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Sample records for european community respiratory

  1. Correlation between asthma and climate in the European Community Respiratory Health Survey.

    Science.gov (United States)

    Verlato, Giuseppe; Calabrese, Rolando; De Marco, Roberto

    2002-01-01

    The European Community Respiratory Health Survey, performed during 1991-1993, found a remarkable geographical variability in the prevalence of asthma and asthma-like symptoms in individuals aged 20-44 yr. The highest values occurred in the English-speaking centers. In the present investigation, the ecological relationship between climate and symptom prevalence was evaluated in the 48 centers of the European Community Respiratory Health Survey. Meteorological variables were derived from the Global Historical Climatology Network and were averaged over an 11-yr period (i.e., 1980-1990). Respiratory symptom prevalence was directly related to temperature in the coldest month and was related inversely to the temperature in the hottest month. Warm winters and cool summers are features of oceanic climate found in most English-speaking centers of the European Community Respiratory Health Survey (i.e., England, New Zealand, and Oregon). In conclusion, climate can account for significant geographic variability in respiratory symptom prevalence.

  2. Changes in active and passive smoking in the European Community Respiratory Health Survey

    NARCIS (Netherlands)

    Janson, C; Kunzli, N; de Marco, R; Chinn, S; Jarvis, D; Svanes, C; Heinrich, J; Jogi, R; Gislason, T; Sunyer, J; Ackermann-Liebrich, U; Anto, JM; Cerveri, [No Value; Kerhof, M; Leynaert, B; Luczynska, C; Neukirch, F; Vermeire, P; Wjst, M; Burney, P

    The aim of the present investigation was to study changes and determinants for changes in active and passive smoking. The present study included 9,053 adults from 14 countries that participated in the European Community Respiratory Health Survey II. The mean follow-up period was 8.8 yrs. Change in

  3. Climate change and respiratory disease: European Respiratory Society position statement.

    Science.gov (United States)

    Ayres, J G; Forsberg, B; Annesi-Maesano, I; Dey, R; Ebi, K L; Helms, P J; Medina-Ramón, M; Windt, M; Forastiere, F

    2009-08-01

    Climate change will affect individuals with pre-existing respiratory disease, but the extent of the effect remains unclear. The present position statement was developed on behalf of the European Respiratory Society in order to identify areas of concern arising from climate change for individuals with respiratory disease, healthcare workers in the respiratory sector and policy makers. The statement was developed following a 2-day workshop held in Leuven (Belgium) in March 2008. Key areas of concern for the respiratory community arising from climate change are discussed and recommendations made to address gaps in knowledge. The most important recommendation was the development of more accurate predictive models for predicting the impact of climate change on respiratory health. Respiratory healthcare workers also have an advocatory role in persuading governments and the European Union to maintain awareness and appropriate actions with respect to climate change, and these areas are also discussed in the position statement.

  4. [European Community Respiratory Health Survey in Adults (ECRHS)].

    Science.gov (United States)

    Heinrich, J; Richter, K; Frye, C; Meyer, I; Wölke, G; Wjst, M; Nowak, D; Magnussen, H; Wichmann, H E

    2002-05-01

    The European Community Respiratory Health Survey (ECRHS) was the first study to assess the geographical variation in asthma, allergy, and allergic sensitization in adults using the same instruments and definitions. The database of the ECRHS includes information from approximately 140 000 individuals aged 20 - 44 years from 22 countries. The aim of this review is to summarize the results of the ECRHS and to present the specific contribution of the German centers in Hamburg and Erfurt. The prevalence ranged from 2.0 - 11.9 % for asthma, 9.5 - 40.9 % for allergic rhinitis, 4.0 - 32.0 % for wheeze, 3.4 - 27.9 % for bronchial hyperreactivity, and 16.2 - 44.5 % for allergic sensitisation against common aeroallergens. Although the prevalence of these atopic disorders were found to be consistently higher for the Hamburg center compared to the Erfurt center, strong regional differences in the prevalences were also found within several other European countries. Overall Europe, the lowest prevalences were seen in the Eastern and Middle European countries with the center Erfurt, followed by the Mediterranean region. The highest prevalences were reported for all English speaking centers. Strong geographic variation was reported for medication for asthma. Asthma seems to be undertreated in several countries. Environmental exposures and in particular indoor factors, and exposures at the workplace are playing a major role for asthma in adulthood. Furthermore, protective effects on atopy were found for exposures to pets (dogs) and a large number of siblings in early childhood. In conclusion, the ECRHS has shown that the prevalence of asthma varies widely. The fact that the geographical pattern is consistent with the distribution of atopy and bronchial responsiveness supports the conclusion that the geographical variations in the prevalence of asthma are true and likely due to environmental factors.

  5. European Respiratory Society statement

    DEFF Research Database (Denmark)

    Miravitlles, Marc; Dirksen, Asger; Ferrarotti, Ilaria

    2017-01-01

    lung disease. A large proportion of individuals affected remain undiagnosed and therefore without access to appropriate care and treatment.The most recent international statement on AATD was published by the American Thoracic Society and the European Respiratory Society in 2003. Since then there has...

  6. The European Respiratory Society spirometry tent

    DEFF Research Database (Denmark)

    Maio, Sara; Sherrill, Duane L; MacNee, William

    2012-01-01

    In order to raise public awareness of the importance of early detection of airway obstruction and to enable many people who had not been tested previously to have their lung function measured, the European Lung Foundation and the European Respiratory Society (ERS) organised a spirometry testing...

  7. Harmonisation of the acute respiratory infection reporting system in the Czech Republic with the European community networks.

    NARCIS (Netherlands)

    Kyncl, J.; Paget, W.J.; Havlickova, M.; Kriz, B.

    2005-01-01

    Respiratory virus activity is detected in Europe each winter, yet the precise timing and size of this activity is highly unpredictable. The impact of influenza infection and/or acute respiratory infection in European countries is continuously monitored through a variety of surveillance systems. All

  8. European Community.

    Science.gov (United States)

    1987-05-01

    The European Community was established in 1951 to reconcile France and Germany after World War II and to make possible the eventual federation of Europe. By 1986, there were 12 member countries: France, Italy, Belgium, the Federal Republic of Germany, Luxembourg, the Netherlands, Denmark, Ireland, the United Kingdom, Greece, Spain, and Portugal. Principal areas of concern are internal and external trade, agriculture, monetary coordination, fisheries, common industrial and commercial policies, assistance, science and research, and common social and regional policies. The European Community has a budget of US$34.035 billion/year, funded by customs duties and 1.4% of each member's value-added tax. The treaties establishing the European Community call for members to form a common market, a common customs tariff, and common agricultural, transport, economic, and nuclear policies. Major European Community institutions include the Commission, Council of Ministers, European Parliament, Court of Justice, and Economic and Social Committee. The Community is the world's largest trading unit, accounting for 15% of world trade. The 2 main goals of the Community's industrial policy are to create an open internal market and to promote technological innovation in order to improve international competitiveness. The European Community aims to contribute to the economic and social development of Third World countries as well.

  9. Management and treatment perceptions among young adults with asthma in Melbourne: the Australian experience from the European Community Respiratory Health Survey.

    Science.gov (United States)

    Reid, D; Abramson, M; Raven, J; Walters, H E

    2000-09-01

    As part of the European Community Respiratory Health Survey (ECRHS) in 1992-1993 we assessed management practices and treatment perceptions among young asthmatic adults in Melbourne, Australia. We conducted a postal questionnaire survey of 4500 randomly selected adults (aged 20-44 years), drawn from three electoral districts, of whom 3200 (71%) subjects responded. A randomly selected sample of 1642 respondents, 'enriched' by a further 433 symptomatic subjects, was invited to complete a second phase respiratory questionnaire. The questionnaire was completed by 757 subjects who underwent laboratory testing. A further 119 subjects who were unable to attend the laboratory completed an identical questionnaire by telephone interview (42% response rate). In the second phase, 16% of subjects reported 'current asthma' (group I) as defined by physician confirmation and a recent attack (within 1 year), 10% had confirmed asthma but reported no recent attack (group II) and 74% did not have asthma (group III). Inhaled corticosteroid use was significantly higher in group I than in group II subjects (45% vs 24%, Ptime. Despite national education campaigns, the majority of young asthmatic adults in Melbourne did not adhere to prescribed treatment, but continued to rely upon beta2-agonists alone with neglect of regular inhaled corticosteroid which has probably contributed to Australia's continued high asthma morbidity and mortality rates.

  10. European Summit on the Prevention and Self-Management of Chronic Respiratory Diseases: report of the European Union Parliament Summit (29 March 2017).

    Science.gov (United States)

    Hellings, Peter W; Borrelli, David; Pietikainen, Sirpa; Agache, Ioana; Akdis, Cezmi; Bachert, Claus; Bewick, Michael; Botjes, Erna; Constantinidis, Jannis; Fokkens, Wytske; Haahtela, Tari; Hopkins, Claire; Illario, Maddalena; Joos, Guy; Lund, Valerie; Muraro, Antonella; Pugin, Benoit; Seys, Sven; Somekh, David; Stjärne, Pär; Valiulis, Arunas; Valovirta, Erkka; Bousquet, Jean

    2017-01-01

    On March 29, 2017, a European Summit on the Prevention and Self-Management of Chronic Respiratory Diseases (CRD) was organized by the European Forum for Research and Education in Allergy and Airway Diseases. The event took place in the European Parliament of Brussels and was hosted by MEP David Borrelli and MEP Sirpa Pietikainen. The aim of the Summit was to correspond to the needs of the European Commission and of patients suffering from CRD to join forces in Europe for the prevention and self-management. Delegates of the European Rhinologic Society, European Respiratory Society, European Academy of Allergy and Clinical Immunology, European Academy of Paediatrics, and European Patients Organization EFA all lectured on their vision and action plan to join forces in achieving adequate prevention and self-management of CRD in the context of Precision Medicine. Recent data highlight the preventive capacity of education on optimal care pathways for CRD. Self-management and patient empowerment can be achieved by novel educational on-line materials and by novel mobile health tools enabling patients and doctors to monitor and optimally treat CRDs based on the level of control. This report summarizes the contributions of the representatives of different European academic stakeholders in the field of CRD.

  11. Indigenous Respiratory Outreach Care: the first 18 months of a specialist respiratory outreach service to rural and remote Indigenous communities in Queensland, Australia.

    Science.gov (United States)

    Medlin, Linda G; Chang, Anne B; Fong, Kwun; Jackson, Rebecca; Bishop, Penny; Dent, Annette; Hill, Deb C; Vincent, Stephen; O'Grady, Kerry-Ann F

    2014-09-01

    Respiratory diseases are a leading cause of morbidity and mortality in Indigenous Australians. However, there are limited approaches to specialist respiratory care in rural and remote communities that are culturally appropriate. A specialist Indigenous Respiratory Outreach Care (IROC) program, developed to address this gap, is described. The aim of the present study was to implement, pilot and evaluate multidisciplinary specialist respiratory outreach medical teams in rural and remote Indigenous communities in Queensland, Australia. Sites were identified based on a perception of unmet need, burden of respiratory disease and/or capacity to use the clinical service and capacity building for support offered. IROC commenced in March 2011 and, to date, has been implemented in 13 communities servicing a population of approximately 43000 Indigenous people. Clinical service delivery has been possible through community engagement and capacity building initiatives directed by community protocols. IROC is a culturally sensitive and sustainable model for adult and paediatric specialist outreach respiratory services that may be transferrable to Indigenous communities across Queensland and Australia.

  12. An official American thoracic society/European respiratory society statement: Key concepts and advances in pulmonary rehabilitation

    NARCIS (Netherlands)

    M.A. Spruit (Martijn); S.J. Singh (Sally); C. Garvey (Chris); R. Zu Wallack (Richard); L. Nici (Linda); C. Rochester (Carolyn); K. Hill (Kylie); A.E. Holland (Anne); S.C. Lareau (Suzanne); W.D.-C. Man (William); F. Pitta (Fabio); L. Sewell (Louise); J. Raskin (Jonathan); J. Bourbeau (Jean); R. Crouch (Rebecca); F.M.E. Franssen (Frits); R. Casaburi (Richard); J.H. Vercoulen (Jan); I. Vogiatzis (Ioannis); R.A.A.M. Gosselink (Rik); E.M. Clini (Enrico); T.W. Effing (Tanja); F. Maltais (François); J. van der Palen (Job); T. Troosters; D.J.A. Janssen (Daisy); E. Collins (Eileen); J. Garcia-Aymerich (Judith); D. Brooks (Dina); B.F. Fahy (Bonnie); M.A. Puhan (Milo); M. Hoogendoorn (Martine); R. Garrod (Rachel); A.M.W.J. Schols (Annemie); B. Carlin (Brian); R. Benzo (Roberto); P. Meek (Paula); M. Morgan (Mike); M.P.M.H. Rutten-van Mölken (Maureen); A.L. Ries (Andrew); B. Make (Barry); R.S. Goldstein (Roger); C.A. Dowson (Claire); J.L. Brozek (Jan); C.F. Donner (Claudio); E.F.M. Wouters (Emiel)

    2013-01-01

    textabstractBackground: Pulmonary rehabilitation is recognized as a core component of themanagement of individuals with chronic respiratory disease. Since the 2006 American Thoracic Society (ATS)/European Respiratory Society (ERS) Statement on Pulmonary Rehabilitation, there has been considerable

  13. Interaction between gas cooking and GSTM1 null genotype in bronchial responsiveness: results from the European Community Respiratory Health Survey

    Science.gov (United States)

    Amaral, André F S; Ramasamy, Adaikalavan; Castro-Giner, Francesc; Minelli, Cosetta; Accordini, Simone; Sørheim, Inga-Cecilie; Pin, Isabelle; Kogevinas, Manolis; Jõgi, Rain; Balding, David J; Norbäck, Dan; Verlato, Giuseppe; Olivieri, Mario; Probst-Hensch, Nicole; Janson, Christer; Zock, Jan-Paul; Heinrich, Joachim; Jarvis, Deborah L

    2014-01-01

    Background Increased bronchial responsiveness is characteristic of asthma. Gas cooking, which is a major indoor source of the highly oxidant nitrogen dioxide, has been associated with respiratory symptoms and reduced lung function. However, little is known about the effect of gas cooking on bronchial responsiveness and on how this relationship may be modified by variants in the genes GSTM1, GSTT1 and GSTP1, which influence antioxidant defences. Methods The study was performed in subjects with forced expiratory volume in one second at least 70% of predicted who took part in the multicentre European Community Respiratory Health Survey, had bronchial responsiveness assessed by methacholine challenge and had been genotyped for GSTM1, GSTT1 and GSTP1-rs1695. Information on the use of gas for cooking was obtained from interviewer-led questionnaires. Effect modification by genotype on the association between the use of gas for cooking and bronchial responsiveness was assessed within each participating country, and estimates combined using meta-analysis. Results Overall, gas cooking, as compared with cooking with electricity, was not associated with bronchial responsiveness (β=−0.08, 95% CI −0.40 to 0.25, p=0.648). However, GSTM1 significantly modified this effect (β for interaction=−0.75, 95% CI −1.16 to −0.33, p=4×10−4), with GSTM1 null subjects showing more responsiveness if they cooked with gas. No effect modification by GSTT1 or GSTP1-rs1695 genotypes was observed. Conclusions Increased bronchial responsiveness was associated with gas cooking among subjects with the GSTM1 null genotype. This may reflect the oxidant effects on the bronchi of exposure to nitrogen dioxide. PMID:24613990

  14. An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation

    NARCIS (Netherlands)

    Spruit, Martijn A.; Singh, Sally J.; Garvey, Chris; ZuWallack, Richard; Nici, Linda; Rochester, Carolyn; Hill, Kylie; Holland, Anne E.; Lareau, Suzanne C.; Man, W.D.C.; Pitta, Fabio; Sewell, Louise; Raskin, Jonathan; Bourbeau, Jean; Crouch, Rebecca; Franssen, Frits M.E.; Casaburi, Richard; Vercoulen, Jan H.; Vogiatzit, Ioannis; Gosselink, Rik; Clini, Enrico M.; Effing, T.W.; Maltais, Francois; van der Palen, Jacobus Adrianus Maria; Troosters, Thierry; Janssen, Daisy J.A.; Collins, Eileen; Garcia-Aymerich, Judith; Brooks, Dina; Fahy, Bonnie F.; Puhan, Milo A.; Hoogendoorn, Martine; Garrod, Rachel; Schols, Annemie M.W.J.; Carlin, Brian; Benzo, Roberto; Meek, Paula; Morgan, Mike; Rutten-van Mölken, Maureen P.M.H.; Ries, Andrew L.; Make, Barry; Goldstein, Roger S.; Dowson, Claire A.; Brozek, Jan L.; Donner, Claudio F.; Wouters, Emiel F.M.

    2013-01-01

    Background: Pulmonary rehabilitation is recognized as a core component of the management of individuals with chronic respiratory disease. Since the 2006 American Thoracic Society (ATS)/European Respiratory Society (ERS) Statement on Pulmonary Rehabilitation, there has been considerable growth in our

  15. Towards a European Energy Community: A Policy Proposal

    International Nuclear Information System (INIS)

    Andoura, Sami; Hancher, Leigh; Van Der Woude, Marc

    2010-01-01

    The think tank Notre Europe published its report on the future of European energy policy in April 2010 entitled 'Towards a European Energy Community: A policy proposal'. Initiated by Jacques Delors, this report is the harvest of the work of the Task Force of high-level European experts established by Notre Europe to study the feasibility of a European Energy Community. The report was elaborated by Marc van der Woude and Leigh Hancher as co-chairs and Sami Andoura as Rapporteur. The report gives an overview and assessment of the policies developed at European level so far and examines whether the existing European energy policy is capable of pursuing its three key objectives of 'affordable access to energy'; 'sustainable development' of energy production, transport, and consumption; and 'security-of-supply' in a consistent and credible manner. Relying on the conclusions that the existing European energy policy is suboptimal, the report puts forward a policy proposal for a genuine 'European Energy Community'. It explains why and what type of action is required to develop such Energy Community, identifying both the substantial elements which it should ideally cover and the legal and institutional policy instruments at the EU's disposal for developing it. The report finally examines how this model could be best achieved and develops several recommendations to that effect

  16. The European Communities (Definition of Treaties) (No.5) (Joint European Torus) Order 1978 (S.I. no.1032)

    International Nuclear Information System (INIS)

    1978-01-01

    This Order declares the Exchange of Letters dated 3 May 1978 between the Government of the United Kingdom and the European Atomic Energy Community regarding privileges to be granted to the Joint European Torus to be a Community Treaty as defined in section 1(2) of the European Communities Act 1972. The principal effect of declaring this Exchange of Letters to be a Community Treaty as so defined is to bring into play, in relation to the Exchange of Letters, the provisions of section 2 of the European Communities Act 1972 [fr

  17. Nuclear research and development in the European community

    International Nuclear Information System (INIS)

    1979-01-01

    Research programmes undertaken by the European Atomic Energy Community and the European Economic Community are discussed. These programmes are carried out both at the Communities own Joint Research Centres (at Ispra, Karlsruhe, Geel and Petten) and also, although centrally managed by the Commission, at research organizations in the Member States. Such research projects include radioactive waste management and storage, decommissioning of nuclear power stations and nuclear fusion. Culham Laboratory is not only the centre for the UKAEA's research into controlled thermonuclear fusion but is also host to the Joint European Torus Joint Undertaking. (U.K.)

  18. The European Community context

    International Nuclear Information System (INIS)

    Charrault, J.C.

    1984-01-01

    The chapter discusses the following: energy resources and energy policy within the European Community; political aspects in the Member States; Community involvement in the transport of radioactive materials; responsibility for safety in relation to transport lies with the governments of the Member States, but the Community through its various organizations also has certain responsibilities, e.g. to ensure that transport regulations are harmonised, to carry out safeguards checks, to provide standards for health and safety of workers and the public, and to cooperate with Member States in developing guidelines for transport safety. (U.K.)

  19. Natural gas in the European Community

    International Nuclear Information System (INIS)

    Kalim, Z.

    1991-01-01

    A report is presented on 'Natural Gas in the European Community'. Aspects discussed include the challenges facing the gas industry in the EC, the development of the European gas industry, the structure and role of European gas companies, the sources of European supply, gas contracts and the influences that operate on sales into end markets, electricity generation from natural gas, evolving markets for natural gas in the EC, life in the private sector using British Gas as a role model and country profiles for eleven European countries. (UK)

  20. The European Communities (Privileges of the Joint European Torus) Order 1978 (S.I. no. 1033)

    International Nuclear Information System (INIS)

    1978-01-01

    This Order confers privileges on the Joint European Torus, as required by Decision 78/472/Euratom of 30 May 1978 of the Council of the European Communities and by the Exchange of Letters of 3 May 1978 between the Government of the United Kingdom and the European Atomic Energy Community [fr

  1. A Legal Analysis of Safeguard Measures in the European Community

    Directory of Open Access Journals (Sweden)

    Guang Ma

    2006-12-01

    Full Text Available In 2002, the European Community imposed its first safeguard measure since the establishment of the WTO. And in 2003, it introduced two new regulations on safeguard measures, namely the “Council Regulation on a transitional product- specific safeguard mechanism for imports originating in the People's Republic of China” and the “Council Regulation on measures that the Community may take in relation to the combined effect of anti-dumping or anti-subsidy measures with safeguard measures." In this article, the author analyzes these safeguard measures and the European Commission's practice of such measures. By comparing the safeguard laws and their practice, it is the author's intention to clarify whether the safeguard measures in thIn 2002, the European Community imposed its first safeguard measure since the establishment of the WTO. And in 2003, it introduced two new regulations on safeguard measures, namely the "Council Regulation on a transitional product- specific safeguard mechanism for imports originating in the People's Republic of China" and the "Council Regulation on measures that the Community may take in relation to the combined effect of anti-dumping or anti-subsidy measures with safeguard measures." In this article, the author analyzes these safeguard measures and the European Commission's practice of such measures. By comparing the safeguard laws and their practice, it is the author's intention to clarify whether the safeguard measures in the European Community comply with the WTO Agreement on Safeguards. In conclusion, based on the analysis of safeguard measures in the European Community's legal system and their practice in actual cases, it apparent that the European Community is making a serious effort to comply with the standards of the WTO Safeguards Agreement. In certain respects, the European Community has a comparatively higher level of standards than the WTO. Nevertheless, there continue to be challenges to WTO

  2. The role of nuclear energy in the European Community

    International Nuclear Information System (INIS)

    Maniatopoulos, C.S.; Gmelin, W.; Schenkel, R.

    1991-01-01

    The overall objective of the energy policy of the European Community is to achieve a secure supply of energy at reasonable cost and low environmental impact. This overall objective is embedded in the steps taken by the European Community towards the Single European Market. This subject will be addressed briefly, as well as the developments in Eastern Europe including the European Energy Charter. With regard to nuclear energy in the community, facts and issues related to electricity production, the front end and back end of the nuclear fuel cycle and current environmental and safety issues will be presented. A common industrial strategy is required in the community including safety regulations, technical specifications and products for international markets. Concerning safeguards, the Commission is fully committed to the obligations from Chapter VII of the Treaty and to any relevant international agreements concluded by the Community. This is reflected in the close cooperation of the Commission with the IAEA and in the increase of resources, both in staff and budget, which the Commission has allocated to the Safeguards Directorate to cope with the increasing requirements, for example for bulk handling facilities. Based on a request from the European Parliament, the Commission has issued in 1989 a first report on the operation of Euratom Safeguards. The Commission services are currently preparing the second report of this type. Finally, some remarks with regard to the future of nuclear energy and challenges of safeguards in the Community will be made

  3. Household reporting of childhood respiratory health and air pollution in rural Alaska Native communities.

    Science.gov (United States)

    Ware, Desirae N; Lewis, Johnnye; Hopkins, Scarlett; Boyer, Bert; Montrose, Luke; Noonan, Curtis W; Semmens, Erin O; Ward, Tony J

    2014-01-01

    Air pollution is an important contributor to respiratory disease in children. To examine associations between household reporting of childhood respiratory conditions and household characteristics related to air pollution in Alaska Native communities. In-home surveys were administered in 2 rural regions of Alaska. The 12-month prevalence of respiratory conditions was summarized by region and age. Odds ratios (ORs) were calculated to describe associations between respiratory health and household and air quality characteristics. Household-reported respiratory health data were collected for 561 children in 328 households. In 1 region, 33.6% of children aged respiratory infections in children (ORs 1.6-2.5), while reported wheezing was associated with 1 or more smokers living in the household. Reported asthma in 1 region (7.6%) was lower than national prevalence estimates. Findings suggest that there may be preventable exposures, including wood smoke and mould that affect childhood respiratory disease in these rural areas. Additional research is needed to quantify particulate matter 2.5 microns in aerodynamic diameter or less and mould exposures in these communities, and to objectively evaluate childhood respiratory health.

  4. Scaling up strategies of the chronic respiratory disease programme of the European Innovation Partnership on Active and Healthy Ageing

    DEFF Research Database (Denmark)

    Bousquet, J; Farrell, J; Crooks, G

    2016-01-01

    Action Plan B3 of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) focuses on the integrated care of chronic diseases. Area 5 (Care Pathways) was initiated using chronic respiratory diseases as a model. The chronic respiratory disease action plan includes (1) AIRWAYS ...

  5. The European Respiratory Society study on chronic obstructive pulmonary disease (EUROSCOP) : recruitment methods and strategies

    NARCIS (Netherlands)

    Lofdahl, CG; Postma, DS; Laitinen, LA; Ohlsson, SV; Pauwels, RA; Pride, NB

    The European Respiratory Society's study on chronic obstructive pulmonary disease (EUROSCOP) is a multicentre study performed initially in 12 countries to assess the effect of 3 years' treatment with inhaled corticosteroids on lung function decline in smokers with chronic obstructive pulmonary

  6. Bio-fuels: European Communities fiscal initiatives

    International Nuclear Information System (INIS)

    Autrand, A.

    1992-01-01

    This paper first reviews the influence that European Communities fiscal policies have had in the past on the development of more environmentally compatible fuels such as unleaded gasoline. It then discusses which directions fiscal policy makers should take in order to create appropriate financial incentives encouraging the production and use of biomass derived fuels - methanol, ethanol and pure and transesterified vegetable oils. An assessment is made of the efficacy of a recent European Communities proposal which calls for the application of excise tax reductions on bio-fuels. Attention is given to the net effects due to reduced sulfur and carbon dioxide emissions characterizing bio-fuels and the increased use of fertilizers necessary to produce biomass fuels

  7. The United States and the European Community, 1969-1974: an uneasy partnership

    Directory of Open Access Journals (Sweden)

    Thi Thuy Hang NGUYEN

    2016-06-01

    Full Text Available The relations between the United States and the European Community under the Nixon Administration (1969-1974 were considerably changing. Post-1945 cooperation and dependence increasingly gave way to economic competition and division in military and foreign policies. Yet, the United States and the European Community knew that they were strategically important to each other, thus they had to continue cooperation and coordination to defend and advance their economic and strategic interests. With a documentary research approach, this paper aims to examine how the United States and the European Community their partnership evolved between 1969 and 1974. It explores the ties that the Nixon Administration designed to bind the European Community and the European Community’s responses. It also puts forth that despite their efforts to continue cooperation; the relations between the United States and the European Community were on a downward course. It will be concluded that the United States and the European Community experienced a difficult time in their relations between 1969 and 1974, but both sides showed certain efforts to maintain the partnership.

  8. Clinical highlights from the 2016 European Respiratory Society International Congress

    Directory of Open Access Journals (Sweden)

    Nicolas Kahn

    2017-04-01

    Full Text Available This article contains highlights and a selection of the scientific advances from the European Respiratory Society (ERS Clinical Assembly (Assembly 1 and its six respective groups (Groups 1.1–1.6 that were presented at the 2016 ERS International Congress in London, UK. The most relevant topics for clinicians will be discussed, covering a wide range of areas including clinical problems, rehabilitation and chronic care, thoracic imaging, interventional pulmonology, diffuse and parenchymal lung diseases, and general practice and primary care. In this comprehensive review, the newest research and actual data will be discussed and put into perspective.

  9. Measles and respiratory failure: Case report and review of the last European outbreaks

    Directory of Open Access Journals (Sweden)

    Leonel Lagunes

    2015-08-01

    Full Text Available Measles is an preventable acute viral illness, with the potential for severe and fatal complications. According to the European Centre for Disease Prevention and Control in the last surveillance report, a total of 10 271 cases of measles were reported from January to December 2013. And 127 of those were reported in Spain with a 2.7/1 million habitants rate. In 2010, the World Health Organization European Region made a new commitment to eradicate measles by 2015 in the zone, however, measles cases and outbreaks are still occurring in many countries. We present the last 2 cases with severe measles-associated respiratory failure and a review of the literature of the last European outbreaks. Two young adults were admitted in the intensive care unit due to respiratory failure with a confirmed measles infection. Both treated with high flow nasal cannula during 3 to 5 days; one had a pneumococcal pneumonia coinfection. An incomplete vaccination schedule was documented in one of them while the other did not remember his. Within 10 days of admission, both were discharged from intensive care unit and the hospital with no complications. Measles can present with a variety of symptoms in adults and is responsible for a high morbidity especially during outbreaks. Pneumonia is a severe complication of measles infection, commonly reported. Surveillance and vaccination programs should be strengthened in order to achieve measles elimination.

  10. Community-acquired respiratory infections are common in patients with non-Hodgkin lymphoma and multiple myeloma.

    Science.gov (United States)

    Lavi, Noa; Avivi, Irit; Kra-Oz, Zipora; Oren, Ilana; Hardak, Emilia

    2018-07-01

    Available data suggest that respiratory infections are associated with increased morbidity and mortality in patients hospitalized due to acute leukemia and allogeneic stem cell transplantation (allo-SCT). However, the precise incidence, risk factors, and severity of respiratory infection, mainly community-acquired, in patients with lymphoma and multiple myeloma (MM) are not fully determined. The current study aimed to investigate risk factors for respiratory infections and their clinical significance in patients with B cell non-Hodgkin lymphoma (NHL) and multiple myeloma (MM) in the first year of diagnosis. Data of consecutive patients diagnosed with NHL or MM and treated at the Rambam Hematology Inpatient and Outpatient Units between 01/2011 and 03/2012 were evaluated. Information regarding anticancer treatment, incidence and course of respiratory infections, and infection-related outcomes was analyzed. One hundred and sixty episodes of respiratory infections were recorded in 103 (49%) of 211 (73-MM, 138-NHL) patients; 126 (79%) episodes were community-acquired, 47 (29%) of them required hospitalization. In univariate analysis, age respiratory infection risk (P = 0.058, 0.038, and 0.001, respectively). Ninety episodes (56% of all respiratory episodes) were examined for viral pathogens. Viral infections were documented in 25/90 (28%) episodes, 21 (84%) of them were community-acquired, requiring hospitalization in 5 (24%) cases. Anti-flu vaccination was performed in 119 (56%) patients. Two of the six patients diagnosed with influenza were vaccinated. Respiratory infections, including viral ones, are common in NHL and MM. Most infections are community-acquired and have a favorable outcome. Rapid identification of viral pathogens allows avoiding antibiotic overuse in this patient population.

  11. Nuclear safety and the European Community: Broadening perspectives

    International Nuclear Information System (INIS)

    Brinkhorst, L.J.

    1992-01-01

    The European Community's activities in harmonizing of regulations and practices in the field of nuclear safety are described. The issues of aid to Central and Eastern European countries as well as of public information, within this context, are discussed

  12. Natural gas industry in European Community and european single market

    International Nuclear Information System (INIS)

    Cadoret, I.

    1992-01-01

    Common Market of natural gas is dominated by some companies. In several Member Countries, one company only manages the whole industry. European Economic Community thinks this type of structure induce hindrances to free circulation of natural gas in Europe. 10 refs

  13. The European community and nuclear safety

    International Nuclear Information System (INIS)

    Brinkhorst, L.J.

    1992-01-01

    Full text: Since the inception of the EURATOM Treaty (1957) the use of nuclear power has made an enormous progress. The nuclear sector has become a very important component of the production of energy. Prisoner of its success further development of the use of nuclear energy is confronted with the challenge of ensuring its integration within the framework of modern environment protection concepts. The link between the radiation protection objective and the responsibilities of the State's Authorities in the control of the design and operation of nuclear industrial facilities has become evident. On the other hand, the evolution in the perception of the transfrontier character of the nuclear risk by the population and. the drive for the political integration of Europe have led the Community Member States to an increasing concentration between their nuclear policy-making organs and in particular between their Nuclear Safety Authorities It is quite natural that the Community institutions, the Council of Ministers and the Commission and more recently the European Parliament have become active hosts and catalysts of the concentration of the Member States on the nuclear safety objectives which are at the source of the protection of the population and of the environment. The joint efforts of the Member States and the Commission have led to a reinforcement of the process of harmonisation of safety requirements for nuclear installations at Community level. A parallel concentration effort has been done by Community Member States concerning the back-end of the fuel cycle, in particular radioactive waste management. The European Community meets the conditions to become a key driving force for nuclear safety progress beyond its region because of the advanced stage of nuclear safety in the Community which includes the flexibility and completeness of its fuel cycle and the long experience of Community institutions in the promotion of harmonisation of safety objectives, criteria and

  14. The nuclear industries in the European community

    International Nuclear Information System (INIS)

    Anon.

    1986-01-01

    The paper discusses the nuclear industries within the European Community. The strategic importance of nuclear energy is outlined, along with the economic benefits of nuclear power. The objectives of the Community's nuclear programme are described, and include nuclear requirements in Europe, uranium supplies and management of radioactive waste. (UK)

  15. Diet Pattern and Respiratory Morbidity in the Atherosclerosis Risk in Communities Study.

    Science.gov (United States)

    Brigham, Emily P; Steffen, Lyn M; London, Stephanie J; Boyce, Danielle; Diette, Gregory B; Hansel, Nadia N; Rice, Jessica; McCormack, Meredith C

    2018-02-15

    Dietary intake is a potential risk factor for respiratory morbidity in adult populations. Few studies capture the effect of diet patterns, representative of combination of nutrients consumed, on respiratory morbidity in combination with objective measures of lung function. To evaluate patterns of dietary intake in relation to respiratory morbidity and objective measures of lung function in a U.S. The Atherosclerosis Risk in Communities (ARIC) Study enrolled 15,792 participants from four U.S. communities between 1987-1989 and collected a validated food frequency questionnaire to assess diet. Principal components analysis was applied and patterns representative of "Western" and "Prudent" diet emerged. We investigated associations between dietary pattern and pulmonary assessments including asthma and chronic obstructive pulmonary disease (COPD) diagnosis, respiratory symptoms, and lung function. Multivariable logistic regression models included quintiles of dietary patterns and potential confounders. Interaction of dietary patterns with obesity, gender, and smoking status was assessed in relation to all outcomes. A "Western" diet pattern was associated with higher odds of COPD, wheeze, cough, phlegm, and worse lung function, whereas a "Prudent" diet pattern was associated with lower odds of COPD, cough, and better lung function. The prevalence of asthma was not related to dietary intake. Dietary pattern was significantly associated with respiratory outcomes in ARIC participants. A "Western" diet was adverse, whereas a "Prudent" diet was beneficially related to respiratory morbidity and objective measures of lung function. Additional studies of dietary pattern in U.S. populations are needed to verify this effect.

  16. Practical decommissioning experience with nuclear installations in the European Community

    International Nuclear Information System (INIS)

    Skupinski, E.

    1992-01-01

    Initiated by the Commission of the European Communities (CEC), this seminar was jointly organized by the AEA, BNFL and the CEC at Windermere and the sites of Windscale/Sellafield, where the former Windscale advanced gas-cooled reactor and the Windscale piles are currently being dismantled. The meeting aimed at gathering a limited number of European experts for the presentation and discussion of operations, results and conclusions on techniques and procedures currently applied in the dismantling of large scale nuclear installations in the European Community

  17. The Lisbon Treaty and the role of the European Parliament in the European Atomic Energy Community

    International Nuclear Information System (INIS)

    Thomas, S.

    2008-01-01

    In June 2007, the European Council commissioned an intergovernmental conference to draft a 'treaty of reform' of the European Union. The wording of the treaty was signed by the heads of state and government of the member countries on December 13, 2007. The ongoing process of ratification in the 27 EU member countries is to be completed before the next elections to the European Parliament in June 2009. The treaty is now referred to as 'Lisbon Treaty'. The Lisbon Treaty (Treaty Amending the Treaty about the European Union and the Treaty Establishing the European Community) does not replace the European Treaties currently in force, but merely amends them. Also the 'Treaty Establishing the European Atomic Energy Community (EURATOM)' is amended in this way. On the basis of the contributions about 'The German Presidency Program of the Council Working Group on Nuclear Issues - an Interim Report' (W. Sandtner and S. Thomas) and 'Euratom Treaty and Intergovernmental Conference' (S. Thomas), current links to the Euratom Treaty with potential amendments are presented and commented upon. (orig.)

  18. Atomic energy: exchange of letters between Canada and the European Atomic Energy Community (EURATOM)

    International Nuclear Information System (INIS)

    1978-01-01

    Letters exchanged between the Charge d'affaires, mission of Canada to the European Communites and the Commissioner of the European Communities, concerning safeguards, levels of physical protection, and further intra-Community trade of nuclear materials exported from Canada to the European Community

  19. Household reporting of childhood respiratory health and air pollution in rural Alaska Native communities

    Directory of Open Access Journals (Sweden)

    Desirae N. Ware

    2014-05-01

    Full Text Available Background: Air pollution is an important contributor to respiratory disease in children. Objective: To examine associations between household reporting of childhood respiratory conditions and household characteristics related to air pollution in Alaska Native communities. Design: In-home surveys were administered in 2 rural regions of Alaska. The 12-month prevalence of respiratory conditions was summarized by region and age. Odds ratios (ORs were calculated to describe associations between respiratory health and household and air quality characteristics. Results: Household-reported respiratory health data were collected for 561 children in 328 households. In 1 region, 33.6% of children aged <5 years had a recent history of pneumonia and/or bronchitis. Children with these conditions were 2 times more likely to live in a wood-heated home, but these findings were imprecise. Resident concern with mould was associated with elevated prevalence of respiratory infections in children (ORs 1.6–2.5, while reported wheezing was associated with 1 or more smokers living in the household. Reported asthma in 1 region (7.6% was lower than national prevalence estimates. Conclusions: Findings suggest that there may be preventable exposures, including wood smoke and mould that affect childhood respiratory disease in these rural areas. Additional research is needed to quantify particulate matter 2.5 microns in aerodynamic diameter or less and mould exposures in these communities, and to objectively evaluate childhood respiratory health.

  20. The European economic community and economic assosiation

    Directory of Open Access Journals (Sweden)

    S. Meijer

    1959-03-01

    Full Text Available I am grateful to the Afrika-Seminaar of the Potchefstroom University for inviting me to give a talk on the European Economic Community and the Association of the Overseas Countries and Territories.

  1. Cardio-respiratory Physiology of the European Eel (em>Agunilla anguilla)em> in Extreme Environments

    DEFF Research Database (Denmark)

    Methling, Caroline

    The main objective of this PhD thesis was to study the cardio-respiratory capabilities of the European eel (Anguilla anguilla) under extreme conditions. Three environmental conditions were studied i.e. temperature, dissolved oxygen and carbon dioxide, while a fourth condition was physiological an......), body wave speed (v) and Strouhal number (St). The results demonstrate that energy expenditure, swimming performance and efficiency all are significantly affected in migrating eels fitted with external tags....

  2. Hand hygiene to reduce community transmission of influenza and acute respiratory tract infection: a systematic review

    Science.gov (United States)

    Warren‐Gash, Charlotte; Fragaszy, Ellen; Hayward, Andrew C.

    2012-01-01

    Please cite this paper as: Warren‐Gash et al. (2012) Hand hygiene to reduce community transmission of influenza and acute respiratory tract infection: a systematic review. Influenza and Other Respiratory Viruses DOI: 10.1111/irv.12015. Hand hygiene may be associated with modest protection against some acute respiratory tract infections, but its specific role in influenza transmission in different settings is unclear. We aimed to review evidence that improving hand hygiene reduces primary and secondary transmission of (i) influenza and (ii) acute respiratory tract infections in community settings. We searched Medline, Embase, Global Health and Cochrane databases up to 13 February 2012 for reports in any language of original research investigating the effect of hand hygiene on influenza or acute respiratory tract infection where aetiology was unspecified in community settings including institutions such as schools, and domestic residences. Data were presented and quality rated across outcomes according to the Grading of Recommendations Assessment, Development and Evaluation system. Sixteen articles met inclusion criteria. There was moderate to low‐quality evidence of a reduction in both influenza and respiratory tract infection with hand hygiene interventions in schools, greatest in a lower–middle‐income setting. There was high‐quality evidence of a small reduction in respiratory infection in childcare settings. There was high‐quality evidence for a large reduction in respiratory infection with a hand hygiene intervention in squatter settlements in a low‐income setting. There was moderate‐ to high‐quality evidence of no effect on secondary transmission of influenza in households that had already experienced an index case. While hand hygiene interventions have potential to reduce transmission of influenza and acute respiratory tract infections, their effectiveness varies depending on setting, context and compliance. PMID:23043518

  3. European Economic Community/the European energy conference

    Energy Technology Data Exchange (ETDEWEB)

    1979-03-30

    European Economic Community/the European energy conference (a meeting of the energy ministers of the nine member countries), held at Brussels on 3/27/79, was a continuation of the EEC Council meeting held at Paris on 3/12-13/79. Proposals for measures to be taken by the member countries included support for exploration, especially geophysical prospecting for oil off the east coast of Greenland, at a cost of 3.5 million units of account (UC); modification of the regulations for crude oil distribution among the EEC member countries in case of a supply crisis; a second series of 36 energy-conservation demonstration projects, to cost 15,626,320 UC and be undertaken in 1979-83; and the UK proposal to call for bids on the first series of 17 projects, costing 5,779,000 UC and adopted in Dec. 1978, before discussing the second series. Six of the 36 projects are French; they involve heat pumps and hybrid nuclear-electric vehicles and space-heating systems. A report on the current status of coal projects was given, and problems with fast-breeder reactors were discussed.

  4. Scaling up strategies of the chronic respiratory disease programme of the European Innovation Partnership on Active and Healthy Ageing (Action Plan B3: Area 5).

    Science.gov (United States)

    Bousquet, J; Farrell, J; Crooks, G; Hellings, P; Bel, E H; Bewick, M; Chavannes, N H; de Sousa, J Correia; Cruz, A A; Haahtela, T; Joos, G; Khaltaev, N; Malva, J; Muraro, A; Nogues, M; Palkonen, S; Pedersen, S; Robalo-Cordeiro, C; Samolinski, B; Strandberg, T; Valiulis, A; Yorgancioglu, A; Zuberbier, T; Bedbrook, A; Aberer, W; Adachi, M; Agusti, A; Akdis, C A; Akdis, M; Ankri, J; Alonso, A; Annesi-Maesano, I; Ansotegui, I J; Anto, J M; Arnavielhe, S; Arshad, H; Bai, C; Baiardini, I; Bachert, C; Baigenzhin, A K; Barbara, C; Bateman, E D; Beghé, B; Kheder, A Ben; Bennoor, K S; Benson, M; Bergmann, K C; Bieber, T; Bindslev-Jensen, C; Bjermer, L; Blain, H; Blasi, F; Boner, A L; Bonini, M; Bonini, S; Bosnic-Anticevitch, S; Boulet, L P; Bourret, R; Bousquet, P J; Braido, F; Briggs, A H; Brightling, C E; Brozek, J; Buhl, R; Burney, P G; Bush, A; Caballero-Fonseca, F; Caimmi, D; Calderon, M A; Calverley, P M; Camargos, P A M; Canonica, G W; Camuzat, T; Carlsen, K H; Carr, W; Carriazo, A; Casale, T; Cepeda Sarabia, A M; Chatzi, L; Chen, Y Z; Chiron, R; Chkhartishvili, E; Chuchalin, A G; Chung, K F; Ciprandi, G; Cirule, I; Cox, L; Costa, D J; Custovic, A; Dahl, R; Dahlen, S E; Darsow, U; De Carlo, G; De Blay, F; Dedeu, T; Deleanu, D; De Manuel Keenoy, E; Demoly, P; Denburg, J A; Devillier, P; Didier, A; Dinh-Xuan, A T; Djukanovic, R; Dokic, D; Douagui, H; Dray, G; Dubakiene, R; Durham, S R; Dykewicz, M S; El-Gamal, Y; Emuzyte, R; Fabbri, L M; Fletcher, M; Fiocchi, A; Fink Wagner, A; Fonseca, J; Fokkens, W J; Forastiere, F; Frith, P; Gaga, M; Gamkrelidze, A; Garces, J; Garcia-Aymerich, J; Gemicioğlu, B; Gereda, J E; González Diaz, S; Gotua, M; Grisle, I; Grouse, L; Gutter, Z; Guzmán, M A; Heaney, L G; Hellquist-Dahl, B; Henderson, D; Hendry, A; Heinrich, J; Heve, D; Horak, F; Hourihane, J O' B; Howarth, P; Humbert, M; Hyland, M E; Illario, M; Ivancevich, J C; Jardim, J R; Jares, E J; Jeandel, C; Jenkins, C; Johnston, S L; Jonquet, O; Julge, K; Jung, K S; Just, J; Kaidashev, I; Kaitov, M R; Kalayci, O; Kalyoncu, A F; Keil, T; Keith, P K; Klimek, L; Koffi N'Goran, B; Kolek, V; Koppelman, G H; Kowalski, M L; Kull, I; Kuna, P; Kvedariene, V; Lambrecht, B; Lau, S; Larenas-Linnemann, D; Laune, D; Le, L T T; Lieberman, P; Lipworth, B; Li, J; Lodrup Carlsen, K; Louis, R; MacNee, W; Magard, Y; Magnan, A; Mahboub, B; Mair, A; Majer, I; Makela, M J; Manning, P; Mara, S; Marshall, G D; Masjedi, M R; Matignon, P; Maurer, M; Mavale-Manuel, S; Melén, E; Melo-Gomes, E; Meltzer, E O; Menzies-Gow, A; Merk, H; Michel, J P; Miculinic, N; Mihaltan, F; Milenkovic, B; Mohammad, G M Y; Molimard, M; Momas, I; Montilla-Santana, A; Morais-Almeida, M; Morgan, M; Mösges, R; Mullol, J; Nafti, S; Namazova-Baranova, L; Naclerio, R; Neou, A; Neffen, H; Nekam, K; Niggemann, B; Ninot, G; Nyembue, T D; O'Hehir, R E; Ohta, K; Okamoto, Y; Okubo, K; Ouedraogo, S; Paggiaro, P; Pali-Schöll, I; Panzner, P; Papadopoulos, N; Papi, A; Park, H S; Passalacqua, G; Pavord, I; Pawankar, R; Pengelly, R; Pfaar, O; Picard, R; Pigearias, B; Pin, I; Plavec, D; Poethig, D; Pohl, W; Popov, T A; Portejoie, F; Potter, P; Postma, D; Price, D; Rabe, K F; Raciborski, F; Radier Pontal, F; Repka-Ramirez, S; Reitamo, S; Rennard, S; Rodenas, F; Roberts, J; Roca, J; Rodriguez Mañas, L; Rolland, C; Roman Rodriguez, M; Romano, A; Rosado-Pinto, J; Rosario, N; Rosenwasser, L; Rottem, M; Ryan, D; Sanchez-Borges, M; Scadding, G K; Schunemann, H J; Serrano, E; Schmid-Grendelmeier, P; Schulz, H; Sheikh, A; Shields, M; Siafakas, N; Sibille, Y; Similowski, T; Simons, F E R; Sisul, J C; Skrindo, I; Smit, H A; Solé, D; Sooronbaev, T; Spranger, O; Stelmach, R; Sterk, P J; Sunyer, J; Thijs, C; To, T; Todo-Bom, A; Triggiani, M; Valenta, R; Valero, A L; Valia, E; Valovirta, E; Van Ganse, E; van Hage, M; Vandenplas, O; Vasankari, T; Vellas, B; Vestbo, J; Vezzani, G; Vichyanond, P; Viegi, G; Vogelmeier, C; Vontetsianos, T; Wagenmann, M; Wallaert, B; Walker, S; Wang, D Y; Wahn, U; Wickman, M; Williams, D M; Williams, S; Wright, J; Yawn, B P; Yiallouros, P K; Yusuf, O M; Zaidi, A; Zar, H J; Zernotti, M E; Zhang, L; Zhong, N; Zidarn, M; Mercier, J

    2016-01-01

    Action Plan B3 of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) focuses on the integrated care of chronic diseases. Area 5 (Care Pathways) was initiated using chronic respiratory diseases as a model. The chronic respiratory disease action plan includes (1) AIRWAYS integrated care pathways (ICPs), (2) the joint initiative between the Reference site MACVIA-LR (Contre les MAladies Chroniques pour un VIeillissement Actif) and ARIA (Allergic Rhinitis and its Impact on Asthma), (3) Commitments for Action to the European Innovation Partnership on Active and Healthy Ageing and the AIRWAYS ICPs network. It is deployed in collaboration with the World Health Organization Global Alliance against Chronic Respiratory Diseases (GARD). The European Innovation Partnership on Active and Healthy Ageing has proposed a 5-step framework for developing an individual scaling up strategy: (1) what to scale up: (1-a) databases of good practices, (1-b) assessment of viability of the scaling up of good practices, (1-c) classification of good practices for local replication and (2) how to scale up: (2-a) facilitating partnerships for scaling up, (2-b) implementation of key success factors and lessons learnt, including emerging technologies for individualised and predictive medicine. This strategy has already been applied to the chronic respiratory disease action plan of the European Innovation Partnership on Active and Healthy Ageing.

  5. Non-European traditional herbal medicines in Europe: a community herbal monograph perspective.

    Science.gov (United States)

    Qu, Liping; Zou, Wenjun; Zhou, Zhenxiang; Zhang, Tingmo; Greef, JanVander; Wang, Mei

    2014-10-28

    The European Directive 2004/24/EC introducing a simplified registration procedure for traditional herbal medicinal products, plays an important role in harmonising the current legislation framework for all herbal medicinal products in the European Union (EU). Although substantial achievements have been made under the new scheme, only a limited number of herbal medicinal products from non-European traditions commonly used in Europe have been registered. Therefore, identification of the obstacles, and determination of appropriate means to overcome the major challenges in the registration of non-European traditional herbal medicinal products are of critical importance for the EU herbal medicinal product market. The primary aims of this study were to understand the key issues and obstacles to registration of non-European traditional herbal medicinal products within the EU. The findings may identify the need for more attention on the Community herbal monographs elaborated by the Herbal Medicinal Products Committee (HMPC), as well as further evidence based scientific research on non-European herbal substances/preparations by the scientific community. A systematic evaluation of the herbal substances and preparations included in Community herbal monographs and public statements has been carried out. The focus was herbal substances and preparations derived from non-European traditions. Of the 109 adopted Community herbal monographs, 10 are herbal substances used in Chinese traditional medicine. Where the HMPC issued a public statement because it was unable to elaborate a monograph more than half-involved herbal substances/preparations from non-European traditions. The main reasons herbal substances/preparations from non-European traditions were not accepted for inclusion in the Community herbal monographs have been identified as due to unfulfilled requirements of Directive 2004/24/EC. The most common reasons were the lack of evidence to demonstrate a 15-year minimum

  6. The European energy community, it is for now

    International Nuclear Information System (INIS)

    Andoura, S.; Buzek, J.; Delors, J.; Vitorino, A.

    2013-01-01

    Given that the European Council (on 22. May) mentioned the stakes involved for a common European energy policy, and that France's president has juts made another call to set up a European energy community, it is time to properly identify the main challenges that have to be met for such a project. The energy transition, that requires a deep change in our ways of producing, transporting and using energy, could be the basis of this new common policy. This new policy may follow 3 axis: first achieving the integration of a common energy market that will simulate the competitiveness of the European energy operators, secondly the security of supply implies a diversification of energy sources that could be reached through a stronger European solidarity, and thirdly a better cooperation between states for coordinating the construction of new infrastructures

  7. The European Community programmes in the sector of wind energy

    International Nuclear Information System (INIS)

    Diamantaras, K.; Ferrero, G.L.

    1992-01-01

    The wind technology market has known a considerable evolution over the last decade. From the early eighties - when there were only a few kilowatts of the research prototype wind turbines installed - the total installed capacity within the European Community has reached nowadays more than 765 MW in commercial machines. This expansion has been brought about with the aid of important R and D energy technology programmes run by national governments, and by the Commission of European Communities with its research, development, demonstration and market development programmes, such as the JOULE, demonstration and THERMIE programmes. This paper presents the activities of the Community demonstration and THERMIE programmes in the wind energy sector from 1983 to 1992. Reference is also made to the Community programmes JOULE II and ALTENER. (au)

  8. Community-based exercise training for people with chronic respiratory and chronic cardiac disease: a mixed-methods evaluation

    Directory of Open Access Journals (Sweden)

    McNamara RJ

    2016-11-01

    Full Text Available Renae J McNamara,1,2 Zoe J McKeough,3 Laura R Mo,3 Jamie T Dallimore,4 Sarah M Dennis3 1Physiotherapy Department, 2Respiratory and Sleep Medicine Department, Prince of Wales Hospital, Randwick, 3Discipline of Physiotherapy, The University of Sydney, Lidcombe, 4Eastern Sydney Medicare Local, Rosebery, NSW, Australia Background: Poor uptake and adherence are problematic for hospital-based pulmonary and heart failure rehabilitation programs, often because of access difficulties. The aims of this mixed-methods study were to determine the feasibility of a supervised exercise training program in a community gymnasium in people with chronic respiratory and chronic cardiac disease, to explore the experiences of participants and physiotherapists and to determine if a community venue improved access and adherence to rehabilitation. Methods: Adults with chronic respiratory and/or chronic cardiac disease referred to a hospital-based pulmonary and heart failure rehabilitation program were screened to determine their suitability to exercise in a community venue. Eligible patients were offered the opportunity to attend supervised exercise training for 8 weeks in a community gymnasium. Semi-structured interviews were conducted with participants and physiotherapists at the completion of the program. Results: Thirty-one people with chronic respiratory and chronic cardiac disease (34% males, mean [standard deviation] age 72 [10] years commenced the community-based exercise training program. Twenty-two (71% completed the program. All participants who completed the program, and the physiotherapists delivering the program, were highly satisfied, with reports of the community venue being well-equipped, convenient, and easily accessible. Using a community gymnasium promoted a sense of normality and instilled confidence in some to continue exercising at a similar venue post rehabilitation. However, factors such as cost and lack of motivation continue to be barriers

  9. Fusion research in the European Community

    International Nuclear Information System (INIS)

    Wolf, G.H.

    1988-01-01

    Centering around the European joint project Joint European Torus (JET), in the framework of which hot fusion plasmas are already brought close to thermonuclear ignition, the individual research centres in Europe have taken over different special tasks. In Germany research concentrates above all on the development of super-conductive magnets, the stage of plasma-physical fundamentals or the investigation of the interaction between the plasma boundary layer and the material of the vessel wall. On this basis the development stage following JET, the Next European Torus (NET), is planned, with its main aim being the production and maintenance of a thermonuclear burning plasma, i.e. a plasma which maintains its active state from the gain of energy of its own fusion reactions. In the framework of a contractually agreed cooperation between the European Community, Japan, the USSR and the USA, the establishment of an international study group (with seat in Garching) was decided upon, which is to develop the concept of an 'International Thermonuclear Experimental Reactor (ITER)' jointly supported by these countries. The results of the studies presented show that the differences in the design data of ITER and NET are negligible. (orig./DG) [de

  10. Nuclear power and growth in the European Communities

    International Nuclear Information System (INIS)

    Maigaard, J.

    1981-01-01

    In the form of a textbook the author reviews the European Communities energy policy since 1973. It is the authors conclusion that EEC has failed in creating an energy policy based on international cooperation. (BP)

  11. Drug resistance in community-acquired respiratory tract infections: role for an emerging antibacterial

    Directory of Open Access Journals (Sweden)

    Lorenzo Aguilar

    2010-06-01

    Full Text Available Lorenzo Aguilar1, María-José Giménez1, José Barberán21Microbiology Department, School of Medicine, University Complutense, Madrid; 2Infectious Diseases Department, Hospital Central de la Defensa Gomez Ulla, Madrid, SpainAbstract: The nasopharynx is the ecological niche where evolution towards resistance occurs in respiratory tract isolates. Dynamics of different bacterial populations in antibiotic-free multibacterial niches are the baseline that antibiotic treatments can alter by shifting the competitive balance in favor of resistant populations. For this reason, antibiotic resistance is increasingly being considered to be an ecological problem. Traditionally, resistance has implied the need for development of new antibiotics for which basic efficacy and safety data are required prior to licensing. Antibiotic development is mainly focused on demonstrating clinical efficacy and setting susceptibility breakpoints for efficacy prediction. However, additional information on pharmacodynamic data predicting absence of selection of resistance and of resistant subpopulations, and specific surveillance on resistance to core antibiotics (to detect emerging resistances and its link with antibiotic consumption in the community are valuable data in defining the role of a new antibiotic, not only from the perspective of its therapeutic potential but also from the ecologic perspective (countering resistances to core antibiotics in the community. The documented information on cefditoren gleaned from published studies in recent years is an example of the role for an emerging oral antibacterial facing current antibiotic resistance in community-acquired respiratory tract infections.Keywords: respiratory tract infection, antibiotic resistance, cefditoren, community

  12. Impact of early diagnosis and control of chronic respiratory diseases on active and healthy ageing. A debate at the European Union Parliament.

    Science.gov (United States)

    Bousquet, J; Tanasescu, C C; Camuzat, T; Anto, J M; Blasi, F; Neou, A; Palkonen, S; Papadopoulos, N G; Antunes, J P; Samolinski, B; Yiallouros, P; Zuberbier, T

    2013-01-01

    A debate at the European Union Parliament was held on 13 November 2012 on the Impact of early diagnosis and control of chronic respiratory diseases on Active and Healthy Ageing (AHA). The debate was held under the auspices of the Cyprus Presidency of the European Union (2012) and represents a follow-up of the priorities of the Polish Presidency of the European Union (2011). It highlighted the importance of early life events on the occurrence of chronic respiratory diseases later in life and their impact on active and healthy ageing. Epidemiologic evidence was followed by actions that should be taken to prevent and manage chronic respiratory diseases in children. The debate ended by practical, feasible and achievable projects, demonstrating the strength of the political action in the field. Three projects will be initiated from this debate: The first will be a meeting sponsored by the Région Languedoc-Roussillon on the developmental origins of chronic diseases and ageing: from research to policies and value creation. The second project is being led by the WHO Collaborating Centre for Asthma and Rhinitis: Prevention of Asthma, Prevention of Allergy (PAPA). The third project is the GA(2)LEN sentinel network. © 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.

  13. Prevalence and resistance pattern of Moraxella catarrhalis in community-acquired lower respiratory tract infections

    Directory of Open Access Journals (Sweden)

    Shaikh SBU

    2015-07-01

    Full Text Available Safia Bader Uddin Shaikh, Zafar Ahmed, Syed Ali Arsalan, Sana Shafiq Department of Pulmonology, Liaquat National Hospital, Karachi, Pakistan Introduction: Moraxella catarrhalis previously considered as commensal of upper respiratory tract has gained importance as a pathogen responsible for respiratory tract infections. Its beta-lactamase-producing ability draws even more attention toward its varying patterns of resistance. Methods: This was an observational study conducted to evaluate the prevalence and resistance pattern of M. catarrhalis. Patients aged 20–80 years admitted in the Department of Chest Medicine of Liaquat National Hospital from March 2012 to December 2012 were included in the study. Respiratory samples of sputum, tracheal secretions, and bronchoalveolar lavage were included, and their cultures were followed. Results: Out of 110 respiratory samples, 22 showed positive cultures for M. catarrhalis in which 14 were males and eight were females. Ten samples out of 22 showed resistance to clarithromycin, and 13 samples out of 22 displayed resistance to erythromycin, whereas 13 showed resistance to levofloxacin. Hence, 45% of the cultures showed resistance to macrolides so far and 59% showed resistance to quinolones. Conclusion: Our study shows that in our environment, M. catarrhalis may be resistant to macrolides and quinolones; hence, these should not be recommended as an alternative treatment in community-acquired lower respiratory tract infections caused by M. catarrhalis. However, a study of larger sample size should be conducted to determine if the recommendations are required to be changed. Keywords: community-acquired lower respiratory tract infections or pneumonia, M. catarrhalis, antibiotic resistance, gram-negative diplococcic, Pakistan

  14. Energy, the UK and the European Community

    International Nuclear Information System (INIS)

    Lucas, N.

    1982-01-01

    The emphasis of effort in European energy policy should be placed on external relations rather than internal regulation. The divergence of the interests of the United States and Europe in energy policy will no longer allow Europe to depend on US initiative. The temporary relaxation of world oil markets has engendered unrealistic complacency. The European Community must develop its important role as a means whereby the member states can formulate common initiatives to press within international institutions. Strong presentation of interests externally has to be complemented by internal adaptation. The Community has at the moment few means of influencing the form and nature of energy investment. This paper proposes a fund of the order of Pound1 bn per annum to be used for the promotion of projects whose intrinsic benefits are not fully translated into commercial advantage and which need political stimulus. Such a Fund might be, but need not necessarily be, financed by a small levy on imported oil. The UK should present more aggressively the considerable benefits which accrue to the Community from UK resources. There is perhaps an opportunity to take a more extrovert view of the relationship between the UK and the continental gas transport systems. (author)

  15. About the affirmation of a community of European values

    Directory of Open Access Journals (Sweden)

    Caroline GUIBET LAFAYE

    2012-02-01

    Full Text Available Beyond the political and economical agreements, the European Union aims at becoming a moral community, shaped and unified by shared values. The treaty on the European Union has recently restated these values. Nevertheless in the national States as well as in the firontiers of the European Union, some disagreements are still with us about predominant values such as well-being, fireedom, the satisfaction of fundamental needs, and their interpretations. Although the promotion of cominon European values relies on political reasons, this quest is aporetical. On the opposite we underline the necessity to find and design constitutional arrangements that allow people to live together, within the frontiers of the European Union, with their moral disagreements, a far cry firom a moral consensus on values and absent shared coramon values.

  16. Translational reprocessing of spent fuel elements in the light of European Community law

    International Nuclear Information System (INIS)

    Scheuing, D.H.

    1991-01-01

    Objections are being raised against the current reprocessing of fuel elements from German nuclear power plants in France and Great Britain on the grounds that, measured by German protection requirements, it cannot be regarded as 'inncuous utilization' of radioactive waste material; this brings a momentous intervention of the German authorities against the operators of German nuclear power plants into consideration. Yet would not such a 'national solo attempt' conflict with European Community law?. This question is illuminated in its different aspects. First the issue is examined from the point of view of radiation protection law under the Euratom Treaty and of the aim of the EC to establish the single market. Subsequent focal points are an inquiry into compatibility with the freedom of merchandise traffic and commercial services as provided by European Community law. The outcome is that European Community law does not oppose the German authorities intervencing. Rather such self-discipline practised by member states for the benefit of the European environment is admissible so long as the other EC member states do not establish equally stringent standards on their own accord or European Community law itself does not provide protection on a high level. (orig.) [de

  17. Hand hygiene to reduce community transmission of influenza and acute respiratory tract infection: a systematic review.

