WorldWideScience

Sample records for european practice assessment

  1. European Educational Systems and Assessment Practice

    DEFF Research Database (Denmark)

    Evans, Robert Harry; Cross, David; Grangeat, Michel

    2018-01-01

    Abstract This chapter surveys the status of educational systems and assessment practices across eight European countries that are part of the ASSIST-ME project. First, variations in country educational systems are examined to identify possible connections between systems and educational practices....... Such associations are useful both for understanding different existing assessment conditions as well as for providing possible pathways for change. Next, the chapter takes a closer look at teacher practices in these educational systems in order to identify the actual assessment practices of teachers in each country....... With these understandings of the systems and current uses of assessment, it is possible to identify affordances and challenges for improving assessment practices....

  2. COMPETENCE ASSESSMENT: BEST PRACTICES IN EUROPEAN COUNTRIES

    Directory of Open Access Journals (Sweden)

    Magdalena VELCIU

    2014-04-01

    Full Text Available In the current changing environment of work, the process of competence assessment is increasingly relevant as workers gain knowledge and practical skills through fulfilling different and new working tasks and through self-education. In this context, innovative tools for competence assessment and validation are very useful for encouraging movement of individuals between jobs and from unemployment or inactivity to employment and for increasing the capacity of companies to respond and adapt to changing and challenging environments. This article presents an overview of best practices for competence assessment and validation in order to identify and select methods that have been effective in various European countries including Romania. The article concludes with a set of „learned lessons” and short recommendations in order to improve the framework of competence assessment in Romanian context. Our findings are useful for the new human resources management that aims toward efficiently usage of the workforce, inside companies and in a global labour market, encouraging flexibility and adaptability.

  3. Can we import quality tools? a feasibility study of European practice assessment in a country with less organised general practice

    Directory of Open Access Journals (Sweden)

    Pestiaux Dominique

    2009-10-01

    Full Text Available Abstract Background Quality is on the agenda of European general practice (GP. European researchers have, in collaboration, developed tools to assess quality of GPs. In this feasibility study, we tested the European Practice Assessment (EPA in a one-off project in Belgium, where general practice has a low level of GP organisation. Methods A framework for feasibility analysis included describing the recruiting of participants, a brief telephone study survey among non-responders, organisational and logistic problems. Using field notes and focus groups, we studied the participants' opinions. Results In this study, only 36 of 1000 invited practices agreed to participate. Co-ordination, administrative work, practice visits and organisational problems required several days per practice. The researchers further encountered technical problems, for instance when entering the data and uploading to the web-based server. In subsequent qualitative analysis using two focus groups, most participant GPs expressed a positive feeling after the EPA procedure. In the short period of follow-up, only a few GPs reported improvements after the visit. The participant GPs suggested that follow-up and coaching would probably facilitate the implementation of changes. Conclusion This feasibility study shows that prior interest in EPA is low in the GP community. We encountered a number of logistic and organisational problems. It proved attractive to participants, but it can be augmented by coaching of participants in more than a one-off project to identify and achieve targets for quality improvement. In the absence of commitment of the government, a network of universities and one scientific organisation will offer EPA as a service to training practices.

  4. Strategic Environmental Assessment practices in European small islands: Insights from Azores and Orkney islands

    Energy Technology Data Exchange (ETDEWEB)

    Polido, Alexandra, E-mail: a.polido@campus.fct.unl.pt [CENSE, Center for Environmental and Sustainability Research, Departamento de Ciências e Engenharia do Ambiente, Faculdade de Ciências e Tecnologia, Universidade NOVA de Lisboa, Campus da Caparica, 2829-516 Caparica (Portugal); João, Elsa, E-mail: elsa.joao@strath.ac.uk [Department of Civil and Environmental Engineering, University of Strathclyde, Level 5, James Weir Building, 75 Montrose Street, Glasgow G1 1XJ, Scotland (United Kingdom); Ramos, Tomás B., E-mail: tabr@fct.unl.pt [CENSE, Center for Environmental and Sustainability Research, Departamento de Ciências e Engenharia do Ambiente, Faculdade de Ciências e Tecnologia, Universidade NOVA de Lisboa, Campus da Caparica, 2829-516 Caparica (Portugal)

    2016-02-15

    The literature concerning Strategic Environmental Assessment (SEA) often refers to the importance of context-specific approaches. However, there is a lack of systematised and consistent studies that enhance tailor-made SEA practices and procedures. Small islands are bounded units of study which may help explore SEA theory and practice in special territories. Small islands present particular features and unique values, such as, small size and population, geographic isolation, limited resources and vulnerable ecosystems. Hence, the main goal of this research was to profile SEA practices and procedures in European small islands and provide a background for future research aiming to improve context-specific SEA applications. To achieve this goal, an exploratory case study was developed using Azores (Portugal) and Orkney (Scotland) archipelagos. An analysis of the corresponding mainland was also carried out to contextualise both case studies. The data collection was achieved through a qualitative content analysis of 43 Environmental Reports. The research found that there is not an SEA context-specific approach used within these European small islands, including guidelines, assessment topics, assessment techniques, follow-up and stakeholders engagement. The debate concerning specific approaches to small islands must be re-focused on the enhancement of SEA capacity-building amongst different stakeholders (including decision-makers), on the development and implementation of collaborative approaches, and on the exchange of knowledge and experiences between small islands networks. - Highlights: • Reviewed the differences between the Portuguese and Scottish SEA system • Showed a low integration of SEA specific features in reports of European small islands • Provides background for future SEA research for small islands approaches.

  5. Strategic Environmental Assessment practices in European small islands: Insights from Azores and Orkney islands

    International Nuclear Information System (INIS)

    Polido, Alexandra; João, Elsa; Ramos, Tomás B.

    2016-01-01

    The literature concerning Strategic Environmental Assessment (SEA) often refers to the importance of context-specific approaches. However, there is a lack of systematised and consistent studies that enhance tailor-made SEA practices and procedures. Small islands are bounded units of study which may help explore SEA theory and practice in special territories. Small islands present particular features and unique values, such as, small size and population, geographic isolation, limited resources and vulnerable ecosystems. Hence, the main goal of this research was to profile SEA practices and procedures in European small islands and provide a background for future research aiming to improve context-specific SEA applications. To achieve this goal, an exploratory case study was developed using Azores (Portugal) and Orkney (Scotland) archipelagos. An analysis of the corresponding mainland was also carried out to contextualise both case studies. The data collection was achieved through a qualitative content analysis of 43 Environmental Reports. The research found that there is not an SEA context-specific approach used within these European small islands, including guidelines, assessment topics, assessment techniques, follow-up and stakeholders engagement. The debate concerning specific approaches to small islands must be re-focused on the enhancement of SEA capacity-building amongst different stakeholders (including decision-makers), on the development and implementation of collaborative approaches, and on the exchange of knowledge and experiences between small islands networks. - Highlights: • Reviewed the differences between the Portuguese and Scottish SEA system • Showed a low integration of SEA specific features in reports of European small islands • Provides background for future SEA research for small islands approaches

  6. Comparative assessment of national bioenergy strategies and biomass action plans in 12 EU countries. European Best Practice Report. Extended version

    International Nuclear Information System (INIS)

    2009-01-01

    This report is a key output of the EU project 'BAP Driver', an initiative of energy agencies from 8 European key bioenergy nations and the European Biomass Association (AEBIOM). The BAP Driver project aims at identifying ways for improvement of current national policy frameworks for bioenergy in Europe, and at leveraging the process of developing country-specific Biomass Action Plans (BAP). From a strategic perspective, the general approach of this report focuses on four stages, required for setting up national biomass strategies and action plans: Assessment of national biomass resources; Formulation of national bioenergy strategies and biomass action plans; Implementation of national bioenergy policies; Monitoring of national bioenergy markets and policies. Overall the analysis is split into three chapters corresponding to the following logical steps: Chapter B: Country analysis (12 individual country profiles); Chapter C: Benchmark analysis (comparative assessment of 12 countries); Chapter D: Best practice analysis (transnational conclusions across national boundaries)

  7. Comparative assessment of national bioenergy strategies and biomass action plans in 12 EU countries. European Best Practice Report. Executive Summary

    International Nuclear Information System (INIS)

    2009-01-01

    This report is a key output of the EU project 'BAP Driver', an initiative of energy agencies from 8 European key bioenergy nations and the European Biomass Association (AEBIOM). The BAP Driver project aims at identifying ways for improvement of current national policy frameworks for bioenergy in Europe, and at leveraging the process of developing country-specific Biomass Action Plans (BAP). From a strategic perspective, the general approach of this report focuses on four stages, required for setting up national biomass strategies and action plans: Assessment of national biomass resources; Formulation of national bioenergy strategies and biomass action plans; Implementation of national bioenergy policies; Monitoring of national bioenergy markets and policies. Overall the analysis is split into three chapters corresponding to the following logical steps: Chapter B: Country analysis (12 individual country profiles); Chapter C: Benchmark analysis (comparative assessment of 12 countries); Chapter D: Best practice analysis (transnational conclusions across national boundaries)

  8. Safety of Novel Microbes for Human Consumption: Practical Examples of Assessment in the European Union

    Directory of Open Access Journals (Sweden)

    Theodor Brodmann

    2017-09-01

    Full Text Available Novel microbes are either newly isolated genera and species from natural sources or bacterial strains derived from existing bacteria. Novel microbes are gaining increasing attention for the general aims to preserve and modify foods and to modulate gut microbiota. The use of novel microbes to improve health outcomes is of particular interest because growing evidence points to the importance of gut microbiota in human health. As well, some recently isolated microorganisms have promise for use as probiotics, although in-depth assessment of their safety is necessary. Recent examples of microorganisms calling for more detailed evaluation include Bacteroides xylanisolvens, Akkermansia muciniphila, fructophilic lactic acid bacteria (FLAB, and Faecalibacterium prausnitzii. This paper discusses each candidate's safety evaluation for novel food or novel food ingredient approval according to European Union (EU regulations. The factors evaluated include their beneficial properties, antibiotic resistance profiling, history of safe use (if available, publication of the genomic sequence, toxicological studies in agreement with novel food regulations, and the qualified presumptions of safety. Sufficient evidences have made possible to support and authorize the use of heat-inactivated B. xylanisolvens in the European Union. In the case of A. muciniphila, the discussion focuses on earlier safety studies and the strain's suitability. FLAB are also subjected to standard safety assessments, which, along with their proximity to lactic acid bacteria generally considered to be safe, may lead to novel food authorization in the future. Further research with F. prausnitzii will increase knowledge about its safety and probiotic properties and may lead to its future use as novel food. Upcoming changes in EUU Regulation 2015/2283 on novel food will facilitate the authorization of future novel products and might increase the presence of novel microbes in the food market.

  9. Assessing the quality of corporate social responsibility reports: the case of reporting practices in selected European Union member states.

    Science.gov (United States)

    Hąbek, Patrycja; Wolniak, Radosław

    The organization may communicate its engagement in sustainability and may presents results achieved in this field by creating and publishing corporate social responsibility (CSR) reports. Today, we can observe a growing number of companies issuing such reports as a part of their annual reports or as stand-alone CSR reports. Despite the increase in the number of such reports their quality is different. CSR reports do not always provide complete data that readers desire, which in turn intensifies the problem with the evaluation and comparison of the organization's results achieved in this scope. Differences also occur between reporting models used in different EU countries caused by, inter alia, differently applied EU legislation on the disclosure of non-financial information in different Member States. This paper is one of the first attempts to perform a quantitative and qualitative analysis of corporate sustainability reporting practices in several European Union countries. The purpose of this article is to present the current state of CSR reporting practices in selected EU Member States and identify the differences in the quality and level of this kind of practices, taking into account the mandatory and voluntary model of disclosure. The study included separate CSR reports as well as annual reports with CSR sections and integrated reports published in 2012 in six selected EU Member States. The authors have used a specific evaluation tool in the examination of the individual reports. The assessment questionnaire consists of seventeen criteria grouped into two categories (relevance and credibility of information). In order to assess the quality of examined reports, the authors aggregated the indicators related with the reporting practices. The findings show that the quality level of the studied reports is generally low. Referring to its components, the relevance of the information provided in the assessed reports is at the higher level than its credibility. The

  10. European good practice in composite floor construction

    NARCIS (Netherlands)

    Brekelmans, J.W.P.M.; Daniels, B.J.; Stark, J.W.B.; Darwin, David; Buckner, C.D.

    1992-01-01

    Previous European experience, research and design for composite slabs with profiled steel decking are discussed. Present efforts to harmonize composite slab design and good construction practice are presented. Future European developments, for the next five years, are postulated.

  11. European Practice Assessment of Cardiovascular risk management (EPA Cardio: protocol of an international observational study in primary care

    Directory of Open Access Journals (Sweden)

    van Lieshout Jan

    2009-01-01

    Full Text Available Abstract Background Despite important improvements in available prevention and treatment, cardiovascular diseases (CVD remain an important cause of morbidity and mortality. Not all high-risk patients and patients with CVD have healthy lifestyles and receive the best possible healthcare. Internationally comparative data are needed to compare cardiovascular risk management in different countries, and to examine the impact of improvement programs and others factors. Objectives This study aims to provide internationally comparative data on cardiovascular risk management provided in primary care and on health-related lifestyles of patients in Europe. The study will also explore the views of doctors and patients on innovative preventive services for CVDs. Design and methods An observational cross-sectional study is planned. In 10 European countries, stratified samples of 36 practices per country will be recruited. In each practice, three samples of 15 patients each will be sampled: patients with coronary heart disease, patients at high risk for CVD, and healthy adult patients. The quality of cardiovascular risk management has been specified in terms of 44 performance indicators that resulted from an international Delphi-procedure with general practitioners. Most indicators are based on medical records, and some on a structured interview with a contact person of the practice. Lifestyle (smoking, physical exercise, diet will be measured with previously validated questionnaires that are completed by patients. Additional measures include practice characteristics and exposure to programs to improve cardiovascular care.

  12. Is liberal independent dental practice in danger? Assessing forms of dental practice in the European Regional Organization (ERO) zone of the FDI World Dental Federation.

    Science.gov (United States)

    Wolf, Thomas Gerhard; Seeberger, Gerhard Konrad; Callaway, Angelika; Briseño-Marroquín, Benjamín; Rusca, Philippe; Frank, Michael; Otterbach, Ernst-Jürgen

    2018-02-26

    A trend towards increasingly new forms of dental practice has been observed in the FDI World Dental Federation. Elementary foundations such as the free dentist and therapy choice, and independent, free, self-responsible professional practice may be undermined. The current study is aimed at analyzing the general training framework, organization, and professional types of dental practice in the European Regional Organization (ERO) zone and at critically discussing selected aspects of changes in the dental profession. A questionnaire was developed by the ERO Working-Group "Liberal Dental Practice." Information about dental schools, professional organizations, dental practice regulations, and ambulatory healthcare centers was analyzed. Self-employed dental practice is the most common type of practice (51.7%). Dentists are allowed to work independently immediately after graduation (72.7%). Approximately one-third are organized as compulsory members in chambers/corporations. The density of dentists has a mean of 1,570 inhabitants per dentist. In most countries, there are no special rules for founding dental ambulatory healthcare centers. In a total of 353 universities of the ERO countries surveyed, 16,619 dentists per year were trained, with a trend toward a higher percentage of female students (63%). Despite modern forms of dental practice, the charter of the individual liberal dental profession (CED et al, 2013) should be respected and taken into account on the basis of ethical principles. The commercialization of the dental profession can be neutralized only by establishing and following well-defined ethical principles; oral healthcare quality can thus be ensured without the influence of third parties.

  13. European Practice for CDI Treatment.

    Science.gov (United States)

    Fitzpatrick, Fidelma; Skally, Mairead; Brady, Melissa; Burns, Karen; Rooney, Christopher; Wilcox, Mark H

    2018-01-01

    Clostridium difficile infection (CDI) remains a significant cause of morbidity and mortality worldwide. Historically, two antibiotics (metronidazole and vancomycin) and a recent third (fidaxomicin) have been used routinely for CDI treatment; convincing data are now available showing that metronidazole is the least efficacious agent. The European Society of Clinical Microbiology and Infectious Diseases CDI treatment guidelines outline the treatment options for a variety of CDI clinical scenarios, including use of the more traditional anti-CDI therapies (e.g., metronidazole, vancomycin), the role of newer anti-CDI agents (e.g., fidaxomicin), indications for surgical intervention and for non-antimicrobial management (e.g., faecal microbiota transplantation, FMT). A 2017 survey of 20 European countries found that while the majority (n = 14) have national CDI guidelines that provide a variety of recommendations for CDI treatment, only five have audited guideline implementation. A variety of restrictions are in place in 13 (65%) countries prior to use of new anti-CDI treatments, including committee/infection specialist approval or economic review/restrictions. Novel anti-CDI agents are being evaluated in Phase III trials; it is not yet clear what will be the roles of these agents. Prophylaxis is an optimum approach to reduce the impact of CDI especially in high-risk populations; monoclonal antibodies, antibiotic blocking approaches and multiple vaccines are currently in advanced clinical trials. The treatment of recurrent CDI is particularly troublesome, and several different live bio therapeutics are being developed, in addition to FMT.

  14. Assessing European wild fire vulnerability

    Science.gov (United States)

    Oehler, F.; Oliveira, S.; Barredo, J. I.; Camia, A.; Ayanz, J. San Miguel; Pettenella, D.; Mavsar, R.

    2012-04-01

    Wild fire vulnerability is a measure of potential socio-economic damage caused by a fire in a specific area. As such it is an important component of long-term fire risk management, helping policy-makers take informed decisions about adequate expenditures for fire prevention and suppression, and to target those regions at highest risk. This paper presents a first approach to assess wild fire vulnerability at the European level. A conservative approach was chosen that assesses the cost of restoring the previous land cover after a potential fire. Based on the CORINE Land Cover, a restoration cost was established for each land cover class at country level, and an average restoration time was assigned according to the recovery capacity of the land cover. The damage caused by fire was then assessed by discounting the cost of restoring the previous land cover over the restoration period. Three different vulnerability scenarios were considered assuming low, medium and high fire severity causing different levels of damage. Over Europe, the potential damage of wild land fires ranges from 10 - 13, 732 Euro*ha-1*yr-1 for low fire severity, 32 - 45,772 Euro*ha-1*yr-1 for medium fire severity and 54 - 77,812 Euro*ha-1*yr-1 for high fire severity. The least vulnerable are natural grasslands, moors and heathland and sclerophyllous vegetation, while the highest cost occurs for restoring broad-leaved forest. Preliminary validation comparing these estimates with official damage assessments for past fires shows reasonable results. The restoration cost approach allows for a straightforward, data extensive assessment of fire vulnerability at European level. A disadvantage is the inherent simplification of the evaluation procedure with the underestimation of non-markets goods and services. Thus, a second approach has been developed, valuing individual wild land goods and services and assessing their annual flow which is lost for a certain period of time in case of a fire event. However

  15. Dietary practices in isovaleric acidemia: A European survey

    Directory of Open Access Journals (Sweden)

    A. Pinto

    2017-09-01

    Conclusions: This survey demonstrates wide differences in dietary practice in the management of IVA across European centres. It provides unique dietary data collectively representing European practices in IVA which can be used as a foundation to compare dietary management changes as a consequence of the first E-IMD IVA guidelines availability.

  16. The assessment of practical skills

    OpenAIRE

    Reiss, M. J.; Abrahams, I.

    2015-01-01

    Major changes are currently afoot as to how practical work will be assessed in high status examinations (GCSEs for 16 year-olds and ‘A’ levels for 18 year-olds) in England. We explore here how practical skills might best be assessed in school science and introduce two terms: direct assessment of practical skills (DAPS) and indirect assessment of practical skills (IAPS). We conclude that both the direct and indirect assessment of practical skills have their place in effective assessment of sch...

  17. RTD and D to increase the share of renewables in emerging and developing countries with European technologies. Policy Assessment, Stakeholders opinions, Best-practices and Recommendations

    International Nuclear Information System (INIS)

    Hanekamp, E.

