication networks: the evolution of motifs in European and Chinese data

    Science.gov (United States)

    Li, Ming-Xia; Palchykov, Vasyl; Jiang, Zhi-Qiang; Kaski, Kimmo; Kertész, János; Miccichè, Salvatore; Tumminello, Michele; Zhou, Wei-Xing; Mantegna, Rosario N.

    2014-08-01

    Big data open up unprecedented opportunities for investigating complex systems, including society. In particular, communication data serve as major sources for computational social sciences, but they have to be cleaned and filtered as they may contain spurious information due to recording errors as well as interactions, like commercial and marketing activities, not directly related to the social network. The network constructed from communication data can only be considered as a proxy for the network of social relationships. Here we apply a systematic method, based on multiple-hypothesis testing, to statistically validate the links and then construct the corresponding Bonferroni network, generalized to the directed case. We study two large datasets of mobile phone records, one from Europe and the other from China. For both datasets we compare the raw data networks with the corresponding Bonferroni networks and point out significant differences in the structures and in the basic network measures. We show evidence that the Bonferroni network provides a better proxy for the network of social interactions than the original one. Using the filtered networks, we investigated the statistics and temporal evolution of small directed 3-motifs and concluded that closed communication triads have a formation time scale, which is quite fast and typically intraday. We also find that open communication triads preferentially evolve into other open triads with a higher fraction of reciprocated calls. These stylized facts were observed for both datasets.

  1. Statistically validated mobile communication networks: the evolution of motifs in European and Chinese data

    International Nuclear Information System (INIS)

    Big data open up unprecedented opportunities for investigating complex systems, including society. In particular, communication data serve as major sources for computational social sciences, but they have to be cleaned and filtered as they may contain spurious information due to recording errors as well as interactions, like commercial and marketing activities, not directly related to the social network. The network constructed from communication data can only be considered as a proxy for the network of social relationships. Here we apply a systematic method, based on multiple-hypothesis testing, to statistically validate the links and then construct the corresponding Bonferroni network, generalized to the directed case. We study two large datasets of mobile phone records, one from Europe and the other from China. For both datasets we compare the raw data networks with the corresponding Bonferroni networks and point out significant differences in the structures and in the basic network measures. We show evidence that the Bonferroni network provides a better proxy for the network of social interactions than the original one. Using the filtered networks, we investigated the statistics and temporal evolution of small directed 3-motifs and concluded that closed communication triads have a formation time scale, which is quite fast and typically intraday. We also find that open communication triads preferentially evolve into other open triads with a higher fraction of reciprocated calls. These stylized facts were observed for both datasets. (paper)

  2. Nitrosative events in atopic asthma pathogenesis

    Directory of Open Access Journals (Sweden)

    Parilova O. O.

    2015-12-01

    Full Text Available The correlation between high exhaled nitric oxide levels and eosinophilic-mediated airway inflammation in patients with atopic asthma has been well documented. This generates prerequisites that a regulatory feedback mechanism exists between them. Therefore, the paper briefly describes evidence implementing biosynthesis, enzyme structural features, expression regulation of its isoforms and effects of nitric oxide, which have helped elucidate molecular mechanisms by which nitric oxide selectively promotes asthma exacerbation. In previous study we have demonstrated that airway infiltrate of immune cells contributes to NO synthesis in the respiratory tract during allergic inflammation under guinea pig model of acute asthma with multiple challenges. On the basis of these findings the authors posits that nitric oxide represents an additional signal of the induction of Th2 subset response and be considerably involved in the complex network of immune regulation distinctive for atopic asthma phenotype.

  3. The relation between paracetamol use and asthma

    DEFF Research Database (Denmark)

    Shaheen, S; Potts, J; Gnatiuc, L;

    2008-01-01

    Studies from the UK and the USA suggest that frequent use of paracetamol (acetaminophen) may increase the risk of asthma, but data across Europe are lacking.As part of a multi-centre case-control study organised by the GA(2)LEN network we have examined whether frequent paracetamol use is associated...... the same population defined by age (20-45 years) and place of residence.In a random effects meta-analysis, after controlling for confounders, the adjusted odds ratio for asthma associated with weekly use of paracetamol, compared with less frequent use, was 2.87 (95% CI: 1.49 to 5.37), P=0.......002. There was no evidence for heterogeneity across centres. No association was seen between use of other analgesics and asthma.These data add to the increasing and consistent epidemiological evidence implicating frequent paracetamol use in asthma in diverse populations...

  4. Asthma in ear, nose, and throat primary care patients with chronic rhinosinusitis with nasal polyps

    DEFF Research Database (Denmark)

    Frendø, Martin; Håkansson, Kåre; Schwer, Susanne;

    2016-01-01

    were prospectively recruited from nine PC ear, nose, and throat clinics in the Copenhagen area. CRSwNP was diagnosed according to the European Position Paper on Chronic Rhinosinusitis and Nasal Polyps; severity was assessed by using a visual analog scale. Allergy, lung function, and asthma tests....... Frequently, asthma was undiagnosed. However, asthma was significantly less prevalent in PC patients compared with patients referred for ESS. The frequent concomitance of asthma, i.e., united airways disease, in PC patients calls for closer collaboration between ear, nose, and throat specialists, and asthma...

  5. Antifungals in severe asthma

    NARCIS (Netherlands)

    Parulekar, Amit D.; Diamant, Zuzana; Hanania, Nicola A.

    2015-01-01

    Purpose of review Despite guideline-based treatment, many patients with severe asthma continue to have uncontrolled disease. Fungal allergy is being increasingly recognized in the pathogenesis of severe asthma. Limited data exist on the approach to treatment of fungal asthma. This review summarizes

  6. Obesity and asthma

    DEFF Research Database (Denmark)

    Ali, Zarqa; Ulrik, Charlotte Suppli

    2013-01-01

    Epidemiological data has established increasing adiposity as a risk factor for incident asthma. However, the mechanisms underlying the association between obesity and asthma are incompletely understood. In the present paper, we review current knowledge of possible mechanisms mediating the observed...... association between obesity and asthma....

  7. Do Allergies Cause Asthma?

    Science.gov (United States)

    ... Smoothie Pregnant? Your Baby's Growth Do Allergies Cause Asthma? KidsHealth > For Parents > Do Allergies Cause Asthma? Print A A A Text Size en español ¿Causan asma las alergias? My daughter has asthma and I'm worried that her younger brother ...

  8. Preparing tomorrow's network today: RTE at the crossroads of the European electricity system. Cross-border electricity interconnections Key issues and figures - 2014 Edition

    International Nuclear Information System (INIS)

    The interconnected electricity transmission network is a key element for ensuring security of supply, the creation of a single market and the integration of renewable energies. RTE and its European partners provide strengthened coordination by the use of interconnections to ensure solidarity between European countries. Interconnections also allow an electricity supplier to sell its energy to a customer located in another country in Europe. They contribute on a European scale to optimising the use of production means and in particular the integration of variable renewable energies. RTE, within the EnTSo-E (European Network of Transmission System Operators for Electricity), contributes to the publication of a common vision of the future of networks by 2030. The needs for new interconnection capacity are identified in the ten-year European network development plan (TYnDP) on the basis of a cost-benefit analysis. France is interconnected to all its neighbours via many cross-border links. However interconnection capacity with the various countries and its use differ widely. The usage profile of the interconnections is specific to each border and varies according to: - the characteristics of the production mix of each country, and in particular the level of production of renewable energies. - the level of consumption, which depends on the season, the type of day (working or non-working) the time of day, etc. - import and export capacity, which may be different depending on the internal constraints of the networks of each country

  9. Gynecologic oncology training systems in europe: a report from the European network of young gynaecological oncologists

    DEFF Research Database (Denmark)

    Gultekin, Murat; Dursun, Polat; Vranes, Boris;

    2011-01-01

    The objectives of the study were to highlight some of the differences in training systems and opportunities for training in gynecologic oncology across Europe and to draw attention to steps that can be taken to improve training prospects and experiences of European trainees in gynecologic oncology....

  10. European radicals and the 'Third World’: imagined solidarities and radical networks, 1958-1973

    NARCIS (Netherlands)

    R. Gildea; J. Mark; N. Pas

    2011-01-01

    This article addresses the importance of Third Worldism/tiersmondisme as a source of inspiration for European radicals on both sides of the Iron Curtain 1958-73, focusing on the cases of France, the Netherlands and Hungary. Using both oral history and archival material, it considers the decline of d

  11. Monitoring of influenza in the EISS European network member countries for october 2000 to april 2001.

    NARCIS (Netherlands)

    Manuguerra, J.C.; Mosnier, A.; Paget, W.J.

    2001-01-01

    In countries covered by the European Influenza Surveillance Scheme (EISS), the 2000-2001 winter was marked mainly by the spread of influenza A(H1N1) viruses. Influenza B, which globally represented a minority of cases, was common later in the season and predo-minant in Great Britain, Ireland, and Po

  12. EurOOHnet-the European research network for out-of-hours primary health care

    NARCIS (Netherlands)

    Huibers, L.; Philips, H.; Giesen, P.; Remmen, R.; Christensen, M.B.; Bondevik, G.T.

    2014-01-01

    Abstract Background and rationale: European countries face similar challenges in the provision of health care. Demographic factors like ageing, population growth, changing patient behaviour, and lack of work force lead to increasing demands, costs, and overcrowding of out-of-hours (OOH) care (i.e. p

  13. STENCIL: Science Teaching European Network for Creativity and Innovation in Learning

    Science.gov (United States)

    Cattadori, M.; Magrefi, F.

    2013-12-01

    STENCIL is an european educational project funded with support of the European Commission within the framework of LLP7 (Lifelong Learning Programme) for a period of 3 years (2011 - 2013). STENCIL includes 21 members from 9 European countries (Bulgaria, Germany, Greece, France, Italy, Malta, Portugal, Slovenia, Turkey.) working together to contribute to the general objective of improving science teaching, by promoting innovative methodologies and creative solutions. Among the innovative methods adept a particolar interest is a joint partnership between a wide spectrum of type of institutions such as schools, school authorities, research centres, universities, science museums, and other organizations, representing differing perspectives on science education. STENCIL offers to practitioners in science education from all over Europe, a platform; the web portal - www.stencil-science.eu - that provides high visibility to schools and institutions involved in Comenius and other similar European funded projects in science education. STENCIL takes advantage of the positive results achieved by the former European projects STELLA - Science Teaching in a Lifelong Learning Approach (2007 - 2009) and GRID - Growing interest in the development of teaching science (2004-2006). The specific objectives of the project are : 1) to identify and promote innovative practices in science teaching through the publication of Annual Reports on Science Education; 2) to bring together science education practitioners to share different experiences and learn from each other through the organisation of periodical study visits and workshops; 3) to disseminate materials and outcomes coming from previous EU funded projects and from isolated science education initiatives through the STENCIL web portal, as well as through international conferences and national events. This contribution aims at explaining the main features of the project together with the achieved results during the project's 3 year

  14. A meta-database comparison from various European research networks dedicated to forests sites

    NARCIS (Netherlands)

    Danielewska, A.; Clarke, N.; Olejnik, J.; Hansen, K.; Vries, de W.

    2013-01-01

    Of a wide variety of international forest research and monitoring networks, several networks are dedicated to the effects of climate change on forests, while the effects of anthropogenic pollutants on forests have been a major area for both monitoring and research for decades. The large amounts of d

  15. The European FP7 CHRON Project: Towards Cognitive Heterogeneous Reconfigurable Optical Networks

    DEFF Research Database (Denmark)

    Miguel, I. de; Duran, R.J.; Abril, E.J.;

    2010-01-01

    We provide an overview of the EU-funded CHRON project, which addresses the challenge of controlling and managing the next generation of heterogeneous optical networks supporting the Future Internet. Such networks will be of a highly heterogeneous nature in terms of both a wide variety of services...

  16. Design and feasibility of an international study assessing the prevalence of contact allergy to fragrances in the general population: the European Dermato-Epidemiology Network Fragrance Study

    OpenAIRE

    Rossi, Marta; Coenraads, Pieter-Jan; Diepgen, Thomas; Svensson, Ake; Elsner, Peter; Goncalo, Margarida; Bruze, Magnus; Naldi, Luigi

    2010-01-01

    Background/Aims: Data on contact allergy to fragrances in the general population are limited. Data from allergological services suggest that the frequency of contact allergy to fragrances is increasing. The European Dermato-Epidemiology Network (EDEN) Fragrance Study aims to obtain reliable data on the prevalence of contact allergy to fragrances and other sensitizers of the European baseline series, in the general population of different geographical areas of Europe. We report the methodology...

  17. Asthma in the elderly

    OpenAIRE

    Domenico Lorenzo Urso

    2012-01-01

    As the population increases in age, the diseases of older age will have increasing prevalence and place a greater burden on the health system. Despite asthma being usually considered a disease of younger people, asthma mortality is currently greatest in the over 55 age-group. Symptoms and emergency presentations for health care due to asthma place a great burden on the quality of life of those over age 55 with asthma. Asthma in older people is under-diagnosed due to patient and physiological ...

  18. Asthma and pregnancy.

    Science.gov (United States)

    Vatti, Rani Reddy; Teuber, Suzanne S

    2012-08-01

    Asthma is probably the most common serious medical disorder that may complicate pregnancy. A third of pregnant women with asthma will experience worsening of their symptoms, a third will see improvement of their symptoms and a third will see no change. The primary goal is to maintain optimal control of asthma for maternal health and well-being as well as fetal maturation. Vital patient education should cover the use of controller medication, avoidance of asthma triggers and early treatment of asthma exacerbations. Proper asthma management should ideally be started in the preconception period. Since smoking is probably the most modifiable risk factor of asthma, pregnant woman should avoid active and passive smoking. Acute asthma exacerbation during the first trimester is associated with an increased risk of congenital malformations. Poorly controlled asthma is associated with low birth weight, preeclampsia, and preterm birth. Medications used for asthma control in the non-pregnant population are generally the same in pregnancy with a few exceptions. Inhaled corticosteroids (ICS) are the preferred controller therapy. Budesonide is the preferred ICS. Long-acting B-agonists (LABA) are the preferred add-on therapy to medium to high dose ICS. Major triggers for asthma exacerbations during pregnancy are viral infections and ICS nonadherence. PMID:21858482

  19. Extensive monitoring of Italian forests: integration of the National Forest Inventory with the European Network of Level I

    Directory of Open Access Journals (Sweden)

    Gasparini P

    2014-02-01

    Full Text Available Extensive monitoring of Italian forests: integration of the National Forest Inventory with the European Network of Level I. Forest monitoring is important for enhancing our knowledge on such ecosystems and their changes in order to enable actions helpful for their protection. At the European level, several monitoring programmes are carried out at present to pursue a better knowledge of specific characteristics of forests. Among those, national forest inventories are carried out to give a picture of their status (forest area, forest types, timber volume, growth and others, whereas health status of forests has been monitored over twenty years thanks to a specific programme, the ICP Forests. Under LIFE+ programme 2007, the FutMon project funded country-level studies aiming at evaluating the possibility to merge national forest inventory and Level I sample plots in a unique set of plots for forest monitoring and survey protocol. The underlying idea is that a common set of plots would enhance efficiency either in terms of costs or in terms of scientific results. However, an important issue is to preserve the validity of the twenty-years-long existing data series. For this reason in Italy, in 2009 and 2010, an experiment was carried out by measuring a common set of variables both in the Level I plots and in a subset of the inventory plots, in order to evaluate differences and similarities of surveying variables in the two different plot samples. More specifically, the integration between the two programmes would imply a change in the crown-condition sample-trees selection criteria and the shift of the Level I network to the inventory one. On the basis of the results, from 2012 the National Forest Inventory protocol for sample-trees selection has already been adopted on the Level I plots, whereas the feasibility of shifting the Level I plots from the ICP network to the National Forest Inventory one is still under evaluation.

  20. Obesity and asthma

    DEFF Research Database (Denmark)

    Sivapalan, Pradeesh; Diamant, Zuzana; Ulrik, Charlotte Suppli

    2015-01-01

    PURPOSE OF REVIEW: Obesity has significant impact on asthma incidence and manifestations. The purpose of the review is to discuss recent observations regarding the association between obesity and asthma focusing on underlying mechanisms, clinical presentation, response to therapy and effect...... of weight reduction. RECENT FINDINGS: Clinical and epidemiological studies indicate that obese patients with asthma may represent a unique phenotype, which is more difficult to control, less responsive to asthma medications and by that may have higher healthcare utilization. A number of common comorbidities...... have been linked to both obesity and asthma, and may, therefore, contribute to the obese-asthma phenotype. Furthermore, recently published studies indicate that even a modest weight reduction can improve clinical manifestations and outcome of asthma. SUMMARY: Compared with normal-weight patients, obese...

  1. Asthma medication prescribing before, during and after pregnancy

    DEFF Research Database (Denmark)

    Charlton, Rachel A; Pierini, Anna; Klungsøyr, Kari;

    2016-01-01

    OBJECTIVES: To explore utilisation patterns of asthma medication before, during and after pregnancy as recorded in seven European population-based databases. DESIGN: A descriptive drug utilisation study. SETTING: 7 electronic healthcare databases in Denmark, Norway, the Netherlands, Italy (Emilia...... pregnancy. MAIN OUTCOME MEASURES: The percentage of deliveries where the woman received an asthma medicine prescription, based on prescriptions issued (UK) or dispensed (non-UK), during the year before, throughout or during the year following pregnancy. Asthma medicine prescribing patterns were described...... for 3-month time periods and the choice of asthma medicine and changes in prescribing over the study period were evaluated in each database. RESULTS: In total, 1 165 435 deliveries were identified. The prevalence of asthma medication prescribing during pregnancy was highest in the UK and Wales databases...

  2. Era-Planet the European Network for Observing Our Changing Planet

    Science.gov (United States)

    Pirrone, N.; Cinnirella, S.; Nativi, S.; Sprovieri, F.; Hedgecock, I. M.

    2016-06-01

    In the last decade a significant number of projects and programmes in different domains of Earth Observation and environmental monitoring have generated a substantial amount of data and knowledge on different aspects related to environmental quality and sustainability. Big data generated by in-situ or satellite platforms are being collected and archived with a plethora of systems and instruments making difficult the sharing of data and transfer of knowledge to stakeholders and policy makers to support key economic and societal sectors. The overarching goal of ERAPLANET is to strengthen the European Research Area in the domain of Earth Observation in coherence with the European participation in the Group on Earth Observation (GEO) and Copernicus. The expected impact is to strengthen European leadership within the forthcoming GEO 2015-2025 Work Plan. ERA-PLANET is designed to reinforce the interface with user communities, whose needs the Global Earth Observation System of Systems (GEOSS) intends to address. It will provide more accurate, comprehensive and authoritative information to policy and decision-makers in key societal benefit areas, such as Smart Cities and Resilient Societies; Resource efficiency and Environmental management; Global changes and Environmental treaties; Polar areas and Natural resources. ERA-PLANET will provide advanced decision-support tools and technologies aimed to better monitor our global environment and share the information and knowledge available in the different domains of Earth Observation.

  3. Trajectories of institutional design in policy networks : European Interventions in the Dutch Fishery Network as an example

    NARCIS (Netherlands)

    M.W. van Buuren (Arwin); E-H. Klijn (Erik-Hans)

    2007-01-01

    textabstractThis article focuses on the strategies and processes of institutional design. It starts by recognizing that politicians often try to change institutional structures of networks and therefore more theoretical and empirical attention for these strategies is needed. First, the article provi

  4. Do labour mobility and networks foster geographical knowledge diffusion? The case of European regions

    OpenAIRE

    Ernest MIGUELEZ; Moreno Serrano, Rosina

    2012-01-01

    The goal of this paper is twofold: first, we aim to assess the role played by inventors’ cross-regional mobility and networks of collaboration in fostering knowledge diffusion across regions and subsequent innovation. Second, we intend to evaluate the feasibility of using mobility and networks information to build cross-regional interaction matrices to be used within the spatial econometrics toolbox. To do so, we depart from a knowledge production function where regional innovation intensity ...

  5. The governance of regional networks in the process of European integration

    OpenAIRE

    Cappellin, Riccardo

    2001-01-01

    The paper illustrates the model of territorial networks and it investigates the role of institutions in a bottom-up approach of economic and institutional integration aiming to tackle the negative impacts of the globalization process on the economic development. The first chapter illustrates in analytical terms the model of territorial networks and the multidimen-sional nature of the process of integration, in a regional and international setting and it contrasts it with the traditional neocl...

  6. AN APPLE GRADING SYSTEM ACCORDING TO EUROPEAN FRUIT QUALITY STANDARDS USING GABOR FILTER AND ARTIFICIAL NEURAL NETWORKS

    Directory of Open Access Journals (Sweden)

    KEYVAN ASEFPOUR VAKILIAN

    2016-04-01

    Full Text Available With the advent of applications of machine learning methods in food engineering in recent decades, several intelligent methods have been introduced in fruit grading technology. In this study, an apple grading system is presented using image’s textural features extraction and artificial intelligence. The objective of this study was to simplify the use of Gabor filter in classification of two varieties of apple fruits (Golden Delicious and Red Delicious in four categories according to the European fruit quality standards. Using this filter, neural network classifier was trained for four category grading of the fruits. Two textural parameters were extracted from each obtained image: mean and variance of energy values of obtained image representing image’s luminous intensity and contrast, respectively. Experimental results indicated that the training of extracted features of about 350 fruits enabled the network to classify the test samples with appropriate accuracy. Compared to the state-of-the-art, the proposed grading categories (‘Extra’, ‘Type 1’, ‘Type 2’ and ‘Rejected’ classes achieved acceptable recognition rates of about 89 % and 92 % overall accuracy for Golden Delicious and Red Delicious varieties, respectively. These experimental results show the appropriate application of proposed method in fast grading of apple fruits. Furthermore, proposed feature extraction and network training methods can be used efficiently in online applications.