    OpenAIRE

    Warren-Gash, C; Fragaszy, E; Hayward, AC

    2012-01-01

    : Please cite this paper as: Warren-Gash et al. (2012) Hand hygiene to reduce community transmission of influenza and acute respiratory tract infection: a systematic review. Influenza and Other Respiratory Viruses DOI: 10.1111/irv.12015. Hand hygiene may be associated with modest protection against some acute respiratory tract infections, but its specific role in influenza transmission in different settings is unclear. We aimed to review evidence that improving hand hygiene reduces primary an...

  18. Healthcare-seeking behaviors for acute respiratory illness in two communities of Java, Indonesia: a cross-sectional survey.

    Science.gov (United States)

    Praptiningsih, Catharina Y; Lafond, Kathryn E; Wahyuningrum, Yunita; Storms, Aaron D; Mangiri, Amalya; Iuliano, Angela D; Samaan, Gina; Titaley, Christiana R; Yelda, Fitra; Kreslake, Jennifer; Storey, Douglas; Uyeki, Timothy M

    2016-06-01

    Understanding healthcare-seeking patterns for respiratory illness can help improve estimations of disease burden and inform public health interventions to control acute respiratory disease in Indonesia. The objectives of this study were to describe healthcare-seeking behaviors for respiratory illnesses in one rural and one urban community in Western Java, and to explore the factors that affect care seeking. From February 8, 2012 to March 1, 2012, a survey was conducted in 2520 households in the East Jakarta and Bogor districts to identify reported recent respiratory illnesses, as well as all hospitalizations from the previous 12-month period. We found that 4% (10% of those less than 5years) of people had respiratory disease resulting in a visit to a healthcare provider in the past 2weeks; these episodes were most commonly treated at government (33%) or private (44%) clinics. Forty-five people (0.4% of those surveyed) had respiratory hospitalizations in the past year, and just over half of these (24/45, 53%) occurred at a public hospital. Public health programs targeting respiratory disease in this region should account for care at private hospitals and clinics, as well as illnesses that are treated at home, in order to capture the true burden of illness in these communities. Published by Elsevier Ltd.

  19. Community Respiratory Viruses as a Cause of Lower Respiratory Tract Infections Following Suppressive Chemotherapy in Cancer Patients

    International Nuclear Information System (INIS)

    El-Mahallawy, H.A.; Ibrahim, M.H.; Shalaby, L.; Kandil

    2005-01-01

    Community respiratory viruses are an important cause of respiratory disease in the immunocompromised patients with cancer. To evaluate the occurrence and clinical significance of respiratory virus infections in hospitalized cancer patients at National Cancer Institute, Cairo University, during anticancer treatment, we studied cases that developed episodes of lower respiratory tract infections (LRTI). Patients and Methods: Thirty patients with LRTI were studied clinically, radiologically, and microbiologically. Sputum cultures were done and an immunofluorescence search for IgM antibodies of influenza A and B, parainfluenza serotypes 1,2 and 3, adenovirus, respiratory syncytial virus, Legionella pneumophila, Coxiella burnettii, Chlamydia pneumoniae, and Mycoplasma pneumoniae were performed on serum samples of patients. The main presenting symptom was cough and expectoration. Hematologic malignancy was the underlying disease in 86.6% of cases. Blood cultures were positive in II patients (36.6%) only. Sputum cultures revealed a bacterial pathogen in [3 cases and fungi in 3; whereas viral and atypical bacterial lgM antibodies were detected in 13 and 4 patients; respectively. Influenza virus was the commonest virus detected, being of type B in 4 cases, type A in one case and mixed A and B in another 5 cases; followed by RSV in 5 patients. Taken together, bacteria were identified as a single cause of LRTI in 10 cases, viruses in 6, fungi in 3 and mixed causes in 7. Still, there were 4 undiagnosed cases. This study showed that respiratory viruses are common in LRTI, either as a single cause or mixed with bacterial pathogens. in hospitalized cancer patients receiving chemotherapy. Diagnostic tests for respiratory viruses should be incorporated in the routine diagnostic study of patients with hematologic malignancies. Also, it must be emphasized that early CT chest is crucial as a base-line prior to initiation of anti-fungal or anti-viral therapy. In cancer patients with a

  20. RANDOMIZED EUROPEAN MULTICENTER TRIAL OF SURFACTANT REPLACEMENT THERAPY FOR SEVERE NEONATAL RESPIRATORY-DISTRESS SYNDROME - SINGLE VERSUS MULTIPLE DOSES OF CUROSURF

    NARCIS (Netherlands)

    SPEER, CP; ROBERTSON, B; CURSTEDT, T; HALLIDAY, HL; COMPAGNONE, D; GEFELLER, O; HARMS, K; HERTING, E; MCCLURE, G; REID, M; TUBMAN, R; HERIN, P; NOACK, G; KOK, J; KOPPE, J; VANSONDEREN, L; LAUFKOTTER, E; KOHLER, W; BOENISCH, H; ALBRECHT, K; HANSSLER, L; HAIM, M; OETOMO, SB; Okken, Albert; ALTFELD, PC; GRONECK, P; KACHEL, W; RELIER, JP; WALTI, H

    There is now convincing evidence that the severity of neonatal respiratory distress syndrome can be reduced by surfactant replacement therapy; however, the optimal therapeutic regimen has not been defined. This randomized European multicenter trial was designed to determine whether the beneficial

  1. European Consensus Guidelines on the Management of Neonatal Respiratory Distress Syndrome in Preterm Infants - 2013 Update

    DEFF Research Database (Denmark)

    Sweet, David G; Carnielli, Virgilio; Greisen, Gorm

    2013-01-01

    Despite recent advances in the perinatal management of neonatal respiratory distress syndrome (RDS), controversies still exist. We report updated recommendations of a European Panel of expert neonatologists who developed consensus guidelines after critical examination of the most up-to-date evide...... maintenance of normal body temperature, proper fluid management, good nutritional support, appropriate management of the ductus arteriosus and support of the circulation to maintain adequate tissue perfusion....

  2. ACRYLAMIDE, FOOD AND EUROPEAN COMMUNITIES RECOMMENDATION

    Directory of Open Access Journals (Sweden)

    G. Carrabs

    2010-03-01

    Full Text Available The exposure, often deceitful, to the acrylamide has determined notable apprehension in many consumers, so much that the Committee of the European Communities has financed the project HEATOX and has emanated the recommendation 2007/331. It is ascertained that proposed strategies have not brought to great changes in the food process chains, and neither in the traditional catering and housewife, for which more incisive measures are wished.

  3. Present status of the European Community's Fusion Materials Programme

    International Nuclear Information System (INIS)

    Nihoul, J.; Boutard, J.L.

    1990-01-01

    The Fusion Materials Programme of the European Communities is largely focused on the next step in the European strategy towards fusion energy development, i.e. on NET, the Next European Torus. The main objectives and operating conditions of NET are therefore first briefly presented. A review is then given of the present status of our knowledge regarding the main metallic structural materials envisaged for the first wall/blanket and for the divertor plates. Attention is paid to the need for longer term research and development towards low activation structural materials to be used in a post-NET Demonstration Reactor. Finally, a survey is presented of the current European Fusion Technology Programme devoted to the various candidate structural and protection materials for fusion devices. (author)

  4. Older Workers in the European Community, Japan, and Canada.

    Science.gov (United States)

    Drury, Elizabeth; And Others

    1993-01-01

    Includes "Older Workers in the European Community: Pervasive Discrimination, Little Awareness" (Drury); "Aging Workers in Japan: From Reverence to Redundance" (Takada); and "Canada's Labor Market: Older Workers Need Not Apply" (David). (JOW)

  5. Training of nuclear power plant personnel in the member states of the European Community

    International Nuclear Information System (INIS)

    Misenta, R.; Matfield, R.S.; Volta, G.; Ancarani, A.; Lhoir, J.

    1981-01-01

    After the Three Mile Island accident the Commission of the European Communities undertook various actions in order to assess the status of the training of nuclear power plant personnel with particular attention to their training for incidents and accidents. This presentation attempts a review of the training situation in the six member states of the European Community together with some other European states, that are operating nuclear power plants. Schemes for the training of control room operators, shift leaders, major European training centres and simulator training will be described

  6. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT).

    Science.gov (United States)

    Galiè, Nazzareno; Humbert, Marc; Vachiery, Jean-Luc; Gibbs, Simon; Lang, Irene; Torbicki, Adam; Simonneau, Gérald; Peacock, Andrew; Vonk Noordegraaf, Anton; Beghetti, Maurice; Ghofrani, Ardeschir; Gomez Sanchez, Miguel Angel; Hansmann, Georg; Klepetko, Walter; Lancellotti, Patrizio; Matucci, Marco; McDonagh, Theresa; Pierard, Luc A; Trindade, Pedro T; Zompatori, Maurizio; Hoeper, Marius

    2015-10-01

    Guidelines summarize and evaluate all available evidence on a particular issue at the time of the writing process, with the aim of assisting health professionals in selecting the best management strategies for an individual patient with a given condition, taking into account the impact on outcome, as well as the risk-benefit ratio of particular diagnostic or therapeutic means. Guidelines and recommendations should help health professionals to make decisions in their daily practice. However, the final decisions concerning an individual patient must be made by the responsible health professional(s) in consultation with the patient and caregiver as appropriate. Published on behalf of the European Society of Cardiology and European Respiratory Society. All rights reserved. © 2015 European Society of Cardiology & European Respiratory Society.

  7. Practical decommissioning experience with nuclear installations in the European Community

    International Nuclear Information System (INIS)

    Skupinski, E.

    1993-01-01

    Initiated by the Commission of the European Communities (CEC), this seminar was jointly organized by Kernkraftwerke RWE Bayernwerk GmbH (KRB) and the CEC at Gundremmingen-Guenzburg (D), where the former KRB-A BWR is presently being dismantled. The meeting aimed at gathering a limited number of European experts for the presentation and discussion of operations, the results and conclusions on techniques and procedures presently applied in the dismantling of large-scale nuclear installations in the European Community. Besides the four pilot dismantling projects of the presently running third R and D programme (1989-93) of the European Community on decommissioning of nuclear installations (WAGR, BR-3 PWR, KRB-A BWR and AT-1 FBR fuel reprocessing), the organizers selected the presentation of topics on the following facilities which have a significant scale and/or representative features and are presently being dismantled: the Magnox reprocessing pilot plant at Sellafield, the HWGCR EL4 at Monts d'Arree, the operation of an on-site melting furnace for G2/G3 GCR dismantling waste at Marcoule, an EdF confinement conception of shut-down LWRs for deferred dismantling, and the technical aspects of the Greifswald WWER type NPPs decommissioning. This was completed by a presentation on the decommissioning of material testing reactors in the United Kingdom and by an overview on the conception and implementation of two EC databases on tools, costs and job doses. The seminar concluded with a guided visit of the KRB-A dismantling site. This meeting was attended by managers concerned by the decommissioning of nuclear installations within the European Community, either by practical dismantling work or by decision-making functions. Thereby, the organizers expect to have contributed to the achievement of decommissioning tasks under optimal conditions - with respect to safety and economics - by making available a complete and updated insight into on-going dismantling projects and by

  8. Commission of the European Communities review of fast reactor activities, March 1981

    Energy Technology Data Exchange (ETDEWEB)

    Balz, W [Commission of the European Communities, Brussels (Belgium)

    1981-05-01

    The Commission of the European Communities continued its activities in the field of fast reactors development essentially in the frame of the Fast Reactor Coordinating Committee (FRCC) and by execution of a Reactor Programme at its Joint Research Center (JRC). The study was concerned with introducing fast reactors into European Community, elaboration of preliminary safety criteria and guidelines for typical fast reactor accidents; codes and standards; LMFBR safety, fuel, fuel cycle safety.

  9. Commission of the European Communities review of fast reactor activities, March 1981

    International Nuclear Information System (INIS)

    Balz, W.

    1981-01-01

    The Commission of the European Communities continued its activities in the field of fast reactors development essentially in the frame of the Fast Reactor Coordinating Committee (FRCC) and by execution of a Reactor Programme at its Joint Research Center (JRC). The study was concerned with introducing fast reactors into European Community, elaboration of preliminary safety criteria and guidelines for typical fast reactor accidents; codes and standards; LMFBR safety, fuel, fuel cycle safety

  10. The European hadron therapy community touches base

    CERN Multimedia

    Audrey Ballantine, Manuela Cirilli, Evangelia Dimovasili, Manjit Dosanjh, Seamus Hegarty

    2010-01-01

    The European hadron therapy community gathered in Stockholm from 3 to 5 September for the annual ENLIGHT workshops. Three of the four EC-funded projects born under the umbrella of ENLIGHT (see box) were discussed in the prestigious Nobel Forum at the Karolinska Institutet.   Souvenir photo from the ENLIGHT workshops On its second birthday, the PARTNER Initial Training Network was especially under the spotlight, as the European Commission conducted a formal project review bringing together the institutes, companies and young researchers involved. The 21 PARTNER researchers experienced the thrill of presenting their work in this privileged setting. During the coffee breaks, they joked about this being their only chance in life to speak in the Nobel Forum – but who knows what these brilliant young minds will achieve! They certainly impressed the European Commission’s Project Officer Gianluca Coluccio and Expert Reviewer Kaisa Hellevuo, who stated that PARTNER is a showcase proj...

  11. The radiological exposure of the population of the European Community from radioactivity in North European marine waters Project 'Marina'

    International Nuclear Information System (INIS)

    1990-01-01

    Project Marina was set up by the Commission of the European Communities in 1985 to look at the radiological impact of radionuclides, both natural and anthropogenic, in northern European marine waters. This paper is a summary of project Marina's work and its conclusions

  12. Hand hygiene to reduce community transmission of influenza and acute respiratory tract infection: a systematic review.

    Science.gov (United States)

    Warren-Gash, Charlotte; Fragaszy, Ellen; Hayward, Andrew C

    2013-09-01

    Hand hygiene may be associated with modest protection against some acute respiratory tract infections, but its specific role in influenza transmission in different settings is unclear. We aimed to review evidence that improving hand hygiene reduces primary and secondary transmission of (i) influenza and (ii) acute respiratory tract infections in community settings. We searched Medline, Embase, Global Health and Cochrane databases up to 13 February 2012 for reports in any language of original research investigating the effect of hand hygiene on influenza or acute respiratory tract infection where aetiology was unspecified in community settings including institutions such as schools, and domestic residences. Data were presented and quality rated across outcomes according to the Grading of Recommendations Assessment, Development and Evaluation system. Sixteen articles met inclusion criteria. There was moderate to low-quality evidence of a reduction in both influenza and respiratory tract infection with hand hygiene interventions in schools, greatest in a lower-middle-income setting. There was high-quality evidence of a small reduction in respiratory infection in childcare settings. There was high-quality evidence for a large reduction in respiratory infection with a hand hygiene intervention in squatter settlements in a low-income setting. There was moderate- to high-quality evidence of no effect on secondary transmission of influenza in households that had already experienced an index case. While hand hygiene interventions have potential to reduce transmission of influenza and acute respiratory tract infections, their effectiveness varies depending on setting, context and compliance. © 2012 John Wiley & Sons Ltd.

  13. A requiem for the European coal and steel community (1952-2002)

    NARCIS (Netherlands)

    Groenendijk, Nico; Hospers, Gerrit J.

    2002-01-01

    In July 2002 the Treaty on the European Coal and Steel Community (ECSC) expired. The ECSC is now being dissolved, its assets are transferred into special research funds, and European coal and steel policy is integrated into mainstream EU industrial policy. The ECSC's main task was to integrate the

  14. Evaluation of the Pharmacy Safety Climate Questionnaire in European community pharmacies.

    NARCIS (Netherlands)

    Phipps, D.L.; Bie, J. de; Herborg, H.; Guerreiro, M.; Eickhoff, C.; Fernandes-Llimos, F.; Bouvy, M.L.; Rossing, C.; Mueller, U.; Ashcroft, D.M.

    2012-01-01

    Objective: To evaluate the internal reliability, factor structure and construct validity of the Pharmacy Safety Climate Questionnaire (PSCQ) when applied to a pan-European sample of community pharmacies. Design: A cross-sectional survey design was used. Setting: Community pharmacies in Denmark,

  15. The microbiota of the respiratory tract : Gatekeeper to respiratory health

    NARCIS (Netherlands)

    Man, Wing Ho; De Steenhuijsen Piters, Wouter A.A.; Bogaert, Debby

    2017-01-01

    The respiratory tract is a complex organ system that is responsible for the exchange of oxygen and carbon dioxide. The human respiratory tract spans from the nostrils to the lung alveoli and is inhabited by niche-specific communities of bacteria. The microbiota of the respiratory tract probably acts

  16. 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.

  17. Development of molecular imaging in the European radiological community

    International Nuclear Information System (INIS)

    Grenier, Nicolas; Sardanelli, Francesco; Becker, Christoph D.; Walecki, Jerzy; Sebag, Guy; Lomas, David John; Krestin, Gabriel P.

    2009-01-01

    The recent and concomitant advances in molecular biology and imaging for diagnosis and therapy will place in vivo imaging techniques at the centre of their clinical transfer. Before that, a wide range of multidisciplinary preclinical research is already taking place. The involvement of radiologists in this new field of imaging sciences is therefore absolutely mandatory during these two phases of development. Achievement of such objectives requires the refinement of strategy within the European radiological community and the European Society of Radiology (ESR) will have to drive a number of actions to stimulate the younger generation of radiologists and to facilitate their access to knowledge. For that purpose, a molecular imaging (MI) subcommittee of the ESR Research Committee based on a group of involved radiologists will be constituted to develop contacts with other constitutive committees and associated societies to provide proposals to our community. (orig.)

  18. The European Community ITER Home Team Organization: January 1993

    International Nuclear Information System (INIS)

    Spears, W.R.

    1994-01-01

    The European Community (EC) Fusion Programme embraces all work carried out in the field of thermonuclear fusion by magnetic confinement in the 12 Member States and in two extra-Community countries, Sweden and Switzerland (which are fully associated with this Programme). The long-term objective of the EC Fusion Programme is the joint creation of safe, environmentally sound prototype reactors. This Programme presents itself as a single body in its relation with other Fusion Programmes in the world

  19. Overview of decommissioning research and development activities in the European Community

    International Nuclear Information System (INIS)

    Huber, B.

    1982-01-01

    The European Community's research program on the decommissioning of nuclear power plants is managed by the Commission of the European Communities and carried out by national laboratories and private firms under cost-sharing contracts. Starting in 1980, about fifty research contracts covering a large variety of topics have been let so far. The paper outlines the content, progress and selected results of the seven projects composing the program. These projects concern the following subjects: maintaining disused plants in a safe condition; decontamination for decommissioning purposes; dismantling techniques; treatment of waste materials; large waste containers; estimation of waste arisings; and plant design features facilitating decommissioning. 4 references

  20. European consensus guidelines on the management of neonatal respiratory distress syndrome in preterm infants - 2010 update

    DEFF Research Database (Denmark)

    Sweet, David G; Carnielli, Virgilio; Greisen, Gorm

    2010-01-01

    Despite recent advances in the perinatal management of neonatal respiratory distress syndrome (RDS), controversies still exist. We report the updated recommendations of a European panel of expert neonatologists who had developed consensus guidelines after critical examination of the most up-to-date....... For babies with RDS to have best outcomes, it is essential that they have optimal supportive care, including maintenance of a normal body temperature, proper fluid management, good nutritional support, management of the ductus arteriosus and support of the circulation to maintain adequate tissue perfusion....

  1. Public preferences for vaccination programmes during pandemics caused by pathogens transmitted through respiratory droplets - a discrete choice experiment in four European countries, 2013

    NARCIS (Netherlands)

    D. Determann (Domino); I.J. Korfage (Ida); A. Fagerlin (Angela); E.W. Steyerberg (Ewout); M.C.J. Bliemer (Michiel); H.A.C.M. Voeten (Hélène); J.H. Richardus (Jan Hendrik); M.S. Lambooij (Mattijs); E.W. de Bekker-Grob (Esther)

    2016-01-01

    textabstractThis study aims to quantify and compare preferences of citizens from different European countries for vaccination programme characteristics during pandemics, caused by pathogens which are transmitted through respiratory droplets. Internet panel members, nationally representative based on

  2. Ninth general report on the activities of the European Communities in 1975

    Energy Technology Data Exchange (ETDEWEB)

    1976-01-01

    A requirement to publish this report is in accordance with Article 18 of the Treaty establishing a single Council and a single Commission of the European Communities. In his opening address to the European Parliament Feb. 10, 1976, Mr. Francois-Xavier Ortoli, President of the Commission, reviewed the achievements of the Community in 1975 and assessed its successes and failures prior to presenting its plans for 1976. Europe in the World, Building up an Integrated Economic Unit, and Improved Structural and Regional Balances and a Better Quality of Life are three memoranda annexed to the address by the President. The activities of the Communities in 1975 are summarized in five chapters. Abstracts were prepared for two activities dealing with energy: ''The Sectoral Policies: Common Energy Policy'' in one of the annexed memoranda and ''Community Policies, Section 14: Energy,'' in Chapter III. (MCW)

  3. Energy priorities and options for the European Community

    International Nuclear Information System (INIS)

    Audland, C.J.

    1984-01-01

    The paper discusses the energy priorities and options for the European Community. Reasons for the recent improvement in the efficiency of energy use are briefly discussed, as well as the outlook for 1990, priorities for the future, solid fuels. natural gas, electricity and nuclear energy. Energy policy considerations in the United Kingdom are also mentioned. (U.K.)

  4. Diagrammatic representation of economic factors affecting the nuclear fuel cycle strategy within the European Community

    International Nuclear Information System (INIS)

    1979-05-01

    This paper, which also appears as an Appendix to the Final Working Group 4 Report, forms part of the overall economic evaluation of reprocessing. The indicative position and illustrative ''phase diagram'' for the Commission of the European Communities (CEC) is presented. The European Community has to import 80% or more of the uranium needed to fuel its nuclear power capacity. Nuclear fuel reprocessing together with recycle of the recovered uranium and plutonium has the potential to reduce the uranium needs of the Community some 20 to 25% during the near term period 1990-2000 and in the longer term (after 2000) with the gradual introduction of fast breeder reactors to decrease sharply the need to import uranium. This illustrates the high economic value assigned to fuel reprocessing within the European Community

  5. Cooperation in research in the European Atomic Energy Community (EURATOM)

    International Nuclear Information System (INIS)

    Marka, Philippe.

    1977-01-01

    This work studies the legal instruments for cooperative research granted to Euratom under the Treaty establishing the European Atomic Energy Community, and the conditions whereby concrete use was made of these instruments. This assessment of Euratom's efforts to launch a community nuclear industry is accompanied by an analysis of the respective roles of the bodies of the Community, the Council and the Commission, as well as of the circumstances which, according to the author, have led to a paralysis of this institution. (NEA) [fr

  6. European surveillance of emerging pathogens associated with canine infectious respiratory disease.

    Science.gov (United States)

    Mitchell, Judy A; Cardwell, Jacqueline M; Leach, Heather; Walker, Caray A; Le Poder, Sophie; Decaro, Nicola; Rusvai, Miklos; Egberink, Herman; Rottier, Peter; Fernandez, Mireia; Fragkiadaki, Eirini; Shields, Shelly; Brownlie, Joe

    2017-12-01

    Canine infectious respiratory disease (CIRD) is a major cause of morbidity in dogs worldwide, and is associated with a number of new and emerging pathogens. In a large multi-centre European study the prevalences of four key emerging CIRD pathogens; canine respiratory coronavirus (CRCoV), canine pneumovirus (CnPnV), influenza A, and Mycoplasma cynos (M. cynos); were estimated, and risk factors for exposure, infection and clinical disease were investigated. CIRD affected 66% (381/572) of the dogs studied, including both pet and kennelled dogs. Disease occurrence and severity were significantly reduced in dogs vaccinated against classic CIRD agents, canine distemper virus (CDV), canine adenovirus 2 (CAV-2) and canine parainfluenza virus (CPIV), but substantial proportions (65.7%; 201/306) of vaccinated dogs remained affected. CRCoV and CnPnV were highly prevalent across the different dog populations, with overall seropositivity and detection rates of 47% and 7.7% for CRCoV, and 41.7% and 23.4% for CnPnV, respectively, and their presence was associated with increased occurrence and severity of clinical disease. Antibodies to CRCoV had a protective effect against CRCoV infection and more severe clinical signs of CIRD but antibodies to CnPnV did not. Involvement of M. cynos and influenza A in CIRD was less apparent. Despite 45% of dogs being seropositive for M. cynos, only 0.9% were PCR positive for M. cynos. Only 2.7% of dogs were seropositive for Influenza A, and none were positive by PCR. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Inventory of activation analysis facilities available in the European Community to Industrial users

    International Nuclear Information System (INIS)

    Pauwels, J.

    1975-01-01

    This inventory includes lists of activation equipment produced in the European Community, facilities available for industrial users and activation laboratories existing in the European companies. The aim of this inventory is to provide all information that may be useful, to companies interested in activation analysis, as well as to give an idea on existing routine applications and on the European market in facilities

  8. European Community's program in marine resources development

    International Nuclear Information System (INIS)

    Lenoble, J.P.; Jarmache, E.

    1995-01-01

    The European Community launched already several research program in the different fields of social and industrial activities. The Fourth Framework Programme is divided into 4 main activities comporting a total of 18 programs. These programs are dealing with general topics as information and communication, industrial technologies, environment, life sciences and technologies, energy, transport and socioeconomic research. One line is devoted to marine sciences and technology, but offshore activities could also be included in the other topics as offshore oil and gas in energy, ship building and harbor in transport, aquaculture and fisheries in life sciences and technology, etc. In order to maintain a coherent approach toward offshore activities, the European maritime industries met intensively front 1991 to 1994 and recommended a series of proposal for Research and Development of marine resources. The methodology and content of these proposals is exposed

  9. European Vocational Education Systems. A Guide to Vocational Education and Training in the European Community.

    Science.gov (United States)

    Collins, Helen

    This book describes the 12 vocational education systems conducted by the members of the European Community. The 12 country chapters (Belgium, Denmark, France, Germany, Greece, Ireland, Italy, Luxembourg, The Netherlands, Portugal, Spain, and the United Kingdom) follow the same model and are organized into the following six sections: key facts,…

  10. Nuclear fuel supply industry in the European Community belgatom

    International Nuclear Information System (INIS)

    Anon.

    1982-01-01

    Deals with the industrial activities involved in the Nuclear Fuel Cycle in European Economic Community countries and essentially with operations pertaining to commercial light water reactors (LWR's). Various aspects of needs, investments, plant capacities, costs and prices, markets, financing methods, industrial structures, and employment are considered in detail

  11. Commission of the European Communities: Review of fast reactor activities performed during 1990

    International Nuclear Information System (INIS)

    Balz, W.

    1991-01-01

    In the field of fast reactors the Commission of the European Communities (CEC) is conducting coordination and harmonization activities at the Brussels headquarters and performing research in its Joint Research Center. The Fast Reactor Coordinating Committee (FRCC) is performing coordination and harmonization activities taking account of the collaboration agreements within the European Fast Reactor (EFR) context. Since the EFR collaboration does not involve all Member States of the European Community the FRCC should establish a link between the EFR countries and other countries. The FRCC discussed R and D activities suitable for a concerted action in a community frame. The Committee also discussed actinide transmutation aspects in LMFBRs. The discussions were based on the results of a study sponsored by the CEC to assess the characteristics of a large core (3600 MWth) with variable actinide content (3-15%). The FRCC received regularly reports on results from current R and D programmes, especially from those related to EFR. (author). 2 figs, 2 tabs

  12. Community-level characteristics and environmental factors of child respiratory illnesses in Southern Arizona

    Directory of Open Access Journals (Sweden)

    Nathan Lothrop

    2017-05-01

    Full Text Available Abstract Background Lower respiratory illnesses (LRIs and asthma are common diseases in children 0.05. Conclusions Our study revealed complex, multi-factorial associations between predictors and outcomes. Findings indicate that many rural areas with lower SES have distinct factors for childhood respiratory diseases that require further investigation. County-wide differences in maternal characteristics or agricultural land uses (not tested here may also play a role in Pima County residence protecting against hospitalizations, when compared to Maricopa County. By better understanding this and other relationships, more focused public health interventions at the community level could be developed to reduce and better control these diseases in children <5 years, who are more physiologically vulnerable.

  13. The supply of the European community countries with enriched uranium

    International Nuclear Information System (INIS)

    1975-02-01

    A discussion is given of a survey regarding the supply of enriched uranium to the countries of the European Community. Costs of enriched uranium imports were not available but import values were calculated using world market prices. (R.L.)

  14. Upper and lower respiratory tract microbiota in horses: bacterial communities associated with health and mild asthma (inflammatory airway disease) and effects of dexamethasone.

    Science.gov (United States)

    Bond, Stephanie L; Timsit, Edouard; Workentine, Matthew; Alexander, Trevor; Léguillette, Renaud

    2017-08-23

    The microbial composition of the equine respiratory tract, and differences due to mild equine asthma (also called Inflammatory Airway Disease (IAD)) have not been reported. The primary treatment for control of IAD in horses are corticosteroids. The objectives were to characterize the upper and lower respiratory tract microbiota associated with respiratory health and IAD, and to investigate the effects of dexamethasone on these bacterial communities using high throughput sequencing. The respiratory microbiota of horses was dominated by four major phyla, Proteobacteria (43.85%), Actinobacteria (21.63%), Firmicutes (16.82%), and Bacteroidetes (13.24%). Fifty genera had a relative abundance > 0.1%, with Sphingomonas and Pantoea being the most abundant. The upper and lower respiratory tract microbiota differed in healthy horses, with a decrease in richness in the lower airways, and 2 OTUs that differed in abundance. There was a separation between bacterial communities in the lower respiratory tract of healthy and IAD horses; 6 OTUs in the tracheal community had different abundance with disease status, with Streptococcus being increased in IAD horses. Treatment with dexamethasone had an effect on the lower respiratory tract microbiota of both heathy and IAD horses, with 8 OTUs increasing in abundance (including Streptococcus) and 1 OTU decreasing. The lower respiratory tract microbiota differed between healthy and IAD horses. Further research on the role of Streptococcus in IAD is warranted. Dexamethasone treatment affected the lower respiratory tract microbiota, which suggests that control of bacterial overgrowth in IAD horses treated with dexamethasone could be part of the treatment strategy.

  15. Distinct respiratory responses of soils to complex organic substrate are governed predominantly by soil architecture and its microbial community.

    Science.gov (United States)

    Fraser, F C; Todman, L C; Corstanje, R; Deeks, L K; Harris, J A; Pawlett, M; Whitmore, A P; Ritz, K

    2016-12-01

    Factors governing the turnover of organic matter (OM) added to soils, including substrate quality, climate, environment and biology, are well known, but their relative importance has been difficult to ascertain due to the interconnected nature of the soil system. This has made their inclusion in mechanistic models of OM turnover or nutrient cycling difficult despite the potential power of these models to unravel complex interactions. Using high temporal-resolution respirometery (6 min measurement intervals), we monitored the respiratory response of 67 soils sampled from across England and Wales over a 5 day period following the addition of a complex organic substrate (green barley powder). Four respiratory response archetypes were observed, characterised by different rates of respiration as well as different time-dependent patterns. We also found that it was possible to predict, with 95% accuracy, which type of respiratory behaviour a soil would exhibit based on certain physical and chemical soil properties combined with the size and phenotypic structure of the microbial community. Bulk density, microbial biomass carbon, water holding capacity and microbial community phenotype were identified as the four most important factors in predicting the soils' respiratory responses using a Bayesian belief network. These results show that the size and constitution of the microbial community are as important as physico-chemical properties of a soil in governing the respiratory response to OM addition. Such a combination suggests that the 'architecture' of the soil, i.e. the integration of the spatial organisation of the environment and the interactions between the communities living and functioning within the pore networks, is fundamentally important in regulating such processes.

  16. European integration and the supervision of local and regional authorities
    Experiences in the Netherlands with requirements of European Community law

    Directory of Open Access Journals (Sweden)

    Bart Hessel

    2006-06-01

    Full Text Available As a result of increasing European integration, local and regional authorities are having to deal with European law more and more intensively. As Member States (read: central government are responsible vis-à-vis the Community for the errors of local and regional authorities, the question arises within Member States whether the central government possesses sufficient supervisory instruments for complying with their obligations under Community law: they must ensure that the errors of local and regional authorities are rectified in time, and national law must provide for sufficient possibilities to do so. Although Community law is neutral towards the internal relations between the various tiers of government within the Member States, this responsibility of the central government may, as a result of European integration, lead to a need for more powerful supervisory instruments in relation to local and regional authorities. In the past five years there has been some debate on this subject within the Netherlands and after a long delay the Dutch cabinet in 2004 decided that the existing supervisory instruments in the decentralized unitary state of the Netherlands should be expanded. The legislation intended to realize this expansion is being prepared. This discussion and its results would seem of interest to other Member States of the Community facing similar problems.

  17. Update of the ERS international Adult Respiratory Medicine syllabus for postgraduate training.

    Science.gov (United States)

    Tabin, Nathalie; Mitchell, Sharon; O'Connell, Elaine; Stolz, Daiana; Rohde, Gernot

    2018-03-01

    First published in 2006, the first European core syllabus in Adult Respiratory Medicine was developed with the intention of harmonising education and training throughout Europe. Internationally recognised by the European Union of Medical Specialists and identified as the first document of its kind in respiratory medicine, it has provided a comprehensive guide for both local and national institutions in the development of adult respiratory training programmes. Like all fields in education, respiratory medicine is an ever-changing area and as such, respective syllabi, curricula and training programmes must adapt and diversify in line with the evolution of core medical concepts. Given the proven importance of the Adult Respiratory Medicine syllabus from both a national and international standpoint, it is of equal importance that said syllabus remains abreast of emerging trends so as to sustain the synchronisation of respiratory medicine in Europe. In order to develop an updated programme, a comprehensive review process of the current syllabus is a necessary endeavour and a step that the European Respiratory Society (ERS) has undertaken through the process of a needs assessment.

  18. Prevalence of asthma symptoms based on the european community respiratory health survey questionnaire and FENO in university students: gender differences in symptoms and FENO

    Directory of Open Access Journals (Sweden)

    Ishizuka Tamotsu

    2011-09-01

    Full Text Available Abstract Background The fractional concentration of nitric oxide in exhaled air (FENO is used as a biomarker of eosinophilic airway inflammation. FENO is increased in patients with asthma. The relationship between subjective asthma symptoms and airway inflammation is an important issue. We expected that the subjective asthma symptoms in women might be different from those in men. Therefore, we investigated the gender differences of asthma symptoms and FENO in a survey of asthma prevalence in university students. Methods The information about asthma symptoms was obtained from answers to the European Community Respiratory Health Survey (ECRHS questionnaire, and FENO was measured by an offline method in 640 students who were informed of this study and consented to participate. Results The prevalence of asthma symptoms on the basis of data obtained from 584 students (266 men and 318 women, ranging in age from 18 to 24 years, was analyzed. Wheeze, chest tightness, an attack of shortness of breath, or an attack of cough within the last year was observed in 13.2% of 584 students. When 38.0 ppb was used as the cut-off value of FENO to make the diagnosis of asthma, the sensitivity was 86.8% and the specificity was 74.0%. FENO was ≥ 38.0 ppb in 32.7% of students. FENO was higher in men than in women. The prevalence of asthma symptoms estimated by considering FENO was 7.2%; the prevalence was greater in men (9.4% than women (5.3%. A FENO ≥ 38.0 ppb was common in students who reported wheeze, but not in students, especially women, who reported cough attacks. Conclusions The prevalence of asthma symptoms in university students age 18 to 24 years in Japan was estimated to be 7.2% on the basis of FENO levels as well as subjective symptoms. Gender differences were observed in both FENO levels and asthma symptoms reflecting the presence of eosinophilic airway inflammation. Trial registration number UMIN000003244

  19. Housing conditions and respiratory health in a Boston public housing community.

    Science.gov (United States)

    Brugge, D; Rice, P W; Terry, P; Howard, L; Best, J

    2001-01-01

    To determine frequency of and possible associations between environmental housing factors and self-reported respiratory symptoms in public housing. We used a community-participatory method in which trained residents conducted in-person interviews with a random sample of 53 households in one housing development in Boston, Massachusetts. Environmental factors suspected of affecting respiratory health that were reported by more than 30 percent of respondents included: Moisture (43 percent), mold (43 percent), cracks in walls, floors and ceilings (49 percent), sewage leaks (33 percent), unexplained odor (35 percent), use of air fresheners (91 percent), use of gas ovens for heating (38 percent), no vent for the oven (74 percent), stuffy air (66 percent), overheating at least part of the winter (73 percent), cockroaches (70 percent), rodents (40 percent), pets (39 percent), frequent renovations (40 percent), repeated requests for repairs (52 percent), dust from construction (45 percent), use of more than three hazardous household products (32 percent), vehicle traffic nearby (81 percent), and smoking in the household (57 percent). Forty percent of respondents reported having asthma. Respondents also reported that 56 percent of their children had asthma. Forty percent of respondents reported wheeze and 48 percent reported coughing or sneezing episodes in the preceding month. We found the following positive statistically significant associations, adjusted for age, sex, Black or Hispanic origin, and years lived in public housing: wheeze with moisture problems (OR = 4.8; CI = 1.2, 19.3), sewage leaks (OR = 6.3; CI = 1.3, 30.3), odor (OR = 7.5; CI = 1 .4, 39.0), cracks in walls,floors and ceilings (OR = 8.6; CI 1.9, 38.0), and frequency of renovations (OR = 9.8; CI = 1.8, 54.4); cough with moisture problems (OR = 5.3; CI = 1.3, 20.8), stuffy air (OR = 4.4; CI = 1.2, 16.7), cockroaches (OR = 5.4; CI = 1.2, 24.2), smoking (OR = 5.0; CI = 1.2, 20.5), odor (OR = 10.9; CI = 2

  20. Objectives, standards and criteria for radioactive waste disposal in the European Community

    International Nuclear Information System (INIS)

    Orlowski, S.; Schaller, K.H.

    1989-01-01

    The present report, edited by a working group within the framework of the European Commission research programme on radioactive waste management and disposal, reviews the objectives, standards and criteria for radioactive waste disposal in the European Community with a view to identifying common features and differences in the regulatory frameworks of its Member States. Suggestions for possible harmonization are made. A few common general principles form the basis for legal and regulatory measures. These principles apply to and are discussed for the following: radiation protection (with the systems of dose limitation and control), ethical and sociological questions, environmental and natural resources protection, and nuclear safeguards. A description is given of the implementation of common principles, standards and requirements at Community level, in line with requirements laid down in the European Community Treaties, and in international conventions and recommendations. This is followed by a review of the implementation of basic criteria by national safety authorities. Regulatory measures and national policies, and the approaches used in devising criteria are discussed for both near-surface disposal of low-level waste, and for deep geological disposal of waste in continental geological formations. Finally, the roles and duties of the operators of radioactive waste facilities are reported. More detailed information on particular aspects is presented in the annexes

  1. European Defence Community: origins of integration in the defence sphere

    Directory of Open Access Journals (Sweden)

    Іван Васильович Яковюк

    2017-12-01

    Full Text Available There is a tendency among non-historians to force «practioners» of the discipline to justify why the study of a particular episode of the past is so important and to articulate the lessons to be learned from the experience. The fate of international constitutions and treaties is particularly prone to demands of this kind. After all, «constitutional borrowing» has long been a common feature of international law and politics. This article will address one such Treaty from the past. But it does not aspire to preserving its historical integrity; rather to awaken interest in it in the first place.          The European Defence Community (EDC was an ambitious initiative in the first years of the 1950s. Leading European countries had different foreign policy agendas towards it. The EDC. could have been a crucial milestone on the long path towards European integration. European Defense Community (EDC, an abortive attempt by western European powers, with United States support, to counterbalance the overwhelming conventional military ascendancy of the Soviet Union in Europe by the formation of a supranational European army and, in the process, to subsume West German forces into a European force, avoiding the tendentious problem of West German rearmament. One can trace the U.S. influence from the very first stages of the EDC. negotiations. Even in the agreement of the EDC., the footprints of U.S. policies can be observed, bringing the NATO Alliance to the forefront. The EDC. is also interrelated with the Marshall Plan, which leads us to think that the EDC. was not solely a European dream as has been widely argued, but rather an instrument of U.S. foreign policy, which could be resorted to as and when needed.          Influenced by the Korean War, the French politician René Pleven evolved a plan that later was put forward by the French foreign minister Robert Schuman at a meeting of the Council of Europe in 1951. Though the weaker

  2. Respiratory medicines for children: current evidence, unlicensed use and research priorities

    DEFF Research Database (Denmark)

    Smyth, A R; Barbato, A; Beydon, N

    2010-01-01

    deficiency. We hope that this summary of the evidence for respiratory medicines in children, highlighting gaps and research priorities, will be useful for the pharmaceutical industry, the paediatric committee of the European Medicines Agency, academic investigators and the lay public.......This European Respiratory Society task force has reviewed the evidence for paediatric medicines in respiratory disease occurring in adults and children. We describe off-licence use, research priorities and ongoing studies. Off-licence and off-label prescribing in children is widespread...

  3. 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.

  4. 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.

  5. Acute respiratory infection case definitions for young children: a systematic review of community-based epidemiologic studies in South Asia.

    Science.gov (United States)

    Roth, Daniel E; Gaffey, Michelle F; Smith-Romero, Evelyn; Fitzpatrick, Tiffany; Morris, Shaun K

    2015-12-01

    To explore the variability in childhood acute respiratory infection case definitions for research in low-income settings where there is limited access to laboratory or radiologic investigations. We conducted a systematic review of community-based, longitudinal studies in South Asia published from January 1990 to August 2013, in which childhood acute respiratory infection outcomes were reported. Case definitions were classified by their label (e.g. pneumonia, acute lower respiratory infection) and clinical content 'signatures' (array of clinical features that would be always present, conditionally present or always absent among cases). Case definition heterogeneity was primarily assessed by the number of unique case definitions overall and by label. We also compared case definition-specific acute respiratory infection incidence rates for studies reporting incidence rates for multiple case definitions. In 56 eligible studies, we found 124 acute respiratory infection case definitions. Of 90 case definitions for which clinical content was explicitly defined, 66 (73%) were unique. There was a high degree of content heterogeneity among case definitions with the same label, and some content signatures were assigned multiple labels. Within studies for which incidence rates were reported for multiple case definitions, variation in content was always associated with a change in incidence rate, even when the content differed by a single clinical feature. There has been a wide variability in case definition label and content combinations to define acute upper and lower respiratory infections in children in community-based studies in South Asia over the past two decades. These inconsistencies have important implications for the synthesis and translation of knowledge regarding the prevention and treatment of childhood acute respiratory infection. © 2015 John Wiley & Sons Ltd.

  6. The evolution of the ecological policy and the environmental law of the European community

    International Nuclear Information System (INIS)

    Dietinger, A.

    1998-08-01

    This thesis is structured chronologically starting with the origins of a European environment policy. These origins can be found in the foundation treaty of the European Community but are not explicitly codified. The thesis shows that the emphasis on economics in the European Community turned from acceptance of an environment policy as a marginal phenomenon to valuation of environmental policies as a principle of its own. The focus is on the contents of the EC Trial. The normative structure on which the environmental policy is built on aims of making clear that not only political declarations without any codification are made, but that the environment is a field of community activity to be taken seriously. Special attention is given the aim of economic growth and its incompatibles environmental policies. Convergence can only be reached if EC Member States use their potential of cooperation and are ready to make their contribution. A special chapter deals with the competence of member states concerning environmental policies. As contracting partners to GATT, member states of the European Union represent a very large portion of world trade, we have to make sure environmental policy is given the right place it deserves in free world trade. A summary and final reflections are included in the last part of the thesis. (author)

  7. European community light water reactor safety research projects. Experimental issue

    International Nuclear Information System (INIS)

    1975-01-01

    Research programs on light water reactor safety currently carried out in the European Community are presented. They cover: accident conditions (LOCA, ECCS, core meltdown, external influences, etc...), fault and accident prevention and means of mitigation, normal operation conditions, on and off site implications and equipment under severe accident conditions, and miscellaneous subjects

  8. The European community and its standardization efforts in medical informatics

    Science.gov (United States)

    Mattheus, Rudy A.

    1992-07-01

    A summary of the CEN TC 251/4 ''Medical Imaging and Multi-Media'' activities will be given. CEN is the European standardization institute, TC 251 deals with medical informatics. Standardization is a condition for the wide scale use of health care and medical informatics and for the creation of a common market. In the last two years, three important categories-- namely, the Commission of the European Communities with their programs and the mandates, the medical informaticians through their European professional federation, and the national normalization institutes through the European committee--have shown to be aware of this problem and have taken actions. As a result, a number of AIM (Advanced Informatics in Medicine), CEC sponsored projects, the CEC mandates to CEN and EWOS, the EFMI working group on standardization, the technical committee of CEN, and the working groups and project teams of CEN and EWOS are working on the subject. On overview of the CEN TC 251/4 ''Medical Imaging and Multi-Media'' activities will be given, including their relation to other work.

  9. Impact of amoxicillin therapy on resistance selection in patients with community-acquired lower respiratory tract infections

    DEFF Research Database (Denmark)

    Malhotra-Kumar, Surbhi; Van Heirstraeten, Liesbet; Coenen, Samuel

    2016-01-01

    OBJECTIVES: To determine the effect of amoxicillin treatment on resistance selection in patients with community-acquired lower respiratory tract infections in a randomized, placebo-controlled trial. METHODS: Patients were prescribed amoxicillin 1 g, three times daily (n = 52) or placebo (n = 50) ...

  10. AN ANALYSIS OF THE ROMANIAN FISHERY SECTOR IN THE EUROPEAN COMMUNITY CONTEXT

    Directory of Open Access Journals (Sweden)

    Silvius STANCIU

    2015-12-01

    Full Text Available The development of the fishery sector represents one of the European Union’s priorities due to the positive impact it has on food security and to its potential to ensure nutritious and quality food at an affordable price as compared to other animal-origin resources. The Community policy in the fishery sector focuses on reducing the Community market dependence on imports and on the sustainable development of business in this domain. Romania aligned with the Community policies and, therefore, important funds were allocated to the national fishery sector. The diversified natural resources, the possibility to use friendly technologies, the qualified staff, the tradition in the domain, and the existence of a number of niche markets all represent motivations for the development of the Romanian fishery sector. The present paper proposes an analysis of the Romanian fishery production and of the European financing effects on the specialized companies. Despite the fact that there have been important resources allocated to the sector and there is a slight positive evolution, the absorption of funds was difficult. The results of the investment may be observed after a long period of time, this is why Romania is still dependent on fishery product imports. Aquaculture represents the main segment towards which the European funds were directed, including in our country, thus providing the greatest part of the income and employment in the domain.

  11. European Community in new international petroleum order

    International Nuclear Information System (INIS)

    Finon, D.

    1992-01-01

    This paper examines the chances that the European Community (EC) has of enhancing its position in the international petroleum order. Its identity should become stronger than it is in the current feeble state of Europe as a world presence for four reasons: greater convergence in the ideas and interests of the Member Countries; the bolstering of Community institutions; thanks to new treaties, more balanced petro-political relations; and the geographical advantage of being within reach of Russia's enormous hydrocarbon resources. In its producer-consumer relations, the EC has a certain amount of upfront legitimacy over the actions of the individual member countries, insofar as multilateral actions in this field are more efficient than are bilateral relations. The EC is acquiring a certain autonomy of action from the AIH. It is already helping to build up new relations through informal dialogue and free-trade agreements with the producing countries, and is helping Russia to emerge as a major competitor for the Gulf countries

  12. Survey of nuclear safeguards in the European Community

    International Nuclear Information System (INIS)

    Gmelin, W.

    1992-01-01

    The control of the peaceful use of nuclear energy comprises activities related to nuclear safety, to the protection of persons and of the environment, to physical protection of the nuclear materials against theft or terrorism and to nuclear safeguards. Nuclear safeguards means the set of measures performed by the IAEA in the context of non-proliferation safeguards and, in the framework of the Euratom Treaty, those measures enabling the European Commission to satisfy itself that the nuclear material is not diverted from its intended and declared uses (particularly to unlawful non-peaceful applications) and that the obligations arising from International Agreements are complied with. This contribution to the International Conference on Peaceful Application of Nuclear Energy at Liege briefly reviews the history of nuclear safeguards in Europe since the early 1960ies. It also notes the practical aspects for, constraints and impacts to the nuclear operators imposed on them by the European law such as inspections, accountancy, reporting and describes the trend of the future development of the safeguards operation. The paper finally addresses non-proliferation issues and, notably, the relations between the IAEA and Euratom which in an exemplary way resulted in effective international safeguards and high non-proliferation credentials of the European Community. (author)

  13. European social model and the harmonization of Macedonian labour legislation with the European Union community labour law

    Directory of Open Access Journals (Sweden)

    Kalamatiev Todor

    2014-01-01

    Full Text Available The European integration process accompanied by the harmonization of the EU member states' legislation will inevitably lead to the establishment of a European social model which has a 'sui generis' legal nature. European social model forms a part of the common legal heritage of the European countries and it can be defined as a system of values that include democracy and individual rights, free collective bargaining, market economy, equal opportunities for all, and social protection and solidarity. Subject of analysis in this paper are both, the essential components of the European social model such as: the social 'acquis communautaire' and the European industrial relations. The social 'acquis communautaire' is an integral part of the general 'acquis communautaire' and it encompasses the regulations arising from the primary and secondary labour law legislation of the EU, decisions of the European Court of Justice and other legal measures of the European Union with a binding or non-binding legal nature. European industrial relations encompass the key features of the European trade union models as well as the types of social dialogue in different EU member states. This paper pays attention to a profound elaboration of the harmonization of two EU labour law directives with the Macedonian employment legislation. The first Directive (Directive 91/533/EEC of 14 October 1991 on an employers' obligation to inform employees of the conditions applicable to the contract or employment relationship may be classified in the field of individual employment relations, while the second one (Directive 2002/14/EC of 11 March 2002 establishing a general framework for informing and consulting employees in the European Community can be subsumed within the field of collective employment relations. Finally, the authors illustrate the advantages and disadvantages of the Macedonian labour legislation in the process of harmonization with the relevant EU directives

  14. Diabetes and Risk of Community-Acquired Respiratory Tract Infections, Urinary Tract Infections, and Bacteremia

    DEFF Research Database (Denmark)

    Thomsen, Reimar W.; Mor, Anil

    2013-01-01

    This review provides an update on the risk of several important community-acquired infections seen in patients with diabetes: respiratory tract infections, urinary tract infections, and bacteremia. Respiratory tract infections: Recent epidemiological evidence shows a modest (1.25 to 1.75-fold) risk...... increase for hospitalization with pneumonia associated with diabetes. The increase of risk for tuberculosis is of similar magnitude in highly developed countries, and possibly higher in low-income countries. Poor glycemic control and long diabetes duration predict higher risk for both pneumonia...... and tuberculosis. Limited data is available for diabetes and influenza, yet both influenza and pneumococcal vaccination is recommended in patients with diabetes. Urinary tract infections: The risk of asymptomatic bacteriuria and cystitis is 1.5 to 2 times increased in diabetes patients, while their risk...

  15. Risk assessment: A European Community perspective

    International Nuclear Information System (INIS)

    Haigh, R.

    1992-01-01

    The world is a risky place in which to live! The world tolerates that 750,000 deaths occur on the roads each year. Society has not yet come to terms with the added burden that urbanisation brings to developing countries. Pollution from the use of fossil fuels creates incalculable loss to the world's environment and to the health of its inhabitants. The misuse of chemicals provokes suffering and deformity. In the European Community alone, over 21 million tonnes of toxic waste have to be treated each year. Of course, there are different types of risk: individual and societal. Individuals continue to travel by air in defiance of terrorists or faulty machinery. Whilst society urges caution in diet and nutrition, the individual is probably more worried about food additives that he is about eating too much or making a rigorous appraisal of the value of his die!. As the conference progresses many people will die from the causes of malnutrition, from war or societal neglect while we, individually, will be more at risk from overeating. In other words, we perceive risks is in a multitude of ways. We tolerate these risks according to our perception of what we feel is acceptable without carrying out scientific assessment of the relative severity of those risks. If applied at a governmental level, this subjective tolerance can lead to unnecessary burdens or constraints that are disproportionate to the risk. Clearly, this is not acceptable for policy makers. We have just seen the closure of the UNCED World Conference on the Environment in Rio de Janeiro, where the absolute need for more effective cooperation in the protection of the environment and the world inhabitants was convincingly demonstrated. The European Communities already coordinate risk assessment with its twelve Member States in a large number of areas and is increasing its international cooperation. We have recognized that it is no longer possible to carry out effective risk assessment in one country alone or to

  16. Risk assessment: A European Community perspective

    Energy Technology Data Exchange (ETDEWEB)

    Haigh, R [Industrial Medicine and Hygiene Unit Health and Safety Directorate, Directorate-General Employment, Industrial Relations and Social Affairs Commission of the European Communities, Luxembourg (Luxembourg)

    1992-07-01

    The world is a risky place in which to live{exclamation_point} The world tolerates that 750,000 deaths occur on the roads each year. Society has not yet come to terms with the added burden that urbanisation brings to developing countries. Pollution from the use of fossil fuels creates incalculable loss to the world's environment and to the health of its inhabitants. The misuse of chemicals provokes suffering and deformity. In the European Community alone, over 21 million tonnes of toxic waste have to be treated each year. Of course, there are different types of risk: individual and societal. Individuals continue to travel by air in defiance of terrorists or faulty machinery. Whilst society urges caution in diet and nutrition, the individual is probably more worried about food additives that he is about eating too much or making a rigorous appraisal of the value of his die{exclamation_point}. As the conference progresses many people will die from the causes of malnutrition, from war or societal neglect while we, individually, will be more at risk from overeating. In other words, we perceive risks is in a multitude of ways. We tolerate these risks according to our perception of what we feel is acceptable without carrying out scientific assessment of the relative severity of those risks. If applied at a governmental level, this subjective tolerance can lead to unnecessary burdens or constraints that are disproportionate to the risk. Clearly, this is not acceptable for policy makers. We have just seen the closure of the UNCED World Conference on the Environment in Rio de Janeiro, where the absolute need for more effective cooperation in the protection of the environment and the world inhabitants was convincingly demonstrated. The European Communities already coordinate risk assessment with its twelve Member States in a large number of areas and is increasing its international cooperation. We have recognized that it is no longer possible to carry out effective risk

  17. 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

  18. Commission of the European Communities. Review of fast reactor activities - April 1984

    International Nuclear Information System (INIS)

    Balz, W.

    1984-01-01

    The frame in which the activities of the Commission of the European Communities in the field of fast breeders are executed was described at earlier meetings. The present review is therefore limited to a brief report on same highlights

  19. The European Community and crisis adaptation: The impact of the 1973 oil crisis on European integration

    Energy Technology Data Exchange (ETDEWEB)

    Mahurin, R.P.

    1991-01-01

    This study investigates relationships that emerged between European Economic Community and Arab League nations during the period 1970-1978, with special attention to the period immediately following the October 1973 Arab-Israeli war and the Arab oil embargo of 1973-74. The central argument is that European integration can be measured and understood from three different levels of analysis: not only the systems or supranational level (to which neofunctionalists and federalists have largely confined their investigations), but from the nation-state and the subnational levels also. This view is justified in the context of complex interdependencies in the work of Joseph Nye and Robert Keohane. From this perspective, nation-state and subnational-level data take on a new importance. This study collected data on the nature, level, and intensity of contracts between actors within each of these three levels. The study finds at all these levels strong evidence of increased collective and convergent activity which, in the context of complex interdependencies, points to a complex but clearly advancing process of European integration during the period under investigation.

  20. The European Community and crisis adaptation: The impact of the 1973 oil crisis on European integration

    International Nuclear Information System (INIS)

    Mahurin, R.P.

    1991-01-01

    This study investigates relationships that emerged between European Economic Community and Arab League nations during the period 1970-1978, with special attention to the period immediately following the October 1973 Arab-Israeli war and the Arab oil embargo of 1973-74. The central argument is that European integration can be measured and understood from three different levels of analysis: not only the systems or supranational level (to which neofunctionalists and federalists have largely confined their investigations), but from the nation-state and the subnational levels also. This view is justified in the context of complex interdependencies in the work of Joseph Nye and Robert Keohane. From this perspective, nation-state and subnational-level data take on a new importance. This study collected data on the nature, level, and intensity of contracts between actors within each of these three levels. The study finds at all these levels strong evidence of increased collective and convergent activity which, in the context of complex interdependencies, points to a complex but clearly advancing process of European integration during the period under investigation

  1. International Institutions and Domestic Reform: Equal Pay and British Membership in the European Economic Community.

    Science.gov (United States)

    Frader, Laura Levine

    2018-03-01

    Despite having been overlooked in the standard histories of the UK and the European Community, gender politics and gender policies played a significant role in Britain's applications for membership in the EEC in the 1960s. Joining the European Community required that Britain comply with Article 119 on equal pay for equal work. A combination of domestic feminist and labour movement activism, the commitment of unions and parties, and the internationalization of formal commitments to women's rights constituted internal and external pressures for the passage of an Equal Pay Act in 1970. The article argues that the formal legislative commitment to gender pay equality, changing public attitudes towards women's employment, and European membership impacted further domestic social policy reform and slowly began to shift government attitudes towards gender equality.

  2. Nuclear power's vocation in the energy strategy of the European Community

    International Nuclear Information System (INIS)

    Davis, M.

    1979-01-01

    One of the founding treaties (the Euratom Treaty) of the European Community, to which the UK acceeded in 1973, foresaw an important role for nuclear energy in helping to develop economic prosperity and in facilitating collaboration with other countries. Nuclear energy already provides some 10% of all Community electricity but neither this contribution, nor that now forecast, is as great as was foreseen a few years ago. The causes of this shortfall are identified: they cover socio-economic, technical and political problems, and are exhibited, in varying degrees, in all nine Member States of the Community. It is suggested that, although some aspects of the matter are the inescapable responsibility of individual Member States, there are many features where a common Community position can be advantageous to all. (author)

  3. Relationship between cystic fibrosis respiratory tract bacterial communities and age, genotype, antibiotics and Pseudomonas aeruginosa.

    Science.gov (United States)

    Klepac-Ceraj, Vanja; Lemon, Katherine P; Martin, Thomas R; Allgaier, Martin; Kembel, Steven W; Knapp, Alixandra A; Lory, Stephen; Brodie, Eoin L; Lynch, Susan V; Bohannan, Brendan J M; Green, Jessica L; Maurer, Brian A; Kolter, Roberto

    2010-05-01

    Polymicrobial bronchopulmonary infections in cystic fibrosis (CF) cause progressive lung damage and death. Although the arrival of Pseudomonas aeruginosa often heralds a more rapid rate of pulmonary decline, there is significant inter-individual variation in the rate of decline, the causes of which remain poorly understood. By coupling culture-independent methods with ecological analyses, we discovered correlations between bacterial community profiles and clinical disease markers in respiratory tracts of 45 children with CF. Bacterial community complexity was inversely correlated with patient age, presence of P. aeruginosa and antibiotic exposure, and was related to CF genotype. Strikingly, bacterial communities lacking P. aeruginosa were much more similar to each other than were those containing P. aeruginosa, regardless of antibiotic exposure. This suggests that community composition might be a better predictor of disease progression than the presence of P. aeruginosa alone and deserves further study.

  4. Patterns and Regularities in the European Marketing Academic Community

    DEFF Research Database (Denmark)

    Krystallis Krontalis, Athanasios; Ormrod, Robert P.; Christensen, Katrine

    2011-01-01

    Recent years have seen a growing interest in the nature of scientific collaboration, as researchers have become interested in how knowledge is generated in research communities. The aim of the current paper is to provide insights into the structure of the European Marketing Academy (EMAC...... partners is socio-cultural and geographical) proximity rather than marketing sub-discipline, pointing towards a very systematic tendency for EMAC members to be organised around institutions in the same or culturally related countries....

  5. Building international collaborative capacity: contributions of community psychologists to a European network.

    Science.gov (United States)

    García-Ramírez, Manuel; Paloma, Virginia; Suarez-Balcazar, Yolanda; Balcazar, Fabricio

    2009-09-01

    Europe is in the process of building a more participative, just, and inclusive European Union. The European Social Fund, which is an initiative developed to actively promote multinational partnerships that address pressing social issues, is a good example of the European transformation. This article describes the steps taken to develop and evaluate the activities of an international network promoting collaborative capacity among regional partners involved in the prevention of labor discrimination toward immigrants in three European countries-Spain, Belgium, and Italy. An international team of community psychologists proposed an empowering approach to assess the collaborative capacity of the network. This approach consisted of three steps: (1) establishing a collaborative relationship among partners, (2) building collaborative capacity, and (3) evaluating the collaborative capacity of the network. We conclude with lessons learned from the process and provide recommendations for addressing the challenges inherent in international collaboration processes.

  6. The cost of community-managed viral respiratory illnesses in a cohort of healthy preschool-aged children

    Directory of Open Access Journals (Sweden)

    Allen Kelly M

    2008-01-01

    Full Text Available Abstract Background Acute respiratory illnesses (ARIs during childhood are often caused by respiratory viruses, result in significant morbidity, and have associated costs for families and society. Despite their ubiquity, there is a lack of interdisciplinary epidemiologic and economic research that has collected primary impact data, particularly associated with indirect costs, from families during ARIs in children. Methods We conducted a 12-month cohort study in 234 preschool children with impact diary recording and PCR testing of nose-throat swabs for viruses during an ARI. We used applied values to estimate a virus-specific mean cost of ARIs. Results Impact diaries were available for 72% (523/725 of community-managed illnesses between January 2003 and January 2004. The mean cost of ARIs was AU$309 (95% confidence interval $263 to $354. Influenza illnesses had a mean cost of $904, compared with RSV, $304, the next most expensive single-virus illness, although confidence intervals overlapped. Mean carer time away from usual activity per day was two hours for influenza ARIs and between 30 and 45 minutes for all other ARI categories. Conclusion From a societal perspective, community-managed ARIs are a significant cost burden on families and society. The point estimate of the mean cost of community-managed influenza illnesses in healthy preschool aged children is three times greater than those illnesses caused by RSV and other respiratory viruses. Indirect costs, particularly carer time away from usual activity, are the key cost drivers for ARIs in children. The use of parent-collected specimens may enhance ARI surveillance and reduce any potential Hawthorne effect caused by compliance with study procedures. These findings reinforce the need for further integrated epidemiologic and economic research of ARIs in children to allow for comprehensive cost-effectiveness assessments of preventive and therapeutic options.

  7. Event and Community Development: Planning Legacy for the 2008 European Capital of Culture, Liverpool

    Directory of Open Access Journals (Sweden)

    Yi-De Liu

    2017-12-01

    Full Text Available Event legacy has become a major topic of discussion in recent years. Especially, European Capital of Culture is emerging as a means of facilitating community development in Europe. Based on a case study of the 2008 European Capital of Culture Liverpool, this article aims to conceptualise the relationship between an event and its sustained effects on community development. Methodologically, adopting case study as approach, both primary and secondary were collected and analysed, including four times neighborhood surveys, official evaluation reports and academic publications. The study period is from 2007 to 2015 to monitor changes in an event’s impacts. The results reveal four dimensions of effects, including: cultural access and engagement, volunteering, governance and infrastructure, and sense of place. Overall, the study stresses the importance of integrating the event into a long-term development strategy of the city, through synergies between culture and urban regeneration and community renewal.