    2008-11-01

    The future energy demand worldwide will increase by 45% in 2030. To be able to meet this demand, respond to the threats of Climate Change and also improve access to energy for the very poor in emerging and developing countries (especially in rural areas) renewable energy technologies play a crucial role. The European Union envisions a thriving and sustainable future economy, with world leadership in a diverse portfolio of clean, efficient and low-carbon energy technologies as a motor for prosperity and a key contributor to growth and jobs. Strengthening of the international dimension in European Technology Platforms and in Joint Technology Initiatives is a priority in the EU. The demographic trends in Europe coupled with an ambitious strategy of growth based on the Lisbon agenda provide a new context for considering international co-operation in Science and Technology. No fortress Europe, but an open Europe - building open 'win-win' S and T relations with EDCs. The RTD4EDC project is focussed on the role of research, technological development and demonstration (RTD and D) in the implementation of renewable energy technologies in Emerging and Developing Countries (EDCs). The project is executed by a consortium of four partners based in Europe (Belgium/The Netherlands), and in Emerging and Developing Countries (Paraguay, South- Africa and India). The project consisted of desk research on relevant policies and developments, interviews with policymakers, representatives from EU RE industries and development cooperation agencies, a survey amongst EU RE industry representatives and analysis of 74 cases of RE implementations in EDCs. In this report the overall results are presented. Other deliverables are three reports with background material (policies, case studies and market potential for EU RE industry) and a website (www.developingrenewables.org) containing all information as reported and with a database containing the 74 cases of RE implementations in EDCs.

  18. Reconciling nature conservation and traditional farming practices: a spatially explicit framework to assess the extent of High Nature Value farmlands in the European countryside

    NARCIS (Netherlands)

    Araujo Rodrigues Lomba, de Angela; Alves, Paulo; Jongman, R.H.G.; McCracken, D.

    2015-01-01

    Agriculture constitutes a dominant land cover worldwide, and rural landscapes
    under extensive farming practices acknowledged due to high biodiversity
    levels. The High Nature Value farmland (HNVf) concept has been
    highlighted in the EU environmental and rural policies due to their

  19. About the Code of Practice of the European Mathematical Society

    DEFF Research Database (Denmark)

    Jensen, Arne

    2013-01-01

    The Executive Committee of the European Mathematical Society created an Ethics Committee in the Spring of 2010. The first task of the Committee was to prepare a Code of Practice. This task was completed in the Spring of 2012 and went into effect on 1 November 2012. Arne Jensen, author...... of this article, is Chair of the EMS Ethics Committee...

  20. Unfair commercial practices in european and czech legal regulations and in practice of the courts

    OpenAIRE

    Štouračová, Vanda

    2010-01-01

    The bachelor thesis deals with charting of unfair commercial practices on consumer. Initially there are described unfair commercial practices in legal regulations of EU and Czech Republic and distinguished into misleading and agressive practices. There is also included description of misleading advertising. Besides unfair commercial practices there are described businessunlike commercial practices boundaring with legal regulations. Lastly there are stated chosen European and Czech court decis...

  1. Breastfeeding practices and policies in WHO European Region Member States.

    Science.gov (United States)

    Bagci Bosi, Ayse Tulay; Eriksen, Kamilla Gehrt; Sobko, Tanja; Wijnhoven, Trudy M A; Breda, João

    2016-03-01

    To provide an update on current practices and policy development status concerning breastfeeding in the WHO European Region. National surveys and studies conducted by national health institutions were prioritized. Sub-national data were included where no national data or studies existed. Information on national breastfeeding policies was collected mainly from the WHO Seventh Meeting of Baby-Friendly Hospital Initiative Coordinators and European Union projects. Owing to the different data sources and methods, any comparisons between countries must be made with caution. WHO European Member States. Data from fifty-three WHO European Member States were investigated; however, a large proportion had not reported any data. Rates of early initiation of breastfeeding, exclusive breastfeeding and continued breastfeeding to 1 year all varied considerably within the WHO European Region. Exclusive breastfeeding rates declined considerably after 4 months, and were low in infants under 6 months and at 6 months of age. The majority of the countries with existing data reported having a national infant and young child feeding policy and the establishment of a national committee on breastfeeding or infant and young child feeding. The majority of the countries with existing data reported having baby-friendly hospitals, although the proportion of baby-friendly hospitals to the total number of national hospitals with maternity units was low in most countries. Breastfeeding practices within the WHO European Region, especially exclusive breastfeeding rates, are far from complying with the WHO recommendations. There are marked differences between countries in breastfeeding practices, infant and young child feeding policy adoption and proportion of baby-friendly hospitals.

  2. Practical Privacy Assessment

    DEFF Research Database (Denmark)

    Peen, Søren; Jansen, Thejs Willem; Jensen, Christian D.

    2008-01-01

    This chapter proposes a privacy assessment model called the Operational Privacy Assessment Model that includes organizational, operational and technical factors for the protection of personal data stored in an IT system. The factors can be evaluated in a simple scale so that not only the resulting...... graphical depiction can be easily created for an IT system, but graphical comparisons across multiple IT systems are also possible. Examples of factors presented in a Kiviat graph are also presented. This assessment tool may be used to standardize privacy assessment criteria, making it less painful...... for the management to assess privacy risks on their systems....

  3. Assessment and applicability of evaluation tools: Current practice in a sample of European countries and steps towards a state-of-the-art approach. Road Infrastructure Safety Management Evaluation Tools (RISMET), Deliverables No. 4 and 5.

    NARCIS (Netherlands)

    Elvik, R.

    2014-01-01

    This report surveys current practice in a sample of European countries with respect to the use of ten different tools for safety management of road systems. The report also proposes steps that can be taken to bring the use of these management tools closer to their state-of-the-art versions. These

  4. Clinicians' adherence versus non adherence to practice guidelines in the management of patients with sarcoma: a cost-effectiveness assessment in two European regions

    Directory of Open Access Journals (Sweden)

    Perrier Lionel

    2012-03-01

    Full Text Available Abstract Background Although the management of sarcoma is improving, non adherence to clinical practice guidelines (CPGs remains high, mainly because of the low incidence of the disease and the variety of histological subtypes. Since little is known about the health economics of sarcoma, we undertook a cost-effectiveness analysis (within the CONnective TIssue CAncer NETwork, CONTICANET comparing costs and outcomes when clinicians adhered to CPGs and when they did not. Methods Patients studied had a histological diagnosis of sarcoma, were older than 15 years, and had been treated in the Rhône-Alpes region of France (in 2005/2006 or in the Veneto region of Italy (in 2007. Data collected retrospectively for the three years after diagnosis were used to determine relapse free survival and health costs (adopting the hospital's perspective and a microcosting approach. All costs were expressed in euros (€ at their 2009 value. A 4% annual discount rate was applied to both costs and effects. The incremental cost-effectiveness ratio (ICER was expressed as cost per relapse-free year gained when management was compliant with CPGs compared with when it was not. To capture uncertainty surrounding ICER, a probabilistic sensitivity analysis was performed based on a non-parametric bootstrap method. Results A total of 219 patients were included in the study. Compliance with CPGs was observed for 118 patients (54%. Average total costs reached 23,571 euros when treatment was in accordance with CPGs and 27,313 euros when it was not. In relation to relapse-free survival, compliance with CPGs strictly dominates non compliance, i.e. it is both less costly and more effective. Taking uncertainty into account, the probability that compliance with CPGs still strictly dominates was 75%. Conclusions Our findings should encourage physicians to increase their compliance with CPGs and healthcare administrators to invest in the implementation of CPGs in the management of

  5. 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

  6. 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

  7. Cost-benefit assessment of using electronic health records data for clinical research versus current practices: Contribution of the Electronic Health Records for Clinical Research (EHR4CR) European Project.

    Science.gov (United States)

    Beresniak, Ariel; Schmidt, Andreas; Proeve, Johann; Bolanos, Elena; Patel, Neelam; Ammour, Nadir; Sundgren, Mats; Ericson, Mats; Karakoyun, Töresin; Coorevits, Pascal; Kalra, Dipak; De Moor, Georges; Dupont, Danielle

    2016-01-01

    The widespread adoption of electronic health records (EHR) provides a new opportunity to improve the efficiency of clinical research. The European EHR4CR (Electronic Health Records for Clinical Research) 4-year project has developed an innovative technological platform to enable the re-use of EHR data for clinical research. The objective of this cost-benefit assessment (CBA) is to assess the value of EHR4CR solutions compared to current practices, from the perspective of sponsors of clinical trials. A CBA model was developed using an advanced modeling approach. The costs of performing three clinical research scenarios (S) applied to a hypothetical Phase II or III oncology clinical trial workflow (reference case) were estimated under current and EHR4CR conditions, namely protocol feasibility assessment (S1), patient identification for recruitment (S2), and clinical study execution (S3). The potential benefits were calculated considering that the estimated reduction in actual person-time and costs for performing EHR4CR S1, S2, and S3 would accelerate time to market (TTM). Probabilistic sensitivity analyses using Monte Carlo simulations were conducted to manage uncertainty. Should the estimated efficiency gains achieved with the EHR4CR platform translate into faster TTM, the expected benefits for the global pharmaceutical oncology sector were estimated at €161.5m (S1), €45.7m (S2), €204.5m (S1+S2), €1906m (S3), and up to €2121.8m (S1+S2+S3) when the scenarios were used sequentially. The results suggest that optimizing clinical trial design and execution with the EHR4CR platform would generate substantial added value for pharmaceutical industry, as main sponsors of clinical trials in Europe, and beyond. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. AGRICULTURAL PRODUCTIVITY ASSESSMENT IN EUROPEAN COUNTRIES

    OpenAIRE

    Serrao, Amilcar

    2001-01-01

    This research work examines levels and trends in global agricultural productivity in fifteen European Union countries and four Eastern European countries that have already applied for European Union membership. The study makes use of data collected from the Food and Agriculture Organization of the United Nations and covers the period 1980-1998. An approach based on Data Envelopment Analysis is used to provide information on the peers of the (inefficient) i-th country and to derive the Malmqui...

  9. English Teachers Classroom Assessment Practices

    Science.gov (United States)

    Saefurrohman; Balinas, Elvira S.

    2016-01-01

    The new language assessment policies in the Philippines and in Indonesia have impact on English teachers' assessment practices. Classroom assessment; as mandated in the current curriculum of both countries swifts from sources of information to the inseparable process of teaching and learning. This study describes Filipino and Indonesian high…

  10. Study on European Nuclear Safety Practices during Planned Outages at Nuclear Power Plants

    International Nuclear Information System (INIS)

    2001-12-01

    The present project was aimed at providing: a description of the current status of nuclear safety practices during planned outages at nuclear power plants followed in Europe; the criteria for the safety analysis of future reactors at the design stage; proposing a set of recommendations on good practices and criteria leading to the improvement of nuclear safety during those conditions. The work was organised in 3 phases: Collecting data on current practices; Analysis of questionnaire answers and drawing up of safety good practices references and recommendations; Collecting relevant ideas related to the future reactors at design stage (European Pressurised Water Reactor, European Passive Plant project, European Utilities Requirements and Utilities Requirement Document project). The key element of the performed work was the detailed questionnaire, based on bibliographical review, expert experience and outage practices available in the working team. Different safety areas and activities were covered: outage context; nuclear safety; outage strategy, organisation and control; operating feedback; use of Probabilistic Safety Assessment. The questionnaire was answered by 12 European nuclear power plants, representing 9 different European countries and three different types of reactors (Pressurised Water Reactor, Boiling Water Reactor and Water Water Energy Reactor). Conclusions were drawn under the following headers: Organisational survey and generalities Organisational effectiveness Quality of maintenance Quality of operation Engineering support, management of modification Specific aspects Each analysed subject includes the following topics: Questions background with a summary and the aim of the questions. Current status, that describes common practices, as derived from the answers to the questionnaire, and some examples of good specific practices. Identified good practices. (author)

  11. 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

  12. Properties of the COPD assessment test in a cross-sectional European study

    NARCIS (Netherlands)

    Jones, P. W.; Brusselle, G.; Dal Negro, R. W.; Ferrer, M.; Kardos, P.; Levye, M. L.; Perez, T.; Cataluna, J. J. Soler; van der Molen, T.; Adamek, L.; Banik, N.

    A short, easy-to-use health status questionnaire is needed in the multidimensional assessment of chronic obstructive pulmonary disease (COPD) in routine practice. The performance of the eight-item COPD assessment test (CAT) was analysed in 1,817 patients from primary care in seven European

  13. Environmental exposure assessment in European birth cohorts

    DEFF Research Database (Denmark)

    Gehring, Ulrike; Casas, Maribel; Brunekreef, Bert

    2013-01-01

    of the environmental exposure and health data in these studies was made as part of the ENRIECO (Environmental Health Risks in European Birth Cohorts) project. The focus with regard to exposure was on outdoor air pollution, water contamination, allergens and biological organisms, metals, pesticides, smoking and second...... hand tobacco smoke (SHS), persistent organic pollutants (POPs), noise, radiation, and occupational exposures. The review lists methods and data on environmental exposures in 37 European birth cohort studies. Most data is currently available for smoking and SHS (N=37 cohorts), occupational exposures (N......Environmental exposures during pregnancy and early life may have adverse health effects. Single birth cohort studies often lack statistical power to tease out such effects reliably. To improve the use of existing data and to facilitate collaboration among these studies, an inventory...

  14. Audit Risk Assessment in the Light of Current European Regulations

    OpenAIRE

    Ciprian-Costel Munteanu

    2015-01-01

    Recent European reforms on audit regulations have been motivated by efforts to increase audit quality, functioning and performance. We believe the adoption of Directive 2014/56 and Regulation 537/2014 strengthened the role of independent audit and risk committees, which will positively contribute towards audit quality. This paper aims to critically assess the status quo of audit risk assessment in current European standards and regulations, by conducting a theoretical analysis of different as...

  15. The Clinical Practice of Interventional Radiology: A European Perspective

    International Nuclear Information System (INIS)

    Keeling, Aoife N.; Reekers, Jim A.; Lee, Michael J.

    2009-01-01

    The purpose of this study was to determine the current clinical environment in which interventional radiology (IR) is practiced throughout Europe. A survey, comprising 12 questions on IR clinical practice, was sent to 1800 CIRSE members. Members were asked to return one survey per department. Two hundred seventy-four departments returned completed questionnaires, 22% from the United Kingdom (n = 60), 11% from Germany (n = 30), 8% from Austria (n = 23), and the remainder spread over Europe. Experts, with more than 10 years of IR experience, comprised 74% of the survey group. Almost one-third of the radiologists dedicated more than 80% of their clinical sessions to IR alone (27%; n = 75), with two-thirds practicing in a university teaching hospital setting (66%; n = 179). Few institutions have dedicated IR inpatient hospital beds (17%; n = 46), however, to compensate, day case beds are available (31%), IR admitting rights are in place (64% overall, 86% for in-patients, and 89% for day cases), and elective IR admissions can be made through other clinicians (87%). IR outpatient clinics are run at 26% of departments, with an average of two sessions per week. Dedicated nurses staff the majority of IR suites (82%), but clinical junior doctors are lacking (46%). Hospital management's refusing access to beds was the most commonly cited reason for not developing a clinical IR service (41%). In conclusion, there is marked variation across European centers in the current practice of IR. Half do not have dedicated junior doctors and only a small minority have inpatient hospital beds. If IR is to be maintained as a dedicated clinical specialty, these issues need to be addressed urgently.

  16. The clinical practice of interventional radiology: a European perspective.

    LENUS (Irish Health Repository)

    Keeling, Aoife N

    2009-05-01

    The purpose of this study was to determine the current clinical environment in which interventional radiology (IR) is practiced throughout Europe. A survey, comprising 12 questions on IR clinical practice, was sent to 1800 CIRSE members. Members were asked to return one survey per department. Two hundred seventy-four departments returned completed questionnaires, 22% from the United Kingdom (n = 60), 11% from Germany (n = 30), 8% from Austria (n = 23), and the remainder spread over Europe. Experts, with more than 10 years of IR experience, comprised 74% of the survey group. Almost one-third of the radiologists dedicated more than 80% of their clinical sessions to IR alone (27%; n = 75), with two-thirds practicing in a university teaching hospital setting (66%; n = 179). Few institutions have dedicated IR inpatient hospital beds (17%; n = 46), however, to compensate, day case beds are available (31%), IR admitting rights are in place (64% overall, 86% for in-patients, and 89% for day cases), and elective IR admissions can be made through other clinicians (87%). IR outpatient clinics are run at 26% of departments, with an average of two sessions per week. Dedicated nurses staff the majority of IR suites (82%), but clinical junior doctors are lacking (46%). Hospital management\\'s refusing access to beds was the most commonly cited reason for not developing a clinical IR service (41%). In conclusion, there is marked variation across European centers in the current practice of IR. Half do not have dedicated junior doctors and only a small minority have inpatient hospital beds. If IR is to be maintained as a dedicated clinical specialty, these issues need to be addressed urgently.

  17. Sarcopenia in daily practice: assessment and management.

    Science.gov (United States)

    Beaudart, Charlotte; McCloskey, Eugène; Bruyère, Olivier; Cesari, Matteo; Rolland, Yves; Rizzoli, René; Araujo de Carvalho, Islène; Amuthavalli Thiyagarajan, Jotheeswaran; Bautmans, Ivan; Bertière, Marie-Claude; Brandi, Maria Luisa; Al-Daghri, Nasser M; Burlet, Nansa; Cavalier, Etienne; Cerreta, Francesca; Cherubini, Antonio; Fielding, Roger; Gielen, Evelien; Landi, Francesco; Petermans, Jean; Reginster, Jean-Yves; Visser, Marjolein; Kanis, John; Cooper, Cyrus

    2016-10-05

    Sarcopenia is increasingly recognized as a correlate of ageing and is associated with increased likelihood of adverse outcomes including falls, fractures, frailty and mortality. Several tools have been recommended to assess muscle mass, muscle strength and physical performance in clinical trials. Whilst these tools have proven to be accurate and reliable in investigational settings, many are not easily applied to daily practice. This paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were afterwards organized for the whole group to make amendments and discuss further recommendations. This paper proposes some user-friendly and inexpensive methods that can be used to assess sarcopenia in real-life settings. Healthcare providers, particularly in primary care, should consider an assessment of sarcopenia in individuals at increased risk; suggested tools for assessing risk include the Red Flag Method, the SARC-F questionnaire, the SMI method or different prediction equations. Management of sarcopenia should primarily be patient centered and involve the combination of both resistance and endurance based activity programmes with or without dietary interventions. Development of a number of pharmacological interventions is also in progress. Assessment of sarcopenia in individuals with risk factors, symptoms and/or conditions exposing them to the risk of disability will become particularly important in the near future.

  18. A systematic map of ecosystem services assessments around European agroforestry

    DEFF Research Database (Denmark)

    Fagerholm, Nora; Torralba Viorreta, Mario; Burgess, Paul J.

    2016-01-01

    the knowledge field and provide the first systematic synthesis of ecosystem services research in relation to European agroforestry. We reviewed 71 scientific publications from studies conducted in farmland and forest ecosystems with various types of agroforestry management. Each publication was systematically......, typical clusters of similar research approaches were identified. The results show that ecosystem service assessment of European agroforestry is currently focused on the spatially extensive wood pastures in the Mediterranean, Atlantic, and Continental agricultural mosaic landscapes. A specific emphasis has...

  19. Comparing American, European and Asian practice guidelines for aortic diseases.

    Science.gov (United States)

    Rozado, Jose; Martin, Maria; Pascual, Isaac; Hernandez-Vaquero, Daniel; Moris, Cesar

    2017-05-01

    The aortic disease comprises a group of different pathologies of high prevalence, seriousness and ever changing by the medical and surgical investigations. Therefore cardiovascular scientific societies in USA, Europe and Asia have created Task Force on practice guidelines (PG) to develop, update and revise PG for aortic diseases. These documents issue recommendations on the diagnosis and management of different aortic diseases. The three societies agree on the recommendations about diagnostic tests and on the value of computed tomography and magnetic resonance as the main tools for the diagnosis and follow-up of aortic disease. Concerning to acute aortic syndromes (AAS), American and European GPs recognize intramural hematoma (IMH) as a type of AAS with surgery indication; however Asian guidelines consider IMH a pathological process different from AAS and indicate medical treatment. In thoracic aortic aneurysms (TAA), all express the need for an adequate control of cardiovascular risk factors, emphasizing strict control of blood pressure, smoking cessation and recommend the use of beta-blockers and statins. The threshold for asymptomatic repair is 5.5 cm in European and American and 6 cm for Asian PG, with lower thresholds in Marfan and bicuspid aortic valve (BAV). As regards the abdominal aortic aneurysms (AAA), the PGs recognize the adequate control of cardiovascular risk factors, but there are differences in class of recommendation on statins, angiotensin-converting enzyme inhibitors or beta-blockers to prevent progression of AAA. For intervention, the threshold diameter in asymptomatic is 5.5 cm but can be reduced to 5 cm in women as recommended by Asian PG. Moreover the specific diseases such as Marfan, BAV, pregnancy or atherosclerosis aortic present specific recommendations with small differences between PGs. In conclusion, PGs are interesting and appropriate documents at present. They issue recommendations based on evidence that help the clinician and

  20. A comparison of European and American practices and procedures

    International Nuclear Information System (INIS)

    Britz, W.L.