  7. Networks of European cities in worlds of global economic and environmental change

    Directory of Open Access Journals (Sweden)

    Ben Derudder

    2010-11-01

    Full Text Available Geographers use a variety of economic, social, and demographic data to measure the importance of global cities and the linkages between cities. We analyze the importance and connectedness of European cities using hyperlinks, or the electronic information provided by the Google Search engine. Hyperlinks are Web sites representing information that is produced; they are especially useful in measuring the impact of contemporary crises. We use the phrases economic slowdown and global financial crisis to derive a Global Financial Score (GFS for 16 core, semiperiphery and peripheral European cities and global warming and climate change to derive a Global Environmental Score (GES. London and Paris are in the European core; Rome, Dublin, Madrid and Prague are in the semiperiphery; while Tallinn, Riga, and Belgrade are in the periphery. A strong positive relationship exists between the GES and GFS. We examine the linkages of the 16 cities to the 100 largest world cities and illustrate, with “clockgrams,” the linkages London, Brussels and Athens have with other world cities. We calculated the number of linkages each of the 16 cities had with other world cities to identify Europe’s urban cores, semiperipheries, peripheries, and deep peripheries. New York is in the core of both the economic and environmental maps. Some world cities are in the semiperiphery of one category and periphery of another. Milan, Istanbul, and Delhi are in the deep periphery for the GFS while Toronto and Athens are for the GES. Hyperlinks represent valuable databases to measure the impact of crises and regional and global urban linkages.

  8. European Sero-Epidemiology Network 2: standardisation of immunoassay results for pertussis requires homogeneity in the antigenic preparations.

    Science.gov (United States)

    Giammanco, Anna; Nardone, Antony; Pebody, Richard; Kafatos, George; Andrews, Nick; Chiarini, Alfredo; Taormina, Susanna; de Ory, Fernando; Prosenc, Katarina; Krize, Bohumir; Hallander, Hans; Ljungman, Margaretha; Marva, Esther; Tsakris, Athanassios; O'Flanagan, Darina; Schneider, François; Griskevicius, Algirdas; Vranckx, Robert; Karacs, Ildiko

    2008-08-18

    A standardisation process, already developed during the earlier European Sero-Epidemiology Network (ESEN) project, was employed with a more robust algorithm to harmonise results of pertussis serological assays performed in 12 European and non-European countries. Initially, results from each country's own assay were compared with those obtained at the reference laboratory by means of an in-house pertussis toxin (PT)-based ELISA: seven countries used in-house or commercial PT-ELISAs; the other countries used assays based on Bordetella pertussis whole cell extracts (WCE) (three countries) or on combined PT-FHA (filamentous haemagglutinin) antigenic preparations (two countries). The WCE assays, although admitted for diagnostic purposes, confirmed their low correlation with the PT-ELISAs and their results could not be used for standardisation; the PT-FHA ELISAs gave results that were suitable for standardisation in one country but unsatisfactory in the other; the use of purified PT in serological assays confirmed its better reliability than other preparations and all PT-ELISAs results could be calibrated against those of the reference centre. In the standardisation process two high-titre cut-offs indicative of likelihood of recent infection (from within 4 weeks of disease onset up to 1 year after) were included for evaluations as they are suggested to be more useful, for the sero-epidemiological assays of immunity to pertussis, than the cut-off of protection, commonly employed, but still not defined for pertussis. Providing PT-ELISAs are used, standardisation of pertussis assay results is always possible and, when standardisation is performed, evaluation and comparison of the impact of different interventions can be also allowed, by measuring at the distribution of high antibody titres in the populations. PMID:18602434

  9. The role of networks in the European union public health experience.

    Science.gov (United States)

    Jacobson, Peter D

    2012-12-01

    Improving our understanding of how the public health system should be organized is important, because the system's organizational structure makes a significant difference to the public's health. How the system is structured influences a practitioner's ability to respond and the system's capacity to adapt to changing circumstances. In view of the scarce resources society is willing to expend for public health, it is essential to have a structure in place that most appropriately and efficiently allocates those resources. The articles in this issue offer considerable insight from a European context, that deserves attention from US public health practitioners, advocates, and policy makers. PMID:22899843

  10. Asthma & Physical Activity in the School

    Science.gov (United States)

    ... Some students experience asthma symptoms only when they exercise. Asthma varies from student to student and often from ... activities and other regular school activities. Table 1: BENEFITS OF ASTHMA CONTROL With good asthma management, students with asthma ...

  11. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... 1 MB] ASL Asthma Film Asthma Clinical Guidelines Air Pollution & Respiratory Health Know How to Use Your Asthma ... 1 MB] ASL Asthma Film Asthma Clinical Guidelines Air Pollution & Respiratory Health File Formats Help: How do I ...

  12. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... MB] ASL Asthma Film Asthma Clinical Guidelines Air Pollution & Respiratory Health Know How to Use Your Asthma ... MB] ASL Asthma Film Asthma Clinical Guidelines Air Pollution & Respiratory Health File Formats Help: How do I ...

  13. A framework for a european network for a systematic environmental impact assessment of genetically modified organisms (GMO)

    DEFF Research Database (Denmark)

    Graef, Frieder; Römbke, Jörg; Binimelis, Rosa;

    2012-01-01

    The assessment of the impacts of growing genetically modified (GM) crops remains a major political and scientific challenge in Europe. Concerns have been raised by the evidence of adverse and unexpected environmental effects and differing opinions on the outcomes of environmental risk assessments...... within the ERA research and testing community, weaknesses in consideration of stakeholder interests and specific regional conditions, and the lack of comprehensive assessments that address the environmental and socio-economic risk assessment interface. To address these challenges, we propose a European...... Network for systematic GMO impact assessment (ENSyGMO) with the aim directly to enhance ERA and post-market environmental monitoring (PMEM) of GM crops, to harmonize and ultimately secure the long-term socio-political impact of the ERA process and the PMEM in the EU. These goals would be achieved...

  14. Examining the association between childhood asthma and parent and grandparent asthma status: Implications for Practice

    OpenAIRE

    Valerio, Melissa A.; Andreski, Patricia M.; Schoeni, Robert F.; McGonagle, Katherine A.

    2010-01-01

    Examination of intergenerational asthma beyond maternal asthma has been limited. The association between childhood asthma and intergenerational asthma status among a national cohort of children was examined.

  15. Structure and evolution of a European Parliament via a network and correlation analysis

    CERN Document Server

    Puccio, Elena; Piilo, Jyrki; Tumminello, Michele

    2016-01-01

    We present a study of the network of relationships among elected members of the Finnish parliament, based on a quantitative analysis of initiative co-signatures, and its evolution over 16 years. To understand the structure of the parliament, we constructed a statistically validated network of members, based on the similarity between the patterns of initiatives they signed. We looked for communities within the network and characterized them in terms of members' attributes, such as electoral district and party. To gain insight on the nested structure of communities, we constructed a hierarchical tree of members from the correlation matrix. Afterwards, we studied parliament dynamics yearly, with a focus on correlations within and between parties, by also distinguishing between government and opposition. Finally, we investigated the role played by specific individuals, at a local level. In particular, whether they act as proponents who gather consensus, or as signers. Our results provide a quantitative background...

  16. The European Diphtheria Surveillance Network (ESDN) a strong model to combat a rare disease and use resources efficiently, share knowledge openly, and give support effectively

    OpenAIRE

    Neal, Shona; Efstratiou, Androulla; The European Diphtheria Surveillance Network, EDSN

    2012-01-01

    Maria Paula Bajanca Lavado é a microbiologista responsável pela Diphtheria em Portugal e representa Portugal no ECDC no Grupo "The European Diphtheria Surveillance Network (EDSN)". BACKGROUND: As diphtheria is uncommon within the EU, complacency and minimal awareness is constantly observed. However, diphtheria is still seen sporadically in many EU countries and recent outbreaks have occurred worldwide. From the success of the EU-funded Diphtheria Network (DIPNET), the Europe...

  17. European Groupings of Territorial Cooperation (EGTCs): Applicability in the Transnational and Interregional Cooperation – The Example of Network-EGTCs –

    OpenAIRE

    Caesar, Beate

    2015-01-01

    This diploma thesis sets out to analyse the applicability of the instrument ’European Grouping of Territorial Cooperation (EGTC)’ in the transnational and interregional non-contiguous cooperation. EGTCs that are applied in spatially non-contiguous cooperations are called ’Network-EGTCs’. As no scientific research about network-EGTCs has been made so far, this diploma thesis fills this research gap. As a basis for the analysis, a literature review on the instrument EGTC in gener...

  18. Asthma and Therapeutics: Recombinant Therapies in Asthma

    OpenAIRE

    Cockcroft Donald W

    2005-01-01

    Abstract Numerous recombinant therapies are being investigated for the treatment of asthma. This report reviews the current status of several of these novel agents. Anti-immunoglobulin (Ig)E (omalizumab, Xolair) markedly inhibits all aspects of the allergen challenge in subjects who have reduction of free serum IgE to undetectable levels. Several clinical studies in atopic asthma have demonstrated benefit by improved symptoms and lung function and a reduction in corticosteroid requirements. E...

  19. Asthma and obesity

    DEFF Research Database (Denmark)

    Ulrik, Charlotte S

    2016-01-01

    PURPOSE OF REVIEW: Obesity has significant negative impact on asthma control and risk of exacerbations. The purpose of this review is to discuss recent studies evaluating the effects of weight reduction on asthma control in obese adults. RECENT FINDINGS: Clinical studies have shown that weight...... reduction in obese patients is associated with improvements in symptoms, use of controller medication, and asthma-related quality of life together with a reduction in the risk for severe exacerbations. Furthermore, several studies have also revealed improvements in lung function and airway responsiveness...... reduction in obese adults with asthma leads to an overall improvement in asthma control, including airway hyperresponsiveness and inflammation. Weight reduction should be a cornerstone in the management of obese patients with asthma....

  20. Psychological aspects of asthma.

    Science.gov (United States)

    Lehrer, Paul; Feldman, Jonathan; Giardino, Nicholas; Song, Hye-Sue; Schmaling, Karen

    2002-06-01

    Asthma can be affected by stress, anxiety, sadness, and suggestion, as well as by environmental irritants or allergens, exercise, and infection. It also is associated with an elevated prevalence of anxiety and depressive disorders. Asthma and these psychological states and traits may mutually potentiate each other through direct psychophysiological mediation, nonadherence to medical regimen, exposure to asthma triggers, and inaccuracy of asthma symptom perception. Defensiveness is associated with inaccurate perception of airway resistance and stress-related bronchoconstriction. Asthma education programs that teach about the nature of the disease, medications, and trigger avoidance tend to reduce asthma morbidity. Other promising psychological interventions as adjuncts to medical treatment include training in symptom perception, stress management, hypnosis, yoga, and several biofeedback procedures. PMID:12090377

  1. Monitoring asthma in childhood

    Directory of Open Access Journals (Sweden)

    Karin C. Lødrup Carlsen

    2015-06-01

    Full Text Available The goal of asthma treatment is to obtain clinical control and reduce future risks to the patient. However, to date there is limited evidence on how to monitor patients with asthma. Childhood asthma introduces specific challenges in terms of deciding what, when, how often, by whom and in whom different assessments of asthma should be performed. The age of the child, the fluctuating course of asthma severity, variability in clinical presentation, exacerbations, comorbidities, socioeconomic and psychosocial factors, and environmental exposures may all influence disease activity and, hence, monitoring strategies. These factors will be addressed in herein. We identified large knowledge gaps in the effects of different monitoring strategies in children with asthma. Studies into monitoring strategies are urgently needed, preferably in collaborative paediatric studies across countries and healthcare systems.

  2. Parent misperception of control in childhood/adolescent asthma: the Room to Breathe survey.

    Science.gov (United States)

    Carroll, W D; Wildhaber, J; Brand, P L P

    2012-01-01

    The aim of our study was to determine how often asthma control is achieved in children and adolescents, and how asthma affects parents' and children's daily lives. Interviews, including the childhood asthma control test (C-ACT), were conducted with 1,284 parents of asthmatic children (aged 4-15 yrs), as well as with the children themselves (aged 8-15 yrs; n=943), in Canada, Greece, Hungary, the Netherlands, South Africa and the UK. Parents reported mild asthma attacks at least weekly in 11% of children, and serious attacks (requiring oral corticosteroids or hospitalisation) at least annually in 35%. Although 73% of parents described their child's asthma as mild or intermittent, 40% of children/adolescents had C-ACT scores ≤ 19, indicating inadequate control, and only 14.7% achieved complete Global Initiative for Asthma (GINA)-defined control and just 9.2% achieved Scottish Intercollegiate Guidelines Network (SIGN)/British Thoracic Society (BTS)-defined control. Guideline-defined asthma control was significantly less common than well-controlled asthma using the C-ACT (pAsthma restricted the child's activities in 39% of families and caused lifestyle changes in 70%. Complete asthma control is uncommon in children worldwide. Guideline-defined control measures appear to be more stringent than those defined by C-ACT or families. Overall, parents underestimate their child's asthma severity and overestimate asthma control. This is a major potential barrier to successful asthma treatment in children.

  3. Statistical Downscaling of Gusts During Extreme European Winter Storms Using Radial-Basis-Function Networks

    Science.gov (United States)

    Voigt, M.; Lorenz, P.; Kruschke, T.; Osinski, R.; Ulbrich, U.; Leckebusch, G. C.

    2012-04-01

    Winterstorms and related gusts can cause extensive socio-economic damages. Knowledge about the occurrence and the small scale structure of such events may help to make regional estimations of storm losses. For a high spatial and temporal representation, the use of dynamical downscaling methods (RCM) is a cost-intensive and time-consuming option and therefore only applicable for a limited number of events. The current study explores a methodology to provide a statistical downscaling, which offers small scale structured gust fields from an extended large scale structured eventset. Radial-basis-function (RBF) networks in combination with bidirectional Kohonen (BDK) maps are used to generate the gustfields on a spatial resolution of 7 km from the 6-hourly mean sea level pressure field from ECMWF reanalysis data. BDK maps are a kind of neural network which handles supervised classification problems. In this study they are used to provide prototypes for the RBF network and give a first order approximation for the output data. A further interpolation is done by the RBF network. For the training process the 50 most extreme storm events over the North Atlantic area from 1957 to 2011 are used, which have been selected from ECMWF reanalysis datasets ERA40 and ERA-Interim by an objective wind based tracking algorithm. These events were downscaled dynamically by application of the DWD model chain GME → COSMO-EU. Different model parameters and their influence on the quality of the generated high-resolution gustfields are studied. It is shown that the statistical RBF network approach delivers reasonable results in modeling the regional gust fields for untrained events.

  4. Basic mechanisms of asthma.

    OpenAIRE

    Boushey, H A; Fahy, J.V.

    1995-01-01

    Results of studies of the epidemiology, physiology, histopathology, and cell biology of asthma have revised our conception of the disease. Epidemiologic studies have shown asthma to be an important cause of death, suffering, and economic hardship. Physiologic studies have shown that asthma is a chronic illness characterized by persistent bronchial hyperreactivity. Histopathologic studies have shown characteristic changes: epithelial damage, deposition of collagen beneath the basement membrane...

  5. Ketotifen and nocturnal asthma.

    OpenAIRE

    Catterall, J R; Calverley, P M; Power, J T; Shapiro, C M; Douglas, N J; Flenley, D. C.

    1983-01-01

    Patients with asthma often wheeze at night and they also become hypoxic during sleep. To determine whether ketotifen, a drug with sedative properties, is safe for use at night in patients with asthma, we performed a double blind crossover study comparing the effects of a single 1 mg dose of ketotifen and of placebo on arterial oxygen saturation (SaO2), breathing patterns, electroencephalographic (EEG) sleep stage, and overnight change in FEV1 in 10 patients with stable asthma. After taking ke...

  6. Epidemiological Trends in Asthma

    OpenAIRE

    Sears, Malcolm R

    1996-01-01

    Many markers of asthma morbidity have shown substantial increases over the past two decades, including family physician visits, use of anti-asthma medications, emergency room visits and hospital admissions. The reported prevalence of diagnosed asthma and of wheezing has increased, especially in children, with accompanying evidence of increased atopy and increased airway responsiveness. Allergen exposure and parental smoking are significant risk factors for childhood wheezing, whereas the infl...

  7. The Need for Innovative Methods of Teaching and Learning Chemistry in Higher Education--Reflections from a Project of the European Chemistry Thematic Network

    Science.gov (United States)

    Eilks, Ingo; Byers, Bill

    2010-01-01

    This paper summarizes the work and conclusions of a working group established by the European Chemistry Thematic Network (ECTN). The aim of the working group was to identify potential areas for innovative approaches to the teaching and learning of chemistry in Higher Education, and to survey good practice throughout the EU. The paper starts by…

  8. Asthma: Basic Information

    Science.gov (United States)

    ... physicians' office Health care providers - Medical clinics/physicians' office Health care providers - Other Parents - Home Case Studies Open Airways for Schools Asthma Care Training Wee Wheezers ...

  9. Asthma in Olympians.

    Science.gov (United States)

    Carlsen, Kai-Håkon

    2016-01-01

    High prevalence of asthma has been reported repeatedly among elite athletes, especially among endurance athletes. So many athletes used asthma drugs that the objective demonstration of bronchial hyperresponsiveness was required to obtain approval for their use in international sports until 2012 when the most used inhaled asthma drugs was allowed for free use, but with a maximum dose for inhaled β2-agonists. Several factors contribute to the development of asthma among the Olympians causing airways inflammation and bronchial hyper-responsiveness. PMID:26631837

  10. Asthma among mink workers

    DEFF Research Database (Denmark)

    Grøntved, Berit; Carstensen, Ole; Petersen, Rolf;

    2014-01-01

    We report two cases of asthma among mink workers. The first case is about a mink farmer who had asthma that was difficult to treat. In the medical history there was no clear relation to work, and no conclusive work relation with peak flow monitoring. He had a positive histamine release test to mink...... urine. The second case is about a mink farm worker, who had an asthma attack when handling mink furs. Peak flow monitoring showed a clear relation to this work, but there were no signs of allergy. We conclude that these two cases suggest an increased risk of asthma among mink workers....

  11. Pharmacogenomics of pediatric asthma

    Directory of Open Access Journals (Sweden)

    Gupta Sarika

    2010-01-01

    Full Text Available Context: Asthma is a complex disease with multiple genetic and environmental factors contributing to it. A component of this complexity is a highly variable response to pharmacological therapy. Pharmacogenomics is the study of the role of genetic determinants in the variable response to therapy. A number of examples of possible pharmacogenomic approaches that may prove of value in the management of asthma are discussed below. Evidence Acquisition: A search of PubMed, Google scholar, E-Medicine, BMJ and Mbase was done using the key words "pharmacogenomics of asthma", "pharmacogenomics of β-agonist, glucocorticoids, leukotriene modifiers, theophylline, muscarinic antagonists in asthma". Results: Presently, there are limited examples of gene polymorphism that can influence response to asthma therapy. Polymorphisms that alter response to asthma therapy include Arg16Gly, Gln27Glu, Thr164Ile for β-agonist receptor, polymorphism of glucocorticoid receptor gene, CRHR1 variants and polymorphism of LTC4S, ALOX5. Polymorphic variants of muscarinic receptors, PDE4 and CYP450 gene variants. Conclusion: It was concluded that genetic variation can improve the response to asthma therapy. However, no gene polymorphism has been associated with consistent results in different populations. Therefore, asthma pharmacogenomic studies in different populations with a large number of subjects are required to make possible tailoring the asthma therapy according to the genetic characteristic of individual patient.

  12. Biomarkers in Severe Asthma.

    Science.gov (United States)

    Wan, Xiao Chloe; Woodruff, Prescott G

    2016-08-01

    Biomarkers have been critical for studies of disease pathogenesis and the development of new therapies in severe asthma. In particular, biomarkers of type 2 inflammation have proven valuable for endotyping and targeting new biological agents. Because of these successes in understanding and marking type 2 inflammation, lack of knowledge regarding non-type 2 inflammatory mechanisms in asthma will soon be the major obstacle to the development of new treatments and management strategies in severe asthma. Biomarkers can play a role in these investigations as well by providing insight into the underlying biology in human studies of patients with severe asthma. PMID:27401625

  13. Active case finding of tuberculosis in Europe: a Tuberculosis Network European Trials Group (TBNET) survey

    DEFF Research Database (Denmark)

    Bothamley, G.H.; Ditiu, L.; Migliori, G.B.;

    2008-01-01

    Tuberculosis control depends on successful case finding and treatment of individuals infected with Mycobacterium tuberculosis. Passive case finding is widely practised: the present study aims to ascertain the consensus and possible improvements in active case finding across Europe. Recommendations...... from national guidelines were collected from 50 countries of the World Health Organization European region using a standard questionnaire. Contacts are universally screened for active tuberculosis and latent tuberculosis infection (LTBI). Most countries (>70%) screen those with HIV infection, prisoners...... and in-patient contacts. Screening of immigrants is related to their contribution to national rates of tuberculosis. Only 25 (50%) out of 50 advise a request for symptoms in their guidelines. A total of 36 (72%) out of 50 countries recommend sputum examination for those with a persistent cough; 13...