  8. Tobacco industry strategies for influencing European Community tobacco advertising legislation.

    Science.gov (United States)

    Neuman, Mark; Bitton, Asaf; Glantz, Stanton

    2002-04-13

    Restrictions on tobacco company advertising and sponsorship are effective parts of tobacco control programmes worldwide. Through Council Directive 98/43/EC, the European Community (EC) sought to end all tobacco advertising and sponsorship in EC member states by 2006. Initially proposed in 1989, the directive was adopted in 1998, and was annulled by the European Court of Justice in 2000 following a protracted lobbying campaign against the directive by a number of interested organisations including European tobacco companies. A new advertising directive was proposed in May, 2001. We reviewed online collections of tobacco industry documents from US tobacco companies made public under the US Master Settlement Agreement of 1998. Documents reviewed dated from 1978 to 1994 and came from Philip Morris, R J Reynolds, and Brown and Williamson (British American Tobacco) collections. We also obtained approximately 15,000 pages of paper records related to British American Tobacco from its documents' depository in Guildford, UK. This information was supplemented with information in the published literature and consultations with European tobacco control experts. The tobacco industry lobbied against Directive 98/43/EC at the level of EC member state governments as well as on a pan-European level. The industry sought to prevent passage of the directive within the EC legislature, to substitute industry-authored proposals in place of the original directive, and if necessary to use litigation to prevent implementation of the directive after its passage. The tobacco industry sought to delay, and eventually defeat, the EC directive on tobacco advertising and sponsorship by seeking to enlist the aid of figures at the highest levels of European politics while at times attempting to conceal the industry's role. An understanding of these proposed strategies can help European health advocates to pass and implement effective future tobacco control legislation.

  9. Acute respiratory distress syndrome 40 years later: time to revisit its definition.

    Science.gov (United States)

    Phua, Jason; Stewart, Thomas E; Ferguson, Niall D

    2008-10-01

    Acute respiratory distress syndrome is a common disorder associated with significant mortality and morbidity. The aim of this article is to critically evaluate the definition of acute respiratory distress syndrome and examine the impact the definition has on clinical practice and research. Articles from a MEDLINE search (1950 to August 2007) using the Medical Subject Heading respiratory distress syndrome, adult, diagnosis, limited to the English language and human subjects, their relevant bibliographies, and personal collections, were reviewed. The definition of acute respiratory distress syndrome is important to researchers, clinicians, and administrators alike. It has evolved significantly over the last 40 years, culminating in the American-European Consensus Conference definition, which was published in 1994. Although the American-European Consensus Conference definition is widely used, it has some important limitations that may impact on the conduct of clinical research, on resource allocation, and ultimately on the bedside management of such patients. These limitations stem partially from the fact that as defined, acute respiratory distress syndrome is a heterogeneous entity and also involve the reliability and validity of the criteria used in the definition. This article critically evaluates the American-European Consensus Conference definition and its limitations. Importantly, it highlights how these limitations may contribute to clinical trials that have failed to detect a potential true treatment effect. Finally, recommendations are made that could be considered in future definition modifications with an emphasis on the significance of accurately identifying the target population in future trials and subsequently in clinical care. How acute respiratory distress syndrome is defined has a significant impact on the results of randomized, controlled trials and epidemiologic studies. Changes to the current American-European Consensus Conference definition are

  10. European Community initiatives and experience in scientific and technical information

    International Nuclear Information System (INIS)

    Steven, G.

    1990-05-01

    Scientific and technical information (STI) is an increasingly important resource for R and D and industrial development. The rapid development of the market for electronic information and the increasing potential offered through new information technologies require new approaches for the collection and dissemination of STI. Activities of the Commission of the European Communities (CEC) in this area are reviewed. More recent CEC initiatives in the areas of biotechnology information and factual materials data banks have proved the need for international collaboration and for the implementation of infrastructural measures as a basis for such collaboration. The implementation of the EC Demonstrator Programme on materials property data systems has evaluated the potential of eleven European materials data banks against the market requirements and has helped to launch wide international collaboration. The concluding European workshop on materials data systems has developed a set of recommendations for future initiatives. These are shortly reviewed together with initial findings of a study aimed at developing a business plan for the establishment of a biotechnology information infrastructure for the bio-industries and research base in Europe. (author). 3 refs

  11. European Community initiatives and experience in scientific and technical information

    Energy Technology Data Exchange (ETDEWEB)

    Steven, G [Commission of the European Communities, Luxembourg (Luxembourg)

    1990-05-01

    Scientific and technical information (STI) is an increasingly important resource for R and D and industrial development. The rapid development of the market for electronic information and the increasing potential offered through new information technologies require new approaches for the collection and dissemination of STI. Activities of the Commission of the European Communities (CEC) in this area are reviewed. More recent CEC initiatives in the areas of biotechnology information and factual materials data banks have proved the need for international collaboration and for the implementation of infrastructural measures as a basis for such collaboration. The implementation of the EC Demonstrator Programme on materials property data systems has evaluated the potential of eleven European materials data banks against the market requirements and has helped to launch wide international collaboration. The concluding European workshop on materials data systems has developed a set of recommendations for future initiatives. These are shortly reviewed together with initial findings of a study aimed at developing a business plan for the establishment of a biotechnology information infrastructure for the bio-industries and research base in Europe. (author). 3 refs.

  12. Warming shelf seas drive the subtropicalization of European pelagic fish communities.

    Science.gov (United States)

    Montero-Serra, Ignasi; Edwards, Martin; Genner, Martin J

    2015-01-01

    Pelagic fishes are among the most ecologically and economically important fish species in European seas. In principle, these pelagic fishes have potential to demonstrate rapid abundance and distribution shifts in response to climatic variability due to their high adult motility, planktonic larval stages, and low dependence on benthic habitat for food or shelter during their life histories. Here, we provide evidence of substantial climate-driven changes to the structure of pelagic fish communities in European shelf seas. We investigated the patterns of species-level change using catch records from 57,870 fisheries-independent survey trawls from across European continental shelf region between 1965 and 2012. We analysed changes in the distribution and rate of occurrence of the six most common species, and observed a strong subtropicalization of the North Sea and Baltic Sea assemblages. These areas have shifted away from cold-water assemblages typically characterized by Atlantic herring and European sprat from the 1960s to 1980s, to warmer-water assemblages including Atlantic mackerel, Atlantic horse mackerel, European pilchard and European anchovy from the 1990s onwards. We next investigated if warming sea temperatures have forced these changes using temporally comprehensive data from the North Sea region. Our models indicated the primary driver of change in these species has been sea surface temperatures in all cases. Together, these analyses highlight how individual species responses have combined to result in a dramatic subtropicalization of the pelagic fish assemblage of the European continental shelf. © 2014 John Wiley & Sons Ltd.

  13. The on-line European Community urgent radiological information exchange (ECURIE) information system

    International Nuclear Information System (INIS)

    De Cort, M.; Breitenbach, L.; De Vries, G.

    1998-01-01

    Immediately after the accident at the Chernobyl NPP, both the International Atomic Energy Agency (IAEA) and the Commission of the European Communities (CEC) set up a system to meet the requirements for early warning and exchange of information. The Environment Institute of the CEC JRC-Ispra provides technical assistance for the European community Urgent Radiological Information Exchange system (ECURIE). By this system, Member State contact points can exchange information in a coded format. In order to facilitate the use and to assure the data quality, a Coding-Decoding Software (CDS) was developed in collaboration with the I.A.E.A. A new version, called CoDecS, is under development. An ECURIE data bank is under construction, which will automatically recognize and store incoming ECURIE messages. Further on, query and reporting software will be developed. The background objectives and the conceptual basis for the structure of the on-line information system is described. (author)

  14. [Status of acute upper respiratory infection, influenza-like illness, and influenza vaccination coverage among community residents in Jinan].

    Science.gov (United States)

    Liu, Ying; Song, Shaoxia; Wang, Wei; Geng, Xingyi; Liu, Wen; Han, Debiao; Liu, Ti; Wu, Julong; Li, Zhong; Wang, Xianjun; Bi, Zhenqiang

    2015-12-01

    To analyze the status of acute upper respiratory infection and influenza-like illness (ILI) among community residents in Jinan in 2015, and to make a understand of the patient's medical treatment behavior and influenza vaccination coverage status in 2014. Balloting method and convenient sampling method were used to launch a household survey. The residents who had been in Jinan for more than 3 months were selected, to investigate the residents' attack ratio of acute upper respiratory and influenza-like from Jan. 8 to Feb. 7, 2015. Totally, 1 300 persons from 410 families were involved in this survey which recovered 1 241 valid questionnaires with the efficiency of 95.5%. Based on the national age-urban demographic statistics in 2010, the attack rates of acute respiratory infections, influenza-like illness were estimated by the direct standardization method, and the influenza vaccination rates were also calculated in this study. χ(2)-test method was used to compare the different status of incidence and vaccination among residents with different features. The attack rate of acute upper respiratory infection and influenza-like illness in Jinan from January 8, 2015 to February 7, 2015 were 30.2% (375 cases), and 6.1% (76 cases), respectively, with a standardized rate of 29.1% and 5.4%. 5.3% (66 cases) of the residents have vaccinated with the influenza vaccine inoculation, with an adjusted rate of 3.8%. The attack rate difference of acute upper respiratory tract infections was statistically significant between each age group (χ(2)=17.121, P= 0.002). The 0-4 age group had a highest attack rate (45.4%) of acute respiratory infection, while the 15-24 age group got the lowest (26.5%). 38.9% (146 cases) of patients went for a treatment in hospital. Among them, 37.7% (55 cases) of them selected the county level hospitals for treatment, 37.7% (55 cases) selected the community level hospitals, and 24.6% (36 cases) selected the individual clinic. Significant differences of

  15. Pig iron production in the countries of European Community

    International Nuclear Information System (INIS)

    Garcia, L.; Cores, A.; Formoso, A.; Babich, A.

    1997-01-01

    The incessant increase of the competitivity of the metallurgical industry implies the necessity of the optimization of the resources and raw materials used. This affects in the same way the iron making in blast furnace and its principal fuel, metallurgical coke. It is from here the importance of the development of the techniques which facilitate improvements in the operation parameters in the blast furnace. This article is dedicated to the latest developments applicated on blast furnace process in the countries of European Community. (Author) 24 refs

  16. Computer tape library for collective dose assessments in the European Community

    International Nuclear Information System (INIS)

    Jones, J.A.; Kelly, G.N.

    1981-01-01

    A computer tape library has been established which can readily be applied to enable calculations to be made of the collective dose to the population of the European Community from radioactive effluent discharges within the EC. The background to the development of the tape library and details of its contents, method of application and availability are summarised in this note. (author)

  17. The process of adoption of the principle of subsidiarity in the European Community

    Directory of Open Access Journals (Sweden)

    Joan Lluís Piñol

    1993-03-01

    Full Text Available In disregarding the treatment that the European media offers the subject, the author sets out with the statement that the Principle of Subsidiarity is a procedural principle recently inserted in the logic of the attribution of competence and in the process of Community decision-making. Used as it is as a legal-political instrument,reinforcing the principle of democratic legitibility and closely connected to the principle of solidarity, the Principle of Subsidiarity favours the assumption of competence by the European Cornmunity as much as its decentralization.In order to understand the adoption of this principle in the Treaty on European Union, the author proceeds, in the first place, with a relatively abstract analysis about the ambiguous, multi-faceted and various interpretations that this principle has repeatedly received. Secondly, equal reference is made to the political debate concerning the inclusion or exclusion of the PS in the Community treaties, as to the specific meaning of the PS in the different Councils of Europe.The Edinburgh meeting deserves special treatment as the author considers it a model of analysis of Community decision-making in which the classic actors of the EC (its institutions and its member states have participated as well as other actors: organized political forces in the Europe of Twelve and, from 1986, the nationalparliaments of such countries. By way of a change, the author includes an analysis of the performance of those forces that existed before, but that were relatively poorly organized with respect to the theme of Community integration: the so-called regions, at individual level (lander, Catalonia or the Basque Country or organizationally in the CPLRE and the ARE and also looks at those actions taken by certain personalites such as Spinelli, Giscard dlEstaing or the very same Jacques Delors.

  18. Supercritical fluid extraction and ultra performance liquid chromatography of respiratory quinones for microbial community analysis in environmental and biological samples.

    Science.gov (United States)

    Hanif, Muhammad; Atsuta, Yoichi; Fujie, Koichi; Daimon, Hiroyuki

    2012-03-05

    Microbial community structure plays a significant role in environmental assessment and animal health management. The development of a superior analytical strategy for the characterization of microbial community structure is an ongoing challenge. In this study, we developed an effective supercritical fluid extraction (SFE) and ultra performance liquid chromatography (UPLC) method for the analysis of bacterial respiratory quinones (RQ) in environmental and biological samples. RQ profile analysis is one of the most widely used culture-independent tools for characterizing microbial community structure. A UPLC equipped with a photo diode array (PDA) detector was successfully applied to the simultaneous determination of ubiquinones (UQ) and menaquinones (MK) without tedious pretreatment. Supercritical carbon dioxide (scCO(2)) extraction with the solid-phase cartridge trap proved to be a more effective and rapid method for extracting respiratory quinones, compared to a conventional organic solvent extraction method. This methodology leads to a successful analytical procedure that involves a significant reduction in the complexity and sample preparation time. Application of the optimized methodology to characterize microbial communities based on the RQ profile was demonstrated for a variety of environmental samples (activated sludge, digested sludge, and compost) and biological samples (swine and Japanese quail feces).

  19. European atomic (nuclear) law and Austria

    International Nuclear Information System (INIS)

    Heitzinger, R.

    2000-05-01

    The dissertation investigates the question, how the Austrian membership in the European Community works out to the Austrian Atomic Nonproliferation Law, which is a simple federal law. By the day of the Austrian accession to the European Community, the whole law of the European Community became part of the Austrian Legal Order. Also part of the primary right, the constitutional law of the European Community, is the contract for founding the European Atomic Energy Community, which also became part of the Austrian Legal Order. In 1978 Austria decided after the plebiscite of November the 5th against the opening of the nuclear power station in Zwentendorf. The result of this plebiscite was the Austrian Atomic Nonproliferation Law, a simple federal law from December the 15th, BGBl 676/1978. To continue their atomic politics, forbidding the use of nuclear powerstations for producing energy, after becoming a member of the European Community, Austria and the members of the European Community signed the Fourth Common Declaration at September the 23rd in 1993 for the use of the contract for founding the European Atomic Energy Community. This Common Declaration is neither a part of the accession of the contract, nor a part of the accessions to the acts of the contract of the European Community, and also not a part of the primary right of the European Community. It is only an agreement between the signatory states, which can be characterized as a part of the context. The sphere of the context, where the Fourth Common Declaration could be important, restrains to the secondary right of the European Community. This means, that the opinion on the rage of application is a decision of the executive bodies of the European Community. Consequently is to say, that the declaration, that the continuance of the Austrian Atomic Nonproliferation Law is save, can't resist an analysis in the law of nations. (author)

  20. The European Respiratory Society and European Society of Thoracic Surgeons clinical guidelines for evaluating fitness for radical treatment (surgery and chemoradiotherapy) in patients with lung cancer.

    Science.gov (United States)

    Brunelli, Alessandro; Charloux, Anne; Bolliger, Chris T; Rocco, Gaetano; Sculier, Jean-Paul; Varela, Gonzalo; Licker, Marc; Ferguson, Mark K; Faivre-Finn, Corinne; Huber, Rudolf Maria; Clini, Enrico M; Win, Thida; De Ruysscher, Dirk; Goldman, Lee

    2009-07-01

    The European Respiratory Society (ERS) and the European Society of Thoracic Surgeons (ESTS) established a joint task force with the purpose to develop clinical evidence-based guidelines on evaluation of fitness for radical therapy in patients with lung cancer. The following topics were discussed, and are summarized in the final report along with graded recommendations: Cardiologic evaluation before lung resection; lung function tests and exercise tests (limitations of ppoFEV1; DLCO: systematic or selective?; split function studies; exercise tests: systematic; low-tech exercise tests; cardiopulmonary (high tech) exercise tests); future trends in preoperative work-up; physiotherapy/rehabilitation and smoking cessation; scoring systems; advanced care management (ICU/HDU); quality of life in patients submitted to radical treatment; combined cancer surgery and lung volume reduction surgery; compromised parenchymal sparing resections and minimally invasive techniques: the balance between oncological radicality and functional reserve; neoadjuvant chemotherapy and complications; definitive chemo and radiotherapy: functional selection criteria and definition of risk; should surgical criteria be re-calibrated for radiotherapy?; the patient at prohibitive surgical risk: alternatives to surgery; who should treat thoracic patients and where these patients should be treated?

  1. Environment protection and other political spheres of the European Community

    International Nuclear Information System (INIS)

    Rengeling, H.W.

    1993-01-01

    It has long been known that environment protection is largely a cross-sectional task. The provision of Article 130 r Section 2 Clause 2 of the EEC Treaty that states that environment protection forms an integral part of all the other polticial spheres of the Community is not only a plank in the platform of the Community but also a juridical innovation. Time will tell what concrete legal claims can be derived from this provision, particularly on the part of the European Court of Justice. The lectures relate amongst others to the following topics: Environment protection and competition politics, environment protection and energy poltics, environment protection and development aid politics. Eight of the lectures were abstracted individually. (orig./HSCH) [de

  2. EURATOM, origin and contents of Community European of the energy atomic; EURATOM, origen y contenidos de Comunidad Europea de la energia atomica

    Energy Technology Data Exchange (ETDEWEB)

    Prieto Serrano, N.

    2015-07-01

    After the creation, in 1951, of the European Community of the Coal and steel (ECSC), the first step in a Europe together, Federal, Belgium Germany, France, Italy, Luxembourg, and the Netherlands signed in March 1957, the treaties of Rome that established the foundations for the creation of the European Economic Community (EEC) and the European Community Atomic Energy (CEEa or Euratom). We started with this a series of articles dedicated to pregnancy, the content and issued legislation of the Euratom Treaty, particularly in the areas that most affect the management of radioactive waste. (Author)

  3. Supercritical Fluid Extraction and Ultra Performance Liquid Chromatography of Respiratory Quinones for Microbial Community Analysis in Environmental and Biological Samples

    OpenAIRE

    Hanif, Muhammad; Atsuta, Yoichi; Fujie, Koichi; Daimon, Hiroyuki

    2012-01-01

    Microbial community structure plays a significant role in environmental assessment and animal health management. The development of a superior analytical strategy for the characterization of microbial community structure is an ongoing challenge. In this study, we developed an effective supercritical fluid extraction (SFE) and ultra performance liquid chromatography (UPLC) method for the analysis of bacterial respiratory quinones (RQ) in environmental and biological samples. RQ profile analysi...

  4. Energy in Europe. Energy policies and developments in the European Communities. Energie in Europa. Energiepolitiken und Entwicklungen in der Europaeischen Gemeinschaft

    Energy Technology Data Exchange (ETDEWEB)

    1986-01-01

    The survey deals with a number of topical subjects such as the Chernobyl reactor accident and EURATOM, the petroleum demand of the European Communities in 1990 given constantly low oil prices, the prospects of the oil refineries, historical aspects of the European Communities' industrial development, the 1974 Washington Conference, forecasts 1986-1987, and industrial energy efficiency. Reference is made to the latest Community news and to innovative technologies.

  5. Respiratory medicines for children: current evidence, unlicensed use and research priorities

    DEFF Research Database (Denmark)

    Smyth, A R; Barbato, A; Beydon, N

    2010-01-01

    deficiency. We hope that this summary of the evidence for respiratory medicines in children, highlighting gaps and research priorities, will be useful for the pharmaceutical industry, the paediatric committee of the European Medicines Agency, academic investigators and the lay public.......This European Respiratory Society task force has reviewed the evidence for paediatric medicines in respiratory disease occurring in adults and children. We describe off-licence use, research priorities and ongoing studies. Off-licence and off-label prescribing in children is widespread...... and potentially harmful. Research areas in asthma include novel formulations and regimens, and individualised prescribing. In cystic fibrosis, future studies will focus on screened infants and robust outcome measures are needed. Other areas include new enzyme and antibiotic formulations and the basic defect...

  6. Commission of the European Communities - Review of fast reactor activities, March 1979

    International Nuclear Information System (INIS)

    Balz, W.

    1979-01-01

    The Commission of the European Communities pursued its activities on the lines described earlier. Besides the execution of a research programme in its Joint Research Centre the Commission endeavoured to support the development and demonstration of fast reactors. Most of the latter activities were performed in the frame of the Fast Reactor Coordinating Committee

  7. Interaction between gas cooking and GSTM1 null genotype in bronchial responsiveness: results from the European Community Respiratory Health Survey.

    NARCIS (Netherlands)

    Amaral, A.F.S.; Ramasamy, A.; Castro-Giner, F.; Minelli, C.; Accordini, S.; Sorheim, I.C.; Pin, I.; Kogevinas, M.; Jögi, R.; Balding, D.J.; Norbäck, D.; Verlato, G.; Olivieri, M.; Probst-Hensch, N.; Janson, C.; Zock, J.P.; Heinrich, J.; Jarvis, D.L.

    2014-01-01

    Background: Increased bronchial responsiveness is characteristic of asthma. Gas cooking, which is a major indoor source of the highly oxidant nitrogen dioxide, has been associated with respiratory symptoms and reduced lung function. However, little is known about the effect of gas cooking on

  8. Communication received from the Resident Representative of Italy on behalf of the European Community

    International Nuclear Information System (INIS)

    1988-11-01

    The document reproduces the text of a Note Verbale dated 20 October 1988 from the Permanent Mission of Spain stating that the Government of Spain has also adopted the common policy declaration adopted on 20 November 1984 by the Ministries for Foreign Affairs of the then ten Members of the European Community (INFCIRC/322) concerning the transfers of nuclear material, equipment and technology between the Member States of the Community

  9. Situation and prospects of radioactive waste disposal in the member states of the European Community

    International Nuclear Information System (INIS)

    Schaller, K.H.; Orlowski, S.

    1990-01-01

    All Member States of the European Community with a nuclear power production programme are preparing for the disposal of radioactive waste produced in the nuclear fuel cycle and through the use of radionuclides in health care, research and industry. The situation of storage and planned, on-going - and already performed - disposal of radioactive waste in these States is first summarised. Suitable sites for disposal of radioactive waste of all categories exist in all Member States concerned. The general principles and international recommendations, and common principles, standards and requirements applicable to disposal in the European Community are then presented, followed by a description of existing disposal facilities and of those which are in an advanced planning stage, and the implementation of basic criteria by national authorities. Finally, policies and strategies for long-term storage and disposal for definitively shut-down nuclear installations, and contributions to research in this field in the ''Communities' Radioactive Waste Management Programme'' are discussed. (author)

  10. An official American Thoracic Society/European Respiratory Society statement: research questions in COPD

    Directory of Open Access Journals (Sweden)

    Bartolome R. Celli

    2015-06-01

    Full Text Available Chronic obstructive pulmonary disease (COPD is a leading cause of morbidity, mortality and resource use worldwide. The goal of this official American Thoracic Society (ATS/European Respiratory Society (ERS Research Statement is to describe evidence related to diagnosis, assessment, and management; identify gaps in knowledge; and make recommendations for future research. It is not intended to provide clinical practice recommendations on COPD diagnosis and management. Clinicians, researchers and patient advocates with expertise in COPD were invited to participate. A literature search of Medline was performed, and studies deemed relevant were selected. The search was not a systematic review of the evidence. Existing evidence was appraised and summarised, and then salient knowledge gaps were identified. Recommendations for research that addresses important gaps in the evidence in all areas of COPD were formulated via discussion and consensus. Great strides have been made in the diagnosis, assessment and management of COPD, as well as understanding its pathogenesis. Despite this, many important questions remain unanswered. This ATS/ERS research statement highlights the types of research that leading clinicians, researchers and patient advocates believe will have the greatest impact on patient-centred outcomes.

  11. The photovoltaic pilot projects of the European Community

    Science.gov (United States)

    Schnell, W.

    The Commission of the European Communities has started in 1980 a programme for the design and construction of a series of photovoltaic pilot projects in the range of 30-300 kWp. Virtually all important industries and other development organisations in Europe working on photovoltaic cells and systems are involved in this programme. The different technologies which are being developed concern the modules, the cabling of the array, structure design, storage strategy and power conditioning. The various applications include powering of an island, villages, recreation centres, water desalination and disinfection, powering of radio transmitters, emergency power plants, dairy farm, training school, cooling, water pumping, powering of a solar heated swimming pool and last but not least, hydrogen production.

  12. Respiratory viruses among children with non-severe community-acquired pneumonia: A prospective cohort study.

    Science.gov (United States)

    Nascimento-Carvalho, Amanda C; Vilas-Boas, Ana-Luisa; Fontoura, Maria-Socorro H; Vuorinen, Tytti; Nascimento-Carvalho, Cristiana M

    2018-06-06

    Community-acquired pneumonia (CAP) causes a major burden to the health care system among children under-5 years worldwide. Information on respiratory viruses in non-severe CAP cases is scarce. To estimate the frequency of respiratory viruses among non-severe CAP cases. Prospective study conducted in Salvador, Brazil. Out of 820 children aged 2-59 months with non-severe CAP diagnosed by pediatricians (respiratory complaints and radiographic pulmonary infiltrate/consolidation), recruited in a clinical trial (ClinicalTrials.gov Identifier NCT01200706), nasopharyngeal aspirate samples were obtained from 774 (94.4%) patients and tested for 16 respiratory viruses by PCRs. Viruses were detected in 708 (91.5%; 95%CI: 89.3-93.3) cases, out of which 491 (69.4%; 95%CI: 65.9-72.7) harbored multiple viruses. Rhinovirus (46.1%; 95%CI: 42.6-49.6), adenovirus (38.4%; 95%CI: 35.0-41.8), and enterovirus (26.5%; 95%CI: 23.5-29.7) were the most commonly found viruses. The most frequent combination comprised rhinovirus plus adenovirus. No difference was found in the frequency of RSVA (16.1% vs. 14.6%; P = 0.6), RSVB (10.9% vs. 13.2%; P = 0.4) influenza (Flu) A (6.3% vs. 5.1%; P = 0.5), FluB (4.5% vs. 1.8%; P = 0.09), parainfluenza virus (PIV) 1 (5.1% vs. 2.8%; P = 0.2), or PIV4 (7.7% vs. 4.1%; P = 0.08), when children with multiple or sole virus detection were compared. Conversely, rhinovirus, adenovirus, enterovirus, bocavirus, PIV2, PIV3, metapneumovirus, coronavirus OC43, NL63, 229E were significantly more frequent among cases with multiple virus detection. Respiratory viruses were detected in over 90% of the cases, out of which 70% had multiple viruses. Several viruses are more commonly found in multiple virus detection whereas other viruses are similarly found in sole and in multiple virus detection. Copyright © 2018 Elsevier B.V. All rights reserved.

  13. Impact of accelerator based technologies on nuclear fission safety - Share cost project of the European Community

    International Nuclear Information System (INIS)

    1997-01-01

    As a result of the growing interest in Accelerator-Driven Systems (ADS), some European institutes have established a shared cost project in the framework of the European Community. The overall objective of the project is to make an assessment of the possibilities of accelerator-driven hybrid reactor systems from the point of view of safe energy production, minimum waste production and transmutation capabilities

  14. The European energy community is now

    International Nuclear Information System (INIS)

    Andoura, Sami; Buzek, Jerzy; Delors, Jacques; Vitorino, Antonio

    2013-01-01

    On the eve of the European Council on 22 May dealing with energy issues, the Jacques Delors Institute publishes a Tribune calling for the implementation of a positive agenda for the European energy policy and the definition of the concrete bases of a genuine European Energy

  15. Illness perception and related behaviour in lower respiratory tract infections—a European study

    Science.gov (United States)

    Hordijk, Patricia M; Broekhuizen, Berna D L; Butler, Chris C; Coenen, Samuel; Godycki-Cwirko, Maciek; Goossens, Herman; Hood, Kerry; Smith, Richard; van Vugt, Saskia F; Little, Paul; Verheij, Theo J M

    2015-01-01

    Background. Lower respiratory tract infection (LRTI) is a common presentation in primary care, but little is known about associated patients’ illness perception and related behaviour. Objective. To describe illness perceptions and related behaviour in patients with LRTI visiting their general practitioner (GP) and identify differences between European regions and types of health care system. Methods. Adult patients presenting with acute cough were included. GPs recorded co morbidities and clinical findings. Patients filled out a diary for up to 4 weeks on their symptoms, illness perception and related behaviour. The chi-square test was used to compare proportions between groups and the Mann-Whitney U or Kruskal Wallis tests were used to compare means. Results. Three thousand one hundred six patients from 12 European countries were included. Eighty-one per cent (n = 2530) of the patients completed the diary. Patients were feeling unwell for a mean of 9 (SD 8) days prior to consulting. More than half experienced impairment of normal or social activities for at least 1 week and were absent from work/school for a mean of 4 (SD 5) days. On average patients felt recovered 2 weeks after visiting their GP, but 21% (n = 539) of the patients did not feel recovered after 4 weeks. Twenty-seven per cent (n = 691) reported feeling anxious or depressed, and 28% (n = 702) re-consulted their GP at some point during the illness episode. Reported illness duration and days absent from work/school differed between countries and regions (North-West versus South-East), but there was little difference in reported illness course and related behaviour between health care systems (direct access versus gate-keeping). Conclusion. Illness course, perception and related behaviour in LRTI differ considerably between countries. These finding should be taken into account when developing International guidelines for LRTI and interventions for setting realistic expectations about illness course

  16. Proximity to mining industry and respiratory diseases in children in a community in Northern Chile: A cross-sectional study.

    Science.gov (United States)

    Herrera, Ronald; Radon, Katja; von Ehrenstein, Ondine S; Cifuentes, Stella; Muñoz, Daniel Moraga; Berger, Ursula

    2016-06-07

    In a community in northern Chile, explosive procedures are used by two local industrial mines (gold, copper). We hypothesized that the prevalence of asthma and rhinoconjunctivitis in the community may be associated with air pollution emissions generated by the mines. A cross-sectional study of 288 children (aged 6-15 years) was conducted in a community in northern Chile using a validated questionnaire in 2009. The proximity between each child's place of residence and the mines was assessed as indicator of exposure to mining related air pollutants. Logistic regression, semiparametric models and spatial Bayesian models with a parametric form for distance were used to calculate odds ratios and 95 % confidence intervals. The prevalence of asthma and rhinoconjunctivitis was 24 and 34 %, respectively. For rhinoconjunctivitis, the odds ratio for average distance between both mines and child's residence was 1.72 (95 % confidence interval 1.00, 3.04). The spatial Bayesian models suggested a considerable increase in the risk for respiratory diseases closer to the mines, and only beyond a minimum distance of more than 1800 m the health impact was considered to be negligible. The findings indicate that air pollution emissions related to industrial gold or copper mines mainly occurring in rural Chilean communities might increase the risk of respiratory diseases in children.

  17. Detection of IgM and IgG antibodies to Chlamydophila pneumoniae in pediatric community-acquired lower respiratory tract infections

    Directory of Open Access Journals (Sweden)

    Surinder Kumar

    2011-01-01

    Full Text Available Context: Chlamydophila pneumoniae (C. pneumoniae is an emerging infectious agent with a spectrum of clinical manifestations including lower and upper respiratory tract infections. Aims: To investigate the role of C. pneumoniae in community-acquired lower respiratory tract infections (LRTIs in children using serological tests. Settings and Design: Two hundred children, age 2 months to 12 years, hospitalized for community-acquired LRTIs were investigated for C. pneumoniae etiology. Materials and Methods: We investigated 200 children hospitalized for community-acquired LRTIs, using ELISA for detecting anti-C. pneumoniae IgM and IgG antibodies. The demographic, clinical and radiological findings for C. pneumoniae antibody positive and C. pneumoniae antibody negative cases were compared. Statistical Analysis Used: Data analysis was performed by Chi-square test and Fisher′s exact tests using Epi Info (2002. Results: Clinical and radiological findings in both the groups were comparable. Serological evidence of C. pneumoniae infection was observed in 12 (6% patients; specific IgM antibodies were detected in 11 (91.67%; specific IgG antibodies in 1 (8.33% patients, while 4-fold rise in C. pneumoniae IgG antibody titers were noted in none of the patients. Conclusions: C. pneumoniae has a role in community-acquired LRTIs, even in children aged < 5 years. Serological detection using ELISA would enable pediatricians in better management of C. pneumoniae infections.

  18. Supercritical Fluid Extraction and Ultra Performance Liquid Chromatography of Respiratory Quinones for Microbial Community Analysis in Environmental and Biological Samples

    Directory of Open Access Journals (Sweden)

    Koichi Fujie

    2012-03-01

    Full Text Available Microbial community structure plays a significant role in environmental assessment and animal health management. The development of a superior analytical strategy for the characterization of microbial community structure is an ongoing challenge. In this study, we developed an effective supercritical fluid extraction (SFE and ultra performance liquid chromatography (UPLC method for the analysis of bacterial respiratory quinones (RQ in environmental and biological samples. RQ profile analysis is one of the most widely used culture-independent tools for characterizing microbial community structure. A UPLC equipped with a photo diode array (PDA detector was successfully applied to the simultaneous determination of ubiquinones (UQ and menaquinones (MK without tedious pretreatment. Supercritical carbon dioxide (scCO2 extraction with the solid-phase cartridge trap proved to be a more effective and rapid method for extracting respiratory quinones, compared to a conventional organic solvent extraction method. This methodology leads to a successful analytical procedure that involves a significant reduction in the complexity and sample preparation time. Application of the optimized methodology to characterize microbial communities based on the RQ profile was demonstrated for a variety of environmental samples (activated sludge, digested sludge, and compost and biological samples (swine and Japanese quail feces.

  19. Assessment of the environmental impact of plutonium transport within the European Community

    International Nuclear Information System (INIS)

    1978-11-01

    Assessment is given of the environmental impact of plutonium transport within the European Community in the 1990's. This includes shipments of plutonium, raw materials, fresh and spent mixed oxide fuel assemblies and plutonium contaminated solid wastes. The consequences on general traffic, the radiation doses to transport workers and the general public and the heat release during transport are presented

  20. Environmental policy on the way to Brussels : the issue of acidicification between the Netherlands and the European community

    NARCIS (Netherlands)

    Liefferink, J.D.

    1995-01-01

    The process of European integration is marked by a dynamic and often controversial balance between member state autonomy and supranational. decision making. Within the European Community (EC), enviromnental policy has in the past 25 years emerged as one of the major fields of activity. This

  1. Respiratory water loss during rest and flight in European Starlings (Sturnus vulgaris)

    NARCIS (Netherlands)

    Engel, Sophia; Suthers, Roderick A.; Biebach, Herbert; Visser, G. Henk

    2006-01-01

    Respiratory water loss in Starlings (Sturnus vulgaris) at rest and during flight at ambient temperatures (T-amb) between 6 and 25 degrees C was calculated from respiratory airflow and exhaled air temperature. At rest, breathing frequency f(1.4 +/- 0.3 Hz) and tidal volume V-t (1.9 +/- 0.4 ml) were

  2. Guidelines for radioprotection of the Council of the European Communities, dating from 1-1-1986

    International Nuclear Information System (INIS)

    1986-01-01

    In this paper the guidelines for radiation protection of the european communities are treated. The guidelines refer to radiotherapy, radiodiagnostics and nuclear medicine. The guidelines are divided in eight articles and an appendix. (Auth.)

  3. Respiratory care practitioners as primary providers of neonatal intubation in a community hospital: an analysis.

    Science.gov (United States)

    Noblett, K E; Meibalane, R

    1995-10-01

    Respiratory care practitioners (RCPs) serve as the primary providers of neonatal endotracheal intubation (ETI) in our institution. ETIs are performed by registered respiratory therapists who have completed Pediatric Advanced Life Support and Neonatal Advanced Life Support training and have successfully completed 3 intubations under the direct supervision of a senior therapist. The purpose of this study was to (1) ascertain whether RCPs can successfully provide this type of service with acceptable complications rates and (2) survey the economic impact of this practice on patient charges in our hospital. An analysis of each intubation event in which an RCP participated was collected and compiled over a 5-month period (9-94 to 2-95). Calculations were made of the success rate and complications. A total of 38 ETIs were performed by the RCPs. Of these, 37 (97.4%) were performed with neonatal ETI at a Level-II nursery in a community hospital, and this practice may result in a cost reduction.

  4. Harmonization of food irradiation in the European Community

    International Nuclear Information System (INIS)

    Vounakis, H.

    1992-01-01

    As irradiation is intended to prevent the deterioration of food or for its decontamination, its incorrect application could have health consequences. For this reason and in the absence of appropriate Community rules, the Commission programme on food law (COM (86) 603 final, Commission Communication on Food Law) envisaged a proposal for 1987. At that time six Member States permitted food irradiation to varying extents, two others were completing favourable appraisals while another two had no legislation. The commission proposal on food irradiation requires that only foodstuffs mentioned therein could be irradiated under the prescribed conditions and ensures their free movement while guaranteeing a high degree of protection to the consumer in terms of authorization of installations, control and labelling. The Directive on labelling was also modified to impose specific mention for irradiated foodstuffs. The labelling of irradiated ingredients, the products to be accepted for treatment at Community level, the national authorizations and their transfer to the EEC list, are the main issues actually under discussion in the Council. The European parliament was favourable to a proposal restricting the use of irradiation, to dry herbs and spices. (orig.) [de

  5. The radioactive waste management program of The Commission of the European Communities: Past, present, and future trends

    International Nuclear Information System (INIS)

    Orlowski, S.M.

    1983-01-01

    The radioactive waste management program started in the mid-1970s is being carried out by the Commission of European Communities (CEC) Joint Research Centre and by research bodies within the European community under CEC coordination and partial financing. The program deals with the management of the radioactive waste resulting from uranium-plutonium fuel cycle. During its first phase (1973-1979), various treatment and conditioning processes were investigated; high temperature incineration and acid digestion of alpha-bearing waste, immobilization of highly active waste in borosilicate glasses, inter alia, appeared promising. Geological disposal was recognized as a feasible option; transmutation of long-lived products did not appear to be an advantageous alternative to geological disposal, and the studies were discontinued. The second phase (1980-1984) of the program is a followup to the first. The needs of the European nuclear industry and of the national radioactive waste agencies or operators recently created are, however, taken into account. The continuity of the RandD effort is ensured by a ''Community plan of action on waste management,'' (1980-1992). A third phase, 1984-1989, should demonstrate the availability and validity of the waste management techniques and be convincing about their safety

  6. Prevalence and distribution of sensitization to foods in the European Community Respiratory Health Survey: a EuroPrevall analysis

    NARCIS (Netherlands)

    Burney, P.; Summers, C.; Chinn, S.; Hooper, R.; van Ree, R.; Lidholm, J.

    2010-01-01

    Background: Reports of adverse reactions to foods are increasing, but there is limited information on the comparative prevalence of sensitization to food allergens using standardized methods. Methods: Sera from the 'random sample' of young adults seen during the second phase of the European

  7. European symposium on precision medicine in allergy and airways diseases

    DEFF Research Database (Denmark)

    Muraro, A; Fokkens, W J; Pietikainen, S

    2015-01-01

    David Borrelli and with active participation of the European Respiratory Society (ERS), the European Federations of Allergy and Airways Diseases Patients Associations (EFA), the Global Allergy and Asthma European Network (Ga2len), Allergic Rhinitis and Its Impact on Asthma (ARIA) and the Respiratory....... This report summarizes the key messages delivered during the symposium by the speakers, including the EU Commissioner for Health and Food Safety Vitenys Andriukaitis. The Commissioner underscored the need for optimal patient care in Europe, supporting joint action plans for disease prevention, patient...... the epidemic of Allergy and Asthma in Europe. The socio-economic impact of allergies and chronic airways diseases cannot be underestimated, as they represent the most frequently diagnosed chronic non-communicable diseases in the EU. Despite the fact that 30% of the total European population is nowadays...

  8. Community Policy Initiatives. In search of European Union added value

    International Nuclear Information System (INIS)

    Beceiro, Rodriguez A.

    2004-01-01

    The European Commission's proposal, approved in early 2003, contains general requirements more of a political and juridical nature rather than a technical one, and is generally based on the IAEA's Safety Fundamentals and on the Joint Convention on the safety of spent fuel and on the safety of radioactive waste, already ratified by nearly all Member States of the European Union. In general terms, it can be said that the proposal aims at creating a common legal framework enabling the harmonization of policies and practices at Community level and, in particular, to motivate the decision-making processes in Member States with the objective to make real progress to implement permanent solutions for spent fuel and radioactive waste. Generally speaking, it can be said that implementing permanent solutions for radioactive waste depends, not only on the availability of technical solutions and economical resources, but also to a great extent on socio-political factors, which requires the development of complex decision-making processes involving concerned stakeholders. These processes are country specific and very difficult to be extrapolated from one country to another, because they largely depend on historical and cultural aspects as well as on the countries' legal and administrative systems. Nevertheless, there exist common elements, which are critical for the development of these processes. On the one hand, there is the need for political willingness to initiate its development and, on the other hand, there are the rules of the game necessary to guide the process. These two elements should conform the objective and driving force of the Directive for the development of national programmes. This is the context in which the Directive can contribute with a positive effect in national programmes and provide real added value on existing international framework. The proposed Directive should provide beneficial effects in national programmes if it keeps to the intentions and

  9. The directive establishing a community framework for the nuclear safety of nuclear installations: the European Union approach to nuclear safety

    International Nuclear Information System (INIS)

    Garribba, M.; Chirtes, A.; Nauduzaite, M.

    2009-01-01

    This article aims at explaining the evolution leading to the adoption of the recent Council Directive 2009/71/EURATOM establishing a Community framework for the nuclear safety of nuclear installations adopted with the consent of all 27 members states following the overwhelming support of the European Parliament, that creates for the first time, a binding legal framework that brings legal certainty to European Union citizens and reinforces the role and independence of national regulators. The paper is divided into three sections. The first section addresses the competence of the European Atomic energy Community to legislate in the area of nuclear safety. It focuses on the 2002 landmark ruling of the European Court of justice that confirmed this competence by recognizing the intrinsic link between radiation protection and nuclear safety. The second part describes the history of the Nuclear safety directive from the initial 2003 European Commission proposal to today 's text in force. The third part is dedicated to a description of the content of the Directive and its implications on the further development of nuclear safety in the European Union. (N.C.)

  10. Screening for Corynebacterium diphtheriae and Corynebacterium ulcerans in patients with upper respiratory tract infections 2007-2008: a multicentre European study.

    LENUS (Irish Health Repository)

    Wagner, K S

    2011-04-01

    Diphtheria is now rare in most European countries but, when cases do arise, the case fatality rate is high (5-10%). Because few countries continue to routinely screen for the causative organisms of diphtheria, the extent to which they are circulating amongst different European populations is largely unknown. During 2007-2008, ten European countries each screened between 968 and 8551 throat swabs from patients with upper respiratory tract infections. Six toxigenic strains of Corynebacterium diphtheriae were identified: two from symptomatic patients in Latvia (the country with the highest reported incidence of diphtheria in the European Union) and four from Lithuania (two cases, two carriers); the last reported case of diphtheria in Lithuania was in 2002. Carriage rates of non-toxigenic organisms ranged from 0 (Bulgaria, Finland, Greece, Ireland, Italy) to 4.0 per 1000 (95% CI 2.0-7.1) in Turkey. A total of 28 non-toxigenic strains were identified during the study (26 C. diphtheriae, one Corynebacterium ulcerans, one Corynebacterium pseudotuberculosis). The non-toxigenic C. ulcerans strain was isolated from the UK, the country with the highest reported incidence of cases due to C. ulcerans. Of the eleven ribotypes detected, Cluj was seen most frequently in the non-toxigenic isolates and, amongst toxigenic isolates, the major epidemic clone, Sankt-Petersburg, is still in circulation. Isolation of toxigenic C. diphtheriae and non-toxigenic C. diphtheriae and C. ulcerans in highly-vaccinated populations highlights the need to maintain microbiological surveillance, laboratory expertise and an awareness of these organisms amongst public health specialists, microbiologists and clinicians.

  11. European Community Can Reduce CO2 Emissions by Sixty Percent : A Feasibility Study

    NARCIS (Netherlands)

    Mot, E.; Bartelds, H.; Esser, P.M.; Huurdeman, A.J.M.; Laak, P.J.A. van de; Michon, S.G.L.; Nielen, R.J.; Baar, H.J.W. de

    1993-01-01

    Carbon dioxide (CO2) emissions in the European Community (EC) can be reduced by roughly 60 percent. A great many measures need to be taken to reach this reduction, with a total annual cost of ECU 55 milliard. Fossil fuel use is the main cause of CO2 emissions into the atmosphere; CO2 emissions are

  12. European surveillance for enterovirus D68 during the emerging North-American outbreak in 2014

    DEFF Research Database (Denmark)

    Poelman, Randy; Schuffenecker, Isabelle; Van Leer-Buter, Coretta

    2015-01-01

    BACKGROUND: In August and September 2014, unexpected clusters of enterovirus-D68 (EV-D68) infections associated with severe respiratory disease emerged from North-America. In September, the European Centre for Disease Prevention and Control (ECDC) asked European countries to strengthen respiratory...... sample screening for enterovirus detection and typing in cases with severe respiratory presentations. OBJECTIVES: To provide a detailed picture of EV-D68 epidemiology in Europe by conducting a retrospective and prospective laboratory analysis of clinical specimens. STUDY DESIGN: An initiative supported...

  13. Doxycycline in the treatment of respiratory tract infections. Results of a pan-European multi-centre trial.

    Science.gov (United States)

    Pestel, M

    1975-01-01

    In the winter of 1973-4, general practitioners from seven European countries took part in a multi-centre trial of doxycycline in the treatment of infections of the respiratory tract. The carefully designed protocol was observed by all participants. A total of 1,747 patients were admitted to the trial; their ages ranged from 6 years to over 80. The commonest diagnoses (50%) were acute bronchitis and acute exacerbations of chronic bronchitis. On the recommended dosage of 200 mg doxycycline on the first day, followed by 100 mg daily thereafter (though 200 mg could be continued daily in severe cases), 87% of patients achieved good or very good results. Both subjective (pain) and objective (sputum volume and viscosity, temperature, cough) measures showed rapid improvement, usually by the third to fifth days. Side-effects were minimal and mainly gastrointestinal and caused only 4 patients to discontinue treatment. Overall, doxycycline proved its effectiveness and rapidity of action.

  14. Dotriacontane-16,17-14C distribution pattern in the respiratory system of two hamster species after passive exposure to radioactive labelled smoke

    International Nuclear Information System (INIS)

    Kmoch, N.; Mohr, U.

    1974-01-01

    The quantitative and qualitative distribution of 14 C labeled dotriacontane (DOT- 14 C) determined by liquid scintillation counting and autoradiography in the respiratory system, the digestive tract, liver and kidneys of Syrian golden and European hamsters, males and females, is described after they had been exposed to radioactive labeled cigarette smoke. The different DOT- 14 C distributions are discussed in detail with special attention given to the respiratory tract, related species differences and the topographic subdivisions of apex nasi, fundus nasi, pharynx, larynx, trachea, and lungs. It is apparent that the absolute amount of activity in the respiratory tract related to body size of the Syrian golden hamster is greater than in the European hamster but that the percentual distribution exhibits a greater filtering action of the upper respiratory tract of Syrian golden hamster than of the European hamster so that a larger percentual amount of total inhaled particulate matter reaches the lungs. The European hamster might be a more useful model for the investigation of respiratory tract carcinogenesis due to the possibility of a longer life time exposure and a higher sensitivity to respiratory tract carcinogens

  15. The European concerted action on air pollution epidemiology

    Energy Technology Data Exchange (ETDEWEB)

    Ackermann-Liebrich, U. [Basel Univ. (Switzerland). Inst. for Social and Preventive Medicine

    1995-12-31

    The European Concerted Action on Air Pollution Epidemiology was started in 1990 with the aim of bringing together European researchers in the field and improving research through collaboration and by preparing documents which would help to this end and by organizing workshops. A further aim was to stimulate cooperative research. Air pollution epidemiology investigates human effects of community air pollution by epidemiological methods. Epidemiology in general investigates the distribution and determinants of health-related states and events in populations. Diseases in which air pollution may play a significant role are mainly diseases of the respiratory system, for example chronic non-specific lung disease and lung cancer. Most diseases caused by air pollution can also be caused by other factors. Air pollution epidemiology is therefore specific in the expo variable (community air pollution) rather than in the type of health effects being studied. Air pollution epidemiology is beset with some specially challenging difficulties: ubiquitous exposure and as a consequence limited heterogeneity in exposure, low relative risks, few or specific health end points, and strong confounding. Further on the exposure-effect relationship is complicated by assumptions inherent to different study designs which relate to the exposure duration necessary to produce a certain health effect. In reports and workshops the concerted action tries to propose strategies to deal with these problems. (author)

  16. The European concerted action on air pollution epidemiology

    Energy Technology Data Exchange (ETDEWEB)

    Ackermann-Liebrich, U [Basel Univ. (Switzerland). Inst. for Social and Preventive Medicine

    1996-12-31

    The European Concerted Action on Air Pollution Epidemiology was started in 1990 with the aim of bringing together European researchers in the field and improving research through collaboration and by preparing documents which would help to this end and by organizing workshops. A further aim was to stimulate cooperative research. Air pollution epidemiology investigates human effects of community air pollution by epidemiological methods. Epidemiology in general investigates the distribution and determinants of health-related states and events in populations. Diseases in which air pollution may play a significant role are mainly diseases of the respiratory system, for example chronic non-specific lung disease and lung cancer. Most diseases caused by air pollution can also be caused by other factors. Air pollution epidemiology is therefore specific in the expo variable (community air pollution) rather than in the type of health effects being studied. Air pollution epidemiology is beset with some specially challenging difficulties: ubiquitous exposure and as a consequence limited heterogeneity in exposure, low relative risks, few or specific health end points, and strong confounding. Further on the exposure-effect relationship is complicated by assumptions inherent to different study designs which relate to the exposure duration necessary to produce a certain health effect. In reports and workshops the concerted action tries to propose strategies to deal with these problems. (author)

  17. Results of the European Community's beta intercomparison programme of individual dosemeters in 1986

    International Nuclear Information System (INIS)

    Bigard, T.; Sequin, H.; Chartier, J.L.; Christensen, P.; Francis, T.M.; Lembo, L.

    1988-01-01

    For over 20 years, the Commission of the European Communities, in collaboration with competent laboratories in the member states, has been conducting intercomparisons of individual dosemeters with the objective of improving technique for monitoring ionizing radiation and establishing a common basis for dose assessment within the Community. These programmes not only serve the participants with an opportunity to validate their calibration and measuring procedures but also help to create a forum in which to exchange information and discuss experience with other participants. The performance and results of such an intercomparison exercise conducted in 1986 are reported here

  18. Pupil Exchange in the European Community Venice Colloquium (October 24-28, 1977). Collection Studies. Education Series No. 5.

    Science.gov (United States)

    Commission des Communautes Europeennes (Luxembourg).

    This publication contains the papers of the Venice Colloquium held in October, 1977 by educators from European countries to discuss the topic of visits and exchanges for pupils. There are seven chapters. Chapter one discusses the context and objectives of the colloquium. Chapter two describes pupil visits and exchanges in the European community.…

  19. The Lisbon Treaty and the role of the European Parliament in the European Atomic Energy Community; Der Vertrag von Lissabon (EUV) und die Rolle des Europaeischen Parlaments im Rahmen der Europaeischen Atomgemeinschaft (EURATOM / EAGV)

    Energy Technology Data Exchange (ETDEWEB)

    Thomas, S. [Staatskanzlei des Landes Sachsen-Anhalt, Magdeburg (Germany)

    2008-01-15

    In June 2007, the European Council commissioned an intergovernmental conference to draft a 'treaty of reform' of the European Union. The wording of the treaty was signed by the heads of state and government of the member countries on December 13, 2007. The ongoing process of ratification in the 27 EU member countries is to be completed before the next elections to the European Parliament in June 2009. The treaty is now referred to as 'Lisbon Treaty'. The Lisbon Treaty (Treaty Amending the Treaty about the European Union and the Treaty Establishing the European Community) does not replace the European Treaties currently in force, but merely amends them. Also the 'Treaty Establishing the European Atomic Energy Community (EURATOM)' is amended in this way. On the basis of the contributions about 'The German Presidency Program of the Council Working Group on Nuclear Issues - an Interim Report' (W. Sandtner and S. Thomas) and 'Euratom Treaty and Intergovernmental Conference' (S. Thomas), current links to the Euratom Treaty with potential amendments are presented and commented upon. (orig.)

  20. Commission of the European Communities - Activities in the field of fast reactors

    International Nuclear Information System (INIS)

    Balz, W.

    1977-01-01

    The Commission of the European Communities is performing activities in the field of fast reactor on two lines: a) activities aiming to prepare the commercialization of fast reactors by coordination and collaboration between national programmes. b) the execution of an own programme in the Joint Research Centre at Ispra (Italy) and Karlsruhe (Federal Republic of Germany) in the field of FBR safety and research on Pu-bearing fuel

  1. Is autonomic modulation different between European and Chinese astronauts?

    Science.gov (United States)

    Liu, Jiexin; Li, Yongzhi; Verheyden, Bart; Chen, Shanguang; Chen, Zhanghuang; Gai, Yuqing; Liu, Jianzhong; Gao, Jianyi; Xie, Qiong; Yuan, Ming; Li, Qin; Li, Li; Aubert, André E

    2015-01-01

    The objective was to investigate autonomic control in groups of European and Chinese astronauts and to identify similarities and differences. Beat-to-beat heart rate and finger blood pressure, brachial blood pressure, and respiratory frequency were measured from 10 astronauts (five European taking part in three different space missions and five Chinese astronauts taking part in two different space missions). Data recording was performed in the supine and standing positions at least 10 days before launch, and 1, 3, and 10 days after return. Cross-correlation analysis of heart rate and systolic pressure was used to assess cardiac baroreflex modulation. A fixed breathing protocol was performed to measure respiratory sinus arrhythmia and low-frequency power of systolic blood pressure variability. Although baseline cardiovascular parameters before spaceflight were similar in all astronauts in the supine position, a significant increase in sympathetic activity and a decrease in vagal modulation occurred in the European astronauts when standing; spaceflight resulted in a remarkable vagal decrease in European astronauts only. Similar baseline supine and standing values for heart rate, mean arterial pressure, and respiratory frequency were shown in both groups. Standing autonomic control was based on a balance of higher vagal and sympathetic modulation in European astronauts. Post-spaceflight orthostatic tachycardia was observed in all European astronauts, whereas post-spaceflight orthostatic tachycardia was significantly reduced in Chinese astronauts. The basis for orthostatic intolerance is not apparent; however, many possibilities can be considered and need to be further investigated, such as genetic diversities between races, astronaut selection, training, and nutrition, etc.

  2. Is autonomic modulation different between European and Chinese astronauts?

    Directory of Open Access Journals (Sweden)

    Jiexin Liu

    Full Text Available The objective was to investigate autonomic control in groups of European and Chinese astronauts and to identify similarities and differences.Beat-to-beat heart rate and finger blood pressure, brachial blood pressure, and respiratory frequency were measured from 10 astronauts (five European taking part in three different space missions and five Chinese astronauts taking part in two different space missions. Data recording was performed in the supine and standing positions at least 10 days before launch, and 1, 3, and 10 days after return. Cross-correlation analysis of heart rate and systolic pressure was used to assess cardiac baroreflex modulation. A fixed breathing protocol was performed to measure respiratory sinus arrhythmia and low-frequency power of systolic blood pressure variability.Although baseline cardiovascular parameters before spaceflight were similar in all astronauts in the supine position, a significant increase in sympathetic activity and a decrease in vagal modulation occurred in the European astronauts when standing; spaceflight resulted in a remarkable vagal decrease in European astronauts only. Similar baseline supine and standing values for heart rate, mean arterial pressure, and respiratory frequency were shown in both groups. Standing autonomic control was based on a balance of higher vagal and sympathetic modulation in European astronauts.Post-spaceflight orthostatic tachycardia was observed in all European astronauts, whereas post-spaceflight orthostatic tachycardia was significantly reduced in Chinese astronauts. The basis for orthostatic intolerance is not apparent; however, many possibilities can be considered and need to be further investigated, such as genetic diversities between races, astronaut selection, training, and nutrition, etc.

  3. Respiratory cancer database: An open access database of respiratory cancer gene and miRNA

    Directory of Open Access Journals (Sweden)

    Jyotsna Choubey

    2017-01-01

    Results and Conclusions: RespCanDB is expected to contribute to the understanding of scientific community regarding respiratory cancer biology as well as developments of new way of diagnosing and treating respiratory cancer. Currently, the database consist the oncogenomic information of lung cancer, laryngeal cancer, and nasopharyngeal cancer. Data for other cancers, such as oral and tracheal cancers, will be added in the near future. The URL of RespCanDB is http://ridb.subdic-bioinformatics-nitrr.in/.

  4. The regulatory framework for storage and disposal of radioactive waste in the member states of the European Community

    International Nuclear Information System (INIS)

    Burholt, G.D.; Martin, A.

    1988-01-01

    The purpose of the study is to collate information and to summarise the present situation with regard to the regulatory framework for the storage and disposal of radioactive waste in each of the member countries of the European Community together with several important countries outside the Community. (author)

  5. Obligations to power supply and Antitrust Law of the European Community; Strombezugsverpflichtungen und EG-Kartellverbot

    Energy Technology Data Exchange (ETDEWEB)

    Lerch, Dirk

    2008-07-01

    In the European electricity supply industry, a change to competition-oriented national markets under development of a common European electricity market is observed for some years. Under this aspect, the author of the contribution under consideration reports on obligations to the current power supply and on the trust prohibition in the European Community. The contribution under consideration consists of the following three chapters: (a) Discussion of fundamental questions regarding to cartel legal evaluation of obligations to power supply; (b) Conditions of the art. 81 sect. 1 EEC and application to obligations for power supply; (c) Exemption from the obligation to power supply according to art. 1 sect. 3 EEC. In particular, the regulation of the group exemption for vertical agreements of 22nd December, 1999, is considered.

  6. ITER driver blanket, European Community design

    International Nuclear Information System (INIS)

    Simbolotti, G.; Zampaglione, V.; Ferrari, M.; Gallina, M.; Mazzone, G.; Nardi, C.; Petrizzi, L.; Rado, V.; Violante, V.; Daenner, W.; Lorenzetto, P.; Gierszewski, P.; Grattarola, M.; Rosatelli, F.; Secolo, F.; Zacchia, F.; Caira, M.; Sorabella, L.

    1993-01-01

    Depending on the final decision on the operation time of ITER (International Thermonuclear Experimental Reactor), the Driver Blanket might become a basic component of the machine with the main function of producing a significant fraction (close to 0.8) of the tritium required for the ITER operation, the remaining fraction being available from external supplies. The Driver Blanket is not required to provide reactor relevant performance in terms of tritium self-sufficiency. However, reactor relevant reliability and safety are mandatory requirements for this component in order not to significantly afftect the overall plant availability and to allow the ITER experimental program to be safely and successfully carried out. With the framework of the ITER Conceptual Design Activities (CDA, 1988-1990), a conceptual design of the ITER Driver Blanket has been carried out by ENEA Fusion Dept., in collaboration with ANSALDO S.p.A. and SRS S.r.l., and in close consultation with the NET Team and CFFTP (Canadian Fusion Fuels Technology Project). Such a design has been selected as EC (European Community) reference design for the ITER Driver Blanket. The status of the design at the end of CDA is reported in the present paper. (orig.)

  7. Prenatal Exposure to DDE and PCB 153 and Respiratory Health in Early Childhood

    DEFF Research Database (Denmark)

    Gascon, Mireia; Sunyer, Jordi; Casas, Maribel

    2014-01-01

    BACKGROUND: Persistent organic pollutants may affect the immune and respiratory systems, but available evidence is based on small study populations. We studied the association between prenatal exposure to dichlorodiphenyldichloroethylene (DDE) and polychlorinated biphenyl 153 (PCB 153) and children......'s respiratory health in European birth cohorts. METHODS: We included 4608 mothers and children enrolled in 10 birth cohort studies from 7 European countries. Outcomes were parent-reported bronchitis and wheeze in the first 4 years of life. For each cohort, we performed Poisson regression analyses, modeling...... 153 tertiles of exposure, whereas DDE associations were more robust. CONCLUSION: This large meta-analysis suggests that prenatal DDE exposure may be associated with respiratory health symptoms in young children (below 18 months), whereas prenatal PCB 153 levels were not associated with such symptoms....

  8. Measures taken in the member countries of the European Communities for anti-seismic design compared to actual US practice

    International Nuclear Information System (INIS)

    Vinck, W.; Maurer, H.A.

    1977-01-01

    Most countries of the European Communities base their anti-seismic design parameters on specific US earthquake characteristics. There are, however, important discrepancies in the basic data reported on the two continents as well as in their design application. This was one of the topics under discussion within an European working group on methodologies, criteria and standards in nuclear safety. The contribution is based on an inventory of the applied national practices, the existing specifications, regulations, and guidelines applied in the design, the manufacture, and the safety assessment of structures, systems, and components to withstand potential earthquake consequences in the countries of the European Communities. In a comparison of these national specifications and guidelines the common points of agreement are identified and the divergences discussed with reference to the US practice. Special attention is given to the divergencies for definition and determination of the reference eathquakes. In European countries the definitions of the reference earthquakes are largely analogous to definitions in the US Federal Regulations but expressed in a different way. For European countries, threshold values are proposed to guarantee safety for nuclear power plants. (Auth.)

  9. The Case-Law of the Court of Justice of the European Communities Concerning the Law of the World Trade Organization and the Autonomy of the European Community in the Implementation of Its Common Commercial Policy

    Directory of Open Access Journals (Sweden)

    Miguel Ángel Cepillo Galvín

    2009-12-01

    Full Text Available In the last years some authors have questioned the autonomy of the European Community when implementing its commercial policy, due to the amount of trade agreements signed by it and especially because of the commitments acquired in the WTO. There is no doubt that the compulsory fulfilment of these commitments is a conditioning factor with regard to the implementation of the Common Commercial Policy, but that doesn’t make the autonomy of the EU disappear in order to put its model of commercial policy into practice. In this respect, it’s necessary to underline the ample discretionary margin in the management of the commercial policy that the Court of Justice of the European Communities recognizes in favour of the EU institutions within the framework of its case-law related to the denial of the direct effect of the WTO agreements, as we analyze in this paper.