    1988-01-01

    A comparison of European and American practices and exposures indicates that greater emphasis has been placed on the reduction of individual and collective personnel radiation exposures in the European nuclear reactors. Several factors which contribute to their lower radiation doses are: (1) a strong management commitment to achieving low exposure; (2) plant design and modifications to reduce exposure; (3) good staffing, training, and work planning; (4) good chemistry control; (5) utilization of innovative technical methods for reducing plant exposures; (6) good regulatory environment. A significant effort has been made to reduce radiological exposures in the US and the past few years indicates good success. These are due to the efforts of Institute of Nuclear Power Operations (INPO) and the nuclear industry, and the culmination of Many Nuclear Regulatory Commission (NRC)-initiated multi-plant actions in the period 1979-83 which resulted in many plant modifications and high exposures. Even though the US exposures have been reduced considerably, there is still opportunity for improvement. More consideration needs to be given to materials use (reduction of corrosion activation products), management, chemistry operations, and incorporating a good radiological protection attitude and more responsibility in all nuclear plant personnel. For the future, we as a country need to define our collective exposure goals for our next generation of nuclear reactors so that they can now be incorporated into the design. Other countries have established these goals, but the US has not. These goals should bear a relationship to average individual occupational exposures so that a logical and meaningful relationship between the 2 is developed into future design and operations. The goal should be reasonable from a health effect viewpoint so that monies are not expended without justification

  1. Practicality of intraoperative teamwork assessments.

    Science.gov (United States)

    Phitayakorn, Roy; Minehart, Rebecca; Pian-Smith, May C M; Hemingway, Maureen W; Milosh-Zinkus, Tanya; Oriol-Morway, Danika; Petrusa, Emil

    2014-07-01

    High-quality teamwork among operating room (OR) professionals is a key to efficient and safe practice. Quantification of teamwork facilitates feedback, assessment, and improvement. Several valid and reliable instruments are available for assessing separate OR disciplines and teams. We sought to determine the most feasible approach for routine documentation of teamwork in in-situ OR simulations. We compared rater agreement, hypothetical training costs, and feasibility ratings from five clinicians and two nonclinicians with instruments for assessment of separate OR groups and teams. Five teams of anesthesia or surgery residents and OR nurses (RN) or surgical technicians were videotaped in simulations of an epigastric hernia repair where the patient develops malignant hyperthermia. Two anesthesiologists, one OR clinical RN specialist, one educational psychologist, one simulation specialist, and one general surgeon discussed and then independently completed Anesthesiologists' Non-Technical Skills, Non-Technical Skills for Surgeons, Scrub Practitioners' List of Intraoperative Non-Technical Skills, and Observational Teamwork Assessment for Surgery forms to rate nontechnical performance of anesthesiologists, surgeons, nurses, technicians, and the whole team. Intraclass correlations of agreement ranged from 0.17-0.85. Clinicians' agreements were not different from nonclinicians'. Published rater training was 4 h for Anesthesiologists' Non-Technical Skills and Scrub Practitioners' List of Intraoperative Non-Technical Skills, 2.5 h for Non-Technical Skills for Surgeons, and 15.5 h for Observational Teamwork Assessment for Surgery. Estimated costs to train one rater to use all instruments ranged from $442 for a simulation specialist to $6006 for a general surgeon. Additional training is needed to achieve higher levels of agreement; however, costs may be prohibitive. The most cost-effective model for real-time OR teamwork assessment may be to use a simulation technician

  2. A critical assessment of the European approach to financial reforms

    Directory of Open Access Journals (Sweden)

    Mario Tonveronachi

    2011-01-01

    Full Text Available The paper offers a critical assessment of the financial reforms adopted or proposed at the European level. The reshaping of the EU institutional architecture and the adoption of the new Basel 3 rules should reduce the national margins of discretion that have up to now characterised supervisory practices, often leading to light touch supervision, and restrain the growth of bankarisation, hence excessive systemic leveraging. However, the limitations of a purely prudential approach to regulation may not be overcome by setting up new institutions and make prudential requirements more stringent. In addition, given unavoidable national banking specificities, more severe rulebooks homogenously applied across the EU countries could further worsen the inconsistencies of a one-size-fits-all rule. The criticisms directed at the new regulatory framework assume particular relevance in the EU, whose peculiar construction requires that the financial sector should not be permitted to jeopardise its critical fiscal equilibrium. This opens the way to the adoption of structural measures, as the one presented by the Vickers Commission on ring-fencing. Looking at the financial system as a whole, we argue that even these measures do not offer effective protection for the economy and tax-payers, and that much more radical interventions are needed.

  3. 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.

  4. Assessment: Examining Practice in Entrepreneurship Education

    Science.gov (United States)

    Pittaway, Luke; Edwards, Corina

    2012-01-01

    Purpose: The purpose of this paper is to develop knowledge about the nature of student assessment practice in entrepreneurship education. Design/methodology/approach: This paper introduces general assessment practice issues and highlights key considerations. It explains prior research on assessment practice in entrepreneurship education and argues…

  5. 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…

  6. European trauma guideline compliance assessment: the ETRAUSS study.

    Science.gov (United States)

    Hamada, Sophie Rym; Gauss, Tobias; Pann, Jakob; Dünser, Martin; Leone, Marc; Duranteau, Jacques

    2015-12-08

    Haemorrhagic shock is the leading cause of preventable death in trauma patients. The 2013 European trauma guidelines emphasise a comprehensive, multidisciplinary, protocol-based approach to trauma care. The aim of the present Europe-wide survey was to compare 2015 practice with the 2013 guidelines. A group of members of the Trauma and Emergency Medicine section of the European Society of Intensive Care Medicine developed a 50-item questionnaire based upon the core recommendations of the 2013 guidelines, employing a multistep approach. The questionnaire covered five fields: care structure and organisation, haemodynamic resuscitation targets, fluid management, transfusion and coagulopathy, and haemorrhage control. The sampling used a two-step approach comprising initial purposive sampling of eminent trauma care providers in each European country, followed by snowball sampling of a maximum number of trauma care providers. A total of 296 responses were collected, 243 (81 %) from European countries. Those from outside the European Union were excluded from the analysis. Approximately three-fourths (74 %) of responders were working in a designated trauma centre. Blunt trauma predominated, accounting for more than 90 % of trauma cases. Considerable heterogeneity was observed in all five core aspects of trauma care, along with frequent deviations from the 2013 guidelines. Only 92 (38 %) of responders claimed to comply with the recommended systolic blood pressure target, and only 81 (33 %) responded that they complied with the target pressure in patients with traumatic brain injury. Crystalloid use was predominant (n = 209; 86 %), and vasopressor use was frequent (n = 171, 76 %) but remained controversial. Only 160 respondents (66 %) declared that they used tranexamic acid always or often. This is the first European trauma survey, to our knowledge. Heterogeneity is significant across centres with regard to the clinical protocols for trauma patients and as to locally

  7. Red list assessment of European habitat types. A feasibility study

    NARCIS (Netherlands)

    Rodwell, J.S.; Janssen, J.A.M.; Gubbay, S.; Schaminee, J.H.J.

    2013-01-01

    This report presents an achievable methodology for the Red List assessment of European habitats in terrestrial, freshwater and marine realms, outlines a process that will deliver such evaluations and gives an indication of resources needed. It shows how the EUNIS habitat classification can be

  8. 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

  9. Sedation practice in Nordic and non-Nordic ICUs: a European survey.

    Science.gov (United States)

    Egerod, Ingrid; Albarran, John W; Ring, Mette; Blackwood, Bronagh

    2013-07-01

    A trend towards lighter sedation has been evident in many intensive care units (ICUs). The aims of the survey were to describe sedation practice in European ICUs and to compare sedation practice in Nordic and non-Nordic countries. A cross-sectional survey of ICU nurses attending the fourth European federation of Critical Care Nursing associations (EfCCNa) in Denmark, 2011. Data included use of protocols; sedation, pain and delirium assessment tools; collaborative decision-making; sedation and analgesic medications; and educational preparation related to sedation. Response rate was 42% (n = 291) from 22 countries where 53% (n = 148) used sedation protocols. Nordic nurses reported greater use of sedation (91% versus 67%, p Nordic nurses. Decision-making on sedation was more inter-professionally collaborative in Nordic ICUs (83% versus 61%, p Nordic nurses reported greater consistency in maintaining circadian rhythm (66% versus 49%, p Nordic context might be more germane to the goal of lighter sedation and better pain management. Our study raises awareness of current sedation practice, paving the way towards optimized ICU sedation management. © 2013 The Authors. Nursing in Critical Care © 2013 British Association of Critical Care Nurses.

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

    Science.gov (United States)

    Leviäkangas, P.

    2010-09-01

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

  11. Health impact assessment of cycling network expansions in European cities.

    Science.gov (United States)

    Mueller, Natalie; Rojas-Rueda, David; Salmon, Maëlle; Martinez, David; Ambros, Albert; Brand, Christian; de Nazelle, Audrey; Dons, Evi; Gaupp-Berghausen, Mailin; Gerike, Regine; Götschi, Thomas; Iacorossi, Francesco; Int Panis, Luc; Kahlmeier, Sonja; Raser, Elisabeth; Nieuwenhuijsen, Mark

    2018-04-01

    We conducted a health impact assessment (HIA) of cycling network expansions in seven European cities. We modeled the association between cycling network length and cycling mode share and estimated health impacts of the expansion of cycling networks. First, we performed a non-linear least square regression to assess the relationship between cycling network length and cycling mode share for 167 European cities. Second, we conducted a quantitative HIA for the seven cities of different scenarios (S) assessing how an expansion of the cycling network [i.e. 10% (S1); 50% (S2); 100% (S3), and all-streets (S4)] would lead to an increase in cycling mode share and estimated mortality impacts thereof. We quantified mortality impacts for changes in physical activity, air pollution and traffic incidents. Third, we conducted a cost-benefit analysis. The cycling network length was associated with a cycling mode share of up to 24.7% in European cities. The all-streets scenario (S4) produced greatest benefits through increases in cycling for London with 1,210 premature deaths (95% CI: 447-1,972) avoidable annually, followed by Rome (433; 95% CI: 170-695), Barcelona (248; 95% CI: 86-410), Vienna (146; 95% CI: 40-252), Zurich (58; 95% CI: 16-100) and Antwerp (7; 95% CI: 3-11). The largest cost-benefit ratios were found for the 10% increase in cycling networks (S1). If all 167 European cities achieved a cycling mode share of 24.7% over 10,000 premature deaths could be avoided annually. In European cities, expansions of cycling networks were associated with increases in cycling and estimated to provide health and economic benefits. Copyright © 2018 Elsevier Inc. All rights reserved.

  12. Quality assessments for cancer centers in the European Union.

    Science.gov (United States)

    Wind, Anke; Rajan, Abinaya; van Harten, Wim H

    2016-09-07

    Cancer centers are pressured to deliver high-quality services that can be measured and improved, which has led to an increase of assessments in many countries. A critical area of quality improvement is to improve patient outcome. An overview of existing assessments can help stakeholders (e.g., healthcare professionals, managers and policy makers) improve the quality of cancer research and care and lead to patient benefits. This paper presents key aspects of assessments undertaken by European cancer centers, such as: are assessments mandatory or voluntary? Do they focus on evaluating research, care or both? And are they international or national? A survey was sent to 33 cancer centers in 28 European Union member states. Participants were asked to score the specifics for each assessment that they listed. Based on the responses from 19 cancer centers from 18 member states, we found 109 assessments. The numbers have steadily increased from 1990's till 2015. Although, a majority of assessments are on patient-care aspects (n = 45), it is unclear how many of those include assessing patient benefits. Only few assessments cover basic research. There is an increasing trend towards mixed assessments (i.e., combining research and patient-care aspects) The need for assessments in cancer centers is increasing. To improve efforts in the quality of research and patient care and to prevent new assessments that "reinvent the wheel", it is advised to start comparative research into the assessments that are likely to bring patient benefits and improve patient outcome. Do assessments provide consistent and reliable information that create added value for all key stakeholders?

  13. Revue of some dosimetry and dose assessment European projects

    International Nuclear Information System (INIS)

    Bolognese-Milsztajn, T.; Frank, D.; Lacoste, V.; Pihet, P.

    2006-01-01

    Full text of publication follows: Within the 5. Framework Programme of the European Commission several project dealing with dosimetry and dose assessment for internal and external exposure have been supported. A revue of the results of some of them is presented in this paper. The EURADOS network which involved 50 dosimetry institutes in EUROPE has coordinated the project DOSIMETRY NETWORK: the main results achieved within this action are the following: - The release on the World Wide Web of the EURADOS Database of Dosimetry Research Facilities; - The realisation of the report 'Harmonization of Individual Monitoring (IM) in Europe'; - The continuation of the intercomparisons programme of environmental radiation monitoring systems; - The realisation of the report Cosmic radiation exposure of aircraft crew. The EVIDOS project aimed at evaluating state of the art dosimetry techniques in representative workplaces of the nuclear industry with complex mixed neutron-photon radiation fields. This paper summarises the main findings from a practical point of view. Conclusions and recommendations will be given concerning characterisation of radiation fields, methods to derive radiation protection quantities and dosimeters results. The IDEA project aimed to improve the assessment of incorporated radionuclides through developments of advanced in-vivo and bioassay monitoring techniques and making use of such enhancements for improvements in routine monitoring. The primary goal was to categorize those new developments regarding their potential and eligibility for the routine monitoring community. The costs of monitoring for internal exposures in the workplace are usually significantly greater than the equivalent costs for external exposures. There is therefore a need to ensure that resources are employed with maximum effectiveness. The EC-funded OMINEX (Optimisation of Monitoring for Internal Exposure) project has developed methods for optimising the design and implementation of

  14. European law. Handbook for the German legal practice. 2. ed.; Europarecht. Handbuch fuer die deutsche Rechtspraxis

    Energy Technology Data Exchange (ETDEWEB)

    Schulze, Reiner; Zuleeg, Manfred; Kadelbach, Stefan (eds.)

    2010-07-01

    Soon after the first appearance of the Handbook of European Law, a second edition has become necessary. The first edition has been very reviewed and widely used in legal practice. A few months ago, the Lisbon treaty has led to far-reaching changes in the European law. The second edition of the Handbook of European Law takes the information needs into account as quickly as possible, clearly and in detail.

  15. Industrial Policy Approaches from Theory to Practice in European Union

    Directory of Open Access Journals (Sweden)

    Anca Dachin

    2006-12-01

    Full Text Available The main debate about industrial policy consists of the attitude regarding the role of state versus market. The admission of possible market failures was the inspiration source for policies in the field of competition strengthening, supply of public goods, overcoming the deficit of capital etc. The general objectives of industrial policy may vary from the absolute role of the market to the market control. The European Community has applied a diversity of policies, differentiated from one period to another, in connection with the competition pressure on the world market and with the European integration stages. The EC had at its beginning a complete faith in the market mechanism, then a period of protectionism followed, as an answer to the oil shock and to the pressure of competition on international markets, especially coming from large American and Japanese companies. During the period 1985-1990, the European Community began to establish an industrial policy to encourage partnership between European companies and to promote cooperation in the field of research and development. In 1990 the European Commission proposed a new coherent concept of market oriented industrial policy, according to the model of neutral policy. Industrial policy is strongly connected to the competition policy. Especially after 1995, there have been signs of worry about the lower competitiveness in terms of productivity growth rate, expenditures for research and innovation capacity compared to USA and Japan. In addition, the European industry must face the competition pressure coming from the emergence of countries, mainly those from South-East Asia. In this context, the key factor which ensures a favorable perspective for the industry is competitiveness. This also implies expected positive effects of EU enlargement. The decision to sustain competitiveness was already taken in Lisbon, where a modern strategy was presented. Its priorities are the creation of a suitable

  16. Industrial Policy Approaches from Theory to Practice in European Union

    Directory of Open Access Journals (Sweden)

    Anca Dachin

    2006-10-01

    Full Text Available The main debate about industrial policy consists of the attitude regarding the role of state versus market. The admission of possible market failures was the inspiration source for policies in the field of competition strengthening, supply of public goods, overcoming the deficit of capital etc. The general objectives of industrial policy may vary from the absolute role of the market to the market control. The European Community has applied a diversity of policies, differentiated from one period to another, in connection with the competition pressure on the world market and with the European integration stages. The EC had at its beginning a complete faith in the market mechanism, then a period of protectionism followed, as an answer to the oil shock and to the pressure of competition on international markets, especially coming from large American and Japanese companies. During the period 1985-1990, the European Community began to establish an industrial policy to encourage partnership between European companies and to promote cooperation in the field of research and development. In 1990 the European Commission proposed a new coherent concept of market oriented industrial policy, according to the model of neutral policy. Industrial policy is strongly connected to the competition policy. Especially after 1995, there have been signs of worry about the lower competitiveness in terms of productivity growth rate, expenditures for research and innovation capacity compared to USA and Japan. In addition, the European industry must face the competition pressure coming from the emergence of countries, mainly those from South-East Asia. In this context, the key factor which ensures a favorable perspective for the industry is competitiveness. This also implies expected positive effects of EU enlargement. The decision to sustain competitiveness was already taken in Lisbon, where a modern strategy was presented. Its priorities are the creation of a suitable

  17. The European New Car Assessment Programme: A historical review.

    Science.gov (United States)

    van Ratingen, Michiel; Williams, Aled; Lie, Anders; Seeck, Andre; Castaing, Pierre; Kolke, Reinhard; Adriaenssens, Guido; Miller, Andrew

    2016-04-01

    Established in 1997, the European New Car Assessment Programme (Euro NCAP) provides consumers with a safety performance assessment for the majority of the most popular cars in Europe. Thanks to its rigorous crash tests, Euro NCAP has rapidly become an important driver safety improvement to new cars. After ten years of rating vehicles, Euro NCAP felt that a change was necessary to stay in tune with rapidly emerging driver assistance and crash avoidance systems and to respond to shifting priorities in road safety. A new overall rating system was introduced that combines the most important aspects of vehicle safety under a single star rating. The overall rating system has allowed Euro NCAP to continue to push for better fitment and higher performance for vehicles sold on the European market. In the coming years, the safety rating is expected to play an important role in the support of the roll-out of highly automated vehicles.

  18. Patient blood management knowledge and practice among clinicians from seven European university hospitals

    DEFF Research Database (Denmark)

    Manzini, P. M.; Dall'Omo, A. M.; D'Antico, S.

    2018-01-01

    Background and Objectives: The aim of this survey was to evaluate the knowledge about Patient Blood Management (PBM) principles and practices amongst clinicians working in seven European hospitals participating in a European Blood Alliance (EBA) project. Materials and Methods: A web...

  19. The Practice of Media Education: International Research on Six European Countries

    Science.gov (United States)

    Parola, Alberto; Ranieri, Maria

    2011-01-01

    This paper presents and discusses the results of OnAir, a European project on Media Education funded by the European Commission. This two-year project aimed at collecting, documenting, and developing media education practices across Europe, especially in Belgium, Bulgaria, Italy, Lithuania, Poland, and Romania. In particular, the paper focuses on…

  20. Technical Assessments of Future European Space Transportation Options

    OpenAIRE

    Sippel, Martin; van Foreest, Arnold; Dutheil, Jean-Philippe; Philip, Peter

    2007-01-01

    The paper describes some of the most recent activities in Germany in the technical assessment of future European launcher architecture. In focus is a joint effort of DLR-SART with German launcher industry in the definition of a next generation upper-medium class expendable TSTO with an initial operational capability after 2020. Involved companies are EADS astrium and MT Aerospace. This DLR-agency funded study WOTAN investigates fully cryogenic launchers as well as those with a com...