  14. Nutrition and Asthma

    Directory of Open Access Journals (Sweden)

    Gupta K

    2007-01-01

    Full Text Available Increase in the asthma prevalence in many countries over the recent decades, highlights the need for a greater understanding of the risk factors for asthma. Be-cause asthma is the result of interaction between genetic and environmental fac-tors, increasing prevalence is certainly the result of changes in environmental fac-tors because of process of wesernization. That is the reason for higher prevalence in countries where a traditional to a westernized lifestyle occurred earlier. This increasing prevalence has affected both rural and urban communities, suggesting that local environmental factors such as exposure to allergens or industrial air pol-lutions are not the sole cause. In the last few years, nutrition has represented an important conditioning factor of many cardiovascular, gastrointestinal and chronic pulmonary diseases. So it has been hypothesized that dietary constituents influence the immune system and thus, may also be actively involved in the onset of asthma and other allergic diseases. Dietary constituents can play beneficial as well as det-rimental role in asthma. The possible role of diet in the development of asthma can be described as follows: first, a food allergen can cause asthma. Second, there is role of breast-feeding for prevention of asthma later in life. Third, a low intake of antioxidative dietary constituents might be a risk factor for asthma. Moreover, role of cations such as sodium, potassium and magnesium has been described in development of asthma. Finally, intake of fatty acids specially the role of omega-3 and omega-6 fatty acids play important role in cause of asthma.

  15. Conflicts when liberalising network industries: towards a sustainable development of the European power industry

    International Nuclear Information System (INIS)

    The impacts of the changes in the industrial organisation of the (European) electricity supply industry pull in different directions. Pairs of largely antithetic issues in the transition towards a more liberalised electricity supply industry include: competition vs monopoly; efficiency vs equity and/or public service considerations; short-term vs long-term policy goals; slow vs rapid transition to a more competition-oriented industry structure; permanent vs temporary regulation; light-handed vs heavy-handed regulation; centralised vs decentralised regulation; and public vs private ownership. Because of the increasing recognition of the importance of sustainability, this paper aims to shed some light on the various impacts of electricity sector reform on sustainable development and, in turn, on how sustainable development policies tend to affect the electricity sector. We find that for a transition towards a more sustainable development in the electricity sector it is crucial that increased energy production and use does not outweigh the (efficiency, equity, social, environmental, etc.) gains that are, or have been, achieved towards sustainable development. In this respect an internalisation of external costs, which includes the abolition of subsidies for non-sustainable energy carriers ('first-best solution'), or an explicit accounting of the benefits offered by renewable and efficiency technologies ('second-best solution'), plus rigorous energy saving and energy efficiency promotion measures, are paramount on the path towards sustainability. (author)

  16. Asthma and Therapeutics: Recombinant Therapies in Asthma

    Directory of Open Access Journals (Sweden)

    Cockcroft Donald W

    2005-03-01

    Full Text Available Abstract Numerous recombinant therapies are being investigated for the treatment of asthma. This report reviews the current status of several of these novel agents. Anti-immunoglobulin (IgE (omalizumab, Xolair markedly inhibits all aspects of the allergen challenge in subjects who have reduction of free serum IgE to undetectable levels. Several clinical studies in atopic asthma have demonstrated benefit by improved symptoms and lung function and a reduction in corticosteroid requirements. Early use in atopic asthmatics may be even more effective. Several approaches target interleukin (IL-4. Soluble IL-4 receptor has been shown to effectively replace inhaled corticosteroid; further studies are under way. Recombinant anti-IL-5 and recombinant IL-12 inhibit blood and sputum eosinophils and allergen-induced eosinophilia without any effect on airway responsiveness, allergen-induced airway responses, or allergen-induced airway hyperresponsiveness. Efalizumab, a recombinant antibody that inhibits lymphocyte trafficking, is effective in psoriasis. A bronchoprovocation study showed a reduction in allergen-induced late asthmatic response and allergen-induced eosinophilia, which suggests that it should be effective in clinical asthma. These exciting novel therapies provide not only promise of new therapies for asthma but also valuable tools for investigation of asthma mechanisms.

  17. So You Have Asthma

    Science.gov (United States)

    ... the night every night or competing in the Olympics. In other words, you should be able to live a normal active life! The following list shows what your life could be like if your asthma were controlled: As a rule, you should have: • Few, if any, asthma symptoms • ...

  18. What Is Asthma?

    Science.gov (United States)

    ... that it is a combination of your family history and your environment. There is no cure for asthma. Once you ... administrators with information, education and resources to incorporate environmental management into clinical practices and standards of care for asthma patients. Top ...

  19. Typical investigational medicinal products follow relatively uniform regulations in 10 European Clinical Research Infrastructures Network (ECRIN countries

    Directory of Open Access Journals (Sweden)

    Gluud Christian

    2012-03-01

    Full Text Available Abstract Background In order to facilitate multinational clinical research, regulatory requirements need to become international and harmonised. The EU introduced the Directive 2001/20/EC in 2004, regulating investigational medicinal products in Europe. Methods We conducted a survey in order to identify the national regulatory requirements for major categories of clinical research in ten European Clinical Research Infrastructures Network (ECRIN countries-Austria, Denmark, France, Germany, Hungary, Ireland, Italy, Spain, Sweden, and United Kingdom-covering approximately 70% of the EU population. Here we describe the results for regulatory requirements for typical investigational medicinal products, in the ten countries. Results Our results show that the ten countries have fairly harmonised definitions of typical investigational medicinal products. Clinical trials assessing typical investigational medicinal products require authorisation from a national competent authority in each of the countries surveyed. The opinion of the competent authorities is communicated to the trial sponsor within the same timelines, i.e., no more than 60 days, in all ten countries. The authority to which the application has to be sent to in the different countries is not fully harmonised. Conclusion The Directive 2001/20/EC defined the term 'investigational medicinal product' and all regulatory requirements described therein are applicable to investigational medicinal products. Our survey showed, however, that those requirements had been adopted in ten European countries, not for investigational medicinal products overall, but rather a narrower category which we term 'typical' investigational medicinal products. The result is partial EU harmonisation of requirements and a relatively navigable landscape for the sponsor regarding typical investigational medicinal products.

  20. Advances in Pediatric Asthma in 2013: Coordinating Asthma Care

    OpenAIRE

    Szefler, Stanley J.

    2014-01-01

    Last year’s Advances in Pediatric Asthma: Moving Toward Asthma Prevention concluded that: “We are well on our way to creating a pathway around wellness in asthma care and also to utilize new tools to predict the risk for asthma and take steps to not only prevent asthma exacerbations but also to prevent the early manifestations of the disease and thus prevent its evolution to severe asthma.” This year’s summary will focus on recent advances in pediatric asthma on pre- and postnatal factors alt...

  1. Fertility outcomes in asthma

    DEFF Research Database (Denmark)

    Gade, Elisabeth Juul; Thomsen, Simon Francis; Lindenberg, Svend;

    2016-01-01

    Evidence is increasing of an association between asthma and aspects of female reproduction. However, current knowledge is limited and furthermore relies on questionnaire studies or small populations. In a prospective observational cohort study to investigate whether time to pregnancy, the number...... of fertility treatments, and the number of successful pregnancies differ significantly between women with unexplained infertility with and without asthma.245 women with unexplained infertility (aged 23-45 years) underwent questionnaires and asthma and allergy testing while undergoing fertility treatment. 96...... women entering the study had either a former doctor's diagnosis of asthma or were diagnosed with asthma when included. After inclusion they were followed for a minimum of 12 months in fertility treatment, until they had a successful pregnancy, stopped treatment, or the observation ended.The likelihood...

  2. [Distinguishing asthma from COPD].

    Science.gov (United States)

    Ohara, Kouhei; Samukawa, Takuya; Inoue, Hiromasa

    2016-05-01

    Asthma and chronic obstructive pulmonary disease (COPD) are major public health burdens. Asthma is characterized by airway inflammation, airway narrowing with reversibility, and hyperresponsiveness of airways. COPD has been associated with smoking and exposure to environmental fumes, which typically characterized by persistent airflow limitation and chronic inflammation of the airways. These differences are most apparent when young non-smoker with asthma and older smokers with COPD are compared. However, it would be difficult to differentiate asthma from COPD, especially in elderly who currently smoke or have a significant history of smoking. Furthermore, some patients exhibit characteristics of both diseases, this may represent a phenotype known as asthma-COPD overlap syndrome (ACOS). Therefore, the precise understanding of these diseases is important.

  3. COST ES0602: towards a European network on chemical weather forecasting and information systems

    Directory of Open Access Journals (Sweden)

    J. Kukkonen

    2009-04-01

    Full Text Available The COST ES0602 action provides a forum for benchmarking approaches and practices in data exchange and multi-model capabilities for chemical weather forecasting and near real-time information services in Europe. The action includes approximately 30 participants from 19 countries, and its duration is from 2007 to 2011 (http://www.chemicalweather.eu/. Major efforts have been dedicated in other actions and projects to the development of infrastructures for data flow. We have therefore aimed for collaboration with ongoing actions towards developing near real-time exchange of input data for air quality forecasting. We have collected information on the operational air quality forecasting models on a regional and continental scale in a structured form, and inter-compared and evaluated the physical and chemical structure of these models. We have also constructed a European chemical weather forecasting portal that includes links to most of the available chemical weather forecasting systems in Europe. The collaboration also includes the examination of the case studies that have been organized within COST-728, in order to inter-compare and evaluate the models against experimental data. We have also constructed an operational model forecasting ensemble. Data from a representative set of regional background stations have been selected, and the operational forecasts for this set of sites will be inter-compared and evaluated. The Action has investigated, analysed and reviewed existing chemical weather information systems and services, and will provide recommendations on best practices concerning the presentation and dissemination of chemical weather information towards the public and decision makers.

  4. Leaf water and plant wax hydrogen isotopes in a European sample network

    Science.gov (United States)

    Nelson, D. B.; Kahmen, A.

    2014-12-01

    The hydrogen isotopic composition of plant waxes in sediments is now routinely used as a hydroclimate proxy. This application is based largely on empirical calibrations that have demonstrated continental-scale correlations between source water and lipid hydrogen isotope values. But at smaller spatial scales and for individual locations it is increasingly recognized that factors that modify apparent fractionation between source water and leaf lipid hydrogen isotope values must also be considered. Isotopic enrichment of leaf water during transpiration is key among these secondary factors, and is itself sensitive to changes in hydroclimate. Leaf water enrichment also occurs prior to photosynthetic water uptake, and is therefore independent from cellular-level biomarker synthesis. Recent advances in theory have permitted mechanistic models to be developed that can be used to predict the mean leaf water hydrogen and oxygen isotope composition from readily available meteorological variables. This permits global-scale isoscape maps of leaf water isotopic composition and enrichment above source water to be generated, but these models have not been widely validated at continental spatial scales. We have established a network of twenty-one sites across Europe where we are sampling for leaf-, xylem-, and soil-water isotopes (H and O) at approximately 5-week intervals over the summer growing season. We augment the sample set with weekly to monthly precipitation samples and early- and late-season plant wax lipid samples. Collaborators at each site are conducting the sampling, and most sites are members of the FLUXNET tower network that also record high-resolution meteorological data. We present information on the implementation of the network and preliminary results from the 2014 summer season. The complete dataset will be used to track the evolution of water isotopes from source to leaf water and from leaf water to lipid hydrogen across diverse environments. This will provide

  5. Factors associated with asthma control.

    NARCIS (Netherlands)

    Vries, M.P. de; Bemt, E.A.J.M. van den; Lince, S.; Muris, J.W.M.; Thoonen, B.P.A.; Schayck, C.P. van

    2005-01-01

    The aim of this study was to evaluate which factors are associated with asthma control experienced by asthma patients. In a cross-sectional study patients aged 16-60 years with mild to moderate asthma were selected. The influence of the following factors on asthma control was studied in a multivaria

  6. Asthma control: Patient and environment

    NARCIS (Netherlands)

    L.H.M. Rijssenbeek-Nouwens

    2015-01-01

    Control of asthma, the goal of asthma treatment, seems hard to obtain. However, it is largely unknown why control of asthma remains difficult in many patients in spite of available powerful medication. In this thesis we studied non-pharmacological factors influencing asthma control: patient related

  7. Induced Sputum Proteome in Health and Asthma

    Science.gov (United States)

    Gharib, Sina A.; Nguyen, Elizabeth V.; Lai, Ying; Plampin, Jessica D.; Goodlett, David R.; Hallstrand, Teal S.

    2014-01-01

    Background Asthma is a heterogeneous disease characterized by abnormal airway pathophysiology and susceptibility to different stimuli, as exemplified by a subset of individuals with exercise-induced bronchoconstriction (EIB). Induced sputum provides a noninvasive method to sample airway biofluids that are enriched in proteins. Objective We hypothesized that novel mechanisms in the pathogenesis of asthma may be revealed by studying the patterns of protein expression in induced sputum. Methods We used shotgun proteomics to analyze induced sputum from 5 normal individuals and 10 asthmatics, including 5 with EIB. Differential protein expression between asthmatics, asthma subphenotypes and control subjects was determined using spectral counting and computational methods. Results Using Gene Ontology analysis, we defined the functional landscape of induced sputum proteome and applied network analysis to construct a protein interaction map for this airway compartment. Shotgun proteomics analysis identified a number of proteins whose differential enrichment or depletion robustly distinguishedasthmatics from normal controls, and captured the effects of exercise on induced sputum proteome. Functional and network analysis identified key processes, including proteolytic activity that are known contributors to airway remodeling. Importantly, this approach highlighted previously unrecognized roles for differentially expressed proteins in pathways implicated in asthma, such as modulation of phospholipase A2 by secretoglobin, a putative role for S100A8/9 in human asthma, and selective upregulation of complement 3a in response to exercise in asthmatics. Conclusion Computationally-intensive analysis of induced sputum proteome is a powerful approach to understand the pathophysiology of asthma and a promising methodology to investigate other diseases of the airways. PMID:21906793

  8. Time, place, and people: composition of the EPIET Alumni Network and its contribution to the European public health resource in 2013.

    Science.gov (United States)

    Pezzoli, L; Keramarou, M; Ladbury, G; Jaramillo-Gutierrez, G; Williams, C J; Le Menach, A

    2015-09-01

    The EPIET Alumni Network (EAN) is an association of professionals who have completed field epidemiology or public health microbiology training programmes in the European Union. In 2013, we conducted a survey of EAN members to investigate this network's role within European public health. We distributed an online questionnaire to members registered at the time, collecting data on demographics, professional background, and attitudes towards EAN. Out of 362 registered members, 189 (52%) responded; 97% were from Europe; 65% were female. Their mean age was 39 years. The highest academic qualification was PhD for 44% and Master's degree for 55%. The majority (60%) worked in public health institutes. They were especially satisfied with having access to job offers and professional networking via EAN, but requested more learning opportunities and knowledge-sharing between members. EAN is a unique platform where highly skilled professionals can connect to control infectious diseases locally and internationally. Having a network of professionals that know each other, speak the same 'language', and can easily access each other's expertise, represents an important resource for European and global public health, which should be nurtured by encouraging more collaborations devoted to professional development. PMID:25521307

  9. The Significance of Asthma Follow-Up Consultations for Adherence to Asthma Medication, Asthma Medication Beliefs, and Asthma Control

    OpenAIRE

    Malin Axelsson; Linda Ekerljung; Bo Lundbäck

    2015-01-01

    Objective. The aim was to investigate adherence to asthma medication treatment, medication beliefs, and asthma control in relation to asthma follow-up consultations in asthmatics in the general population. A further aim was to describe associations between adherence, medication beliefs, and asthma control. Method. In the population-based West Sweden Asthma Study, data allowing calculation of adherence for 4.5 years based on pharmacy records were obtained from 165 adult asthmatics. Additional ...

  10. Children with Asthma and Sports

    OpenAIRE

    Selda Yuzer; Sevinc Polat

    2014-01-01

    Asthma is one of the chronic diseases which have are widely seen among the children. The disease has recently been in the increase all over the world and affects many children. In a study conducted with International Study of Asthma and Allergies in Childhood (ISAAC) method, it was found out that prevalence of childhood asthma was 17.1%. Participation in sportive activities by the children with asthma, which is today considered as a part of asthma treatment program, makes contributions to the...

  11. Screening for asthma in children.

    OpenAIRE

    Jones, A.

    1994-01-01

    The primary health care team is at the forefront of asthma management and there is evidence of improved delivery of care via nurse run, audited, general practice clinics. However, hospital admissions for asthma continue to rise. Screening for childhood asthma would appear to have advantages for patient care. This review looks critically at the literature that addresses important issues in screening for childhood asthma, including the problem of defining asthma, its prevalence rate and the imp...

  12. Obstructive sleep apnea and asthma*

    OpenAIRE

    Cristina Salles; Regina Terse-Ramos; Adelmir Souza-Machado; Cruz, Alvaro A

    2013-01-01

    Symptoms of sleep-disordered breathing, especially obstructive sleep apnea syndrome (OSAS), are common in asthma patients and have been associated with asthma severity. It is known that asthma symptoms tend to be more severe at night and that asthma-related deaths are most likely to occur during the night or early morning. Nocturnal symptoms occur in 60-74% of asthma patients and are markers of inadequate control of the disease. Various pathophysiological mechanisms are related to the worseni...

  13. The relation of airway obstruction to asthma, chronic rhinosinusitis and age

    DEFF Research Database (Denmark)

    Obaseki, D; Potts, J; Joos, G;

    2014-01-01

    history, atopy, and treatment. Multiple regression was used to assess the interactive effects of age and diagnostic group on decline in postbronchodilator ventilatory function. RESULTS: A total of 3337 participants provided adequate data (778 with asthma, 399 with CRS, 244 with both asthma and CRS......RATIONALE: There is conflicting evidence on whether patients with asthma experience an accelerated decline in lung function with age. We examined the association between postbronchodilator lung function, asthma, chronic rhinosinusitis (CRS), and atopy with age using a large European sample. METHODS......: In 17 centers in 11 European countries, case-control studies were nested within representative cross-sectional surveys of adults aged less than 75 years. Representative samples of participants with asthma, CRS or both and controls were assessed for postbronchodilator ventilatory function, smoking...

  14. Personalized management of atrial fibrillation: Proceedings from the fourth Atrial Fibrillation competence NETwork/European Heart Rhythm Association consensus conference.

    Science.gov (United States)

    Kirchhof, Paulus; Breithardt, Günter; Aliot, Etienne; Al Khatib, Sana; Apostolakis, Stavros; Auricchio, Angelo; Bailleul, Christophe; Bax, Jeroen; Benninger, Gerlinde; Blomstrom-Lundqvist, Carina; Boersma, Lucas; Boriani, Giuseppe; Brandes, Axel; Brown, Helen; Brueckmann, Martina; Calkins, Hugh; Casadei, Barbara; Clemens, Andreas; Crijns, Harry; Derwand, Roland; Dobrev, Dobromir; Ezekowitz, Michael; Fetsch, Thomas; Gerth, Andrea; Gillis, Anne; Gulizia, Michele; Hack, Guido; Haegeli, Laurent; Hatem, Stephane; Häusler, Karl Georg; Heidbüchel, Hein; Hernandez-Brichis, Jessica; Jais, Pierre; Kappenberger, Lukas; Kautzner, Joseph; Kim, Steven; Kuck, Karl-Heinz; Lane, Deirdre; Leute, Angelika; Lewalter, Thorsten; Meyer, Ralf; Mont, Lluis; Moses, Gregory; Mueller, Markus; Münzel, Felix; Näbauer, Michael; Nielsen, Jens Cosedis; Oeff, Michael; Oto, Ali; Pieske, Burkert; Pisters, Ron; Potpara, Tatjana; Rasmussen, Lars; Ravens, Ursula; Reiffel, James; Richard-Lordereau, Isabelle; Schäfer, Herbert; Schotten, Ulrich; Stegink, Wim; Stein, Kenneth; Steinbeck, Gerhard; Szumowski, Lukasz; Tavazzi, Luigi; Themistoclakis, Sakis; Thomitzek, Karen; Van Gelder, Isabelle C; von Stritzky, Berndt; Vincent, Alphons; Werring, David; Willems, Stephan; Lip, Gregory Y H; Camm, A John

    2013-11-01

    The management of atrial fibrillation (AF) has seen marked changes in past years, with the introduction of new oral anticoagulants, new antiarrhythmic drugs, and the emergence of catheter ablation as a common intervention for rhythm control. Furthermore, new technologies enhance our ability to detect AF. Most clinical management decisions in AF patients can be based on validated parameters that encompass type of presentation, clinical factors, electrocardiogram analysis, and cardiac imaging. Despite these advances, patients with AF are still at increased risk for death, stroke, heart failure, and hospitalizations. During the fourth Atrial Fibrillation competence NETwork/European Heart Rhythm Association (AFNET/EHRA) consensus conference, we identified the following opportunities to personalize management of AF in a better manner with a view to improve outcomes by integrating atrial morphology and damage, brain imaging, information on genetic predisposition, systemic or local inflammation, and markers for cardiac strain. Each of these promising avenues requires validation in the context of existing risk factors in patients. More importantly, a new taxonomy of AF may be needed based on the pathophysiological type of AF to allow personalized management of AF to come to full fruition. Continued translational research efforts are needed to personalize management of this prevalent disease in a better manner. All the efforts are expected to improve the management of patients with AF based on personalized therapy.