  10. Surveillance and laboratory detection for non-polio enteroviruses in the European Union/European Economic Area, 2016

    Science.gov (United States)

    Harvala, Heli; Jasir, Aftab; Penttinen, Pasi; Pastore Celentano, Lucia; Greco, Donato; Broberg, Eeva

    2017-01-01

    Enteroviruses (EVs) cause severe outbreaks of respiratory and neurological disease as illustrated by EV-D68 and EV-A71 outbreaks, respectively. We have mapped European laboratory capacity for identification and characterisation of non-polio EVs to improve preparedness to respond to (re)-emerging EVs linked to severe disease. An online questionnaire on non-polio EV surveillance and laboratory detection was submitted to all 30 European Union (EU)/European Economic Area (EEA) countries. Twenty-nine countries responded; 26 conducted laboratory-based non-polio EV surveillance, and 24 included neurological infections in their surveillance. Eleven countries have established specific surveillance for EV-D68 via sentinel influenza surveillance (n = 7), typing EV-positive respiratory samples (n = 10) and/or acute flaccid paralysis surveillance (n = 5). Of 26 countries performing non-polio EV characterisation/typing, 10 further characterised culture-positive EV isolates, whereas the remainder typed PCR-positive but culture-negative samples. Although 19 countries have introduced sequence-based EV typing, seven still rely entirely on virus isolation. Based on 2015 data, six countries typed over 300 specimens mostly by sequencing, whereas 11 countries characterised under 50 EV-positive samples. EV surveillance activity varied between EU/EEA countries, and did not always specifically target patients with neurological and/or respiratory infections. Introduction of sequence-based typing methods is needed throughout the EU/EEA to enhance laboratory capacity for the detection of EVs. PMID:29162204

  11. Respiratory cancer database: An open access database of respiratory cancer gene and miRNA.

    Science.gov (United States)

    Choubey, Jyotsna; Choudhari, Jyoti Kant; Patel, Ashish; Verma, Mukesh Kumar

    2017-01-01

    Respiratory cancer database (RespCanDB) is a genomic and proteomic database of cancer of respiratory organ. It also includes the information of medicinal plants used for the treatment of various respiratory cancers with structure of its active constituents as well as pharmacological and chemical information of drug associated with various respiratory cancers. Data in RespCanDB has been manually collected from published research article and from other databases. Data has been integrated using MySQL an object-relational database management system. MySQL manages all data in the back-end and provides commands to retrieve and store the data into the database. The web interface of database has been built in ASP. RespCanDB is expected to contribute to the understanding of scientific community regarding respiratory cancer biology as well as developments of new way of diagnosing and treating respiratory cancer. Currently, the database consist the oncogenomic information of lung cancer, laryngeal cancer, and nasopharyngeal cancer. Data for other cancers, such as oral and tracheal cancers, will be added in the near future. The URL of RespCanDB is http://ridb.subdic-bioinformatics-nitrr.in/.

  12. Supplying the six. [Supplies of nuclear fuels and ores to the European Community

    Energy Technology Data Exchange (ETDEWEB)

    Oboussier, F

    1975-07-01

    Under the Euratom Treaty, the European Community must ensure that all users in the Community receive a regular and equitable supply of ores and nuclear fuels. Supply to users in the Community of ores, source materials, and special fissile materials is based on the principle of equal access of the users to the supply sources. To ensure such equal access, the Treaty prohibits all practices designed to secure a privileged position for certain users. In addition, an agency has been set up with two essential rights--that of an option on all ores, source materials, and special fissile materials produced in the territories of the Member States; and the exclusive right to conclude all contracts relating to the supply of ores, source materials, and special fissile materials coming from inside the Community or from outside. Dealings of the Agency with outside agencies, especially the former US AEC, are described. The uranium market and its economics and the availability of special fissile materials are summarized. (MCW)

  13. Empowering European communities to improve natural resource management for human well-being: the OPPLA web portal & communities of practice

    Science.gov (United States)

    Metzger, M.; Brown, C.; Pérez-Soba, M.; Rounsevell, M.; Verweij, P.; Delbaere, B.; Cojocaru, G.; Saarikoski, H.; Harrison, P.; Zellmer, K.

    2014-12-01

    The ecosystem services concept is seen by many as a useful paradigm to support decision-making at the complex interface between science, policy and practice. However, to be successful, it requires a strong willingness for collaboration and joint understanding. In support of this aspiration, OPPLA is being developed as a web portal to enable European communities to better manage ecosystems for human well-being and livelihoods. OPPLA will provide access to a variety of online resources such as tools, case studies, lessons learned, videos, manuals and training and educational materials. It will also provide expert forums and spaces for discussions between researchers, practitioners and decision makers. Hence a critical aspect of the success of OPPLA is the co-evolution of communities of practice. An example of a community of practice is the recently launched Ecosystem Services Community - Scotland (ESCom-Scotland; escomscotland.wordpress.com). ESCom-Scotland aims to support better management of Scotland's natural resources by helping to establish a community of practice between individuals and groups involved in the science, policy and practice behind sustainable ecosystem management. It aspires to encourage the sharing of ideas, increase collaboration and to initiate a support network for those engaging with the ecosystem services concept and it will use the OPPLA resources to support these activities. OPPLA is currently at the developmental stage and was instigated by two large European Commission funded research projects: OPERAs (www.operas-project.eu) and OpenNESS (www.openness-project.eu), with a combined budget of ca. €24m. These projects aim to improve understanding of how ecosystem services contribute to human well-being in different social-ecological systems. Research will establish whether, how and under what conditions the ecosystem services concept can move beyond the academic domain towards practical implementation in support of sustainable ecosystem

  14. Bill authorizing the ratification of the protocol amending the Protocol on transitional provisions annexed to the Treaty on European Union, to the Treaty on the Functioning of the European Union and to the Treaty establishing the European Atomic Energy Community

    International Nuclear Information System (INIS)

    2010-01-01

    After an indication of the European Parliament composition, this text describes the transitional provisions adopted as the Lisbon Treaty did not come into effect before the European elections held in June 2009. The document also provides the protocol text signed by the Members States and which amended the protocol on transitional provisions annexed to the Treaty on the European Union, to the Treaty on the Functioning of the European Union and to the Treaty establishing the European Atomic Energy Community. The last part of the document discusses the administrative and legal consequences of this protocol. It also recalls the history of the negotiations and indicates the present status of signatures and ratifications

  15. Results of environmental radioactivity measurements in the member states of the European Community for air, deposition, water, milk, 1975-1976

    International Nuclear Information System (INIS)

    1978-01-01

    The present document is the sixteenth report published by the Health and Safety Directorate of the Commission of the European Communities concerning ambient radioactivity. It was drawn up using the data collected by the stations in charge of the surveillance of environmental radioactivity in the Member States. The results are extracts from the data sent to the Commission in application of Article 36 of the Treaty of Rome instituting the European Atomic Energy Community. This is the second document which includes data from the enlarged community-viz. Belgium, the Federal Republic of Germany, France, Italy, Luxembourg, the Netherlands, plus Denmark, Ireland and the United Kingdom, who joined the Community on 1 January 1973. The results presented in this report deal with radioactive contamination of the air, precipitaton and fallout, surface water and milk during 1975 and 1976

  16. Benchmark exercise of the European Community on common cause failure

    International Nuclear Information System (INIS)

    Doerre, P.

    1986-09-01

    This report summarizes experiences and results of the contractor's contribution to the 'Second Reliability Benchmark Exercise of the European Community on Common Cause Failure' (CCF-RBE). The choice of a method for the treatment of dependent failures in a given reliability analysis depends on the purpose and aim of this analysis as well as on quality and extent of the available data, which may also influence the necessary degree of detail of the analysis. When data are applied to a system with different degree of redundancy, two types of errors have to be avoided which lead to extremely pessimistic assessments. (orig.) With 20 refs., 3 tabs., 1 fig [de

  17. Results of environmental radioactivity measurements in the Member States of European Community for air-deposition-water 1973-1974, milk 1972-1973-1974

    International Nuclear Information System (INIS)

    1977-01-01

    The present document is the fifteenth report published by the Health and Safety Directorate of the Commission of the European Communities concerning ambient radioactivity and using the data collected by the stations in charge of the surveillance of the environmental radioactivity in Member States. The results are compiled and extracted from the data sent to the Commission in application of Article 36 of the Treaty of Rome instituting the European Atomic Energy Community. It is the first document in which data from Denmark, Ireland and the United Kingdom which joined the European Community on 1 January 1973 are included in addition to data from Belgium, the Federal Republic of Germany, France, Italy, Luxembourg and the Netherlands. The results presented in this report cover the years 1973 and 1974 for air deposition and surface water and the years 1972, 1973 and 1974 for milk

  18. Act No 142-19 February 1992. Provisions for implementing Italy's obligations stemming from its membership in the European Community (Community law for 1991)

    International Nuclear Information System (INIS)

    1992-01-01

    This Act takes into account Directive 89/618/Euratom of 27 November 1989 of the Council of the European Communities on informing the general public about health protection measures to be applied and steps to be taken in the event of a radiological emergency. (NEA)

  19. Seasonal Influenza Vaccine Uptake in a Respiratory Outpatients Clinic

    LENUS (Irish Health Repository)

    Rossiter, A

    2017-02-01

    Influenza is an acute viral respiratory illness that continues to cause significant morbidity and mortality in Ireland. Despite well-established national and international guidelines1 and increased public awareness campaigns, vaccine uptake rates are well below target worldwide2. We performed an audit of influenza vaccine uptake at a Respiratory outpatient clinic in a tertiary referral centre. 54% (n=41) of patients received the annual vaccine, well below the target of 75% set by the European Centre for Disease Prevention and Control (ECDC).

  20. Applications in environmental risk assessment of leucocyte apoptosis, necrosis and respiratory burst analysis on the European bullhead, Cottus sp

    International Nuclear Information System (INIS)

    Bado-Nilles, Anne; Jolly, Sabrina; Porcher, Jean-Marc; Palluel, Olivier; Geffard, Alain

    2014-01-01

    The use of a biochemical multi-biomarker approach proved insufficient to obtain clear information about ecosystem health. The fish immune system is considered as an attractive non-specific marker for environmental biomonitoring which has direct implications in individual fitness and population growth. Thus, the present work proposes the use of fish immunomarkers together with more common biochemical biomarkers in sampling conditions optimized to reduce biomarker variability and increase parameter robustness. European bullheads (Cottus sp.) from 11 stations in the Artois-Picardie watershed (France) were sampled. In the multiple discriminant analysis, the sites were highly correlated with apoptosis, respiratory burst, GST and EROD activities. Moreover, the use together of biochemical and immune markers increased the percentage of fish correctly classed at each site and enhanced site separation. This study argues in favor of the utilization of apoptosis, necrosis and respiratory burst for the determination of environmental risk assessment in addition to the set of biochemical biomarkers commonly used in fish. -- Highlights: • Optimization of biomarker variability and parameters robustness for biomonitoring. • Adding of fish immunomarkers together with more current biochemical biomarkers. • Use of immune system allows a better evaluation of fish health. • We argue for the deployment of immunomarkers in freshwater monitoring programs. -- Attractive use of freshwater fish leucocyte non-specific immune function in environmental risk assessment according to international recommendations

  1. Results of environmental radioactivity measurements in the Member States of the European Community for air - deposition - water - milk - 1977

    International Nuclear Information System (INIS)

    1979-01-01

    The present document is the seventeenth report published by the Health and Safety Directorate of the Commission of the European Communities concerning ambient radioactivity. It was drawn up using the data collected by the stations responsible for environmental radioactivity monitoring in the Member States. The results are extracts from the data sent to the Commission in application of Article 36 of the Treaty of Rome establishing the European Atomic Energy Community. The results presented in this report deal with radioactive contamination of the air, precipitation and fallout, surface water and milk during 1977 in the nine Member States of the European Community, viz. Belgium, Denmark, the Federal Republic of Germany, France, Italy, Ireland, Luxembourg, the Netherlands and the United Kingdom. The report also contains supplementary data on short-lived radioelements detected during the fourth quarter of 1977, the list of sampling stations and laboratories together With a list of publications by Member States in this field. This report places special emphasis on the measurement results for specific radionuclides, but it also contains data on total beta activity so as to ensure continuity vis-a-vis previous reports and provide comparative values

  2. Results of environmental radioactivity measurements in the Member States of the European Community for air - deposition - water - milk. 1981

    International Nuclear Information System (INIS)

    1983-01-01

    This is the 21st report on ambient radioactivity published by the Health and Safety Directorate of the Commission of the European Communities. It was drawn up using the data collected by stations responsible for environmental radioactivity monitoring in Member States. The results are extracts from the data sent to the Commission under Article 36 of the Treaty of Rome establishing the European Atomic Energy Community. The results presented in this report deal with radioactivity of the air, deposition, surface water and milk during 1981 in the ten Member States of the European Community, viz. Belgium, Denmark, Federal Republic of Germany, Greece, France, Ireland, Italy, Luxembourg, the Netherlands and the United Kingdom. The results are presented under four main headings: artificial radioactivity in the air at ground level; artificial radioactivity in deposition; radioactivity of water; radioactivity of milk. The report also contains the list of sampling stations and laboratories, together with a list of publications by Member States in this field. This report places special emphasis on the measurement results for specific radionuclides, but it also contains data on total beta activity so as to ensure continuity vis-a-vis previous and provide comparative values

  3. The European Community dimension to the problem of accidental radioactive releases to the environment

    International Nuclear Information System (INIS)

    Bennett, E.

    1989-01-01

    The European Community has to comply with the provisions of the Euratom Treaty, 1957. As well as providing the conditions necessary for the growth of nuclear industries it lays down the task to establish uniform Safety Standards to protect the health of workers and of the general public. This includes emergency planning in case of nuclear accidents. As a result the Community followed the guide, published in 1982 by the International Commission on Radiological Protection, on the radiological protection criteria for controlling doses to the public in the event of accidental releases of radioactive materials. However when the Chernobyl accident occured the Community and International arrangements proved to be inadequate to respond to the consequent widespread contamination over Europe. Measures have been taken since then to improve the preparedness of the Community. They include better exchange of information, control of contaminated foodstuffs and better information to the public. (U.K.)

  4. Species-specific effects of Asian and European earthworms on microbial communities in Mid-Atlantic deciduous forests

    Science.gov (United States)

    Earthworm species with different feeding, burrowing, and/or casting behaviors can lead to distinct microbial communities through complex direct and indirect processes. European earthworm invasion into temperate deciduous forests in North America has been shown to alter microbial biomass in the soil ...

  5. Respiratory hypersensitivity reactions to NSAIDs in Europe

    DEFF Research Database (Denmark)

    Makowska, J S; Burney, P; Jarvis, D

    2016-01-01

    BACKGROUND: Nonsteroidal anti-inflammatory drugs (NSAIDs) are among the most prevalent drugs inducing hypersensitivity reactions. The aim of this analysis was to estimate the prevalence of NSAID-induced respiratory symptoms in population across Europe and to assess its association with upper...... and lower respiratory tract disorders. METHODS: The GA(2) LEN survey was conducted in 22 centers in 15 European countries. Each of 19 centers selected random samples of 5000 adults aged 15-74 from their general population, and in three centers (Athens, Munich, Oslo), a younger population was sampled...... prevalence of NSAID-induced dyspnea was 1.9% and was highest in the three Polish centers [Katowice (4.9%), Krakow (4.8%), and Lodz (4.4%)] and lowest in Skopje, (0.9%), Amsterdam (1.1%), and Umea (1.2%). In multivariate analysis, the prevalence of respiratory reactions to NSAIDs was higher in participants...

  6. European Symposium on Precision Medicine in Allergy and Airways Diseases: Report of the European Union Parliament Symposium (October 14, 2015).

    Science.gov (United States)

    Muraro, A; Fokkens, W J; Pietikainen, S; Borrelli, D; Agache, I; Bousquet, J; Costigliola, V; Joos, G; Lund, V J; Poulsen, L K; Price, D; Rolland, C; Zuberbier, T; Hellings, P W

    2016-05-01

    The European Academy of Allergy and Clinical Immunology (EAACI), the European Rhinologic Society (ERS), and the European Medical Association (EMA) organized, on October 14, 2015, a symposium in the European Parliament in Brussels on Precision Medicine in Allergy and Airways Diseases, hosted by MEP David Borrelli, and with active participation of the EU Commissioner for Health and Food Safety Vytenis Andriukaitis, MEP Sirpa Pietikainen, Chair of the European Parliament Interest Group on Allergy and Asthma, the European Respiratory Society (ERS), the European Federations of Allergy and Airways Diseases Patients Associations (EFA), the Global Allergy and Asthma European Network (Ga2len), Allergic Rhinitis and Its Impact on Asthma (ARIA), and the Respiratory Effectiveness Group (REG). The socioeconomic impact of allergies and chronic airways diseases cannot be underestimated, as they represent the most frequently diagnosed chronic noncommunicable diseases in the EU; 30% of the total European population is suffering from allergies and asthma, and more than half are deprived from adequate diagnosis and treatment. Precision medicine represents a novel approach, embracing four key features: personalized care based on molecular, immunologic, and functional endotyping of the disease, with participation of the patient in the decision-making process of therapeutic actions, and considering predictive and preventive aspects of the treatment. Implementation of precision medicine into clinical practice may help to achieve the arrest of the epidemic of allergies and chronic airways diseases. Participants underscored the need for optimal patient care in Europe, supporting joint action plans for disease prevention, patient empowerment, and cost-effective treatment strategies. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  7. Can the European Central Bank Create a European identity?

    DEFF Research Database (Denmark)

    Ravn Sørensen, Anders

    2014-01-01

    In what ways do central banks construct community, and how may the European Central Bank (ECB) contribute to a supranational European identity? In this paper I seek to answer these two questions by developing a conceptual framework for the ways that central banks construct national identities and...

  8. Analysis of risk factors for acute respiratory tract infections (ARI) of Toddlers in Ingin Jaya community health centre of Aceh Besar district

    Science.gov (United States)

    Safitri, Faradilla; Hayati, Risna; Marniati

    2017-09-01

    Acute Respiratory Infections (ARI) is a disease in developing countries 25% that caused the death of children under five. In Aceh province disease is always on the list of 10 biggest disease each year which amounted to 47.258 cases. In Ingin Jaya Community Health Centre cases of acute respiratory tract infections in infants in 2014 were 112 cases, while in 2015 an increase of as many as 123 cases. Objective: To analyze the risk factors of acute respiratory diseases in health centers of Toddlers Ingin Jaya, Aceh Besar district. Analytical research the design of case control, case-control comparison of 1: 1 ie the sample of 60 cases and 60 control, retrieval of data taken from the register space IMCI Health Center. The study was conducted in 2016. Results: Factor toddler age (OR=11.811), gender (OR=3.512), birth weight (OR=8.805), immunization status (OR=4.846), exclusive breastfeeding (OR=2.529). Conclusions and Recommendations: Toddlers aged>2 years has the opportunity 11.811 times of acute respiratory tract infections. Male Toddler has a chance 3.512 times of acute respiratory tract infections. Toddlers are born with a normal weight does not have a chance of 8.805 times of acute respiratory tract infections. Toddlers who do not get complete immunization has the opportunity 4.846 times of acute respiratory tract infections. Toddlers who did not receive exclusive breastfeeding has 2,529 times greater chance of respiratory tract infections. Health workers and the Aceh Provincial Health Office can provide information through health education each month for each work area of health centers, or create a billboard on the causes of the ispa in infants.

  9. European Union Energy Research

    International Nuclear Information System (INIS)

    Valdalbero, D.R.; Schmitz, B.; Raldow, W.; Poireau, M.

    2007-01-01

    This article presents an extensive state of the art of the energy research conducted at European Union level between 1984 and 2006, i.e. from the first to the sixth European Community Framework Programmes (FP1-FP6) for Research, Technological Development and Demonstration (RTD and D). The FP is the main legal tool and financial instrument of EU RTD and D policy. It sets the objectives, priorities and budgets for a period of several years. It has been complemented over time with a number of policy oriented initiatives and notably with the launch of the European Research Area. FP7 will cover the period 2007-2013 and will have a total budget of more than euros 50 billion. Energy has been a main research area in Europe since the founding Treaties (European Coal and Steel Community, European Atomic Energy Community-Euratom and European Economic Community), and energy RTD and D has always been a substantial part of common EU research. Nevertheless, when inflation and successive European enlargements are taken into account, over time the RTD and D effort in the field of energy has decreased significantly in relative terms. In nominal terms it has remained relatively stable at about euros 500 million per year. For the next years (FP7), it is expected that energy will still represent about 10 % of total EU research effort but with an annual budget of more than euros 800 million per year. This article presents a detailed review of the thematic areas and budget in both European nuclear energy research (fusion and fission) and non-nuclear energy research (energy efficiency/rational use of energy, fossil fuels, CO 2 capture and storage, fuel cells and hydrogen, renewable energy sources, strategic energy research/socio-economy). (authors)

  10. Declining primary energy consumption in nine countries of the European Community in 1980

    International Nuclear Information System (INIS)

    Gabel, R.

    1981-01-01

    The Statistical Office of the European Communities has published preliminary figures for energy consumption in the Community (of the Nine) for the year 1980. These show a primary energy consumption for the EEC in 1980 of approx. 1344 mtce. That is 63 mtce or 4.5% less than in the previous year. Primary energy consumption in 1980 still bore comparison, to some extent, with the previous record figures for 1973, the last 'normal year' before the first crisis. The figures for all the Community countries show that the energy policy measures introduced in recent years are becoming more effective, particularly the attempts to restrict oil consumption. There is also the effect of oil prices, which again rose dramatically in 1979/80. Whether this decline in consumption will continue in the future will only become clear when the promised economic upturn arrives. (orig./UA) [de

  11. Community intervention to promote rational treatment of acute respiratory infection in rural Nepal.

    Science.gov (United States)

    Holloway, Kathleen A; Karkee, Shiba B; Tamang, Ashalal; Gurung, Yam Bahadur; Kafle, Kumud K; Pradhan, Ramesh; Reeves, Barnaby C

    2009-01-01

    To evaluate a community education program about treatment of acute respiratory infection (ARI). First, community case definitions for severe and mild ARI were developed. The intervention was then evaluated using a controlled before-and-after design. Household surveys collected data about ARI treatment in 20 clusters, each based around a school and health facility. Treatment indicators included percentages of cases attending health facilities and receiving antibiotics. The intervention consisted of an education program in schools culminating in street theater performances, discussions with mothers after performances and training for community leaders and drug retailers by paramedics. The intervention was conducted in mid-2003. Indicators were measured before the intervention in Nov/Dec 2002 and again in Dec 2003/Jan 2004. Two thousand and seven hundred and nineteen households were surveyed and 3654 under-fives were identified, of whom 377 had severe ARI. After implementing the intervention, health post (HP) attendance rose by 13% in under-fives with severe ARI and fell by 9% in under-fives with mild ARI (test of interaction, P = 0.01). Use of prescribed antibiotics increased in under-fives with severe ARI by 21% but only by 1% in under-fives with mild ARI (test of interaction, P = 0.38). Irrespective of ARI severity, the use of non-prescribed antibiotics dropped by 5% (P = 0.002), and consultation with female community health volunteers (FCHVs)and use of safe home remedies increased by 6.7% (P not estimated) and 5.7% (P = 0.008) respectively. The intervention was implemented using local structures and in difficult circumstances, yet had a moderate impact. Thus it has the potential to effect large scale changes in behaviour and merits replication elsewhere.

  12. General Principles of the WTO and European Community Laws in Building International Competition Norms

    Directory of Open Access Journals (Sweden)

    Chan Mo Chung

    2002-12-01

    Full Text Available The World Trade Organization (WTO established a Working Group on the interaction between trade and competition policy in 1996. By the Doha Ministerial Declaration, it recognized the case for international competition policy framework and agreed that the relevant negotiations take place after the Fifth Session of the Ministerial Conference. The Working Group is meant to focus on the clarification of: core principles, including transparency, non-discrimination and procedural fairness among others in the period until the Fifth Session. This article attempts to clarify the implications of the core (WTO principles to the would-be international competition laws and practices. It further tries to get lessons from competition law and practices of the European Community. Protection of fundamental rights, proportionality, non-discrimination, transparency, supremacy, subsidiarity and direct effect are the general principles of the European Community law to be discussed in relation to the competition law and policy. It concludes that the general principles of the WTO and EC laws provide guiding principles for the future international competition norms, and makes some preliminary assessment of the present Korean competition law and policy in the light of those principles.

  13. Intensification of agriculture, landscape composition and wild bee communities: A large scale study in four European countries

    NARCIS (Netherlands)

    Feon, Le V.; Schermann-Legionnet, A.; Delettre, Y.; Aviron, S.; Billeter, R.; Bugter, R.J.F.; Hendrickx, F.; Burel, F.

    2010-01-01

    The impacts of agricultural practices and landscape composition on bee communities were investigated in 14 sites located in four Western European countries (Belgium, France, the Netherlands and Switzerland). Standardized interviews with farmers assessed agricultural practices in terms of

  14. Arisings of cladding wastes from nuclear fuel in the European Community

    International Nuclear Information System (INIS)

    Cottone, G.

    1978-01-01

    An inquiry has been made in the member states on composition, activation and amounts of cladding wastes arising in the European Community until 1990 from the following reactor types: BWR, PWR, SGHWR, AGR and FBR. The elaborated results of this inquiry are given in this report. On the basis of forecasted reprocessing capacities the cumulative amount of cladding waste in the Community was estimated to reach in 1985 and 1990, respectively, about 2,100 and 7,300 metric tons. This waste will mainly consist of zircaloy and of smaller amounts of stainless steel and nickel alloy. Assuming that 0.5% of the spent fuel remains with the cladding, the contamination has been estimated for cooling times varying from 1 to 1000 years. In the first centuries activation is prevailing, but contamination determines the long-term radioactivity; consequently better decontamination, removing the alpha-bearing compounds, would be beneficial in reducing the long term hazard

  15. Critical age windows in the impact of lifetime smoking exposure on respiratory symptoms and disease among ever smokers.

    Science.gov (United States)

    Erbas, Bircan; Knudsen, Toril Mørkve; Janson, Christer; Nilsen, Roy M; Accordini, Simone; Benediktdottir, Bryndis; Dratva, Julia; Heinrich, Joachim; Jarvis, Debbie; Leynaert, Benedcite; Matheson, Melanie C; Norbäck, Dan; Real, Francisco G; Raherison-Semjen, Chantal; Villani, Simona; Dharmage, S C; Svanes, C

    2018-07-01

    Despite extensive knowledge of smoking effects on respiratory disease, there is no study including all age windows of exposure among ever smokers. The objective of this study was to assess the effects from smoking exposure in utero, early childhood, adolescence and adulthood on respiratory health outcomes in adult male and female ever smokers. Respiratory health outcomes were assessed in 10,610 participants of the European Community Respiratory Health Survey (ECRHS) I who reported a history of ever smoking by questionnaire. The associations of maternal smoking in utero, maternal smoking during childhood, age of smoking debut and pack-years of smoking with respiratory symptoms, obstructive diseases and bronchial hyperreactivity were analysed using generalized linear regression, non-linearity between age of smoking debut and outcomes were assessed by Generalized additive mixed models. Respiratory symptoms and asthma were more frequent in adults if their mother smoked during pregnancy, and, in men, also if mother smoked in childhood. Wheeze and ≥3 respiratory symptoms declined with later smoking debut among women [≤10 years: OR = 3.51, 95% CI 1.26, 9.73; 11-12 years: 1.57[1.01-2.44]; 13-15 years: 1.11[0.94-1.32] and ≤10 years: 3.74[1.56-8.83]; 11-12 years: 1.76[1.19-2.56]; 13-15 years: 1.12[0.94-1.35], respectively]. Effects of increasing number of packyears were pronounced in women (Chronic Obstructive Pulmonary Disease (COPD): OR/10 packyears women: 1.33 [1.18, 1.50], men: 1.14 [1.04, 1.26] p interaction = 0.01). Among ever smokers, smoking exposure in each stage of the lifespan show persistent harmful effects for adult respiratory health, while women appeared to be more vulnerable to an early age of smoking debut and amount of smoking in adulthood. Copyright © 2018. Published by Elsevier Inc.

  16. Assessing respiratory pathogen communities in bighorn sheep populations: Sampling realities, challenges, and improvements.

    Directory of Open Access Journals (Sweden)

    Carson J Butler

    Full Text Available Respiratory disease has been a persistent problem for the recovery of bighorn sheep (Ovis canadensis, but has uncertain etiology. The disease has been attributed to several bacterial pathogens including Mycoplasma ovipneumoniae and Pasteurellaceae pathogens belonging to the Mannheimia, Bibersteinia, and Pasteurella genera. We estimated detection probability for these pathogens using protocols with diagnostic tests offered by a fee-for-service laboratory and not offered by a fee-for-service laboratory. We conducted 2861 diagnostic tests on swab samples collected from 476 bighorn sheep captured across Montana and Wyoming to gain inferences regarding detection probability, pathogen prevalence, and the power of different sampling methodologies to detect pathogens in bighorn sheep populations. Estimated detection probability using fee-for-service protocols was less than 0.50 for all Pasteurellaceae and 0.73 for Mycoplasma ovipneumoniae. Non-fee-for-service Pasteurellaceae protocols had higher detection probabilities, but no single protocol increased detection probability of all Pasteurellaceae pathogens to greater than 0.50. At least one protocol resulted in an estimated detection probability of 0.80 for each pathogen except Mannheimia haemolytica, for which the highest detection probability was 0.45. In general, the power to detect Pasteurellaceae pathogens at low prevalence in populations was low unless many animals were sampled or replicate samples were collected per animal. Imperfect detection also resulted in low precision when estimating prevalence for any pathogen. Low and variable detection probabilities for respiratory pathogens using live-sampling protocols may lead to inaccurate conclusions regarding pathogen community dynamics and causes of bighorn sheep respiratory disease epizootics. We recommend that agencies collect multiples samples per animal for Pasteurellaceae detection, and one sample for Mycoplasma ovipneumoniae detection from

  17. State Power and the Acquis Communautaire in the European Community of the early 1970s

    DEFF Research Database (Denmark)

    Rasmussen, Morten

    2007-01-01

    This article analyses in a historical perspective the so-called acquis communautaire, i.e. the body of law, rules, including informal decisions/norms, taken by the European Community/European Union. In the first part of the article the early history of the concept from the establishment of the EC...... in 1958 to the early 1970s is analysed. The second part of the article analyses the impact of the acquis communautaire on the way the EC negotiated during the first successful enlargement negotiations from 1970 to 1972 with Denmark, Ireland, Norway and Britain. The article demonstrates empirically...... that even if national governments continued to play a leading role in European cooperation, the existence of a common body of law, rules and norms was difficult for single governments to set aside in their pursuance after of narrow national interest. This did not mean that laws could not be bent, or broken...

  18. European study protocol: `Effect of short-term changes in urban air pollution on the respiratory health of children with chronic respiratory symptoms. The PEACE project, Pollution Effects on Asthmatic Children in Europe

    Energy Technology Data Exchange (ETDEWEB)

    Roemer, W.; Hoek, G.; Brunekreef, B. [Wageningen Univ. (Netherlands). Dept. of Epidemiology and Public Health] [and others

    1995-12-31

    Over the last decades, concentrations of air pollution components such as SO{sub 2} and airborne, coarse particulates have decreased in many areas in Europe. This decrease can be ascribed to emission abatement measures and changes in energy production for industrial processes and space heating. Levels of other pollutants such as NO{sub 2} have increased during the same period, mostly due to higher intensity of motor vehicle traffic. Older epidemiologic studies on health effects of air pollution used indicator pollutants such as SO{sub 2}, Total Suspended Particulate matter (TSP) and Black Smoke at extremely high levels. More recent studies using the same and other indicators such as PM10 (particles with a median aerodynamic diameter of 10 {mu}m) have shown effects of air pollution on mortality and morbidity at lower levels, even sometimes lower than current WHO air quality guidelines for Europe. These findings suggest that due to the changing composition of air pollution, effects of air pollution can be seen below levels of exposure which were thought to be safe. Another reason is that the recent studies are conducted at levels which were hard to find in earlier days. Therefore new, quantitative data are needed to evaluate the current guidelines and standards. In order to achieve this, standardization of methodology as well as the execution of epidemiologic studies using such standardized methodology is needed. In the framework of the ENVIRONMENT Research Programme of the Commission of the European Communities, a collaborative study was funded that sought to develop a standardized methodology for epidemiologic studies of effects short-term changes in air pollution on the respiratory system

  19. European study protocol: `Effect of short-term changes in urban air pollution on the respiratory health of children with chronic respiratory symptoms. The PEACE project, Pollution Effects on Asthmatic Children in Europe

    Energy Technology Data Exchange (ETDEWEB)

    Roemer, W; Hoek, G; Brunekreef, B [Wageningen Univ. (Netherlands). Dept. of Epidemiology and Public Health; and others

    1996-12-31

    Over the last decades, concentrations of air pollution components such as SO{sub 2} and airborne, coarse particulates have decreased in many areas in Europe. This decrease can be ascribed to emission abatement measures and changes in energy production for industrial processes and space heating. Levels of other pollutants such as NO{sub 2} have increased during the same period, mostly due to higher intensity of motor vehicle traffic. Older epidemiologic studies on health effects of air pollution used indicator pollutants such as SO{sub 2}, Total Suspended Particulate matter (TSP) and Black Smoke at extremely high levels. More recent studies using the same and other indicators such as PM10 (particles with a median aerodynamic diameter of 10 {mu}m) have shown effects of air pollution on mortality and morbidity at lower levels, even sometimes lower than current WHO air quality guidelines for Europe. These findings suggest that due to the changing composition of air pollution, effects of air pollution can be seen below levels of exposure which were thought to be safe. Another reason is that the recent studies are conducted at levels which were hard to find in earlier days. Therefore new, quantitative data are needed to evaluate the current guidelines and standards. In order to achieve this, standardization of methodology as well as the execution of epidemiologic studies using such standardized methodology is needed. In the framework of the ENVIRONMENT Research Programme of the Commission of the European Communities, a collaborative study was funded that sought to develop a standardized methodology for epidemiologic studies of effects short-term changes in air pollution on the respiratory system

  20. Endotoxin levels in settled airborne dust in European schools : The HITEA school study

    NARCIS (Netherlands)

    Jacobs, J. H.; Krop, E. J M; Borras-Santos, A.; Zock, J. P.; Taubel, M.; Hyvarinnen, A.; Pekkanen, J.; Doekes, G.; Heederik, D. J J

    2014-01-01

    Indoor exposure to microbial agents is known to influence respiratory health. Besides home exposure, exposure in schools can affect respiratory health. In this study, we measured endotoxin in settled dust in primary schools in three European countries from three different geographical regions with

  1. Respiratory adaptations in different types of sport.

    Science.gov (United States)

    Lazovic, B; Mazic, S; Suzic-Lazic, J; Djelic, M; Djordjevic-Saranovic, S; Durmic, T; Zikic, D; Zugic, V

    2015-06-01

    Recent studies demonstrated that current European Respiratory Society/American Thoracic Society spirometric reference equations, used in general population, may not be applicable in population of elite athletes. Althought it is well known that physical activity may affect lung volumes, the effect of sporting activity on pulmonary function testing indices was never examined. The aim of this study was to examine the differences in functional respiratory parameters in various types of sports by measuring lung volumes and to extend the existing factors as well as sport disciplines which affect respiratory function the most. A total of 1639 elite male athletes, aged 18-35 years were divided in 4 groups according to the predominant characteristics of training: skill, power, mixed and endurance athletes. They performed basic anthropometric measurements and spirometry. Groups were compared, and Pearson's simple correlation was performed to test the relation between anthropometric and spirometric characteristics of athletes. All anthropometric characteristics significantly differed among groups and correlate with respiratory parameters. The highest correlation was found for body height and weight. Sports participation is associated with respiratory adaptation, and the extent of adaptation depends on type of activity. Endurance sports athletes have higher lung volumes in comparison with skill, mixed and power group of sport.

  2. Prospects for plutonium recycling in light-water reactors in the European Communities

    International Nuclear Information System (INIS)

    Haijtink, B.

    1977-01-01

    On the basis of a forecast on nuclear power installation programmes and spent nuclear fuel reprocessing capacities in the European Community, an assessment has been made of the developmnt of the plutonium handling industry up to the year 1990. Data on plutonium recovered in the reprocessing plants, requirements for fuelling the fast-breeder reactors and the remaining stockpile have been evaluated. A possible strategy for recycling the plutonium surplus in light-water reactors has been developed and its effects as regards saving on requirements for natural uranium and enrichment services have been estimated

  3. Legal problems of energy supply within the European Communities

    International Nuclear Information System (INIS)

    Tettinger, P.J.

    1993-01-01

    The report contains two articles; the first one is titled: The Directives on Transit of Gas and Electricity - Considerations regarding the juridical limits of the realisation of the Internal Market in the Energy Sector. It has basic considerations regarding the competences of the EC-legal nature of primary and secondary Community law; it analyzes the network of competences, the legality of the Commission's Proposals concerning the Internal Energy Market and further on the possibilities of legal recourse for enterprises in the Federal Republic of Germany in case the proposal directives are adopted. The second article deals with legal problems of energy supply within the EC-especially under the aspect of British coal mining. It incluses considerations regarding a proposed European Energy Charter, recent developments in EC-law regarding electricity and natural gas, third country imports: dumping, and privatisation. (HSCH)

  4. The nuclear industry in the European Community

    International Nuclear Information System (INIS)

    Gasterstaedt, N.

    1990-01-01

    In its reference program of 1984, the Commission presented the guidelines for the objectives in the field of nuclear electricity production within the Community. In addition, the effects have been investigated which concern the realization of these objectives for all persons involved in nuclear energy: local government, utility companies and industry. The question of nuclear energy is part of the general energy policy. Therefore, the reference program of 1984 was one of the elements which has been considered up to 1995 by the Council when defining the objectives for energy economy. The guidelines of the Commission in the reference program of 1984 are still valid today. It is important, however, to check the effects of the completion of the internal market on nuclear industry. Therefore, the Commission announced in its working program of 1989 that it will revise the reference nuclear program with regard to the prospects of the European internal market. The present document fulfills this obligation. The problems of the industry for the design and construction of nuclear power plants are treated intentionally. After the Commission for Economic and Social Affairs has given its statement, the commission will publish the document officially. (orig./UA) [de

  5. Respiratory virology and microbiology in intensive care units

    DEFF Research Database (Denmark)

    Østby, Anne-Cathrine; Gubbels, Sophie; Baake, Gerben

    2013-01-01

    Our aim was to determine the frequency of 12 common respiratory viruses in patients admitted to intensive care units with respiratory symptoms, evaluate the clinical characteristics and to compare the results to routine microbiological diagnostics. Throat swabs from 122 intensive care-patients >18...... years with acute respiratory symptoms were collected upon admission and analysed with multiplex real-time polymerase chain reaction, for 12 community respiratory viruses. Blood and respiratory tract specimens were analysed for bacteria and fungi upon clinicians' request. Clinical and paraclinical data...... were collected. Viruses were detected in 19 (16%) of the 122 study patients. Five virus-positive patients (26%) had possible clinically relevant bacteria or fungi co-detected. Patients with exacerbation in COPD were associated with a viral infection (p = 0.02). Other comorbidities, clinical...

  6. Hypoxemic Respiratory Failure from Acute Respiratory Distress Syndrome Secondary to Leptospirosis

    Directory of Open Access Journals (Sweden)

    Shannon M. Fernando

    2017-01-01

    Full Text Available Acute respiratory distress syndrome (ARDS, characterized by hypoxemic respiratory failure, is associated with a mortality of 30–50% and is precipitated by both direct and indirect pulmonary insults. Treatment is largely supportive, consisting of lung protective ventilation and thereby necessitating Intensive Care Unit (ICU admission. The most common precipitant is community-acquired bacterial pneumonia, but other putative pathogens include viruses and fungi. On rare occasions, ARDS can be secondary to tropical disease. Accordingly, a history should include travel to endemic regions. Leptospirosis is a zoonotic disease most common in the tropics and typically associated with mild pulmonary complications. We describe a case of a 25-year-old male with undiagnosed leptospirosis, presenting with fever and severe hypoxemic respiratory failure, returning from a Costa Rican holiday. There was no other organ failure. He was intubated and received lung protective ventilation. His condition improved after ampicillin and penicillin G were added empirically. This case illustrates the rare complication of ARDS from leptospirosis, the importance of taking a travel history, and the need for empiric therapy because of diagnostic delay.

  7. An Official American Thoracic Society/European Respiratory Society Workshop Report: Evaluation of Respiratory Mechanics and Function in the Pediatric and Neonatal Intensive Care Units

    NARCIS (Netherlands)

    Peterson-Carmichael, Stacey; Seddon, Paul C.; Cheifetz, Ira M.; Frerichs, Inéz; Hall, Graham L.; Hammer, Jürg; Hantos, Zoltán; van Kaam, Anton H.; McEvoy, Cindy T.; Newth, Christopher J. L.; Pillow, J. Jane; Rafferty, Gerrard F.; Rosenfeld, Margaret; Stocks, Janet; Ranganathan, Sarath C.

    2016-01-01

    Ready access to physiologic measures, including respiratory mechanics, lung volumes, and ventilation/perfusion inhomogeneity, could optimize the clinical management of the critically ill pediatric or neonatal patient and minimize lung injury. There are many techniques for measuring respiratory

  8. Active Learning Improves Student Performance in a Respiratory Physiology Lab

    Science.gov (United States)

    Wolf, Alex M.; Liachovitzky, Carlos; Abdullahi, Abass S.

    2015-01-01

    This study assessed the effectiveness of the introduction of active learning exercises into the anatomy and physiology curriculum in a community college setting. Specifically, the incorporation of a spirometry-based respiratory physiology lab resulted in improved student performance in two concepts (respiratory volumes and the hallmarks of…

  9. Acute Respiratory Distress Syndrome in Burn Patients: A Comparison of the Berlin and American-European Definitions.

    Science.gov (United States)

    Sine, Christy R; Belenkiy, Slava M; Buel, Allison R; Waters, J Alan; Lundy, Jonathan B; Henderson, Jonathan L; Stewart, Ian J; Aden, James K; Liu, Nehemiah T; Batchinsky, Andriy; Cannon, Jeremy W; Cancio, Leopoldo C; Chung, Kevin K

    2016-01-01

    The purpose of this study was to compare the Berlin definition to the American-European Consensus Conference (AECC) definition in determining the prevalence of acute respiratory distress syndrome (ARDS) and associated mortality in the critically ill burn population. Consecutive patients admitted to our institution with burn injury that required mechanical ventilation for more than 24 hours were included for analysis. Included patients (N = 891) were classified by both definitions. The median age, % TBSA burn, and injury severity score (interquartile ranges) were 35 (24-51), 25 (11-45), and 18 (9-26), respectively. Inhalation injury was present in 35.5%. The prevalence of ARDS was 34% using the Berlin definition and 30.5% using the AECC definition (combined acute lung injury and ARDS), with associated mortality rates of 40.9 and 42.9%, respectively. Under the Berlin definition, mortality rose with increased ARDS severity (14.6% no ARDS; 16.7% mild; 44% moderate; and 59.7% severe, P Berlin definition was not different from patients without ARDS (P = .91). The Berlin definition better stratifies ARDS in terms of severity and correctly excludes those with minimal disease previously captured by the AECC.

  10. Handbook of materials testing reactors and ancillary hot laboratories in the European Community

    International Nuclear Information System (INIS)

    1977-01-01

    The purpose of this Handbook is to make available to those interested in 'in-pile' irradiation experiments important data on Materials Testing Reactors in operation in the European Community. Only thermal reactors having a power output of more than 5 MW(th) are taken into consideration. In particular, detailed technical information is given on the experimental irradiation facilities of the reactors, their specialized irradiation devices (loops and instrumented capsules), and the associated hot cell facilities for post-irradiation examination of samples

  11. Regulations and practices for systematic radiological screening within countries of the European community

    International Nuclear Information System (INIS)

    Lefaure, C.

    1987-01-01

    The presentation of the situation concerning the various types of mass radiological screening within the countries of the European community is a brief description of the following: - the status of public regulations, - recommendations issued by medical authorities in various countries, - the actual practices of the medical profession, whether governed or not by the aforementioned regulations and official recommendations. Regulations, recommendations and/or systematic mass radiological screening practices concern mainly three diseases: - tuberculosis, - cancer of the breast, - congenital dislocation of the hip

  12. Radioactive waste management: outline of the research programme of the Commission of the European Communities

    International Nuclear Information System (INIS)

    Bresesti, M.

    1980-01-01

    The lines of activity, the main achievements and the perspectives of the research programme of the Commission of the European Communities on radioactive waste management, are presented. In particular an overall view of the activity on chemical separation and nuclear transmutation of actinides is given, as introduction to the various presentations of the JRC staff on specific aspects of this waste management strategy

  13. Epidemiology of respiratory pathogen carriage in the homeless population within two shelters in Marseille, France, 2015-2017: cross sectional 1-day surveys.

    Science.gov (United States)

    Ly, T D A; Edouard, S; Badiaga, S; Tissot-Dupont, H; Hoang, V T; Pommier de Santi, V; Brouqui, P; Raoult, D; Gautret, P

    2018-05-17

    To assess risk factors for respiratory tract infection symptoms and signs in sheltered homeless people in Marseille during the winter season, including pathogen carriage. Data on 479 male participants within two shelters who completed questionnaires and a total of 950 nasal and pharyngeal samples were collected during the winters of 2015-2017. Respiratory pathogen carriage including seven viruses and four bacteria was assessed by quantitative PCR. The homeless population was characterized by a majority of individuals of North African origin (300/479, 62.6%) with a relatively high prevalence of chronic homelessness (175/465, 37.6%). We found a high prevalence of respiratory symptoms and signs (168/476, 35.3%), a very high prevalence of bacterial carriage (313/477, 65.6%), especially Haemophilus influenzae (280/477, 58.7%), and a lower prevalence of virus carriage (51/473, 10.8%) with human rhinovirus being the most frequent (25/473, 5.3%). Differences were observed between the microbial communities of the nose and throat. Duration of homelessness (odds ratio (OR) 1.77, p 0.017), chronic respiratory diseases (OR 5.27, p respiratory symptoms and signs. A strong association between virus (OR 2.40, p 0.012) or Streptococcus pneumoniae (OR 2.32, p 0.014) carriage and respiratory symptoms and signs was also found. These findings allowed identification of the individuals at higher risk for contracting respiratory tract infections to better target preventive measures aimed at limiting the transmission of these diseases in this setting. Copyright © 2018 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  14. Opportunities and challenges for a sustainable energy policy in SE Europe: SE European Energy Community Treaty

    International Nuclear Information System (INIS)

    Mihajlov, Andjelka

    2010-01-01

    Energy demand continues to increase in turn raising concerns about energy supply. In this paper, the author has tried to systematize the role of the energy sector in South Eastern (SE) Europe in the context of the European energy policy process. This should make the energy sector in SE Europe more visible and open to substantial activities and appropriate funding. This is important to assure its full alignment with the European energy policy process, and in so doing, make it less fragile. According to the SE European Energy Community Treaty, parties to the Treaty are obliged to implement reforms in the energy and environmental sector in accordance with the European Union's respective policy. This paper raises awareness of the environmental requirements that have been set, of renewable energy and its implementation, at the same time pointing out that the response in SE Europe has been at a low level. It is believed that this paper could draw attention to the existing problems and could contribute to the establishment of a common integrated energy market in SE Europe and the EU. (author)

  15. Radiological mass screening within the Member States of the European Community. Regulations, practices, effectiveness

    Energy Technology Data Exchange (ETDEWEB)

    Lochard, J. (ed.)

    1987-01-01

    Proceedings of the seminar ''Radiological mass screening within the Member States of the European Community'' organized by the Commission of the European Community in collaboration with the Commissariat a l'Energie Atomique and the Centre d'etude sur l'Evaluation de la Protection dans le domaine Nucleaire, France, from 3 to 4 December 1985. Part I presents rapporteurs' papers which summarize the salient points concerning: the status of regulations and practices in the different countries, mass chest screening, mammography screening and infants' hip dysplasia screening. Part II presents all the technical papers contributed by the participants. The overall conclusions of the seminar pointed up the importance of assessing the effectiveness of screening or prevention practices more systematically. Although some aspects of the problems associated with radiological mass screening were only qualitatively addressed, the papers presented did explain why the use of certain medical practices must be justified. It is hoped that these proceedings will be useful to national experts and bodies in the planning of future public health programmes which, in the light of current practices, will have to take account of the medical, economic and social dimension of mass screening.

  16. [Pneumococcal vaccine recommendations in chronic respiratory diseases].

    Science.gov (United States)

    Casas Maldonado, F; Alfageme Michavila, I; Barchilón Cohen, V S; Peis Redondo, J I; Vargas Ortega, D A

    2014-09-01

    Community-acquired pneumonia is an acute respiratory infectious disease which has an incidence of 3-8 cases/1,000 inhabitants, and increases with age and comorbidities. The pneumococcus is the organism most frequently involved in community-acquired pneumonia in the adult (30-35%). Around 40% of patients with community-acquired pneumonia require hospital admission, and around 10% need to be admitted to an intensive care unit. The most serious forms of pneumococcal infection include invasive pneumococcal disease (IPD), which covers cases of bacteremia (associated or not to pneumonia), meningitis, pleuritis, arthritis, primary peritonitis and pericarditis. Currently, the biggest problem with the pneumococcus is the emergence of resistance to antimicrobial agents, and its high morbimortality, despite the use of appropriate antibiotics and proper medical treatment. Certain underlying medical conditions increase the risk of IPD and its complications, especially, from the respiratory diseases point of view, smoking and chronic respiratory diseases. Pneumococcal disease, according to the WHO, is the first preventable cause of death worldwide in children and adults. Among the strategies to prevent IPD is vaccination. WHO considers that its universal introduction and implementation against pneumococcus is essential and a priority in all countries. There are currently 2 pneumococcal vaccines for adults: the 23 serotypes polysaccharide and conjugate 13 serotypes. The scientific societies represented here have worked to develop some recommendations, based on the current scientific evidence, regarding the pneumococcal vaccination in the immunocompetent adult with chronic respiratory disease and smokers at risk of suffering from IPD. Copyright © 2014 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España. All rights reserved.

  17. Diversity and Adaptation of Human Respiratory Syncytial Virus Genotypes Circulating in Two Distinct Communities: Public Hospital and Day Care Center

    Directory of Open Access Journals (Sweden)

    Gustavo Rocha Garcia

    2012-10-01

    Full Text Available HRSV is one of the most important pathogens causing acute respiratory tract diseases as bronchiolitis and pneumonia among infants. HRSV was isolated from two distinct communities, a public day care center and a public hospital in São José do Rio Preto – SP, Brazil. We obtained partial sequences from G gene that were used on phylogenetic and selection pressure analysis. HRSV accounted for 29% of respiratory infections in hospitalized children and 7.7% in day care center children. On phylogenetic analysis of 60 HRSV strains, 48 (80% clustered within or adjacent to the GA1 genotype; GA5, NA1, NA2, BA-IV and SAB1 were also observed. SJRP GA1 strains presented variations among deduced amino acids composition and lost the potential O-glycosilation site at amino acid position 295, nevertheless this resulted in an insertion of two potential O-glycosilation sites at positions 296 and 297. Furthermore, a potential O-glycosilation site insertion, at position 293, was only observed for hospital strains. Using SLAC and MEME methods, only amino acid 274 was identified to be under positive selection. This is the first report on HRSV circulation and genotypes classification derived from a day care center community in Brazil.

  18. Possible development of nuclear energy in the European Community and consequences of different reactor strategies

    International Nuclear Information System (INIS)

    Decressin, A.; Haytinck, B.; Orlowski, S.

    1974-01-01

    The Commission of the European Communities recommended to stimulate the development of the nuclear energy, in order to ensure in the middle or long term, a diversification of the energy supply sources of the Community. According to such a policy, nuclear energy could cover nearly 80% of the Community needs in electrical power in the year 2000 - these being estimated at 50% of total energy needs of the Community - and correspond to 1,3 billion tep for that year alone. In the year 2000, the installed nuclear capacity in the Community (i.e. nearly 1000 GWe) would imply the consumption of roughly 150.000 metric tons of natural uranium and necessitate 90.000 tons of SWU in enrichment services, whatever ''average'' strategy is considered for the period 1980 - 2000. The choices between these various strategies made by public or industrial decision centers, will be the result of a complex assessment of many factors. In any case, the flow of nuclear material between countries will remain very important and a Community nuclear self sufficiency based on breeding is not conceivable before the time at which new energy sources could be brought in effective uses

  19. Respiratory guiding system for respiratory motion management in respiratory gated radiotherapy

    International Nuclear Information System (INIS)

    Kang, Seong Hee; Kim, Dong Su; Kim, Tae Ho; Suh, Tae Suk

    2013-01-01

    Respiratory guiding systems have been shown to improve the respiratory regularity. This, in turn, improves the efficiency of synchronized moving aperture radiation therapy, and it reduces the artifacts caused by irregular breathing in imaging techniques such as four-dimensional computed tomography (4D CT), which is used for treatment planning in RGRT. We have previously developed a respiratory guiding system that incorporates an individual-specific guiding waveform, which is easy to follow for each volunteer, to improve the respiratory regularity. The present study evaluates the application of this system to improve the respiratory regularity for respiratory-gated radiation therapy (RGRT). In this study, we evaluated the effectiveness of an in-house-developed respiratory guiding system incorporating an individual specific guiding waveform to improve the respiratory regularity for RGRT. Most volunteers showed significantly less residual motion at each phase during guided breathing owing to the improvement in respiratory regularity. Therefore, the respiratory guiding system can clearly reduce the residual, or respiratory, motion in each phase. From the result, the CTV and the PTV margins during RGRT can be reduced by using the respiratory guiding system, which reduces the residual motions, thus improving the accuracy of RGRT

  20. Draft for a resolution of the Council of the European Communities on the continuation and implementation of a European Community policy and action programme on the environment (1987-1992)

    Energy Technology Data Exchange (ETDEWEB)

    1987-03-18

    With the agreement of the Governments of Member States to the amendments to the Treaty of Rome contained in the Single Act, the Community has given a new status and impetus to its environmental policy. The European Council has underlined that environmental protection can contribute to improved economic growth and job creation; and it has called, for the integration of environmental requirements into the economic, industrial, agricultural and social policies implemented by both the Community and its Member States. There is a wide and growing recognition that strict environmental standards are a necessity - not only in order to achieve an adequate degree of environmental protection and an improved quality of life, but also for economic reasons. As progress is made towards the completion of the Community's internal market by 1992, opportunities will grow in many areas and for many reasons - but only provided that high environmental standards are maintained. The Commission is convinced that better competitivity of Community industry on world markets in the future will depend heavily upon its ability to offer environmentally-friendly goods and services, achieving standards at least as high as its competitors and that an alliance between technological innovation and a commitment to high environmental standards can offer new opportunities through the development of new and growing markets for environmental protection technologies and techniques.

  1. Measuring networks for environmental radioactivity monitoring in the European Community, - a pattern of diversity as varying as the peoples?

    International Nuclear Information System (INIS)

    Maushart, R.

    1991-01-01

    A new study entitled 'Monitoring of Environmental Radioactivity in the European Community', (RAES, 90), shows a survey of the methods currently applied in every country. The study compiles available quality assurance programs and makes suggestions for CEC initiatives. The study refers to the current practice of monitoring in European countries as 'enormous diversity of methods' in member countries. Further suggestions for standardization of the data measuring networks are put forward by a manufacturer of monitoring equipment. (orig./DG) [de

  2. European Community legislation and recommendations in the field of radioactive waste management and disposal

    International Nuclear Information System (INIS)

    Schaller, K.H.; Orlowski, S.

    1993-01-01

    Radiation protection principles are the foundation for national and European Community legislation and recommendations in the field of management and disposal of radioactive waste. Directives set up at Community level, which are to be implemented in the national legislative framework of the Member States are summarized. Policies and strategies in radioactive waste management are of national competence, as well as ensuring safety of all steps of handling, storage and final disposal; recommendations at Community level are developed to assist national authorities and agencies in determining their strategy. Existing recommendations are described and a preview of recommendations under preparation is given. Legislation in this field is mainly aimed at radioactive waste arising from operation and decommissioning of nuclear installations; for radioactive waste produced outside the nuclear fuel cycle and for material with significant levels of naturally occurring radionuclides special situations exist, and harmonization of legislation and the development of common practices on the management of such wastes may be desirable

  3. Contribution of nitrogen oxide and sulfur dioxide exposure from power plant emissions on respiratory symptom and disease prevalence

    International Nuclear Information System (INIS)

    Amster, Eric D.; Haim, Maayan; Dubnov, Jonathan; Broday, David M.

    2014-01-01

    This study investigates the association between exposure to ambient NO x and SO 2 originating from power plant emissions and prevalence of obstructive pulmonary disease and related symptoms. The Orot Rabin coal-fired power plant is the largest power generating facility in the Eastern Mediterranean. Two novel methods assessing exposure to power plant-specific emissions were estimated for 2244 participants who completed the European Community Respiratory Health Survey. The “source approach” modeled emissions traced back to the power plant while the “event approach” identified peak exposures from power plant plume events. Respiratory symptoms, but not prevalence of asthma and COPD, were associated with estimates of power plant NO x emissions. The “source approach” yielded a better estimate of exposure to power plant emissions and showed a stronger dose–response relationship with outcomes. Calculating the portion of ambient pollution attributed to power plants emissions can be useful for air quality management purposes and targeted abatement programs. -- Highlights: • Two methods assessing NO x and SO 2 exposure attributed to a coal-fired power plant are utilized. • Exposure estimates are compared with respiratory outcomes in 2244 participants. • Power plant nitrogen oxide emissions are associated with respiratory symptoms. • Stack emission models correlated closest with health outcomes. -- Chronic cough, nocturnal dyspnea, chronic phlegm, and shortness of breath were significantly associated with exposure estimates of power plant-specific NO x emissions

  4. DISCIPLINAIRIE LIABILITIES OF THE EUROPEAN PUBLIC SERVANTS

    Directory of Open Access Journals (Sweden)

    Mihaela Tofan

    2009-09-01

    Full Text Available Work discipline is essential for the proper conduct of business within an organization with implications for productivity and efficiency. Disciplinary liability arises as a direct result of breach of service obligations and rules of behaviour. At EU level, disciplinary responsibility of community public servant is governed by the provisions of the Statute of the European Community published in the Official Journal of the European Community no. L 56 March 4, 1968 and amended on numerous occasions. This paper proposes an analysis of concrete conditions which require disciplinary liability of the European public servant, disciplinary sanctions and procedures for implementing them.

  5. The effect of aging on respiratory synergy.

    Science.gov (United States)

    Kweon, Migyoung; Son, Sung Min; Kwon, Yong Hyun

    2015-04-01

    [Purpose] The purpose of this study was to investigate the effect of aging on respiratory synergy, through the comparison of an elderly group and a young group, to help further understanding of postural control in the elderly. [Subjects and Methods] Ten community-dwelling elderly subjects and ten young subjects performed standing under two different respiratory conditions: quiet breathing and apnea. Center of foot pressure displacement and joint angular movements of the head, trunk, pelvis, hips, knees and ankles were measured. [Results] The results of this study showed that the elderly group had a respiratory synergy different from that of the young group. The elderly group in quiet stance used significantly more hip and pelvis movements when compensating for respiratory disturbance than standing with apnea, while the young group used significantly more whole body segments. There were no differences in angular displacements in the quiet stance between the elderly and the young groups. [Conclusion] The elderly group demonstrated a respiratory synergy pattern different from that of the young group. The findings indicate that aging changes the respiratory synergy pattern and this change is not due to decreased functioning of the ankle joint alone.

  6. S.I. No 189 of 1988, European Communities (Medical Ionizing Radiation) Regulations, 1988

    International Nuclear Information System (INIS)

    1988-08-01

    The Regulations provide that all those engaged in the use of ionizing radiation for medical (including dental) purposes must be competent in radiation protection and have appropriate training. They also specify that the exposure of a patient to ionizing radiation must be medically justified and the dose delivered must be as low as is reasonably achievable. The Regulations implement the provisions of the Directive of the Council of the European Communities No 84/466 Euratom of 3 September 1984 laying down basic measures for the radiation protection of persons undergoing medical examination or treatment [fr

  7. The European gas market from a Belgian point of view

    International Nuclear Information System (INIS)

    Bouma, J.W.J.

    1993-01-01

    The European gas distribution industry will be faced with real challenges during the coming ten years. Additional import of natural gas from non-European Community countries will be required in view of the growing demand and the concomitant decrease in gas production in the European Community. This implies that facilities for the long-distance transport of gas will have to be built and that considerable investments are required. It is argued that the recommendation for the liberalization of the gas market by the Commission of the European Communities is unsuited to face future developments of the European gas market. (A.S.)

  8. DEVELOPMENT OF SOCIAL RESPONSIBILITY IN MOLDOVAN ENTERPRISES AS A STRATEGIC OBJECTIVE OF INTEGRATION IN THE EUROPEAN COMMUNITY

    Directory of Open Access Journals (Sweden)

    Silvia BUCIUSCAN

    2013-02-01

    Full Text Available Socio-economic integration of the Republic of Moldova into the European Community may be held by the companies to achieve concrete measures in order to ensure the effective functioning of the international standards of quality management, social responsibility and environmental management ISO 9000 series, SA 800 and ISO 14000.

  9. Development of social responsibility In moldovan enterprises as a strategic objective of integration in the european community

    Directory of Open Access Journals (Sweden)

    Sendrea Mariana

    2013-02-01

    Full Text Available Socio-economic integration of the Republic of Moldova into the European Community may be held by the companies to achieve concrete measures in order to ensure the effective functioning of the international standards of quality management, social responsibility and environmental management ISO 9000 series, SA 800 and ISO 14000.

  10. The ECHI project: health indicators for the European Community.

    Science.gov (United States)

    Kramers, Pieter G N

    2003-09-01

    Within the EU Health Monitoring Programme (HMP), the ECHI project has proposed a comprehensive list of 'European Community Health Indicators'. In the design of the indicator set, a set of explicit criteria was applied. These included: i) be comprehensive and coherent, i.e. cover all domains of the public health field; ii) take account of earlier work, especially that by WHO-Europe, OECD and Eurostat; and iii) cover the priority areas that Member States and Community health policies currently pursue. Flexibility is an important characteristic of the present proposal. In ECHI, this has been emphasized by the definition of 'user-windows'. These are subsets from the overall indicator list, each of which should reflect a specific user's requirement or interest. The proposed indicators are, in most cases, defined as generic indicators, i.e. their actual operational definitions have not yet been attempted. This work has been, and is being carried out to a large part by other projects financed under the HMP, which cover specific areas of public health or areas of data collection. Apart from indicators covered by regularly available data, indicators (or issues) have been proposed for which data are currently difficult to collect but which from a policy point of view would be needed. All this points to the fact that establishing an indicator list which is actually used by Member States is a continuously developing process. This process is now continued by the first strand of the new EU Public Health Action Programme.

  11. The exclusion-inclusion spectrum in state and community response to sex offenders in Anglo-American and European jurisdictions.

    Science.gov (United States)

    Petrunik, Michael; Deutschmann, Linda

    2008-10-01

    Continental European and Anglo-American jurisdictions differ with regard to criminal justice and community responses to sex offenders on an exclusion-inclusion spectrum ranging from community protection measures on one end to therapeutic programs in the middle and restorative justice measures on the other end. In the United States, populist pressure has resulted in a community protection approach exemplified by sex offender registration, community notification, and civil commitment of violent sexual predators. Although the United Kingdom and Canada have followed, albeit more cautiously, the American trend to adopt exclusionist community protection measures, these countries have significant community-based restorative justice initiatives, such as Circles of Support and Accountability. Although sex offender crises have recently occurred in continental Europe, a long-standing tradition of the medicalization of deviance, along with the existence of social structural buffers against the influence of victim-driven populist penal movements, has thus far limited the spread of formal community protection responses.