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

    DEFF Research Database (Denmark)

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

    2009-01-01

    OBJECTIVES: The European network on Health Technology Assessment (EUnetHTA) aimed to produce tangible and practical results to be used in the various phases of health technology assessment and to establish a framework and processes to support this. This article presents the background, objectives......, and organization of EUnetHTA, which involved a total of sixty-four partner organizations. METHODS: Establishing an effective and sustainable structure for a transnational network involved many managerial, policy, and methodological tools, according to the objective of each task or Work Package. Transparency...... the use of HTA at national and regional levels. Responsiveness to political developments in Europe should be balanced with maintaining a high level of ambition to promote independent, evidence-based information and well-tested tools for best practice based on a strong network of HTA institutions....

  2. Open innovation in the European space sector : existing practices, constraints and opportunities

    NARCIS (Netherlands)

    van Burg, E.; Giannopapa, C.G.; Reymen, I.M.M.J.

    2017-01-01

    To enhance innovative output and societal spillover of the European space sector, the open innovation approach is becoming popular. Yet, open innovation, referring to innovation practices that cross borders of individual firms, faces constraints. To explore these constraints and identify

  3. European Nanotechnology Experts Visit NCL; Harmonize Best Practices for Nanomedicine Collaboration in Europe | FNLCR Staging

    Science.gov (United States)

    European nanotechnology experts visited the Nanotechnology Characterization Laboratory (NCL) to observe best practices and methods and to share their own knowledge with NCL scientists as they prepared to launch an NCL-like operation in Europe. The Eu

  4. European Nanotechnology Experts Visit NCL; Harmonize Best Practices for Nanomedicine Collaboration in Europe | FNLCR

    Science.gov (United States)

    European nanotechnology experts visited the Nanotechnology Characterization Laboratory (NCL) to observe best practices and methods and to share their own knowledge with NCL scientists as they prepared to launch an NCL-like operation in Europe. The Eu

  5. Dietary management of urea cycle disorders : European practice

    NARCIS (Netherlands)

    Adam, S.; Almeida, M. F.; Assoun, M.; Baruteau, J.; Bernabei, S. M.; Bigot, S.; Champion, H.; Daly, A.; Dassy, M.; Dawson, S.; Dixon, M.; Dokoupil, K.; Dubois, S.; Dunlop, C.; Evans, S.; Eyskens, F.; Faria, A.; Favre, E.; Ferguson, C.; Goncalves, C.; Gribben, J.; Heddrich-Ellerbrok, M.; Jankowski, C.; Janssen-Regelink, R.; Jouault, C.; Laguerre, C.; Le Verge, S.; Link, R.; Lowry, S.; Luyten, K.; MacDonald, A.; Maritz, C.; McDowell, S.; Meyer, U.; Micciche, A.; Robertson, L. V.; Rocha, J. C.; Rohde, C.; Saruggia, I.; Sjoqvist, E.; Stafford, J.; Terry, A.; Thom, R.; Vande Kerckhove, K.; van Rijn, M.; van Teeffelen-Heithoff, A.; van Wegberg, A.; van Wyk, K.; Vasconcelos, C.; Vestergaard, H.; Webster, D.; White, F. J.; Wildgoose, J.; Zweers, H.; Robert, M.

    2013-01-01

    Background: There is no published data comparing dietary management of urea cycle disorders (UCD) in different countries. Methods: Cross-sectional data from 41 European Inherited Metabolic Disorder (IMD) centres (17 UK, 6 France, 5 Germany, 4 Belgium, 4 Portugal, 2 Netherlands, 1 Denmark, 1 Italy, 1

  6. Dietary management of urea cycle disorders: European practice.

    NARCIS (Netherlands)

    Adam, S.; Almeida, M.F.; Assoun, M.; Baruteau, J.; Bernabei, S.M.; Bigot, S.; Champion, H.; Daly, A.; Dassy, M.; Dawson, S.; Dixon, M.; Dokoupil, K.; Dubois, S.; Dunlop, C.; Evans, S.; Eyskens, F.; Faria, A.; Favre, E.; Ferguson, C.; Goncalves, C.; Gribben, J.; Heddrich-Ellerbrok, M.; Jankowski, C.; Janssen-Regelink, R.G.; Jouault, C.; Laguerre, C.; Verge, S. Le; Link, R.; Lowry, S.; Luyten, K.; Macdonald, A.; Maritz, C.; McDowell, S.; Meyer, U.; Micciche, A.; Robert, M.; Robertson, L.V.; Rocha, J.C.; Rohde, C.; Saruggia, I.; Sjoqvist, E.; Stafford, J.; Terry, A.; Thom, R.; nde Kerckhove, K. Va; Rijn, M. van de; Teeffelen-Heithoff, A. van; Wegberg, A.M.J. van; Wyk, K. van; Vasconcelos, C.; Vestergaard, H.; Webster, D.; White, F.J.; Wildgoose, J.; Zweers, H.

    2013-01-01

    BACKGROUND: There is no published data comparing dietary management of urea cycle disorders (UCD) in different countries. METHODS: Cross-sectional data from 41 European Inherited Metabolic Disorder (IMD) centres (17 UK, 6 France, 5 Germany, 4 Belgium, 4 Portugal, 2 Netherlands, 1 Denmark, 1 Italy, 1

  7. Ecocampus: a "Practice-What-You-Preach" European Collaboration

    DEFF Research Database (Denmark)

    Roturier, J.; Bonnet, J.F.; Faucher, P.

    2000-01-01

    Universities in 7 European countries have participated in this project with the purpose of analyzing the energy consumption and other environmental load of the universities own campuses. The initiative came from Bordeaux University, which has been conducting the project. The other 6 participants ...

  8. Mechanical Ventilation, Weaning Practices, and Decision Making in European PICUs

    NARCIS (Netherlands)

    Tume, Lyvonne N.; Kneyber, Martin C. J.; Blackwood, Bronagh; Rose, Louise

    2017-01-01

    Objectives: This survey had three key objectives: 1) To describe responsibility for key ventilation and weaning decisions in European PICUs and explore variations across Europe; 2) To describe the use of protocols, spontaneous breathing trials, noninvasive ventilation, high-flow nasal cannula use,

  9. Management of tritium contaminated wastes national strategies and practices at some European countries, USA and Canada

    International Nuclear Information System (INIS)

    Mannone, F.

    1992-01-01

    The European Tritium Handling Experiment Laboratory (ETHEL) is the Commission of European Communities facility designed for handling multigram quantities of tritium for safety inherent R and D purposes. Tritium contamined wastes in gaseous, liquid and solid forms will be generated in ETHEL during the experiments as well as during the maintenance operations. All such wastes must be adequately managed under the safest operating conditions to minimize the releases of tritium to the environment and the consequent radiological risks to workers and general population. This safety requirement can be met by carefully defining strategies and practices to be applied for the safe management of these wastes. To this end an adequate background information must be collected which is the intent of this report. Through an exhaustive literature survey current strategies and practices applied in Europe, USA and Canada for managing tritiated wastes from specific tritium handling laboratories and plant have been assessed. For some countries, where only tritium bearing wastes simultaneously contaminated with nuclear fission products are generated, the attention has been focused on the strategies and practices currently applied for managing fission wastes. Operational criteria for waste collection, sorting, classification, conditioning and packaging as well as acceptance criteria for their storage or disposal have been identified. Waste storage or disposal options already applied in various countries or still being investigated in terms of safety have also been considered. Even if the radwaste management strategy is submitted to a nearly continuing process of review, some general comments resulting from the assessment of the present waste management scenario are presented. 60 refs., 16 figs., 13 tabs

  10. European radiographers' challenges from mammography education and clinical practice - an integrative review.

    Science.gov (United States)

    Metsälä, Eija; Richli Meystre, Nicole; Pires Jorge, José; Henner, Anja; Kukkes, Tiina; Sá Dos Reis, Cláudia

    2017-06-01

    This study aims to identify European radiographers' challenges in clinical performance in mammography and the main areas of mammography that require more and better training. An extensive search was performed to identify relevant studies focused on clinical practice, education and training in mammography published between January 2010 and December 2015 in the English language. The data were analysed by using deductive thematic analysis. A total of 27 full text articles were read, evaluating their quality. Sixteen articles out of 27 were finally selected for this integrative review. The main challenges of radiographers' mammography education/training can be divided into three groups: training needs, challenges related to radiographers, and challenges related to the organization of education. The most common challenges of clinical performance in mammography among European radiographers involved technical performance, the quality of practices, and patient-centeredness. The introduction of harmonized mammography guidelines across Europe may serve as an evidence-based tool to be implemented in practice and education. However, the variability in human and material resources as well as the different cultural contexts should be considered during this process. • Radiographers' awareness of their professional identity and enhancing multiprofessional cooperation in mammography. • Radiographers' responsibilities regarding image quality (IQ) and optimal breast imaging performance. • Patient-centred mammography services focusing on the psychosocial needs of the patient. • Challenges: positioning, QC-testing, IQ-assessment, optimization of breast compression, communication, teamwork, and patient-centred care. • Introduction of evidence-based guidelines in Europe to harmonize mammography practice and education.

  11. Good practices and challenges in addressing poliomyelitis and measles in the European Union.

    Science.gov (United States)

    Kinsman, John; Stöven, Svenja; Elgh, Fredrik; Murillo, Pilar; Sulzner, Michael

    2018-04-06

    All European Union (EU) and European Economic Area (EEA) Member States have pledged to ensure political commitment towards sustaining the region's poliomyelitis-free status and eliminating measles. However, there remain significant gaps between policy and practice in many countries. This article reports on an assessment conducted for the European Commission that aimed to support improvements in preparedness and response to poliomyelitis and measles in Europe. A documentary review was complemented by qualitative interviews with professionals working in International and EU agencies, and in at-risk or recently affected EU/EEA Member States (six each for poliomyelitis and measles). Twenty-six interviews were conducted on poliomyelitis and 24 on measles; the data were subjected to thematic analysis. Preliminary findings were then discussed at a Consensus Workshop with 22 of the interviewees and eight other experts. Generic or disease-specific plans exist in the participating countries and cross-border communications during outbreaks were generally reported as satisfactory. However, surveillance systems are of uneven quality, and clinical expertise for the two diseases is limited by a lack of experience. Serious breaches of protocol have recently been reported from companies producing poliomyelitis vaccines, and vaccine coverage rates for both diseases were also sub-optimal. A set of suggested good practices to address these and other challenges is presented. Poliomyelitis and measles should be brought fully onto the policy agendas of all EU/EEA Member States, and adequate resources provided to address them. Each country must abide by the relevant commitments that they have already made.

  12. Potential carbon sequestration of European arable soils estimated by modelling a comprehensive set of management practices.

    Science.gov (United States)

    Lugato, Emanuele; Bampa, Francesca; Panagos, Panos; Montanarella, Luca; Jones, Arwyn

    2014-11-01

    Bottom-up estimates from long-term field experiments and modelling are the most commonly used approaches to estimate the carbon (C) sequestration potential of the agricultural sector. However, when data are required at European level, important margins of uncertainty still exist due to the representativeness of local data at large scale or different assumptions and information utilized for running models. In this context, a pan-European (EU + Serbia, Bosnia and Herzegovina, Montenegro, Albania, Former Yugoslav Republic of Macedonia and Norway) simulation platform with high spatial resolution and harmonized data sets was developed to provide consistent scenarios in support of possible carbon sequestration policies. Using the CENTURY agroecosystem model, six alternative management practices (AMP) scenarios were assessed as alternatives to the business as usual situation (BAU). These consisted of the conversion of arable land to grassland (and vice versa), straw incorporation, reduced tillage, straw incorporation combined with reduced tillage, ley cropping system and cover crops. The conversion into grassland showed the highest soil organic carbon (SOC) sequestration rates, ranging between 0.4 and 0.8 t C ha(-1)  yr(-1) , while the opposite extreme scenario (100% of grassland conversion into arable) gave cumulated losses of up to 2 Gt of C by 2100. Among the other practices, ley cropping systems and cover crops gave better performances than straw incorporation and reduced tillage. The allocation of 12 to 28% of the European arable land to different AMP combinations resulted in a potential SOC sequestration of 101-336 Mt CO2 eq. by 2020 and 549-2141 Mt CO2 eq. by 2100. Modelled carbon sequestration rates compared with values from an ad hoc meta-analysis confirmed the robustness of these estimates. © 2014 John Wiley & Sons Ltd.

  13. Towards a European draft code of practice in creep crack growth testing

    International Nuclear Information System (INIS)

    Nikbin, K.M.

    2003-01-01

    Crack growth and initiation models as well as defect assessment codes need reliable and verifiable material properties data for use in their predictive methodologies. These data consist of uniaxial, multiaxial and crack initiation and growth data under static and cyclic loading at the relevant temperatures. International collaboration for developing standards in this field started in 1987 under the auspices of the VAMAS (Versailles Agreement for MAterials and Standards). Two technical Working Areas TWA11 and TWA19 committees ending 1998 have made substantial progress in unifying and standardising the methods for obtaining the relevant data. This collaboration has resulted in the development of ASTM E1457 creep crack growth testing standard. The European collaborative programme CRETE (see Acknowledgements), which began in 1999, is following up this valuable research in order to develop a European Code of Practice for elevated temperature crack growth which is planned to have a wider field of application. A Round Robin experimental, analytical and verification programme in CRETE will include testing a type 316 LN stainless steel at 550 degC and a Carbon-Manganese steel at 400 degC consisting of seven different geometries. The paper reviews the methods of analysis used for laboratory creep crack growth data and their relevance to long term crack initiation and growth in components. In addition, since design and life assessment and material properties under creep are an integral part of this project a short review of the models available for predicting creep and fatigue crack growth is presented. (author)

  14. Impact assessment and policy learning in the European Commission

    International Nuclear Information System (INIS)

    Ruddy, Thomas F.; Hilty, Lorenz M.

    2008-01-01

    Governance for sustainable development requires policy coherence and Environmental Policy Integration, which are being hindered by difficulties coordinating the two separate impact assessment processes being conducted in the European Commission. One of them, the Commission-wide Impact Assessment process, looks primarily at EU-internal impacts, whereas the other one, Sustainability Impact Assessment (SIA) in DG Trade, looks outward to other countries and intergovernmental organizations. Ideally, the two processes should complement one another, especially as the two are set to continue being done in parallel. The paper uses a case study of the reform of the European sugar regime under a World Trade Organization ruling to demonstrate how the two impact assessment processes could better complement one another. Feedback from the experience had with existing trade agreements could then promote policy learning and inform the negotiations on new agreements. The number of new bilateral and Regional Trade Agreements is expected to continue rising, thus increasing the importance of the Commission-wide Impact Assessment process required for them

  15. European cultural landscapes: Connecting science, policy and practice

    DEFF Research Database (Denmark)

    Hernandez Morcillo, Monica

    their biocultural diversity and affecting their ability to provide these benefits. Developing indicators to improve accountability of cultural ecosystem services and connecting the multiple stakeholders’ knowledge involved in land use decisions would help to delineate more sustainable pathways. The aims of this Ph......D thesis are to: 1) examine the measures and potential of cultural ecosystem services and traditional ecological knowledge in Europe, and; 2) explore transdisciplinary methods to develop joint research-action agendas for European cultural landscapes. The findings indicate that local knowledge improves......European cultural landscapes are especially valued for the abundance of cultural ecosystem services and the richness of traditional ecological knowledge they provide to society. In recent decades, land use changes have dramatically altered cultural landscapes across Europe, reducing...

  16. Wind turbines and aviation interests - European experience and practice

    Energy Technology Data Exchange (ETDEWEB)

    Jago, P.; Taylor, N.

    2002-07-01

    The approach of other European countries to the effects of wind turbines on civil and military aviation has been studied in order to determine the applicability of these experiences to UK stakeholders. The background to the study is traced, and the restriction on the siting of turbines due to the hazards posed to aviation and defence interests, and the potential effects on radar for air traffic control, defence and low flying aircraft are examined. The planning and siting issues in different European countries, the planning system in the UK, and the safeguarding of aerodromes and military sites are discussed along with issues involved in low flying aircraft and search and rescue operations, and the marking and illumination of wind farms.

  17. Assessment Practices in Undergraduate Accounting Programs

    Science.gov (United States)

    Lusher, Anna L.

    2010-01-01

    This study examined accounting program assessment plans at 102 colleges and universities in the United States. The research focused on identifying assessment practices in undergraduate accounting programs by examining the skills and competencies assessed and determining the methods of assessment used. The study also investigated what course and/or…

  18. Audit Risk Assessment in the Light of Current European Regulations

    Directory of Open Access Journals (Sweden)

    Ciprian-Costel Munteanu

    2015-06-01

    Full Text Available Recent European reforms on audit regulations have been motivated by efforts to increase audit quality, functioning and performance. We believe the adoption of Directive 2014/56 and Regulation 537/2014 strengthened the role of independent audit and risk committees, which will positively contribute towards audit quality. This paper aims to critically assess the status quo of audit risk assessment in current European standards and regulations, by conducting a theoretical analysis of different aspects of audit risk. Our main objective is to stress the importance of detecting inherent and control risk, which lead to material misstatement at the assertion level. They need to be assessed so as to determine the nature, timing and extent of further audit procedures necessary to obtain sufficient appropriate audit evidence. These pieces of evidence enable the auditor to express an opinion on the financial statements at an acceptably low level of audit risk. Therefore, we point to the fact that researchers as well as practitioners and policymakers have to be careful when using audit tools and assessing risk levels, as their conclusions continuously shape the regulations.

  19. A European Competence Framework for Industrial Pharmacy Practice in Biotechnology

    NARCIS (Netherlands)

    Atkinson, Jeffrey; Crowley, Pat; De Paepe, Kristien; Gennery, Brian; Koster, Andries|info:eu-repo/dai/nl/070975558; Martini, Luigi; Moffat, Vivien; Nicholson, Jane; Pauwels, Gunther; Ronsisvalle, Giuseppe; Sousa, Vitor; van Schravendijk, Chris; Wilson, Keith

    2015-01-01

    The PHAR-IN (“Competences for industrial pharmacy practice in biotechnology”) looked at whether there is a difference in how industrial employees and academics rank competences for practice in the biotechnological industry. A small expert panel consisting of the authors of this paper produced a

  20. 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.)

  1. Dietary management of urea cycle disorders: European practice.

    Science.gov (United States)

    Adam, S; Almeida, M F; Assoun, M; Baruteau, J; Bernabei, S M; Bigot, S; Champion, H; Daly, A; Dassy, M; Dawson, S; Dixon, M; Dokoupil, K; Dubois, S; Dunlop, C; Evans, S; Eyskens, F; Faria, A; Favre, E; Ferguson, C; Goncalves, C; Gribben, J; Heddrich-Ellerbrok, M; Jankowski, C; Janssen-Regelink, R; Jouault, C; Laguerre, C; Le Verge, S; Link, R; Lowry, S; Luyten, K; Macdonald, A; Maritz, C; McDowell, S; Meyer, U; Micciche, A; Robert, M; Robertson, L V; Rocha, J C; Rohde, C; Saruggia, I; Sjoqvist, E; Stafford, J; Terry, A; Thom, R; Vande Kerckhove, K; van Rijn, M; van Teeffelen-Heithoff, A; Wegberg, A van; van Wyk, K; Vasconcelos, C; Vestergaard, H; Webster, D; White, F J; Wildgoose, J; Zweers, H

    2013-12-01

    There is no published data comparing dietary management of urea cycle disorders (UCD) in different countries. Cross-sectional data from 41 European Inherited Metabolic Disorder (IMD) centres (17 UK, 6 France, 5 Germany, 4 Belgium, 4 Portugal, 2 Netherlands, 1 Denmark, 1 Italy, 1 Sweden) was collected by questionnaire describing management of patients with UCD on prescribed protein restricted diets. Data for 464 patients: N-acetylglutamate synthase (NAGS) deficiency, n=10; carbamoyl phosphate synthetase (CPS1) deficiency, n=29; ornithine transcarbamoylase (OTC) deficiency, n=214; citrullinaemia, n=108; argininosuccinic aciduria (ASA), n=80; arginase deficiency, n=23 was reported. The majority of patients (70%; n=327) were aged 0-16y and 30% (n=137) >16y. Prescribed median protein intake/kg body weight decreased with age with little variation between disorders. The UK tended to give more total protein than other European countries particularly in infancy. Supplements of essential amino acids (EAA) were prescribed for 38% [n=174] of the patients overall, but were given more commonly in arginase deficiency (74%), CPS (48%) and citrullinaemia (46%). Patients in Germany (64%), Portugal (67%) and Sweden (100%) were the most frequent users of EAA. Only 18% [n=84] of patients were prescribed tube feeds, most commonly for CPS (41%); and 21% [n=97] were prescribed oral energy supplements. Dietary treatment for UCD varies significantly between different conditions, and between and within European IMD centres. Further studies examining the outcome of treatment compared with the type of dietary therapy and nutritional support received are required. © 2013 Elsevier Inc. All rights reserved.