  15. Personalized management of atrial fibrillation: Proceedings from the fourth Atrial Fibrillation competence NETwork/European Heart Rhythm Association consensus conference.

    Science.gov (United States)

    Kirchhof, Paulus; Breithardt, Günter; Aliot, Etienne; Al Khatib, Sana; Apostolakis, Stavros; Auricchio, Angelo; Bailleul, Christophe; Bax, Jeroen; Benninger, Gerlinde; Blomstrom-Lundqvist, Carina; Boersma, Lucas; Boriani, Giuseppe; Brandes, Axel; Brown, Helen; Brueckmann, Martina; Calkins, Hugh; Casadei, Barbara; Clemens, Andreas; Crijns, Harry; Derwand, Roland; Dobrev, Dobromir; Ezekowitz, Michael; Fetsch, Thomas; Gerth, Andrea; Gillis, Anne; Gulizia, Michele; Hack, Guido; Haegeli, Laurent; Hatem, Stephane; Häusler, Karl Georg; Heidbüchel, Hein; Hernandez-Brichis, Jessica; Jais, Pierre; Kappenberger, Lukas; Kautzner, Joseph; Kim, Steven; Kuck, Karl-Heinz; Lane, Deirdre; Leute, Angelika; Lewalter, Thorsten; Meyer, Ralf; Mont, Lluis; Moses, Gregory; Mueller, Markus; Münzel, Felix; Näbauer, Michael; Nielsen, Jens Cosedis; Oeff, Michael; Oto, Ali; Pieske, Burkert; Pisters, Ron; Potpara, Tatjana; Rasmussen, Lars; Ravens, Ursula; Reiffel, James; Richard-Lordereau, Isabelle; Schäfer, Herbert; Schotten, Ulrich; Stegink, Wim; Stein, Kenneth; Steinbeck, Gerhard; Szumowski, Lukasz; Tavazzi, Luigi; Themistoclakis, Sakis; Thomitzek, Karen; Van Gelder, Isabelle C; von Stritzky, Berndt; Vincent, Alphons; Werring, David; Willems, Stephan; Lip, Gregory Y H; Camm, A John

    2013-11-01

    The management of atrial fibrillation (AF) has seen marked changes in past years, with the introduction of new oral anticoagulants, new antiarrhythmic drugs, and the emergence of catheter ablation as a common intervention for rhythm control. Furthermore, new technologies enhance our ability to detect AF. Most clinical management decisions in AF patients can be based on validated parameters that encompass type of presentation, clinical factors, electrocardiogram analysis, and cardiac imaging. Despite these advances, patients with AF are still at increased risk for death, stroke, heart failure, and hospitalizations. During the fourth Atrial Fibrillation competence NETwork/European Heart Rhythm Association (AFNET/EHRA) consensus conference, we identified the following opportunities to personalize management of AF in a better manner with a view to improve outcomes by integrating atrial morphology and damage, brain imaging, information on genetic predisposition, systemic or local inflammation, and markers for cardiac strain. Each of these promising avenues requires validation in the context of existing risk factors in patients. More importantly, a new taxonomy of AF may be needed based on the pathophysiological type of AF to allow personalized management of AF to come to full fruition. Continued translational research efforts are needed to personalize management of this prevalent disease in a better manner. All the efforts are expected to improve the management of patients with AF based on personalized therapy. PMID:23981824

  16. Tobaksrygning og asthma

    DEFF Research Database (Denmark)

    Ulrik, Charlotte Suppli; Lange, Peter

    2002-01-01

    Cigarette smoking is a well-known health hazard, probably not least for patients suffering from asthma. This review gives a short overview of the effects of passive and active smoking on the inception and outcome with of longitudinal changes in the lung function and mortality of patients with ast......Cigarette smoking is a well-known health hazard, probably not least for patients suffering from asthma. This review gives a short overview of the effects of passive and active smoking on the inception and outcome with of longitudinal changes in the lung function and mortality of patients...... with asthma. Substantial evidence suggests that smoking affects asthma adversely. Exposure to environmental tobacco smoke, especially maternal smoking in children, may be a significant risk factor for asthma. Such exposure in patients with established asthma is not only associated with more severe symptoms......, but also with a poorer quality of life, reduced lung function, and increased utilisation of health care including hospital admissions. Active smoking does not appear to be a significant risk factor for asthma, but is associated with a worse outcome with regard to both longitudinal changes in lung function...

  17. Asthma in adolescent athletes.

    Science.gov (United States)

    Carlsen, Kai-Håkon; Hem, Erlend; Stensrud, Trine

    2011-12-01

    Athletes active in endurance sports are at an increased risk of acquiring asthma through their sports activities, especially so for cross-country skiers, biathlon skiers, swimmers and athletes of other endurance sports. Asthma may be present from early childhood or develop while in active sports. This article focuses on the physical activity and sports activities in children and adolescents. Exercise-induced asthma (EIA) is found in 8-10% of a normal child population of school age and in about 35% of children with current asthma. EIA is caused by the markedly increased ventilation during exercise, with increased heat and water loss through respiration, leading to bronchial constriction. The risk of developing asthma in the young athlete is related to the repeated daily training activity with increased epithelial damage of the airways, delayed repair due to the daily repetition of the training and increased airway mucosal inflammation. The increased environmental exposure through the sports activity to environmental agents, such as cold, dry air in skiers and chlorine compounds in swimmers, increases symptoms and signs of asthma and bronchial hyper-responsiveness, either worsening an existing asthma or leading to a novel disease in a previously healthy athlete. Several specific aspects of daily training life, environmental exposure, diagnostic procedures and aspects of treatment related to the regulations of medication use in sports need particular attention when addressing the adolescent athlete with respiratory symptoms.

  18. Identification of a novel asthma susceptibility gene on chromosome 1qter and its functional evaluation

    DEFF Research Database (Denmark)

    White, Julia H; Chiano, Mathias; Wigglesworth, Mark;

    2008-01-01

    , through a series of genotyping screens. Further screening using the pedigree-based association test (PBAT) identified polymorphisms in the OPN3 and CHML genes as being associated with asthma and atopic asthma after correcting for multiple comparisons. We observed that polymorphisms flanking the OPN3 and......Asthma is a multifactorial disease, in which the intricate interplay between genetic and environmental factors underlies the overall phenotype of the disease. Using a genome-wide scan for linkage in a population comprising of Danish families, we identified a novel linked locus on chromosome 1qter...... (LOD 3.6, asthma) and supporting evidence for this locus was identified for both asthma and atopic-asthma phenotypes in the GAIN (Genetics of Asthma International Network) families. The putative susceptibility gene was progressively localized to a 4.5 Mb region on chromosome 1q adjacent to the telomere...

  19. Recent advances in the source term area within the SARNET European severe accident research network

    International Nuclear Information System (INIS)

    Highlights: • Main achievements of source term research in SARNET are given. • Emphasis on the radiologically important iodine and ruthenium fission products. • Conclusions on FP release, transport in the RCS and containment behaviour. • Significance of large-scale integral experiments to validate the analyses used. • A thorough list of the most recent references on source term research results. - Abstract: Source Term has been one of the main research areas addressed within the SARNET network during the 7th EC Framework Programme of EURATOM. The entire source term domain was split into three major areas: oxidising impact on source term, iodine chemistry in the reactor coolant system and containment and data and code assessment. The present paper synthesises the main technical outcome stemming from the SARNET FWP7 project in the area of source term and includes an extensive list of references in which deeper insights on specific issues may be found. Besides, based on the analysis of the current state of the art, an outlook of future source term research is outlined, where major changes in research environment are discussed (i.e., the end of the Phébus FP project; the end of the SARNET projects; and the launch of HORIZON 2020). Most probably research projects will be streamlined towards: release and transport under oxidising conditions, containment chemistry, existing and innovative filtered venting systems and others. These will be in addition to a number of projects that have been completed or are ongoing under different national and international frameworks, like VERDON, CHIP and EPICUR started under the International Source Term Programme (ISTP), the OECD/CSNI programmes BIP, BIP2, STEM, THAI and THAI2, and the French national programme MIRE. The experimental PASSAM project under the 7th EC Framework programme, focused on source term mitigation systems, is highlighted as a good example of a project addressing potential enhancement of safety systems

  20. Recent advances in the source term area within the SARNET European severe accident research network

    Energy Technology Data Exchange (ETDEWEB)

    Herranz, L.E., E-mail: luisen.herranz@ciemat.es [Centro de Investigaciones Energeticas Medio Ambientales y Tecnologica, CIEMAT, Avda. Complutense 40, E-28040 Madrid (Spain); Haste, T. [Institut de Radioprotection et de Sûreté Nucléaire, IRSN, BP 3, F-13115 St Paul lez Durance Cedex (France); Kärkelä, T. [VTT Technical Research Centre of Finland, P.O. Box 1000, FI-02044 VTT Espoo (Finland)

    2015-07-15

    Highlights: • Main achievements of source term research in SARNET are given. • Emphasis on the radiologically important iodine and ruthenium fission products. • Conclusions on FP release, transport in the RCS and containment behaviour. • Significance of large-scale integral experiments to validate the analyses used. • A thorough list of the most recent references on source term research results. - Abstract: Source Term has been one of the main research areas addressed within the SARNET network during the 7th EC Framework Programme of EURATOM. The entire source term domain was split into three major areas: oxidising impact on source term, iodine chemistry in the reactor coolant system and containment and data and code assessment. The present paper synthesises the main technical outcome stemming from the SARNET FWP7 project in the area of source term and includes an extensive list of references in which deeper insights on specific issues may be found. Besides, based on the analysis of the current state of the art, an outlook of future source term research is outlined, where major changes in research environment are discussed (i.e., the end of the Phébus FP project; the end of the SARNET projects; and the launch of HORIZON 2020). Most probably research projects will be streamlined towards: release and transport under oxidising conditions, containment chemistry, existing and innovative filtered venting systems and others. These will be in addition to a number of projects that have been completed or are ongoing under different national and international frameworks, like VERDON, CHIP and EPICUR started under the International Source Term Programme (ISTP), the OECD/CSNI programmes BIP, BIP2, STEM, THAI and THAI2, and the French national programme MIRE. The experimental PASSAM project under the 7th EC Framework programme, focused on source term mitigation systems, is highlighted as a good example of a project addressing potential enhancement of safety systems

  1. Eosinophilic Endotype of Asthma.

    Science.gov (United States)

    Aleman, Fernando; Lim, Hui Fang; Nair, Parameswaran

    2016-08-01

    Asthma is a heterogeneous disease that can be classified into different clinical endotypes, depending on the type of airway inflammation, clinical severity, and response to treatment. This article focuses on the eosinophilic endotype of asthma, which is defined by the central role that eosinophils play in the pathophysiology of the condition. It is characterized by elevated sputum and/or blood eosinophils on at least 2 occasions and by a significant response to treatments that suppress eosinophilia. Histopathologic demonstration of eosinophils in the airways provides the most direct diagnosis of eosinophilic asthma; but it is invasive, thus, impractical in clinical practice. PMID:27401626

  2. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... Outdoors Management Asthma Action Plan Flu Shots Inhalers Data, Statistics, and Surveillance Most Recent Asthma Data AsthmaStats Asthma-related Missed School Days among Children ...

  3. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... 1 MB] ASL Asthma Film Asthma Clinical Guidelines Air Pollution & Respiratory Health Know How to Use Your ... 1 MB] ASL Asthma Film Asthma Clinical Guidelines Air Pollution & Respiratory Health File Formats Help: How do ...

  4. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... Breathing Easier [PDF - 1.1 MB] ASL Asthma Film Asthma Clinical Guidelines Air Pollution & Respiratory Health Know ... Breathing Easier [PDF - 1.1 MB] ASL Asthma Film Asthma Clinical Guidelines Air Pollution & Respiratory Health File ...

  5. TCM Differential Treatment of Cough Variant Asthma

    Institute of Scientific and Technical Information of China (English)

    ZHANG Zhong-de; DENG Yi-qi; ZHANG Yu; HAN Yun; LIN Lin; CHAO En-xiang

    2010-01-01

    @@ Cough variant asthma (CVA), also called latent asthma or cough asthma, is a special type of asthma. With gradually deepened understanding of CVA in recent years, good curative effect has been achieved in TCM treatment of CVA.

  6. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... PDF - 1.1 MB] ASL Asthma Film Asthma Clinical Guidelines Air Pollution & Respiratory Health Know How to ... PDF - 1.1 MB] ASL Asthma Film Asthma Clinical Guidelines Air Pollution & Respiratory Health File Formats Help: ...

  7. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... J K L M N O P Q R S T U V W X Y Z # Start ... Management Asthma Action Plan Flu Shots Inhalers Data, Statistics, and Surveillance Most Recent Asthma Data AsthmaStats Asthma- ...

  8. Asthma Research: The NIH–NJRC Connection

    Science.gov (United States)

    ... early life exposures to allergens may help protect children from asthma. Some of NJRC's most important research addresses the ... story. ) In pediatric asthma, doctors are studying and treating the progression of asthma, infant wheezing that leads to asthma, and severe ...

  9. Precipitating factors of asthma.

    Science.gov (United States)

    Lee, T H

    1992-01-01

    Asthma is characterised by bronchial hyperresponsiveness. This feature of the asthmatic diathesis predisposes patients to wheezing in response to a number of different factors. These precipitating factors include specific allergen acting via sensitised mediator cells through an IgE-dependent mechanism. There are irritants which may work through a non-specific manner, or stimuli such as exercise and hyperventilation, which probably also act through mediator release via a non-IgE-dependent manner. The mechanism whereby physical stimuli such as exercise induce bronchoconstriction is of interest, because it increases the context in which the mast cell may participate in acute asthmatic bronchoconstriction. Respiratory infections also commonly provoke asthma, especially in infants and may, indeed, precipitate the asthmatic state itself. Finally, drugs can often trigger asthma attacks and the mechanisms of asthma precipitated by non-steroidal anti-inflammatory drugs such as aspirin have been the subject of recent research.

  10. Asthma in elite athletes

    DEFF Research Database (Denmark)

    Elers, Jimmi; Pedersen, Lars; Backer, Vibeke

    2011-01-01

    Asthma is frequently found among elite athletes performing endurance sports such as swimming, rowing and cross-country skiing. Although these athletes often report symptoms while exercising, they seldom have symptoms at rest. Moreover, compared with nonathletic asthmatic individuals, elite athletes...... their physical capacity. Elite athletes should undergo comprehensive assessment to confirm an asthma diagnosis and determine its degree of severity. Treatment should be as for any other asthmatic individual, including the use of β2-agonist, inhaled steroid as well as leukotriene-antagonist. It should, however......, be noted that daily use of β-agonists could expose elite athletes to the risk of developing tolerance towards these drugs. Use of β2-agonist should be replaced with daily inhaled corticosteroid treatment, the most important treatment of exercise-induced asthma. All physicians treating asthma should...

  11. Zoneterapi og asthma

    DEFF Research Database (Denmark)

    Brygge, Thor; Heinig, John Hilligsøe; Collins, Philippa;

    2002-01-01

    INTRODUCTION: Many patients with asthma seek alternative or adjunctive therapies. One such modality is reflexology. Our aim was to examine the popular claim that reflexology treatment benefits bronchial asthma. MATERIAL AND METHODS: Ten weeks of either active or simulated (placebo) reflexology were...... compared in an otherwise blind, controlled trial of 40 patients with asthma. RESULTS: Objective lung function tests did not change. Subjective scores and bronchial sensitivity to histamine improved on both regimens, but no differences were found in the groups receiving active or placebo reflexology....... However, a trend in favour of reflexology became significant when a supplementary analysis of symptom diaries was carried out. At the same time a significant pattern compatible with subconscious un-blinding was found. DISCUSSION: We found no evidence that reflexology has a specific effect on asthma beyond...

  12. Reflexology and bronchial asthma

    DEFF Research Database (Denmark)

    Brygge, T; Heinig, J H; Collins, P;

    2001-01-01

    Many asthma patients seek alternative or adjunctive therapies. One such modality is reflexology, whereby finger pressure is applied to certain parts of the body. The aim of the study was to examine the popular claim that reflexology treatment benefits bronchial asthma. Ten weeks of active...... or simulated (placebo) reflexology given by an experienced reflexologist, were compared in an otherwise blind, controlled trial of 20+20 outpatients with asthma. Objective lung function tests (peak flow morning and evening, and weekly spirometry at the clinic) did not change. Subjective scores (describing...... diaries was carried out. It was accompanied by a significant pattern compatible with subconscious unblinding, in that patients tended to guess which treatment they had been receiving. No evidence was found that reflexology has a specific effect on asthma beyond placebo influence....

  13. Interleukin-16 in asthma

    Institute of Scientific and Technical Information of China (English)

    DENG Jing-min; SHI Huan-zhong

    2006-01-01

    @@ Bronchial asthma is a chronic inflammatory disease of the airways that is characterized by lymphocyte, eosinophil, and mast cell infiltration of the submucosa along with mucous gland hyperplasia and subepithelial fibrosis.

  14. Exercise and Asthma

    Science.gov (United States)

    ... Training Grants & Awards Program Directors Practice Resources ASTHMA IQ Consultation and Referral Guidelines Practice Financial Survey Practice ... conducting a physical examination and performing a breathing test called spirometry. If your breathing test shows that ...

  15. Exercise-induced asthma

    Science.gov (United States)

    Wheezing - exercise-induced; Reactive airway disease - exercise ... Having asthma symptoms when you exercise does not mean you cannot or should not exercise. But be aware of your EIA triggers. Cold or dry air may ...

  16. Japanese Guideline for Adult Asthma 2014

    OpenAIRE

    Ken Ohta; Masakazu Ichinose; Hiroyuki Nagase; Masao Yamaguchi; Hisatoshi Sugiura; Yuji Tohda; Kohei Yamauchi; Mitsuru Adachi; Kazuo Akiyama

    2014-01-01

    Adult bronchial asthma (hereinafter, asthma) is characterized by chronic airway inflammation, reversible airway narrowing, and airway hyperresponsiveness. Long-standing asthma induces airway remodeling to cause intractable asthma. The number of patients with asthma has increased, and that of patients who die from asthma has decreased (1.5 per 100,000 patients in 2012). The aim of asthma treatment is to enable patients with asthma to lead a normal life without any symptoms. A good relationship...

  17. Pooled Sequencing of Candidate Genes Implicates Rare Variants in the Development of Asthma Following Severe RSV Bronchiolitis in Infancy.

    Directory of Open Access Journals (Sweden)

    Dara G Torgerson

    Full Text Available Severe infection with respiratory syncytial virus (RSV during infancy is strongly associated with the development of asthma. To identify genetic variation that contributes to asthma following severe RSV bronchiolitis during infancy, we sequenced the coding exons of 131 asthma candidate genes in 182 European and African American children with severe RSV bronchiolitis in infancy using anonymous pools for variant discovery, and then directly genotyped a set of 190 nonsynonymous variants. Association testing was performed for physician-diagnosed asthma before the 7th birthday (asthma using genotypes from 6,500 individuals from the Exome Sequencing Project (ESP as controls to gain statistical power. In addition, among patients with severe RSV bronchiolitis during infancy, we examined genetic associations with asthma, active asthma, persistent wheeze, and bronchial hyperreactivity (methacholine PC20 at age 6 years. We identified four rare nonsynonymous variants that were significantly associated with asthma following severe RSV bronchiolitis, including single variants in ADRB2, FLG and NCAM1 in European Americans (p = 4.6x10-4, 1.9x10-13 and 5.0x10-5, respectively, and NOS1 in African Americans (p = 2.3x10-11. One of the variants was a highly functional nonsynonymous variant in ADRB2 (rs1800888, which was also nominally associated with asthma (p = 0.027 and active asthma (p = 0.013 among European Americans with severe RSV bronchiolitis without including the ESP. Our results suggest that rare nonsynonymous variants contribute to the development of asthma following severe RSV bronchiolitis in infancy, notably in ADRB2. Additional studies are required to explore the role of rare variants in the etiology of asthma and asthma-related traits following severe RSV bronchiolitis.

  18. Pharmacotherapy of severe asthma

    OpenAIRE

    Firszt, Rafael; Kraft, Monica

    2010-01-01

    Severe asthma is a complex and heterogeneous phenotype where management can be challenging. While many patients with severe asthma respond to high-dose inhaled corticosteroids in combination with a long-acting β-agonist, there remains a significant subset of patients that require oral corticosteroids to control symptoms. Alternative therapies are needed to help reduce the need for continuous oral corticosteroids; however, there are currently very few effective options. Several new alternative...

  19. Relvar Ellipta for asthma.

    Science.gov (United States)

    2014-08-01

    ▼Relvar Ellipta (GSK) is a dry powder inhaler that contains a corticosteroid (fluticasone furoate) and a long-acting beta2 agonist (vilanterol trifenatate). It is licensed for once-daily use as maintenance therapy for chronic obstructive pulmonary disease (COPD) and asthma. In a previous article we considered its use in the management of COPD.1 Here we review the evidence for Relvar Ellipta in the treatment of patients with asthma.

  20. Expression Data Analysis to Identify Biomarkers Associated with Asthma in Children

    OpenAIRE

    Wen Xu

    2014-01-01

    Asthma is characterized by recurrent episodes of wheezing, shortness of breath, chest tightness, and coughing. It is usually caused by a combination of complex and incompletely understood environmental and genetic interactions. We obtained gene expression data with high-throughput screening and identified biomarkers of children's asthma using bioinformatics tools. Next, we explained the pathogenesis of children's asthma from the perspective of gene regulatory networks: DAVID was applied to pe...