  12. Vocational Guidance and Counselling for Young People and Adults in the European Community. Findings of a Conference (Berlin, West Germany, December 7-8, 1989).

    Science.gov (United States)

    de Vries, Heinz J., Ed.

    1990-01-01

    This document reports on a conference centered around three topics: vocational guidance in the Member States of the European Community (EC), the "Europeanization" of vocational guidance, and approaches to cross-frontier vocational guidance. Among the recommendations of the conference participants are the following: the tasks of…

  13. Determinant Factors of Physical Fitness in European Children

    DEFF Research Database (Denmark)

    Zaqout, Mahmoud; Vyncke, Krishna; Moreno, Luis A.

    2016-01-01

    Objectives: This study was designed to explore the determinants of physical fitness in European children aged 6–11 years, cross-sectionally and longitudinally.Methods: There were sufficient data on 4903 children (50.6 % girls) on measured physical fitness (cardio-respiratory, muscular strength, f...

  14. Treatment of exercise-induced asthma, respiratory and allergic disorders in sports and the relationship to doping: Part II of the report from the Joint Task Force of European Respiratory Society (ERS) and European Academy of Allergy and Clinical Immunology (EAACI) in cooperation with GA(2)LEN.

    Science.gov (United States)

    Carlsen, K H; Anderson, S D; Bjermer, L; Bonini, S; Brusasco, V; Canonica, W; Cummiskey, J; Delgado, L; Del Giacco, S R; Drobnic, F; Haahtela, T; Larsson, K; Palange, P; Popov, T; van Cauwenberge, P

    2008-05-01

    The aims of part II is to review the current recommended treatment of exercise-induced asthma (EIA), respiratory and allergic disorders in sports, to review the evidence on possible improvement of performance in sports by asthma drugs and to make recommendations for their treatment. The literature cited with respect to the treatment of exercise induced asthma in athletes (and in asthma patients) is mainly based upon the systematic review given by Larsson et al. (Larsson K, Carlsen KH, Bonini S. Anti-asthmatic drugs: treatment of athletes and exercise-induced bronchoconstriction. In: Carlsen KH, Delgado L, Del Giacco S, editors. Diagnosis, prevention and treatment of exercise-related asthma, respiratory and allergic disorders in sports. Sheffield, UK: European Respiratory Journals Ltd, 2005:73-88) during the work of the Task Force. To assess the evidence of the literature regarding use of beta(2)-agonists related to athletic performance, the Task Force searched Medline for relevant papers up to November 2006 using the present search words: asthma, bronchial responsiveness, exercise-induced bronchoconstriction, athletes, sports, performance and beta(2)-agonists. Evidence level and grades of recommendation were assessed according to Sign criteria. Treatment recommendations for EIA and bronchial hyper-responsiveness in athletes are set forth with special reference to controller and reliever medications. Evidence for lack of improvement of exercise performance by inhaled beta(2)-agonists in healthy athletes serves as a basis for permitting their use. There is a lack of evidence of treatment effects of asthma drugs on EIA and bronchial hyper-responsiveness in athletes whereas extensive documentation exists in treatment of EIA in patients with asthma. The documentation on lack of improvement on performance by common asthma drugs as inhaled beta(2)-agonists with relationship to sports in healthy individuals is of high evidence, level (1+). Exercise induced asthma should be

  15. Severe acute respiratory syndrome: lessons and uncertainties.

    NARCIS (Netherlands)

    Kullberg, B.J.; Voss, A.

    2003-01-01

    The outbreak of severe acute respiratory syndrome (SARS) has produced scientific and epidemiological discoveries with unprecedented speed, and this information has been spread instantaneously to the global health community through the internet. Within a few weeks, the coronavirus associated with

  16. Activities of the Commission of the European Communities in the field of codes and standards for FBRs

    International Nuclear Information System (INIS)

    Terzaghi, A.

    1987-01-01

    A description of the organization set up by the Commission of European Communities to study problems, compare information within the member nations, and with other industrial nations for the preparation of guides and codes for the components of the LMFBR is given. Work performed and currently in progress is given on structural analysis, materials, and classification of components. (orig.)

  17. European Union: US Hegemonic Competitor

    National Research Council Canada - National Science Library

    Kellar, Ronald

    2001-01-01

    .... Intergovernmentalism in the European Community has evolved into an economic form of supranationalism with the persona change form Community to Union after ratification of the Treaty of Maastricht in 1993...

  18. The programme and objectives of the Commission of the European Communities concerning radioactive wastes

    International Nuclear Information System (INIS)

    Orlowski, S.; Cricchio, A.; Girardi, F.

    1984-01-01

    The radioactive waste management programme of the Commission of the European Communities offers a good opportunity for co-operation between Member States. The Commission's principal objectives are: (1) to implement a Community action plan adopted in 1980 for a twelve-year period; (2) to promote research and development; (3) to ensure that radioactive waste management is conducted in conformity with environmental concerns and radiation protection norms. Under the action plan the current situation and prospects for radioactive waste management in the Community were evaluated in 1981-82. Other activities under the plan relate to the promotion of Community co-operation in final disposal and to the institution of a mechanism for Community consultations on criteria for the acceptance of conditioned wastes. The promotion of research and development involves a high degree of co-operation and effort to optimize or select procedures and to establish pilot or demonstration facilities. A budget of US$ 20 million at present supports these activities. With regard to radiation protection, in 1982 the Commission issued a recommendation for an investigation, at Community level, into the impact on all the Member States of operations such as waste treatment, dumping at sea, burial in the ground and storage of radioactive wastes. These objectives suggest that the solutions now under consideration for the management of high-level and long-lived wastes will by the end of this century be introduced alongside those already adopted in practice for low- and medium-level wastes. (author)

  19. International ERS/ESICM/ESCMID/ALAT guidelines for the management of hospital-acquired pneumonia and ventilator-associated pneumonia: Guidelines for the management of hospital-acquired pneumonia (HAP)/ventilator-associated pneumonia (VAP) of the European Respiratory Society (ERS), European Society of Intensive Care Medicine (ESICM), European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and Asociación Latinoamericana del Tórax (ALAT).

    Science.gov (United States)

    Torres, Antoni; Niederman, Michael S; Chastre, Jean; Ewig, Santiago; Fernandez-Vandellos, Patricia; Hanberger, Hakan; Kollef, Marin; Li Bassi, Gianluigi; Luna, Carlos M; Martin-Loeches, Ignacio; Paiva, J Artur; Read, Robert C; Rigau, David; Timsit, Jean François; Welte, Tobias; Wunderink, Richard

    2017-09-01

    The most recent European guidelines and task force reports on hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP) were published almost 10 years ago. Since then, further randomised clinical trials of HAP and VAP have been conducted and new information has become available. Studies of epidemiology, diagnosis, empiric treatment, response to treatment, new antibiotics or new forms of antibiotic administration and disease prevention have changed old paradigms. In addition, important differences between approaches in Europe and the USA have become apparent.The European Respiratory Society launched a project to develop new international guidelines for HAP and VAP. Other European societies, including the European Society of Intensive Care Medicine and the European Society of Clinical Microbiology and Infectious Diseases, were invited to participate and appointed their representatives. The Latin American Thoracic Association was also invited.A total of 15 experts and two methodologists made up the panel. Three experts from the USA were also invited (Michael S. Niederman, Marin Kollef and Richard Wunderink).Applying the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) methodology, the panel selected seven PICO (population-intervention-comparison-outcome) questions that generated a series of recommendations for HAP/VAP diagnosis, treatment and prevention. Copyright ©ERS 2017.

  20. REFLECTIONS ON THE EVOLUTION OF MINOR'S RIGHTS IN CONFLICT WITH THE LAW IN THE EUROPEAN UNION: FROM THE NATIONAL REGULATIONS TO THE COMMUNITY REGULATIONS

    Directory of Open Access Journals (Sweden)

    Gheorghe, BONCIU

    2015-06-01

    Full Text Available The study proposes an examination of the development rights of juveniles in conflict with the law in terms of legal regulations adopted by the Council of Europe, the European Union and its Member States. Approaching the settlement of all matters relating to human rights, including the rights of the child, it searched the extent to provide a mechanism in respect of children's rights and how its rights are reflected both of the European Convention on Human Rights and Fundamental Freedoms and Community and of national regulations of the Member States of the European Union. Declarative character of the Community provisions do not provide sufficient protection and uniformity toward juvenile rights in this matter, being treated differently in different countries depending on national and regional legal regime. Analysis of international treaties, customary, and national case law emphasized the need for prevention of juvenile delinquency and juvenile protection by merging rules at Community level in order to ensure a common, reasonable and sufficient protection for the juvenile in general and those found in conflict with law in particular.

  1. Engaging indigenous Maori and inward migrating Asian professionals into a Pakeha (White European)-dominated Balint community in New Zealand.

    Science.gov (United States)

    McMichael, Timothy

    2018-01-01

    This inquiry began with two questions: How can the established predominately Pakeha/Caucasian (White European) Balint community in New Zealand more successfully engage both indigenous populations of both Maori and Pacifica origin into Balint work? And what is the existing Balint community doing to address the lack of Asian members of the Balint community in New Zealand, at a time when Asian health professionals are being recruited into the health sector at an increasingly high rate in comparison to White European entrants to the profession? These questions, and their preliminary answers presented here, invite the reader to reflect on both the challenges and opportunities in reaching out to groups different from our own. The author hopes readers may begin to see what can be done to allow new entrants to benefit from all that participation in Balint work offers while not losing sight of the uniqueness which each person can bring. It is hoped that sharing such questions and their subsequent explorations will help Balint leaders feel more confident in reaching out to a wider ethic and cultural mix within their local populations and encouraging them to enter the exciting world of the Balint group.

  2. The use of the Berlin definition for acute respiratory distress syndrome during infancy and early childhood : multicenter evaluation and expert consensus

    NARCIS (Netherlands)

    De Luca, Daniele; Piastra, Marco; Chidini, Giovanna; Tissieres, Pierre; Calderini, Edoardo; Essouri, Sandrine; Medina Villanueva, Alberto; Vivanco Allende, Ana; Pons-Odena, Marti; Perez-Baena, Luis; Hermon, Michael; Tridente, Ascanio; Conti, Giorgio; Antonelli, Massimo; Kneyber, Martin

    2013-01-01

    A new acute respiratory distress syndrome (ARDS) definition has been recently issued: the so-called Berlin definition (BD) has some characteristics that could make it suitable for pediatrics. The European Society for Pediatric Neonatal Intensive Care (ESPNIC) Respiratory Section started a project to

  3. ASPECTS OF THE EVOLUTION OF HUMAN RIGHTS PROTECTION IN THE EUROPEAN UNION

    Directory of Open Access Journals (Sweden)

    NICOLAE PURDĂ

    2013-05-01

    Full Text Available Human rights protection within the European Community and the European Union has developed judicially, the human rights being protected by the Community Courts as general principles of Community law. The Treaty of Maastricht and the Treaty of Amsterdam have codified the Community law within the area of human rights. The codification of European Union’s concept of human rights in a single document was realized by adopting the Charter of Fundamental Rights of the European Union, on 7 December 2000 in Nice, whose provisions acquired legally binding under the Treaty of Lisbon.

  4. A European experiment

    International Nuclear Information System (INIS)

    Willson, D.

    1981-01-01

    The Joint European Torus (JET) is an experiment in nuclear fusion research which was planned as a joint effort between national research laboratories and Euratom. Before approval was given for it to be built it became a political football in the European Communities. This book describes the background against which JET was conceived, designed and planned. It gives a chronological account of the political imbroglio which followed between 1975 and 1978 and indicates how close the project came to collapse at one point. In addition to the two years' delay caused by Ministerial conflicts over its siting, the project suffered many compromises in its financing, its staffing and its organisation. An account is given of the unique structure of the European Communities and its procedures, which shows how idealism constantly faces reality. The role of Euratom is discussed, taking into account the difference between its approach to applications of nuclear fission as opposed to those of nuclear fusion. (author)

  5. Si no. 43 of 1991 - European Communities (ionizing radiation) regulations, 1991

    International Nuclear Information System (INIS)

    1991-01-01

    These Regulations entered into force on 5 April 1991 and repeal the Factories Ionizing Radiations (Sealed Sources) Regulations, 1972 and the Factories Ionizing Radiations (Unsealed Sources) Regulations, 1972. They were made in implementation of the European Communities' Council Directive 80/836 Euratom of 15 July 1980, as amended by Council Directive 84/467 Euratom of 3 September 1984, laying down the basic safety standards for the health protection of the general public and workers against the dangers of ionizing radiation. They also complement the Nuclear Energy (General Control of Fissile Fuels, Radioactive Substances and Irradiation Apparatus) Order, 1977 with regard to licensing requirements. They apply to the production, processing, handling, use, transport, storage, etc. of natural and artificial radioactive substances and to any other activity which involves a hazard arising from ionizing radiation. (NEA) [fr

  6. Long-term particulate matter exposure and mortality: a review of European epidemiological studies

    Directory of Open Access Journals (Sweden)

    Boffetta Paolo

    2009-12-01

    Full Text Available Abstract Background Several studies considered the relation between long-term exposure to particulate matter (PM and total mortality, as well as mortality from cardiovascular and respiratory diseases. Our aim was to provide a comprehensive review of European epidemiological studies on the issue. Methods We searched the Medline database for epidemiological studies on air pollution and health outcomes published between January 2002 and December 2007. We also examined the reference lists of individual papers and reviews. Two independent reviewers classified the studies according to type of air pollutant, duration of exposure and health outcome considered. Among European investigations that examined long-term PM exposure we found 4 cohort studies (considering total and cardiopulmonary mortality, 1 case-control study (considering mortality from myocardial infarction, and 4 ecologic studies (2 studies considering total and cardiopulmonary mortality and 2 studies focused on cardiovascular mortality. Results Measurement indicators of PM exposure used in European studies, including PM10, PM2.5, total suspended particulate and black smoke, were heterogeneous. This notwithstanding, in all analytic studies total mortality was directly associated with long-term exposure to PM. The excesses in mortality were mainly due to cardiovascular and respiratory causes. Three out of 4 ecologic studies found significant direct associations between PM indexes and mortality. Conclusion European studies on long-term exposure to PM indicate a direct association with mortality, particularly from cardiovascular and respiratory diseases.

  7. Identifying the Value of the ACT Score as a Predictor of Student Success in Respiratory Care, Radiography, and Nursing at Southeast Kentucky Community and Technical College

    Science.gov (United States)

    Parrott-Robbins, Rebecca Jon

    2010-01-01

    The purpose of this study was to investigate--by utilizing data obtained from the Kentucky Community and Technical College System (KCTCS) PeopleSoft database-- whether the American College Testing (ACT) assessment was a predictor of student success for students who had graduated from respiratory, radiography, and nursing programs at Southeast…

  8. Air quality as respiratory health indicator: a critical review.

    Science.gov (United States)

    Moshammer, Hanns; Wallner, Peter

    2011-09-01

    As part of the European Public Health project IMCA II validity and practicability of "air pollution" as a respiratory health indicator were analyzed. The definitions of air quality as an indicator proposed by the WHO project ECOEHIS and by IMCA I were compared. The public availability of the necessary data was checked through access to web-based data-bases. Practicability and interpretation of the indicator were discussed with project partners and external experts. Air quality serves as a kind of benchmark for the good health-related environmental policy. In this sense, it is a relevant health indicator. Although air quality is not directly in the responsibility of health policy, its vital importance for the population's health should not be neglected. In principle, data is available to calculate this IMCA indicator for any chosen area in Europe. The indicator is relevant and informative, but calculation and interpretation need input from local expert knowledge. The European health policy is well advised to take air quality into account. To that end, an interdisciplinary approach is warranted. The proposed definition of air quality as a (respiratory) health indicator is workable, but correct interpretation depends on expert and local knowledge.

  9. Respiratory health equality in the United States. The American thoracic society perspective.

    Science.gov (United States)

    Celedón, Juan C; Roman, Jesse; Schraufnagel, Dean E; Thomas, Alvin; Samet, Jonathan

    2014-05-01

    Because the frequency of major risk factors for respiratory diseases (e.g., tobacco use) differs across demographic groups (defined by socioeconomic status, race/ethnicity, sexual orientation, health care access, occupation, or other characteristics), health disparities are commonly encountered in pediatric and adult pulmonary, critical care, and sleep medicine. As part of its policy on respiratory health disparities, the American Thoracic Society (ATS) Executive Committee created a Health Equality Subcommittee of the Health Policy Committee, with an initial mandate of defining respiratory health equality and, as a subsequent task, providing recommendations to the ATS leadership as to how our society may help attain such equality in the United States. After receiving input from the ATS assemblies and committees, the subcommittee developed this document on respiratory health equality. This document defines respiratory health disparities and respiratory health equality, and expands on a recent ATS and European Respiratory Society policy statement on disparities in respiratory health. Attainment of respiratory health equality requires the ending of respiratory health disparities, which can be achieved only through multidisciplinary efforts to eliminate detrimental environmental exposures while promoting a healthy lifestyle, implementing all components of high-quality health care (prevention, screening, diagnosis, and treatment), and conducting research that will lead to better prevention and management of respiratory diseases for everyone. The ATS recognizes that such efforts must include all stakeholders: members of society at large, governmental and nongovernmental organizations, and other professional societies. The ATS urges all of its members and those of sister societies to work to achieve this laudable goal.

  10. Intergovernmental organisation activities: European Atomic Energy Community, International Atomic Energy Agency, OECD Nuclear Energy Agency

    International Nuclear Information System (INIS)

    Anon.

    2012-01-01

    European Atomic Energy Community: Proposed legislative instruments, Adopted legislative instruments, Non-legislative instruments, Other activities (meetings). International Atomic Energy Agency: IAEA Action Plan on Nuclear Safety. OECD Nuclear Energy Agency: The Russian Federation to join the OECD Nuclear Energy Agency; Participation by the regulatory authorities of India and the United Arab Emirates in the Multinational Design Evaluation Programme (MDEP); NEA International Workshop on Crisis Communication, 9-10 May 2012; International School of Nuclear Law: 2013; Next NEA International Nuclear Law Essentials Course

  11. Grepafloxacin Clinical Program for Lower Respiratory Tract Infections

    Directory of Open Access Journals (Sweden)

    Arne C Rodloff

    1998-01-01

    Full Text Available The present paper evaluates the clinical trial program in lower respiratory tract infections treated with a new fluoroquinolone antibiotic, grepafloxacin. Unlike older quinolones, grepafloxacin has excellent activity against Gram-positive organisms, which include Streptococcus pneumoniae and “atypical” pathogens Legionella species. Mycoplasma pneumoniae and Chlamydia pneumoniae. Grepafloxacin has a long half-life of 12 to 15 h, which allows once daily dosing. Six studies have been conducted regarding community-acquired lower respiratory tract infections (LRTls, four about community-acquired pneumonia (CAP and two about acute bacterial exacerbations of chronic bronchitis (ABECB . In these studies, grepafloxacin demonstrated clinical equivalence with standard therapies. but, in patients with documented infections. grepafloxacin was statistically superior to amoxycillin in both CAP and ABECB. The new fluoroquinolone has a good safety profile, comparable with that of ciprofloxacin. The most common adverse effects of grepafloxacin were nausea and a metallic taste; however, these effects resulted in only a few discontinuations of therapy. With the increasing prevalence of resistance in pathogens isolated from community-acquired LRTIs, grepafloxacin offers a good alternative for monotherapy in these patients.

  12. Technological research programmes in the European Communities: Spanish participation. Los programas de investigacion tecnologica en las Comunidades Europeas: participacion espanola

    Energy Technology Data Exchange (ETDEWEB)

    Caride de Linan, C [OCICARBON, Madrid (Spain)

    1989-02-01

    Ocicarbon was founded and began its work in 1985, the year before Spain's accession to the European Community. In other Community member countries, there is a great tradition of technological research and much work has been required to coordinate research effort. For this reason, special attention has been given to close familiarisation with Community programmes for coal research in order to integrate Spanish research work and to achieve adequate representation on the appropriate committees with a view to obtaining technical and economic assistance in proportion to Spain's coal production capacity and financial input. 18 refs., 5 tabs.

  13. The European Community's research and development programme on the decommissioning of nuclear installations

    International Nuclear Information System (INIS)

    Skupinski, E.

    1988-01-01

    The Commission of the European Communities (CEC) continued with a second research programme on the decommissioning of nuclear installations (1984-88), after having completed a first programme on the decommissioning of nuclear power plants (1979-83). The programme, which has about 70 research contracts with organisations or private firms in the member states, includes the development and testing of advanced techniques, such as decontamination and dismantling, and the consideration of the radioactive waste arising therefrom. Work is done at laboratory scale or in the context of large-scale decommissioning operations. The paper will give an overview on the technical content and on some selected results. (author)

  14. The role and the results of the European Community's R and D work on radioactive waste management

    International Nuclear Information System (INIS)

    Orlowski, S.; Girardi, F.

    1986-01-01

    The role and results of the European Community's research and development (R and D) work on radioactive waste management are described. The R and D work includes: radioactive waste conditioning, characterization and storage, materials science studies for the storage, geological media confinement studies, and radionuclide migration investigations. Financial management and the long term, and the socio-political aspects of waste management, are also discussed. (U.K.)

  15. The effects of childbirth on women’s activity change and occupational mobility in Europe: Evidence from the European Community Household Panel.

    OpenAIRE

    Chzhen, Yekaterina

    2009-01-01

    This paper uses comparable longitudinal data from the European Community Household Panel from 1994 to 2001 to examine the effects of recent childbirth on the relative risks of switching to part-time, inactivity or unemployment for full-time women, as well as the effect of switching from full-time time to part-time work on the risk of occupational downgrading, in 13 European countries. Once important human capital and workplace characteristics are controlled for, full-time female workers who g...

  16. European Law in the Making:

    DEFF Research Database (Denmark)

    Rasmussen, Morten

    Traditionally, the Court of Justice of the European Coal and Steel Community (ECSC) has mainly been considered the somewhat dull predecessor to the more famous Court of Justice of the European Communities, which in 1963-64 ‘constitutionalised’ the Treaties of Rome with the seminal judgments of Van...... Gend en Loos and Costa V. ENEL. The jurisprudence of the Court of Justice of the ECSC was allegedly conservative dominated by technical and economic considerations less than adventurous activism. Recent historical research has demonstrated the complexity of the legal landscape of the 1950s, in which...

  17. Illness perception and related behaviour in lower respiratory tract infections-a European study

    NARCIS (Netherlands)

    Hordijk, Patricia M.; Broekhuizen, Berna D L; Butler, Chris C.; Coenen, Samuel; Godycki-Cwirko, Maciek; Goossens, Herman; Hood, Kerry; Smith, Richard; de Vries-van Vugt, Saskia F.; Little, Paul; Verheij, Theo J M

    2015-01-01

    Background. Lower respiratory tract infection (LRTI) is a common presentation in primary care, but little is known about associated patients' illness perception and related behaviour. Objective. To describe illness perceptions and related behaviour in patients with LRTI visiting their general

  18. The EMBARC European bronchiectasis registry: Protocol for an international observational study

    NARCIS (Netherlands)

    Chalmers, J.D. (James D.); S. Aliberti (Stefano); Polverino, E. (Eva); Vendrell, M. (Montserrat); Crichton, M. (Megan); Loebinger, M. (Michael); Dimakou, K. (Katerina); Clifton, I. (Ian); M. van der Eerden (Menno); G. Rohde (Gernot); Murris-Espin, M. (Marlene); Masefield, S. (Sarah); Gerada, E. (Eleanor); Shteinberg, M. (Michal); F.C. Ringshausen (Felix C.); Haworth, C. (Charles); W.G. Boersma (Wim); Rademacher, J. (Jessica); Hill, A.T. (Adam T.); Aksamit, T. (Timothy); O’Donnell, A. (Anne); Morgan, L. (Lucy); B. Milenkovic (Branislava); Tramma, L. (Leandro); Neves, J. (Joao); Menendez, R. (Rosario); Paggiaro, P. (Perluigi); Botnaru, V. (Victor); Skrgat, S. (Sabina); R. Wilson (Richard); Goeminne, P. (Pieter); De Soyza, A. (Anthony); T. Welte; Torres, A. (Antoni); S. Elborn (Stuart); Blasi, F. (Francesco)

    2016-01-01

    textabstractBronchiectasis is one of the most neglected diseases in respiratory medicine. There are no approved therapies and few large-scale, representative epidemiological studies. The EMBARC (European Multicentre Bronchiectasis Audit and Research Collaboration) registry is a prospective,

  19. SMART-COP: a tool for predicting the need for intensive respiratory or vasopressor support in community-acquired pneumonia.

    Science.gov (United States)

    Charles, Patrick G P; Wolfe, Rory; Whitby, Michael; Fine, Michael J; Fuller, Andrew J; Stirling, Robert; Wright, Alistair A; Ramirez, Julio A; Christiansen, Keryn J; Waterer, Grant W; Pierce, Robert J; Armstrong, John G; Korman, Tony M; Holmes, Peter; Obrosky, D Scott; Peyrani, Paula; Johnson, Barbara; Hooy, Michelle; Grayson, M Lindsay

    2008-08-01

    Existing severity assessment tools, such as the pneumonia severity index (PSI) and CURB-65 (tool based on confusion, urea level, respiratory rate, blood pressure, and age >or=65 years), predict 30-day mortality in community-acquired pneumonia (CAP) and have limited ability to predict which patients will require intensive respiratory or vasopressor support (IRVS). The Australian CAP Study (ACAPS) was a prospective study of 882 episodes in which each patient had a detailed assessment of severity features, etiology, and treatment outcomes. Multivariate logistic regression was performed to identify features at initial assessment that were associated with receipt of IRVS. These results were converted into a simple points-based severity tool that was validated in 5 external databases, totaling 7464 patients. In ACAPS, 10.3% of patients received IRVS, and the 30-day mortality rate was 5.7%. The features statistically significantly associated with receipt of IRVS were low systolic blood pressure (2 points), multilobar chest radiography involvement (1 point), low albumin level (1 point), high respiratory rate (1 point), tachycardia (1 point), confusion (1 point), poor oxygenation (2 points), and low arterial pH (2 points): SMART-COP. A SMART-COP score of >or=3 points identified 92% of patients who received IRVS, including 84% of patients who did not need immediate admission to the intensive care unit. Accuracy was also high in the 5 validation databases. Sensitivities of PSI and CURB-65 for identifying the need for IRVS were 74% and 39%, respectively. SMART-COP is a simple, practical clinical tool for accurately predicting the need for IRVS that is likely to assist clinicians in determining CAP severity.

  20. Twentieth congress of the European Society of Pediatric Radiology

    International Nuclear Information System (INIS)

    Anon.

    1983-01-01

    91 Abstracts of lectures are presented given at the 20th Congress of the European Society of Pediatric Radiology. The topics of the different sessions were as follows: Urinary tract, musculo-skeletal system, respiratory tract, gastrointestinal tract, skull and neuroradiology, genital tract, new modality imaging and cardiovascular system. (MG)

  1. THE CONTEMPORARY MIGRATION PHENOMENON – THE (UN SOLVED PROBLEM OF THE EUROPEAN COMMUNITY?!

    Directory of Open Access Journals (Sweden)

    Stelian MANOLACHE

    2016-12-01

    Full Text Available It is obvious that the migration wave from the Orient is a challenge for Europe and especially for the Catholic and Protestant countries. Its geopolitical, economic, social, cultural, theological and spiritual significance have hardly any competition in the old evolution of the world, the secularisation from the 17th century or the globalisation from the 21st century. From this perspective, it is necessary to study carefully the migration phenomenon in its assembly, trying to present an integrated and multi-criteria diagnosis, especially due to the fact that the migration phenomenon brings closer to each of us the huge and extremely difficult problem of Muslim radicalisation, together with its cohort of terrorist manifestations endangering the most important human right: the right to life. Our study is intentionally intended to evaluate and commensurate, using Orthodox theological criteria, the impact of the actual migration phenomenon, the life of the Muslim community – umma, related to the Christian community from the multicultural European society. We start from the opposed manner the two sides relate to society, understand freedom and the dialogue between religions.

  2. Evaluation of respiratory pattern during respiratory-gated radiotherapy

    International Nuclear Information System (INIS)

    Dobashi, Suguru; Mori, Shinichiro

    2014-01-01

    The respiratory cycle is not strictly regular, and generally varies in amplitude and period from one cycle to the next. We evaluated the characteristics of respiratory patterns acquired during respiratory gating treatment in more than 300 patients. A total 331 patients treated with respiratory-gated carbon-ion beam therapy were selected from a group of patients with thoracic and abdominal conditions. Respiratory data were acquired for a total of 3,171 fractions using an external respiratory sensing monitor and evaluated for respiratory cycle, duty cycle, magnitude of baseline drift, and intrafractional/interfractional peak inhalation/exhalation positional variation. Results for the treated anatomical sites and patient positioning were compared. Mean ± SD respiratory cycle averaged over all patients was 4.1 ± 1.3 s. Mean ± SD duty cycle averaged over all patients was 36.5 ± 7.3 %. Two types of baseline drift were seen, the first decremental and the second incremental. For respiratory peak variation, the mean intrafractional variation in peak-inhalation position relative to the amplitude in the first respiratory cycle (15.5 ± 9.3 %) was significantly larger than that in exhalation (7.5 ± 4.6 %). Interfractional variations in inhalation (17.2 ± 18.5 %) were also significantly greater than those in exhalation (9.4 ± 10.0 %). Statistically significant differences were observed between patients in the supine position and those in the prone position in mean respiratory cycle, duty cycle, and intra-/interfractional variations. We quantified the characteristics of the respiratory curve based on a large number of respiratory data obtained during treatment. These results might be useful in improving the accuracy of respiratory-gated treatment.

  3. The European Union: Challenges and Perspectives

    Directory of Open Access Journals (Sweden)

    Botescu Ion

    2017-01-01

    If to all these we add the protectionist measures that the new president of the United States wishes to implement, as well as some deterioration in the European Union credibility generated by Brexit, the bureaucratic aspects that characterize the European institutions, etc., we can outline the context of the European Union, which requires a series of measures to ensure the progress of the European Union as a whole and, in particular, the effective integration of each Community country.

  4. Characterization of patients in the European Forsteo Observational Study (EFOS): postmenopausal women entering teriparatide treatment in a community setting

    DEFF Research Database (Denmark)

    Rajzbaum, Gerald; Jakob, Franz; Karras, Dimitrios

    2007-01-01

    OBJECTIVE: The European Forsteo Observational Study (EFOS) study was primarily designed to assess fracture incidence, degree of pain, health-related quality of life (HRQoL) and compliance in women prescribed teriparatide in a community setting. This report describes the design of the study...... deformities and 91.7% were pre-treated with bisphosphonates. HRQoL, evaluated by the health state value (HSV) (median: 0.59, Q1; Q3: 0.08; 0.71) and visual analogue scale (VAS) (median 50.0, Q1; Q3: 35.0; 69.0) status of the European quality of life questionnaire (EQ-5D) was poor. Extreme problems were...

  5. Transnational European Television Drama

    DEFF Research Database (Denmark)

    Bondebjerg, Ib; Redvall, Eva Novrup; Helles, Rasmus

    This book deals with the role of television drama in Europe as enabler of transnational, cultural encounters for audiences and the creative community. It demonstrates that the diversity of national cultures is a challenge for European TV drama but also a potential richness and source of creative...... variation. Based on data on the production, distribution and reception of recent TV drama from several European countries, the book presents a new picture of the transnational European television culture. The authors analyse main tendencies in television policy and challenges for national broadcasters...

  6. Heliox reduces respiratory system resistance in respiratory syncytial virus induced respiratory failure

    NARCIS (Netherlands)

    Kneyber, Martin C. J.; van Heerde, Marc; Twisk, Jos W. R.; Plotz, Frans B.; Markhors, Dick G.

    2009-01-01

    Introduction Respiratory syncytial virus (RSV) lower respiratory tract disease is characterised by narrowing of the airways resulting in increased airway resistance, air-trapping and respiratory acidosis. These problems might be overcome using helium-oxygen gas mixture. However, the effect of

  7. Heliox reduces respiratory system resistance in respiratory syncytial virus induced respiratory failure

    NARCIS (Netherlands)

    Kneijber, M.C.J.; van Heerde, M.; Twisk, J.W.R.; Plotz, F.; Markhorst, D.G.

    2009-01-01

    Introduction: Respiratory syncytial virus (RSV) lower respiratory tract disease is characterised by narrowing of the airways resulting in increased airway resistance, air-trapping and respiratory acidosis. These problems might be overcome using helium-oxygen gas mixture. However, the effect of

  8. Childhood acute lower respiratory tract infections in Northern Nigeria

    African Journals Online (AJOL)

    2015-03-02

    Mar 2, 2015 ... cause of childhood morbidity and deaths worldwide1, 2. Of the estimated 7.6 ... years of age with community-acquired pneumonia. (CAP) would require ..... mon respiratory pathogens, such as Haemophilus influ- enzae and ...

  9. The role of community pharmacists in screening and subsequent management of chronic respiratory diseases: a systematic review.

    Science.gov (United States)

    Fathima, Mariam; Naik-Panvelkar, Pradnya; Saini, Bandana; Armour, Carol L

    2013-10-01

    The purpose of this review was to evaluate the role of community pharmacists in provision of screening with/without subsequent management of undiagnosed chronic obstructive pulmonary disease (COPD) and uncontrolled asthma. An extensive literature search using four databases (ie. Medline, PubMed, International Pharmaceutical Abstracts (IPA) and Scopus) with search terms pharmacy, screening, asthma or COPD was conducted. Searches were limited to the years 2003-2013, those in English and those reporting research with humans. Data retrieval, analysis and result presentation employed a scoping review method. Seventeen articles met the inclusion/exclusion criteria, of which fifteen studies were based on people with asthma and two were based on people with COPD. Only seven asthma studies and one COPD study involved screening followed by subsequent management. More than half of the people screened were found to be poorly controlled and up to 62% of people were identified at high risk for COPD by community pharmacists. The studies varied in the method and type of asthma control assessment/screening, the type of intervention provided and the outcomes measured. The limitations of the reviewed studies included varying definitions of asthma control, different study methodologies, and the lack of long-term follow-up. While many different methods were used for risk assessment and management services by the pharmacists, all the studies demonstrated that community pharmacists were capable of identifying people with poorly controlled asthma and undiagnosed COPD and providing them with suitable interventions. The literature review identified that community pharmacists can play an effective role in screening of people with poorly controlled asthma and undiagnosed COPD along with delivering management interventions. However, there is very little literature available on screening for these chronic respiratory conditions. Future research should focus on development of patient care

  10. The new architecture of the European Union

    Directory of Open Access Journals (Sweden)

    Radivojević Zoran

    2011-01-01

    Full Text Available The Lisbon Treaty has brought significant changes into the architecture of the European Union. The most important novelty, however, is the establishment of a full unity of the Union structure achieved by creating new and strengthening the existing elements. The new elements of this unity are the disappearance of the European Community, the 'independence' of the European Atomic Energy Community, constituting the European Union as a single entity and the introduction of EU values. At the same time, the Lisbon Treaty has strengthened the existing elements of the common institutional mechanisms, rules on amending the founding treaties and EU membership. However, constituting the Union as a single entity which has replaced and succeeded the European Communities has not abolished the EU elements of diversity. In the areas that differed, even before the adoption of the Lisbon Treaty, from the community pillar, there remain significant differences in the nature and the scope of competences of the Union institutions. This mainly regards the common foreign and security policy, which now includes the defense policy, where the existing model of inter-state cooperation has been only slightly interfered with. In contrast, in the field of police and judicial cooperation in criminal matters, which has become part of a larger Area of Freedom, Security and Justice, the inter-state model of cooperation has been abandoned in some of its most important elements. However, the implementation of some of the important elements of the supranational model has been postponed.

  11. Differentiation, Leaders and Fairness. Negotiating Climate Commitments in the European Community

    Energy Technology Data Exchange (ETDEWEB)

    Ringius, Lasse

    1997-12-31

    This report shows that it is possible to negotiate and reach asymmetrical environmental agreements that take into account significant national dissimilarities. It is argued that analytical models and intuitively appealing model-based quantitative indicators of national circumstances can establish premises for negotiations leading to differentiated environmental agreements. While they cannot take the place of political negotiations, they help identify a formula that defines the problem in a resolvable fashion and prevent the bargaining space from expanding uncontrollably. Scholars arguing that symmetrical environmental measures are widely used because they simplify negotiations and prevent countries from pursuing extremist positions, and that salient focal points are significant in negotiation, overlook this argument. In pre-Kyoto European Community climate policy, which this report empirically examines, high transaction costs and EC member states` ability to block economically hurtful agreements were not essential issues. 54 refs., 1 fig., 7 tabs.

  12. Qualification, training, licensing/authorization and retraining of operating personnel in nuclear power plants. Some requirements and practices commonly shared in the European Community Member States

    International Nuclear Information System (INIS)

    Pele, J.P.

    1987-01-01

    At the end of the fifties a treaty was signed instituting between six countries of the European Community for Atomic Energy, or in brief, Euratom. This treaty, in addition to the Common Market Treaty and the Coal and Steel one, constitutes the legal frame of the European Community which, at present, comprises 12 Member States. A commission, the so-called Commission of the European Communities (or in brief CEC) has to implement the provisions laid down in the treaties. Qualification, training, licensing and re-training of operating personnel have been the subjects of an in-depth exchange of views and information in the frame of the work conducted by the Commission. The evaluation of the regulations and practices in countries of the EC and some other countries having a large nuclear energy program, has led to the identification of some generally valid concepts. This synthesis, made with the assistance of a consultant, is now published under the form of an EUR report (EUR 10981). The main topics addressed within this report are the following: shift staffing and staffing of the control room, personnel selection, qualifications necessary for recruitment, training and retraining, and licensing/authorization

  13. Chronic Respiratory Diseases in the Regions of Northern Russia: Epidemiological Distinctions in the Results of a National Population Study.

    Science.gov (United States)

    Gambaryan, Marine H; Shalnova, Svetlana A; Deev, Alexander D; Drapkina, Oxana M

    2017-07-26

    The aim of the study is to investigate the epidemiological situation regarding chronic respiratory diseases in populations that inhabit different climatic-geographical regions of Russia, and to develop targeted programs for prevention of these diseases. (1) a comparative analysis of the standardized mortality data in Russia and other selected regions of the Russian North using the European standard for respiratory diseases, in a population aged 25-64; and (2) data from a randomized cross-sectional epidemiological study, with subjects from three different climatic-geographical regions of Russia. (1) the respiratory disease-related mortality rates in the majority of Russian Northern regions were much higher compared to the national average. Although death rates from chronic lower respiratory diseases were higher among the Northern regions and in the whole of Russia relative to the countries of European Union (EU), the cause of death in the populations of the Northern regions tend to be lower respiratory infections and pneumonia; and (2) despite the absence of any significant differences in the prevalence of smoking, the prevalence of chronic respiratory diseases (COPD) is significantly higher in Far North Yakutsk compared to the other two regions in this study-Chelyabinsk and Vologda. The status of hyperborean had the highest chance of a significant contribution to COPD and cardiorespiratory pathology among all other risk factors. The results revealed a need for effective targeted strategies for primary and secondary prevention of chronic respiratory diseases for the populations of the Northern regions of Russia. The revealed regional distinctions regarding the prevalence of, and mortality from, chronic respiratory diseases should be taken into consideration when designing integrated programs for chronic non-communicable disease prevention in these regions.

  14. Public preferences for vaccination programmes during pandemics caused by pathogens transmitted through respiratory droplets - a discrete choice experiment in four European countries, 2013.

    Science.gov (United States)

    Determann, Domino; Korfage, Ida J; Fagerlin, Angela; Steyerberg, Ewout W; Bliemer, Michiel C; Voeten, Helene A; Richardus, Jan Hendrik; Lambooij, Mattijs S; de Bekker-Grob, Esther W

    2016-06-02

    This study aims to quantify and compare preferences of citizens from different European countries for vaccination programme characteristics during pandemics, caused by pathogens which are transmitted through respiratory droplets. Internet panel members, nationally representative based on age, sex, educational level and region, of four European Union Member States (Netherlands, Poland, Spain, and Sweden, n = 2,068) completed an online discrete choice experiment. These countries, from different geographical areas of Europe, were chosen because of the availability of high-quality Internet panels and because of the cooperation between members of the project entitled Effective Communication in Outbreak Management: development of an evidence-based tool for Europe (ECOM). Data were analysed using panel latent class regression models. In the case of a severe pandemic scenario, vaccine effectiveness was the most important characteristic determining vaccination preference in all countries, followed by the body that advises on vaccination. In Sweden, the advice of family and/or friends and the advice of physicians strongly affected vaccine preferences, in contrast to Poland and Spain, where the advice of (international) health authorities was more decisive. Irrespective of pandemic scenario or vaccination programme characteristics, the predicted vaccination uptakes were lowest in Sweden, and highest in Poland. To increase vaccination uptake during future pandemics, the responsible authorities should align with other important stakeholders in the country and communicate in a coordinated manner.

  15. Daytime napping and increased risk of incident respiratory diseases: symptom, marker, or risk factor?

    Science.gov (United States)

    Leng, Yue; Wainwright, Nick W J; Cappuccio, Francesco P; Surtees, Paul G; Hayat, Shabina; Luben, Robert; Brayne, Carol; Khaw, Kay-Tee

    2016-07-01

    We have identified a strong association between daytime napping and increased mortality risk from respiratory diseases, but little is known about the relationship between daytime napping and respiratory morbidity. Data were drawn from the European Prospective Investigation into Cancer and Nutrition-Norfolk cohort. Participants reported napping habits during 1998-2000 and were followed up for respiratory disease hospital admissions until March 2009. Cox proportional hazards regression was used to examine the association between daytime napping and respiratory disease incidence risk. The study sample included 10,978 men and women with a mean age of 61.9 years, and a total of 946 incident respiratory disease cases were recorded. After adjustment for age, sex, social class, education, marital status, employment status, nightshift work, body mass index, physical activity, smoking, alcohol intake, self-reported general health, hypnotic drug use, habitual sleep duration, and preexisting health conditions, daytime napping was associated with an increase in the overall respiratory disease incidence risk (hazard ratio (HR) = 1.32, 95% confidence interval (CI) 1.15, 1.52 for napping respiratory diseases, especially for the risk of chronic lower respiratory diseases (HR = 1.52, 95% CI: 1.18, 1.96 for napping respiratory disease incidence risk. Further studies are required to confirm these findings and help understand potential mechanisms. Copyright © 2016 The Author(s). Published by Elsevier B.V. All rights reserved.

  16. Protocol Additional to the agreement between France, the European Atomic Energy Community and the International Atomic Energy Agency for the application of safeguards in France

    International Nuclear Information System (INIS)

    2005-01-01

    The text of the Protocol Additional to the Agreement between France, the European Atomic Energy Community and the International Atomic Energy Agency for the Application of Safeguards in France is reproduced in the Annex to this document for the information of all Members. The Additional Protocol was approved by the Board of Governors on 11 June 1998. It was signed in Vienna on 22 September 1998. Pursuant to Article 16 of the Additional Protocol, the Protocol entered into force on 30 April 2004, the date on which the Agency received written notification that the European Atomic Energy Community and France had met their respective internal requirements for entry into force

  17. The R and D program on geothermal energy of the commission of the European communities results and future

    International Nuclear Information System (INIS)

    Louwrier, K.P.; Garnish, J.D.; Staroste, E.

    1992-01-01

    DGXII of the Commission of the European Communities has supported research and development in the field of the geothermal energy since 1975, and has just begun the fifth, and probably final, four year program. The first program concentrated on the data collection in order to establish the geothermal potential of the Community. This work resulted in the drafting and publication of two Atlases, one dealing with sub-surface temperatures and one with geothermal resources. Three multidisciplinary studies were undertaken on three known geothermal reservoirs with different characteristics, in order to test the validity of various exploration methods. A major element in recent years has been Hot Dry Rock studies, which have evolved during the course of the various program s from laboratory experiments and work in shallow holes towards a European test site where an international team of scientists coordinates research teams from different Member States. Basic scientific support to exploitation of geothermal energy has been given by geochemistry. The present R and D program centers on HDR research and abatement of corrosion and scaling in geothermal systems. Besides the geothermal work the program also supports studies in deep reservoir geology

  18. Lost life years due to premature mortality caused by diseases of the respiratory system.

    Science.gov (United States)

    Maniecka-Bryła, Irena; Paciej-Gołębiowska, Paulina; Dziankowska-Zaborszczyk, Elżbieta; Bryła, Marek

    2018-06-04

    In Poland, as in most other European countries, diseases of the respiratory system are the 4th leading cause of mortality; they are responsible for about 8% of all deaths in the European Union (EU) annually. To assess the socio-economic aspects of mortality, it has become increasingly common to apply potential measures rather than conventionally used ratios. The aim of this study was to analyze years of life lost due to premature deaths caused by diseases of the respiratory system in Poland from 1999 to 2013. The study was based on a dataset of 5,606,516 records, obtained from the death certificates of Polish residents who died between 1999 and 2013. The information on deaths caused by diseases of the respiratory system, i.e., coded as J00-J99 according to the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10), was analyzed. The Standard Expected Years of Life Lost (SEYLL) indicator was used in the study. In the years 1999-2013, the Polish population suffered 280,519 deaths caused by diseases of the respiratory system (4.69% of all deaths). In the period analyzed, a gradual decrease in the standardized death rate was observed - from 46.31 per 100,000 inhabitants in 1999 to 41.02 in 2013. The dominant causes of death were influenza and pneumonia (J09-J18) and chronic lower respiratory diseases (J40-J47). Diseases of the respiratory system were the cause of 4,474,548.92 lost life years. The Standard Expected Years of Life Lost per person (SEYLLp) was 104.72 per 10,000 males and 52.85 per 10,000 females. The Standard Expected Years of Life Lost per death (SEYLLd) for people who died due to diseases of the respiratory system was 17.54 years of life on average for men and 13.65 years on average for women. The use of the SEYLL indicator provided significant information on premature mortality due to diseases of the respiratory system, indicating the fact that they play a large role in the health status of the Polish

  19. Epidemiology and outcomes of acute respiratory distress syndrome in children according to the Berlin definition: a multicenter prospective study.

    Science.gov (United States)

    Barreira, Eliane R; Munoz, Gabriela O C; Cavalheiro, Priscilla O; Suzuki, Adriana S; Degaspare, Natalia V; Shieh, Huei H; Martines, João A D S; Ferreira, Juliana C; Lane, Christianne; Carvalho, Werther B; Gilio, Alfredo E; Precioso, Alexander R

    2015-05-01

    In 2012, a new acute respiratory distress syndrome definition was proposed for adult patients. It was later validated for infants and toddlers. Our objective was to evaluate the prevalence, outcomes, and risk factors associated with acute respiratory distress syndrome in children up to 15 years according to the Berlin definition. A prospective, multicenter observational study from March to September 2013. Seventy-seven PICU beds in eight centers: two private hospitals and six public academic hospitals in Brazil. All children aged 1 month to 15 years admitted to the participating PICUs in the study period. None. All children admitted to the PICUs were daily evaluated for the presence of acute respiratory distress syndrome according to the American-European Consensus Conference and Berlin definitions. Of the 562 patients included, acute respiratory distress syndrome developed in 57 patients (10%) and 58 patients (10.3%) according to the Berlin definition and the American-European Consensus Conference definition, respectively. Among patients with acute respiratory distress syndrome according to the Berlin definition, nine patients (16%) were mild, 21 (37%) were moderate, and 27 (47%) were severe. Compared with patients without acute respiratory distress syndrome, patients with acute respiratory distress syndrome had significantly higher severity scores, longer PICU and hospital length of stay, longer duration of mechanical ventilation, and higher mortality (p < 0.001). The presence of two or more comorbidities and admission for medical reasons were associated with development of acute respiratory distress syndrome. Comparisons across the three the Berlin categories showed significant differences in the number of ventilator-free days (21, 20, and 5 d, p = 0.001) and mortality for severe acute respiratory distress syndrome (41%) in comparison with mild (0) and moderate (15%) acute respiratory distress syndrome(p = 0.02). No differences in PICU or hospital stay were

  20. Influenza vaccine effectiveness for hospital and community patients using control groups with and without non-influenza respiratory viruses detected, Auckland, New Zealand 2014.

    Science.gov (United States)

    Pierse, Nevil; Kelly, Heath; Thompson, Mark G; Bissielo, Ange; Radke, Sarah; Huang, Q Sue; Baker, Michael G; Turner, Nikki

    2016-01-20

    We aimed to estimate the protection afforded by inactivated influenza vaccine, in both community and hospital settings, in a well characterised urban population in Auckland during 2014. We used two different comparison groups, all patients who tested negative for influenza and only those patients who tested negative for influenza and had a non-influenza respiratory virus detected, to calculate the vaccine effectiveness in a test negative study design. Estimates were made separately for general practice outpatient consultations and hospitalised patients, stratified by age group and by influenza type and subtype. Vaccine status was confirmed by electronic record for general practice patients and all respiratory viruses were detected by real time polymerase chain reaction. 1039 hospitalised and 1154 general practice outpatient consultations met all the study inclusion criteria and had a respiratory sample tested for influenza and other respiratory viruses. Compared to general practice patients, hospitalised patients were more likely to be very young or very old, to be Māori or Pacific Islander, to have a low income and to suffer from chronic disease. Vaccine effectiveness (VE) adjusted for age and other participant characteristics using all influenza negative controls was 42% (95% CI: 16 to 60%) for hospitalised and 56% (95% CI: 35 to 70%) for general practice patients. The vaccine appeared to be most effective against the influenza A(H1N1)pdm09 strain with an adjusted VE of 62% (95% CI:38 to 77%) for hospitalised and 59% (95% CI:36 to 74%) for general practice patients, using influenza virus negative controls. Similar results found when patients testing positive for a non-influenza respiratory virus were used as the control group. This study contributes to validation of the test negative design and confirms that inactivated influenza vaccines continue to provide modest but significant protection against laboratory-confirmed influenza. Copyright © 2015 Elsevier Ltd

  1. Does the development of new medicinal products in the European Union address global and regional health concerns?

    Directory of Open Access Journals (Sweden)

    Álvarez-Martín Elena

    2010-12-01

    Full Text Available Abstract Background Since 1995, approval for many new medicinal products has been obtained through a centralized procedure in the European Union. In recent years, the use of summary measures of population health has become widespread. We investigated whether efforts to develop innovative medicines are focusing on the most relevant conditions from a global public health perspective. Methods We reviewed the information on new medicinal products approved by centralized procedure from 1995 to 2009, information that is available to the public in the European Commission Register of medicinal products and the European Public Assessment Reports from the European Medicines Agency. Morbidity and mortality data were included for each disease group, according to the Global Burden of Disease project. We evaluated the association between authorized medicinal products and burden of disease measures based on disability-adjusted life years (DALYs in the European Union and worldwide. Results We considered 520 marketing authorizations for medicinal products and 338 active ingredients. New authorizations were seen to increase over the period analyzed. There was a positive, high correlation between DALYs and new medicinal product development (ρ = 0.619, p = 0.005 in the European Union, and a moderate correlation for middle-low-income countries (ρ = 0.497, p = 0.030 and worldwide (ρ = 0.490, p = 0.033. The most neglected conditions at the European level (based on their attributable health losses were neuropsychiatric diseases, cardiovascular diseases, respiratory diseases, sense organ conditions, and digestive diseases, while globally, they were perinatal conditions, respiratory infections, sense organ conditions, respiratory diseases, and digestive diseases. Conclusions We find that the development of new medicinal products is higher for some diseases than others. Pharmaceutical industry leaders and policymakers are invited to consider the implications of this

  2. Nuclear energy: the European way

    International Nuclear Information System (INIS)

    Anon.

    1993-01-01

    The dossier published in this issue deals with the present and future situation of nuclear energy in Europe. What could be the trends of the nuclear development in the Europe of tomorrows. That global question is answered by pointing out the different data related to the present state of european nuclear programmes. Such an overview is followed by a serie of articles dealing with definite items: the actions implemented by the European Communities Commission: the electricity market and EDF policy in the field of european electric grids; the trends of nuclear cycle industry and the perfecting of the future european nuclear reactor

  3. Is an environmentally sustainable future for the European Community compatible with continued growth - carbon dioxide and the management of greed

    International Nuclear Information System (INIS)

    Slesser, M.

    1993-01-01

    The search for sustainability creates moral and economic dilemmas for politicians seeking to match public aspirations with environmental integrity. The paper explores a method for computing the longer term outcome of policies, considering the case of the European Community as a single economy and taking the specific problem of carbon dioxide

  4. Air Pollution and Nonmalignant Respiratory Mortality in 16 Cohorts within the ESCAPE Project

    DEFF Research Database (Denmark)

    Dimakopoulou, Konstantina; Samoli, Evangelia; Beelen, Rob

    2014-01-01

    Rationale: Prospective cohort studies have shown that chronic exposure to particulate matter and traffic related air pollution is associated with reduced survival. However, the effects on non-malignant respiratory mortality are less studied and those reported are less consistent. Objectives: We...... have investigated the relationship of long-term exposure to air pollution and non-malignant respiratory mortality in 16 cohorts with individual level data within the multi center European Study of Cohorts for Air Pollution Effects (ESCAPE). Methods: Data from 16 ongoing cohort studies from Europe were...... used. The total number of subjects was 307,553. There were 1,559 respiratory deaths during follow-up. Measurements: Air pollution exposure was estimated by land use regression models at the baseline residential addresses of study participants and traffic-proximity variables were derived from...

  5. Radiological mass screening within the Member States of the European Community. Regulations, practices, effectiveness. Proceedings of a seminar

    International Nuclear Information System (INIS)

    Lochard, J.

    1987-01-01

    Under the Euratom Treaty it is the task of the Commission of the European Community to ensure the health protection of workers and the general public against the dangers of ionizing radiation. Dose limits and the principals of radiation protection were first laid down in a Council Directive of 1959, and have since been repeatedly adapted. The specific problems of radiation protection of persons undergoing medical examination or treatment are the subject of a separate Council Directive of 3 September 1984. This directive specifies that 'all medical exposures must be medically justified and kept as low as reasonably achievable'. The concept of justification is particularly critical in the case of mass-screening activities. For some diseases with low prevalence the radiological detriment to the population resulting from radiological mass-screening procedures might be greater than the individual benefit of the diagnosis. In addition the costs of public health care are rising in all Member States of the European Community and the effectiveness of public health care programmes like mass-screening must be carefully examined. A technical workshop on practices and regulations in the field of radiological mass-screening within the Member States (Luxembourg, 4-5 December 1984) and a seminar on the same subject (Luxembourg, 3-4 December 1985) were therefore organized by the Commission of the European Communities in cooperation with the Commissariat a l'energie Atomique, CEA, and the Centre d'etude sur l'evaluation de la protection dans le domaine nucleaire, CEPN (France). The workshop provided up-to-date information on effectiveness and cost of radiological mass-screening programmes in the Member States. The seminar provided the representatives of the national authorities responsible for radiation protection, public health and occupational medicine with an opportunity to discuss mass-screening practices with experts. This publication contains the papers presented at the

  6. The EIROforum Collaboration Agreement with the European Union

    CERN Document Server

    2003-01-01

    Collaboration between CERN and the European Union has extended over many years, and the European Commission were granted Observer Status in the CERN Council in 1985 already. In 1994, an Administrative Arrangement was signed between CERN's Director-General, Professor C.H. Llewellyn Smith, and the Commissioner of the European Communities, Professor Antonio Ruberti, "to promote co-operation between the Commission of the European Communities and CERN in research and technological development". (See Annex I). In 2000, the EIROforum was set up composed of the Directors-General of the seven organisations - CERN, EFDA, EMBL, ESA, ESO, ESRF and ILL - whom now meet regularly twice per year. More information is available at the Web site www.eiroforum.org. On 27 October 2003, the EIROforum members signed a joint "Statement of Intent" with the European Commission, represented by Commissioner Philippe Busquin, confirming their common commitment to developing the European Research Area. The goal is to work together to estab...

  7. An Investigation of the Pathology and Pathogens Associated with Porcine Respiratory Disease Complex in Denmark

    DEFF Research Database (Denmark)

    Hansen, Mette Sif; Pors, S. E.; Jensen, H. E.

    2010-01-01

    ), porcine reproductive and respiratory syndrome virus (both European and US type), porcine circovirus type 2 (PCV2), porcine respiratory coronavirus, porcine cytomegalovirus, Mycoplasma hyopneumoniae and Mycoplasma hyorhinis. All cases had cranioventral lobular bronchopneumonia consistent with PRDC....... There was a broad range of microscopical lesions and the cases were characterized as acute (n=10), subacute (n=24) or chronic (n=114) bronchopneumonia. Five bacterial species, five viruses and two Mycoplasma spp. were detected in different combinations. PCV2, M. hyopneumoniae, M. hyorhinis and Pasteurella multocida...

  8. Detection of immunoglobulin M and immunoglobulin G antibodies to Mycoplasma pneumoniae in children with community-acquired lower respiratory tract infections

    Directory of Open Access Journals (Sweden)

    Surinder Kumar

    2018-01-01

    Full Text Available Context: Mycoplasma pneumoniae (M. pneumoniae causes up to 40% of community-acquired pneumonia in children. It is impossible to identify M. pneumoniae infection on the basis of clinical signs, symptoms, and radiological features. Therefore, correct etiological diagnosis strongly depends on laboratory diagnosis. Aims: This study aims to investigate the role of M. pneumonia e in pediatric lower respiratory tract infections (LRTIs employing enzyme-linked immunosorbent assays (ELISA and particle agglutination (PA test. Settings and Design: Two hundred and eighty children, age 6 months to 12 years with community-acquired LRTIs were investigated for M. pneumoniae etiology. Materials and Methods: We investigated 280 children hospitalized for community-acquired LRTIs, using ELISA and PA test for detecting M. pneumoniae immunoglobulin M (IgM and immunoglobulin G antibodies. Statistical Analysis Used: The difference of proportion between the qualitative variables was tested using the Chi-square test and Fischer exact test. P ≤ 0.05 was considered as statistically significant. Kappa value was used to assess agreement between ELISA and PA test. Results: M. pneumoniae was positive in 51 (23.2% 5 years of age.

  9. COPD management as a model for all chronic respiratory conditions: report of the 4th Consensus Conference in Respiratory Medicine.

    Science.gov (United States)

    Nardini, Stefano; De Benedetto, Fernando; Sanguinetti, Claudio M; Bellofiore, Salvatore; Carlone, Stefano; Privitera, Salvatore; Sagliocca, Luciano; Tupputi, Emmanuele; Baccarani, Claudio; Caiffa, Gennaro; Calabrese, Maria Consiglia; Capuozzo, Antonio; Cauchi, Salvatore; Conio, Valentina; Coratella, Giuseppe; Crismancich, Franco; Dal Negro, Roberto W; Dellarole, Franco; Delucchi, Maurizio; Favaretti, Carlo; Forte, Silvia; Gallo, Franca Matilde; Giuliano, Riccardo; Grandi, Marco; Grillo, Antonino; Gualano, Maria Rosaria; Guffanti, Enrico; Locicero, Salvatore; Lombardo, Francesco Paolo; Mantero, Marco; Marasso, Roberto; Martino, Laura; Mastroberardino, Michele; Mereu, Carlo; Messina, Roberto; Neri, Margherita; Novelletto, Bruno Franco; Parente, Paolo; Pasquinucci, Sergio; Pistolesi, Massimo; Polverino, Mario; Posca, Agnese; Richeldi, Luca; Roccia, Fernando; Giustini, Ettore Saffi; Salemi, Michelangelo; Santacroce, Salvatore; Schisano, Mario; Schisano, Matteo; Selvi, Eleonora; Silenzi, Andrea; Soverina, Patrizio; Taranto, Claudio; Ugolini, Marta; Visaggi, Piero; Zanasi, Alessandro

    2017-01-01

    Non-communicable diseases (NCDs) kill 40 million people each year. The management of chronic respiratory NCDs such as chronic obstructive pulmonary disease (COPD) is particularly critical in Italy, where they are widespread and represent a heavy burden on healthcare resources. It is thus important to redefine the role and responsibility of respiratory specialists and their scientific societies, together with that of the whole healthcare system, in order to create a sustainable management of COPD, which could become a model for other chronic respiratory conditions. These issues were divided into four main topics (Training, Organization, Responsibilities, and Sustainability) and discussed at a Consensus Conference promoted by the Research Center of the Italian Respiratory Society held in Rome, Italy, 3-4 November 2016. Regarding training, important inadequacies emerged regarding specialist training - both the duration of practical training courses and teaching about chronic diseases like COPD. A better integration between university and teaching hospitals would improve the quality of specialization. A better organizational integration between hospital and specialists/general practitioners (GPs) in the local community is essential to improve the diagnostic and therapeutic pathways for chronic respiratory patients. Improving the care pathways is the joint responsibility of respiratory specialists, GPs, patients and their caregivers, and the healthcare system. The sustainability of the entire system depends on a better organization of the diagnostic-therapeutic pathways, in which also other stakeholders such as pharmacists and pharmaceutical companies can play an important role.

  10. Genomic variation in macrophage-cultured European porcine reproductive and respiratory syndrome virus Olot/91 revealed using ultra-deep next generation sequencing.

    Science.gov (United States)

    Lu, Zen H; Brown, Alexander; Wilson, Alison D; Calvert, Jay G; Balasch, Monica; Fuentes-Utrilla, Pablo; Loecherbach, Julia; Turner, Frances; Talbot, Richard; Archibald, Alan L; Ait-Ali, Tahar

    2014-03-04

    Porcine Reproductive and Respiratory Syndrome (PRRS) is a disease of major economic impact worldwide. The etiologic agent of this disease is the PRRS virus (PRRSV). Increasing evidence suggest that microevolution within a coexisting quasispecies population can give rise to high sequence heterogeneity in PRRSV. We developed a pipeline based on the ultra-deep next generation sequencing approach to first construct the complete genome of a European PRRSV, strain Olot/9, cultured on macrophages and then capture the rare variants representative of the mixed quasispecies population. Olot/91 differs from the reference Lelystad strain by about 5% and a total of 88 variants, with frequencies as low as 1%, were detected in the mixed population. These variants included 16 non-synonymous variants concentrated in the genes encoding structural and nonstructural proteins; including Glycoprotein 2a and 5. Using an ultra-deep sequencing methodology, the complete genome of Olot/91 was constructed without any prior knowledge of the sequence. Rare variants that constitute minor fractions of the heterogeneous PRRSV population could successfully be detected to allow further exploration of microevolutionary events.