  2. European Social Work Research Association SIG to Study Decisions, Assessment, and Risk.

    Science.gov (United States)

    Taylor, Brian; Killick, Campbell; Bertotti, Teresa; Enosh, Guy; Gautschi, Joel; Hietamäki, Johanna; Sicora, Alessandro; Whittaker, Andrew

    2018-01-01

    The increasing interest in professional judgement and decision making is often separate from the discourse about "risk," and the time-honored focus on assessment. The need to develop research in and across these topics was recognized in the founding of a Decisions, Assessment, and Risk Special Interest Group (DARSIG) by the European Social Work Research Association in 2014. The Group's interests include cognitive judgements; decision processes with clients, families, other professionals and courts; assessment tools and processes; the assessment, communication, and management of risk; and legal, ethical, and emotional aspects of these. This article outlines the founding and scope of DARSIG; gives an overview of decision making, assessment, and risk for practice; illustrates connections between these; and highlights future research directions. Professional knowledge about decision making, assessment, and risk complements knowledge about effectiveness of interventions. DARSIG promises to be a useful mechanism for the purpose.

  3. The European programme on climatic change. Assessment and perspectives

    International Nuclear Information System (INIS)

    Creach, Morgane

    2008-09-01

    After having recalled how the ratification of the Kyoto protocol became the basis of the European programme for the struggle against climatic change (operation of flexibility mechanisms) and how this programme has been implemented, this report describes the content of the first European Climate Change Programme which notably addressed the energy sector with the promotion of energy efficiency and renewable energies, the transport sector, the industry sector with the implementation of the European trading scheme for CO 2 emissions, and a regulation on some fluoridated gases. The second part proposes a contrasted assessment of this first programme. It outlines the difficulties to meet the Kyoto objective and identifies the main reason for that, i.e. the limited abilities of the EU to apply the Kyoto protocol. The third part presents the second programme with an integrated climate-energy policy, the integration of the air transport sector within the ETS, a new strategy of reduction of CO 2 emissions by cars, and the definition of a strategy for adaptation to climate change in Europe

  4. Strategic Purchasing in Practice: Comparing Ten European Countries.

    Science.gov (United States)

    Klasa, Katarzyna; Greer, Scott L; van Ginneken, Ewout

    2018-02-05

    Strategic purchasing of health care services is widely recommended as a policy instrument. We conducted a review of literature of material drawn from the European Observatory on Health Systems and Policies Health Systems in Transition series, other European Observatory databases, and selected country-specific literature to augment the comparative analysis by providing the most recent healthcare trends in ten selected countries. There is little evidence of purchasing being strategic according to any of the established definitions. There is little or no literature suggesting that existing purchasing mechanisms in Europe deliver improved population health, citizen empowerment, stronger governance and stewardship, or develop purchaser organization and capacity. Strategic purchasing has not generally been implemented. Policymakers considering adopting strategic purchasing policies should be aware of this systemic implementation problem. Policymakers in systems with strategic purchasing built into policy should not assume that a purchasing system is strategic or that it is delivering any expected objectives. However, there are individual components of strategic purchasing that are worth pursuing and can provide benefits to health systems. Copyright © 2018. Published by Elsevier B.V.

  5. Assessing quality in European educational research indicators and approaches

    CERN Document Server

    Åström, Fredrik; Hansen, Antje

    2014-01-01

    Competition-based models for research policy and management have an increasing influence throughout the research process, from attracting funding to publishing results. The introduction of quality control methods utilizing various forms of performance indicators is part of this development. The authors presented in this volume deal with the following questions: What counts as ‘quality’ and how can this be assessed? What are the possible side effects of current quality control systems on research conducted in the European Research Area, especially in the social sciences and the humanities?

  6. An Assessment of Radiation Modification from a European Perspective

    Science.gov (United States)

    Kristjansson, J. E.; Lawrence, M. G.; Boucher, O.; Haywood, J. M.; Irvine, P. J.; Muri, H.; Schmidt, H.; Schulz, M.; Vaughan, N.; Watson, M.; Born, W.; Schaefer, S.; Stelzer, H.

    2014-12-01

    The European Transdisciplinary Assessment of Climate Engineering (EuTRACE) project (2012-2014) is funded by the European Commission (EC). In EuTRACE, researchers from the natural sciences, social sciences and the humanities have joined forces to assess various proposed geoengineering techniques concerning their radiative forcing potential and side effects, ethical aspects, economics aspects, as well as governance and regulation aspects. A comprehensive assessment report will be submitted to the EC in autumn 2014. We will present some highlights of the part of the EuTRACE assessment that deals with the natural science aspects of proposed Radiation Modification (RM) techniques. The techniques considered are: a) Stratospheric Sulfur Injections; b) Marine Cloud Brightening; c) Desert Brightening; d) Vegetation Brightening; and e) Cirrus Cloud Thinning. A large number of publications in the scientific literature has been considered, as well as recently published assessment reports by the Royal Society in the UK and the German Federal Ministry of Education and Research. Some of the findings of the assessment are: Globally averaged, the current anthropogenic radiative forcing could conceivably be offset by the RM techniques considered. The RM techniques could have a significant global effect already after 1 year or less. Model simulations consistently show that Solar RM leads to regional imbalances due to different spatial footprints of solar and carbon dioxide radiative forcings. This may have significant consequences for precipitation patterns and the hydrological cycle. Very rapid warming is virtually certain if RM were to be stopped abruptly or over a period of one to a few years. Model studies of RM usually assume that the techniques are technologically feasible. In fact, the technological challenges are poorly known, and in many cases the physical processes involved are poorly understood. We will end by discussing key research questions and knowledge gaps.

  7. THE EUROPEAN PUBLIC SYSTEM OF HUMAN RESOURCES. PERFORMANCE IN ORGANIZATIONS AND GOOD PRACTICES FOR ROMANIA

    Directory of Open Access Journals (Sweden)

    Dan-Călin BEȘLIU

    2018-05-01

    Full Text Available Considering the fact that recruitment and selection activities are vital in ensuring the human resources flow in every private or public organization sector, the present paper seeks to elaborate a proposal aimed to modernize the recruiting and selection process within the Romanian public service based on best practices models implemented in other European states. From the perspective of providing adequate training skills and abilities needed by the qualified personnel, initial training is very poor. Practical training is not on the same level of quality with theoretical one and the current system of examinations in education units, based predominantly on theoretical assessment, do not motivate learners well enough in order to gain practical skills. Continuous training programs organized by the units do not always take into account the needs of the personnel or are not adapted to the job description, the category and level of specialization of the beneficiaries' functions and the degree of novelty and utility of most of the presented theoretical information is usually low. The costs of selecting one person for the public service are usually very high, including not only the cost of the initial recruiting, but also the long term cost, represented by the continuous training of the employee. Consequently, recruiting human resources is a basic part of both public and private systems.

  8. Development of European creep crack growth testing code of practice for industrial specimens

    International Nuclear Information System (INIS)

    Dogan, B.; Nikbin, K.; Petrovski, B.

    2004-01-01

    The integrity and residual life assessment of high temperature components require defects, detected or assumed to exist, through minimum allowable limits of detectable flaws using nondestructive testing methods. It relies on information obtained from the material's mechanical, uniaxial creep, creep crack initiation and growth properties. The information derived from experiments needs to be validated and harmonised following a Code of Practice that data variability between different institutions can be reduced to a minimum. The present paper reports on a Code of Practice (CoP) being prepared within the framework of the partially European Commission funded project CRETE. The novel aspect of the presented CoP is the inclusion of component relevant industrial specimen geometries. It covers testing and analysis of Creep Crack growth (CCG) in metallic materials at elevated temperature using six different cracked geometries that have been validated in. It aims to give advice on testing, measurements and analysis of creep crack growth data for a range of creep brittle to creep ductile materials using component service relevant specimen geometries and sizes. The CoP may be used for material selection criteria and inspection requirements for damage tolerant applications. In quantitative terms, these types of tests can be used to assess the individual and combined effects of metallurgical, fabrication, operating temperature, and loading conditions on creep crack growth life. Further issues will be addressed including material properties, damage and crack growth related constraint effect, stress relaxation and stress-strain fields, residual stresses, partitioning displacement, analysis of elastic creep, elastic compliance measurements

  9. Adapting United States training practices to European utilities

    International Nuclear Information System (INIS)

    Walsh, T.E.

    1983-01-01

    The factors which must be considered in the process of adapting United States nuclear utility training programs to the needs of a European utility are discussed. Following a review of the present situation and drawing up of a new training program, the management commitments in terms of personnel and finance must be considered. Short term, medium and long term programs are outlined. The long term objectives should include the establishment of a total training centre. This facility should be capable of providing all the training necessary to operate a power plant safely. This would include specific simulator training, classroom training for operators, technician training, staff training, management training etc. In addition to a simulator, it should include an emergency response facility to train personnel. (U.K.)

  10. Policy priority objectives: comparative assessment in four European cities

    Energy Technology Data Exchange (ETDEWEB)

    Alonso Ramos, A.

    2016-07-01

    Sustainability must be an urban issue. Cities should be managed so as to minimize their impacts on environment, but providing an appropriate framework for economic and social development. However, European cities are facing some trends that threaten sustainable development. The aim of the EC research project INSIGHT-7FP (2013/16) is to develop appropriate management tools that can help to achieve sustainability in the context of European cities. In the project, a set of policy objectives have been designed for the management of urban areas, in order to face the main threats existing over cities. The paper presents a methodology based on indicators for analysing the progress towards these ten policy objectives in the four EU cities participating in the project: London (12.3 mill. inhab.), Madrid (6.4 mill. inhab.), Barcelona (5.4 mill. inhab.) and Rotterdam (1.4 mill. inhab.). All the indicators used in the analysis have been validated by ten policy makers of European cities. These policy makers participated on the stakeholders consultation carried out in the project, where the importance of the policy objectives proposed was also assessed. The paper concludes determining the policy priority objectives in each city, in order to contain the main threats existing over them: London should especially address the threats of social exclusion and transport inefficiency; Madrid the threats of economic decline and urban sprawl; Barcelona the economic decline and Rotterdam the contribution to climate change and the urban sprawl. Finally, the role played by the land use and transport system in these policy objectives is analysed. To this end, the assessment allows for the comparability of the results in a horizontal manner, in the basis of common indicators. Nearly half of these indicators are related to the land use and transport system of the cities. (Author)

  11. European Communication Monitor: Current developments, issues and tendencies of the professional practice of public relations in Europe

    NARCIS (Netherlands)

    Moreno, A.; Zerfass, A.; Tench, R.; Verčič, D.; Verhoeven, P.

    2009-01-01

    The European Communication Monitor (ECM) research explores the current developments for communications disciplines, practices and instruments. It is an extensive research project to monitor trends in communication management, analyse the changing framework for the profession driven by European

  12. Energy efficiency in the European water industry. A compendium of best practices and case studies

    Energy Technology Data Exchange (ETDEWEB)

    Frijns, J. [Watercycle Research Institute KWR, Nieuwegein (Netherlands); Uijterlinde, C. [Foundation for Applied Water Research STOWA, Amersfoort (Netherlands)

    2010-02-15

    This European report on best practices of energy efficiency in the water industry showcases 23 energy efficiency initiatives which were collected as case studies from European water utilities. The 25 case studies presented in this report will be submitted to UKWIR and Black and Veatch, for potential inclusion in the Global Water Research Coalition (GWRC) global compendium of best practice case studies. The aim of the GWRC-compendium is to identify the promising developments and future opportunities to help deliver incremental improvements in energy efficiency through optimisation of existing assets and operations. But also more substantial improvements in energy efficiency from the adoption of novel (but proven at full scale) technologies. The European report describes case studies from: Belgium, Denmark, France, Germany, Hungary, Netherlands, Norway, Spain and Switzerland. Black and Veatch has gathered furthermore information on 47 cases from the UK. These are reported separately and are not included in this European overview.

  13. Oral surgery in the European Union: challenges of diversity in training and practice.

    Science.gov (United States)

    Nasseripour, M N; Hervé, C; Meningaud, J-P

    2017-02-01

    At the crossroads of medicine and dentistry, oral surgery with orthodontics are the only recognised dental specialties by the European Union. The goal of our study is to evaluate the current state of oral surgery in Europe from its teaching to its practice, the hypothesis being that a notable diversity persists despite European Union harmonisation process. To understand the impact of this diversity applied to European Union freedom of movement and its ethical implications for the practice of oral surgery, English and French questionnaires were sent by email to universities and organisations delivering authorisation to practise in France, Germany, Spain, Sweden and United Kingdom chosen based upon inclusion and exclusion criteria. An analysis of documents on these organisations' official websites was also conducted. Demographic information was obtained from the aforementioned organisations. The profile of practising oral surgeons is different dependent on the country. The university and hospital trainings conform to European recommendations and span 3-4 years. European Board certification is not required. Continuing education is mandatory only in France, Germany and United Kingdom. As for curricula and scope of practice, no consensus can be derived. There is potential conflict of interest between European Union principles of freedom of movement and protection of all citizens, as member countries do not uniformly apply Directives and recommendations. A new survey of all European Union oral surgery programmes as well as organisations delivering authorisation to practise is necessary to implement across the board harmonisation of training and practice to insure patient safety in light of the migration of European Union practitioners. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  14. Cardioversion for atrial fibrillation in current European practice : results of the European Heart Rhythm Association survey

    NARCIS (Netherlands)

    Hernandez-Madrid, Antonio; Svendsen, Jesper Hastrup; Lip, Gregory Y. H.; Van Gelder, Isabelle C.; Dobreanu, Dan; Blomstrom-Lundqvist, Carina

    This survey was conducted to provide an insight into the current clinical practice regarding the use of cardioversion for atrial fibrillation (AF) in Europe. Responses were received from 57 centres across Europe, 71.9 of which were university hospitals. For electrical cardioversion, general

  15. Dietary management practices in phenylketonuria across European centres

    DEFF Research Database (Denmark)

    Ahring, Kirsten; Bélanger-Quintana, Amaya; Dokoupil, Katharina

    2009-01-01

    , and the definition of foods that could be eaten without restriction ('free foods'). Eighty percent (n=8/10) of centres encouraged breastfeeding together with protein substitute in infants with PKU. CONCLUSIONS: Important differences exist among centres across Europe in the dietary management of PKU, and in support...... systems designed to assist patients in managing their diets. Further studies are needed to compare different dietary treatments with the aim of identifying best practice to optimise phenylalanine control and dietary adherence....

  16. A European Competence Framework for Industrial Pharmacy Practice in Biotechnology

    Directory of Open Access Journals (Sweden)

    Jeffrey Atkinson

    2015-07-01

    Full Text Available The PHAR-IN (“Competences for industrial pharmacy practice in biotechnology” looked at whether there is a difference in how industrial employees and academics rank competences for practice in the biotechnological industry. A small expert panel consisting of the authors of this paper produced a biotechnology competence framework by drawing up an initial list of competences then ranking them in importance using a three-stage Delphi process. The framework was next evaluated and validated by a large expert panel of academics (n = 37 and industrial employees (n = 154. Results show that priorities for industrial employees and academics were similar. The competences for biotechnology practice that received the highest scores were mainly in: “Research and Development”, ‘“Upstream” and “Downstream” Processing’, “Product development and formulation”, “Aseptic processing”, “Analytical methodology”, “Product stability”, and “Regulation”. The main area of disagreement was in the category “Ethics and drug safety” where academics ranked competences higher than did industrial employees.

  17. A practical approach to competency assessment.

    Science.gov (United States)

    Claflin, N

    1997-01-01

    Assessing clinical performance is difficult. Members of the Nursing Service Clinical Practice Committee at the Carl T. Hayden Veterans Affairs Medical Center in Phoenix developed a comprehensive program of competency assessment based on performance measures. This article describes the committee's process of developing and implementing the program and includes a blueprint for competency assessment and selected performance measures for all nursing staff who provide patient care. The approach to competency assessment includes performance measures specific to patients' ages.

  18. Cardioversion for atrial fibrillation in current European practice

    DEFF Research Database (Denmark)

    Hernández-Madrid, Antonio; Svendsen, Jesper Hastrup; Lip, Gregory Y.H.

    2013-01-01

    This survey was conducted to provide an insight into the current clinical practice regarding the use of cardioversion for atrial fibrillation (AF) in Europe. Responses were received from 57 centres across Europe, 71.9% of which were university hospitals. For electrical cardioversion, general...... anaesthesia was managed by an anaesthesiologist in 73.9% of centres and by a cardiologist in 37%. In the majority of centres, electrical cardioversion was performed using a biphasic defibrillator (85.1%). Antiarrhythmic drugs were routinely prescribed prior to electrical cardioversion by 54.3% of hospitals...

  19. What do the European Judges Strive for - An Empirical Assessment

    Directory of Open Access Journals (Sweden)

    Katarina Zajc

    2011-04-01

    Full Text Available Caseload backlogs and the quality of judicial decision-making have attracted worldwide scholarly attention for quite some time. The puzzle lies in explaining the observed persistence of backlogs alongside the quest for improvement in judicial decision-making. This is especially true since many countries, while trying to cope with this challenging issue, continue to enact regulatory provisions to seemingly improve the judiciary. The principal and agent theory suggests that the incentives of the agent (courts and the principal (citizens are going to be aligned under certain circumstances. This article analyzes the incentive mechanisms of continental judicial administration in view of traditional principal-agent theory and provides additional insights into the current legal, behavioral and economic discussion. Specifically, the article analyzes whether the current incentives for judges are in line with theoretical predictions. If one takes for granted that the European-continental judicial systems can be treated as bureaucratic systems, then discussion should, apart from judicial salary increases, focus upon interpretation of the observed differences in evaluation of judges in different countries, and upon the main incentives for judges’ good performance and promotion. This article offers a multidisciplinary analysis of current European and most recent Finnish guidelines on effectiveness and quality of judicial administration, and provides a law and economics assessment of proposed guidelines. Moreover, the identified multiplication effect of sticks in judiciary setting offer an additional argument for cautious application or even complete abolishment of such an inducement mechanism.- By Katarina Zajc and Mitja Kovac

  20. Refining lecturers' assessment practices through formal professional ...

    African Journals Online (AJOL)

    The Higher Education Quality Committee's emphasis on the assessment of student learning in its criteria for institutional audits (June 2004) signals that institutional arrangements to ensure quality assessment practices are to come under the spotlight. One means to demonstrate institutional commitment to quality in ...

  1. Practical Assessment, Research and Evaluation, 2001.

    Science.gov (United States)

    Rudner, Lawrence M., Ed.; Schafer, William D., Ed.