  1. [Asthma, obesity and diet].

    Science.gov (United States)

    Barranco, P; Delgado, J; Gallego, L T; Bobolea, I; Pedrosa, Ma; García de Lorenzo, A; Quirce, S

    2012-01-01

    Asthma and obesity have a considerable impact on public health and their prevalence has increased in recent years. Numerous studies have linked both disorders. Most prospective studies show that obesity is a risk factor for asthma and have found a positive correlation between baseline body mass index (BMI) and the subsequent development of asthma, although these results are not conclusive when studying the association between airway hyperresponsiveness with BMI. Furthermore, several studies suggest that whereas weight gain increases the risk of asthma, weight loss improves the course of the illness. Different factors could explain this association. Obesity is capable of reducing pulmonary compliance, lung volumes and the diameter of peripheral respiratory airways as well as affecting the volume of blood in the lungs and the ventilation-perfusion relationship. Furthermore, the increase in the normal functioning of adipose tissue in obese subjects leads to a systemic proinflammatory state, which produces a rise in the serum concentrations of several cytokines, the soluble fractions of their receptors and chemokines. Many of these mediators are synthesized and secreted by cells from adipose tissue and receive the generic name of adipokines, including IL-6, IL-10, eotaxin, TNF-α, TGF- 1, PCR, leptin y adiponectin. Finally, specific regions of the human genome which are related to both asthma and obesity have been identified. Most studies point out that obesity is capable of increasing the prevalence and incidence of asthma, although this effect appears to be modest. The treatment of obese asthmatics must include a weight control program. PMID:22566313

  2. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... Recent Asthma Data AsthmaStats Asthma-related Missed School Days among Children aged 5–17 Years Asthma Severity ... the Nation Fact Sheet State Data Profiles (2011) Work-related Asthma NCHS Asthma FastStats Survey Questions Resources ...

  3. Pregnancy and Delivery in Patients with Mastocytosis Treated at the Polish Center of the European Competence Network on Mastocytosis (ECNM.

    Directory of Open Access Journals (Sweden)

    Katarzyna Ciach

    Full Text Available To present current guidelines regarding treatment of mastocytosis in pregnancy on the example of observed patients.Case control national study.Polish Center of the European Competence Network on Mastocytosis (ECNM.23 singleton spontaneous pregnancies in 17 women diagnosed with mastocytosis in years 1999-2014, before becoming pregnant.Prospective analysis outcomes of pregnancies and deliveries.Survey developed in cooperation with the Spanish Instituto de Estudios de Mastocitosis de Castilla-La Mancha (CLMast, Hospital Virgen del Valle, Toledo, Red Espańola de Mastocitosis (REMA, Spain.All 23 pregnancies resulted from natural conception. Obstetrical complications recorded in the first trimester included spontaneous miscarriage (5 pregnancies. Four patients delivered preterm, including one delivery due to preeclampsia at 26 weeks which resulted with neonate death due to extreme prematurity. Five women delivered via cesarean: four due to obstetrical indications and one due to mastocytosis, during which no anesthesia related complications were recorded. Of patients delivering vaginally, two received extradural anesthesia, three required oxytocin infusion due to uterine hypotonia. No labor complications were recorded. In one woman with pregnancy-induced hypertension, early puerperium was complicated by the presence of persistent arterial hypertension. One neonate was born with the signs of cutaneous mastocytosis. Another neonate was diagnosed with Patau syndrome. Four women were treated for mastocytosis prior to conception and continued therapy after becoming pregnant. One patient was put on medications in the first trimester due to worsening of her symptoms. Pregnancy exerted only a slight effect on the intensity and frequency of mastocytosis-related symptoms observed. Worsening of the disease-related symptoms was documented in only four patients (23%. None of the patients showed the signs of anaphylaxis, either before becoming pregnant, or during

  4. Role of Asthma Education in the Management of Adult Asthma

    Directory of Open Access Journals (Sweden)

    Johanne Côté

    1995-01-01

    Full Text Available When a patient is newly diagnosed as having asthma, he or she is often prescribed new medication without getting much information on the disease and its treatment. This article emphasizes the need to educate asthmatics. Asthma treatment should begin with a proper adjustment of the medication, allowing asthmatics to lead a normal life. All asthmatics should be shown how to use their inhalation device properly. They should he knowledgeable about the basic aspects of asthma, airway inflammation and bronchoconstriction, use or medication and early symptoms heralding an asthma attack. Environmental factors that may trigger an asthma attack should be explained. Patients should be able to self-monitor asthma using either symptom severity or a peak flow meter. Because asthma is an unpredictable disease, patients should have a self-action plan to implement when their asthma deteriorates.

  5. Domestic use of cleaning sprays and asthma activity in females. : Domestic cleaning sprays and asthma

    OpenAIRE

    Le Moual, Nicole; Varraso, Raphaëlle; Siroux, Valérie; Dumas, Orianne; Nadif, Rachel; Pin, Isabelle; Zock, Jean-Paul; Kauffmann, Francine

    2012-01-01

    We aimed to study the associations between the household use of cleaning sprays and asthma symptoms and control of asthma, in females from the Epidemiological Study on the Genetics and Environment of Asthma (EGEA). Data were available for 683 females (mean age 44 yrs, 55% never smokers, 439 without asthma and 244 with current asthma). Both domestic exposures and asthma phenotypes (asthma symptom score, current asthma, poorly-controlled asthma (56%)) were evaluated as previously described in t...

  6. The Effectiveness of Transgovernmental Networks: Managing the Practical Application of European Integration in the case of Solvit

    DEFF Research Database (Denmark)

    Martinsen, Dorte Sindbjerg; Hobolth, Mogens

    2016-01-01

    and shortcomings of the European Commission, the Court of Justice of the European Union (CJEU) and national courts as central and decentralised enforcers. However, the practical application of EU rights and obligations remains rather unexplored. Drawing on survey data covering EU-27 and three EEA states...

  7. Integrative systems biology approaches in asthma pharmacogenomics

    OpenAIRE

    Dahlin, Amber; Tantisira, Kelan G.

    2012-01-01

    In order to improve therapeutic outcomes, there is a tremendous need to identify patients who are likely to respond to a given asthma treatment. Pharmacogenomic studies have explained a portion of the variability in drug response and provided an increasing list of candidate genes and SNPs. However, as phenotypic variation arises from a network of complex interactions among genetic and environmental factors, rather than individual genes or SNPs, a multidisciplinary, systems-level approach is r...

  8. Contemporaneous International Asthma Guidelines Present Differing Recommendations: An Analysis

    Science.gov (United States)

    Gupta, Samir; Paolucci, Emily; Kaplan, Alan; Boulet, Louis-Philippe

    2016-01-01

    Background. Several international groups develop asthma guidelines. Conflicting recommendations across guidelines have been described in several disease areas and may contribute to practice variability. Accordingly, we compared the latest Canadian Thoracic Society (CTS) asthma guideline with contemporaneous international asthma guidelines to evaluate conflicting recommendations and their causes. Methods. We identified the latest CTS asthma guideline update (2012) and the following societies which also updated their guidelines in 2012: the British Thoracic Society and Scottish Intercollegiate Guidelines Network and the Global Initiative for Asthma. We compared these three guidelines on (1) key methodological factors and (2) adult pharmacotherapy recommendations. Results. Methods used and documentation provided for literature search strategy and dates, evidence synthesis, outcomes considered, evidence appraisal, and recommendation formulation varied between guidelines. Criteria used to define suboptimal asthma control varied widely between guidelines. Inhaled corticosteroid dosing recommendations diverged, as did recommendations surrounding use of budesonide/formoterol as a reliever and controller and recommendations in the subsequent step. Conclusions. There are important differences between recommendations provided in contemporaneous asthma guidelines. Causes include differences in methods used for interpreting evidence and formulating recommendations. Adopting a common set of valid and explicit methods across international societies could harmonize recommendations and facilitate guideline implementation.

  9. Contemporaneous International Asthma Guidelines Present Differing Recommendations: An Analysis.

    Science.gov (United States)

    Gupta, Samir; Paolucci, Emily; Kaplan, Alan; Boulet, Louis-Philippe

    2016-01-01

    Background. Several international groups develop asthma guidelines. Conflicting recommendations across guidelines have been described in several disease areas and may contribute to practice variability. Accordingly, we compared the latest Canadian Thoracic Society (CTS) asthma guideline with contemporaneous international asthma guidelines to evaluate conflicting recommendations and their causes. Methods. We identified the latest CTS asthma guideline update (2012) and the following societies which also updated their guidelines in 2012: the British Thoracic Society and Scottish Intercollegiate Guidelines Network and the Global Initiative for Asthma. We compared these three guidelines on (1) key methodological factors and (2) adult pharmacotherapy recommendations. Results. Methods used and documentation provided for literature search strategy and dates, evidence synthesis, outcomes considered, evidence appraisal, and recommendation formulation varied between guidelines. Criteria used to define suboptimal asthma control varied widely between guidelines. Inhaled corticosteroid dosing recommendations diverged, as did recommendations surrounding use of budesonide/formoterol as a reliever and controller and recommendations in the subsequent step. Conclusions. There are important differences between recommendations provided in contemporaneous asthma guidelines. Causes include differences in methods used for interpreting evidence and formulating recommendations. Adopting a common set of valid and explicit methods across international societies could harmonize recommendations and facilitate guideline implementation.

  10. Contemporaneous International Asthma Guidelines Present Differing Recommendations: An Analysis

    Directory of Open Access Journals (Sweden)

    Samir Gupta

    2016-01-01

    Full Text Available Background. Several international groups develop asthma guidelines. Conflicting recommendations across guidelines have been described in several disease areas and may contribute to practice variability. Accordingly, we compared the latest Canadian Thoracic Society (CTS asthma guideline with contemporaneous international asthma guidelines to evaluate conflicting recommendations and their causes. Methods. We identified the latest CTS asthma guideline update (2012 and the following societies which also updated their guidelines in 2012: the British Thoracic Society and Scottish Intercollegiate Guidelines Network and the Global Initiative for Asthma. We compared these three guidelines on (1 key methodological factors and (2 adult pharmacotherapy recommendations. Results. Methods used and documentation provided for literature search strategy and dates, evidence synthesis, outcomes considered, evidence appraisal, and recommendation formulation varied between guidelines. Criteria used to define suboptimal asthma control varied widely between guidelines. Inhaled corticosteroid dosing recommendations diverged, as did recommendations surrounding use of budesonide/formoterol as a reliever and controller and recommendations in the subsequent step. Conclusions. There are important differences between recommendations provided in contemporaneous asthma guidelines. Causes include differences in methods used for interpreting evidence and formulating recommendations. Adopting a common set of valid and explicit methods across international societies could harmonize recommendations and facilitate guideline implementation.

  11. Learning Networks, Networked Learning

    NARCIS (Netherlands)

    Sloep, Peter

    2011-01-01

    Sloep, P. B. (2011). Learning Networks, Networked Learning. Presentation at Annual Assembly of the European Society for the Systemic Innovation of Education - ESSIE. May, 27, 2011, Leuven, Belgium: Open University in the Netherlands.

  12. European climate change experiments on precipitation change

    DEFF Research Database (Denmark)

    Beier, Claus

    Presentation of European activities and networks related to experiments and databases within precipitation change......Presentation of European activities and networks related to experiments and databases within precipitation change...

  13. Diagnosis and management of asthma in older adults.

    LENUS (Irish Health Repository)

    Chotirmall, Sanjay Haresh

    2009-05-01

    Despite comprehensive guidelines established by the European Global Initiative for Asthma and the U.S. National Asthma Education and Prevention Program on the diagnosis and management of asthma, its mortality in older adults continues to rise. Diagnostic and therapeutic problems contribute to older patients being inadequately treated. The diagnosis of asthma rests on the history and characteristic pulmonary function testing (PFT) with the demonstration of reversible airway obstruction, but there are unique problems in performing this test in older patients and in its interpretation. This review aims to address the difficulties in performing and interpreting PFT in older patients because of the effects of age-related changes in lung function on respiratory physiology. The concept of "airway remodeling" resulting in "fixed obstructive" PFT and the relevance of atopy in older people with asthma are assessed. There are certain therapeutic issues unique to older patients with asthma, including the increased probability of adverse effects in the setting of multiple comorbidities and issues surrounding effective drug delivery. The use of beta 2-agonist, anticholinergic, corticosteroid, and anti-immunoglobulin E treatments are discussed in the context of these therapeutic issues.

  14. Genetics Home Reference: allergic asthma

    Science.gov (United States)

    ... another allergic disorder, such as hay fever (allergic rhinitis) or food allergies. Asthma is sometimes part of ... the Symptoms of an Allergy? Centers for Disease Control and Prevention Disease InfoSearch: Asthma Johns Hopkins Medicine: ...

  15. The European Phenology Network

    NARCIS (Netherlands)

    Vliet, van A.J.H.; Groot, de R.S.; Bellens, Y.; Braun, P.; Bruegger, R.; Bruns, E.; Clevers, J.G.P.W.; Estreguil, C.; Flechsig, M.; Jeanneret, F.; Maggi, M.; Martens, P.; Menne, B.; Menzel, A.; Sparks, T.

    2003-01-01

    The analysis of changes in the timing of life cycle-events of organisms (phenology) has been able to contribute significantly to the assessment of potential impacts of climate change on ecology. These phenological responses of species to changes in climate are likely to have significant relevance fo

  16. The Asthma Cost in Oman

    OpenAIRE

    Soriano, Joan B; Zulfikar Habibullah; Al-Busaidi, Nasser H.

    2013-01-01

    Objectives: This study evaluates the direct costs of treating asthma in Oman. Methods: Asthma prevalence and unit cost estimates were based on results from a panel using the Delphi technique, and were appliedto the total Omani population aged 5 and older to obtain the number of people diagnosed with asthma. The estimates from the Delphi exercise were multiplied by the percentage of patients using government facilities to estimate the number of asthma patients managed in Oman. Treatment costs ...

  17. Asthma control: Patient and environment

    OpenAIRE

    Bel, E.H.D.; Weersink, E.J.M.; Rijssenbeek-Nouwens, L.H.M.

    2015-01-01

    Control of asthma, the goal of asthma treatment, seems hard to obtain. However, it is largely unknown why control of asthma remains difficult in many patients in spite of available powerful medication. In this thesis we studied non-pharmacological factors influencing asthma control: patient related factors, such as adherence and health status, as well as environmental related factors such as exposure to house dust mite allergen. Finally we studied the effect of a combination of these patient ...

  18. Asthma in elite athletes.

    Science.gov (United States)

    Elers, Jimmi; Pedersen, Lars; Backer, Vibeke

    2011-06-01

    Asthma is frequently found among elite athletes performing endurance sports such as swimming, rowing and cross-country skiing. Although these athletes often report symptoms while exercising, they seldom have symptoms at rest. Moreover, compared with nonathletic asthmatic individuals, elite athletes have been shown to have a different distribution of airway inflammation and unequal response to bronchial provocative test. Elite athletes display signs of exercise-induced symptoms, for example, nonasthmatic inspiratory wheeze, vocal cord dysfunction and cardiac arrhythmias, which could limit their physical capacity. Elite athletes should undergo comprehensive assessment to confirm an asthma diagnosis and determine its degree of severity. Treatment should be as for any other asthmatic individual, including the use of β2-agonist, inhaled steroid as well as leukotriene-antagonist. It should, however, be noted that daily use of β-agonists could expose elite athletes to the risk of developing tolerance towards these drugs. Use of β2-agonist should be replaced with daily inhaled corticosteroid treatment, the most important treatment of exercise-induced asthma. All physicians treating asthma should be aware of the doping aspects. Systemic β2-agonist intake is strictly prohibited, whereas inhaled treatment is allowed in therapeutic doses when asthma is documented and dispensation has been granted when needed. PMID:21702657

  19. Rhinitis: a complication to asthma

    DEFF Research Database (Denmark)

    Hansen, J W; Thomsen, S F; Nolte, H;

    2010-01-01

    Asthma and rhinitis often co-occur, and this potentially increases the disease severity and impacts negatively on the quality of life. We studied disease severity, airway responsiveness, atopy, quality of life and treatment in subjects with both asthma and rhinitis compared to patients with asthma...

  20. Defining asthma in genetic studies

    NARCIS (Netherlands)

    Koppelman, GH; Postma, DS; Meijer, G.

    1999-01-01

    Genetic studies have been hampered by the lack of a gold standard to diagnose asthma. The complex nature of asthma makes it more difficult to identify asthma genes. Therefore, approaches to define phenotypes, which have been successful in other genetically complex diseases, may be applied to define

  1. Swimming pool-induced asthma.

    Science.gov (United States)

    Beretta, S; Vivaldo, T; Morelli, M; Carlucci, P; Zuccotti, G V

    2011-01-01

    A 13-year-old elite swimmer presented with wheezing after indoor swimming training. On the basis of her clinical history and the tests performed, exercise-induced asthma and mold-induced asthma were ruled out and a diagnosis of chlorine-induced asthma was made. PMID:21548454

  2. Asthma: where is it going?

    OpenAIRE

    D.S. Faffe

    2008-01-01

    Asthma is characterized by reversible airway obstruction, airway hyperresponsiveness, and airway inflammation. Although our understanding of its pathophysiological mechanisms continues to evolve, the relative contributions of airway hyperresponsiveness and inflammation are still debated. The first mechanism identified as important for asthma was bronchial hyperresponsiveness. In a second step, asthma was recognized also as an inflammatory disease, with chronic inflammation inducing structural...

  3. Road tunnels safety according to European legislation

    Directory of Open Access Journals (Sweden)

    Fedor KÁLLAY

    2008-01-01

    Full Text Available The article deals with safety of European road tunnels in accordance with actual European legislation. Standards and recommendations of European Commission, PIARC and other professional bodies of the European Union define minimal technological requirements for equipment and operation of the tunnels in scope of Trans-European Road Network.

  4. The pooling of manpower and resources through the establishment of European reference networks and rare disease patient registries is a necessary area of collaboration for rare renal disorders.

    Science.gov (United States)

    Parker, Samantha

    2014-09-01

    This review aims to provide guidance on emerging concepts and policy related to European reference networks (ERNs) for rare diseases (RDs) and the development and management of RD patient registries. A major problem facing many RDs including rare renal disorders is that patients do not have a specialist centre that they can attend where clinicians, working as a multidisciplinary team, are experts in the particular disease. Furthermore, for most RDs, no single centre, and in many cases no single country, has sufficient numbers of patients and resources to fully understand the natural history or to conduct clinical and translational research. Therefore, the pooling of manpower and resources through the establishment of ERN and RD patient registries is a common and necessary area of collaboration. The concept of European networks for RDs dates back to the early 2000s and the Commission launch of a call for European pilot reference networks for RDs. These networks of expert centres have been brought together through the desire for further knowledge and innovation in RD areas. Networks demand a holistic approach and long-term vision with close collaboration between clinicians, diagnostic laboratories, scientists, patients and their families. The development of legal measures for ERNs is in progress at the Commission and these networks will be a shared responsibility of the Commission and member states. In the context of ERNs, an essential activity is the patient registries. Patient registries are organized databases where patient information, including demographic, medical and family history, are collected, stored and available for retrieval via standardized and secure methods. Patient registries are increasingly recognized as crucial tools for RD research for which international collaboration is absolutely essential to understand the pathogenesis of rare genotypes, achieve a unified collection of phenotypic data, foster natural history studies providing the foundation

  5. A European network of experts with direct responsibility for monitoring and dosimetry after a deliberate release of radioactive material or a deliberate radiation exposure

    International Nuclear Information System (INIS)

    In the event of an accidental or deliberate release of radionuclides to the environment, individual monitoring and dose assessment may be needed for large numbers of people. The consequences of such incidents are not limited by national boundaries. However, within the European Union (EU), there has not been any coordinated strategy for individual monitoring and dose assessment. CONRAD (CO-ordinatioN Action for RAdiation Dosimetry) is an EC 6th Framework Programme Co-ordination Action sponsored by EURADOS (the European Radiation Dosimetry Group, http://www.eurados.org). The objective of Task 5.4 of Work Package 5 of the CONRAD project, coordinated by HPA (UK) and STUK (Finland), is the development of a network of people and organisations with responsibilities for emergency monitoring of emergency services personnel and members of the public. The network (named EUREMON) aims to promote sharing of information between countries on plans and arrangements for individual monitoring. It currently has 51 individual members from 22 EU countries, 8 non-EU countries and two international organisations. After it was established, the network was used in a survey of plans and arrangements for emergency personal monitoring in EU countries. Information is also being compiled on portable and transportable monitoring facilities and equipment in the EU. (author)

  6. A European network of experts with direct responsibility for monitoring and dosimetry after a deliberate release of radioactive material or a deliberate radiation exposure

    International Nuclear Information System (INIS)

    In the event of an accidental or deliberate release of radionuclides to the environment, individual monitoring and dose assessment may be needed for large numbers of people. The consequences of such incidents are not limited by national boundaries. However, within the European Union (EU), there has not been any coordinated strategy for individual monitoring and dose assessment. CONRAD (CO-ordination Action for Radiation Dosimetry) is an EC 6th Framework Programme Co-ordination Action sponsored by EURADOS (the European Radiation Dosimetry Group, http://www.eurados.org). The objective of Task 5.4 of Work Package 5 of the CONRAD project, coordinated by HPA (UK) and STUK (Finland), is the development of a network of people and organisations with responsibilities for emergency monitoring of emergency services personnel and members of the public. The network (named EUREMON) aims to promote sharing of information between countries on plans and arrangements for individual monitoring. It currently has 51 individual members from 22 EU countries, 8 non-EU countries and two international organisations. After it was established, the network was used in a survey of plans and arrangements for emergency personal monitoring in EU countries. Information is also being compiled on portable and transportable monitoring facilities and equipment in the EU. (author)

  7. The association of asthma, nasal allergies, and positive skin prick tests with obesity, leptin, and adiponectin

    DEFF Research Database (Denmark)

    Newson, R. B.; Jones, M.; Forsberg, B.;

    2014-01-01

    BackgroundCross-sectional and longitudinal reports show that obese adults have more asthma than non-obese adults. A proposed mechanism is via effects of adipokines (leptin and adiponectin) on the immune system. ObjectiveWe wished to measure the associations of asthma and other atopic diseases...... with serum adipokine levels and to find whether the associations with asthma were strong enough to rule out the possibility that they are secondary to the association of fatness measures with asthma. MethodsThe Global Asthma and Allergy Network of Excellence (GA(2)LEN) clinical follow-up survey is a clinical...... survey, embedded in a larger multi-centre cross-sectional postal survey, involving, with a case/control design, enrichment of the sample with subjects with asthma and chronic rhinosinusitis (CRS). We recorded serum leptin or adiponectin in 845 men and 1110 women in 15 centres and also anthropometric...