  11. Directives and recommendations of the European Communities on health protection against ionizing radiations

    International Nuclear Information System (INIS)

    1977-11-01

    The CNEN has published a third edition, with comments, of the Directives and Recommendations of the European Communities on health protection against ionizing radiations, following their revision in 1976. This revision takes account of recent developments in the ICRP recommendations which serve as guidelines in the legislation of many countries for establishing general radiation protection principles as well as basic criteria and technical standards. The new Directive, while keeping to the basic principles established in 1959, introduces new methods for improved medical surveillance of workers; also, the previous difference between occupationally exposed workers and those occasionally exposed is eliminated. Finally, a new concept of critical groups is introduced as regards protection of the population, as a basis for its protection. (NEA) [fr

  12. Statutory Instruments No 144 of 1994. European Communities (Protection of outside workers from ionising radiation) Regulations, 1994

    International Nuclear Information System (INIS)

    1994-04-01

    These Regulations implement Council Directive 90/641 EURATOM of 4 December, 1990 on the operational protection of outside workers exposed to the risk of ionising radiation during their activities in controlled areas. The Regulations provide for the radiation protection of workers liable to receive an exposure of high radiation levels while working away from their employers' premises. The Regulations also apply to workers who come from, or who go to work in, another Member State of the European Community

  13. Communication received from the resident representative of Italy on behalf of the European Community. A communication dated 28 June 1996 from the Permanent Mission of Sweden

    International Nuclear Information System (INIS)

    1996-01-01

    The document reproduces the text of a note verbale dated 28 June 1996 and received by the Director General of the IAEA from the Permanent Mission of Sweden on 28 June 1996 informing about the adoption, by the Government of Sweden, of the common policy declaration adopted on 20 November 1984 by the ministers for foreign affairs of the then ten members of the European Community which was transmitted to the Director General by the Resident Representative of Italy on behalf of the Community on 22 march 1985 (INFCIRC/322). The declaration deals with transfer of nuclear material, equipment and technology between the Member States of the European Union

  14. Communication received from the resident representative of Italy on behalf of the European Community. A communication dated 17 June 1996 from the Permanent Mission of Austria

    International Nuclear Information System (INIS)

    1996-01-01

    The document reproduces the text of a note verbale dated 17 June 1996 and received by the Director General of the IAEA from the Permanent Mission of Austria on 19 June 1996 informing about the adoption, by the Government of Austria, of the common policy declaration adopted on 20 November 1984 by the ministers for foreign affairs of the then ten members of the European Community which was transmitted to the Director General by the Resident Representative of Italy on behalf of the Community on 22 march 1985 (INFCIRC/322). The declaration deals with transfer of nuclear material, equipment and technology between the Member States of the European Union

  15. Divergent Mitochondrial Respiratory Chains in Phototrophic Relatives of Apicomplexan Parasites

    Czech Academy of Sciences Publication Activity Database

    Flegontov, P.; Michálek, Jan; Janouškovec, J.; Lai, De Hua; Jirků, Milan; Hajdušková, Eva; Tomčala, Aleš; Otto, T.D.; Keeling, P.J.; Pain, A.; Oborník, Miroslav; Lukeš, Julius

    2015-01-01

    Roč. 32, č. 5 (2015), s. 1115-1131 ISSN 0737-4038 R&D Projects: GA ČR GAP506/12/1522; GA ČR GA13-33039S; GA ČR GBP501/12/G055 EU Projects: European Commission(XE) 316304 Institutional support: RVO:60077344 Keywords : respiratory chain * Apicomplexa * Chromera * anaerobic metabolism * evolution * Vitrella Subject RIV: EB - Genetics ; Molecular Biology Impact factor: 13.649, year: 2015

  16. Impact of the Respiratory Microbiome on Host Responses to Respiratory Viral Infection

    Directory of Open Access Journals (Sweden)

    Maxime Pichon

    2017-11-01

    Full Text Available Viruses are responsible for most of both upper and lower acute respiratory infections (ARIs. The microbiome—the ecological community of microorganisms sharing the body space, which has gained considerable interest over the last decade—is modified in health and disease states. Even if most of these disturbances have been previously described in relation to chronic disorders of the gastrointestinal microbiome, after a short reminder of microbiome characteristics and methods of characterization, this review will describe the impact of the microbiome (mainly respiratory on host responses to viral ARIs. The microbiome has a direct environmental impact on the host cells but also an indirect impact on the immune system, by enhancing innate or adaptive immune responses. In microbial infections, especially in viral infections, these dramatic modifications could lead to a dramatic impact responsible for severe clinical outcomes. Studies focusing on the microbiome associated with transcriptomic analyses of the host response and deep characterization of the pathogen would lead to a better understanding of viral pathogenesis and open avenues for biomarker development and innovative therapeutics.

  17. The fourth radioactive waste management program of the Commission of the European Communities (1990-1994)

    International Nuclear Information System (INIS)

    Orlowski, S.; Schaller, K.H.; Simon, R.

    1992-01-01

    The fourth radioactive waste management program 1990-1994 is aimed at perfecting and demonstrating a system of management of radioactive waste, including unprocessed irradiated fuels where these are considered as waste, which will ensure, at the various stages, the best possible protection of man and the environment. In particular, research continues on the characterization and qualification of the various barriers, both engineered and natural (geological) considered in the multiple barrier disposal concept, and the findings are used to evaluate the long-term safety of this waste disposal concept. The program is implemented mainly through shared-cost research contracts with appropriate organizations, undertakings and companies - public or private - established in the European Community Member States. It is composed of two parts; Part A deals with waste management studies and associated research and development actions, whereas in Part B, the construction and operation of underground pilot and/or site validation facilities for deep geological disposal of radioactive waste open to Community joint activities are covered. (author)

  18. Middle East respiratory syndrome: A new global threat

    Directory of Open Access Journals (Sweden)

    Pradeep Kumar Bhatia

    2016-01-01

    Full Text Available The outbreak of Middle East respiratory syndrome (MERS is reported from Saudi Arabia and the Republic of Korea. It is a respiratory disease caused by coronavirus. Camels are considered as a source for MERS transmission in humans, although the exact source is unknown. Human-to-human transmission is reported in the community with droplet and contact spread being the possible modes. Most patients without any underlying diseases remain asymptomatic or develop mild clinical disease, but some patients require critical care for mechanical ventilation, dialysis and other organ support. MERS is a disease with pandemic potential and awareness, and surveillance can prevent such further outbreaks.

  19. Impact of chronic respiratory symptoms in a rural area of sub-Saharan Africa: an in-depth qualitative study in the Masindi district of Uganda.

    Science.gov (United States)

    van Gemert, Frederik; Chavannes, Niels; Nabadda, Nahid; Luzige, Simon; Kirenga, Bruce; Eggermont, Celeste; de Jong, Corina; van der Molen, Thys

    2013-09-01

    Chronic obstructive pulmonary disease (COPD), once regarded as a disease of developed countries, is now recognised as a common disease in low- and middle-income countries. No studies have been performed to examine how the community in resource poor settings of a rural area in sub-Saharan Africa lives with chronic respiratory symptoms. To explore beliefs and attitudes concerning health (particularly respiratory illnesses), use of biomass fuels, tobacco smoking, and the use of health services. A qualitative study was undertaken in a rural area of Masindi district in Uganda, using focus group discussions with 10-15 members of the community in 10 randomly selected villages. Respiratory symptoms were common among men, women, and children. In several communities respiratory symptoms were stigmatised and often associated with tuberculosis. Almost all the households used firewood for cooking and the majority cooked indoors without any ventilation. The extent of exposure to tobacco and biomass fuel smoke was largely determined by their cultural tradition and gender, tribal origin and socioeconomic factors. Many people were unaware of the damage to respiratory health caused by these risk factors, notably the disproportionate effect of biomass smoke in women and children. The knowledge of chronic respiratory diseases, particularly COPD, is poor in the rural community in sub-Saharan Africa. The lack of knowledge has created different beliefs and attitudes concerning respiratory symptoms. Few people are aware of the relation between smoke and respiratory health, leading to extensive exposure to mostly biomass-related smoke.

  20. Particulate matter air pollution and respiratory symptoms in individuals having either asthma or chronic obstructive pulmonary disease: a European multicentre panel study.

    Science.gov (United States)

    Karakatsani, Anna; Analitis, Antonis; Perifanou, Dimitra; Ayres, Jon G; Harrison, Roy M; Kotronarou, Anastasia; Kavouras, Ilias G; Pekkanen, Juha; Hämeri, Kaarle; Kos, Gerard Pa; de Hartog, Jeroen J; Hoek, Gerard; Katsouyanni, Klea

    2012-10-05

    Particulate matter air pollution has been associated with adverse health effects. The fraction of ambient particles that are mainly responsible for the observed health effects is still a matter of controversy. Better characterization of the health relevant particle fraction will have major implications for air quality policy since it will determine which sources should be controlled.The RUPIOH study, an EU-funded multicentre study, was designed to examine the distribution of various ambient particle metrics in four European cities (Amsterdam, Athens, Birmingham, Helsinki) and assess their health effects in participants with asthma or COPD, based on a detailed exposure assessment. In this paper the association of central site measurements with respiratory symptoms and restriction of activities is examined. At each centre a panel of participants with either asthma or COPD recorded respiratory symptoms and restriction of activities in a diary for six months. Exposure assessment included simultaneous measurements of coarse, fine and ultrafine particles at a central site. Data on gaseous pollutants were also collected. The associations of the 24-hour average concentrations of air pollution indices with the health outcomes were assessed in a hierarchical modelling approach. A city specific analysis controlling for potential confounders was followed by a meta-analysis to provide overall effect estimates. A 10 μg/m3 increase in previous day coarse particles concentrations was positively associated with most symptoms (an increase of 0.6 to 0.7% in average) and limitation in walking (OR= 1.076, 95% CI: 1.026-1.128). Same day, previous day and previous two days ozone concentrations were positively associated with cough (OR= 1.061, 95% CI: 1.013-1.111; OR= 1.049, 95% CI: 1.016-1.083 and OR= 1.059, 95% CI: 1.027-1.091, respectively). No consistent associations were observed between fine particle concentrations, nitrogen dioxide and respiratory health effects. As for particle

  1. Risks, regulation responsibilities and costs in nuclear waste management: a preliminary survey in the European Community

    International Nuclear Information System (INIS)

    Orlowski, S.

    1980-01-01

    The use of nuclear energy produces radioactive waste which may present risks of pollution for man and his environment. Their protection must be ensured by technical or institutional controls. The report examines the second, i.e. the administrative, legal and financial measures, dealing with the management of radioactive waste in existence or under consideration within the Member States of the European Community. The following aspects are studied: laws and regulations, authorities concerned, costs and financing of radioactive waste management, civil liability, national policies, international aspects of radioactive waste management

  2. The European Innovation Partnership on Active and Healthy Ageing synergies: protocol for a prospective observational study to measure the Impact of a community-based program on prevention and mitigation of frailty (ICP – PMF) in community-dwelling older adults

    NARCIS (Netherlands)

    Liotta, G.; Orfila, F.; Vollenbroek-Hutten, Miriam Marie Rosé; Roller-Winsberger, R.; Illaria, M.; Musian, D.; Alvino, S.; O'Caoimh, R.; Cano, A.; Molloy, W.; Iaccarino, G.; Marazzi, M.C.; Inzerilli, M.C.; Madaro, O.; Paul, C.; Csonka, P.; Vince, A.C.; Menditto, E.; Maggio, M.; Scarcella, P.; Gilardi, F.; Lucaroni, F.; Abete, P.; Girardi, V.; Barra, R.; Palombi, L.

    2016-01-01

    Aim of this paper is to describe the protocol of the study “Impact of a Community-based Program on Prevention and Mitigation of Frailty in community-dwelling older adults‿ developed in the framework of the European Innovation Partnership on Active and Healthy Ageing. This proposal has been developed

  3. High frequency RNA recombination in porcine reproductive and respiratory syndrome virus occurs preferentially between parental sequences with high similarity

    DEFF Research Database (Denmark)

    van Vugt, Joke .J.F.A.; Storgaard, Torben; Oleksiewicz, Martin B.

    2001-01-01

    Two types of porcine reproductive and respiratory syndrome virus (PRRSV) exist, a North American type and a European type. The co-existence of both types in some countries, such as Denmark, Slovakia and Canada, creates a risk of inter-type recombination. To evaluate this risk, cell cultures were co......, but no recombination was detected between the European and North American types. Calculation of the maximum theoretical risk of European-American recombination, based on the sensitivity of the RT-PCR system, revealed that RNA recombination between the European and North American types of PRRSV is at least 10000 times...

  4. Improving the well-being of elderly patients via community pharmacy-based provision of pharmaceutical care - A multicentre study in seven European countries

    NARCIS (Netherlands)

    Bernsten, C; Bjorkman, [No Value; Caramona, M; Crealey, G; Frokjaer, B; Grundberger, E; Gustafsson, T; Henman, M; Herborg, H; Hughes, C; McElnay, J; Magner, M; van Mil, F; Schaeffer, M; Silva, S; Sondergaard, B; Sturgess, [No Value; Tromp, D; Vivero, L; Winterstein, A

    2001-01-01

    Objective: This study aimed to measure the outcomes of a harmonised, structured pharmaceutical care programme provided to elderly patients: (greater than or equal to 65 years of age) by community pharmacists in a multicentre international study performed in 7 European countries. Design and setting:

  5. Rain Jõgi : Kehtivat trendi on keeruline murda / Rain Jõgi ; interv. Marika Kusnets

    Index Scriptorium Estoniae

    Jõgi, Rain

    2006-01-01

    TÜ kliinikumi kopsukliiniku juhataja kommenteerib European Community Respiratory Health Survey rahvusvahelist uuringut ja eestlaste suitsetamisharjumusi hingamisteede haiguste riskiteguritena üldisemas plaanis

  6. European Communities (Foodstuffs treated with ionising radiation) Regulations, 2000. Statutory Instrument S.I. No. 297 of 2000

    International Nuclear Information System (INIS)

    2000-01-01

    These Regulations give effect to Directive 1999/2/EC (the framework Directive) of the European Parliament and of the Council of 22 February 1999 on the approximation of the laws of the Member States concerning foods and food ingredients treated with ionising radiation and Directive 1999/3/EC (the implementing Directive) of the European Parliament and of the Council of 22 February 1999 on the establishment of a Community list of foods and food ingredients treated with ionising radiation. The effect of these Regulations is to lay down the general provisions for the treatment of foodstuffs with ionising radiation. Provisions concerning the approval and control of irradiation facilities and rules on labelling are also included. A positive list of foodstuffs authorised for treatment with ionising radiation and their maximum radiation doses are defined in the implementing Directive. These Regulations should be read together with the two Directives (author)

  7. Acute respiratory distress syndrome: an audit of incidence and outcome in Scottish intensive care units.

    Science.gov (United States)

    Hughes, M; MacKirdy, F N; Ross, J; Norrie, J; Grant, I S

    2003-09-01

    This prospective audit of incidence and outcome of the acute respiratory distress syndrome was conducted as part of the national audit of intensive care practice in Scotland. All patients with acute respiratory distress syndrome in 23 adult intensive care units were identified using the diagnostic criteria defined by the American-European Consensus Conference. Daily data collection was continued until death or intensive care unit discharge. Three hundred and sixty-nine patients were diagnosed with acute respiratory distress syndrome over the 8-month study period. The frequency of acute respiratory distress syndrome in the intensive care unit population was 8.1%; the incidence in the Scottish population was estimated at 16.0 cases.100,000(-1).year(-1). Intensive care unit mortality for acute respiratory distress syndrome was 53.1%, with a hospital mortality of 60.9%. In our national unselected population of critically ill patients, the overall outcome is comparable with published series (Acute Physiology and Chronic Health Evaluation II standardised mortality ratio = 0.99). However, mortality from acute respiratory distress syndrome in Scotland is substantially higher than in recent other series suggesting an improvement in outcome in this condition.

  8. Control of trafficking of radioactive sources/substances on European Community eastern border

    International Nuclear Information System (INIS)

    Lovjagina, Irina; Graveris, Visvaldis

    2008-01-01

    Full text: Taking into account Latvia geographical location, historical core stones (the dissolution of Soviet Union, join to European Community) and increasing of the international terrorism treats, control fissile and non-fissile radioactive material become one of high priorities. During past 2 years active work and practical exercise with representative from Ministry of Defense, Police, and Custom etc. on control of trafficking of such materials were performed and Operational Manual for Control on Radioactive Materials for Customs and Policy officers is issued. All land borders check points with Russian Federation and Byelorussian, all harbors and airports were equipped with a gamma/ neutrons or gamma control portals. To control unwanted material traffic within the country, as well as to ensure the recycled scrap metal is source-free use of monitoring portals and additional portable detectors in the past years strictly increased. Cases with alarm levels, when gamma dose rate exceeds more than 1.5 times the background level, are subject to reporting and analyzing by Radiation Safety Centre (RDC) experts (24 hours on duty). Consultative phone service for inhabitants is maintained; guidelines and working procedures within Authority and other Institutions involving were developed and implemented. As a result, in 2007 RDC has got 612 reports from the border. In 83% cases this was relevant to the trains, in 17%- to the trucks. Mostly enhanced activity was due to potassium compounds in fertilizers (85%), due to ceramics (4%), abrasives (2.5%), and refractory materials (3%). Controlling scrap metal there were revealed two sources in 2007 - one Sr-90 calibration source and other Cs-137 orphan source (origin unknown). The presence of radioactive sources in scrap in the past 3 years has been represented by Co-60, Cs-137 and Sr-90 sources, parts of statically electricity neutralizers, Ra-226. Several times NORM industries polluted materials were from scrap excluded

  9. The role of community pharmacists in screening and subsequent management of chronic respiratory diseases: a systematic review

    Science.gov (United States)

    Fathima, Mariam; Naik-Panvelkar, Pradnya; Saini, Bandana; Armour, Carol L.

    Objective The purpose of this review was to evaluate the role of community pharmacists in provision of screening with/without subsequent management of undiagnosed chronic obstructive pulmonary disease (COPD) and uncontrolled asthma. Methods An extensive literature search using four databases (ie. Medline, PubMed, International Pharmaceutical Abstracts (IPA) and Scopus) with search terms pharmacy, screening, asthma or COPD was conducted. Searches were limited to the years 2003-2013, those in English and those reporting research with humans. Data retrieval, analysis and result presentation employed a scoping review method. Results Seventeen articles met the inclusion/exclusion criteria, of which fifteen studies were based on people with asthma and two were based on people with COPD. Only seven asthma studies and one COPD study involved screening followed by subsequent management. More than half of the people screened were found to be poorly controlled and up to 62% of people were identified at high risk for COPD by community pharmacists. The studies varied in the method and type of asthma control assessment/screening, the type of intervention provided and the outcomes measured. The limitations of the reviewed studies included varying definitions of asthma control, different study methodologies, and the lack of long-term follow-up. While many different methods were used for risk assessment and management services by the pharmacists, all the studies demonstrated that community pharmacists were capable of identifying people with poorly controlled asthma and undiagnosed COPD and providing them with suitable interventions. Conclusions The literature review identified that community pharmacists can play an effective role in screening of people with poorly controlled asthma and undiagnosed COPD along with delivering management interventions. However, there is very little literature available on screening for these chronic respiratory conditions. Future research should focus

  10. Respiratory acidosis

    Science.gov (United States)

    Ventilatory failure; Respiratory failure; Acidosis - respiratory ... Causes of respiratory acidosis include: Diseases of the airways (such as asthma and COPD ) Diseases of the lung tissue (such as ...

  11. CONSIDERATIONS ON THE EUROPEAN SOCIAL DIALOGUE

    Directory of Open Access Journals (Sweden)

    Mihai, OPRESCU

    2014-11-01

    Full Text Available At the moment, worldwide, social dialogue is considered to be a very useful tool in solving serious social problems caused by globalization or as a consequence of the way the costs and benefits of the economic changes are distributed. Promoting social dialogue at European level remains a strategic objective of the European Union, which must be sustained by all appropriate means, and in the same time it should be used as an instrument for Stability and Development. Improving the convergence of the social partners' actions from the Member States with the social partners' actions from the Community level is required for the effectiveness of European social dialogue. Social dialogue will be applied, in the next period, into the trans-national system, at regional and inter-regional levels, given the trends of decentralization, integration and globalization that affect all communities.

  12. Simultaneous detection of respiratory syncytial virus types A and B ...

    African Journals Online (AJOL)

    ... A and B and influenza virus types A and B in community-acquired pneumonia by ... It is impossible to distinguish the cause of viral respiratory infections by their ... and pathogen-specific technique of multiplex RT-PCR in order to accomplish ...

  13. Acute viral respiratory infections among children in MERS-endemic Riyadh, Saudi Arabia, 2012-2013.

    Science.gov (United States)

    Fagbo, Shamsudeen F; Garbati, Musa A; Hasan, Rami; AlShahrani, Dayel; Al-Shehri, Mohamed; AlFawaz, Tariq; Hakawi, Ahmed; Wani, Tariq Ahmad; Skakni, Leila

    2017-02-01

    The emergence of the Middle East Respiratory Syndrome (MERS) in Saudi Arabia has intensified focus on Acute Respiratory Infections [ARIs]. This study sought to identify respiratory viruses (RVs) associated with ARIs in children presenting at a tertiary hospital. Children (aged ≤13) presenting with ARI between January 2012 and December 2013 tested for 15 RVs using the Seeplex R RV15 kit were retrospectively included. Epidemiological data was retrieved from patient records. Of the 2235 children tested, 61.5% were ≤1 year with a male: female ratio of 3:2. Viruses were detected in 1364 (61.02%) children, 233 (10.4%) having dual infections: these viruses include respiratory syncytial virus (RSV) (24%), human rhinovirus (hRV) (19.7%), adenovirus (5.7%), influenza virus (5.3%), and parainfluenzavirus-3 (4.6%). Children, aged 9-11 months, were most infected (60.9%). Lower respiratory tract infections (55.4%) were significantly more than upper respiratory tract infection (45.3%) (P < 0.001). Seasonal variation of RV was directly and inversely proportional to relative humidity and temperature, respectively, for non MERS coronaviruses (NL63, 229E, and OC43). The study confirms community-acquired RV associated with ARI in children and suggests modulating roles for abiotic factors in RV epidemiology. However, community-based studies are needed to elucidate how these factors locally influence RV epidemiology. J. Med. Virol. 89:195-201, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  14. The use of community herbal monographs to facilitate registrations and authorisations of herbal medicinal products in the European Union 2004-2012.

    Science.gov (United States)

    Peschel, Wieland

    2014-12-02

    The provisions for the simplified registration of traditional herbal medicinal products in the European Union were introduced by Directive 2004/24/EC amending Directive 2001/83/EC (Chapter 2a) in 2004. Since implementation in the European member states until December 2012 a total of 1015 registrations (traditional use) and 514 authorisations (well-established use) have been granted for products containing substances/ preparations from about 200 different herbal drugs. The overall number of received applications with more than one third still under assessment suggests a further increase for the next years. This review summarises the main features of registered and authorised herbal medicinal products in the EU and evaluates available data against provisions of Directive 2004/24/EC and European standards established by the Committee on Herbal Medicinal Products at the European Medicines Agency. The supportive function of Community herbal monographs is described as regards availability and their use in national procedures, which is complemented by an analysis of specific future challenges from experiences made with the implementation of Directive 2004/24/EC so far. Copyright © 2014. Published by Elsevier Ireland Ltd.

  15. Does virus-bacteria coinfection increase the clinical severity of acute respiratory infection?

    Science.gov (United States)

    Damasio, Guilherme A C; Pereira, Luciane A; Moreira, Suzana D R; Duarte dos Santos, Claudia N; Dalla-Costa, Libera M; Raboni, Sonia M

    2015-09-01

    This retrospective cohort study investigated the presence of bacteria in respiratory secretions of patients hospitalized with acute respiratory infections and analyzed the impact of viral and bacterial coinfection on severity and the mortality rate. A total of 169 patients with acute respiratory infections were included, viruses and bacteria in respiratory samples were detected using molecular methods. Among all samples, 73.3% and 59.7% were positive for viruses and bacteria, respectively; 45% contained both virus and bacteria. Bacterial coinfection was more frequent in patients infected by community respiratory viruses than influenza A H1N1pdm (83.3% vs. 40.6%). The most frequently bacteria detected were Streptococcus pneumoniae and Haemophilus influenzae. Both species were co-detected in 54 patients and identified alone in 22 and 21 patients, respectively. Overall, there were no significant differences in the period of hospitalization, severity, or mortality rate between patients infected with respiratory viruses alone and those coinfected by viruses and bacteria. The detection of mixed respiratory pathogens is frequent in hospitalized patients with acute respiratory infections, but its impact on the clinical outcome does not appear substantial. However, it should be noted that most of the patients received broad-spectrum antibiotic therapy, which may have contributed to this favorable outcome. © 2015 Wiley Periodicals, Inc.

  16. Evaluating and projecting the European security system

    International Nuclear Information System (INIS)

    Dean, J.

    1991-01-01

    Components of the new European security system are described taking into account the new policy making and possibilities to resolve conflicts. Programmes for political and economic integration and co-operation managed by the European Community will provide main positive content of the new European security system. An insight of the future of nuclear armaments in Europe is included together with confidence building measure and the role of NATO

  17. Status of R and D in the field of nuclear airborne waste sponsored by the European Community

    International Nuclear Information System (INIS)

    Hebel, W.

    1985-01-01

    An overall review is given on the research activities that have been supported by the European Community for the last 8 years in the field of management of radioactive gaseous waste. The major subjects of concern are management possibilities for krypton-85, iodine-129, carbon-14 and tritium. After a short introduction to the kind and contents of this specific research activity, summary statements are given successively for each of the four radionuclides concerning the state of development not achieved within the scope of the joint program

  18. First steps towards a European atlas of natural radiation: status of the European indoor radon map

    International Nuclear Information System (INIS)

    Dubois, G.; Bossew, P.; Tollefsen, T.; De Cort, M.

    2010-01-01

    Within the context of its institutional scientific support to the European Commission, in 2005 the Radioactivity Environmental Monitoring (REM) group at the Joint Research Centre of the European Commission, started to explore the possibility of mapping indoor radon in European houses as a first step towards preparing a European Atlas of Natural Radiations. The main objective of such an atlas is to contribute to familiarizing the public with its naturally radioactive environment. The process of preparing the atlas should also provide the scientific community with a database of information that can be used for further studies and for highlighting regions with elevated levels of natural radiation. This document presents the status of the European indoor radon (Rn) map, first statistical results, and outlines of forthcoming challenges.

  19. Nosocomial infections by respiratory syncytial virus in children

    Directory of Open Access Journals (Sweden)

    Maren Karina Machado Echeverría

    2017-01-01

    Full Text Available Introduction: Acute lower respiratory infections cause high morbidity and mortality in children. Respiratory syncytial virus (RSV is the most prevalent agent. Some viruses cause serious nosocomial infections. In Uruguay, there is no knowledge about the morbidity and mortality of nosocomial infections by RSV. Objective: To determine the prevalence and characteristics of RSV nosocomial infections. Methodology: A descriptive study of acute lower respiratory infections caused by RSV in patients younger than two years, between 1/1/2005 and 31/12/2008 at the Hospital Pediátrico del Centro Hospitalario Pereira Rossell, was made. Results: Were identified 59 patients who represented an annual rate lower than 2/1000 discharges. The monthly distribution of cases was similar to the respiratory infections. No outbreaks were reported. The age of the patients had an average of 8.9 months, 39 were younger than one year, 23 had one or more risk factors for severe disease. Six patients required admission to intensive care unit, all required invasive ventilation, 3 died, none had chronic respiratory failure following the RSV nosocomial infection. Conclusions: During the study period, the RSV nosocomial infections showed a low prevalence, despite it highly contagiousness. They mainly affected young children, carriers of risk factors for severe ALRI. Their evolution was similar to that reported for RSV respiratory infections community acquired. It is important to maintain standards for the control of nosocomial infections, to prevent nosocomial transmission of RSV and prevent the onset of severe disease in hospitalized patients.

  20. Risk-based decision making and risk management of European Union regional programs

    Directory of Open Access Journals (Sweden)

    Michalopoulos Evangelos

    2008-01-01

    Full Text Available This paper presents a generalized method for management decision making incorporating risk assessment techniques. The risk based decision making methodology is applied to European Union expenditure programs used to implement its regional policy, such as the community support framework, community initiatives, special initiatives and other European policies. An example is presented for the development of an audit (inspection program in the region of West Macedonia, Greece, during the implementation of the 3rd Community Structural Support Framework Operational Program. The generic nature of the method permits its use in the management of similar European regional programs in Greece and other European countries. It is also applicable to many other industries interested in applying risk-based management decisions to physical or process based systems. .

  1. Chemical respiratory allergy: Reverse engineering an adverse outcome pathway

    International Nuclear Information System (INIS)

    Kimber, Ian; Dearman, Rebecca J.; Basketter, David A.; Boverhof, Darrell R.

    2014-01-01

    Allergic sensitisation of the respiratory tract by chemicals is associated with rhinitis and asthma and remains an important occupational health issue. Although less than 80 chemicals have been confirmed as respiratory allergens the adverse health effects can be serious, and in rare instances can be fatal, and there are, in addition, related socioeconomic issues. The challenges that chemical respiratory allergy pose for toxicologists are substantial. No validated methods are available for hazard identification and characterisation, and this is due in large part to the fact that there remains considerable uncertainty and debate about the mechanisms through which sensitisation of the respiratory tract is acquired. Despite that uncertainty, there is a need to establish some common understanding of the key events and processes that are involved in respiratory sensitisation to chemicals and that might in turn provide the foundations for novel approaches to safety assessment. In recent years the concept of adverse outcome pathways (AOP) has gained some considerable interest among the toxicology community as a basis for outlining the key steps leading to an adverse health outcome, while also providing a framework for focusing future research, and for developing alternative paradigms for hazard characterisation. Here we explore application of the same general principles to an examination of the induction by chemicals of respiratory sensitisation. In this instance, however, we have chosen to adopt a reverse engineering approach and to model a possible AOP for chemical respiratory allergy working backwards from the elicitation of adverse health effects to the cellular and molecular mechanisms that are implicated in the acquisition of sensitisation

  2. Respiratory alkalosis

    Science.gov (United States)

    Alkalosis - respiratory ... leads to shortness of breath can also cause respiratory alkalosis (such as pulmonary embolism and asthma). ... Treatment is aimed at the condition that causes respiratory alkalosis. Breathing into a paper bag -- or using ...

  3. Selection of reference soils for chemicals testing in the European Community

    International Nuclear Information System (INIS)

    Kuhnt, G.; Hertling, T.; Schmotz, W.; Vetter, L.; Fraenzle, M.; Geissler, S.; Knabe, I.; Maass, R.; Struckmeyer, A.; Heinrich, U.

    1991-01-01

    Based on an multivariate statistical evaluation of binary and metric data relating to the soil cover of the European Community five regionally representative reference soils (EURO-Soils) have been identified for chemicals testing in the EC. The soil material sampled at representative localities in Italy, Greece, Great Britain, France and Germany was treated and prepared according to OECD Test Guideline 106 and analysed in detail. The homogenised specimens were subject to an EC-wide ring test to evaluate the feasibility of the modified guideline and to validate the physical-chemical amenability of the reference soils for sorption tests. The results proved the validity of the soils selected for assessing the potential behaviour of new chemicals in soil on the basis of a comparative evaluation of the individual test results obtained. In the light of this parametric assessment potential test soils were subsequently identified in the individual EC Member States which correspond as far as possible to the above reference soils in terms of both taxonomy and sorption-relevant properties. (orig.). 164 refs., 30 tabs., 24 figs [de

  4. Next generation capacity building for the GEOSS community - an European approach

    Science.gov (United States)

    Bye, B. L.

    2016-12-01

    The Group on Earth observation embarked on the next 10 year phase with an ambition to streamline and futher develop its achievements in building the Global Earth Observing System of Systems (GEOSS). The NextGEOSS project evolves the European vision of GEOSS data exploitation for innovation and business, relying on the three main pillars of engaging communities, delivering technological developments and advocating the use of GEOSS, in order to support the creation and deployment of Earth observation based innovative research activities and commercial services. In this presentation we will present the new integrated approach to capacity building engaging the various actors involved in the entire value-chain from data providers to decision-makers. A presentation of the general approach together with concrete pilot cases will be included.In this work it will be shown how we integrate new technological development and societial change enabling GEO and GEOSS to adapt to the current environment. The result is important for better decision-making and better use of our limited resources to manage our planet.

  5. Propositions for the harmonization of the market of in vitro diagnostic products within the european community

    International Nuclear Information System (INIS)

    Anon.

    1989-01-01

    The European diagnostic manufacturers Association (EDMA) is the association of the national associations in Europe which are representative of manufacturers and distributors of in vitro diagnostic products. The Association's primary objectives as set out in its statutes are: - to promote and encourage among its members ethical principles and practices voluntarily agreed upon - to study and deal with all matters of common interest, for example, in the fields of heald legislation, science, technology and research. - to contribute expertise to and co-operate with national European and international organisations, governmental and non-governmental, having aims and objects similar to those of the Association or whose activities affect the interests of the members of the Association. Founded in 1979, the Association has developed from its original seven national member associations within Europe to its present number of fourteen. Through its member associations, EDMA represents well over 80 p. cent of the companies involved in the manufacture and distribution of in vitro diagnostic products and more than 90 p. cent of the market for those products within the Community and within Europe generally [fr

  6. Spirometry filters can be used to detect exhaled respiratory viruses.

    Science.gov (United States)

    Mitchell, Alicia B; Mourad, Bassel; Tovey, Euan; Buddle, Lachlan; Peters, Matthew; Morgan, Lucy; Oliver, Brian G

    2016-09-26

    Respiratory viruses are very common in the community and contribute to the burden of illness for patients with chronic respiratory diseases, including acute exacerbations. Traditional sampling methods are invasive and problematic to repeat. Accordingly, we explored whether respiratory viruses could be isolated from disposable spirometry filters and whether detection of viruses in this context represented presence in the upper or lower respiratory tract. Discovery (n  =  53) and validation (n  =  49) cohorts were recruited from a hospital outpatient department during two different time periods. Spirometry mouthpiece filters were collected from all participants. Respiratory secretions were sampled from the upper and lower respiratory tract by nasal washing (NW), sputum, and bronchoalveolar lavage (BAL). All samples were examined using RT-PCR to identify a panel of respiratory viruses (rhinovirus, respiratory syncytial virus, influenza A, influenza B, parainfluenza virus 1, 2 & 3, and human metapneumovirus). Rhinovirus was quantified using qPCR. Paired filter-NW samples (n  =  29), filter-sputum samples (n  =  24), filter-BAL samples (n  =  39) and filter-NW-BAL samples (n  =  10) provided a range of comparisons. At least one virus was detected in any sample in 85% of participants in the discovery cohort versus 45% in the validation cohort. Overall, 72% of viruses identified in the paired comparator method matched those detected in spirometry filters. There was a high correlation between viruses identified in spirometry filters compared with viruses identified in both the upper and lower respiratory tract using traditional sampling methods. Our results suggest that examination of spirometry filters may be a novel and inexpensive sampling method for the presence of respiratory viruses in exhaled breath.

  7. Macro-economic effects of additional energy conservation in the European Community

    International Nuclear Information System (INIS)

    Sips, H.W.; Bakker, L.; Muizelaar, J.; Velthuijsen, J.W.

    1991-01-01

    The aim of the title study is to evaluate the environmental and economic consequences of additional energy conservation in five Western European countries: the Netherlands, the Federal Republic of Germany, the United Kingdom, France and Italy. In the first part of the study the economic effects of a policy, in which additional energy conservation is realized only for the Netherlands, is calculated. In this report the results are presented. The calculated results of the economic effects of a coordinated energy conservation policy in the abovementioned countries will be published in a separate report. The effects of three policy variants will be evaluated: the non-financial policy variant, the shift of the financial burden variant, and the variant in which the levies are not compensated.The starting point for the first variant is an autonomous realization of the energy conservation. The basis of the second variant is that an equal amount of energy can be saved by means of a substantial energy levy. The profits of this levy can be used to reduce the financial burden of labour. For the economic calculations use has been made of the HERMES-model. Every member of the European Community has developed such a macro-economic model. In chapter two the different starting points for the calculations are outlined, with special attention to descriptions of the policy variants, the model-input and the basic projection. In chapter three the economic effects of the policy variants are presented and discussed. In chapter four the energy conservation and the environmental effects of the variants are dealt with. The most important conclusion of this study is that a considerable amount of energy can be saved, which will have positive effects on the economy and the environment. 8 figs., 20 tabs., 6 apps., 32 refs

  8. Monitoring of environmental radioactivity in the European Communities inventory of methods and development of data quality objectives

    International Nuclear Information System (INIS)

    Raes, F.

    1991-01-01

    A review is given of the procedures for environmental monitoring in the 12 Member States of the European Community. Detailed information of sampling and measuring methods for radioactivity in air, deposition, water, milk and for ambient gamma dose rate are presented in tables and figures. Some sample results of environmental radioactivity monitoring indicate problems with intercomparability of data reported by different EC countries. A review is given of international and national programmes and proposals for Quality Assurance and Control. There is a large but rather uncoordinated activity in this field; only a few countries within the EC have a well structured and comprehensive approach to QA and regularly join international programmes. Data Quality Objectives (DQOs) are developed for environmental radioactivity monitoring. They include the definition of the accuracy and repeatability of the measurements, and the definition of recording and detection levels. The recording levels, are based on a de minimis annual dose of 0.005 mSv. Based on these DQO's, the current problems with intercomparability are put into perspective, and proposals for future integration of national data into an overall European picture made. There is a need to improve quality of environmental monitoring in order to arrive at a meaningful and transparent picture of the overall radiological situation in the EC. Proposals are made for CEC initiatives in the field of QA/QC. The three most important deal with: - reporting of national data in a European context, - intercomparisons of analytical techniques among the 12 EC countries, - organization of a European network for monitoring levels actually prevailing in the environment

  9. TELEMAN - an European community research and development programme on robotics in the nuclear industry

    International Nuclear Information System (INIS)

    Tolley, B.; Robertson, B.

    1991-01-01

    The TELEMAN Programme is a five year cost-shared research programme covering remote handling in hazardous and disordered nuclear environments. It is supported within the current research and development of the European Communities. TELEMAN's strategic objective is to develop advanced teleoperators that respond to the needs of the nuclear industry. Its technical objective is to strengthen the scientific and engineering bases upon which the design of teleoperators for use throughout the nuclear industry rests. This will be done by providing new solutions to problems of manipulation, material transport and mobile surveillance in nuclear environments and by demonstrating their feasibility. Motivation for such a programme lies in the potential teleoperators have to improve the separation of workers from radioactive equipment. This technology will also enable plant operators and public authorities to deal more effectively with nuclear abnormal incidents and increase gains in productivity, mainly in the repair and maintenance area. Community support is justified by the cost of the reliability and autonomy required for the nuclear teleoperator, the need to rationalise R and D investment in an area of increasing industrial potential and a common interest in coherent responses to emergencies. (author)

  10. Noninvasive ventilation for patients in acute respiratory distress: an update [digest].

    Science.gov (United States)

    Joshi, Nikita; Estes, Molly K; Shipley, Kayla; Lee, Hyun-Chul Danny; Zaurova, Milana

    2017-02-22

    Over the last 20 years, noninvasive ventilation (NIV) strategies have been used with increasing frequency. The ease of use of NIV makes it applicable to patients presenting in a variety of types of respiratory distress. In this review, the physiology of positive pressure ventilation is discussed, including indications, contraindications, and options for mask type and fit. Characteristics of patients who are most likely to benefit from NIV are reviewed, including those in respiratory distress from chronic obstructive pulmonary disease exacerbation and cardiogenic pulmonary edema. The literature for other respiratory pathologies where NIV may be used, such as in asthma exacerbation, pediatric patients, and community-acquired pneumonia, is also reviewed. Controversies and potential future applications of NIV are presented. [Points & Pearls is a digest of Emergency Medicine Practice].

  11. European union standards for tuberculosis care.

    Science.gov (United States)

    Migliori, G B; Zellweger, J P; Abubakar, I; Ibraim, E; Caminero, J A; De Vries, G; D'Ambrosio, L; Centis, R; Sotgiu, G; Menegale, O; Kliiman, K; Aksamit, T; Cirillo, D M; Danilovits, M; Dara, M; Dheda, K; Dinh-Xuan, A T; Kluge, H; Lange, C; Leimane, V; Loddenkemper, R; Nicod, L P; Raviglione, M C; Spanevello, A; Thomsen, V Ø; Villar, M; Wanlin, M; Wedzicha, J A; Zumla, A; Blasi, F; Huitric, E; Sandgren, A; Manissero, D

    2012-04-01

    The European Centre for Disease Prevention and Control (ECDC) and the European Respiratory Society (ERS) jointly developed European Union Standards for Tuberculosis Care (ESTC) aimed at providing European Union (EU)-tailored standards for the diagnosis, treatment and prevention of tuberculosis (TB). The International Standards for TB Care (ISTC) were developed in the global context and are not always adapted to the EU setting and practices. The majority of EU countries have the resources and capacity to implement higher standards to further secure quality TB diagnosis, treatment and prevention. On this basis, the ESTC were developed as standards specifically tailored to the EU setting. A panel of 30 international experts, led by a writing group and the ERS and ECDC, identified and developed the 21 ESTC in the areas of diagnosis, treatment, HIV and comorbid conditions, and public health and prevention. The ISTCs formed the basis for the 21 standards, upon which additional EU adaptations and supplements were developed. These patient-centred standards are targeted to clinicians and public health workers, providing an easy-to-use resource, guiding through all required activities to ensure optimal diagnosis, treatment and prevention of TB. These will support EU health programmes to identify and develop optimal procedures for TB care, control and elimination.

  12. Effects of climatic changes and urban air pollution on the rising trends of respiratory allergy and asthma

    Science.gov (United States)

    2011-01-01

    Over the past two decades there has been increasing interest in studies regarding effects on human health of climate changes and urban air pollution. Climate change induced by anthropogenic warming of the earth's atmosphere is a daunting problem and there are several observations about the role of urbanization, with its high levels of vehicle emissions and other pollutants, and westernized lifestyle with respect to the rising frequency of respiratory allergic diseases observed in most industrialized countries. There is also evidence that asthmatic subjects are at increased risk of developing exacerbations of bronchial obstruction with exposure to gaseous (ozone, nitrogen dioxide, sulfur dioxide) and particulate inhalable components of air pollution. A change in the genetic predisposition is an unlikely cause of the increasing frequency in allergic diseases because genetic changes in a population require several generations. Consequently, environmental factors such as climate change and indoor and outdoor air pollution may contribute to explain the increasing frequency of respiratory allergy and asthma. Since concentrations of airborne allergens and air pollutants are frequently increased contemporaneously, an enhanced IgE-mediated response to aeroallergens and enhanced airway inflammation could account for the increasing frequency of allergic respiratory diseases and bronchial asthma. Scientific societies such as the European Academy of Allergy and Clinical Immunology, European Respiratory Society and the World Allergy Organization have set up committees and task forces to produce documents to focalize attention on this topic, calling for prevention measures. PMID:22958620

  13. Effects of climatic changes and urban air pollution on the rising trends of respiratory allergy and asthma

    Directory of Open Access Journals (Sweden)

    D'Amato Gennaro

    2011-02-01

    Full Text Available Abstract Over the past two decades there has been increasing interest in studies regarding effects on human health of climate changes and urban air pollution. Climate change induced by anthropogenic warming of the earth's atmosphere is a daunting problem and there are several observations about the role of urbanization, with its high levels of vehicle emissions and other pollutants, and westernized lifestyle with respect to the rising frequency of respiratory allergic diseases observed in most industrialized countries. There is also evidence that asthmatic subjects are at increased risk of developing exacerbations of bronchial obstruction with exposure to gaseous (ozone, nitrogen dioxide, sulfur dioxide and particulate inhalable components of air pollution. A change in the genetic predisposition is an unlikely cause of the increasing frequency in allergic diseases because genetic changes in a population require several generations. Consequently, environmental factors such as climate change and indoor and outdoor air pollution may contribute to explain the increasing frequency of respiratory allergy and asthma. Since concentrations of airborne allergens and air pollutants are frequently increased contemporaneously, an enhanced IgE-mediated response to aeroallergens and enhanced airway inflammation could account for the increasing frequency of allergic respiratory diseases and bronchial asthma. Scientific societies such as the European Academy of Allergy and Clinical Immunology, European Respiratory Society and the World Allergy Organization have set up committees and task forces to produce documents to focalize attention on this topic, calling for prevention measures.

  14. Effects of climatic changes and urban air pollution on the rising trends of respiratory allergy and asthma.

    Science.gov (United States)

    D'Amato, Gennaro

    2011-02-28

    Over the past two decades there has been increasing interest in studies regarding effects on human health of climate changes and urban air pollution. Climate change induced by anthropogenic warming of the earth's atmosphere is a daunting problem and there are several observations about the role of urbanization, with its high levels of vehicle emissions and other pollutants, and westernized lifestyle with respect to the rising frequency of respiratory allergic diseases observed in most industrialized countries.There is also evidence that asthmatic subjects are at increased risk of developing exacerbations of bronchial obstruction with exposure to gaseous (ozone, nitrogen dioxide, sulfur dioxide) and particulate inhalable components of air pollution.A change in the genetic predisposition is an unlikely cause of the increasing frequency in allergic diseases because genetic changes in a population require several generations. Consequently, environmental factors such as climate change and indoor and outdoor air pollution may contribute to explain the increasing frequency of respiratory allergy and asthma. Since concentrations of airborne allergens and air pollutants are frequently increased contemporaneously, an enhanced IgE-mediated response to aeroallergens and enhanced airway inflammation could account for the increasing frequency of allergic respiratory diseases and bronchial asthma.Scientific societies such as the European Academy of Allergy and Clinical Immunology, European Respiratory Society and the World Allergy Organization have set up committees and task forces to produce documents to focalize attention on this topic, calling for prevention measures.

  15. ESN information bulletin. European science notes information bulletin reports on current European/Middle eastern science

    Energy Technology Data Exchange (ETDEWEB)

    Orendorf, C.R.

    1990-06-01

    The European Science Notes Information Bulletin (ESNIB) 90-05 is a compilation of reports on recent developments in European science of specific interest to the U.S. research and development community, and is issued in support of the mission of the Office of Naval Research European Office. Issue Number 90-05, in addition to European area news, notes, and abstracts, contains reports in the fields of Acoustics, Atmospheric Electricity, Computer Science, Electronics, and Physics. The value of the ESNIB to Americans is to call attention to current activity in European science and technology and to identify the institutions and people responsible for these efforts. The ESNIB authors are primarily ONREUR staff members; other reports are prepared by or in cooperation with staff members of the USAF European Office of Aerospace Research and Development or the U.S. Army Research, Development and Standardination Group. Scientists from the U.S. who are traveling in Europe may also be invited to submit reports.

  16. Exhaled nitric oxide in diagnosis and management of respiratory diseases

    Directory of Open Access Journals (Sweden)

    Abba Abdullah

    2009-01-01

    Full Text Available The analysis of biomarkers in exhaled breath constituents has recently become of great interest in the diagnosis, treatment and monitoring of many respiratory conditions. Of particular interest is the measurement of fractional exhaled nitric oxide (FENO in breath. Its measurement is noninvasive, easy and reproducible. The technique has recently been standardized by both American Thoracic Society and European Respiratory Society. The availability of cheap, portable and reliable equipment has made the assay possible in clinics by general physicians and, in the near future, at home by patients. The concentration of exhaled nitric oxide is markedly elevated in bronchial asthma and is positively related to the degree of esinophilic inflammation. Its measurement can be used in the diagnosis of bronchial asthma and titration of dose of steroids as well as to identify steroid responsive patients in chronic obstructive pulmonary disease. In primary ciliary dyskinesia, nasal NO is diagnostically low and of considerable value in diagnosis. Among lung transplant recipients, FENO can be of great value in the early detection of infection, bronchioloitis obliterans syndrome and rejection. This review discusses the biology, factors affecting measurement, and clinical application of FENO in the diagnosis and management of respiratory diseases.

  17. Knowledge of severe acute respiratory syndrome among community physicians, nurses, and emergency medical responders.

    Science.gov (United States)

    Tice, Alan Douglas; Kishimoto, Mitsumasa; Dinh, Chuong Hoang; Lam, Geoffrey Tak-Kin; Marineau, Michelle

    2006-01-01

    The preparedness levels of front-line clinicians including physicians, nurses, emergency medical responders (EMRs), and other medical staff working in clinics, offices and ambulatory care centers must be assessed, so these personnel are able to deal with communicable and potentially lethal diseases, such as severe acute respiratory syndrome (SARS). In order to determine the knowledge of these clinicians, a survey of their understanding of SARS and their use of educational resources was administered. A questionnaire was distributed to physicians, nurses, and EMRs attending conferences on SARS in the summer of 2003. Questions related to information sources, knowledge of SARS, and plans implemented in their workplace to deal with it. Statistical analysis was performed using the Statistical Package for the Social Sciences (10.1 Program, SPSS Inc., Chicago, Illinois). A total of 201 community healthcare providers (HCPs) participated in the study. A total of 51% of the participants correctly identified the incubation period of SARS; 48% correctly identified the symptoms of SARS; and 60% knew the recommended infection control precautions to take for families. There was little difference in knowledge among the physicians, nurses, and EMRs evaluated. Media outlets such as newspapers, journals, television, and radio were reported as the main sources of information on SARS. However, there appears to be a growing use of the Internet, which correlated best with the correct answers on symptoms of SARS. Fewer than one-third of respondents were aware of a protocol for SARS in their workplace. A total of 60% reported that N-95 masks were available in their workplace. These findings suggest the need for more effective means of education and training for front-line clinicians, as well as the institution of policies and procedures in medical offices, clinics, and emergency services in the community.

  18. Respiratory

    Science.gov (United States)

    The words "respiratory" and "respiration" refer to the lungs and breathing. ... Boron WF. Organization of the respiratory system. In: Boron WF, Boulpaep EL, eds. Medical Physiology . 3rd ed. Philadelphia, PA: Elsevier; 2017:chap 26.

  19. Energy policies of the European Union

    International Nuclear Information System (INIS)

    Lyons, P.K.

    1994-09-01

    This report takes stock of what has been achieved and where the European Community is going in terms of energy policy and also looks at the full extent of the Union's energy sector competances. The chapters deal with the European Commission's programme to create an internal energy market through implementing new Directives and by means of an approach through competition. A further two chapters concentrate on environmental policy with respect to emissions control and the greenhouse effect. Two broad policy areas - Community Initiative and trans-European networks - are examined in a consideration of the connections between energy and economic and social cohesion. Security of supply is the fourth and traditional pillar of energy policy to be considered. Three policy areas which do not fit into these first four categories are dealt with in individual chapters. These are: nuclear issues, research and development, and a wider Europe. A concluding chapter suggests that there is an urgent need for a new way of dealing with energy in the European Union which has a myriad of policies affecting energy but no energy policy. The appendices include a document summary for each of the main chapters and a glossary. (UK)

  20. The respiratory microbiome and respiratory infections

    NARCIS (Netherlands)

    Unger, Stefan A.; Bogaert, Debby

    2017-01-01

    Despite advances over the past ten years lower respiratory tract infections still comprise around a fifth of all deaths worldwide in children under five years of age with the majority in low- and middle-income countries. Known risk factors for severe respiratory infections and poor chronic

  1. How to Enforce European Law

    DEFF Research Database (Denmark)

    Rasmussen, Morten

    2017-01-01

    This article explores the well known saga of the European Court of Justice’s introduction of direct effect of Council directives on basis of new comprehensive archival research. The expansion of the doctrine of direct effect to include directives was part of a drive of the Legal Service of the Eu......This article explores the well known saga of the European Court of Justice’s introduction of direct effect of Council directives on basis of new comprehensive archival research. The expansion of the doctrine of direct effect to include directives was part of a drive of the Legal Service...... of the European Commission and the ECJ to strengthen the enforcement of European law. This threatened the deeper balance of competences between the European Community and its member states and consequently led to a sharp response from the national parliaments and courts. The force of these responses and the deep...

  2. A European Perspective on the Promotion of Women's Career Aspirations.

    Science.gov (United States)

    Lasonen, Lahja Johanna

    Although commitment to equal opportunities in employment has been a major component of European Community legislation and although increasing numbers of European women are entering professions, women throughout Europe still face many barriers to advancing in their professions. Since the early 1970s, European governments including Finland have…

  3. EUROPEAN CIVIL CODE BETWEEN DESIDERATUM AND REALITY

    Directory of Open Access Journals (Sweden)

    Liviu-Bogdan Ciucă

    2015-11-01

    Full Text Available The principle of priority and direct application of European rules in relation to the provisions that we find in the national legislation, once assumed at European level, it has generated debates and concerns about the usefulness of a single legal act in private law matters. The idea of European Civil Code, appeared somewhere in the early 80s, is becoming more current and triggers a justified and sustained interest. Considering that the civil legislation of Community Member is a legislation dominated by tradition and peculiarities of culture, religion and temper, the issue of a European Civil Code forms as a project generating discussions, restraints and even rejec tions of the Member States in relation to this proposal. The current system of European legislative acts that apply immediately and priority in EU member states remains only a temporary solution and which generates difficulties in interpretation and affects the utility of the enactment. Clarifications on the pros and cons to promote a European Civil Codex will be analyzed primarily in terms of law and, last but not least in terms of political perspective, taking into account the Community objectives undertaken by accession treaties and the need for a legislative norm, especially European, to be predictable, transparent, useful and accessible. This paper intends to submit to debate both current doctrinal arguments, the blocking of such an approach, based on the principle of autonomy and the peculiarities of the legal system of each Member State, but also considering the practical arguments and of simplification of rules met in a European Civil Code assumed and applicable in the European space.

  4. Is recurrent respiratory infection associated with allergic respiratory disease?

    Science.gov (United States)

    de Oliveira, Tiago Bittencourt; Klering, Everton Andrei; da Veiga, Ana Beatriz Gorini

    2018-03-13

    Respiratory infections cause high morbidity and mortality worldwide. This study aims to estimate the relationship between allergic respiratory diseases with the occurrence of recurrent respiratory infection (RRI) in children and adolescents. The International Study of Asthma and Allergies in Childhood questionnaire and a questionnaire that provides data on the history of respiratory infections and the use of antibiotics were used to obtain data from patients. The relationship between the presence of asthma or allergic rhinitis and the occurrence of respiratory infections in childhood was analyzed. We interviewed the caregivers of 531 children aged 0 to 15 years. The average age of participants was 7.43 years, with females accounting for 52.2%. This study found significant relationship between: presence of asthma or allergic rhinitis with RRI, with prevalence ratio (PR) of 2.47 (1.51-4.02) and 1.61 (1.34-1.93), respectively; respiratory allergies with use of antibiotics for respiratory problems, with PR of 5.32 (2.17-13.0) for asthma and of 1.64 (1.29-2.09) for allergic rhinitis; asthma and allergic rhinitis with diseases of the lower respiratory airways, with PR of 7.82 (4.63-13.21) and 1.65 (1.38-1.96), respectively. In contrast, no relationship between upper respiratory airway diseases and asthma and allergic rhinitis was observed, with PR of 0.71 (0.35-1.48) and 1.30 (0.87-1.95), respectively. RRI is associated with previous atopic diseases, and these conditions should be considered when treating children.

  5. Measures taken in the member countries of the European Communities for anti-seismic design compared to actual US practice

    International Nuclear Information System (INIS)

    Vinck, W.; Maurer, H.A.

    1977-01-01

    Most countries of the European Communities base their anti-seismic design parameters on specific US earthquake characteristics. There are, however, important discrepancies in the basic data reported on the two continents as well as in their design application. This was one of the topics under discussion within an European working group on methodologies, criteria and standards in nuclear safety. Unlike US practice, in some European countries the maximum earthquake that can be envisaged (corresponding to the Safe Shutdown Earthquake-SEE-in US practice) is defined by adding a margin of safety to the maximum probable earthquake (corresponding to the Operating Basis Earthquake-OBE-in US for which statistical data exist). - Differences exist also in the design parameters to be taken into account in the different European countries especially in the evaluation of the maximum acceleration and on the relationship of the acceleration vs. earthquake intensity. For design purposes, in US as well as in European countries, the assumption is made that seismic waves basically approximate a sustained simple harmonic motion. Under this assumption the Neumann correlation which gives the relationship between the modified Mercalli intensity, the wave period and the ground acceleration is applied. While in the US a whole spectrum of wave periods (from 0.33 to 6.0 sec) -in function of the type of foundation (soil, bed-rock) and the distance of the epicenter- are considered, the European countries base their investigations on shorter wave periods (approximately 0.3 sec). - Mention is made of the existing differences in the relationship of horizontal to vertical acceleration levels. These differences in the evaluation of the earthquake characteristics influence the design to protect the power plants against seismic effects especially as far as stress and strain limits for structures and components within the elastic range and in the excess of yield are concerned

  6. A patient with asymptomatic severe acute respiratory syndrome (SARS) and antigenemia from the 2003-2004 community outbreak of SARS in Guangzhou, China.

    Science.gov (United States)

    Che, Xiao-yan; Di, Biao; Zhao, Guo-ping; Wang, Ya-di; Qiu, Li-wen; Hao, Wei; Wang, Ming; Qin, Peng-zhe; Liu, Yu-fei; Chan, Kwok-hong; Cheng, Vincent C C; Yuen, Kwok-yung

    2006-07-01

    An asymptomatic case of severe acute respiratory syndrome (SARS) occurred early in 2004, during a community outbreak of SARS in Guangzhou, China. This was the first time that a case of asymptomatic SARS was noted in an individual with antigenemia and seroconversion. The asymptomatic case patient and the second index case patient with SARS in the 2003-2004 outbreak both worked in the same restaurant, where they served palm civets, which were found to carry SARS-associated coronaviruses. Epidemiological information and laboratory findings suggested that the findings for the patient with asymptomatic infection, together with the findings from previously reported serological analyses of handlers of wild animals and the 4 index case patients from the 2004 community outbreak, reflected a likely intermediate phase of animal-to-human transmission of infection, rather than a case of human-to-human transmission. This intermediate phase may be a critical stage for virus evolution and disease prevention.

  7. Clinical requirements in the treatment of today's respiratory tract infections.

    Science.gov (United States)

    Höffken, G

    1993-01-01

    Respiratory tract infections (RTIs) are among the most frequent infections in man and lower tract infections account substantially for the overall mortality in hospitals. Regarding the etiology of pneumonias, one has to consider different pathogenic mechanisms, age of the patients, underlying diseases, concomitant medications, symptomatologies, seasonal influences, and clinical conditions, e.g. intensive care environment and mechanical ventilation. To optimize the rational management of respiratory infections, identification of the etiologic agent would be desirable. The decision of how to treat is often based on epidemiologic, clinical, and radiological assessments. Epidemiologic studies have shown a pronounced difference in the etiologic spectrum between community- and hospital-acquired RTIs. In community-acquired pneumonias, pneumococci, Haemophilus influenzae, Legionella, Mycoplasma and viruses predominate, whereas in nosocomially acquired pneumonias, Enterobacteriaceae, e.g. Klebsiella, Proteus, Enterobacter as well as Pseudomonas and staphylococci comprise the most frequent isolates. Empirical therapy has to cover all possible etiologic pathogens which most likely cause the infection. In addition, an adequate kinetic profile, e.g. once or twice daily dosing, sufficient pulmonary tissue or fluid penetration, and acceptable tolerance and costs are prerequisites for optimal therapy. Drugs of choice for the treatment of community-acquired pneumonia are aminobenzylpenicillins or macrolides. Oral cephalosporins exhibit excellent activity against many bacterial pathogens of typical community-acquired pneumonia, and are active against beta-lactamase-producing H. influenzae.

  8. 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...

  9. Trends in Canadian Respiratory Clinical Trials from 2001 to 2011

    Directory of Open Access Journals (Sweden)

    Claire Elizabeth Tacon

    2014-01-01

    Full Text Available Clinical research bridges patients’ unmet medical need with innovative medicines, increases knowledge acquisition by clinicians, and creates solutions to improve the sustainability and quality of the Canadian health care system and economy. The Canadian Institutes of Health Research and the Canadian Lung Association have recently raised concerns over declining research activities within the Canadian respiratory community. While there are currently >3000 ongoing clinical trials in Canada, the number of trials investigating common respiratory diseases is unknown. The objective of the present study was to monitor the trends in industry- and non-industry-sponsored respiratory clinical trials in Canada from 2001 to 2011. Trialtrove 2012 (Citeline, an Informa UK business, a database containing summarized clinical trial information regarding pharmaceutical products, was searched using common chronic respiratory disease terms: “allergic rhinitis”, “asthma”, “chronic obstructive pulmonary disease (COPD”, “cystic fibrosis”, “respiratory infections”, “pulmonary fibrosis” and “smoking cessation”. Over the past 10 years, the number of respiratory clinical trials conducted in Canada has increased (4.49 per year; P=0.004. From 2001 to 2011, the majority of trials were performed in asthma, followed closely by respiratory infections and COPD. Over the past decade, the number of trials investigating COPD and respiratory infections increased (P<0.05, while asthma trials showed a declining trend since 2007. Of the clinical trials performed during this 10-year period, the majority were in phase III, with a significant increase in the number of phase II trials (2.49 per year; P=0.008. However, certain trends observed are concerning and warrant further monitoring in the coming years.

  10. The way ahead through European collaboration

    International Nuclear Information System (INIS)

    Vaughan, R.D.

    1987-01-01

    The paper on the ''Way ahead through European Collaboration'' was presented to the seminar on ''European commercial fast reactor programme'', London, 1987. A description is given of the world energy consumption, world nuclear energy consumption, and uranium resources. It is suggested that the fast reactor is likely to be developed first in Western Europe, and more particularly in the European Economic Community. Collaboration in Europe has taken a positive step forward with the decision of the European Fast Reactor Utilities Group to open a dialogue with the design and construction companies, working together. The companies are invited to prepare jointly a new design for a demonstration fast reactor to be ordered in the early 1990's. (U.K.)

  11. Community legal borderlines for nationally arranged restraints of competition. Presented with the help of decisions of the European Court of Justice with special consideration of price regulations in energy law; Gemeinschaftsrechtliche Grenzen fuer staatlich veranlasste Wettbewerbsbeschraenkungen. Dargestellt anhand von Entscheidungen des EuGH unter besonderer Beruecksichtigung von Preisregelungen im Energierecht

    Energy Technology Data Exchange (ETDEWEB)

    Klasse, M.

    2006-07-01

    In the contribution under consideration, the author reports on the limits which are set by anti-competitive interventions of the member states of the European Community into the market. Following the introduction and the formulation of the problem, the contribution consists of the following chapters: (a) The limits of the nationally arranged restraints of competition in the jurisdiction of the European Court of Justice; (b) Limits of nationally arranged restraints of competition from factual norms of the European Community contract; (c) Commitment of the member states of the European Community to the free competition due to general fundamentals of the Community law; (d) Exceptions of the prohibition nationally arranged restraints of competitions; (e) Application of the competitional obligation from paragraph 10 section 2 of the European Community Contract.

  12. ENSAR, a Nuclear Science Project for European Research Area

    NARCIS (Netherlands)

    Turzó, Ketel; Lewitowicz, Marek; Harakeh, Muhsin N.