    2001-01-01

    This document consists of articles 23 through 26 published in the electronic journal "Practical Assessment, Research & Evaluation" in 2001: (23) "Effects of Removing the Time Limit on First and Second Language Intelligence Test Performance" (Jennifer Mullane and Stuart J. McKelvie); (24) "Consequences of (Mis)use of the Texas Assessment of…

  2. Cross-cultural validation of Lupus Impact Tracker in five European clinical practice settings.

    Science.gov (United States)

    Schneider, Matthias; Mosca, Marta; Pego-Reigosa, José-Maria; Gunnarsson, Iva; Maurel, Frédérique; Garofano, Anna; Perna, Alessandra; Porcasi, Rolando; Devilliers, Hervé

    2017-05-01

    The aim was to evaluate the cross-cultural validity of the Lupus Impact Tracker (LIT) in five European countries and to assess its acceptability and feasibility from the patient and physician perspectives. A prospective, observational, cross-sectional and multicentre validation study was conducted in clinical settings. Before the visit, patients completed LIT, Short Form 36 (SF-36) and care satisfaction questionnaires. During the visit, physicians assessed disease activity [Safety of Estrogens in Lupus Erythematosus National Assessment (SELENA)-SLEDAI], organ damage [SLICC/ACR damage index (SDI)] and flare occurrence. Cross-cultural validity was assessed using the Differential Item Functioning method. Five hundred and sixty-nine SLE patients were included by 25 specialists; 91.7% were outpatients and 89.9% female, with mean age 43.5 (13.0) years. Disease profile was as follows: 18.3% experienced flares; mean SELENA-SLEDAI score 3.4 (4.5); mean SDI score 0.8 (1.4); and SF-36 mean physical and mental component summary scores: physical component summary 42.8 (10.8) and mental component summary 43.0 (12.3). Mean LIT score was 34.2 (22.3) (median: 32.5), indicating that lupus moderately impacted patients' daily life. A cultural Differential Item Functioning of negligible magnitude was detected across countries (pseudo- R 2 difference of 0.01-0.04). Differences were observed between LIT scores and Physician Global Assessment, SELENA-SLEDAI, SDI scores = 0 (P cultural invariability across countries. They suggest that LIT can be used in routine clinical practice to evaluate and follow patient-reported outcomes in order to improve patient-physician interaction. © The Author 2017. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com

  3. Risk assessment of chemicals: A central European perspective

    Energy Technology Data Exchange (ETDEWEB)

    Bencko, Vladimir [Institute of Hygiene, 1st Medical Faculty, Charles University, Prague (Czech Republic); Ungvary, Gyoergy [National Institute of Occupational Health, Budapest (Hungary)

    1992-07-01

    During the last four decades in the Czech and Slovak federal Republic (CSFR) and Hungary, similar to the previous Soviet Union and all the Central and East European countries the prevention of the adverse health effects of chemicals in occupational and environmental settings, drinking water and food of population was intended to be achieved by determination and compulsory observance of hygienic limit values. From recent political developments it can be expected that due to the decay of the former Warsaw Pact and the related Council for Mutual Economic Assistance (CMEA) the next development of risk assessment will reflect that new situation. The OECD principles of toxicity testing and risk assessment of exposure to chemicals will be sooner or later accepted in principle in the framework of a general economic integration of Central and Eastern European countries with EEC. During the 80s there was a growing feeling of the necessity to harmonize the activities of OECD and CMEA countries in the field of toxicological methodology and approaches to risk assessment of chemicals because of the growing production and mutual trade including transport of industrial and agricultural chemicals. As a contributory factor supporting this effort there was growing cross boundary air and river pollution in Europe. The former Council for Mutual Economic Assistance was an intergovernmental organization of 10 countries with a number of other countries and agencies cooperating with it in its work. CMEA as, and OECD still is concerned primarily with economic development but both had stated commitments to protecting human health and the environment. To help to mutual understanding and to promote harmonization of above mentioned obligations and commitments of the both organizations United Nation Environment Programme's International Registry of Potentially Toxic Chemicals and The International Programme on Chemical Safety (UNEP/IRPTC/IPCS) convened an International Consultation on

  4. Risk assessment of chemicals: A central European perspective

    International Nuclear Information System (INIS)

    Bencko, Vladimir; Gyoergy Ungvary

    1992-01-01

    During the last four decades in the Czech and Slovak federal Republic (CSFR) and Hungary, similar to the previous Soviet Union and all the Central and East European countries the prevention of the adverse health effects of chemicals in occupational and environmental settings, drinking water and food of population was intended to be achieved by determination and compulsory observance of hygienic limit values. From recent political developments it can be expected that due to the decay of the former Warsaw Pact and the related Council for Mutual Economic Assistance (CMEA) the next development of risk assessment will reflect that new situation. The OECD principles of toxicity testing and risk assessment of exposure to chemicals will be sooner or later accepted in principle in the framework of a general economic integration of Central and Eastern European countries with EEC. During the 80s there was a growing feeling of the necessity to harmonize the activities of OECD and CMEA countries in the field of toxicological methodology and approaches to risk assessment of chemicals because of the growing production and mutual trade including transport of industrial and agricultural chemicals. As a contributory factor supporting this effort there was growing cross boundary air and river pollution in Europe. The former Council for Mutual Economic Assistance was an intergovernmental organization of 10 countries with a number of other countries and agencies cooperating with it in its work. CMEA as, and OECD still is concerned primarily with economic development but both had stated commitments to protecting human health and the environment. To help to mutual understanding and to promote harmonization of above mentioned obligations and commitments of the both organizations United Nation Environment Programme's International Registry of Potentially Toxic Chemicals and The International Programme on Chemical Safety (UNEP/IRPTC/IPCS) convened an International Consultation on

  5. 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

  6. The Cardiology Audit and Registration Data Standards (CARDS), European data standards for clinical cardiology practice

    NARCIS (Netherlands)

    M.R. Flynn (Rachel); C. Barrett (Conor); F.G. Cosio (Francisco); A.K. Gitt (Anselm); L.C. Wallentin (Lars); P. Kearney (Peter); M. Lonergan (Moira); E. Shelley (Emer); M.L. Simoons (Maarten)

    2005-01-01

    textabstractAIMS: Systematic registration of data from clinical practice is important for clinical care, local, national and international registries, and audit. Data to be collected for these different purposes should be harmonized. Therefore, during Ireland's Presidency of the European Union (EU)

  7. Good practices and health policy analysis in European sports stadia: results from the 'Healthy Stadia' project.

    Science.gov (United States)

    Drygas, Wojciech; Ruszkowska, Joanna; Philpott, Matthew; Björkström, Olav; Parker, Mike; Ireland, Robin; Roncarolo, Federico; Tenconi, Maria

    2013-06-01

    Sport plays an important role within society and sports stadia provide significant settings for public health strategies. In addition to being places of mass gathering, stadia are often located in less affluent areas and are traditionally attended by 'harder to reach' communities. Unfortunately sports stadia and the clubs they host are rarely perceived as places that promote healthy lifestyles. Fast food, alcohol and tobacco are commonly advertized, served and consumed during sports games giving the spectators and TV fans contradictory messages concerning healthy choices. As part of a wider programme of work part-funded by the European Union, a study was therefore designed to explore current 'good practice' relating to positive health interventions in sports stadia across a number of European countries. Using a specially designed questionnaire, information about health policies and good practices relating to food offerings in stadia, physical activity promotion among local communities, tobacco policy, positive mental health initiatives, environmental sustainability practices and social responsibility policies were collected in 10 European countries (England and Northern Ireland, Finland, Georgia, Greece, Ireland, Italy, Latvia, Poland, Spain and Sweden) involving 88 stadia. The audit results show that stadia health policies differ considerably between specific countries and sports. Based on the literature analysed, the examples of good practices collected through the study, and the subsequent instigation of a European Healthy Stadia Network, it shows that there is considerable potential for stadia to become health promoting settings.

  8. Anaesthetic and ICU management of aneurysmal subarachnoid haemorrhage: a survey of European practice.

    Science.gov (United States)

    Velly, Lionel J; Bilotta, Federico; Fàbregas, Neus; Soehle, Martin; Bruder, Nicolas J; Nathanson, Michael H

    2015-03-01

    Many aspects of the perioperative management of aneurysmal subarachnoid haemorrhage (SAH) remain controversial. It would be useful to assess differences in the treatment of SAH in Europe to identify areas for improvement. To determine the clinical practice of physicians treating SAH and to evaluate any discrepancy between practice and published evidence. An electronic survey. Physicians identified through each national society of neuroanaesthesiology and neurocritical care. A 31-item online questionnaire was distributed by the ENIG group. Questions were designed to investigate anaesthetic management of SAH and diagnostic and treatment approaches to cerebral vasospasm. The survey was available from early October to the end of November 2012. Completed surveys were received from 268 respondents, of whom 81% replied that aneurysm treatment was conducted early (within 24 h). Sixty-five percent of centres treated more than 60% of SAH by coiling, 19% had high-volume clipping (>60% of aneurysms clipped) and 16% used both methods equally. No clear threshold for arterial blood pressure target was identified during coiling, temporary clipping or in patients without vasospasm after the aneurysm had been secured. Almost all respondents used nimodipine (97%); 21% also used statins and 20% used magnesium for prevention of vasospasm. A quarter of respondents used intra-arterial vasodilators alone, 5% used cerebral angioplasty alone and 48% used both endovascular methods to treat symptomatic vasospasm. In high-volume clipping treatment centres, 58% of respondents used endovascular methods to manage vasospasm compared with 86% at high-volume coiling treatment centres (P practice patterns of European physicians involved in early treatment of SAH. Significant differences were noted among countries and between high and low-volume coiling centres.

  9. Patient Assessment Skills Pertinent to Practicing Pharmacists

    Directory of Open Access Journals (Sweden)

    Jennifer A. Wilson

    2015-01-01

    Full Text Available Objectives: To describe pharmacists’ opinions regarding which patient assessment skills are necessary to understand and/or perform to provide optimal patient care in pharmacy practice. Methods: An online questionnaire was distributed to pharmacists licensed in North Carolina (n=14,167, as identified by the Board of Pharmacy. The 80 patient assessment items in the questionnaire were derived from a course text book and faculty experience. Participants indicated whether they “need to understand and be able to perform”, “need to understand only”, or “not need to understand or be able to perform” each item in their current practice setting. Descriptive statistics were used to describe background demographics and perceived need for each item. Post-hoc chi-square analyses were performed to determine differences in need based on practice setting and Pharm.D. degree completion. Results: Of 1036 responses received, 770 were used in data analysis; incomplete questionnaires and non-practicing pharmacist responses were excluded. Fifty-nine percent of respondents held a Pharm.D. degree. Participants identified their practice site(s as inpatient (29%, outpatient (16%, community/retail (50%, long term care (5%, and other (8%. The top five patient assessment items respondents identified as important to understand and perform included automatic blood pressure measurement (63%, point of care testing (57%, manual blood pressure measurement (53%, heart rate measurement (52%, and peak flow meter use (47%. Post-hoc analyses showed a significant difference among those with a Pharm.D. versus those without for the response “need to understand and be able to perform” for 20 patient assessment items; a significant difference was also noted among practice settings for 29 items. Conclusions: The top items pharmacists identified they need to both understand and perform could be applied in various practice settings. The study results may guide which patient

  10. Development of European creep crack growth testing code of practice for industrial specimens

    Energy Technology Data Exchange (ETDEWEB)

    Dogan, B.; Nikbin, K. [Imperial College, London (United Kingdom); Petrovski, B. [Technische Univ. Darmstadt (DE). Inst. fuer Werkstoffkunde (IFW)

    2004-07-01

    The integrity and residual life assessment of high temperature components require defects, detected or assumed to exist, through minimum allowable limits of detectable flaws using nondestructive testing methods. It relies on information obtained from the material's mechanical, uniaxial creep, creep crack initiation and growth properties. The information derived from experiments needs to be validated and harmonised following a Code of Practice that data variability between different institutions can be reduced to a minimum. The present paper reports on a Code of Practice (CoP) being prepared within the framework of the partially European Commission funded project CRETE. The novel aspect of the presented CoP is the inclusion of component relevant industrial specimen geometries. It covers testing and analysis of Creep Crack growth (CCG) in metallic materials at elevated temperature using six different cracked geometries that have been validated in. It aims to give advice on testing, measurements and analysis of creep crack growth data for a range of creep brittle to creep ductile materials using component service relevant specimen geometries and sizes. The CoP may be used for material selection criteria and inspection requirements for damage tolerant applications. In quantitative terms, these types of tests can be used to assess the individual and combined effects of metallurgical, fabrication, operating temperature, and loading conditions on creep crack growth life. Further issues will be addressed including material properties, damage and crack growth related constraint effect, stress relaxation and stress-strain fields, residual stresses, partitioning displacement, analysis of elasticcreep, elastic compliance measurements.

  11. The 'grey' assessment practice of IA screening

    DEFF Research Database (Denmark)

    Bidstrup, Morten

    2017-01-01

    Research focusing on the practices surrounding screening in Impact Assessment (IA) is limited. Yet, it has been found that development proposals sometimes are adjusted through an informal dialog with IA practitioners prior to or during screening. Such practice is often referred to as ‘grey IA......’ in Denmark. This article explores the prevalence, influence and applied rationale of grey IA. Through a questionnaire, data was collected from 121 IA practitioners working within the fields of environmental impact assessment and strategic environmental assessment. It was found that grey IA is a common...... practice, which influences the outcomes of formal screening procedures through consideration of impacts on neighbours and spatial zones of protection. Grey IA is to some extent motivated by the opportunity to save the resources required for full-scale IA, but an additional ‘green’ rationale also exists...

  12. Towards e-Government project assessment: European approach

    Directory of Open Access Journals (Sweden)

    Pavel Mates

    2013-06-01

    Full Text Available The objective of the paper is to analyse current approaches to the assessment of e-Government projects as the specifi c public projects and to suggest how to improve these approaches in order to eliminate their shortcomings. The nonnormative theoretical methods are used to analyse empirical results of previous researches; particularly the deduction method is used to prove that current approaches to the evaluation of e-Government projects have some inequalities, the analogy and comparison methods are used to create general typology of e-Government projects and the induction method is used to seek examples of the indicators and metrics. The results are based on analysis of extensive amount of e-Government projects, which have been realized in different European countries in the past twenty years. The basic result of the research is creation of the ten most common types of e-Government projects typology. The fundamental conclusion obtained from the results of this research is that this typology can be used as the core of new E-Government General Assessment Framework, which eliminates problems of previous approaches, allows adjusting metrics and indicators to each type of projects, keeps comparability of results and thus making possible the use of benchmarking methods.

  13. Patient empowerment, an additional characteristic of the European definitions of general practice/family medicine.

    Science.gov (United States)

    Mola, Ernesto

    2013-06-01

    Growing evidence supports the inclusion of patient empowerment as a key ingredient of care for patients with chronic conditions. In recent years, several studies based on patient empowerment, have been carried out in different European countries in the context of general practice and primary care to improve management of chronic diseases. These studies have shown good results of the care model, increasing patient and health professionals' satisfaction, adherence to guidelines and to treatment, and improving clinical outcomes. In 2011, the Wonca European Council included as the twelfth characteristic of the European definitions of general practice/family medicine: 'promote patient empowerment'. The aim of this paper is to clarify the meaning of 'patient empowerment' and to explain why family medicine should be considered the most suitable setting to promote it. The inclusion of patient empowerment as one of the essential characteristics of general practice fills a conceptual gap and clearly suggests to the European health care systems a tested model to face chronic diseases: involving and empowering patients in managing their own conditions to improve health and well-being.

  14. European utility requirements (EUR) volume 3 assessment for AP1000

    International Nuclear Information System (INIS)

    Saiu, G.; Demetri, K.J.

    2005-01-01

    The EUR (European Utility Requirements) Volume 3 is intended to report the Plant Description, the Compliance Assessment to EUR Volumes 1 and 2, and finally, the Specific Requirements for each specific Nuclear Power Plant Design considered by the EUR. Five subsets of EUR Volume 3, based on EUR Revision B, are already published; all of which are next generation plant designs being developed for Europe beyond 2000. They include : 1) EP1000 - Passive Pressurized Light Water Reactor (3-Loop, 1000 MWe) 2) EPR - Evolutionary Pressurized Light Water Reactor (1500 MWe) 3) BWR90/90+ - Evolutionary Boiling Water Reactor (1400 MWe) 4) ABWR - Evolutionary Boiling Water Reactor (1400 MWe) 5) SWR 1000 - Boiling Water Reactor With Passive Features (1000 MWe) In addition, the following subsets are currently being developed: 1) AP1000 - Passive Pressurized Light Water Reactor (2-Loop, 1117 MWe) 2) VVER AES 92 - Pressurized Water Reactor With Passive Features (1000 MWe) The purpose of this paper is to provide an overview of the program, which started in January 2004 with the EUR group to prepare an EUR Volume 3 Subset for the AP1000 nuclear plant design. The AP1000 EUR compliance assessment, to be performed against EUR Revision C requirements, is an important step for the evaluation of the AP1000 design for application in Europe. The AP1000 compliance assessment is making full use of AP1000 licensing documentation, EPP Phase 2 design activities and EP1000 EUR detailed compliance assessment. As of today, nearly all of the EUR Chapters have been discussed within the EUR Coordination Group. Based on the results of the compliance assessment, it can be stated that the AP1000 design shows a good level of compliance with the EUR Revision C requirements. Nevertheless, the compliance assessment has highlighted areas for where the AP1000 plant deviates from the EUR. The EPP design group has selected the most significant ones for performing detailed studies to quantify the degree of compliance

  15. Water chemistry control practices and data of the European BWR fleet

    International Nuclear Information System (INIS)

    Stellwag, B.; Laendner, A.; Weiss, S.; Huettner, F.

    2010-01-01

    Nineteen BWR plants are in operation in Europe, nine built by ASEA Atom, six by Siemens KWU and four by General Electric. This paper gives an overview of water chemistry operation practices and parameters of the European BWR plants. General design characteristics of the plants are described. Chemistry control strategies and underlying water chemistry guidelines are summarized. Chemistry data are presented and discussed with regard to plant design characteristics. The paper is based on a contract of the European BWR Forum with AREVA on a chemistry sourcebook for member plants. The survey of chemistry data was conducted for the years 2002 to 2008. (author)

  16. The new European Competence Centre for Moor and Climate - A European initiative for practical peat bog and climate protection

    Science.gov (United States)

    Smidt, Geerd; Tänzer, Detlef

    2013-04-01

    The new European Competence Centre for Moor and Climate (EFMK) is an initiative by different local communities, environmental protection NGOs, agricultural services, and partners from the peat and other industries in Lower Saxony (Germany). The Centre aims to integrate practical peat bog conservation with a focus on green house gas emission after drainage and after water logging activities. Together with our partners we want to break new ground to protect the remaining bogs in the region. Sphagnum mosses will be produced in paludiculture on-site in cooperation with the local peat industry to provide economic and ecologic alternatives for peat products used in horticulture business. Land-use changes are needed in the region and will be stimulated in cooperation with agricultural services via compensation money transfers from environmental protection funds. On a global scale the ideas of Carbon Credit System have to be discussed to protect the peat bogs for climate protection issues. Environmental education is an important pillar of the EFMK. The local society is invited to explore the unique ecosystem and to participate in peat bog protection activities. Future generations will be taught to understand that the health of our peat bogs is interrelated with the health of the local and global climate. Besides extracurricular classes for schools the centre will provide infrastructure for Master and PhD students, as well for senior researchers for applied research in the surrounding moor. International partners in the scientific and practical fields of peat bog ecology, renaturation, green house gas emissions from peat bogs, and environmental policy are invited to participate in the European Competence Center for Moor and Climate.

  17. Environmental impact assessment of european non-ferro mining industries through life-cycle assessment

    Science.gov (United States)

    Hisan Farjana, Shahjadi; Huda, Nazmul; Parvez Mahmud, M. A.

    2018-05-01

    European mining industries are the vast industrial sector which contributes largely on their economy which constitutes of ferro and non-ferro metals and minerals industries. The non-ferro metals extraction and processing industries require focus of attention due to sustainability concerns as their manufacturing processes are highly energy intensive and impacts globally on environment. This paper analyses major environmental effects caused by European metal industries based on the life-cycle impact analysis technologies. This research work is the first work in considering the comparative environmental impact analysis of European non-ferro metal industries which will reveal their technological similarities and dissimilarities to assess their environmental loads. The life-cycle inventory datasets are collected from the EcoInvent database while the analysis is done using the CML baseline and ReCipe endpoint method using SimaPro software version 8.4. The CML and ReCipe method are chosen because they are specialized impact assessment methods for European continent. The impact categories outlined for discussion here are human health, global warming and ecotoxicity. The analysis results reveal that the gold industry is vulnerable for the environment due to waste emission and similar result retained by silver mines a little bit. But copper, lead, manganese and zinc mining processes and industries are environment friendly in terms of metal extraction technologies and waste emissions.