  8. Salmeterol in paediatric asthma

    OpenAIRE

    Byrnes, C; Shrewsbury, S.; Barnes, P; Bush, A

    2000-01-01

    BACKGROUND—The addition of long acting inhaled β2 agonists is recommended at step 3 of the British guidelines on asthma management but a recent study suggested no additional benefit in children with asthma.
METHODS—The aim of this study was to compare, in a double blind, three way, crossover study, the effects of the addition of salmeterol 50 µg bd, salmeterol 100 µg bd, and salbutamol 200 µg qds in asthmatic children who were symptomatic despite treatment with inhaled co...

  9. Confirmation of the mantle-cell lymphoma International Prognostic Index in randomized trials of the European Mantle-Cell Lymphoma Network

    DEFF Research Database (Denmark)

    Hoster, Eva; Klapper, Wolfram; Hermine, Olivier;

    2014-01-01

    to be performed on the cohort of the two recently completed randomized trials of the European MCL Network. PATIENTS AND METHODS: Data of 958 patients with MCL (median age, 65 years; range, 32 to 87 years) treated upfront in the trials MCL Younger or MCL Elderly were pooled to assess the prognostic value of MIPI...... was independent of trial cohort and treatment strategy. CONCLUSION: MIPI was prospectively validated in a large MCL patient cohort homogenously treated according to recognized standards. As reflected in current guidelines, MIPI represents a generally applicable prognostic tool to be used in research as well...

  10. Telematic system for monitoring of asthma severity in patients' homes.

    Science.gov (United States)

    Finkelstein, J; Hripcsak, G; Cabrera, M

    1998-01-01

    Despite advances in the treatment of asthma the morbidity and mortality of this disease has increased significantly in the past several years. Recent studies have shown that monitoring of asthma severity in the patient home especially combined with patient education can reduce incidence of asthma exacerbation and subsequent hospitalization. The existing methods for home asthma monitoring are limited by four factors; they completely rely on a patient's ability to document and to evaluate test results; there is no easy way for a physician to review data in a timely manner; they use imprecise tools for evaluation of asthma severity and they don't provide clinical decision support tools. The goal of this study is to develop and to evaluate a telematic system for asthma severity monitoring which will minimize patients' efforts in performing self-testing at their homes and allow prompt reciprocal exchange of all relevant information between patients and health care providers. In our setting, patients use portable spirometer and pocket-sized palmtop computer for data exchange. Our system allows daily serial monitoring of asthma severity at patients' homes using Forced Vital Capacity test and symptom diary. The results of the tests become available for physicians review immediately after completion of self-testing procedures via Web browser. The results can be transmitted from patients' homes (or any other remote location) to the medical records database via landline or wireless networks in several minutes. Each time the remote server receives patient's results, it invokes the application which tests the validity of data, analyzes parameters trends and dispatches corresponding messages for the patient and, if necessary, for physicians. Such an approach provides constant feedback loop between asthma patient and physician. The system has been tested in 10 healthy volunteers and asthma patients. Patients participated in the study from two to 21 days. The test results showed

  11. Do Written Asthma Action Plans Improve Outcomes?

    OpenAIRE

    Kelso, John M.

    2016-01-01

    With appropriate management, children with asthma should expect few symptoms, no limits on activity, rare exacerbations, and normal lung function. Appropriate education of parents and other caregivers of children with asthma has clearly been shown to help achieve these goals. Although recommended in asthma guidelines, providing written asthma action plans does not improve outcomes beyond asthma education alone.

  12. Exercise training in asthma.

    Science.gov (United States)

    Satta, A

    2000-12-01

    Asthma is a chronic disease that is often limiting the exercise capacity. Rehabilitation programs are recommended and widely applied in asthmatic patients, and exercise prescription is a keystone of these programs. The impairment of exercise performance in asthmatics, the role of exercise training in such patients, the mechanisms of its beneficial effects and the suggested programs are discussed in a review, accordingly to the current evidence and available data in scientific literature. Exercise performance is impaired in most asthmatics. There is no conclusive evidence that asthma may involve a ventilatory limitation to exercise. The lesser fitness in asthmatics seems mainly due to inactivity and sedentary lifestyle. Exercise induced asthma (EIA) is a significant problem, and the best approach to minimise its effects on exercise capacity is prevention. Exercise training has been proved to have health-related benefits and to improve the quality of life. There is substantial evidence that exercise training increases exercise performance and fitness in asthmatics. It is still unclear whether physical training improves pulmonary function and bronchial responsiveness. Since asthma ranges widely, exercise prescription varies for each patient. The proper selection of the patients and the choice of exercise programs are the steps required. Accordingly with the severity of the disease, exercise strategies may range from sports activities to, when the disease is severe, inpatient hospital programs that overlap with COPD rehabilitation. Further research to clarify some aspects (effects on pulmonary function and EIA, outcomes, cost-benefit relationship) is necessary. PMID:11296996

  13. Managing Asthma at School.

    Science.gov (United States)

    Madden, Julie A.

    2000-01-01

    School personnel must know which students have asthma, typical warning signs, and appropriate actions in an emergency. Administering appropriate medication and reducing environmental triggers are not enough. Policymaking in schools and workplaces and legislation to increase health care access and eliminate substandard housing and air pollution are…

  14. Asthma in elite athletes

    DEFF Research Database (Denmark)

    Elers, Jimmi; Pedersen, Lars; Backer, Vibeke

    2011-01-01

    Asthma is frequently found among elite athletes performing endurance sports such as swimming, rowing and cross-country skiing. Although these athletes often report symptoms while exercising, they seldom have symptoms at rest. Moreover, compared with nonathletic asthmatic individuals, elite athletes...

  15. The microbiome in asthma.

    Science.gov (United States)

    Huang, Yvonne J; Boushey, Homer A

    2015-01-01

    The application of recently developed sensitive, specific, culture-independent tools for identification of microbes is transforming concepts of microbial ecology, including concepts of the relationships between the vast complex populations of microbes associated with ourselves and with states of health and disease. Although most work initially focused on the community of microbes (microbiome) in the gastrointestinal tract and its relationship to gastrointestinal disease, interest has expanded to include study of the relationships of the airway microbiome to asthma and its phenotypes and to the relationships between the gastrointestinal microbiome, development of immune function, and predisposition to allergic sensitization and asthma. Here we provide our perspective on the findings of studies of differences in the airway microbiome between asthmatic patients and healthy subjects and of studies of relationships between environmental microbiota, gut microbiota, immune function, and asthma development. In addition, we provide our perspective on how these findings suggest the broad outline of a rationale for approaches involving directed manipulation of the gut and airway microbiome for the treatment and prevention of allergic asthma.

  16. Occupational Neutrophilic Asthma

    Directory of Open Access Journals (Sweden)

    Richard Leigh

    1999-01-01

    Full Text Available Occupational asthma is typically associated with an eosinophilic bronchitis. The case of a 41-year-old woman who developed symptoms of asthma after occupational exposure to metal working fluids is reported. The diagnosis of asthma was confirmed by an forced expiratory volume in 1 s (FEV1 of 1.7 (59% predicted, with 11% reversibility after inhaled bronchodilator and a provocation concentration of methacholine to cause a fall in FEV1 of 20% (PC20 of 0.4 mg/mL. Induced sputum examination showed a marked neutrophilia. Over the next six months, serial sputum analyses confirmed the presence of a marked sterile neutrophilic bronchitis during periods of occupational exposure to metal working fluids, which resolved when the patient was away from work and recurred when she returned to work. The sputum findings were mirrored by corresponding changes in spirometry and PC20 methacholine. The findings indicate the occurrence of occupational asthma associated with an intense, sterile neutrophilic bronchitis after exposure to metal working fluids.

  17. Common Asthma Triggers

    Science.gov (United States)

    ... air pollution can trigger an asthma attack. This pollution can come from factories, cars, and other sources. Pay attention to air quality forecasts on radio, television, and the Internet and check your newspaper to plan ... levels will be low. Cockroach Allergen Cockroaches and ...

  18. Children with Asthma and Sports

    Directory of Open Access Journals (Sweden)

    Selda Yuzer

    2014-06-01

    Full Text Available Asthma is one of the chronic diseases which have are widely seen among the children. The disease has recently been in the increase all over the world and affects many children. In a study conducted with International Study of Asthma and Allergies in Childhood (ISAAC method, it was found out that prevalence of childhood asthma was 17.1%. Participation in sportive activities by the children with asthma, which is today considered as a part of asthma treatment program, makes contributions to their physical, mental and psychological development and increases their quality of life. The most recommended sports for the children with asthma are swimming and water sports. Sports like tennis and volleyball are too advised. Choice of sports depends on severity of asthma, child and #8217;s choice and whether or not asthma is kept under control. Nursing approaches for the children with asthma include correction of symptoms, training of children and their families, assistance with disease adaptation, continuing asthma care at home and interventions to make children lead healthy activities of daily life of children. With protective measures to be taken by families and children; children should be encourage for sportive activities. [TAF Prev Med Bull 2014; 13(3.000: 241-244

  19. NEREUS- Network of European Regions Using Space - an initiative of regions to spread the use and understanding of space technologies across Europe

    Science.gov (United States)

    Ayazi, Roya

    2013-04-01

    NEREUS- Network of European Regions Using Space - an initiative of regions to spread the use and understanding of space technologies across Europe (Roya Ayazi, Secretary General NEREUS nereus.bruxelles@euroinbox.com) NEREUS currently unites 25 European regions and 39 Associate Members with the common objective to spread the use and understanding of space technologies across Europe for the benefit of regions and their citizens. As voice of European Regions, NEREUS serves as an advocate for the regions in matters of space uses and also as a direct channel to the regional users of space technologies (such as local authorities, SMEs, universities and research institutes and citizens). EO/GMES, Global Satellite Navigation and Telecommunication are identified by the NEREUS Political Charta as core areas of cooperation. NEREUS holds the view that broad societal awareness and involvement is vital to fully exploit Euope's space systems. Understanding the potentials of Copernicus and EGNOS/Galileo is in the first place an essential step for the development of the downstream sector. Therefore NEREUS makes special efforts to contribute with numerous network activities to communicate and promote the added value of space uses for public policies but also as valuable new business opportunities. In economic terms space uses are suited to stimulate economic growth and innovation dynamics at regional level. The network community produced several illustrative communication tools (publications, video, web-based tools, mobile NEREUS-exhibition) portraying examples how regions already use space systems and the concrete benefits for the citizens. Most of the NEREUS-publications and video are online: www.nereus-regions.eu. Pooling a considerable wealth of capabilities and expertise, the network offers its members a dynamic platform to collaborate and share experiences and knowledge inter regionally. But these tools were not only the outcome of an intensive regional collaboration but

  20. Asthma in Adolescents: A Randomized, Controlled Trial of an Asthma Program for Adolescents and Young Adults with Severe Asthma

    OpenAIRE

    Robert L Cowie; Underwood, Margot F; Little, Cinde B; Ian Mitchell; Sheldon Spier; Ford, Gordon T

    2002-01-01

    BACKGROUND: Asthma is common and is often poorly controlled in adolescent subjects.OBJECTIVE: To determine the impact of an age-specific asthma program on asthma control, particularly on exacerbations of asthma requiring emergency department treatment, and on the quality of life of adolescents with asthma.METHODS: The present randomized, controlled trial included patients who were 15 to 20 years of age and had visited emergency departments for management of their asthma. The interventional gr...

  1. Tööturuasutuste võrgustik EURES = The European employment services network in Estonia / Heleri Hermanson

    Index Scriptorium Estoniae

    Hermanson, Heleri

    2006-01-01

    EURES (EURopean Employment Services) on Euroopa Komisjoni riiklike tööturuasutuste koostöövõrgustik. Eestlaste võimalustest leida tööd Euroopa Liidu liikmesmaades. Lisad: Töötu sotsiaalse kaitse kulutuste jaotus, 2005; Töötu sotsiaalse kaitse kulutused, 1994-2005; Kõnekaid fakte

  2. Enhancing the efficacy of delivering reperfusion therapy: a European and North American experience with ST-segment elevation myocardial infarction networks.

    Science.gov (United States)

    Huber, Kurt; Goldstein, Patrick; Danchin, Nicolas; Fox, Keith A A; Welsh, Robert; Granger, Christopher B; Henry, Timothy; Gersh, Bernard J

    2013-02-01

    Advances in technique and adjunctive medication have improved outcome of ST-segment elevation myocardial infarction (STEMI) patients. However, the timely delivery and administration of reperfusion strategies to all eligible patients remain challenging. Currently, up to one-third of eligible STEMI patients in industrialized countries worldwide receive no specific reperfusion treatment, a problem that is rectified by the development and implementation of STEMI networks, as also recommended by the latest European Society of Cardiology and American College of Cardiology/American Heart Association guidelines. Indeed, over the last 5 years, published figures demonstrate that STEMI networks increase the percentage of patients treated by any reperfusion strategy, and the percentage of patients receiving treatment within the recommended time frames has also improved, thereby reducing in-hospital and long-term mortality to very low levels. This manuscript demonstrates how STEMI networks can be adapted to local needs and circumstances against pre-existing barriers and despite the heterogeneity in local situations, patient's characteristics, treatment delays, and distances for transfer. Modern and efficacious networks must be prepared to offer both primary percutaneous coronary intervention and thrombolytic therapy, preferably prehospital, as long as primary percutaneous coronary intervention cannot be guaranteed to all individuals within the recommended timeline.

  3. Childhood Asthma Management Pre- and Post-Incident Asthma Hospitalization

    OpenAIRE

    Bianchi, Marina; Clavenna, Antonio; Sequi, Marco; Bortolotti, Angela; Fortino, Ida; Merlino, Luca; Bonati, Maurizio

    2013-01-01

    Many hospitalizations for asthma could potentially be avoided with appropriate management. The aim of this study was to analyze data on disease management of a paediatric population with a hospitalization for asthma. The study population comprised 6–17 year old subjects belonging to three local health units of the Lombardy Region, northern Italy. Regional administrative databases were used to collect data on: the number of children with an incident hospitalization for asthma during the 2004–2...

  4. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... the Nation Fact Sheet State Data Profiles (2011) Work-related Asthma NCHS Asthma FastStats Survey Questions Resources ... Informs Design Other Evaluation Resources Multimedia Messages Agencies Working on Asthma Follow @CDCasthma on Twitter to learn ...

  5. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... Brochures Facts Triggers Indoors In the Workplace Outdoors Management Asthma Action Plan Flu Shots Inhalers Data, Statistics, ... Asthma NCHS Asthma FastStats Survey Questions Resources for Health Professionals and Schools Healthcare Professionals Public Health Professionals ...

  6. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... Asthma NCHS Asthma FastStats Survey Questions Resources for Health Professionals and Schools Healthcare Professionals Public Health Professionals School and Childcare Providers More Asthma Resources ...

  7. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... Asthma who Smoke Insurance coverage and barriers to care for people with asthma Tables and Graphs Asthma ... Home Pregnant Women - Medical clinics/physicians' office Health care providers - Medical clinics/physicians' office Health care providers - ...

  8. Know How to Use Your Asthma Inhaler

    Medline Plus

    Full Text Available ... Triggers Indoors In the Workplace Outdoors Management Asthma Action Plan Flu Shots Inhalers Data, Statistics, and Surveillance ... gaining control over their asthma. Quick Links Asthma Action Plan America Breathing Easier [PDF - 1.1 MB] ...

  9. Can the Weather Affect My Child's Asthma?

    Science.gov (United States)

    ... Baby's Growth Can the Weather Affect My Child's Asthma? KidsHealth > For Parents > Can the Weather Affect My ... empeorar el asma de mi hijo? Weather and Asthma The effect of weather on asthma symptoms isn' ...

  10. Occupational irritants and asthma: an Estonian cross-sectional study of 34,000 adults.

    Science.gov (United States)

    Dumas, Orianne; Laurent, Emeline; Bousquet, Jean; Metspalu, Andres; Milani, Lili; Kauffmann, Francine; Le Moual, Nicole

    2014-09-01

    Occupational exposures make important contributions to asthma morbidity. The role of low/moderate level irritant exposures remains unclear. We aimed to determine which occupational exposures are associated with asthma in an eastern European country with low asthma prevalence. The Estonian Genome Center of University of Tartu collected data from 50 077 adults in 2002-2011. Asthma was assessed through a questionnaire regarding diagnosed diseases, current health status and medication. Exposures to 22 agents during the current and longest held jobs were estimated using an asthma-specific job-exposure matrix. Analyses included 34 015 subjects (aged 18-65 years, 67.0% females), of which 1209 (3.6%) reported asthma (608 with physician-confirmed diagnosis). After adjusting for age, sex and smoking habits, lifetime occupational exposure to known asthmagens (20.4%) was significantly associated with physician-diagnosed asthma (OR 1.28, 95% CI 1.03-1.59), especially high molecular weight agents (flour: OR 2.36, 95% CI 1.31-4.27; animals: OR 1.62, 95% CI 1.00-2.60). Exposure to low/moderate levels of irritants (17.4%) was associated with physician-diagnosed asthma (OR 1.88, 95% CI 1.48-2.37). More pronounced associations were observed in subjects reporting current treated asthma. Beyond confirming the effect of known asthmagens (which are well-known, mostly from observations in western countries), the results provide evidence for a role of low/moderate exposure to irritants. This finding, observed in a country with a low prevalence of asthma and atopy, provides new insight into the understanding of asthma heterogeneity.

  11. Prevalence of asthma-like symptoms, asthma and its treatment in elite athletes

    DEFF Research Database (Denmark)

    Lund, T; Pedersen, L; Larsson, B;

    2008-01-01

    . Physician-diagnosed asthma was present in 16% and 14% had current asthma. Asthma medication was taken by 7% of the athletes, of whom 79% used inhaled corticosteroids and 21% used inhaled beta(2)-agonists only. Athletes participating in endurance sports had higher prevalences of current asthma (24%) and use...... of asthma medication (15%) than all other athletes (Pendurance sports have a higher prevalence of asthma and use of asthma medication. The frequency of asthma medication is lower than the prevalence of current asthma indicating that there is no overuse of asthma medication...

  12. European Union

    Directory of Open Access Journals (Sweden)

    Majda Rubić

    2015-12-01

    Full Text Available Well-known phenomenon of globalization affects the creation of regional policies to encourage small regions with the assistance of the region as an advisory body of the European Union, the representatives of the new connection process between regions in terms of global cooperation. The newly emerged circumstances, each EU member state has its own regionalization, there is no defined standard for a particular region, but in the final stages of the integration of the whole region covers an area located within the boundaries of several other states. The integration process is achieved through macro or cross-border regions that have a European statute, cross-border cooperation includes new rules of economic and social cohesion of the regions making autonomy. There is the problem of the division of responsibilities at Union or Member State or lower levels of government which is not defined in the Treaty of Lisbon, but the Committee of the Regions assigned tasks in cooperation with the EU institutions to take account of respect for the principle of subsidiarity. The effect of European integration is reflected in the delegation of authority to supranational levels and means the performance of a growing number of jobs by the interregional group. CoR supports the integration of Europe through cooperation region and representatives of its members, the CBC recommends establishing a network of regions, macro-regions that include parts of the territory of at least two states. Such policies are indirectly reflected in the states which are not members of the EU with the help of a legal instrument for territorial cooperation, the European grouping of territorial cooperation (EGTS. It is the one action that attempt to clarify the role of the Committee of the Regions, which has political and legal influence in the cohesion policy of the Union. Regional governments legally important is the level of control given that three quarters of EU legislation implemented at

  13. Violence and Asthma: A Review

    Directory of Open Access Journals (Sweden)

    Takeo Fujiwara

    2008-01-01

    Full Text Available Recent research shows that exposure to community violence is, directly and indirectly, associated with asthma. This article reviews the findings on the impact of violence on asthma, and the pathways for the association of violence and asthma are suggested: 1 exposure to violence is directly associated with asthma, mainly through dysregulation of sympathetic-adrenal-medullary (SAM and hypothalamic-pituitary-adrenal (HPA axis, 2 exposure to violence is associated with the change of susceptibility of outdoor air pollution on asthma, probably through the change of an immune response, and 3 behavioral change due to exposure to violence (e.g. keeping children indoors leads to more exposure to indoor pollutants. The suggested framework may be useful to develop health policy on asthma in high-violence communities.