    2015-01-01

    During the period from September 2010 to December 2014, the European project European Nuclear Science and Applications Research (ENSAR) coordinated research activities of the Nuclear Physics community performing research in three major subfields: Nuclear Structure, Nuclear Astrophysics, and Nuclear

  13. Middle East respiratory syndrome in children. Dental considerations

    Directory of Open Access Journals (Sweden)

    Fares S. Al-Sehaibany

    2017-04-01

    Full Text Available As of January 2016, 1,633 laboratory-confirmed cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV infection and 587 MERS-related deaths have been reported by the World Health Organization globally. Middle East Respiratory Syndrome Coronavirus may occur sporadically in communities or may be transmitted within families or hospitals. The number of confirmed MERS-CoV cases among healthcare workers has been increasing. Middle East Respiratory Syndrome Coronavirus may also spread through aerosols generated during various dental treatments, resulting in transmission between patients and dentists. As MERS-CoV cases have also been reported among children, pediatric dentists are at risk of MERS-CoV infection. This review discusses MERS-CoV infection in children and healthcare workers, especially pediatric dentists, and considerations pertaining to pediatric dentistry. Although no cases of MERS-CoV transmission between a patient and a dentist have yet been reported, the risk of MERS-CoV transmission from an infected patient may be high due to the unique work environment of dentists (aerosol generation.

  14. Analytical determination of traced elements in concrete samples used in nuclear reactors of the European Community

    International Nuclear Information System (INIS)

    May, S.; Piccot, D.

    1984-01-01

    In reactor dismantling residual radioacting of concrete used, especially in biological shield can brought problems for treatment and disposal. Radioactivity of concrete from reactors can be forecasted if element content is known. Elements producing long life radionuclides are: chlorine, calcium nickel, cobalt, niobium, europium and samarium. Neutron activation analysis is used for determination of these elements whithout chemical separation for Ca, Co, Eu and Sm and with radiochemical separation for Cl, Ni and Nb. A lot of elements, less interesting are also determined by gamma spectrometry after irradiation. It was possible to determine 29 elements in 21 concrete samples from different European Community reactors

  15. A multi-tiered time-series modelling approach to forecasting respiratory syncytial virus incidence at the local level.

    Science.gov (United States)

    Spaeder, M C; Fackler, J C

    2012-04-01

    Respiratory syncytial virus (RSV) is the most common cause of documented viral respiratory infections, and the leading cause of hospitalization, in young children. We performed a retrospective time-series analysis of all patients aged Forecasting models of weekly RSV incidence for the local community, inpatient paediatric hospital and paediatric intensive-care unit (PICU) were created. Ninety-five percent confidence intervals calculated around our models' 2-week forecasts were accurate to ±9·3, ±7·5 and ±1·5 cases/week for the local community, inpatient hospital and PICU, respectively. Our results suggest that time-series models may be useful tools in forecasting the burden of RSV infection at the local and institutional levels, helping communities and institutions to optimize distribution of resources based on the changing burden and severity of illness in their respective communities.

  16. SEVEN KEY INSTITUTIONS OF THE EUROPEAN UNION- VALIDATED BY THE LISBON TREATY

    Directory of Open Access Journals (Sweden)

    Elena\tIFTIME

    2015-06-01

    Full Text Available The seven institutions of the EU, which the title of this articles announces, structure the institutional basis of the Common European Home, considered to be the emblem of the most dynamic and complex, the most institutionalized and discussed (even controversial regional integration process. Building the Community Europe has began by the establishment of the Communities having 3 political institutions which represented in the evolution of the integration process, the triangle that ensured the coherence and the continuity of the Community actions: Council of Ministers, European Commission and the Assembly to which was added the Court and from 1974 the European Council as an indicative body. The five main institutions have formed the Community institutional system which over time had mainly guidance competences, of decision and direction (Council of Ministers, the Commission and the European Council or control skills ( the European Parliament and the Court of Justice. Since 1975, the institutional structure was strengthened through the creation of a Court of Auditors with general competences of checking accounts and discharge in Community activities. Maastricht Treaty 1992 (1993 raises this body to the rank of Community institution, without substantially altering its powers. The 6 Community institutions were supplemented by validating the status of Community institution of the ECB by the Lisbon Treaty 2007 (2009. ECB together with the national central banks of the Member States whose currency is the euro make up the Eurosystem. Through the Lisbon Treaty, the institutional structure was subjected to a process of improvement and strengthening of the EU which functions currently through the 7 institutions, interdependent, which are in a complementary relationship determined by the common goals which they pursue in Europe and in relations with other parts of the world.

  17. Exposure to ultrafine particles and respiratory hospitalisations in five European cities

    DEFF Research Database (Denmark)

    Samoli, Evangelia; Andersen, Zorana Jovanovic; Katsouyanni, Klea

    2016-01-01

    Epidemiological evidence on the associations between exposure to ultrafine particles (UFP), with aerodynamic electrical mobility diameters <100 nm, and health is limited. We gathered data on UFP from five European cities within 2001-2011 to investigate associations between short-term changes in c...... period may reflect better exposure assessment and that the main source of non-soluble UFP in urban areas is traffic, our results call for improved regulation of traffic emissions....

  18. Partnering for optimal respiratory home care: physicians working with respiratory therapists to optimally meet respiratory home care needs.

    Science.gov (United States)

    Spratt, G; Petty, T L

    2001-05-01

    The need for respiratory care services continues to increase, reimbursement for those services has decreased, and cost-containment measures have increased the frequency of home health care. Respiratory therapists are well qualified to provide home respiratory care, reduce misallocation of respiratory services, assess patient respiratory status, identify problems and needs, evaluate the effect of the home setting, educate the patient on proper equipment use, monitor patient response to and complications of therapy, monitor equipment functioning, monitor for appropriate infection control procedures, make recommendations for changes to therapy regimen, and adjust therapy under the direction of the physician. Teamwork benefits all parties and offers cost and time savings, improved data collection and communication, higher job satisfaction, and better patient monitoring, education, and quality of life. Respiratory therapists are positioned to optimize treatment efficacy, maximize patient compliance, and minimize hospitalizations among patients receiving respiratory home care.

  19. Soil invertebrate communities in stressed European ecosystems

    Energy Technology Data Exchange (ETDEWEB)

    Butovsky, R.O. [All-Russian Research Institute for Nature Protection, Sadki-Znamenskoje (Russian Federation)

    2003-07-01

    Intensive landuse in Europe results in continual physical and chemical changes to land and soil. Soil invertebrates can be used for development of single- and multi-species test-systems for soil quality assessment under anthropogenous stress. The research was performed in 18 terrestrial ecosystems stressed by common anthropogenous impacts: recreation pressure, motorway or industrial pollution in Central Russia, Belgium and the Netherlands in 1983-2001. All three types of human stresses (recreation, motorway and industrial) induced similar changes of macroartropod and microarthropod communities. In stressed macroarthropod communities the decrease of abundance of non-specialized predators, chewing phytophagans, saprophagans and increase of abundance of rhyzophagans, sucking phytophagans and specialized predators was observed. All types of stresses increased or stabilized species diversity in macro- (in carabid beetles communities mainly increase of Harpalus and Amara species number, in weevils - Sitona species number etc.) and microarthropod (e.g. Mesostigmata mites species) communities. In stressed ecosystems sucking phytophagans have selective advantage as compared to chewing phytophagans, endoparasitoids as compared to ectoparasitoids, specialized predators as compared to non-specialized predators etc., meaning that the feeding strategy play an important regulatory role in the community. Saprophagans and phytophagans, consuming chemicals, e.g. heavy metals in large quantities, are in general highly sensitive groups. The most sensitive groups belonged to first and second order consumers. In putative trophic chains in roadside ecosystems, non-specialized zoophagans (predators) contained less copper and zinc, than specialized zoophagans and parasitoids. When compared to the peculiarities of distribution of pesticides (e.g. DDT) and radionuclides (Sr90 and Cs137) it happens that in terrestrial ecosystems heavy metals were primarily accumulated (1) in soil

  20. Outcome of the Respiratory Syncytial Virus related acute lower respiratory tract infection among hospitalized newborns: a prospective multicenter study.

    Science.gov (United States)

    Alan, Serdar; Erdeve, Omer; Cakir, Ufuk; Akduman, Hasan; Zenciroglu, Aysegul; Akcakus, Mustafa; Tunc, Turan; Gokmen, Zeynel; Ates, Can; Atasay, Begum; Arsan, Saadet

    2016-01-01

    To determine the incidence and outcomes of respiratory syncytial virus (RSV)-related acute lower respiratory tract infection (ALRI) including morbidity, nosocomial infection and mortality among newborn infants who were admitted to the neonatal intensive care units (NICUs). A multicenter, prospective study was conducted in newborns who were hospitalized with community acquired or nosocomial RSV infection in 44 NICUs throughout Turkey. Newborns with ALRI were screened for RSV infection by Respi-Strip®-test. Main outcome measures were the incidence of RSV-associated admissions in the NICUs and morbidity, mortality and epidemics results related to these admissions. The incidence of RSV infection was 1.24% (n: 250) and RSV infection constituted 19.6% of all ALRI hospitalizations, 226 newborns (90.4%) had community-acquired whereas 24 (9.6%) patients had nosocomial RSV infection in the NICUs. Of the 250 newborns, 171 (68.4%) were full-term infants, 183 (73.2%) had a BW >2500 g. RSV-related mortality rate was 1.2%. Four NICUs reported seven outbreaks on different months, which could be eliminated by palivizumab prophylaxis in one NICU. RSV-associated ALRI both in preterm and term infants accounts an important percent of hospitalizations in the season, and may threat other high-risk patients in the NICU.

  1. FEVER IN CHILDREN WITH RESPIRATORY VIRAL INFECTIONS: EFFECTIVE AND SAFE METHODS OF TREATMENT

    Directory of Open Access Journals (Sweden)

    T. E. Taranushenko

    2013-01-01

    Full Text Available One of the most important — the problem of treatment of fever in children with respiratory viral infections — is discussed in this article. It is fever as one of the first symptoms of disease which often frightens parents and leads to inappropriate and excess usage of antipyretic agents, which in its turn can cause unfavorable consequences. The authors represent their own data on frequency of antipyretic drugs usage in children with respiratory viral infections, as well as the answers of pediatricians to the questionnaires on methods of choice in temperature normalization. According to the modern Russian as well as European and American clinical guidelines on treatment of fever in children the management of selection of patients demanding antipyretic treatment is detailed, indications and contraindications to such therapy are described, the most effective methods of temperature normalization in children with acute respiratory infection are discussed. The authors suggested the data on recommended dosages of paracetamol, which were revised in 2011 by the UK Medicines Control Agency, to be very useful. The current information on advantages of ibuprofen in comparison to paracetamol in treatment of fever in children with respiratory viral infections is shown. The main target of this article is understanding and acceptance by pediatricians of the modern recommendation on differential and reasonable approach to administration of antipyretic drugs in children with respiratory viral infections.

  2. Climate change, extreme weather events, air pollution and respiratory health in Europe.

    Science.gov (United States)

    De Sario, M; Katsouyanni, K; Michelozzi, P

    2013-09-01

    Due to climate change and other factors, air pollution patterns are changing in several urbanised areas of the world, with a significant effect on respiratory health both independently and synergistically with weather conditions; climate scenarios show Europe as one of the most vulnerable regions. European studies on heatwave episodes have consistently shown a synergistic effect of air pollution and high temperatures, while the potential weather-air pollution interaction during wildfires and dust storms is unknown. Allergen patterns are also changing in response to climate change, and air pollution can modify the allergenic potential of pollens, especially in the presence of specific weather conditions. The underlying mechanisms of all these interactions are not well known; the health consequences vary from decreases in lung function to allergic diseases, new onset of diseases, exacerbation of chronic respiratory diseases, and premature death. These multidimensional climate-pollution-allergen effects need to be taken into account in estimating both climate and air pollution-related respiratory effects, in order to set up adequate policy and public health actions to face both the current and future climate and pollution challenges.

  3. What will be the effect of European Internal Market on interpretation of German nuclear law?

    International Nuclear Information System (INIS)

    Schattke, H.

    1991-01-01

    A case study of community law comes to the following results: 1) The Single European Act is to improve, and not impair, the state of integration in the EC achieved so far. 2) National limitations of transboundary, free service transactions are only allowed on national territories in the interest of protecting the population against health hazards. 3) True to say, there are no properly formulated European basic rights, but there is an unwritten, by the European Court of Justice accepted European basic rights catalogue, which resembles German basic rights. 4) Primary and secondary EC community law has priority over corresponding national law. 5) Prior-ranking of European law does not mean voidness of corresponding national law, but lower priority, always related to individual cases. 6) Prior-ranking of EC community law commits those in Federal Government and Laender authorities and in the courts who are concerned with the application of law, to interprete German law in a way conform with Community law. (orig./HSCH) [de

  4. Chronic respiratory disease among the elderly in South Africa: any association with proximity to mine dumps?

    Science.gov (United States)

    Nkosi, Vusumuzi; Wichmann, Janine; Voyi, Kuku

    2015-04-03

    There is increasing evidence that environmental factors such as air pollution from mine dumps, increase the risk of chronic respiratory symptoms and diseases. The aim of this study was to investigate the association between proximity to mine dumps and prevalence of chronic respiratory disease in people aged 55 years and older. Elderly persons in communities 1-2 km (exposed) and 5 km (unexposed), from five pre-selected mine dumps in Gauteng and North West Province, in South Africa were included in a cross-sectional study. Structured interviews were conducted with 2397 elderly people, using a previously validated ATS-DLD-78 questionnaire from the British Medical Research Council. Exposed elderly persons had a significantly higher prevalence of chronic respiratory symptoms and diseases than those who were unexposed., Results from the multiple logistic regression analysis indicated that living close to mine dumps was significantly associated with asthma (OR = 1.57; 95% CI: 1.20 - 2.05), chronic bronchitis (OR = 1.74; 95 CI: 1.25 - 2.39), chronic cough (OR = 2.02; 95% CI: 1.58 - 2.57), emphysema (OR = 1.75; 95% CI: 1.11 - 2.77), pneumonia (OR = 1.38; 95% CI: 1.07 - 1.77) and wheeze (OR = 2.01; 95% CI: 1.73 - 2.54). Residing in exposed communities, current smoking, ex-smoking, use of paraffin as main residential cooking/heating fuel and low level of education emerged as independent significant risk factors for chronic respiratory symptoms and diseases. This study suggests that there is a high level of chronic respiratory symptoms and diseases among elderly people in communities located near to mine dumps in South Africa.

  5. Suggesting a New European Language Policy

    OpenAIRE

    H. Nelde, Peter

    2004-01-01

    Conflict is the most intriguing aspect of contact linguistics. Throughout history ever since the Tower of Bable was left unfinished, contacts between speakers of different languages have unavoidably resulted in conflicts between speakers of those languages. Without any doubt, the European Union (EU) – above all after the decision to enlarge the community – has accepted the multidisciplinary symbolic function of language and culture as a basis for European political unification....

  6. Fundamental Flaws in the Architecture of the European Central Bank: The Possible End of the Euro Zone and its Effects to East African Community (EAC Countries

    Directory of Open Access Journals (Sweden)

    Nothando Moyo

    2014-09-01

    Full Text Available European countries embarked on a European integration programme that saw the formation of the Euro, which has emerged as a major currency (Blair, 1999 that was introduced in 1998. With the Euro, came the establishment of the European Central Bank. Thus this study seeks to investigate the flaws in the formation of the European Central Bank that surfaced during the major economic crisis in Europe. The crisis revealing the gaps in the formation and structure of the European central bank have created major challenges for the Economic and Monetary Union (EMU. Through an extant review of literature the study will examine the East African Community Countries, investigating the ties they have to the euro zone to analyse how the crisis has affected them. Furthermore, the study will analyse what would happen to the growth patterns of the East African Countries and the various prospects they may have should the Eurozone come to an end.

  7. The role of the Community Bureau of Reference in harmonizing compliance with the laws of the Commission of the European Communities.

    Science.gov (United States)

    Goenaga, X

    1994-01-01

    While Community Directives provide the legal basis for the harmonization of national regulations (e.g. food quality, quality of plastics in contact with foodstuffs, etc.), their implementation sometimes requires measurements and analyses which are beyond the capabilities of many laboratories. The BCR Programme of the Commission of the European Communities has undertaken a series of actions in order to help with the implementation of Directive 90/128/EEC for plastics materials intended to come into contact with foodstuffs. The certification of the overall migration characteristics of a polyamide material in aqueous food simulants by total immersion is well advanced. This material will be available through the BCR Programme in 1993 and will allow the laboratories to check their correct application of the normalized method and will provide a basis for laboratory quality assurance. A project is in progress for the preparation of a reference material for the measurement of overall migration by total immersion in olive oil. The preparation of a bank of monomers in the positive list of the above Directive and a handbook of physical and spectroscopic data for these monomers has been supported. Projects are being prepared for supporting the development of methods for the analysis of more than thirty monomers with restrictions in the positive list of Directive 90/128/EEC.

  8. Risk of death and readmission of hospital-admitted COPD exacerbations: European COPD Audit.

    Science.gov (United States)

    Hartl, Sylvia; Lopez-Campos, Jose Luis; Pozo-Rodriguez, Francisco; Castro-Acosta, Ady; Studnicka, Michael; Kaiser, Bernhard; Roberts, C Michael

    2016-01-01

    Studies report high in-hospital and post-discharge mortality of chronic obstructive pulmonary disease (COPD) exacerbations varying depending upon patient characteristics, hospital resources and treatment standards. This study aimed to investigate the patient, resource and organisational factors associated with in-hospital and 90-day post-discharge mortality and readmission of COPD exacerbations within the European COPD Audit. The audit collected data of COPD exacerbation admissions from 13 European countries.On admission, only 49.7% of COPD patients had spirometry results available and only 81.6% had blood gases taken. Using logistic regression analysis, the risk associated with in-hospital and post-discharge mortality was higher age, presence of acidotic respiratory failure, subsequent need for ventilatory support and presence of comorbidity. In addition, the 90-day risk of COPD readmission was associated with previous admissions. Only the number of respiratory specialists per 1000 beds, a variable related to hospital resources, decreased the risk of post-discharge mortality.The European COPD Audit identifies risk factors associated with in-hospital and post-discharge mortality and COPD readmission. Addressing the deficiencies in acute COPD care such as making spirometry available and measuring blood gases and providing noninvasive ventilation more regularly would provide opportunities to improve COPD outcomes. Copyright ©ERS 2016.

  9. ESN information bulletin. European science notes information bulletin reports on current European/Middle eastern science

    Energy Technology Data Exchange (ETDEWEB)

    Orendorf, C.R.

    1989-10-01

    The European Science Notes Information Bulletin (ESNIB) 89-09 is a compilation of reports on recent developments in European science of specific interest to the U.S. research and development community, and is issued in support of the mission of the Office of Naval Research European Office. Issue Number 89-09, in addition to European area news, notes, and abstracts, contains reports in the fields of Acoustics, Computer Science, Condensed-Matter Physics, Materials Science, Mathematics, Physics, Psychology, and Solid-State Physics. It is not intended to be part of the scientific literature. The value of the ESNIB to Americans is to call attention to current activity in European science and technology and to identify the institutions and people responsible for these efforts. The ESNIB authors are primarily ONREUR staff members; other reports are prepared by or in cooperation with staff members of the USAF European Office of Aero space Research and Development or the U.S. Army Research, Development and Standardization Group. Scientists from the U.S. who are traveling in Europe may also be invited to submit reports.

  10. European Music Year 1985.

    Science.gov (United States)

    Alexanderson, Thomas; And Others

    1984-01-01

    Articles concerning music are included in this newsletter dedicated to cultural venture to be jointly carried out by the Council of Europe and the European communities. Many events will mark Music Year 1985, including concerts, dance performances, operas, publications, recordings, festivals, exhibitions, competitions, and conferences on musical…

  11. The European Spatial Development Perspective Shaping the Agenda

    NARCIS (Netherlands)

    Faludi, A.K.F.

    2006-01-01

    The fact that they have created the European Union (EU) notwithstanding, Member States are suspicious of, and even hostile to it. This creates a dynamic that is often puzzling, and this is also true for spatial planning. The latter is not a competence of the European Community, but there is the

  12. Recent Migrants and Education in the European Union

    Science.gov (United States)

    Osadan, Robert; Reid, Elizabeth

    2016-01-01

    European schools should improve their methods for teaching migrant students. The European Union has been making efforts to meet the needs of migrant students for some time. From the 2009 Eurydice report "Integrating Immigrant Children into Schools in Europe," which suggests measures to foster inclusion in the larger community and…

  13. The role of the local microbial ecosystem in respiratory health and disease.

    Science.gov (United States)

    de Steenhuijsen Piters, Wouter A A; Sanders, Elisabeth A M; Bogaert, Debby

    2015-08-19

    Respiratory tract infections are a major global health concern, accounting for high morbidity and mortality, especially in young children and elderly individuals. Traditionally, highly common bacterial respiratory tract infections, including otitis media and pneumonia, were thought to be caused by a limited number of pathogens including Streptococcus pneumoniae and Haemophilus influenzae. However, these pathogens are also frequently observed commensal residents of the upper respiratory tract (URT) and form-together with harmless commensal bacteria, viruses and fungi-intricate ecological networks, collectively known as the 'microbiome'. Analogous to the gut microbiome, the respiratory microbiome at equilibrium is thought to be beneficial to the host by priming the immune system and providing colonization resistance, while an imbalanced ecosystem might predispose to bacterial overgrowth and development of respiratory infections. We postulate that specific ecological perturbations of the bacterial communities in the URT can occur in response to various lifestyle or environmental effectors, leading to diminished colonization resistance, loss of containment of newly acquired or resident pathogens, preluding bacterial overgrowth, ultimately resulting in local or systemic bacterial infections. Here, we review the current body of literature regarding niche-specific upper respiratory microbiota profiles within human hosts and the changes occurring within these profiles that are associated with respiratory infections. © 2015 The Author(s) Published by the Royal Society. All rights reserved.

  14. Plea for European Price Anderson legislation

    International Nuclear Information System (INIS)

    Roser, T.

    1992-01-01

    The paper analyses the essential features and the basic differences in nuclear liability and coverage in the United States where the problem is governed by the Price-Anderson legislation, and the Member States of the European Community which adhere to the Paris Convention on Third Party Liability in the Field of Nuclear Energy. The paper undertakes to show that it is possible to introduce into the European Community certain elements of the American regime, in particular the solidarity of nuclear operators and the retroactive premium coverage without violating the basic principles of the Paris Convention. Consequently the paper advocates the adoption of such rules in Europe as a step towards harmonisation of nuclear coverage and safety and a means to reduce government interference. (author)

  15. Recurrent, protracted and persistent lower respiratory tract infection : A neglected clinical entity

    NARCIS (Netherlands)

    Verhagen, Lilly M; de Groot, Ronald

    Community-acquired pneumonia is a potentially life-threatening disease affecting children worldwide. Recurrent pneumonia episodes can lead to the development of chronic respiratory morbidity. Chronic wet cough, a common pediatric complaint, is defined as a wet cough indicating excessive airway mucus

  16. Recurrent, protracted and persistent lower respiratory tract infection: A neglected clinical entity

    NARCIS (Netherlands)

    Verhagen, L.M.; Groot, R. de

    2015-01-01

    Community-acquired pneumonia is a potentially life-threatening disease affecting children worldwide. Recurrent pneumonia episodes can lead to the development of chronic respiratory morbidity. Chronic wet cough, a common pediatric complaint, is defined as a wet cough indicating excessive airway mucus

  17. Indoor air quality, ventilation and respiratory health in elderly residents living in nursing homes in Europe

    DEFF Research Database (Denmark)

    Bentayeb, Malek; Norback, Dan; Bednarek, Micha

    2015-01-01

    cough. Elderly subjects aged ≥80 years were at higher risk. Pollutant effects were more pronounced in the case of poor ventilation. Even at low levels, indoor air quality affected respiratory health in elderly people permanently living in nursing homes, with frailty increasing with age. The effects were......Few data exist on respiratory effects of indoor air quality and comfort parameters in the elderly. In the context of the GERIE study, we investigated for the first time the relationships of these factors to respiratory morbidity among elderly people permanently living in nursing homes in seven...... European countries. 600 elderly people from 50 nursing homes underwent a medical examination and completed a standardised questionnaire. Air quality and comfort parameters were objectively assessed in situ in the nursing home. Mean concentrations of air pollutants did not exceed the existing standards...

  18. The prognostic significance of respiratory rate in patients with pneumonia: a retrospective analysis of data from 705,928 hospitalized patients in Germany from 2010-2012.

    Science.gov (United States)

    Strauß, Richard; Ewig, Santiago; Richter, Klaus; König, Thomas; Heller, Günther; Bauer, Torsten T

    2014-07-21

    Measurement of the respiratory rate is an important instrument for assessing the severity of acute disease. The respiratory rate is often not measured in routine practice because its clinical utility is inadequately appreciated. In Germany, documentation of the respiratory rate is obligatory when a patient with pneumonia is hospitalized. This fact has enabled us to study the prognostic significance of the respiratory rate in reference to a large medical database. We retrospectively analyzed data from the external quality-assurance program for community-acquired pneumonia for the years 2010-2012. All patients aged 18 years or older who were not mechanically ventilated on admission were included in the analysis. Logistic regression was used to determine the significance of the respiratory rate as a risk factor for in-hospital mortality. 705,928 patients were admitted to the hospital with community-acquired pneumonia (incidence: 3.5 cases per 1000 adults per year). The in-hospital mortality of these patients was 13.1% (92 227 persons). The plot of mortality as a function of respiratory rate on admission was U-shaped and slanted to the right, with the lowest mortality at a respiratory rate of 20/min on admission. If patients with a respiratory rate of 12-20/min are used as a baseline for comparison, patients with a respiratory rate of 27-33/min had an odds ratio (OR) of 1.72 for in-hospital death, and those with a respiratory rate above 33/min had an OR of 2.55. Further independent risk factors for in-hospital death were age, admission from a nursing home, hospital, or rehabilitation facility, chronic bedridden state, disorientation, systolic blood pressure, and pulse pressure. Respiratory rate is an independent risk marker for in-hospital mortality in community-acquired pneumonia. It should be measured when patients are admitted to the hospital with pneumonia and other acute conditions.

  19. The European Fusion Programme

    International Nuclear Information System (INIS)

    Palumbo, D.

    1983-01-01

    The European Fusion Programme is coordinated by Euratom and represents a long term cooperative project of Member States of the European Communities in the field of fusion, designed to lead to the joint construction of prototypes. The main lines of the programme proposed for 1982 to 1986 are: (1) the continuation of a strong effort on tokamaks with emphasis on JET construction, operation and upgrading, (2) conceptual design of NET and development of the related technology, and (3) further work on two alternative magnetic confinement systems. The current status and future plans for this programme are discussed in the paper. (author)

  20. Explanatory memorandum on European Community Document 6323/87: proposal for a Council decision on a Community system of rapid exchange of information in cases of abnormal levels of radioactivity or of a nuclear accident

    International Nuclear Information System (INIS)

    1987-01-01

    The Council of the European Commnity proposes a system of rapid exchange of information in cases of abnormal radioactivity or a nuclear accident. In addition to the existing procedures of early notification drawn up by the International Atomic Energy Authority this proposes a further notification system between member states of the European Community. Under this there would be notification, not only of accidents with possible transboundary effects, but of any accident for which emergency measures are taken to protect the public. However, the United Kingdom would prefer the trigger of these procedures to be abnormally high radiation levels rather than the introduction of emergency measures. (U.K.)

  1. Collective dose to the European Community from nuclear industry effluents discharge in 1978

    CERN Document Server

    Camplin, W C

    1983-01-01

    The results are presented of a study to evaluate the collective dose commitment to the population of the European Community from effluents released by the nuclear industry within the EC in 1978. Airborne and liquid effluent discharge data have been taken from published sources, and computer modelling techniques have been used to predict the transfer of radioactivity through the environment to man. The collective dose commitments due to discharges from each nuclear installation have been evaluated and the comparative significance of individual radionuclides and their pathways to man have been considered. Airborne releases resulted in an estimated collective effective dose equivalent commitment of 95 man Sv, the major part of which is due to carbon-14 from both power stations and reprocessing plants. The collective effective dose equivalent commitment from liquid effluents is estimated to be 408 man Sv, mostly due to caesium-137 and other radionuclides from the Sellafield (formerly Windscale) reprocessing plant...

  2. Respiratory gated PET/CT in a European multicentre retrospective study: added diagnostic value in detection and characterization of lung lesions

    Energy Technology Data Exchange (ETDEWEB)

    Guerra, Luca; Elisei, Federica [San Gerardo Hospital, Nuclear Medicine, Monza (Italy); De Ponti, Elena [San Gerardo Hospital, Medical Physics, Monza (Italy); Bettinardi, Valentino; Picchio, Maria [San Raffaele Scientific Institute, Nuclear Medicine, Milan (Italy); National Research Council, Institute for Bioimaging and Molecular Physiology, Milan (Italy); Landoni, Claudio [San Raffaele Scientific Institute, Nuclear Medicine, Milan (Italy); University of Milano-Bicocca, Milan (Italy); Gilardi, Maria Carla [San Raffaele Scientific Institute, Nuclear Medicine, Milan (Italy); National Research Council, Institute for Bioimaging and Molecular Physiology, Milan (Italy); University of Milano-Bicocca, Tecnomed Foundation, Milan (Italy); Versari, Annibale [Scientific Institute Santa Maria Nuova Hospital, Nuclear Medicine, Reggio Emilia (Italy); Fioroni, Federica [Scientific Institute Santa Maria Nuova Hospital, Medical Physics, Reggio Emilia (Italy); Dziuk, Miroslaw [Masovian PET-CT Centre, Department of Nuclear Medicine, Military Institute of Medicine, Warsaw (Poland); Koza, Magdalena [Masovian PET-CT Centre, Euromedic Diagnostic, Warsaw (Poland); Ahond-Vionnet, Renee; Collin, Bertrand [Hopital Pierre Beregovoy, Service de Medecine Nucleaire, Nevers (France); Messa, Cristina [San Gerardo Hospital, Nuclear Medicine, Monza (Italy); National Research Council, Institute for Bioimaging and Molecular Physiology, Milan (Italy); University of Milano-Bicocca, Tecnomed Foundation, Milan (Italy)

    2012-09-15

    The aim of our work is to evaluate the added diagnostic value of respiratory gated (4-D) positron emission tomography/computed tomography (PET/CT) in lung lesion detection/characterization in a large patient population of a multicentre retrospective study. The data of 155 patients (89 men, 66 women, mean age 63.9 {+-} 11.1 years) from 5 European centres and submitted to standard (3-D) and 4-D PET/CT were retrospectively analysed. Overall, 206 lung lesions were considered for the analysis (mean {+-} SD lesions dimension 14.7 {+-} 11.8 mm). Maximum standardized uptake values (SUV{sub max}) and lesion detectability were assessed for both 3-D and 4-D PET/CT studies; 3-D and 4-D PET/CT findings were compared to clinical follow-up as standard reference. Mean {+-} SD 3-D and 4-D SUV{sub max} values were 5.2 {+-} 5.1 and 6.8 {+-} 6.1 (p < 0.0001), respectively, with an average percentage increase of 30.8 %. In 3-D PET/CT, 86 of 206 (41.7 %) lesions were considered positive, 70 of 206 (34 %) negative and 50 of 206 (24.3 %) equivocal, while in 4-D PET/CT 117 of 206 (56.8 %) lesions were defined as positive, 80 of 206 (38.8 %) negative and 9 of 206 (4.4 %) equivocal. In 34 of 50 (68 %) 3-D equivocal lesions follow-up data were available and the presence of malignancy was confirmed in 21 of 34 (61.8 %) lesions, while in 13 of 34 (38.2 %) was excluded. In 31 of these 34 controlled lesions, 20 of 34 (58.8 %) and 11 of 34 (32.4 %) were correctly classified by 4-D PET/CT as positive and negative, respectively; 3 of 34 (8.8 %) remained equivocal. With equivocal lesions classified as positive, the overall accuracy of 3-D and 4-D was 85.7 and 92.8 %, respectively, while the same figures were 80.5 and 94.2 % when equivocal lesions were classified as negative. The respiratory gated PET/CT technique is a valuable clinical tool in diagnosing lung lesions, improving quantification and confidence in reporting, reducing 3-D undetermined findings and increasing the overall accuracy in lung

  3. Soil organic carbon (SOC) accumulation in rice paddies under long-term agro-ecosystem experiments in southern China - VI. Changes in microbial community structure and respiratory activity

    Science.gov (United States)

    Liu, D.; Liu, X.; Liu, Y.; Li, L.; Pan, G.; Crowley, D.; Tippkötter, R.

    2011-02-01

    Biological stabilization within accumulated soil organic carbon (SOC) has not been well understood, while its role in physical and chemical protection as well as of chemical recalcitrance had been addressed in Chinese rice paddies. In this study, topsoil samples were collected and respiratory activity measured in situ following rice harvest under different fertilization treatments of three long-term experimental sites across southern China in 2009. The SOC contents, microbial biomass carbon (SMBC) and nitrogen (SMBN) were analysed using chemical digestion and microbial community structure assessment via clony dilute plate counting methods. While SOC contents were consistently higher under compound chemical fertilization (Comp-Fert) or combined organic and inorganic fertilization (Comb-Fert) compared to N fertilization only (N-Fert), there was significantly higher fungal-bacterial ratio under Comb-Fert than under N-Fert and Comp-Fert. When subtracting the background effect under no fertilization treatment (Non-Fert), the increase both in SMBC and SMBN under fertilization treatment was found very significantly correlated to the increase in SOC over controls across the sites. Also, the ratio of culturable fungal to bacterial population numbers (F/B ratio) was well correlated with soil organic carbon contents in all samples across the sites studied. SOC accumulation favoured a build-up the microbial community with increasing fungal dominance in the rice paddies under fertilization treatments. While soil respiration rates were high under Comb-Fert as a result of enhanced microbial community build-up, the specific soil respiratory activity based on microbial biomass carbon was found in a significantly negatively correlation with the SOC contents for overall samples. Thus, a fungal-dominated microbial community seemed to slow SOC turnover, thereby favouring SOC accumulation under Comp-Fert or under Comb-Fert in the rice paddies. Therefore, the biological stabilization

  4. The Doha Negotiations on Trade in Goods: An European Perspective

    OpenAIRE

    Messerlin , Patrick

    2006-01-01

    The note reviews the basic market access issues in the Doha negotiations on trade in goods from an European perspective. First, it shows that some European negotiators are demanding more concessions in manufacturing (NAMA) that the European business community is asking for - adding strong tensions in a context already marked by severe problems in farm talks. Second, the note reveals the European interests really at stake in the agricultural negotiations, before addressing the negotiating issu...

  5. European initiatives for modeling emissions from transport

    DEFF Research Database (Denmark)

    Joumard, Robert; Hickman, A. John; Samaras, Zissis

    1998-01-01

    In Europe there have been many cooperative studies into transport emission inventories since the late 80s. These cover the scope of CORINAIR program involving experts from seven European Community laboratories addressing only road transport emissions at national level. These also include the latest...... covered are the composition of the vehicle fleets, emission factors, driving statistics and the modeling approach. Many of the European initiatives aim also at promoting further cooperation between national laboratories and at defining future research needs. An assessment of these future needs...... is presented from a European point of view....

  6. Energy policy in the European Community: conflicts between the objectives of the unified single market, supply security and a clean environment

    International Nuclear Information System (INIS)

    Surrey, J.

    1992-01-01

    Policies for energy and the environment in Europe were previously the preserve of national governments, but the Commission of the European Community has gained a role in both policy areas in the past few years. This was due to the 1987 Single European Act which, in effect, extends the writ of competition law throughout the energy and other previously excluded sectors, expresses the desire to reduce acid rain and greenhouse gas emissions, and reaffirms Europe's renewed concern for long-term oil and gas supply security after the Gulf War and the disintegration of the USSR. The Commission's proposals for the unified internal energy market were driven by concern for competition and free market forces, and seemed to exclude any scope for long-term policy considerations. This paper argues that the implementation of those proposals will be uneven and protracted, and that the Commission's more recent proposals for reducing CO 2 emissions and the European Energy Charter appear to mark positive steps towards a long-term strategy for a clean environment, energy efficiency, and oil and gas supply security. 27 refs., 4 tabs

  7. Comparison of the Berlin definition with the American European consensus definition for acute respiratory distress syndrome in burn patients.

    Science.gov (United States)

    Bordes, Julien; Lacroix, Guillaume; Esnault, Pierre; Goutorbe, Philippe; Cotte, Jean; Dantzer, Eric; Meaudre, Eric

    2014-06-01

    Acute respiratory distress syndrome (ARDS) is a leading cause of mortality in burn patients. Smoke inhalation, pneumonia and inflammation process are the major causes of ARDS in burn patients. The American European Consensus Conference (AECC) definition proposed in 1994 has recently been revised by the Berlin definition. Our objective was to describe the epidemiology of ARDS comparing the Berlin definition with the AECC definition in a retrospective cohort of burn patients. We reviewed admitted burn adult patients for a two year period, and investigated patient who received mechanical ventilation for more than 48 h and in whom pneumonia was diagnosed. 40 patients were analyzed. According to the AECC definition, 11 patients met criteria for ALI (27.5%), and 29 patients for ARDS (72.5%). According to the Berlin definition, all patients met criteria for ARDS: 4 (10%) for a severe ARDS, 25 (62.5%) for a moderate ARDS, 11 (27.5%) for a mild ARDS. Inhalation injury was diagnosed in 10 patients (25%). Categorizing patients with the Berlin definition showed statistically significative difference of mortality within the three groups, but not with the AECC definition. The Berlin definition seems to be more accurate than the AECC definition to assess the severity of ARDS in term of outcome in burn patients. This definition may facilitate prompt recognition of ARDS in burn patients, and promote protective ventilation strategy to a larger number of patients. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

  8. Respiratory mechanics

    CERN Document Server

    Wilson, Theodore A

    2016-01-01

    This book thoroughly covers each subfield of respiratory mechanics: pulmonary mechanics, the respiratory pump, and flow. It presents the current understanding of the field and serves as a guide to the scientific literature from the golden age of respiratory mechanics, 1960 - 2010. Specific topics covered include the contributions of surface tension and tissue forces to lung recoil, the gravitational deformation of the lung, and the interdependence forces that act on pulmonary airways and blood vessels. The geometry and kinematics of the ribs is also covered in detail, as well as the respiratory action of the external and internal intercostal muscles, the mechanics of the diaphragm, and the quantitative compartmental models of the chest wall is also described. Additionally, flow in the airways is covered thoroughly, including the wave-speed and viscous expiratory flow-limiting mechanisms; convection, diffusion and the stationary front; and the distribution of ventilation. This is an ideal book for respiratory ...

  9. Community support and participation among persons with disabilities. A study in three European countries

    Directory of Open Access Journals (Sweden)

    Jean-Pierre Wilken

    2014-09-01

    Full Text Available Community support and participation among persons with disabilities. A study in three European countriesThis article describes a European project which was aimed at improving the situation of persons with psychiatric or learning disabilities with regard to social participation and citizenship. The project took place in three countries (Estonia, Hungary and the Netherlands and four cities (Tallinn, Budapest, Amersfoort and Maastricht. The project included research and actions at the policy level, the organizational level and the practice level. At the policy level, the framework of the United Nations Convention on the Rights of Persons with Disabilities (United Nations, 2006 and the European Disability Strategy (European Commission, 2010 were used to look at national and local policies, at the reality of the lives of those with disabilities and at the support that professional services offer with regard to participation and inclusion. The project generated a number of insights, recommendations and methods by which to improve the quality of service and increase the number of opportunities for community engagement. In this article, we present some of the lessons learned from the meta-analysis. Although the circumstances in each country are quite different with regard to policy, culture and service systems, it is remarkable that people with disabilities face many of the same problems.The study shows that in all three countries, access to services could be improved. Barriers include bureaucratic procedures and a lack of services. The research identified that in every country and city there are considerable barriers regarding equal participation in the field of housing, work and leisure activities. In addition to financial barriers, there are the barriers of stigma and self-stigmatization. Marginalization keeps people in an unequal position and hinders their recovery and participation. In all countries, professionals need to develop a stronger focus

  10. Respiratory signal analysis of liver cancer patients with respiratory-gated radiation therapy

    International Nuclear Information System (INIS)

    Kang, Dong Im; Jung, Sang Hoon; Kim, Chul Jong; Park, Hee Chul; Choi, Byung Ki

    2015-01-01

    External markers respiratory movement measuring device (RPM; Real-time Position Management, Varian Medical System, USA) Liver Cancer Radiation Therapy Respiratory gated with respiratory signal with irradiation time and the actual research by analyzing the respiratory phase with the breathing motion measurement device respiratory tuning evaluate the accuracy of radiation therapy May-September 2014 Novalis Tx. (Varian Medical System, USA) and liver cancer radiotherapy using respiratory gated RPM (Duty Cycle 20%, Gating window 40%-60%) of 16 patients who underwent total when recording the analyzed respiratory movement. After the breathing motion of the external markers recorded on the RPM was reconstructed by breathing through the acts phase analysis, for Beam-on Time and Duty Cycle recorded by using the reconstructed phase breathing breathing with RPM gated the prediction accuracy of the radiation treatment analysis and analyzed the correlation between prediction accuracy and Duty Cycle in accordance with the reproducibility of the respiratory movement. Treatment of 16 patients with respiratory cycle during the actual treatment plan was analyzed with an average difference -0.03 seconds (range -0.50 seconds to 0.09 seconds) could not be confirmed statistically significant difference between the two breathing (p = 0.472). The average respiratory period when treatment is 4.02 sec (0.71 sec), the average value of the respiratory cycle of the treatment was characterized by a standard deviation 7.43% (range 2.57 to 19.20%). Duty Cycle is that the actual average 16.05% (range 13.78 to 17.41%), average 56.05 got through the acts of the show and then analyzed% (range 39.23 to 75.10%) is planned in respiratory research phase (40% to 60%) in was confirmed. The investigation on the correlation between the ratio Duty Cycle and planned respiratory phase and the standard deviation of the respiratory cycle was analyzed in each -0.156 (p = 0.282) and -0.385 (p = 0.070). This study is

  11. Viral etiology of respiratory infections in children under 5 years old living in tropical rural areas of Senegal: The EVIRA project.

    Science.gov (United States)

    Niang, Mbayame Ndiaye; Diop, Ousmane M; Sarr, Fatoumata Diene; Goudiaby, Deborah; Malou-Sompy, Hubert; Ndiaye, Kader; Vabret, Astrid; Baril, Laurence

    2010-05-01

    Acute respiratory infection is one of the leading causes of child morbidity, especially in developing countries. Viruses are recognized as the predominant causative agents of acute respiratory infections. In Senegal, few data concerning the causes of respiratory infections are available, and those known relate mainly to classical influenza infections. Clinical and virological surveillance of acute respiratory infections was carried out in a rural community in children less than 5 years old. A standardized questionnaire was used and a nasopharyngeal swab sample was collected from each patient. These samples were tested for the detection of 20 respiratory viruses by multiplex RT-PCR or by viral culture. A total of 82 acute respiratory episodes were included, and 48 (58.5%) were found to be positive, with a total of 55 viral detections; several samples were positive for two (n = 5) or 3 (n = 1) viruses. Ten different viruses were identified: influenza viruses A, B, and C (n = 25), human respiratory syncytial virus type A (n = 13), rhinoviruses (n = 8), human coronaviruses type 229E and NL63 (n = 6), parainfluenza viruses 3 and 4 (n = 2), and bocavirus (n = 1). These results provide evidence on the importance and the diversity of viruses as causative agents of acute respiratory infections in children living in a rural community in Senegal. The establishment of sentinel surveillance sites could help estimate the burden of acute respiratory infection in the pediatric population and should help prepare the health care systems to identify and respond to new viral respiratory emergencies.

  12. Incidence of respiratory viruses in Peruvian children with acute respiratory infections.

    Science.gov (United States)

    del Valle Mendoza, Juana; Cornejo-Tapia, Angela; Weilg, Pablo; Verne, Eduardo; Nazario-Fuertes, Ronald; Ugarte, Claudia; del Valle, Luis J; Pumarola, Tomás

    2015-06-01

    Acute respiratory infections are responsible for high morbi-mortality in Peruvian children. However, the etiological agents are poorly identified. This study, conducted during the pandemic outbreak of H1N1 influenza in 2009, aims to determine the main etiological agents responsible for acute respiratory infections in children from Lima, Peru. Nasopharyngeal swabs collected from 717 children with acute respiratory infections between January 2009 and December 2010 were analyzed by multiplex RT-PCR for 13 respiratory viruses: influenza A, B, and C virus; parainfluenza virus (PIV) 1, 2, 3, and 4; and human respiratory syncytial virus (RSV) A and B, among others. Samples were also tested with direct fluorescent-antibodies (DFA) for six respiratory viruses. RT-PCR and DFA detected respiratory viruses in 240 (33.5%) and 85 (11.9%) cases, respectively. The most common etiological agents were RSV-A (15.3%), followed by influenza A (4.6%), PIV-1 (3.6%), and PIV-2 (1.8%). The viruses identified by DFA corresponded to RSV (5.9%) and influenza A (1.8%). Therefore, respiratory syncytial viruses (RSV) were found to be the most common etiology of acute respiratory infections. The authors suggest that active surveillance be conducted to identify the causative agents and improve clinical management, especially in the context of possible circulation of pandemic viruses. © 2015 Wiley Periodicals, Inc.

  13. Sensitive detection and typing of porcine reproductive and respiratory syndrome virus by RT-PCR amplification of whole viral genes

    DEFF Research Database (Denmark)

    Oleksiewicz, M.B.; Bøtner, Anette; Madsen, K.G.

    1998-01-01

    Following the recent use of a live vaccine against porcine reproductive and respiratory syndrome virus (PRRSV) in Denmark, both American (vaccine) and European-type PRRSV now coexist in Danish herds. This situation highlighted a requirement for supplementary tests for precise virus-typing. As a r...

  14. Bronchodilator responsiveness and reported respiratory symptoms in an adult population.

    Directory of Open Access Journals (Sweden)

    Wan C Tan

    Full Text Available BACKGROUND: The relationship between patient-reported symptoms and objective measures of lung function is poorly understood. AIM: To determine the association between responsiveness to bronchodilator and respiratory symptoms in random population samples. METHODS: 4669 people aged 40 years and older from 8 sites in Canada completed interviewer-administered respiratory questionnaires and performed spirometry before and after administration of 200 ug of inhaled salbutamol. The effect of anthropometric variables, smoking exposure and doctor-diagnosed asthma (DDA on bronchodilator responsiveness in forced expiratory volume in 1 second (FEV1 and in forced vital capacity (FVC were evaluated. Multiple logistic regression was used to test for association between quintiles of increasing changes in FEV1 and in FVC after bronchodilator and several respiratory symptoms. RESULTS: Determinants of bronchodilator change in FEV1 and FVC included age, DDA, smoking, respiratory drug use and female gender [p<0.005 to p<0.0001 ]. In subjects without doctor-diagnosed asthma or COPD, bronchodilator response in FEV1 was associated with wheezing [p for trend<0.0001], while bronchodilator response for FVC was associated with breathlessness. [p for trend <0.0001]. CONCLUSIONS: Bronchodilator responsiveness in FEV1 or FVC are associated with different respiratory symptoms in the community. Both flow and volume bronchodilator responses are useful parameters which together can be predictive of both wheezing and breathlessness in the general population.

  15. THE COMPETITION POLICY IN THE EUROPEAN UNION

    Directory of Open Access Journals (Sweden)

    Dumitriţa Florea (Ionescu

    2012-09-01

    Full Text Available The idea of European unity dates back to antiquity, the time when the Roman Empire alsopursued such a goal. Attempts to unify European countries have appeared constantly in history, but theirsuccessful culmination crystallized only after the Second World War.Basically, the two wars have led to the downfall of Europe and the loss of its centenary political andmilitary position. The experience of these wars has led the states to initiate a defense mechanism of peace,security and international cooperation - resulted in creating an organization of universal jurisdiction -TheLeague of Nations. However, the successor of this organization, The United Nations - was one thatmanaged thorough its collective security system represented by the Security Council, to ensure andmaintain universal / global peace until now (Stelian Scăunaş, 2005.The creation of the European Union is based on four founding treaties: The Treaty establishingThe European Coal and Steel Community (ECSC - adopted in Paris on April 18, 1951, entered into forcein 1952 - treaty concluded for a period of 50 years and that has terminated in 2002, The Treatyestablishing the European Economic Community (EEC, The Treaty establishing the European AtomicEnergy Community (EAEC or EURATOM, both signed in Rome on March 25, 1947 and entered into forcein 1958 as the Treaties of Rome, and The Treaty on the European Union, which was adopted at Maastrichton 7th of February 1992 and entered into force in 1993. To these institution treaties we can add themodifying treaties of the founding treaties, including: The Merger Treaty - adopted in Brussels on 8 April1965, entered into force in 1967; The Single European Act - signed in Luxembourg and Hague in 1986,entered into force in 1987; The Amsterdam Treaty - signed on October 2, 1997, entered into force in 1999,The Treaty of Nice - signed on February 26, 2001, entered into force in 2003, The Lisbon Treaty signed in2007 and entered into force on December 1st

  16. Respiratory Home Health Care

    Science.gov (United States)

    ... Us Home > Healthy Living > Living With Lung Disease > Respiratory Home Health Care Font: Aerosol Delivery Oxygen Resources ... Teenagers Living With Lung Disease Articles written by Respiratory Experts Respiratory Home Health Care Respiratory care at ...

  17. EMSO: European multidisciplinary seafloor observatory

    Science.gov (United States)

    Favali, Paolo; Beranzoli, Laura

    2009-04-01

    EMSO has been identified by the ESFRI Report 2006 as one of the Research Infrastructures that European members and associated states are asked to develop in the next decades. It will be based on a European-scale network of multidisciplinary seafloor observatories from the Arctic to the Black Sea with the aim of long-term real-time monitoring of processes related to geosphere/biosphere/hydrosphere interactions. EMSO will enhance our understanding of processes, providing long time series data for the different phenomenon scales which constitute the new frontier for study of Earth interior, deep-sea biology and chemistry, and ocean processes. The development of an underwater network is based on past EU projects and is supported by several EU initiatives, such as the on-going ESONET-NoE, aimed at strengthening the ocean observatories' scientific and technological community. The EMSO development relies on the synergy between the scientific community and industry to improve European competitiveness with respect to countries such as USA, Canada and Japan. Within the FP7 Programme launched in 2006, a call for Preparatory Phase (PP) was issued in order to support the foundation of the legal and organisational entity in charge of building up and managing the infrastructure, and coordinating the financial effort among the countries. The EMSO-PP project, coordinated by the Italian INGV with participation by 11 institutions from as many European countries, started in April 2008 and will last four years.

  18. Efficacy of combined vaccination against Mycoplasma hyopneumoniae and porcine reproductive and respiratory syndrome virus in dually infected pigs.

    Science.gov (United States)

    Bourry, Olivier; Fablet, Christelle; Simon, Gaëlle; Marois-Créhan, Corinne

    2015-11-18

    Porcine respiratory disease complex (PRDC) is one of the main causes of economic losses for swine producers. This complex is due to a combination of different pathogens and their interactions. Two major pathogens involved in PRDC are Mycoplasma hyopneumoniae (Mhp) and porcine reproductive and respiratory syndrome virus (PRRSV). The objectives of this study were (i) to develop an experimental model of dual Mhp/PRRSV infection in SPF pigs with European strains of Mhp and PRRSV and (ii) to assess and compare the effects of single Mhp, single PRRSV or combined Mhp/PRRSV vaccination against this dual infection. Pigs dually infected with Mhp and PRRSV showed a combination of symptoms characteristic of each pathogen but no significant exacerbation of pathogenicity. Thus, the co-infected pigs displayed coughing and pneumonia typical of Mhp infection in addition to PRRSV-related hyperthermia and decrease in average daily gain (ADG). Hyperthermia was reduced in PRRSV vaccinated animals (single or combined vaccination), whereas ADG was restored in Mhp/PRRSV vaccinated pigs only. Regarding respiratory symptoms and lung lesions, no vaccine decreased coughing. However, all vaccines reduced the pneumonia score but more so in animals receiving the Mhp vaccine, whether single or combined. This vaccine also decreased the Mhp load in the respiratory tract. In conclusion, combined vaccination against both Mhp and PRRSV efficiently pooled the efficacy of each single PRRSV and Mhp vaccination and could be an interesting tool to control PRDC in European swine production. Copyright © 2015 Elsevier B.V. All rights reserved.

  19. THE SPECIFIC OF THE CONSUMER’S EUROPEAN RIGHT OF BANK CREDIT

    Directory of Open Access Journals (Sweden)

    Mariana Rodica ȚÎRLEA

    2015-04-01

    Full Text Available According to Directive 93/13 / EEC on unfair terms in consumer contracts, "legislation of Member States on unfair terms in contracts concluded with consumers show significant divergences” (Official Journal of the European Union 31993L0013 - L 095/29. Therefore, the solution to eliminate these differences of balance in bank lending contracts requires promptly a consumer protection against unfair terms by adopting uniform rules of European law concerning unfair clauses. With this protection is desired that this would be subject to all contracts concluded between sellers or suppliers and consumers, to be harmonized at Community level or adopted directly at Community level, to be provided both in the laws, regulations and administrative nature acts, because to the Member States of the European community falls the responsibility to ensure that in contracts concluded with consumers there are not provided unfair clauses.

  20. Recycling of carbon/energy taxes and the labor market. A general equilibrium analysis for the European Community

    International Nuclear Information System (INIS)

    Welsch, H.

    1996-01-01

    A quantitative assessment of a cost shift from labor to energy by means of a carbon/energy tax is provided. In the analysis a general equilibrium model for the European Community is utilized, focusing on the modelling of labor supply. The importance of the feedback from an induced increase in labor demand to wage formation is highlighted. (It is shown that the goals of C) 2 reduction and improved employment are complementary, provided that the reduction in labor costs, financed by the carbon/energy tax, is not offset by increased wage claims. Under this condition reduced CO 2 is consistent with an increase in GDP. 1 fig., 3 tabs., 17 refs

  1. Legal instruments and proposals for acts of the European Communities relating to the protection of the environment

    International Nuclear Information System (INIS)

    Lohse, S.

    1992-01-01

    The compilation comprises all legal instruments and proposals for legal instruments of the European Communities in the field of environmental protection which were incorporated in the EDP-aided compilation of the Federal Office for Environmental Protection, specialized field 'Juristic Environmental Issues'. It replaces the preceding compilation as of July 15, 1985, November 1, 1986, December 1, 1988 and March 1, 1991. The volume is subdivided into the sections: General information, regional development law, nature preservation law, law on water pollution control, refuse law, imission control law, atomic energy law, energy and mining law, law on dangerous materials and law on environmental health. (orig.) [de

  2. European Models of Bilingual Education: Practice, Theory and Development.

    Science.gov (United States)

    Beardsmore, Hugo Baetens

    1993-01-01

    European Community initiatives in language management include educational models involved in promoting mastery of at least three languages. The Luxembourg model outlines a trilingual program for the whole school population; the European School model, a complex multilingual program; and the Foyer Project, plans for immigrant minorities to move into…

  3. Severe acute respiratory syndrome in a doctor working at the Prince of Wales Hospital.

    Science.gov (United States)

    Wong, R S M

    2003-06-01

    Severe acute respiratory syndrome is a new disease that is highly contagious and is spreading in the local community and worldwide. This report is of a hospital medical officer with severe acute respiratory syndrome. He presented with sudden onset of fever, chills, myalgia, headache, and dizziness in early March 2003. He developed progressive respiratory symptoms and bilateral pulmonary infiltrates during the second week of his illness. Blood tests showed lymphopenia, mild thrombocytopenia, and prolonged activated partial thromboplastin time with normal d-dimer level. His chest condition gradually responded to ribavirin and corticosteroids, and serial chest X-ray showed resolving pulmonary infiltrates. The importance of early diagnosis lies in the potential for early treatment, leading to better response.

  4. The Probation Service in the Context of European Integration. The Supervision of Convicts in the Community. Critical Observations

    Directory of Open Access Journals (Sweden)

    Ion RUSU

    2010-11-01

    Full Text Available The purpose of the appliance of non-custodial penalties, completed by the necessity of respecting the measures of surveillance and/or certain obligations imposed by the court, is to ensure the re-socialization and reintegration into the community to which they belong. In this context, at the European Union’s level it was adopted 2008/947/JHA Framework Decision of the Council on 27 November 2008 regarding the appliance of mutual recognition principle in the case of judgments and probation decisions for supervising the probation measures and alternative sanctions. The most important criterion under which judicial decision can be transmitted to another Member State is referring to the convicted person residency, considering that adopting such a measure the chances of social reintegration of the sentenced person will increase, allowing them to preserve the family, linguistic, cultural links. The probation service has a critical role for community supervision of the measures and obligations imposed by the Romanian court to the sentenced person. This institution has a number of specific tasks even when the Romanian court sends the legal judgment accompanied by the certificate in another Member State, seeking its recognition and enforcement. These responsibilities relate in particular to the cooperation activity that needs to be carried out with similarauthority of the executing Member State, since it can always intervene the possibility of restoring the competence of executing the decision of the Romanian court. The critical observations relate to the legislative act both European and our internal law.

  5. Mitterrand and the Great European Design—From the Cold War to the European Union

    Directory of Open Access Journals (Sweden)

    Troitiño David Ramiro

    2017-10-01

    Full Text Available François Mitterrand had a leading role in directing the course for the European integration process. While he orchestrated the economic integration of Europe, he remained deeply opposed to further political integration within the Communities. This article researches Mitterrand’s rationale for his clear focus on economic affairs and develops his vision for the institutional setting of the European Union (EU. The focus of the article is allocated to four different perspectives that reflect the four pillars of Mitterrand’s European policy: the common currency, the establishment of a closely integrated and small Western European based EU, the development of the Social Europe and of a free trade area between Europe and Africa. It is argued that although EU institutions have been established based on Mitterrand’s design, today’s reality deviates from the conditions on which his plan was based. For Mitterrand, the ideal EU involved a deep-rooted Western Europe with France at its core and a loose association with Central and Eastern Europe. His perception resembles the current discussions of multi-speed Europe and the determination of France and Germany to proceed to the next stage of the integration process. Importantly, Mitterrand’s print can still be recognised in the EU’s social policy included in the treaties, yet still far from being implemented. Notably, like all of the French Presidents, Mitterrand developed a design for Africa in which an extensive free trade area between Europe and former French colonies were to be established. In this proposal, Germany was to be assigned the part of the economic engine behind the actualisation of the proposal, while France was to carry out the role of a required middle man of the transactions. To further assure France’s political predominance over the Communities, Mitterrand designed a common currency for a small number of homogenous Western-European states.

  6. [Acute respiratory distress syndrome: a review of the Berlin definition].

    Science.gov (United States)

    de Luis Cabezón, N; Sánchez Castro, I; Bengoetxea Uriarte, U X; Rodrigo Casanova, M P; García Peña, J M; Aguilera Celorrio, L

    2014-01-01

    Acute Respiratory Distress Syndrome (ARDS) is due to many causes. The absence of a universal definition up until now has led to a series of practical problems for a definitive diagnosis. The incidences of ARDS and Acute Lung Injury (ALI) vary widely in the current literature. The American-European Consensus Conference definition has been applied since its publication in 1994 and has helped to improve knowledge about ARDS. However, 18 years later, in 2011, the European Intensive Medicine Society, requested a team of international experts to meet in Berlin to review the ARDS definition. The purpose of the Berlin definition is not to use it as a prognostic tool, but to improve coherence between research and clinical practice. Copyright © 2013 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

  7. Association of interleukin-8 and neutrophils with nasal symptom severity during acute respiratory infection.

    Science.gov (United States)

    Henriquez, Kelsey M; Hayney, Mary S; Xie, Yaoguo; Zhang, Zhengjun; Barrett, Bruce

    2015-02-01

    Using a large data set (n = 811), the relationship between acute respiratory infection illness severity and inflammatory biomarkers was investigated to determine whether certain symptoms are correlated more closely than others with the inflammatory biomarkers, interleukin-8 (IL-8) and nasal neutrophils. Participants with community acquired acute respiratory infection underwent nasal lavage for IL-8 and neutrophil testing, in addition to multiplex polymerase chain reaction (PCR) methods for the detection and identification of respiratory viruses. Information about symptoms was obtained throughout the duration of the illness episode using the well-validated Wisconsin Upper Respiratory Symptom Survey (WURSS-21). Global symptom severity was calculated by the area under the curve (AUC) plotting duration versus WURSS total. Of the specimens tested, 56% were positively identified for one or more of nine different respiratory viruses. During acute respiratory infection illness, both IL-8 and neutrophils positively correlate with AUC (r(s) = 0.082, P = 0.022; r(s)  = 0.080, P = 0.030). IL-8 and neutrophils correlate with nasal symptom severity: runny nose (r = 0.13, P = acute respiratory infection. Further research is necessary to determine if the concentration of these or other biomarkers can predict the overall duration and severity of acute respiratory infection illness. © 2014 Wiley Periodicals, Inc.

  8. Asthma disease management and the respiratory therapist.

    Science.gov (United States)

    Kallstrom, Thomas J; Myers, Timothy R

    2008-06-01

    The role of the respiratory therapist (RT) is expanding with the growing acceptance and use of the disease-management paradigm for managing chronic diseases. RTs are key members of the asthma disease-management team, in acute-care settings, patients' homes, out-patient clinics, emergency departments, and in the community. Utilizing RTs as disease managers allows patients to be treated faster and more appropriately, discharged to home sooner, and decreases hospital admissions. RT are leaders in the emerging field of asthma disease management.

  9. A Model of the Costs of Community and Nosocomial Pediatric Respiratory Syncytial Virus Infections in Canadian Hospitals

    Directory of Open Access Journals (Sweden)

    Philip Jacobs

    2013-01-01

    Full Text Available BACKGROUND: Approximately one in 10 hospitalized patients will acquire a nosocomial infection (NI after admission to hospital, of which 71% are due to respiratory viruses, including the respiratory syncytial virus (RSV. NIs are concerning and lead to prolonged hospitalizations. The economics of NIs are typically described in generalized terms and specific cost data are lacking.

  10. The nuclear fuel cycle: review on R and D policies in the Member States of the European Communities

    International Nuclear Information System (INIS)

    1989-01-01

    This report presents an overview of the state of research in the field of the nuclear fuel cycle in the Member States of the European Communities. It covers the following steps of the fuel cycle: uranium enrichment, fuel fabrication, reprocessing, waste management and, in addition, decommissioning of nuclear facilities. Research carried out both in the public and private sectors has been covered. However, information on the scope and volume of research carried out in the private sector is only in part available, as access to such information is difficult, in particular where it concerns activities which have a competitive commercial character

  11. Risk factors for infection of sow herds with porcine reproductive and respiratory syndrome (PRRS) virus

    DEFF Research Database (Denmark)

    Mortensen, Sten; Stryhn, Henrik; Søgaard, Rikke

    2002-01-01

    In 1992, the porcine reproductive and respiratory syndrome virus (PRRSV) of European type (PRRSV-EU) was introduced in Denmark. By 1996, the virus had spread to approximately 25% of the Danish herds. In January 1996, a modified-live vaccine based on the American type of the virus (PRRSV-US) was u......In 1992, the porcine reproductive and respiratory syndrome virus (PRRSV) of European type (PRRSV-EU) was introduced in Denmark. By 1996, the virus had spread to approximately 25% of the Danish herds. In January 1996, a modified-live vaccine based on the American type of the virus (PRRSV......-US) was used in replacement boars for Danish artificial insemination (AI) centres and from July 1996, the vaccine was used in PRRSV-EU infected herds for prevention of disease. Soon after vaccine introduction, PRRSV non-infected herds experienced outbreaks of disease due to infection with PRRSV...... in the case herds). The data were analysed using a Cox-regression model. The hazard of infection increased significantly with exposure from PRRSV-US-infected neighbouring herds, purchase of animals from herds incubating PRRSV-US infection, increasing herd size and purchase of semen from boars at PRRSV...