  18. Natura 2000 appropriate assessment: Shortcomings and improvements in Finnish practice

    International Nuclear Information System (INIS)

    Soederman, Tara

    2009-01-01

    The EU Habitats Directive 92/43/EEC requires impact assessments called Appropriate Assessments (AA) for plans and projects probably having adverse effects on the sites of European ecological importance, Natura 2000 sites. Seventy-three Appropriate Assessment reports and seventy official opinions given on them by regional environmental authorities from 1997 to 2005 were reviewed. The findings of the study demonstrate typical shortcomings of ecological impact assessment: a weak information basis for assessment outcomes and lack of proper cumulative impact assessment with respect to ecological structures and processes. The quality of reporting has improved over time with respect to direct impacts on individual habitat types and species and detailed mitigation measures. Regional environment centres considered one fifth of the AA reports to be inadequate because of lacking data. In most cases the regional environment centres demanded a change of plan or project, added mitigation measures, choice of only one alternative for further planning or a new completed assessment with additional information in order to be able to evaluate the significance of the effects. The study underlines the need for iterative planning practices in which the preparation of a plan or project with alternative options goes hand in hand with the impact assessment equipped with sufficient data

  19. Assessment of pharmaceutical care practices of community ...

    African Journals Online (AJOL)

    We undertook to assess the pharmaceutical care practices of community pharmacists in patients with co-morbidity of hypertension and diabetes in Delta State. A seventeen item questionnaire consisting of 5 points response scale was developed and administered to pharmacists in the community setting. The questionnaire ...

  20. Student Teachers' Perceptions towards Teaching Practice Assessment

    Science.gov (United States)

    Chireshe, R.; Chireshe, E.

    2010-01-01

    The study investigated the perceptions of student teachers towards teaching practice assessment. Participants N=180:90 males, 90 females were randomly drawn from three primary school teachers' colleges in Masvingo Educational Region of Zimbabwe. A questionnaire was used to gather data from the respondents. A chi-square test was used to analyse the…

  1. Anesthesia Practice and Clinical Trends in Interventional Radiology: A European Survey

    International Nuclear Information System (INIS)

    Haslam, Philip J.; Yap, Bernard; Mueller, Peter R.; Lee, Michael J.

    2000-01-01

    Purpose: To determine current European practice in interventional radiology regarding nursing care, anesthesia, and clinical care trends.Methods: A survey was sent to 977 European interventional radiologists to assess the use of sedoanalgesia, nursing care, monitoring equipment, pre- and postprocedural care, and clinical trends in interventional radiology. Patterns of sedoanalgesia were recorded for both vascular and visceral interventional procedures. Responders rated their preferred level of sedoanalgesia for each procedure as follows: (a) awake/alert, (b) drowsy/arousable, (c) asleep/arousable, (d) deep sedation, and (e) general anesthesia. Sedoanalgesic drugs and patient care trends were also recorded. A comparison was performed with data derived from a similar survey of interventional practice in the United States.Results: Two hundred and forty-three of 977 radiologists responded (25%). The total number of procedures analyzed was 210,194. The majority (56%) of diagnostic and therapeutic vascular procedures were performed at the awake/alert level of sedation, 32% were performed at the drowsy/arousable level, and 12% at deeper levels of sedation. The majority of visceral interventional procedures were performed at the drowsy/arousable level of sedation (41%), 29% were performed at deeper levels of sedation, and 30% at the awake/alert level. In general, more sedoanalgesia is used in the United States. Eighty-three percent of respondents reported the use of a full-time radiology nurse, 67% used routine blood pressure/pulse oximetry monitoring, and 46% reported the presence of a dedicated recovery area. Forty-nine percent reported daily patient rounds, 30% had inpatient hospital beds, and 51% had day case beds.Conclusion: This survey shows clear differences in the use of sedation for vascular and visceral interventional procedures. Many, often complex, procedures are performed at the awake/alert level of sedation in Europe, whereas deeper levels of sedation are

  2. Practical considerations in voltage stability assessment

    Energy Technology Data Exchange (ETDEWEB)

    Kundur, P; Gao, B [Powertech Labs. Inc., Surrey, BC (Canada)

    1994-12-31

    This paper deals with some of the most important practical issues related to voltage stability assessment of large practical systems. A brief discussion of the practical aspects of voltage stability problem and prevention of voltage instability is given first, followed by descriptions of different analytical techniques and tools for voltage stability analysis. Presentations of analytical tools is focused on the VSTAB program which incorporates the modal analysis, continuation power flow, and shortest distance to instability techniques, Finally, an example case study of a practical large system is presented. The case study illustrates how modal analysis is used to determine the most effective load shedding scheme for preventing voltage instability. (author) 15 refs., 2 figs., 2 tabs.

  3. Assessment of dementia in ethnic minority patients in Europe: a European Alzheimer's Disease Consortium survey

    DEFF Research Database (Denmark)

    Nielsen, T Rune; Vogel, Asmus; Riepe, Matthias W

    2011-01-01

    In most European countries the ethnic minority migrant populations are currently reaching an age where dementia becomes an increasingly important issue. There is no European consensus on good clinical practice with these patient groups, who often have special needs and expectations with regard...... to dementia services....

  4. FORMATIVE ASSESSMENT IN EFL CLASSROOM PRACTICES

    Directory of Open Access Journals (Sweden)

    Ida Ayu Made Sri Widiastuti

    2017-03-01

    Full Text Available This study investigated the challenges and opportunities of formative assessment in EFL classes. It made use of qualitative research design by using indepth interviews to collect the required data. Three teachers and three students were involved as research participants in this study and they were intensively interviewed to get valid and reliable data regarding their understanding of formative assessment and the follow up actions they took after implementing formative assessment. The results of this study showed that the English teachers were found not to take appropriate follow up actions due to their low understanding of formative assessment. The teachers’ understanding could influence their ability in deciding the actions. This study indicates that EFL teachers need urgent further intensive training on the appropriate implementation of formative assessment and how follow up actions should be integrated into classroom practices

  5. Roadside Infrastructure for Safer European Roads (RISER) D06: European Best Practice for Roadside Design: Guidelines for Roadside Infrastructure on New and Existing Roads

    NARCIS (Netherlands)

    Thomson, R.; Fagerlind, H.; Martinez, A.V.; Amenguel, A.; Naing, C.; Hill, J.; Hoschopf, H.; Dupré, G.; Bisson, O.; Kelkka, M.; Horst, A.R.A. van der; Garcia, J.

    2006-01-01

    The European Commission Directorate General for Transportation and Energy (DGTREN) sponsored a research project to investigate the best practice guidelines for roadside infrastructure. The RISER consortium has compiled the following document which is a synthesis of existing practice in Europe with

  6. Medical research in emergency research in the European Union member states: tensions between theory and practice.

    Science.gov (United States)

    Kompanje, Erwin J O; Maas, Andrew I R; Menon, David K; Kesecioglu, Jozef

    2014-04-01

    In almost all of the European Union member states, prior consent by a legal representative is used as a substitute for informed patient consent for non-urgent medical research. Deferred (patient and/or proxy) consent is accepted as a substitute in acute emergency research in approximately half of the member states. In 12 European Union member states emergency research is not mentioned in national law. Medical research in the European Union is covered by the Clinical Trial Directive 2001/20/EC. A proposal for a regulation by the European Commission is currently being examined by the European Parliament and the Council and will replace Directive 2001/20/EC. Deferred patient and/or proxy consent is allowed in the proposed regulation, but does not fit completely in the practice of emergency research. For example, deferred consent is only possible when legal representatives are not available. This criterion will delay inclusion of patients in acute life-threatening conditions in short time frames. As the regulation shall be binding in its entirety in all member states, emergency research in acute situations is still not possible as it should be.

  7. Outcome measures in European patients with haemophilia: Survey of implementation in routine clinical practice, perception of relevance and recommendations by European treaters in the EHTSB.

    Science.gov (United States)

    Hermans, C; Klamroth, R; Richards, M; de Moerloose, P; Garrido, R P

    2017-03-01

    This study was conducted to evaluate the current implementation of outcome measures in routine clinical haemophilia practice and to explore and appreciate the perception of the relevance of such measures by treaters. A survey was completed by 19 of the 26 physicians involved in the European Haemophilia Therapy Strategy Board (EHTSB). Employing an extensive inventory of outcome measures used in patients with haemophilia, information was collected about the frequency of data collection and the subjective appreciation of their importance during clinic review. The survey revealed that most treaters currently collect data that are mainly related to the haemostatic treatment (consumption of concentrates) and the bleeding symptoms (number and location of bleeds) in a non-uniform and non-standardized way. By contrast, functional, physical and quality of life scorings are rarely used and show considerable heterogeneity between treaters. Also, many disparities emerged between practice and perception, in particular quality of life data that are perceived as being important but for most of the time are not collected. This survey represents, in our view, the first attempt to evaluate the actual utilization of outcome measures in haemophilia care. While the value of outcome measures is appreciated, they are not assessed regularly. Therefore, there is a need to include appropriate performance indicators (outcome measures) of haemophilia care in routine clinical practice. Consensus recommendations to provide a framework for achieving this aim are provided. © 2016 John Wiley & Sons Ltd.

  8. A practical approach to programmatic assessment design.

    Science.gov (United States)

    Timmerman, A A; Dijkstra, J

    2017-12-01

    Assessment of complex tasks integrating several competencies calls for a programmatic design approach. As single instruments do not provide the information required to reach a robust judgment of integral performance, 73 guidelines for programmatic assessment design were developed. When simultaneously applying these interrelated guidelines, it is challenging to keep a clear overview of all assessment activities. The goal of this study was to provide practical support for applying a programmatic approach to assessment design, not bound to any specific educational paradigm. The guidelines were first applied in a postgraduate medical training setting, and a process analysis was conducted. This resulted in the identification of four steps for programmatic assessment design: evaluation, contextualisation, prioritisation and justification. Firstly, the (re)design process starts with sufficiently detailing the assessment environment and formulating the principal purpose. Key stakeholders with sufficient (assessment) expertise need to be involved in the analysis of strengths and weaknesses and identification of developmental needs. Central governance is essential to balance efforts and stakes with the principal purpose and decide on prioritisation of design decisions and selection of relevant guidelines. Finally, justification of assessment design decisions, quality assurance and external accountability close the loop, to ensure sound underpinning and continuous improvement of the assessment programme.

  9. European Society of Cardiology Council for Cardiology Practice worldwide survey of transcatheter aortic valve implantation beliefs and practices.

    Science.gov (United States)

    Asteggiano, Riccardo; Bramlage, Peter; Richter, Dimitrios J

    2018-04-01

    Background Transcatheter aortic valve implantation (TAVI) continues to gain popularity in the management of patients with severe aortic stenosis (SAS). Distribution of resources to maximise appropriate use remains a priority. Design & methods To determine the current perceptions and behaviours regarding SAS patient management, an 18-point multiple-choice questionnaire was distributed to European Society of Cardiology (ESC) Council for Cardiology Practice (CCP) e-journal and/or electronic newsletter subscribers. Respondents to all questions were considered. Sub-analyses based on respondent age, practice setting and geographical location were performed. Results Of 1245 full respondents, 41.5% were aged ≥ 51 years, 22.7% were aged 41-50 years and 35.8% were aged ≤ 40 years. The majority were located in Europe (77.5%), followed by Asia/Oceania (11.6%), America (7.6%) and Africa (3.4%). In-hospital and out-of-hospital cardiologists accounted for 57.4% of and 28.5% of the sample, respectively, with the remainder being general practitioners/other. The majority of respondents (70.1%) claimed to diagnose between one and five cases of SAS per month. Free access to TAVI was reported by 41.2%, being less common for those aged ≤ 40 years (32.7%; p < 0.001), those located in Asia/Oceania, America and Africa (20.1%, 18.1% and 2.4%, respectively; p < 0.01 in each case) and in-hospital compared to out-of-hospital cardiologists (35.7% vs. 54.5%, respectively; p < 0.001). The most common reason for not referring a patient for an aortic valve intervention was assessment that the patient was high risk/non-operable (55.5%), followed by short life expectancy (30.5%). The most common reason for referring a patient for TAVI over surgical replacement was surgical risk score (56.9%). The most commonly perceived main complication of TAVI was stroke (28.9%), while the most frequently selected main benefit was improvement in quality of life (37.2%). A high

  10. Qualification Needs, Approaches and Strategies in the Second-Hand Sector A European Good Practice Report

    OpenAIRE

    Arold, Heike

    2008-01-01

    Against the background of changing consumer behaviour and environmental policies, a growing second-hand sector is expected. In order to ensure quality and professionalism within companies operating in this sector, it is necessary to develop a unified Europe-wide and sector-specific qualification which is geared to real working processes and requirements. This good practice report describes the training and qualification structures in the European second-hand sector. In addition, occupational ...

  11. Water Consumption in European Children: Associations with Intake of Fruit Juices, Soft Drinks and Related Parenting Practices.

    Science.gov (United States)

    Mantziki, Krystallia; Renders, Carry M; Seidell, Jaap C

    2017-05-31

    Background : High intake of fruit juices and soft drinks contributes to excessive weight gain and obesity in children. Furthermore, parenting practices play an important role in the development of children's dietary habits. The way parents play this role in the development of their children's choices of beverages is still unclear. Objectives : To study the associations: (1) of both fruit juices and soft drinks consumption with water consumption of children and (2) The associations between parenting practices towards fruit juices and soft drinks and water consumption of children. Design : Cross-sectional data from 6 to 8 year old children from seven European communities ( n = 1187) were collected. Associations among fruit juices, soft drinks, the respective parenting practices and the child's water consumption were assessed by parental questionnaires. Results : The consumption of water was inversely associated with that of soft drinks but not with the consumption of fruit juices. The child's water intake was favorably influenced when stricter parenting practices towards soft drinks were adopted (e.g., less parental allowance, low home availability and high parental self-efficacy in managing intake). There was less influence observed of parenting practices towards fruit juices. Fruit juices were consumed more often than soft drinks. Conclusions : Low consumption of soft drinks-and not of fruit juices-was associated with high water consumption in children in the current study. Moreover, parenting practices towards both fruit juices and soft drinks were associated with the water intake of the children, irrespective of their socio-economic status.

  12. Development of archetypes for non-ranking classification and comparison of European National Health Technology Assessment systems.

    Science.gov (United States)

    Allen, Nicola; Pichler, Franz; Wang, Tina; Patel, Sundip; Salek, Sam

    2013-12-01

    European countries are increasingly utilising health technology assessment (HTA) to inform reimbursement decision-making. However, the current European HTA environment is very diverse, and projects are already underway to initiate a more efficient and aligned HTA practice within Europe. This study aims to identify a non-ranking method for classifying the diversity of European HTA agencies process and the organisational architecture of the national regulatory review to reimbursement systems. Using a previously developed mapping methodology, this research created process maps to describe national processes for regulatory review to reimbursement for 33 European jurisdictions. These process maps enabled the creation of 2 HTA taxonomic sets. The confluence of the two taxonomic sets was subsequently cross-referenced to identify 10 HTA archetype groups. HTA is a young, rapidly evolving field and it can be argued that optimal practices for performing HTA are yet to emerge. Therefore, a non-ranking classification approach could objectively characterise and compare the diversity observed in the current European HTA environment. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  13. EFSA (European Food Safety Authority), 2016. Dietary exposure assessment to pyrrolizidine alkaloids in the European population

    DEFF Research Database (Denmark)

    Petersen, Annette

    Chronic and acute dietary exposure to pyrrolizidine alkaloids (PAs) was estimated in the European population via the consumption of plant-derived foods. This resulted in highest estimates of mean chronic dietary exposure of 34.5–48.4 ng/kg body weight (bw) per day in ‘Toddlers’ (LB–UB) and 154...

  14. Exchange of information in the field of direct taxation in the European Union Law and in the practice of the European Court of Justice

    Directory of Open Access Journals (Sweden)

    Cvjetković Cvjetana

    2014-01-01

    Full Text Available This paper is dedicated to one form of mutual assistance in tax matters in the field of direct taxation - the exchange of information which in terms of the functioning of the single market of the European Union is gaining more importance. This paper also presents new solutions of Directive 2011/16/EU. Special attention in this paper is focused on the practice of the European Court of Justice in the area of the exchange of information.

  15. Application of biomarkers to assess the condition of European Marine Sites

    Energy Technology Data Exchange (ETDEWEB)

    Hagger, Josephine A., E-mail: j.hagger@exeter.ac.u [School of Biosciences, University of Exeter, Prince of Wales Road, Exeter, Devon EX4 4PS (United Kingdom); Galloway, Tamara S. [School of Biosciences, University of Exeter, Prince of Wales Road, Exeter, Devon EX4 4PS (United Kingdom); Langston, William J. [Marine Biological Association, Citadel Hill, Plymouth PL1 2PB, Devon (United Kingdom); Jones, Malcolm B. [School of Biological Sciences, University of Plymouth, Drake Circus, Plymouth PL4 8AA, Devon (United Kingdom)

    2009-07-15

    A series of European Marine Sites has been designated as Special Areas of Conservation (SAC) in England. The aim of this study was to develop a practical methodology to assess the condition of SACs by applying a suite of biomarkers. Biomarkers were applied to the blue mussel Mytilus edulis and the shore crab Carcinus maenas from the Fal and Helford SAC (Cornwall). Individual biomarkers provided useful diagnostic information on the activity of certain classes of contaminants and an integrated Biomarker Response Index (BRI) was used to achieve a more holistic understanding of the condition of the SAC. The BRI indicated that the general health of both organisms was impacted in the upper part of the SAC (Fal Estuary) which correlated well with known chemical hotspots and sources of contamination. The BRI allows a pragmatic way to prioritise SAC sites that may require further investigative studies. - A suite of biomarkers was successfully used to create a Biomarker Response Index to assess the health of aquatic organisms from European Marine Sites.

  16. Application of biomarkers to assess the condition of European Marine Sites

    International Nuclear Information System (INIS)

    Hagger, Josephine A.; Galloway, Tamara S.; Langston, William J.; Jones, Malcolm B.

    2009-01-01

    A series of European Marine Sites has been designated as Special Areas of Conservation (SAC) in England. The aim of this study was to develop a practical methodology to assess the condition of SACs by applying a suite of biomarkers. Biomarkers were applied to the blue mussel Mytilus edulis and the shore crab Carcinus maenas from the Fal and Helford SAC (Cornwall). Individual biomarkers provided useful diagnostic information on the activity of certain classes of contaminants and an integrated Biomarker Response Index (BRI) was used to achieve a more holistic understanding of the condition of the SAC. The BRI indicated that the general health of both organisms was impacted in the upper part of the SAC (Fal Estuary) which correlated well with known chemical hotspots and sources of contamination. The BRI allows a pragmatic way to prioritise SAC sites that may require further investigative studies. - A suite of biomarkers was successfully used to create a Biomarker Response Index to assess the health of aquatic organisms from European Marine Sites.

  17. Assessing construction innovation: theoretical and practical perspectives

    Directory of Open Access Journals (Sweden)

    Peter Davis

    2016-09-01

    Full Text Available Innovation is key for productivity improvement and advancements in different sectors of the economy, including the construction sector.  The criticism of the slow pace of innovation in construction industry may be unwarranted, considering the structure of the industry and nature of the construction business.  The loosely coupled nature of firms, mostly Small and Medium Enterprises (SME’s, delivering ‘projects’ through partial engagement, together with the distinction between the project innovation and firm innovation makes it difficult to extract innovations in a meaningful way.  The problem also lies in conceptualising, defining, articulating and assessing innovation in construction.  The literature is replete with research into construction innovation, however, there is limited research into understanding how innovation is perceived and narrated in practice.  The paper aims to explore how innovation is assessed and narrated in construction, specifically analysing theory and practice perspectives.  A theoretical model was constructed from a structured literature review illustrating existing discourse and narratives of construction innovation assessment.  A qualitative analysis of ‘Professional Excellence in Building’ submission documents to the Australian Institute of Building was performed to identify the practice perspective of innovation.  The findings suggest that internal organizational and process innovation account for the majority of improvements identified.  Importantly a taxonomy of narrative is developed that articulates how the construction industry in Australia views industry innovation.