  14. Asthma Is More Severe in Older Adults

    OpenAIRE

    Zein, Joe G.; Dweik, Raed A.; Comhair, Suzy A.; Bleecker, Eugene R.; Moore, Wendy C.; Peters, Stephen P.; Busse, William W.; Jarjour, Nizar N.; Calhoun, William J.; Castro, Mario; Chung, K. Fan; Fitzpatrick, Anne; Israel, Elliot; Teague, W. Gerald; Sally E. Wenzel

    2015-01-01

    Background: Severe asthma occurs more often in older adult patients. We hypothesized that the greater risk for severe asthma in older individuals is due to aging, and is independent of asthma duration. Methods: This is a cross-sectional study of prospectively collected data from adult participants (N=1130; 454 with severe asthma) enrolled from 2002 – 2011 in the Severe Asthma Research Program. Results: The association between age and the probability of severe asthma, which was performed by ap...

  15. The Effects of Bronchiectasis on Asthma Exacerbation

    OpenAIRE

    Kang, Hye Ran; Choi, Gyu-Sik; Park, Sun Jin; Song, Yoon Kyung; Kim, Jeong Min; Ha, Junghoon; Lee, Yung Hee; Lee, Byoung Hoon; Kim, Sang-Hoon; Lee, Jae Hyung

    2014-01-01

    Background Bronchiectasis and asthma are different in many respects, but some patients have both conditions. Studies assessing the effect of bronchiectasis on asthma exacerbation are rare. The aim of this study is to investigate the effect of bronchiectasis on asthma exacerbation. Methods We enrolled 2,270 asthma patients who were followed up in our hospital. Fifty patients had bronchiectasis and asthma. We selected fifty age- and sex-matched controls from the 2,220 asthma patients without br...

  16. How Can Microarrays Unlock Asthma?

    OpenAIRE

    Alen Faiz; Janette K. Burgess

    2012-01-01

    Asthma is a complex disease regulated by the interplay of a large number of underlying mechanisms which contribute to the overall pathology. Despite various breakthroughs identifying genes related to asthma, our understanding of the importance of the genetic background remains limited. Although current therapies for asthma are relatively effective, subpopulations of asthmatics do not respond to these regimens. By unlocking the role of these underlying mechanisms, a source of novel and more ef...

  17. International network non-energy use and CO2 emissions (NEU-CO2). An activity within the European Commission's ENRICH programme, DG RTD, 'Environment and Climate'. Final report of the first phase of the network (January 1999 - June 2000)

    International Nuclear Information System (INIS)

    This report concludes the first phase of the NEU-CO2 network, covering the period from January 1999 to June 2000. Within this period, two workshops were held, one in Paris in September 1999 and the other in Brussels in April 2000. The results of these workshops represent the basis of this report. The workshop papers have also been compiled in workshop proceedings which are publicly available. Due to the success of the NEU-CO2 network, the partners decided to apply for the continuation of this activity which was recently accepted by the European Commission. The second phase of the of the NEU-CO2 network will start in Fall 2000 and will continue for 18 months. This will allow the NEU-CO2 network to improve the methods applied, to close data gaps, to check the preliminary conclusions given in this report and to provide consolidated results and recommendations by mid 2002. The ultimate goal of the NEU-CO2 network is to contribute to an improvement of the IPCC guidelines in the area of non-energy use and to provide inventorists with tools and methods to estimate more accurately non-energy CO2 emissions. (orig.)

  18. Induced sputum in asthma: from bench to bedside.

    OpenAIRE

    Bakakos, P.; SCHLEICH, FLorence; Alchanatis, M.; Louis, Renaud

    2011-01-01

    During recent years there has been a growing interest in using non-invasive biomarkers to understand and monitor the airway inflammation in subjects with respiratory tract disorders and mainly asthma and chronic obstructive pulmonary disease (COPD). Sputum induction is generally a well-tolerated and safe procedure and a European Respiratory Society Task Force has published a comprehensive review on sputum methodology. Induced sputum cell count and, to a lesser extent, mediator measurements ha...

  19. Rhinoconjunctivitis and occupational asthma caused by Diplotaxis erucoides (wall rocket).

    Science.gov (United States)

    Brito, F F; Mur, P; Bartolomé, B; Galindo, P A; Gómez, E; Borja, J; Martínez, A

    2001-07-01

    Wall rocket (Diplotaxis erucoides) is a common Crucifera plant that grows in European and American vineyards and olive groves. We present the cases of 2 farmers with rhinoconjunctivitis and asthma related to wine-growing tasks during D erucoides pollination (March-April). The aim of this work was to demonstrate that occupational symptoms were caused by D erucoides pollen sensitization. Cutaneous tests, specific IgE measurements, conjunctival and bronchial provocation tests, and peak-flow measurements during working days were performed.

  20. Effects of smoking on asthma.

    Science.gov (United States)

    Jindal, S K

    2014-03-01

    Tobacco smoking has several adverse associations with asthma.The odds ratios for prevalence of asthma are high for both active smoking and ETS exposures. In-utero exposure of foetus from maternal smoking, as well as its tertiary exposure from maternal passive-smoking are also known to be responsible for development of asthma in childhood. Smoking adversely affects the health and treatment-outcomes of asthma. There are increased requirements of drugs for smoker and ETS exposed asthmatics. Smoking is also an important factor in the development of airway remodelling, fixed airway obstruction and an exaggerated lung function decline. PMID:25327058

  1. Intravenous magnesium for acute asthma?

    Science.gov (United States)

    2003-10-01

    Each year in the UK, around 1,500 people die from asthma. Standard treatment has been based on bronchodilators (e.g. beta 2-stimulants) and anti-inflammatory drugs (corticosteroids). The recently revised British Guideline on the Management of Asthma suggests also using a single dose of i.v. magnesium sulphate in patients with acute severe asthma, an unlicensed indication. Here we discuss the rationale for giving i.v. magnesium and whether it offers any advantage for patients with acute severe asthma.

  2. Getting control of uncontrolled asthma.

    Science.gov (United States)

    Wechsler, Michael E

    2014-11-01

    Despite various treatment modalities, a large proportion of patients have asthma that remains uncontrolled. These patients remain at an increased risk of developing severe exacerbations, have a poor quality of life, and pose a high economic healthcare burden, with an estimated mean annual cost more than double that of patients with good symptom control. It is therefore important to accurately diagnose asthma and continually assess asthma control. Several validated tools are available to do this, including questionnaires, biomarker analysis, and bronchoscopy. Current guidelines advise physicians to establish a self-management program for the patient to assess and monitor asthma control. A further recommendation is the establishment of an educational action plan to increase treatment adherence and to improve asthma control. National and international guidelines provide long-term management strategies for these patients and recommend a stepwise approach for achieving and maintaining asthma control. Despite availability of a wide range of controller and reliever therapies, uncontrolled asthma remains a challenge and reflects the need for new therapeutic options. This review discusses current global guidelines for the assessment and management of asthma control and summarizes the broad spectrum of novel therapeutic agents currently under development for the treatment of asthma, including anticholinergics, chemoattractant receptor-homologous molecules expressed on T-helper 2 lymphocyte antagonists, and anti-interleukin (IL)-5, anti-IL-13, and anti-IL-4 agents. PMID:24844737

  3. Allergy and Asthma Health Magazine

    Science.gov (United States)

    ... Living Font: Aerosol Delivery Oxygen Resources Immunizations Pollution Nutrition Exercise Coming Of Age Older Adults Allergy and Asthma Health Magazine Women Infant, Children and Teenagers Living With Lung ...

  4. Steroid resistant asthma.

    Science.gov (United States)

    Luhadia, S K

    2014-03-01

    Inspite of very safe and effective treatment, Bronchial asthmatics do not respond well in 5-10% of cases which are labelled as Refractory Asthma. Besides compliance, presence of psychogenic and trigger factors and comorbid illness, steroid insensitiveness or resistance may play a significant role in the poorly controlled/responding asthmatics. Type I Steroid resistance is due to lack of binding affinity of steroids to glucocorticoid receptors and may respond to higher doses of steroids while type II steroid resistance is because of reduced number of cells with glucocorticoid receptors, which is very rare and do not respond to even higher doses of systemic steroids and these cases require alternative/novel therapies. Future treatment of steroid resistant and severe refractory asthma is likely to be targeted towards cytokines and Bronchial Thermoplasty.

  5. Allergens and thunderstorm asthma.

    Science.gov (United States)

    Nasser, Shuaib M; Pulimood, Thomas B

    2009-09-01

    Thunderstorm-related asthma is increasingly recognized in many parts of the world. This review focuses on important advances in the understanding of the mechanism of the role of allergens, in particular fungal spores such as Alternaria, in asthma epidemics associated with thunderstorms. From our observations, we have proposed that the prerequisites for this phenomenon are as follows: 1) a sensitized, atopic, asthmatic individual; 2) prior airway hyperresponsiveness before a sudden, large allergen exposure; 3) a large-scale thunderstorm with cold outflow occurring at a time and location during an allergen season in which large numbers of asthmatics are outdoors; and 4) sudden release of large amounts of respirable allergenic fragments, particularly fungal spores such as Alternaria. PMID:19671382

  6. Studies on provoked asthma

    International Nuclear Information System (INIS)

    A group of adult patients with perennial bronchial asthma has been studied as to lung perfusion and alveolar ventilation (81m-Kr) at rest and after provocation of an acute attack. Asthma was provoked by exercise and by histamine inhalation. After provocation the peak expiratory flow values were reduced to less than 80% of the base line values. Perfusion was often deranged. Regional ventilation changed rapidly after provocation and not always in the same fashion after exercise and histamine. During attacks lung volume increased. The expansion decreased (in parallel with increased peak expiratory flow) after inhalator of a #betta#-2 agonist (terbutaline). 81m-Kr offers unique opportunities for studying acute regional changes in alveolar ventilation. (Author)

  7. Pathogenesis of Asthma

    OpenAIRE

    Barlan, Işıl B.; Başaran, Müjdat M.

    2000-01-01

    Bronchial asthma is characterized by reversible airway obstruction in response to allergen chronic eosinophilic airway inflammation and nonspecific airway hyperreponsiveness Allergic reaction appears to be the result of a TH2 type T cell response to one or more common environmental allergens The allergen specific TH2 response represents the triggering event for the recruitment and the involvement of the other cell types as well as a large number of soluble factors and adhesion molecules thus ...

  8. Adenosine Receptors and Asthma

    OpenAIRE

    Wilson, Constance N; Nadeem, Ahmed; Spina, Domenico; Brown, Rachel; Page, Clive P.; Jamal Mustafa, S.

    2009-01-01

    The pathophysiological processes underlying respiratory diseases like asthma are complex, resulting in an overwhelming choice of potential targets for the novel treatment of this disease. Despite this complexity, asthmatic subjects are uniquely sensitive to a range of substances like adenosine, thought to act indirectly to evoke changes in respiratory mechanics and in the underlying pathology, and thereby to offer novel insights into the pathophysiology of this disease. Adenosine is of partic...

  9. Holy Saturday asthma

    OpenAIRE

    O'Connor, Terence M; Cusack, Ruth; Landers, Sarah; Bredin, Charles Patrick

    2014-01-01

    A 61-year-old man complained of cough and dyspnoea after exposure to colophony-containing solder fumes at work. A histamine challenge test confirmed airway hyper-responsiveness, and colophony-challenge demonstrated a 16.7% drop in peak expiratory flow rate (PEFR), supporting a diagnosis of colophony-induced occupational asthma. At review, the patient presented with cough, dyspnoea and wheeze that occurred acutely when exposed to the fumes from burning incense during Easter Saturday services, ...

  10. Pulmonary remodeling in asthma

    OpenAIRE

    Lieberman, Phil

    2010-01-01

    The inflammatory and immunologic processes responsible for asthma can produce permanently fixed obstructive lung disease unresponsive to medical therapy. This can be manifested clinically by the failure of a childhood asthmatic to reach full expected lung capacity at adulthood and by an accelerated decline in pulmonary capacity in adults. Recent studies have furthered our insight into the pathologic processes underlying these changes and the potential effects of therapy to prevent them.

  11. Animal models of asthma

    OpenAIRE

    Bates, Jason H.T.; Rincon, Mercedes; Irvin, Charles G.

    2009-01-01

    Studies in animal models form the basis for much of our current understanding of the pathophysiology of asthma, and are central to the preclinical development of drug therapies. No animal model completely recapitulates all features of the human disease, however. Research has focused primarily on ways to generate allergic inflammation by sensitizing and challenging animals with a variety of foreign proteins, leading to an increased understanding of the immunological factors that mediate the in...

  12. Beta-2-Adrenergic Receptor Methylation Influences Asthma Phenotype in The School Inner City Asthma Study

    OpenAIRE

    Gaffin, Jonathan M.; Phipatanakul, Wanda

    2014-01-01

    Asthma is the most common chronic illness of childhood and inner city residents suffer a disproportionately high rate of asthma diagnosis and asthma morbidity. The School Inner City Asthma Study investigates the school classroom based environmental exposures that may lead to asthma morbidity in inner city school children with asthma. Within this cohort, we investigated the role of methylation at the promoter region of the beta-2-adrenergic receptor in relation to asthma morbidity. We found th...

  13. Acute bronchial asthma

    Directory of Open Access Journals (Sweden)

    Susanna Ramuscello

    2007-04-01

    Full Text Available Asthma is one of the main causes of morbidity worldwide. It affects some 300 million individuals and has risen over the past 20 years, especially in the paediatric population. Asthma is a chronic inflammation of the airways, subject to periodic exacerbations, characterised by coughing and progressive dyspnoea. Clinical conditions may vary greatly, ranging from moderate exacerbation with an increase in nocturnal awakening and a less than 20% reduction in the flow peak, through to severe respiratory insufficiency that requires immediate intubation of the airways. Pharmacological treatment envisages a step approach that aims to obtain and maintain control over the symptoms, taking into consideration the effectiveness of the treatment available, potential side effects and cost. β2-agonists and corticosteroids are the drugs of election for both maintenance therapy and for treating exacerbations. Other therapeutic devices may prove useful in particular cases. One fundamental key point in treatment over time is the cooperation between patient and attending doctor. The latest review of the Global Initiative for Asthma (GINA guidelines was published in 2006.

  14. Acute bronchial asthma.

    Science.gov (United States)

    Grover, Sudhanshu; Jindal, Atul; Bansal, Arun; Singhi, Sunit C

    2011-11-01

    Acute asthma is the third commonest cause of pediatric emergency visits at PGIMER. Typically, it presents with acute onset respiratory distress and wheeze in a patient with past or family history of similar episodes. The severity of the acute episode of asthma is judged clinically and categorized as mild, moderate and severe. The initial therapy consists of oxygen, inhaled beta-2 agonists (salbutamol or terbutaline), inhaled budesonide (three doses over 1 h, at 20 min interval) in all and ipratropium bromide and systemic steroids (hydrocortisone or methylprednisolone) in acute severe asthma. Other causes of acute onset wheeze and breathing difficulty such as pneumonia, foreign body, cardiac failure etc. should be ruled out with help of chest radiography and appropriate laboratory investigations in first time wheezers and those not responding to 1 h of inhaled therapy. In case of inadequate response or worsening, intravenous infusion of magnesium sulphate, terbutaline or aminophylline may be used. Magnesium sulphate is the safest and most effective alternative among these. Severe cases may need ICU care and rarely, ventilatory support. PMID:21769523

  15. Emerging therapeutic options for asthma.

    Science.gov (United States)

    Colice, Gene L

    2011-04-01

    Asthma is characterized by eosinophilic airway inflammation and elevated serum immunoglobulin E (IgE) levels. Due to these pathologic features, the foundation of asthma treatment has historically been anti-inflammatory therapy with inhaled corticosteroids (ICSs). Numerous factors in addition to IgE and eosinophils, however, likely play important roles in mediating the airway inflammatory response characteristic of asthma. ICSs are effective therapy for some patients with persistent asthma, but clinical trials have shown that even increasing doses of ICSs under carefully controlled situations does not always result in acceptable asthma control. Consequently, other classes of medications, in addition to ICSs, are recommended in those patients with more severe asthma. The class of medication most commonly used in more severe asthma, along with ICSs, is long-acting inhaled beta2-agonists, but leukotriene modifying agents and anti-IgE monoclonal antibodies may also be used. Agents such as tiotropium, a long-acting inhaled anti-muscarinic agent, and those aimed at inhibiting cytokines, such as mepoluzimab, daclizumab, and etanercept, hold promise in the treatment of asthma. Other agents under investigation include phosphodiesterase type 4 inhibitors and oligonucleotides. Bronchial thermoplasty, a nonpharmacologic option, may also be beneficial in patients with poorly controlled asthma. As our understanding of the complex pathophysiology of asthma increases, it will enable the development of novel therapeutic approaches for patients who are not responding well to traditional treatments. Although more studies are necessary to ensure the efficacy and safety of both pharmacologic and nonpharmacologic approaches, there is future promise for therapeutic advances in severe, persistent asthma. PMID:21761958

  16. AsthmaVent – Effect of Ventilation on Asthma Control

    DEFF Research Database (Denmark)

    Hogaard, Nina Viskum; Rubak, Sune Leisgaard Mørck; Halken, Susanne;

    and design of housing. Indoor environment factors that trigger the disease must be controlled as well as possible. The results of this project will be a significant contribution to the potential recommendations regarding the effect of ventilation on indoor air quality and asthma control of HDM allergic......Background House dust mite (HDM) allergy is a frequent cause of allergic asthma among children. Children spend 14 hours of their time indoor everyday in aberage, where they are exposed to different components in the indoor air. These components are children with asthma and HDM allergy specially...... sensitive towards. Reducing this exposure may improve the asthma control in these children. Previous studies give conflicting information on the effect of mechanical ventilation on asthma control in children. Objectives We aim at investigating whether mechanical ventilation is capable of improving indoor...

  17. Common definition for categories of clinical research: a prerequisite for a survey on regulatory requirements by the European Clinical Research Infrastructures Network (ECRIN

    Directory of Open Access Journals (Sweden)

    Sanz Nuria

    2009-10-01

    Full Text Available Abstract Background Thorough knowledge of the regulatory requirements is a challenging prerequisite for conducting multinational clinical studies in Europe given their complexity and heterogeneity in regulation and perception across the EU member states. Methods In order to summarise the current situation in relation to the wide spectrum of clinical research, the European Clinical Research Infrastructures Network (ECRIN developed a multinational survey in ten European countries. However a lack of common classification framework for major categories of clinical research was identified, and therefore reaching an agreement on a common classification was the initial step in the development of the survey. Results The ECRIN transnational working group on regulation, composed of experts in the field of clinical research from ten European countries, defined seven major categories of clinical research that seem relevant from both the regulatory and the scientific points of view, and correspond to congruent definitions in all countries: clinical trials on medicinal products; clinical trials on medical devices; other therapeutic trials (including surgery trials, transplantation trials, transfusion trials, trials with cell therapy, etc.; diagnostic studies; clinical research on nutrition; other interventional clinical research (including trials in complementary and alternative medicine, trials with collection of blood or tissue samples, physiology studies, etc.; and epidemiology studies. Our classification was essential to develop a survey focused on protocol submission to ethics committees and competent authorities, procedures for amendments, requirements for sponsor and insurance, and adverse event reporting following five main phases: drafting, consensus, data collection, validation, and finalising. Conclusion The list of clinical research categories as used for the survey could serve as a contribution to the, much needed, task of harmonisation and

  18. Common definition for categories of clinical research: a prerequisite for a survey on regulatory requirements by the European Clinical Research Infrastructures Network (ECRIN)

    LENUS (Irish Health Repository)

    Kubiak, Christine

    2009-10-16

    Abstract Background Thorough knowledge of the regulatory requirements is a challenging prerequisite for conducting multinational clinical studies in Europe given their complexity and heterogeneity in regulation and perception across the EU member states. Methods In order to summarise the current situation in relation to the wide spectrum of clinical research, the European Clinical Research Infrastructures Network (ECRIN) developed a multinational survey in ten European countries. However a lack of common classification framework for major categories of clinical research was identified, and therefore reaching an agreement on a common classification was the initial step in the development of the survey. Results The ECRIN transnational working group on regulation, composed of experts in the field of clinical research from ten European countries, defined seven major categories of clinical research that seem relevant from both the regulatory and the scientific points of view, and correspond to congruent definitions in all countries: clinical trials on medicinal products; clinical trials on medical devices; other therapeutic trials (including surgery trials, transplantation trials, transfusion trials, trials with cell therapy, etc.); diagnostic studies; clinical research on nutrition; other interventional clinical research (including trials in complementary and alternative medicine, trials with collection of blood or tissue samples, physiology studies, etc.); and epidemiology studies. Our classification was essential to develop a survey focused on protocol submission to ethics committees and competent authorities, procedures for amendments, requirements for sponsor and insurance, and adverse event reporting following five main phases: drafting, consensus, data collection, validation, and finalising. Conclusion The list of clinical research categories as used for the survey could serve as a contribution to the, much needed, task of harmonisation and simplification of the

  19. Expert consensus document: Cholangiocarcinoma: current knowledge and future perspectives consensus statement from the European Network for the Study of Cholangiocarcinoma (ENS-CCA).