  12. Radioactive waste management in European Union countries

    International Nuclear Information System (INIS)

    Vico, E.

    2002-01-01

    Although the Euratom Treaty does not assign direct authorities to the European Union in the Field of radioactive waste, the Commission has developed a series of activities related to this type of waste. The article deals with these Community initiatives, and the problems of radioactive waste management in the different Member States, and future plans in the field in the light of forthcoming European Union enlargement in 2004. (Author)

  13. THE EUROPEAN POSITION OF DUTCH PLANT COMMUNITIES

    Directory of Open Access Journals (Sweden)

    J.A.M. JANSSEN

    2007-04-01

    Full Text Available In this paper it is analyzed for which plant communities (alliances the Netherlands has an international responsibility. Data has been brought together on the range and distribution of alliances in Europe, the area of plant communities in the Netherlands and surrounding countries and the occurrence of endemic associations in the Netherlands. The analysis resulted in a list of 34 out of 93 alliances in the Netherlands which are important from an international point of view.

  14. Health outcomes associated with lung function decline and respiratory symptoms and disease in a community cohort

    DEFF Research Database (Denmark)

    Baughman, Penelope; Marott, Jacob L; Lange, Peter

    2011-01-01

    in relation to asthma, chronic bronchitis, shortness of breath, and lung function level at examination 2 (1981-1983) or lung function decline established from examinations 1 (1976-1978) to 2 using 4 measures (FEV(1) slope, FEV(1) relative slope, American College of Occupational and Environmental Medicine......BACKGROUND: In workplace respiratory disease prevention, a thorough understanding is needed of the relative contributions of lung function loss and respiratory symptoms in predicting adverse health outcomes. METHODS: Copenhagen City Heart Study respiratory data collected at 4 examinations (1976......, the increasing trend in the HR (95% CI) by quartiles of the FEV(1) slope reached a maximum of 3.77 (2.76-5.15) for males, 6.12 (4.63-8.10) for females, and 4.14 (1.57-10.90) for never-smokers. Significant increasing trends were also observed for mortality, with females at higher risk. CONCLUSION: Lung function...

  15. Respiratory Failure

    Science.gov (United States)

    Respiratory failure happens when not enough oxygen passes from your lungs into your blood. Your body's organs, ... brain, need oxygen-rich blood to work well. Respiratory failure also can happen if your lungs can' ...

  16. Respiratory system

    Science.gov (United States)

    Bartlett, R. G., Jr.

    1973-01-01

    The general anatomy and function of the human respiratory system is summarized. Breathing movements, control of breathing, lung volumes and capacities, mechanical relations, and factors relevant to respiratory support and equipment design are discussed.

  17. Socio-economic segregation in European capital cities: East meets West

    NARCIS (Netherlands)

    Tammaru, T.; Marcińczak, S.; van Ham, M.; Musterd, S.

    2016-01-01

    Growing inequalities in Europe are a major challenge threatening the sustainability of urban communities and the competiveness of European cities. While the levels of socio-economic segregation in European cities are still modest compared to some parts of the world, the poor are increasingly

  18. Europeans' attitudes towards climate change

    International Nuclear Information System (INIS)

    2009-07-01

    This report presents the results of a survey on Europeans' attitudes towards climate change which was carried out in January and February 2009. The survey focuses on: Citizens' perceptions of climate change in relation to other world problems; Citizens' perceptions of the seriousness of climate change; The extent to which citizens feel informed about climate change - its causes, consequences and ways of fighting it; Citizens' attitudes towards alternative fuels and CO2 emissions; Whether citizens feel that climate change is stoppable or has been exaggerated, and what impact it has on the European economy; Whether citizens have taken personal action to fight climate change. This Eurobarometer survey was carried out by TNS Opinion and Social network between 16 January and 22 February 2009. The interviews were conducted among 26,718 citizens in the 27 Member States of the European Union, the three candidate countries for accession to the European Union (Croatia, Turkey and the Former Yugoslav Republic of Macedonia) and in the Turkish Cypriot Community.

  19. Family Practitioners' Advice about Taking Time Off Work for Lower Respiratory Tract Infections: A Prospective Study in Twelve European Primary Care Networks.

    Science.gov (United States)

    Godycki-Cwirko, Maciek; Nocun, Marek; Butler, Christopher C; Little, Paul; Verheij, Theo; Hood, Kerenza; Fleten, Nils; Kowalczyk, Anna; Melbye, Hasse

    2016-01-01

    Acute cough and lower respiratory tract infections (LRTIs) are one of the most important causes of lost working hours. to explore variation and predictors in family practitioners (FPs) advice to patients with LRTIs about taking time off work in different European countries. Prospective observational study in primary care networks in 12 countries, with multilevel mixed-effects binomial logistic regression. 324 FPs recruited 1616 employed adults who presented to primary care with LRTIs. The proportion of patients advised to take time off work varied from 7.6% in the Netherlands to 89.2% in Slovakia, and of these, 88.2% overall were advised to stay off work for seven days or less. None of Finnish or Dutch patients were advised to take more than 7 days off, in contrast to 35.5% of Polish and 27.0% of Slovak patients. The strongest predictors of FPs' advice about time off work were: patient symptoms interfering with normal activities (OR 4.43; Pwork, which is not explained by differences in patients' reported illness duration, but might be explained by differences in regulations around certification and sick pay. Evidence based guidance for advising patients about taking time off work for this common condition is needed.

  20. Respiratory Viruses in Febrile Neutropenic Patients with Respiratory Symptoms

    Directory of Open Access Journals (Sweden)

    Mohsen Meidani

    2018-01-01

    Full Text Available Background: Respiratory infections are a frequent cause of fever in neutropenic patients, whereas respiratory viral infections are not frequently considered as a diagnosis, which causes high morbidity and mortality in these patients. Materials and Methods: This prospective study was performed on 36 patients with neutropenia who admitted to hospital were eligible for inclusion with fever (single temperature of >38.3°C or a sustained temperature of >38°C for more than 1 h, upper and lower respiratory symptoms. Sampling was performed from the throat of the patient by the sterile swab. All materials were analyzed by quantitative real-time multiplex polymerase chain reaction covering the following viruses; influenza, parainfluenza virus (PIV, rhinovirus (RV, human metapneumovirus, and respiratory syncytial virus (RSV. Results: RV was the most frequently detected virus and then RSV was the most. PIV was not present in any of the tested samples. Furthermore, no substantial differences in the distribution of specific viral species were observed based on age, sex, neutropenia duration, hematological disorder, and respiratory tract symptoms and signs (P > 0.05. Conclusion: Our prospective study supports the hypothesis that respiratory viruses play an important role in the development of neutropenic fever, and thus has the potential to individualize infection treatment and to reduce the extensive use of antibiotics in immunocompromised patients with neutropenia.

  1. Investment and Employment - Drivers of European Economic Development

    Directory of Open Access Journals (Sweden)

    Cristina BURGHELEA

    2017-04-01

    Full Text Available The economic literature and related specialty practice, the development of the European Economic Community along with the factors determining them (such investments and staff represents a topic that is of great notoriety. This paper shows the role and influence that direct investment in the economy and employment ratio can propagate in the growth of gross domestic product per capita to ensure increased economic sustainability of countries in the European Community. The most important economic effects of FDI on the host economy can be represented by labor productivity growth through knowledge transfer (know-how technology, management skills and marketing term in countries emerging favor progress technological and economic growth. To determine this goal, in the context of economic logic, this research shows the importance of gross domestic product, total and per capita, as a macroeconomic indicator synthetic, and encouraging and using the action of factors that can also provide political steps, organizational and financial, achieving levels attesting social progress and prosperity. The study highlights a Custom Analysis on gross domestic product per capita, direct investment and the proportion of people employed in total for 24 European Union countries in 2014 and also develop an econometric model multifactorial based on system statistics. Research shows utility in making decisions about investment growth in the European Community by attracting a workforce that is in full compliance with state investment policies and by providing a high living standard.

  2. Middle East Respiratory Syndrome

    Centers for Disease Control (CDC) Podcasts

    2014-07-07

    This podcast discusses Middle East Respiratory Syndrome, or MERS, a viral respiratory illness caused by Middle East Respiratory Syndrome Coronavirus—MERS-CoV.  Created: 7/7/2014 by National Center for Immunization and Respiratory Diseases (NCIRD).   Date Released: 7/7/2014.

  3. European constitution and EURATOM treaty

    International Nuclear Information System (INIS)

    Heller, W.

    2003-01-01

    The European Council held in Laeken in December 2001 had decided to call a convention preparing the next conference of the heads of state and government which, among other topics, was to deliberate the question of a fully formulated European constitution. Under the presidency of Giscard d'Estaing, all delegates to the European Convention on July 10, 2003 signed the draft treaty for a European constitution. This final document is the basis of the conference of the heads of state and government to begin in October 2003. On this occasion, the draft of a separate chapter on energy could well come up again for examination. This chapter had been introduced only at the end of the deliberations of the convention and adds to the competences of the EU institutions. Also the Euratom Treaty was a topic of the convention preparing the constitution. As the presidency felt that no specific issues had been raised in the Laeken declaration, it is proposed to adapt the Euratom Treaty to the new provisions of the constitution by adding a protocol. This would mean that the European Atomic Energy Community, for the time being, would retain its independent legal status. The contents would have to be examined at some later date. Consequently, the real discussion of the Euratom Treaty is yet to come. Also, the speedy completion of the single market for electricity would make it desirable for the Community to adopt a uniform, positive stance in the use of nuclear power at the best possible safety standards so as to ensure a level playing field. Current events entailing power failures in the United States and the United Kingdom have alerted the public to the problem of the continuity of power supply. This could well be the beginning of a new, unbiased, balanced energy discussion in a bigger Europe. (orig.)

  4. Prevalence and antibiotic sensitivity of Danish versus other European bacterial isolates from intensive care and hematology/oncology units

    DEFF Research Database (Denmark)

    Fomsgaard, A; Høiby, Niels; Friis, H M

    1995-01-01

    isolates in Danish units was the respiratory tract (49%), followed by blood (18%), urinary tract (14%) and surgical wounds (10%). Staphylococcus aureus was the most prevalent respiratory organism in Danish units, whereas Enterobacteriaceae and Pseudomonas aeruginosa dominated in other countries. In blood...... in the other countries. Staphylococcus aureus was the most frequent wound isolate in Denmark, while Enterobacteriaceae other than Escherichia coli dominated in other European countries. Thus, in Denmark Escherichia coli and Staphylococcus aureus, followed by Pseudomonas aeruginosa and Klebsiella spp. (from...

  5. Informal Learning in Online Knowledge Communities: Predicting Community Response to Visitor Inquiries

    NARCIS (Netherlands)

    Nistor, Nicolae; Dascalu, Mihai; Stavarache, Lucia Larise; Serafin, Yvonne; Trausan-Matu, Stefan

    2016-01-01

    Nistor, N., Dascalu, M., Stavarache, L.L., Serafin, Y., & Trausan-Matu, S. (2015). Informal Learning in Online Knowledge Communities: Predicting Community Response to Visitor Inquiries. In G. Conole, T. Klobucar, C. Rensing, J. Konert & É. Lavoué (Eds.), 10th European Conf. on Technology Enhanced

  6. Towards a European contract law

    NARCIS (Netherlands)

    Hondius, E.H.

    2000-01-01

    I. Introduction. II. Subject-matter of this paper. III. Constitutionality. IV. Codification. V. Is it Feasible?VI. Howto proceed. VII. New problems: finding the Law. VIII. The Netherlands, Belgium and Germany. IX. Common Law and Civil Law. X. East and west. XI. European Community Law. XII.

  7. Suggesting a new European language policy.

    Science.gov (United States)

    Nelde, Peter H

    2004-01-01

    Conflict is the most intriguing aspect of contact linguistics. Throughout history ever since the Tower of Babel was left unfinished, contacts between speakers of different languages have unavoidably resulted in conflicts between speakers of those languages. Without any doubt, the European Union (EU)--above all after the decision to enlarge the community--has accepted the multidisciplinary symbolic function of language and culture as a basis for European political unification. Accordingly, European Union policy makers have had to analyze conflicts caused by monolingualism and multilingualism, all aspects of contact linguistics. Can these conflicts be solved, minimized or neutralized by strategies of language planning, language policies and language politics? Initial results of European language policy strategies permit at least a cautious measure of optimism and open broad perspectives for the future of a New Multilingualism which will be discussed in our contribution.

  8. Critically Ill Patients With the Middle East Respiratory Syndrome: A Multicenter Retrospective Cohort Study.

    Science.gov (United States)

    Arabi, Yaseen M; Al-Omari, Awad; Mandourah, Yasser; Al-Hameed, Fahad; Sindi, Anees A; Alraddadi, Basem; Shalhoub, Sarah; Almotairi, Abdullah; Al Khatib, Kasim; Abdulmomen, Ahmed; Qushmaq, Ismael; Mady, Ahmed; Solaiman, Othman; Al-Aithan, Abdulsalam M; Al-Raddadi, Rajaa; Ragab, Ahmed; Al Mekhlafi, Ghaleb A; Al Harthy, Abdulrahman; Kharaba, Ayman; Ahmadi, Mashael Al; Sadat, Musharaf; Mutairi, Hanan Al; Qasim, Eman Al; Jose, Jesna; Nasim, Maliha; Al-Dawood, Abdulaziz; Merson, Laura; Fowler, Robert; Hayden, Frederick G; Balkhy, Hanan H

    2017-10-01

    To describe patient characteristics, clinical manifestations, disease course including viral replication patterns, and outcomes of critically ill patients with severe acute respiratory infection from the Middle East respiratory syndrome and to compare these features with patients with severe acute respiratory infection due to other etiologies. Retrospective cohort study. Patients admitted to ICUs in 14 Saudi Arabian hospitals. Critically ill patients with laboratory-confirmed Middle East respiratory syndrome severe acute respiratory infection (n = 330) admitted between September 2012 and October 2015 were compared to consecutive critically ill patients with community-acquired severe acute respiratory infection of non-Middle East respiratory syndrome etiology (non-Middle East respiratory syndrome severe acute respiratory infection) (n = 222). None. Although Middle East respiratory syndrome severe acute respiratory infection patients were younger than those with non-Middle East respiratory syndrome severe acute respiratory infection (median [quartile 1, quartile 3] 58 yr [44, 69] vs 70 [52, 78]; p < 0.001), clinical presentations and comorbidities overlapped substantially. Patients with Middle East respiratory syndrome severe acute respiratory infection had more severe hypoxemic respiratory failure (PaO2/FIO2: 106 [66, 160] vs 176 [104, 252]; p < 0.001) and more frequent nonrespiratory organ failure (nonrespiratory Sequential Organ Failure Assessment score: 6 [4, 9] vs 5 [3, 7]; p = 0.002), thus required more frequently invasive mechanical ventilation (85.2% vs 73.0%; p < 0.001), oxygen rescue therapies (extracorporeal membrane oxygenation 5.8% vs 0.9%; p = 0.003), vasopressor support (79.4% vs 55.0%; p < 0.001), and renal replacement therapy (48.8% vs 22.1%; p < 0.001). After adjustment for potential confounding factors, Middle East respiratory syndrome was independently associated with death compared to non-Middle East respiratory syndrome severe acute respiratory

  9. Differences in microbiological profile between community-acquired, healthcare-associated and hospital-acquired infections.

    Science.gov (United States)

    Cardoso, Teresa; Ribeiro, Orquídea; Aragão, Irene; Costa-Pereira, Altamiro; Sarmento, António

    2013-01-01

    Microbiological profiles were analysed and compared for intra-abdominal, urinary, respiratory and bloodstream infections according to place of acquisition: community-acquired, with a separate analysis of healthcare-associated, and hospital-acquired. Prospective cohort study performed at a university tertiary care hospital over 1 year. Inclusion criteria were meeting the Centers for Disease Control definition of intra-abdominal, urinary, respiratory and bloodstream infections. A total of 1035 patients were included in the study. More than 25% of intra-abdominal infections were polymicrobial; multi-drug resistant gram-negatives were 38% in community-acquired, 50% in healthcare-associated and 57% in hospital-acquired. E. coli was the most prevalent among urinary infections: 69% in community-acquired, 56% in healthcare-associated and 26% in hospital-acquired; ESBL producers' pathogens were 10% in healthcare-associated and 3% in community-acquired and hospital-acquired. In respiratory infections Streptococcus pneumoniae was the most prevalent in community-acquired (54%) and MRSA in healthcare-associated (24%) and hospital-acquired (24%). A significant association was found between MRSA respiratory infection and hospitalization in the previous year (adjusted OR = 6.3), previous instrumentation (adjusted OR = 4.3) and previous antibiotic therapy (adjusted OR = 5.7); no cases were documented among patients without risk factors. Hospital mortality rate was 10% in community-acquired, 14% in healthcare-associated and 19% in hospital-acquired infection. This study shows that healthcare-associated has a different microbiologic profile than those from community or hospital acquired for the four main focus of infection. Knowledge of this fact is important because the existing guidelines for community-acquired are not entirely applicable for this group of patients.

  10. (Environmental) Panel measures in European law. Importance of the judgement Rs C-176/03 of the European Court, comission/council; (Umwelt-)Strafrechtliche Massnahmen im Europarecht. Bedeutung des EuGH-Urteils Rs C-176/03, Kommission/Rat

    Energy Technology Data Exchange (ETDEWEB)

    Foerster, M.

    2007-07-01

    The problem of international criminality strengthened by the progressive European integration. In particular, this is applied to the environmental criminality, since damages of the environment are not bound to the borders of individual states. Due to the appearing liberty rights, defaults on European level were introduced, whose conversion and penetration ensure effective further effective protection of the right property for the environment. The European Commission raised a complaint against the conversion of the skeleton resolution because of the interference of the union-legal measure into community-legal authority. The Court of Justice of the European Community explained this skeleton resolution as authority adverse. The European Court of Justice assumes community-legal authority authorizes in principle to supranational criminal measures. The practical conditions for it are put out in the contribution under consideration. Finally, the new guideline suggestion KOM(2007) 521 is based on these conditions.

  11. The text of the Agreement between Belgium, Denmark, the Federal Republic of Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, Spain, the European Atomic Energy Community and the Agency in connection with the Treaty on the Non-Proliferation of Nuclear Weapons

    International Nuclear Information System (INIS)

    1989-05-01

    On 5 April 1989 the Agency received in respect of the European Atomic Energy Community and Spain the notification required by Article 23(a) of the Agreement of 5 April 1973 between Belgium, Denmark, the Federal Republic of Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, the European Atomic Energy Community and the Agency, which therefore came into force for Spain on that date

  12. Creation of a European network dedicated to technology transfer

    CERN Multimedia

    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...

  13. Cooperation Agreement between the European Organization for Nuclear Research (CERN) and The Qatar Foundation for Education, Science and Community Development concerning Scientific and Technical Co-operation in High Energy Physics

    CERN Document Server

    2016-01-01

    Cooperation Agreement between the European Organization for Nuclear Research (CERN) and The Qatar Foundation for Education, Science and Community Development concerning Scientific and Technical Co-operation in High Energy Physics

  14. Human herpesviruses respiratory infections in patients with acute respiratory distress (ARDS).

    Science.gov (United States)

    Bonizzoli, Manuela; Arvia, Rosaria; di Valvasone, Simona; Liotta, Francesco; Zakrzewska, Krystyna; Azzi, Alberta; Peris, Adriano

    2016-08-01

    Acute respiratory distress syndrome (ARDS) is today a leading cause of hospitalization in intensive care unit (ICU). ARDS and pneumonia are closely related to critically ill patients; however, the etiologic agent is not always identified. The presence of human herpes simplex virus 1, human cytomegalovirus and Epstein-Barr virus in respiratory samples of critically ill patients is increasingly reported even without canonical immunosuppression. The main aim of this study was to better understand the significance of herpesviruses finding in lower respiratory tract of ARDS patients hospitalized in ICU. The presence of this group of herpesviruses, in addition to the research of influenza viruses and other common respiratory viruses, was investigated in respiratory samples from 54 patients hospitalized in ICU, without a known microbiological causative agent. Moreover, the immunophenotype of each patient was analyzed. Herpesviruses DNA presence in the lower respiratory tract seemed not attributable to an impaired immunophenotype, whereas a significant correlation was observed between herpesviruses positivity and influenza virus infection. A higher ICU mortality was significantly related to the presence of herpesvirus infection in the lower respiratory tract as well as to impaired immunophenotype, as patients with poor outcome showed severe lymphopenia, affecting in particular T (CD3+) cells, since the first days of ICU hospitalization. In conclusion, these results indicate that herpesviruses lower respiratory tract infection, which occurs more frequently following influenza virus infection, can be a negative prognostic marker. An independent risk factor for ICU patients with ARDS is an impaired immunophenotype.

  15. The Russian-European Union Competition in Ukraine

    Science.gov (United States)

    2015-06-01

    of Germany’s brief triumph during the Great War. The 1918 treaty of Brest -Litovsk created for the first time an independent Ukraine, designed to be a...6North Atlantic Treaty Organization, “Founding Act on Mutual Relations, Cooperation and Security between NATO and the Russian Federation signed in Paris ...institution now known as the European Union originated as the European Coal and Steel Community in 1951. Interest in expanding economic cooperation

  16. Envri Cluster - a Community-Driven Platform of European Environmental Researcher Infrastructures for Providing Common E-Solutions for Earth Science

    Science.gov (United States)

    Asmi, A.; Sorvari, S.; Kutsch, W. L.; Laj, P.

    2017-12-01

    European long-term environmental research infrastructures (often referred as ESFRI RIs) are the core facilities for providing services for scientists in their quest for understanding and predicting the complex Earth system and its functioning that requires long-term efforts to identify environmental changes (trends, thresholds and resilience, interactions and feedbacks). Many of the research infrastructures originally have been developed to respond to the needs of their specific research communities, however, it is clear that strong collaboration among research infrastructures is needed to serve the trans-boundary research requires exploring scientific questions at the intersection of different scientific fields, conducting joint research projects and developing concepts, devices, and methods that can be used to integrate knowledge. European Environmental research infrastructures have already been successfully worked together for many years and have established a cluster - ENVRI cluster - for their collaborative work. ENVRI cluster act as a collaborative platform where the RIs can jointly agree on the common solutions for their operations, draft strategies and policies and share best practices and knowledge. Supporting project for the ENVRI cluster, ENVRIplus project, brings together 21 European research infrastructures and infrastructure networks to work on joint technical solutions, data interoperability, access management, training, strategies and dissemination efforts. ENVRI cluster act as one stop shop for multidisciplinary RI users, other collaborative initiatives, projects and programmes and coordinates and implement jointly agreed RI strategies.

  17. The European network of Biosafety-Level-4 laboratories: enhancing European preparedness for new health threats.

    Science.gov (United States)

    Nisii, C; Castilletti, C; Di Caro, A; Capobianchi, M R; Brown, D; Lloyd, G; Gunther, S; Lundkvist, A; Pletschette, M; Ippolito, G

    2009-08-01

    Emerging and re-emerging infections and possible bioterrorism acts will continue to challenge both the medical community and civilian populations worldwide, urging health authorities to respond rapidly and effectively. Established in 2005, the European Community (EC)-funded European Network of Biosafety-Level-4 laboratories (Euronet-P4), which brings together the laboratories in Porton Down, London, Hamburg, Marburg, Solna, Lyon and Rome, seeks to increase international collaboration in the areas of high containment laboratory biosafety and viral diagnostic capability, to strengthen Europe's capacity to respond to an infectious disease emergency, and to offer assistance to countries not equipped with such costly facilities. Network partners have agreed on a common strategy to fill the gaps identified in the field of risk group-4 agents' laboratory diagnosis, namely the lack of standardization and of reference samples. The network has received a further 3-year funding, to offer assistance to external laboratories, and to start the planning of field activities.

  18. Legislations set out to protect workers against ionizing radiations in the European Community

    International Nuclear Information System (INIS)

    Grivelet-Denais, M.-F.

    1975-01-01

    A physical review on ionizing radiations and a biological survey of their possible effects on exposed workers are followed by a study, first general and then analytical, of the various legislations set out to protect these workers in the European Community. In the light of this study a few comments are called for. In all member States the rules are particularly strict for everything to do with approval and homologation of plants and equipment, technical qualifications of users, safety measures, physical protection control, atmospheric checks and individual dosimetry. Reservations must be made as to the exact organization of controls and the interdependence between supervisory and user bodies, these points generally remaining rather vague. France more than the other member States has made an effort at precision which deserves credit but is disappointing in practice where medical supervision of exposed workers is concerned. This inadequacy of the medical examination is due mainly to the lack of any significant symptom betraying a biological overdose. The hematological examination is also disparaged for its lack of sensitivity and above all specificity [fr

  19. The Text of the Agreement between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in Connection with the Treaty on the Non-Proliferation of Nuclear Weapons. Accession of Slovenia

    International Nuclear Information System (INIS)

    2007-01-01

    Article 23(a) of the Agreement, and the Protocol thereto, between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in implementation of Article III, (1) and (4) of the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) provides that the Agreement shall come into force for non-nuclear-weapon States Party to NPT which become members of the European Atomic Energy Community upon: (i) Notification to the Agency by the State concerned that its procedures with respect to the coming into force of the Agreement have been completed; and (ii) Notification to the Agency by the European Atomic Energy Community that it is in a position to apply its safeguards in respect of that State for the purposes of the Agreement [es

  20. The Text of the Agreement between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in Connection with the Treaty on the Non-Proliferation of Nuclear Weapons. Accession of Bulgaria

    International Nuclear Information System (INIS)

    2009-01-01

    Article 23(a) of the Agreement, and the Protocol thereto, between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in implementation of Article III, (1) and (4) of the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) provides that the Agreement shall come into force for non-nuclear-weapon States Party to NPT which become members of the European Atomic Energy Community upon: (i) Notification to the Agency by the State concerned that its procedures with respect to the coming into force of the Agreement have been completed; and (ii) Notification to the Agency by the European Atomic Energy Community that it is in a position to apply its safeguards in respect of that State for the purposes of the Agreement [fr

  1. The Text of the Agreement between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in Connection with the Treaty on the Non-Proliferation of Nuclear Weapons. Accession of Bulgaria

    International Nuclear Information System (INIS)

    2009-01-01

    Article 23(a) of the Agreement, and the Protocol thereto, between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in implementation of Article III, (1) and (4) of the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) provides that the Agreement shall come into force for non-nuclear-weapon States Party to NPT which become members of the European Atomic Energy Community upon: (i) Notification to the Agency by the State concerned that its procedures with respect to the coming into force of the Agreement have been completed; and (ii) Notification to the Agency by the European Atomic Energy Community that it is in a position to apply its safeguards in respect of that State for the purposes of the Agreement [es

  2. The Text of the Agreement between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in Connection with the Treaty on the Non-Proliferation of Nuclear Weapons. Accession of Bulgaria

    International Nuclear Information System (INIS)

    2009-01-01

    Article 23(a) of the Agreement, and the Protocol thereto, between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in implementation of Article III, (1) and (4) of the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) provides that the Agreement shall come into force for non-nuclear-weapon States Party to NPT which become members of the European Atomic Energy Community upon: (i) Notification to the Agency by the State concerned that its procedures with respect to the coming into force of the Agreement have been completed; and (ii) Notification to the Agency by the European Atomic Energy Community that it is in a position to apply its safeguards in respect of that State for the purposes of the Agreement

  3. The Text of the Agreement between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in Connection with the Treaty on the Non-Proliferation of Nuclear Weapons. Accession of Cyprus

    International Nuclear Information System (INIS)

    2008-01-01

    Article 23(a) of the Agreement, and the Protocol thereto, between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in implementation of Article III, (1) and (4) of the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) provides that the Agreement shall come into force for non-nuclear-weapon States Party to NPT which become members of the European Atomic Energy Community upon: (i) Notification to the Agency by the State concerned that its procedures with respect to the coming into force of the Agreement have been completed; and (ii) Notification to the Agency by the European Atomic Energy Community that it is in a position to apply its safeguards in respect of that State for the purposes of the Agreement

  4. The Text of the Agreement between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in Connection with the Treaty on the Non-Proliferation of Nuclear Weapons. Accession of Slovenia

    International Nuclear Information System (INIS)

    2007-01-01

    Article 23(a) of the Agreement, and the Protocol thereto, between Belgium, Denmark, the Federal Republic of Germany, Ireland, Italy, Luxembourg, The Netherlands, the European Atomic Energy Community and the Agency in implementation of Article III, (1) and (4) of the Treaty on the Non-Proliferation of Nuclear Weapons (NPT) provides that the Agreement shall come into force for non-nuclear-weapon States Party to NPT which become members of the European Atomic Energy Community upon: (i) Notification to the Agency by the State concerned that its procedures with respect to the coming into force of the Agreement have been completed; and (ii) Notification to the Agency by the European Atomic Energy Community that it is in a position to apply its safeguards in respect of that State for the purposes of the Agreement

  5. Social Entrepreneurship and Mobilisation of Social Capital in European Social Enterprise - (Korean translation)

    DEFF Research Database (Denmark)

    Hulgård, Lars; Spear, Roger

    2011-01-01

    Korean translation of ”Social Entrepreneurship and Mobilisation of Social Capital in European Social Enterprise”, with Roger Spear. In Marthe Nyssens (ed.) Social Enterprises: between Market, Public Policies and Community. London: Routledge.......Korean translation of ”Social Entrepreneurship and Mobilisation of Social Capital in European Social Enterprise”, with Roger Spear. In Marthe Nyssens (ed.) Social Enterprises: between Market, Public Policies and Community. London: Routledge....

  6. Evidence based policy making in the European Union. The role of the scientific community

    Energy Technology Data Exchange (ETDEWEB)

    Majcen, Spela [Euro-Mediterranean Univ. (EMUNI), Portoroz (Slovenia)

    2017-03-15

    In the times when the acquis of the European Union (EU) has developed so far as to reach a high level of technical complexity, in particular in certain policy fields such as environmental legislation, it is important to look at what kind of information and data policy decisions are based on. This position paper looks at the extent to which evidence-based decision-making process is being considered in the EU institutions when it comes to adopting legislation in the field of environment at the EU level. The paper calls for closer collaboration between scientists and decision-makers in view of ensuring that correct data is understood and taken into consideration when drafting, amending, negotiating and adopting new legal texts at all levels of the EU decision-making process. It concludes that better awareness of the need for such collaboration among the decision-makers as well as the scientific community would benefit the process and quality of the final outcomes (legislation).

  7. Evidence based policy making in the European Union: the role of the scientific community.

    Science.gov (United States)

    Majcen, Špela

    2017-03-01

    In the times when the acquis of the European Union (EU) has developed so far as to reach a high level of technical complexity, in particular in certain policy fields such as environmental legislation, it is important to look at what kind of information and data policy decisions are based on. This position paper looks at the extent to which evidence-based decision-making process is being considered in the EU institutions when it comes to adopting legislation in the field of environment at the EU level. The paper calls for closer collaboration between scientists and decision-makers in view of ensuring that correct data is understood and taken into consideration when drafting, amending, negotiating and adopting new legal texts at all levels of the EU decision-making process. It concludes that better awareness of the need for such collaboration among the decision-makers as well as the scientific community would benefit the process and quality of the final outcomes (legislation).

  8. Evidence based policy making in the European Union. The role of the scientific community

    International Nuclear Information System (INIS)

    Majcen, Spela

    2017-01-01

    In the times when the acquis of the European Union (EU) has developed so far as to reach a high level of technical complexity, in particular in certain policy fields such as environmental legislation, it is important to look at what kind of information and data policy decisions are based on. This position paper looks at the extent to which evidence-based decision-making process is being considered in the EU institutions when it comes to adopting legislation in the field of environment at the EU level. The paper calls for closer collaboration between scientists and decision-makers in view of ensuring that correct data is understood and taken into consideration when drafting, amending, negotiating and adopting new legal texts at all levels of the EU decision-making process. It concludes that better awareness of the need for such collaboration among the decision-makers as well as the scientific community would benefit the process and quality of the final outcomes (legislation).

  9. The Role of the Two Sides of Industry in Initial and Continuing Training. Documentation of the Conference Organized by the European Centre for the Development of Vocational Training (CEDEFOP) in Collaboration with the Commission of the European Communities and the Economic and Social Committee of the EC (Brussels, Belgium, November 8-9, 1988).

    Science.gov (United States)

    European Centre for the Development of Vocational Training, Berlin (West Germany).

    This document reports the proceedings of a conference held in Brussels to take stock (on the basis of the studies conducted by the European Centre for the Development of Vocational Training and the analyses carried out in this field in all the European Community member states) of the work undertaken in the last few years and to present…

  10. European antitrust policy 1957-2004: an analysis of Commission decisions

    NARCIS (Netherlands)

    Carree, M.; Günster, A.; Schinkel, M.P.

    2010-01-01

    This paper provides a survey of European antitrust law enforcement since its foundation in the Treaty of Rome of 1957 up to and including 2004. We present a complete overview and statistical analysis of all 538 formal Commission decisions under Articles 81, 82, and 86 of the European Community

  11. The European Multicentre Bronchiectasis Audit and Research Collaboration (EMBARC: experiences from a successful ERS Clinical Research Collaboration

    Directory of Open Access Journals (Sweden)

    James D. Chalmers

    2017-09-01

    To understand the role of Clinical Research Collaborations as the major way in which the European Respiratory Society can stimulate clinical research in different disease areas To understand some of the key features of successful disease registries To review key epidemiological, clinical and translational studies of bronchiectasis contributed by the European Multicentre Bronchiectasis Audit and Research Collaboration (EMBARC project in the past 5 years To understand the key research priorities identified by EMBARC for the next 5 years

  12. ROMANIA’S ASSENT TO THE EUROPEAN UNION – NATIONAL STRATEGY

    Directory of Open Access Journals (Sweden)

    Ioan HURJUI

    2006-01-01

    Full Text Available The historic context in which Romania’s steps regarding the assent into the communitarian structures are joined, can be placed under the sign of profound changes who interfered in the Romanian society after 1989 such as: the building of a democratic society and the instauration of a market economy, and also under the sign of a contradictory defiance among the European Union. Romania is the first central and eastern European country who established official relationships with the European Community. Romania addend to the European Union on the 1-st of january, 2007.

  13. Globalization and Europeanization. A Projection on a European Model of Public Administration

    Directory of Open Access Journals (Sweden)

    Ani Matei

    2008-04-01

    Full Text Available The specialized studies and literature present moreover and insistently the connection between globalization and Europeanization, more precisely between globalization and a European model of integration, whose features aim to set up a global-type European society. The development of the European model of integration starts with economic elements, it reveals nowadays the Economic and Monetary Union and in perspective it will be structured within a sui generis system of transnational governance. The values of the European model of integration become fundamental values of a social process, with powerful economic and political determinations, aiming the multi-causal interference between individual, community and European construction. This process, remarked increasingly in the specialized literature, being assigned with the name of Europeanization, has got original, functional features in the spectrum of significations of the globalization paradigm. As essential global-type formula, within Europeanization, we shall find models with economic, political or social finality, integrating also a model of administration among the latter ones. When we say administration, we refer to its up dated and adequate contents to the new European developments. This assertion derives from a less economic modality to conceptualize the relationship between globalization and Europeanization, presenting Europeanization more as a political adaptation to globalization and even a political expression of globalization. In this context, the development of a system for European governance on several levels (local, regional, national, intergovernmental and supranational suggests its evolution towards globalization. In fact, the literature specific for Europeanization asserts the fact that the European model has also features with integrative nature related to the supranational and trans-governmental dimensions, as well as features with normative nature in view of harmonization

  14. Predictive equations for respiratory muscle strength according to international and Brazilian guidelines

    Directory of Open Access Journals (Sweden)

    Isabela M. B. S. Pessoa

    2014-10-01

    Full Text Available Background: The maximum static respiratory pressures, namely the maximum inspiratory pressure (MIP and maximum expiratory pressure (MEP, reflect the strength of the respiratory muscles. These measures are simple, non-invasive, and have established diagnostic and prognostic value. This study is the first to examine the maximum respiratory pressures within the Brazilian population according to the recommendations proposed by the American Thoracic Society and European Respiratory Society (ATS/ERS and the Brazilian Thoracic Association (SBPT. Objective: To establish reference equations, mean values, and lower limits of normality for MIP and MEP for each age group and sex, as recommended by the ATS/ERS and SBPT. Method: We recruited 134 Brazilians living in Belo Horizonte, MG, Brazil, aged 20-89 years, with a normal pulmonary function test and a body mass index within the normal range. We used a digital manometer that operationalized the variable maximum average pressure (MIP/MEP. At least five tests were performed for both MIP and MEP to take into account a possible learning effect. Results: We evaluated 74 women and 60 men. The equations were as follows: MIP=63.27-0.55 (age+17.96 (gender+0.58 (weight, r2 of 34% and MEP= - 61.41+2.29 (age - 0.03(age2+33.72 (gender+1.40 (waist, r2 of 49%. Conclusion: In clinical practice, these equations could be used to calculate the predicted values of MIP and MEP for the Brazilian population.

  15. Neonatal respiratory distress syndrome

    Science.gov (United States)

    Hyaline membrane disease (HMD); Infant respiratory distress syndrome; Respiratory distress syndrome in infants; RDS - infants ... improves slowly after that. Some infants with severe respiratory distress syndrome will die. This most often occurs ...

  16. Activation of respiratory muscles during respiratory muscle training.

    Science.gov (United States)

    Walterspacher, Stephan; Pietsch, Fabian; Walker, David Johannes; Röcker, Kai; Kabitz, Hans-Joachim

    2018-01-01

    It is unknown which respiratory muscles are mainly activated by respiratory muscle training. This study evaluated Inspiratory Pressure Threshold Loading (IPTL), Inspiratory Flow Resistive Loading (IFRL) and Voluntary Isocapnic Hyperpnea (VIH) with regard to electromyographic (EMG) activation of the sternocleidomastoid muscle (SCM), parasternal muscles (PARA) and the diaphragm (DIA) in randomized order. Surface EMG were analyzed at the end of each training session and normalized using the peak EMG recorded during maximum inspiratory maneuvers (Sniff nasal pressure: SnPna, maximal inspiratory mouth occlusion pressure: PImax). 41 healthy participants were included. Maximal activation was achieved for SCM by SnPna; the PImax activated predominantly PARA and DIA. Activations of SCM and PARA were higher in IPTL and VIH than for IFRL (p<0.05). DIA was higher applying IPTL compared to IFRL or VIH (p<0.05). IPTL, IFRL and VIH differ in activation of inspiratory respiratory muscles. Whereas all methods mainly stimulate accessory respiratory muscles, diaphragm activation was predominant in IPTL. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Respiratory trace feature analysis for the prediction of respiratory-gated PET quantification

    Science.gov (United States)

    Wang, Shouyi; Bowen, Stephen R.; Chaovalitwongse, W. Art; Sandison, George A.; Grabowski, Thomas J.; Kinahan, Paul E.

    2014-02-01

    The benefits of respiratory gating in quantitative PET/CT vary tremendously between individual patients. Respiratory pattern is among many patient-specific characteristics that are thought to play an important role in gating-induced imaging improvements. However, the quantitative relationship between patient-specific characteristics of respiratory pattern and improvements in quantitative accuracy from respiratory-gated PET/CT has not been well established. If such a relationship could be estimated, then patient-specific respiratory patterns could be used to prospectively select appropriate motion compensation during image acquisition on a per-patient basis. This study was undertaken to develop a novel statistical model that predicts quantitative changes in PET/CT imaging due to respiratory gating. Free-breathing static FDG-PET images without gating and respiratory-gated FDG-PET images were collected from 22 lung and liver cancer patients on a PET/CT scanner. PET imaging quality was quantified with peak standardized uptake value (SUVpeak) over lesions of interest. Relative differences in SUVpeak between static and gated PET images were calculated to indicate quantitative imaging changes due to gating. A comprehensive multidimensional extraction of the morphological and statistical characteristics of respiratory patterns was conducted, resulting in 16 features that characterize representative patterns of a single respiratory trace. The six most informative features were subsequently extracted using a stepwise feature selection approach. The multiple-regression model was trained and tested based on a leave-one-subject-out cross-validation. The predicted quantitative improvements in PET imaging achieved an accuracy higher than 90% using a criterion with a dynamic error-tolerance range for SUVpeak values. The results of this study suggest that our prediction framework could be applied to determine which patients would likely benefit from respiratory motion compensation

  18. Respiratory trace feature analysis for the prediction of respiratory-gated PET quantification

    International Nuclear Information System (INIS)

    Wang, Shouyi; Chaovalitwongse, W Art; Bowen, Stephen R; Kinahan, Paul E; Sandison, George A; Grabowski, Thomas J

    2014-01-01

    The benefits of respiratory gating in quantitative PET/CT vary tremendously between individual patients. Respiratory pattern is among many patient-specific characteristics that are thought to play an important role in gating-induced imaging improvements. However, the quantitative relationship between patient-specific characteristics of respiratory pattern and improvements in quantitative accuracy from respiratory-gated PET/CT has not been well established. If such a relationship could be estimated, then patient-specific respiratory patterns could be used to prospectively select appropriate motion compensation during image acquisition on a per-patient basis. This study was undertaken to develop a novel statistical model that predicts quantitative changes in PET/CT imaging due to respiratory gating. Free-breathing static FDG-PET images without gating and respiratory-gated FDG-PET images were collected from 22 lung and liver cancer patients on a PET/CT scanner. PET imaging quality was quantified with peak standardized uptake value (SUV peak ) over lesions of interest. Relative differences in SUV peak between static and gated PET images were calculated to indicate quantitative imaging changes due to gating. A comprehensive multidimensional extraction of the morphological and statistical characteristics of respiratory patterns was conducted, resulting in 16 features that characterize representative patterns of a single respiratory trace. The six most informative features were subsequently extracted using a stepwise feature selection approach. The multiple-regression model was trained and tested based on a leave-one-subject-out cross-validation. The predicted quantitative improvements in PET imaging achieved an accuracy higher than 90% using a criterion with a dynamic error-tolerance range for SUV peak values. The results of this study suggest that our prediction framework could be applied to determine which patients would likely benefit from respiratory motion

  19. What Is Respiratory Distress Syndrome?

    Science.gov (United States)

    ... Home / Respiratory Distress Syndrome Respiratory Distress Syndrome Also known as What Is Respiratory ... This condition is called apnea (AP-ne-ah). Respiratory Distress Syndrome Complications Depending on the severity of ...

  20. European antitrust policy 1957-2004: An analysis of Commission decisions

    NARCIS (Netherlands)

    Carree, M.; Günster, A.; Schinkel, M.P.

    2008-01-01

    This paper provides a survey of European antitrust law enforcement since its foundation in the Treaty of Rome of 1957. We present a complete overview and statistical analysis of all 538 formal Commission decisions adopted up to 2004 under Articles 81, 82 and 86 of the European Community Treaty. We

  1. The European Multicentre Bronchiectasis Audit and Research Collaboration (EMBARC): experiences from a successful ERS Clinical Research Collaboration.

    Science.gov (United States)

    Chalmers, James D; Crichton, Megan; Goeminne, Pieter C; Loebinger, Michael R; Haworth, Charles; Almagro, Marta; Vendrell, Montse; De Soyza, Anthony; Dhar, Raja; Morgan, Lucy; Blasi, Francesco; Aliberti, Stefano; Boyd, Jeanette; Polverino, Eva

    2017-09-01

    In contrast to airway diseases like chronic obstructive pulmonary disease or asthma, and rare diseases such as cystic fibrosis, there has been little research and few clinical trials in bronchiectasis. Guidelines are primarily based on expert opinion and treatment is challenging because of the heterogeneous nature of the disease. In an effort to address decades of underinvestment in bronchiectasis research, education and clinical care, the European Multicentre Bronchiectasis Audit and Research Collaboration (EMBARC) was established in 2012 as a collaborative pan-European network to bring together bronchiectasis researchers. The European Respiratory Society officially funded EMBARC in 2013 as a Clinical Research Collaboration, providing support and infrastructure to allow the project to grow. EMBARC has now established an international bronchiectasis registry that is active in more than 30 countries both within and outside Europe. Beyond the registry, the network participates in designing and facilitating clinical trials, has set international research priorities, promotes education and has participated in producing the first international bronchiectasis guidelines. This manuscript article the development, structure and achievements of EMBARC from 2012 to 2017. To understand the role of Clinical Research Collaborations as the major way in which the European Respiratory Society can stimulate clinical research in different disease areasTo understand some of the key features of successful disease registriesTo review key epidemiological, clinical and translational studies of bronchiectasis contributed by the European Multicentre Bronchiectasis Audit and Research Collaboration (EMBARC) project in the past 5 yearsTo understand the key research priorities identified by EMBARC for the next 5 years.

  2. Human bocavirus infection as a cause of severe acute respiratory tract infection in children.

    Science.gov (United States)

    Moesker, F M; van Kampen, J J A; van der Eijk, A A; van Rossum, A M C; de Hoog, M; Schutten, M; Smits, S L; Bodewes, R; Osterhaus, A D M E; Fraaij, P L A

    2015-10-01

    In 2005 human bocavirus (HBoV) was discovered in respiratory tract samples of children. The role of HBoV as the single causative agent for respiratory tract infections remains unclear. Detection of HBoV in children with respiratory disease is frequently in combination with other viruses or bacteria. We set up an algorithm to study whether HBoV alone can cause severe acute respiratory tract infection (SARI) in children. The algorithm was developed to exclude cases with no other likely cause than HBoV for the need for admission to the paediatric intensive care unit (PICU) with SARI. We searched for other viruses by next-generation sequencing (NGS) in these cases and studied their HBoV viral loads. To benchmark our algorithm, the same was applied to respiratory syncytial virus (RSV)-positive patients. From our total group of 990 patients who tested positive for a respiratory virus by means of RT-PCR, HBoV and RSV were detected in 178 and 366 children admitted to our hospital. Forty-nine HBoV-positive patients and 72 RSV-positive patients were admitted to the PICU. We found seven single HBoV-infected cases with SARI admitted to PICU (7/49, 14%). They had no other detectable virus by NGS. They had much higher HBoV loads than other patients positive for HBoV. We identified 14 RSV-infected SARI patients with a single RSV infection (14/72, 19%). We conclude that our study provides strong support that HBoV can cause SARI in children in the absence of viral and bacterial co-infections. Copyright © 2015 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  3. Neurological Respiratory Failure

    Directory of Open Access Journals (Sweden)

    Mohan Rudrappa

    2018-01-01

    Full Text Available West Nile virus infection in humans is mostly asymptomatic. Less than 1% of neuro-invasive cases show a fatality rate of around 10%. Acute flaccid paralysis of respiratory muscles leading to respiratory failure is the most common cause of death. Although the peripheral nervous system can be involved, isolated phrenic nerve palsy leading to respiratory failure is rare and described in only two cases in the English literature. We present another case of neurological respiratory failure due to West Nile virus-induced phrenic nerve palsy. Our case reiterates the rare, but lethal, consequences of West Nile virus infection, and the increase of its awareness among physicians.

  4. Multilingual higher education in European regions

    NARCIS (Netherlands)

    Janssens, R.; Mamadouh, V.; Marácz, L.

    2013-01-01

    Although English is often conceived as the dominant language of international and transnational communication in higher education, it is not the only medium of communication in the academic community. National, regional and local languages remain important, in some European countries more than in

  5. Important characteristics and constitutional law basis of the optional instrument for European contract law

    Directory of Open Access Journals (Sweden)

    Silvija Petrić

    2009-01-01

    Full Text Available This paper is dedicated to the analysis of the optional instrument for European contract law as one of the measures which the European Commission suggests within the framework of the initiative of European contract law. It is about the system of general rules of contract law and particular rules for those contracts which are the most important for the functioning of a unified European market. The paper analyses the reasons for suggesting such measures, the basic characteristics and purpose, possible ways of application, potential content and structure, its relation to other Acts and measures of community law, and, in particular, the possible constitutional law basis for the bringing in of such an act of Community law.

  6. Wspolnoty Europejskie wobec problemow jezykowych (Addressing Language Problems in the European Communities).

    Science.gov (United States)

    Zelazny, Walter

    2003-01-01

    Raises questions about the a European Union commissioned report titled "Les Europeens et les langues," which was prepared in accordance with the customary routine used for a series of report on European public opinion. Issues discussed include the omission of several languages, the use of Esperanto, the languages reportedly used by…

  7. Severe acute respiratory syndrome (SARS)

    Science.gov (United States)

    SARS; Respiratory failure - SARS ... Complications may include: Respiratory failure Liver failure Heart failure ... 366. McIntosh K, Perlman S. Coronaviruses, including severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS). ...

  8. The European Union stakes on biofuels

    International Nuclear Information System (INIS)

    Laffon, M.

    2008-01-01

    The European Union has just published the environmental side of its action in the fight against climatic change. Like the third 'energy batch', these new legislative proposals are the continuation of the January 2007 communication of the commission which aimed at fixing the trends of the energy policy of the European Communities. Some measures of these last legislative proposals, in particular those treating of biofuels, are sometimes considered as too ambitious and even unrealistic. The overall proposals are waiting for the final adoption during the French presidency. (J.S.)

  9. Factors related to respiration influencing survival and respiratory function in patients with amyotrophic lateral sclerosis: a retrospective study.

    Science.gov (United States)

    Leonardis, L; Dolenc Grošelj, L; Vidmar, G

    2012-12-01

    Various breathing abnormalities (Neurology 2009; 73: 1218) have been proposed as indicators for the introduction of non-invasive positive-pressure ventilation (NIV) in patients with amyotrophic lateral sclerosis (ALS). We were interested in the usefulness of symptoms of respiratory insufficiency and abnormal results of daytime arterial gas analyses (AGA) as predictors of survival and the effect of NIV on respiratory volumes and pressures. Reported symptoms, respiratory subscore of the ALS Functional Rating Scale (ALSFRS-r), Norris scale (Norris-r), and AGA were retrospectively analyzed in 189 ALS patients. Longitudinal follow-up of forced vital capacity (FVC), maximal inspiratory and expiratory pressure (MIP, MEP), and sniff nasal pressure (SNP) were analyzed with regard to the introduction of NIV. Respiratory symptoms were a bad prognostic sign (P = 0.007). Abnormalities in Norris-r, ALSFRS-r, pO(2), pCO(2), and oxygen saturation tended to be associated with a shorter survival, although they were not statistically significant. NIV prolonged survival and reduced the decline in FVC (P = 0.007), MIP, MEP, and SNP (the last three were not statistically significant). Symptoms, abnormal FVC, and AGA do not always coincide, and they can appear in a different sequence. Any respiratory abnormality should prompt the clinician to start discussing NIV with the patient. NIV prolongs survival and improves respiratory function. © 2012 The Author(s) European Journal of Neurology © 2012 EFNS.

  10. Respiratory gating in cardiac PET

    DEFF Research Database (Denmark)

    Lassen, Martin Lyngby; Rasmussen, Thomas; Christensen, Thomas E

    2017-01-01

    BACKGROUND: Respiratory motion due to breathing during cardiac positron emission tomography (PET) results in spatial blurring and erroneous tracer quantification. Respiratory gating might represent a solution by dividing the PET coincidence dataset into smaller respiratory phase subsets. The aim...... of our study was to compare the resulting imaging quality by the use of a time-based respiratory gating system in two groups administered either adenosine or dipyridamole as the pharmacological stress agent. METHODS AND RESULTS: Forty-eight patients were randomized to adenosine or dipyridamole cardiac...... stress (82)RB-PET. Respiratory rates and depths were measured by a respiratory gating system in addition to registering actual respiratory rates. Patients undergoing adenosine stress showed a decrease in measured respiratory rate from initial to later scan phase measurements [12.4 (±5.7) vs 5.6 (±4...

  11. Radiological emergency preparedness arrangements in the European Commission

    International Nuclear Information System (INIS)

    Tanner, V.

    2002-01-01

    The purpose of this paper is to give an overview of the different procedures established within the European Commission, which are relevant to radiological emergency planning and response. Although emergency preparedness is a national responsibility within the European Union, the Commission has clearly defined operational tasks in terms of emergency information exchange and community foodstuff regulations. In addition the Commission promotes research programmes and training courses in the field

  12. Emergence and epidemic occurrence of enterovirus 68 respiratory infections in The Netherlands in 2010.

    NARCIS (Netherlands)

    Meijer, A.; Sanden, S. van der; Snijders, B.E.P.; Jaramillo-Gutierrez, G.; Bont, L.; Ent, C.K. van der; Overduin, P.; Jenny, S.L.; Jusic, E.; Avoort, H.G.A.M. van der; Smith, G.J.D.; Donker, G.A.; Koopmans, M.P.G.

    2012-01-01

    Following an increase in detection of enterovirus 68 (EV68) in community surveillance of respiratory infections in The Netherlands in 2010, epidemiological and virological analyses were performed to investigate the possible public health impact of EV68 infections. We retrospectively tested specimens

  13. Respiratory and metabolic acidosis differentially affect the respiratory neuronal network in the ventral medulla of neonatal rats.

    Science.gov (United States)

    Okada, Yasumasa; Masumiya, Haruko; Tamura, Yoshiyasu; Oku, Yoshitaka

    2007-11-01

    Two respiratory-related areas, the para-facial respiratory group/retrotrapezoid nucleus (pFRG/RTN) and the pre-Bötzinger complex/ventral respiratory group (preBötC/VRG), are thought to play key roles in respiratory rhythm. Because respiratory output patterns in response to respiratory and metabolic acidosis differ, we hypothesized that the responses of the medullary respiratory neuronal network to respiratory and metabolic acidosis are different. To test these hypotheses, we analysed respiratory-related activity in the pFRG/RTN and preBötC/VRG of the neonatal rat brainstem-spinal cord in vitro by optical imaging using a voltage-sensitive dye, and compared the effects of respiratory and metabolic acidosis on these two populations. We found that the spatiotemporal responses of respiratory-related regional activities to respiratory and metabolic acidosis are fundamentally different, although both acidosis similarly augmented respiratory output by increasing respiratory frequency. PreBötC/VRG activity, which is mainly inspiratory, was augmented by respiratory acidosis. Respiratory-modulated pixels increased in the preBötC/VRG area in response to respiratory acidosis. Metabolic acidosis shifted the respiratory phase in the pFRG/RTN; the pre-inspiratory dominant pattern shifted to inspiratory dominant. The responses of the pFRG/RTN activity to respiratory and metabolic acidosis are complex, and involve either augmentation or reduction in the size of respiratory-related areas. Furthermore, the activation pattern in the pFRG/RTN switched bi-directionally between pre-inspiratory/inspiratory and post-inspiratory. Electrophysiological study supported the results of our optical imaging study. We conclude that respiratory and metabolic acidosis differentially affect activities of the pFRG/RTN and preBötC/VRG, inducing switching and shifts of the respiratory phase. We suggest that they differently influence the coupling states between the pFRG/RTN and preBötC/VRG.

  14. Lungs and Respiratory System

    Science.gov (United States)

    ... Videos for Educators Search English Español Lungs and Respiratory System KidsHealth / For Parents / Lungs and Respiratory System ... ll have taken at least 600 million breaths. Respiratory System Basics All of this breathing couldn't ...

  15. Acute respiratory infections in Pakistan: Have we made any progress?

    International Nuclear Information System (INIS)

    Khan, T.A.; Madni, S.A.; Zaidi, A.K.M.

    2004-01-01

    Acute respiratory infections (ARI) are the leading cause of death in young children in Pakistan, responsible for 20-30% of child deaths under age 5 years. This paper summarizes the research and technical development efforts over the last 15 years which have contributed to improving the effectiveness of the case management strategy to reduce mortality from 5' pneumonia in children in Pakistan. Community intervention is viable, effective and practical. Rising antimicrobial resistance among commonly used and A low-cost oral agent is of significant concern. Appropriate monitoring and evaluation of the impact of the ARI control programme is lacking. Lack of funding for programmatic activities, lack of coordination with other child survival programs, inadequate training for community health workers and general practitioners in the private sector, lack of public awareness about seeking timely and appropriate care and insufficient planning and support for ARI in the programmatic activities at provincial and district levels are major hindrances in decreasing the burden of ARI in the country. The recent introduction of the community-based Lady Health Worker (LHW) Programme and WHO and UNICEF-sponsored integrated management of childhood illness initiative present ideal opportunities for re-emphasizing early case detection and appropriate case management of ARI. Ultimately, focusing on preventive strategies such as improving nutrition, reducing indoor pollution, improving mass vaccination, as well as introduction of new vaccines effective against important respiratory pathogens will likely have the most impact on reducing severe ARI and deaths from severe disease. (author)

  16. Effect of transoral tracheal wash on respiratory mechanics in dogs with respiratory disease.

    Science.gov (United States)

    Vaught, Meghan E; Rozanski, Elizabeth A; deLaforcade, Armelle M

    2018-01-01

    The purpose of this study was to determine the impact of a transoral tracheal wash (TOTW) on respiratory mechanics in dogs and to describe the use of a critical care ventilator (CCV) to determine respiratory mechanics. Fourteen client-owned dogs with respiratory diseases were enrolled. Respiratory mechanics, including static compliance (C stat ) and static resistance (R stat ), were determined before and after TOTW. Pre- and post-wash results were compared, with a P -value of mechanics, as observed by a reduction in C stat , presumably due to airway flooding and collapse. While no long-lasting effects were noted in these clinical patients, this effect should be considered when performing TOTW on dogs with respiratory diseases. Respiratory mechanics testing using a CCV was feasible and may be a useful clinical testing approach.

  17. Waste processing plant eco-auditing system for minimization of environmental risk: European Communities regulatory proposal

    International Nuclear Information System (INIS)

    Brunetti, N.

    1993-01-01

    This paper delineates a system of process control and monitoring checks to be applied to municipal-industrial waste processing and disposal plants to ensure their energy efficient, environmentally safe and reliable operation. In line with European Communities environmental protection strategies, this eco-auditing system requires the preparation of environmental impacts statements on a regular basis during plant operation, as well as, prior to plant start-up. Continuous plant environmental compatibility evaluations are to ascertain: material and energy inputs and outputs; the composition and amounts of exhaust gases released into the atmosphere and the integrity of treatment liquids; control and monitoring instrumentation reliability. The implementation of the auditing system is to be carried out under the supervision of authorized auditing personnel. Waste processing and disposal plants are to make maximum use of energy and materials recovery processes so as to minimize energy consumption and risk to the environment

  18. The European Environmental Policy with Respect to Stationary Sources. Harmonisation versus Differentiation

    International Nuclear Information System (INIS)

    Van der Laan, R.

    2002-01-01

    Glancing at the actual development of environmental policy in the European Community over the past three decades, one sees a picture that seems to be very much in contradiction with the advise of neo-classical economics. With the support of the Council, the European Commission has been developing a Community environmental policy from 1972 on. Principal instruments of this Community environmental policy have been directives that require harmonisation of environmental standards for similar industries in the various Member States. In its most strict sense of full harmonisation, this policy would imply uniform environmental standards. Industry would then use the environment with the same intensity independent of where producers are situated in the European Community. The consequence of a harmonised approach would be that in countries where environmental quality is scarce, pollution per unit of output would be as high or low as it is in countries where environmental quality is relatively abundant. This dissertation has been inspired by this apparent discrepancy between the advice from economic theory and the practice of the Community environmental policy. A first question, which is the main issue of this book, is whether the observation of a discrepancy is correct or perhaps a faulty perception. A next question is whether an explanation can be given for the discrepancy in so far as it turns out to exist. These questions are analysed on the bases of a selection of directives aimed at or having a strong impact on polluting emissions by stationary point sources. The first issue addressed is to determine what economic theory says exactly about the international harmonisation of environmental standards. A second question concerns the legal base for the environmental secondary legislation that was chosen by the European Institutions. A third question concerns the reasons for harmonisation of environmental standards that are used. A fourth question concerns the actual level of

  19. Depression in chronic respiratory disorders in a tertiary rural hospital of Central India

    Institute of Scientific and Technical Information of China (English)

    Sameer singhal; Pankaj Banode; Nitish Baisakhiya

    2009-01-01

    Objective: To determine prevalence of depression in chronic respiratory disorders in a tertiary rural hospital of Central India. Various studies done in past have shown that prevalence of depression in diabetes and hypertension is around 40%-57%. Few studies have been done to screen depression in chronic respiratory disorders. This study was conducted in a tertiary rural hospital of Central India to find out prevalence of depression in indoor patients suffering from chronic respiratory disorders. Methods: Total 68 patients were evaluated for depression. Patients suffering from chronic respiratory disorders (total duration of illness >3 months) were evaluated using Prime MD Questionnaire. Patients suffering from diabetes, heart diseases, stroke, having past history of psychiatric illness, drug abusers, having lack of social support and suffering from chronic upper respiratory tract infections were excluded from this study. Questionnaire was asked when treatment for acute phase of illness is over. Results: Out of 68 patients evaluated, 36 (53%) were found out to be suffering from depression. Female gender (80%) was more prone to depression, inspite of the fact that all alcoholics were male. 39% of all chronic obstructive pulmonary disease (COPD) patients were suffering from depression in comparison to 65% for pulmonary tuberculosis and 44% for other chronic respiratory illness. 54% of patients suffering from depression are 60 yrs of age, suggesting that age has no relation with depression. No association was seen between alcoholism and depression. Conclusion: Prevalence of depression in patients of chronic respiratory illness is very high, like in cases of diabetes and hypertension. Further community and hospital based studies are needed to find out exact prevalence of depression in chronic respiratory illnesses.

  20. ERS/ATS workshop report on respiratory health effects of household air pollution.

    Science.gov (United States)

    Sood, Akshay; Assad, Nour A; Barnes, Peter J; Churg, Andrew; Gordon, Stephen B; Harrod, Kevin S; Irshad, Hammad; Kurmi, Om P; Martin, William J; Meek, Paula; Mortimer, Kevin; Noonan, Curtis W; Perez-Padilla, Rogelio; Smith, Kirk R; Tesfaigzi, Yohannes; Ward, Tony; Balmes, John

    2018-01-01

    Exposure to household air pollution (HAP) from solid fuel combustion affects almost half of the world population. Adverse respiratory outcomes such as respiratory infections, impaired lung growth and chronic obstructive pulmonary disease have been linked to HAP exposure. Solid fuel smoke is a heterogeneous mixture of various gases and particulates. Cell culture and animal studies with controlled exposure conditions and genetic homogeneity provide important insights into HAP mechanisms. Impaired bacterial phagocytosis in exposed human alveolar macrophages possibly mediates several HAP-related health effects. Lung pathological findings in HAP-exposed individuals demonstrate greater small airways fibrosis and less emphysema compared with cigarette smokers. Field studies using questionnaires, air pollution monitoring and/or biomarkers are needed to better establish human risks. Some, but not all, studies suggest that improving cookstove efficiency or venting emissions may be associated with reduced respiratory symptoms, lung function decline in women and severe pneumonia in children. Current studies focus on fuel switching, stove technology replacements or upgrades and air filter devices. Several governments have initiated major programmes to accelerate the upgrade from solid fuels to clean fuels, particularly liquid petroleum gas, which provides research opportunities for the respiratory health community. Copyright ©ERS 2018.