    Science.gov (United States)

    Banales, Jesus M; Cardinale, Vincenzo; Carpino, Guido; Marzioni, Marco; Andersen, Jesper B; Invernizzi, Pietro; Lind, Guro E; Folseraas, Trine; Forbes, Stuart J; Fouassier, Laura; Geier, Andreas; Calvisi, Diego F; Mertens, Joachim C; Trauner, Michael; Benedetti, Antonio; Maroni, Luca; Vaquero, Javier; Macias, Rocio I R; Raggi, Chiara; Perugorria, Maria J; Gaudio, Eugenio; Boberg, Kirsten M; Marin, Jose J G; Alvaro, Domenico

    2016-05-01

    Cholangiocarcinoma (CCA) is a heterogeneous group of malignancies with features of biliary tract differentiation. CCA is the second most common primary liver tumour and the incidence is increasing worldwide. CCA has high mortality owing to its aggressiveness, late diagnosis and refractory nature. In May 2015, the "European Network for the Study of Cholangiocarcinoma" (ENS-CCA: www.enscca.org or www.cholangiocarcinoma.eu) was created to promote and boost international research collaboration on the study of CCA at basic, translational and clinical level. In this Consensus Statement, we aim to provide valuable information on classifications, pathological features, risk factors, cells of origin, genetic and epigenetic modifications and current therapies available for this cancer. Moreover, future directions on basic and clinical investigations and plans for the ENS-CCA are highlighted.

  20. Ki-67 as a prognostic marker in mantle cell lymphoma-consensus guidelines of the pathology panel of the European MCL Network

    DEFF Research Database (Denmark)

    Klapper, W.; Hoster, E.; Determann, O.;

    2009-01-01

    powerful prognostic biomarker. The pathology panel of the European MCL Network evaluated methods to assess the Ki-67 index including stringent counting, digital image analysis, and estimation by eyeballing. Counting of 2 x 500 lymphoma cells is the gold standard to assess the Ki-67 index since this value.......37 for two methods of digital image analysis, respectively). Counting a reduced number of lymphoma cells (2 x 100 cells) showed high interobserver agreement (CCC = 0.74). Pitfalls of the Ki-67 index are discussed and guidelines and recommendations for assessing the Ki-67 index in MCL are given Udgivelsesdato......Mantle cell lymphoma (MCL) has a heterogeneous clinical course and is mainly an aggressive B cell non-Hodgkin lymphoma; however, there are some indolent cases The Ki-67 index, defined by the percentage of Ki-67-positive lymphoma cells on histopathological slides, has been shown to be a very...

  1. Prenatal Stress, Prematurity, and Asthma.

    Science.gov (United States)

    Medsker, Brock; Forno, Erick; Simhan, Hyagriv; Celedón, Juan C

    2015-12-01

    Asthma is the most common chronic disease of childhood, affecting millions of children in the United States and worldwide. Prematurity is a risk factor for asthma, and certain ethnic or racial minorities such as Puerto Ricans and non-Hispanic blacks are disproportionately affected by both prematurity and asthma. In this review, we examine current evidence to support maternal psychosocial stress as a putative link between prematurity and asthma, while also focusing on disruption of the hypothalamic-pituitary-adrenal (HPA) axis and immune responses as potential underlying mechanisms for stress-induced "premature asthma." Prenatal stress may cause not only abnormalities in the HPA axis but also epigenetic changes in the fetal glucocorticoid receptor gene (NR3C1), leading to impaired glucocorticoid metabolism. Moreover, maternal stress can alter fetal cytokine balance, favoring TH2 (allergic) immune responses characteristic of atopic asthma: interleukin 6 (IL-6), which has been associated with premature labor, can promote TH2 responses by stimulating production of IL-4 and IL-13. Given a link among stress, prematurity, and asthma, future research should include birth cohorts aimed at confirming and better characterizing "premature asthma." If confirmed, clinical trials of prenatal maternal stress reduction would be warranted to reduce the burden of these common comorbidities. While awaiting the results of such studies, sound policies to prevent domestic and community violence (eg, from firearms) are justified, not only by public safety but also by growing evidence of detrimental effects of violence-induced stress on psychiatric and somatic health.

  2. Asthma in patients with psoriasis

    DEFF Research Database (Denmark)

    Lønnberg, A S; Skov, Lone; Skytthe, A;

    2015-01-01

    We read with interest the report by Fang and colleagues of the relationship between psoriasis and asthma in a large retrospective case-control study from Taiwan [1]. The study found a 1.38-fold increased risk of asthma among patients with psoriasis, and with an increasing risk according to higher...

  3. DNA vaccine and asthma therapy

    Institute of Scientific and Technical Information of China (English)

    SHI Huan-zhong

    2005-01-01

    @@ Allergic asthma is currently considered a chronic airway inflammatory disorder associated with the presence of activated CD4+ Th2-type lymphocytes, eosinophils, and mast cells. Interestingly, therapeutic strategies based on immune deviation and suppression have been shown to successfully attenuate the development of the asthma phenotype.

  4. Adolescents and Exercise Induced Asthma

    Science.gov (United States)

    Hansen, Pamela; Bickanse, Shanna; Bogenreif, Mike; VanSickle, Kyle

    2008-01-01

    This article defines asthma and exercise induced asthma, and provides information on the triggers, signs, and symptoms of an attack. It also gives treatments for these conditions, along with prevention guidelines on how to handle an attack in the classroom or on the practice field. (Contains 2 tables and 1 figure.)

  5. Prenatal Stress, Prematurity, and Asthma.

    Science.gov (United States)

    Medsker, Brock; Forno, Erick; Simhan, Hyagriv; Celedón, Juan C

    2015-12-01

    Asthma is the most common chronic disease of childhood, affecting millions of children in the United States and worldwide. Prematurity is a risk factor for asthma, and certain ethnic or racial minorities such as Puerto Ricans and non-Hispanic blacks are disproportionately affected by both prematurity and asthma. In this review, we examine current evidence to support maternal psychosocial stress as a putative link between prematurity and asthma, while also focusing on disruption of the hypothalamic-pituitary-adrenal (HPA) axis and immune responses as potential underlying mechanisms for stress-induced "premature asthma." Prenatal stress may cause not only abnormalities in the HPA axis but also epigenetic changes in the fetal glucocorticoid receptor gene (NR3C1), leading to impaired glucocorticoid metabolism. Moreover, maternal stress can alter fetal cytokine balance, favoring TH2 (allergic) immune responses characteristic of atopic asthma: interleukin 6 (IL-6), which has been associated with premature labor, can promote TH2 responses by stimulating production of IL-4 and IL-13. Given a link among stress, prematurity, and asthma, future research should include birth cohorts aimed at confirming and better characterizing "premature asthma." If confirmed, clinical trials of prenatal maternal stress reduction would be warranted to reduce the burden of these common comorbidities. While awaiting the results of such studies, sound policies to prevent domestic and community violence (eg, from firearms) are justified, not only by public safety but also by growing evidence of detrimental effects of violence-induced stress on psychiatric and somatic health. PMID:26676148

  6. Predicting adult asthma in childhood

    NARCIS (Netherlands)

    Vonk, JM; Boezen, HM

    2006-01-01

    PURPOSE OF REVIEW: There still is no cure for asthma. Early identification of patients at risk for disease progression may lead to better treatment opportunities and hopefully better disease outcomes in adulthood. Recent literature on childhood risk factors associated with the outcome of asthma in a

  7. Environment and asthma in adults.

    Science.gov (United States)

    Le Moual, Nicole; Jacquemin, Bénédicte; Varraso, Raphaëlle; Dumas, Orianne; Kauffmann, Francine; Nadif, Rachel

    2013-09-01

    The present review addresses recent advances and especially challenging aspects regarding the role of environmental risk factors in adult-onset asthma, for which the causes are poorly established. In the first part of the review, we discuss aspects regarding some environmental risk factors for adult-onset asthma: air pollution, occupational exposures with a focus on an emerging risk represented by exposure to cleaning agents (both at home and in the workplace), and lifestyle and nutrition. The second part is focused on perspectives and challenges, regarding relevant topics on which research is needed to improve the understanding of the role of environmental factors in asthma. Aspects of exposure assessment, the complexity of multiple exposures, the interrelationships of the environment with behavioral characteristics and the importance of studying biological markers and gene-environment interactions to identify the role of the environment in asthma are discussed. We conclude that environmental and lifestyle exposures play an important role in asthma or related phenotypes. The changes in lifestyle and the environment in recent decades have modified the specific risk factors in asthma even for well-recognized risks such as occupational exposures. To better understand the role of the environment in asthma, the use of objective (quantitative measurement of exposures) or modern tools (bar code, GPS) and the development of multidisciplinary collaboration would be very promising. A better understanding of the complex interrelationships between socio-economic, nutritional, lifestyle and environmental conditions might help to study their joint and independent roles in asthma.

  8. Smoking and Asthma (For Teens)

    Science.gov (United States)

    ... Friend Who Cuts? Smoking and Asthma KidsHealth > For Teens > Smoking and Asthma Print A A A Text Size What's in this article? If You Smoke If Other People Smoke en español Fumar y el asma You may have family photo albums full of pictures with people smoking at all kinds of events, ...

  9. The management of acute asthma.

    Science.gov (United States)

    Cross, S

    1997-04-01

    Health professionals likely to come into contact with people experiencing an acute episode of asthma, such as school nurses, ambulance personnel and A&E staff, need clear guidelines on management. The British Thoracic Society guidelines, revised this year, advise on the categorisation of asthma, assessment and treatment.

  10. Asthma: where is it going?

    Directory of Open Access Journals (Sweden)

    D.S. Faffe

    2008-09-01

    Full Text Available Asthma is characterized by reversible airway obstruction, airway hyperresponsiveness, and airway inflammation. Although our understanding of its pathophysiological mechanisms continues to evolve, the relative contributions of airway hyperresponsiveness and inflammation are still debated. The first mechanism identified as important for asthma was bronchial hyperresponsiveness. In a second step, asthma was recognized also as an inflammatory disease, with chronic inflammation inducing structural changes or remodeling. However, persistence of airway dysfunction despite inflammatory control is observed in chronic severe asthma of both adults and children. More recently, a potential role for epithelial-mesenchymal communication or transition is emerging, with epithelial injury often resulting in a self-sustaining phenotype of wound repair modulation by activation/reactivation of the epithelial-mesenchymal trophic unit, suggesting that chronic asthma can be more than an inflammatory disease. It is noteworthy that the gene-environmental interactions critical for the development of a full asthma phenotype involve processes similar to those occurring in branching morphogenesis. In addition, a central role for airway smooth muscle in the pathogenesis of the disease has been explored, highlighting its secretory function as well as different intrinsic properties compared to normal subjects. These new concepts can potentially shed light on the mechanisms underlying some asthma phenotypes and improve our understanding of the disease in terms of the therapeutic strategies to be applied. How we understand asthma and its mechanisms along time will be the focus of this overview.

  11. How can microarrays unlock asthma?

    NARCIS (Netherlands)

    Faiz, Alen; Burgess, Janette K

    2012-01-01

    Asthma is a complex disease regulated by the interplay of a large number of underlying mechanisms which contribute to the overall pathology. Despite various breakthroughs identifying genes related to asthma, our understanding of the importance of the genetic background remains limited. Although curr

  12. The Saudi Initiative for asthma

    Directory of Open Access Journals (Sweden)

    Al-Moamary Mohamed

    2009-01-01

    Full Text Available The Saudi Initiative for Asthma (SINA provides up-to-date guidelines for healthcare workers managing patients with asthma. SINA was developed by a panel of Saudi experts with respectable academic backgrounds and long-standing experience in the field. SINA is founded on the latest available evidence, local literature, and knowledge of the current setting in Saudi Arabia. Emphasis is placed on understanding the epidemiology, pathophysiology, medications, and clinical presentation. SINA elaborates on the development of patient-doctor partnership, self-management, and control of precipitating factors. Approaches to asthma treatment in SINA are based on disease control by the utilization of Asthma Control Test for the initiation and adjustment of asthma treatment. This guideline is established for the treatment of asthma in both children and adults, with special attention to children 5 years and younger. It is expected that the implementation of these guidelines for treating asthma will lead to better asthma control and decrease patient utilization of the health care system.

  13. "Kickin' Asthma": School-Based Asthma Education in an Urban Community

    Science.gov (United States)

    Magzamen, Sheryl; Patel, Bina; Davis, Adam; Edelstein, Joan; Tager, Ira B.

    2008-01-01

    Background: In urban communities with high prevalence of childhood asthma, school-based educational programs may be the most appropriate approach to deliver interventions to improve asthma morbidity and asthma-related outcomes. The purpose of this study was to evaluate the implementation of "Kickin' Asthma", a school-based asthma curriculum…

  14. The Passive microwave Neural network Precipitation Retrieval (PNPR) algorithm for AMSU/MHS observations: description and application to European case studies

    Science.gov (United States)

    Sanò, P.; Panegrossi, G.; Casella, D.; Di Paola, F.; Milani, L.; Mugnai, A.; Petracca, M.; Dietrich, S.

    2015-02-01

    The purpose of this study is to describe a new algorithm based on a neural network approach (Passive microwave Neural network Precipitation Retrieval - PNPR) for precipitation rate estimation from AMSU/MHS observations, and to provide examples of its performance for specific case studies over the European/Mediterranean area. The algorithm optimally exploits the different characteristics of Advanced Microwave Sounding Unit-A (AMSU-A) and the Microwave Humidity Sounder (MHS) channels, and their combinations, including the brightness temperature (TB) differences of the 183.31 channels, with the goal of having a single neural network for different types of background surfaces (vegetated land, snow-covered surface, coast and ocean). The training of the neural network is based on the use of a cloud-radiation database, built from cloud-resolving model simulations coupled to a radiative transfer model, representative of the European and Mediterranean Basin precipitation climatology. The algorithm provides also the phase of the precipitation and a pixel-based confidence index for the evaluation of the reliability of the retrieval. Applied to different weather conditions in Europe, the algorithm shows good performance both in the identification of precipitation areas and in the retrieval of precipitation, which is particularly valuable over the extremely variable environmental and meteorological conditions of the region. The PNPR is particularly efficient in (1) screening and retrieval of precipitation over different background surfaces; (2) identification and retrieval of heavy rain for convective events; and (3) identification of precipitation over a cold/iced background, with increased uncertainties affecting light precipitation. In this paper, examples of good agreement of precipitation pattern and intensity with ground-based data (radar and rain gauges) are provided for four different case studies. The algorithm has been developed in order to be easily tailored to new

  15. The Passive microwave Neural network Precipitation Retrieval (PNPR algorithm for AMSU/MHS observations: description and application to European case studies

    Directory of Open Access Journals (Sweden)

    P. Sanò

    2014-09-01

    Full Text Available The purpose of this study is to describe a new algorithm based on a Neural Network approach (Passive microwave Neural network Precipitation Retrieval – PNPR for precipitation rate estimation from AMSU/MHS observations, and to provide examples of its performance for specific case studies over the European/Mediterranean area. The algorithm optimally exploits the different characteristics of AMSU-A and MHS channels, and their combinations, including the TB differences of the 183.31 channels, with the goal of having a single neural network for different types of background surfaces (vegetated land, snow covered surface, coast and ocean. The training of the neural network is based on the use of a cloud-radiation database, built from cloud-resolving model simulations coupled to a radiative transfer model, representative of the European and Mediterranean basin precipitation climatology. The algorithm provides also the phase of the precipitation and a pixel-based confidence index for the evaluation of the reliability of the retrieval. Applied to different weather conditions in Europe, the algorithm shows good performance both in the identification of precipitation areas and in the retrieval of precipitation, particularly valuable over the extremely variable environmental and meteorological conditions of the region. In particular, the PNPR is particularly efficient in: (1 screening and retrieval of precipitation over different background surfaces, (2 identification and retrieval of heavy rain for convective events, (3 identification of precipitation over cold/iced background, with some uncertainties affecting light precipitation. In this paper, examples of good agreement of precipitation pattern and intensity with ground-based data (radar and rain gauges are provided for four different case studies. The algorithm has been developed in order to be easily tailored to new radiometers as they become available (such as the cross-track scanning Suomi NPP

  16. Asthma symptoms in obese adults

    DEFF Research Database (Denmark)

    Ulrik, Charlotte Suppli

    2016-01-01

    The association between asthma and obesity is well-described, but not straightforward, and according to current guidelines asthma control is more difficult to achieve in obese patients. The currently available studies evaluating response to pharmacological asthma therapy in obese patients show...... that these patients have an altered, in general less favorable, response to both reliever and controller medication compared to normal weight patients. However, at present, the limited available evidence precludes evidence-based recommendations. The 'obesity-related asthma' phenotype has different characteristics......, including association with atopy and type of airway inflammation, compared to 'classic' asthma. Furthermore, weight loss in patients with this phenotype leads to an improvement in symptoms, lung function, and airway responsiveness, as well as a reduction in medication utilization and hospital admissions...

  17. Exacerbations of asthma during pregnancy

    DEFF Research Database (Denmark)

    Ali, Z; Hansen, A V; Ulrik, C S

    2016-01-01

    Asthma is common among pregnant women, and the incidence of asthma exacerbations during pregnancy is high. This literature review provides an overview of the impact of exacerbations of asthma during pregnancy on pregnancy-related complications. The majority of published retrospective studies reveal...... that asthma exacerbations during pregnancy increase the risk of pre-eclampsia, gestational diabetes, placental abruption and placenta praevia. Furthermore, these women also have higher risk for breech presentation, haemorrhage, pulmonary embolism, caesarean delivery, maternal admission to the intensive care...... to these outcomes. In conclusion, asthma exacerbations during pregnancy are associated with complications of pregnancy, labour and delivery. Prevention of exacerbations is essential to reduce the risk of complications and poor outcome....

  18. Asthma programmes in diverse regions of the world: challenges, successes and lessons learnt.

    Science.gov (United States)

    Lalloo, U G; Walters, R D; Adachi, M; de Guia, T; Emelyanov, A; Fritscher, C C; Hong, J; Jimenez, C; King, G G; Lin, J; Loaiza, A; Nadeau, G; Neffen, H; Sekerel, B E; Yorgancioğlu, A; Zar, H J

    2011-12-01

    International surveys have demonstrated that asthma is still underdiagnosed and undertreated in many parts of the world. Despite improvements in the standard of asthma care delivered in many areas, as evidenced by improved global asthma mortality data, much information on projects and programmes undertaken in resource-limited regions of the world is not in the public domain. The aim of this report is to review projects and programmes in diverse regions around the world so that health care providers, planners and consumers may draw on the successes, failures and lessons learnt. Such real world experiences may contribute to achieving Global Initiative for Asthma goals of asthma control. Asthma projects and programmes in Argentina, Australia, Brazil, China, Japan, Mexico, Philippines, Russia, South Africa and Turkey were discussed by a group of experts in asthma care, the Advancing Asthma Care Network, from their respective countries, over a course of three satellite meetings in 2010. Collective analyses consistently identified low rates of dissemination and implementation of national and international treatment guidelines, low levels of continuing medical education and training of primary health care professionals and access and distribution of inhaled corticosteroids to be major barriers that are critical to the overall success of a national asthma management programme. In the less developed asthma programmes, under-recognition and undertreatment further limited the success of the programmes. Evidence from well-established national asthma management programmes suggests that establishment of a successful programme entails a logical progression through specific developmental stages, starting with political/stakeholder endorsement and commitment, followed by epidemiological evaluation, evaluation of disease burden, evaluation of access to care and best therapy, and finally optimisation and maintenance therapy for individual patients.

  19. Global strategy for the diagnosis and management of asthma in children 5 years and younger.

    Science.gov (United States)

    Pedersen, Soren Erik; Hurd, Suzanne S; Lemanske, Robert F; Becker, Allan; Zar, Heather J; Sly, Peter D; Soto-Quiroz, Manuel; Wong, Gary; Bateman, Eric D

    2011-01-01

    Asthma is the most common chronic disease of childhood and the leading cause of childhood morbidity from chronic disease as measured by school absences, emergency department visits, and hospitalisation. During the past two decades, many scientific advances have improved our understanding of asthma and our ability to manage and control it effectively. However, in children 5 years and younger, the clinical symptoms of asthma are variable and non-specific. Furthermore, neither airflow limitation nor airway inflammation, the main pathologic hallmarks of the condition, can be assessed routinely in this age group. For this reason, to aid in the diagnosis of asthma in young children, a symptoms-only descriptive approach that includes the definition of various wheezing phenotypes has been recommended. In 1993, the Global Initiative for Asthma (GINA) was implemented to develop a network of individuals, organizations, and public health officials to disseminate information about the care of patients with asthma while at the same time assuring a mechanism to incorporate the results of scientific investigations into asthma care. Since then, GINA has developed and regularly revised a Global Strategy for Asthma Management and Prevention. Publications based on the Global Strategy for Asthma Management and Prevention have been translated into many different languages to promote international collaboration and dissemination of information. In this report, Global Strategy for Asthma Management and Prevention in Children 5 Years and Younger, an effort has been made to present the special challenges that must be taken into account in managing asthma in children during the first 5 years of life, including difficulties with diagnosis, the efficacy and safety of drugs and drug delivery systems, and the lack of data on new therapies. Approaches to these issues will vary among populations in the world based on socioeconomic conditions, genetic diversity, cultural beliefs, and differences in

  20. Sources of Stress in Children with Asthma.

    Science.gov (United States)

    Walsh, Michelle; Ryan-Wenger, Nancy M.

    1992-01-01

    Children with asthma were studied to determine their perceptions of the frequency and severity of stressors they experienced other than asthma. Results indicated children with asthma were similar to peers regarding perceptions of stressors. Perceptions of most stressors related more strongly to gender role development than to asthma. (SM)