  18. Patient-reported outcomes among patients using exenatide twice daily or insulin in clinical practice in six European countries

    DEFF Research Database (Denmark)

    Reaney, Matthew; Mathieu, Chantal; Ostenson, Claes-Göran

    2013-01-01

    who did not meet this endpoint) and Diabetes Health Profile-18 scores (versus the main cohorts). High levels of missing data were observed for all PRO measures in both cohorts compared with those for clinical outcomes. CONCLUSIONS: These data from a clinical practice study support those from clinical...... clinical practice are lacking. We examined PROs in patients initiating injectable treatment in the CHOICE (CHanges to treatment and Outcomes in patients with type 2 diabetes initiating InjeCtablE therapy) study. METHODS: CHOICE was a 24-month, prospective observational study conducted in six European......BACKGROUND: Improvements in the clinical condition of patients with type 2 diabetes are often accompanied by improvements in health-related quality of life and other patient-reported outcomes (PROs), but data assessing injectable treatment initiation from the patient's perspective in routine...

  19. A practice-theory approach of homeowners’ energy retrofits in four European areas

    DEFF Research Database (Denmark)

    Bartiaux, Franise Bartiaux; Gram-Hanssen, Kirsten; Fonseca, Paula

    2014-01-01

    This article examines whether and how energy retrofitting of owner-occupied dwellings can be understood within the framework of social practice theories. Practice theories help to shift the focus towards more collective approaches and practices, rather than towards individuals. In addressing...... this question, energy retrofits are described and their variability compared in four European areas: Denmark, Latvia, the Coimbra area in Portugal and Wallonia in Belgium. Although these areas have different geographical, cultural and housing contexts, the Energy Performance of Buildings Directive (EPBD......) provides a common form of regulation. As a policy, its main underlying intention is to promote the opportunities for energy retrofitting. Based on an analysis of 60 in-depth interviews with homeowners, it is found that energy retrofitting is not an integrative practice in 2010, despite the EPBD and other...

  20. Overview of eutrophication indicators to assess environmental status within the European Marine Strategy Framework Directive

    Science.gov (United States)

    Ferreira, João G.; Andersen, Jesper H.; Borja, Angel; Bricker, Suzanne B.; Camp, Jordi; Cardoso da Silva, Margarida; Garcés, Esther; Heiskanen, Anna-Stiina; Humborg, Christoph; Ignatiades, Lydia; Lancelot, Christiane; Menesguen, Alain; Tett, Paul; Hoepffner, Nicolas; Claussen, Ulrich

    2011-06-01

    In 2009, following approval of the European Marine Strategy Framework Directive (MSFD, 2008/56/EC), the European Commission (EC) created task groups to develop guidance for eleven quality descriptors that form the basis for evaluating ecosystem function. The objective was to provide European countries with practical guidelines for implementing the MSFD, and to produce a Commission Decision that encapsulated key points of the work in a legal framework. This paper presents a review of work carried out by the eutrophication task group, and reports our main findings to the scientific community. On the basis of an operational, management-oriented definition, we discuss the main methodologies that could be used for coastal and marine eutrophication assessment. Emphasis is placed on integrated approaches that account for physico-chemical and biological components, and combine both pelagic and benthic symptoms of eutrophication, in keeping with the holistic nature of the MSFD. We highlight general features that any marine eutrophication model should possess, rather than making specific recommendations. European seas range from highly eutrophic systems such as the Baltic to nutrient-poor environments such as the Aegean Sea. From a physical perspective, marine waters range from high energy environments of the north east Atlantic to the permanent vertical stratification of the Black Sea. This review aimed to encapsulate that variability, recognizing that meaningful guidance should be flexible enough to accommodate the widely differing characteristics of European seas, and that this information is potentially relevant in marine ecosystems worldwide. Given the spatial extent of the MSFD, innovative approaches are required to allow meaningful monitoring and assessment. Consequently, substantial logistic and financial challenges will drive research in areas such as remote sensing of harmful algal blooms, in situ sensor development, and mathematical models. Our review takes into

  1. Risk Assessment in Finland: Theory and Practice

    Directory of Open Access Journals (Sweden)

    Hannu Anttonen

    2010-09-01

    Full Text Available The Finnish risk assessment practice is based on the Occupational Safety and Health Act aiming to improve working conditions in order maintain the employees' work ability, and to prevent occupational accidents and diseases. In practice there are hundreds of risk assessment methods in use. A simple method is used in SME's and more complex risk evaluation methods in larger work places. Does the risk management function in the work places in Finland? According to our experience something more is needed. That is, understanding of common and company related benefits of risk management. The wider conclusion is that commitment for risk assessment in Finland is high enough. However, in those enterprises where OSH management was at an acceptable level or above it, there were also more varied and more successfully accomplished actions to remove or reduce the risks than in enterprises, where OSH management was in lower level. In risk assessment it is important to process active technical prevention and exact communication, increase work place attraction and increase job satisfaction and motivation. Investments in occupational safety and health are also good business. Low absenteeism due to illness or accidents increases directly the production results by improved quality and quantity of the product. In general Finnish studies have consistently shown that the return of an invested euro is three to seven-old. In national level, according to our calculations the savings could be even 20% of our gross national product.

  2. The European carbon tax: an assessment of the European Commission's proposals

    International Nuclear Information System (INIS)

    Pearson, M.; Smith, Stephen.

    1991-12-01

    After a lengthy internal debate within the European Commission, the Environment Commissioner announced the broad structure of the Commission's proposals for a European carbon tax towards the end of September. The proposed tax would be a combination of a tax on the carbon content of fossil fuels, and a tax on all non-renewable forms of energy. Thus, fossil fuels such as gas, coal and oil would bear a tax comprising two components, one related to their carbon content, the other related to their energy content. Non-renewable forms of energy other than fossil fuels (mainly nuclear power) would be subject to the energy-related part of the tax, but would not bear the carbon component. Overall, the two components would be combined in equal proportions, in the sense that half of the tax on a typical barrel of oil would be related to the carbon component and half to the energy component. (author)

  3. 40 years of biannual family medicine research meetings--the European General Practice Research Network (EGPRN).

    Science.gov (United States)

    Buono, Nicola; Thulesius, Hans; Petrazzuoli, Ferdinando; Van Merode, Tiny; Koskela, Tuomas; Le Reste, Jean-Yves; Prick, Hanny; Soler, Jean Karl

    2013-12-01

    To document family medicine research in the 25 EGPRN member countries in 2010. Semi-structured survey with open-ended questions. Academic family medicine in 23 European countries, Israel, and Turkey. 25 EGPRN national representatives. Demographics of the general population and family medicine. Assessments, opinions, and suggestions. EGPRN has represented family medicine for almost half a billion people and > 300,000 general practitioners (GPs). Turkey had the largest number of family medicine departments and highest density of GPs, 2.1/1000 people, Belgium had 1.7, Austria 1.6, and France 1.5. Lowest GP density was reported from Israel 0.17, Greece 0.18, and Slovenia 0.4 GPs per 1000 people. Family medicine research networks were reported by 22 of 25 and undergraduate family medicine research education in 20 of the 25 member countries, and in 10 countries students were required to do research projects. Postgraduate family medicine research was reported by 18 of the member countries. Open-ended responses showed that EGPRN meetings promoted stimulating and interesting research questions such as comparative studies of chronic pain management, sleep disorders, elderly care, healthy lifestyle promotion, mental health, clinical competence, and appropriateness of specialist referrals. Many respondents reported a lack of interest in family medicine research related to poor incentives and low family medicine status in general and among medical students in particular. It was suggested that EGPRN exert political lobbying for family medicine research. Since 1974, EGPRN organizes biannual conferences that unite and promote primary care practice, clinical research and academic family medicine in 25 member countries.

  4. Synthesis of the european national requirements and practices for recycling in HMA and WMA (DIRECT_MAT PROJECT)

    OpenAIRE

    IPAVEC , Aleksander; Marsac , Paul; Mollenhauer , Konrad

    2012-01-01

    The purpose of the 2009-2011 European project DIsmantling and RECycling Techniques for road MATerials is to contribute to the waste minimization in road maintenance and construction by sharing and disseminating, at a European level, the national know-how and sustainable practices regarding the dismantling of the pavements and the recycling of the reclaimed materials. In the framework of the DIRECT_MAT subproject Asphalt materials, the present paper gives a broad overview of the European polic...

  5. Rationale and methods of the European Study on Cardiovascular Risk Prevention and Management in Daily Practice (EURIKA

    Directory of Open Access Journals (Sweden)

    Jiménez Francisco

    2010-06-01

    Full Text Available Abstract Background The EURIKA study aims to assess the status of primary prevention of cardiovascular disease (CVD across Europe. Specifically, it will determine the degree of control of cardiovascular risk factors in current clinical practice in relation to the European guidelines on cardiovascular prevention. It will also assess physicians' knowledge and attitudes about CVD prevention as well as the barriers impeding effective risk factor management in clinical practice. Methods/Design Cross-sectional study conducted simultaneously in 12 countries across Europe. The study has two components: firstly at the physician level, assessing eight hundred and nine primary care and specialist physicians with a daily practice in CVD prevention. A physician specific questionnaire captures information regarding physician demographics, practice settings, cardiovascular prevention beliefs and management. Secondly at the patient level, including 7641 patients aged 50 years or older, free of clinical CVD and with at least one classical risk factor, enrolled by the participating physicians. A patient-specific questionnaire captures information from clinical records and patient interview regarding sociodemographic data, CVD risk factors, and current medications. Finally, each patient provides a fasting blood sample, which is sent to a central laboratory for measuring serum lipids, apolipoproteins, hemoglobin-A1c, and inflammatory biomarkers. Discussion Primary prevention of CVD is an extremely important clinical issue, with preventable circulatory diseases remaining the leading cause of major disease burden. The EURIKA study will provide key information to assess effectiveness of and attitudes toward primary prevention of CVD in Europe. A transnational study creates opportunities for benchmarking good clinical practice across countries and improving outcomes. (ClinicalTrials.gov number, NCT00882336.

  6. Energy efficiency in the European Union: overview of policies and good practices

    International Nuclear Information System (INIS)

    2008-01-01

    The world is facing increasing energy prospects and stakes, in terms of energy supply security and safety, environmental impact as well as economic and social costs. In Europe, these fast-growing concerns have led to the adoption of new energy efficiency policies at national and European levels: legislation, regulations, institutional measures, awareness-raising and training campaigns, financial incentives, investment schemes, etc. As in other sectors and at each stage of European development, knowledge and experience feedback drive the Member States towards a growing harmonization of national policies: the most encouraging national measures may be adopted by other countries and even implemented at a European level. The valorization and exchange of best practices therefore contributes to the fulfilment of European commitments on energy efficiency and greenhouse gas emissions reduction. All these schemes are integrally part of a common European energy policy to be applied to energy production, transportation and distribution - the supply side - as well as to all social and economic activities which make up the demand side, and which is the subject of this document. The presentation hereafter provides an overview of energy efficiency policies and programs implemented in the European Union and in the Member States. It shows the diversity of available means of action and strategic choices within the different countries whilst highlighting the most innovative and significant measures. The various tools available are of course used in different ways in each country depending on their characteristics. Economic structure, for example, can explain the differences in the implementation of certain measures as it results in concentrating on the sectors which produce the most greenhouse gases - and which differ from one country to another. Energy balances -energy-producing countries or energy-dependent countries - and political contexts - with more or less liberal governments

  7. Recommendations for Life Cycle Impact Assessment in the European context - based on existing environmental impact assessment models and factors (International Reference Life Cycle Data System - ILCD handbook)

    OpenAIRE

    HAUSCHILD Michael; GOEDKOOP Mark; GUINEE Jerome; HEIJUNGS Reinout; HUIJBREGTS Mark; JOLLIET Olivier; MARGNI Manuele; DE SCHRYVER An

    2010-01-01

    To achieve more sustainable production and consumption patterns, we must consider the environmental implications of the whole supply-chain of products, both goods and services, their use, and waste management, i.e. their entire life cycle from ¿cradle to grave¿. In the Communication on Integrated Product Policy (IPP), (EC, 2003), the European Commission committed to produce a handbook on best practice in Life Cycle Assessment (LCA). The Sustainable Consumption and Production (SCP) Action ...

  8. European clinical guidelines for Tourette Syndrome and other tic disorders. Part I : assessment

    NARCIS (Netherlands)

    Cath, Danielle C.; Hedderly, Tammy; Ludolph, Andrea G.; Stern, Jeremy S.; Murphy, Tara; Hartmann, Andreas; Czernecki, Virginie; Robertson, Mary May; Martino, Davide; Munchau, A.; Rizzo, R.

    A working group of the European Society for the Study of Tourette Syndrome (ESSTS) has developed the first European assessment guidelines of Tourette Syndrome (TS). The available literature including national guidelines was thoroughly screened and extensively discussed in the expert group of ESSTS

  9. Sign languages and the Common European Framework of Reference for Languages : Descriptors and approaches to assessment

    NARCIS (Netherlands)

    L. Leeson; Dr. Beppie van den Bogaerde; Tobias Haug; C. Rathmann

    2015-01-01

    This resource establishes European standards for sign languages for professional purposes in line with the Common European Framework of Reference for Languages (CEFR) and provides an overview of assessment descriptors and approaches. Drawing on preliminary work undertaken in adapting the CEFR to

  10. SAME SEX UNIONS OF LIFE IN THE PRACTICE OF THE EUROPEAN COURT OF JUSTICE

    Directory of Open Access Journals (Sweden)

    Boris Krešić

    2014-01-01

    Full Text Available In several cases the the European Court of Justice (ECJ interpreted the provisions of the Agreement on the European Community in terms of homosexual rights. The practice of the ECJ in the last five years (2008-2013 shows the tendency to expand the rights of homosexual persons. The paper brings the analysis of four decision of the ECJ in the cases where it decided on the issue of discrimination on grounds of sexual orientation. In the first two verdicts, the Court refused to compare marriage and common-law marriage to the same-sex union of life, thus limiting same-sex partners to achieve certain rights. In other two cases the Court made step forward and compared marriage and same-sex union of life but only if both, marriage and same-sex union of life are regulated by national law

  11. SAME SEX UNIONS OF LIFE IN THE PRACTICE OF THE EUROPEAN COURT OF JUSTICE

    Directory of Open Access Journals (Sweden)

    Boris Krešić

    2014-01-01

    Full Text Available In several cases the the European Court of Justice (ECJ interpreted the provisions of the Agreement on the European Community in terms of homosexual rights. The practice of the ECJ in the last five years (2008-2013 shows the tendency to expand the rights of homosexual persons. The paper brings the analysis of four decision of the ECJ in the cases where it decided on the issue of discrimination on grounds of sexual orientation. In the first two verdicts, the Court refused to compare marriage and common-law marriage to the same-sex union of life, thus limiting same-sex partners to achieve certain rights. In other two cases the Court made step forward and compared marriage and same-sex union of life but only if both, marriage and same-sex union of life are regulated by national law.

  12. Psychological assessment for bariatric surgery: current practices.

    Science.gov (United States)

    Flores, Carolina Aita

    2014-01-01

    The prevalence of obesity on a global scale has alarmed health institutions, the general population and professionals involved in its treatment. Bariatric surgery has emerged as an effective and lasting alternative for weight reduction and improved general health. In this context and as part of a multidisciplinary team, psychologists are responsible for the preoperative psychological assessment of bariatric candidates. To investigate how psychological assessments are occurring, including the identification of utilized resources; factors that are addressed; the duration of the process; existing protocols; and to evaluate the importance of this practice. A systematic review of national and international literature, through PubMed and Scielo's databases, using "psychological assessment", "obesity" and "surgery", as keywords. There is an agreement about the main factors that should be investigated during the preoperative assessment, as well as the main contraindications for the surgical procedure. The importance of the psychological assessment is well established in the field of bariatric surgery. However, this area needs a standard protocol to guide the mental health professionals that deal with bariatric patients.

  13. Risk assessment instruments in clinical practice.

    Science.gov (United States)

    Côté, Gilles; Crocker, Anne G; Nicholls, Tonia L; Seto, Michael C

    2012-04-01

    To determine whether the items in one of the most widely validated instruments of violence risk assessment, the Historical-Clinical-Risk Management-20 (HCR-20), are used in review board hearings to assess the risk of violence by people found Not Criminally Responsible on account of Mental Disorder (NCRMD). This study was conducted from October 2004 to August 2006 in Quebec's sole forensic psychiatric hospital and 2 large civil psychiatric hospitals designated for the care of people declared NCRMD in the Montreal metropolitan area. The risk assessments presented by clinicians at annual review board hearings and the boards' rationale for the release or detention of people found NCRMD were contrasted with the risk assessments conducted by the research team using the HCR-20. The final sample was comprised of 96 men. Very few of the risk factors identified by prior research (HCR-20 items) were mentioned in the hearing process, whether in clinical reports, discussions during the hearing, or in the disposition justification. The findings confirm that there remains a significant gap between research evidence and risk assessment practice.

  14. PRACTICAL APPLICATION OF A MODEL FOR ASSESSING

    Directory of Open Access Journals (Sweden)

    Petr NOVOTNÝ

    2015-12-01

    Full Text Available Rail transport is an important sub-sector of transport infrastructure. Disruption of its operation due to emergencies can result in a reduction in functional parameters of provided services with consequent impacts on society. Identification of critical elements of this system enables its timely and effective protection. On that ground, the article presents a draft model for assessing the criticality of railway infrastructure elements. This model uses a systems approach and multicriteria semi-quantitative analysis with weighted criteria for calculating the criticality of individual elements of the railway infrastructure. In the conclusion, it presents a practical application of the proposed model including the discussion of results.

  15. Towards the review of the European Union Water Framework Directive: Recommendations for more efficient assessment and management of chemical contamination in European surface water resources.

    Science.gov (United States)

    Brack, Werner; Dulio, Valeria; Ågerstrand, Marlene; Allan, Ian; Altenburger, Rolf; Brinkmann, Markus; Bunke, Dirk; Burgess, Robert M; Cousins, Ian; Escher, Beate I; Hernández, Félix J; Hewitt, L Mark; Hilscherová, Klára; Hollender, Juliane; Hollert, Henner; Kase, Robert; Klauer, Bernd; Lindim, Claudia; Herráez, David López; Miège, Cécil; Munthe, John; O'Toole, Simon; Posthuma, Leo; Rüdel, Heinz; Schäfer, Ralf B; Sengl, Manfred; Smedes, Foppe; van de Meent, Dik; van den Brink, Paul J; van Gils, Jos; van Wezel, Annemarie P; Vethaak, A Dick; Vermeirssen, Etienne; von der Ohe, Peter C; Vrana, Branislav

    2017-01-15

    Water is a vital resource for natural ecosystems and human life, and assuring a high quality of water and protecting it from chemical contamination is a major societal goal in the European Union. The Water Framework Directive (WFD) and its daughter directives are the major body of legislation for the protection and sustainable use of European freshwater resources. The practical implementation of the WFD with regard to chemical pollution has faced some challenges. In support of the upcoming WFD review in 2019 the research project SOLUTIONS and the European monitoring network NORMAN has analyzed these challenges, evaluated the state-of-the-art of the science and suggested possible solutions. We give 10 recommendations to improve monitoring and to strengthen comprehensive prioritization, to foster consistent assessment and to support solution-oriented management of surface waters. The integration of effect-based tools, the application of passive sampling for bioaccumulative chemicals and an integrated strategy for prioritization of contaminants, accounting for knowledge gaps, are seen as important approaches to advance monitoring. Including all relevant chemical contaminants in more holistic "chemical status" assessment, using effect-based trigger values to address priority mixtures of chemicals, to better consider historical burdens accumulated in sediments and to use models to fill data gaps are recommended for a consistent assessment of contamination. Solution-oriented management should apply a tiered approach in investigative monitoring to identify toxicity drivers, strengthen consistent legislative frameworks and apply solutions-oriented approaches that explore risk reduction scenarios before and along with risk assessment. Copyright © 2016. Published by Elsevier B.V.

  16. Human Capital Questionnaire: Assessment of European nurses' perceptions as indicators of human capital quality.

    Science.gov (United States)

    Yepes-Baldó, Montserrat; Romeo, Marina; Berger, Rita

    2013-06-01

    Healthcare accreditation models generally include indicators related to healthcare employees' perceptions (e.g. satisfaction, career development, and health safety). During the accreditation process, organizations are asked to demonstrate the methods with which assessments are made. However, none of the models provide standardized systems for the assessment of employees. In this study, we analyzed the psychometric properties of an instrument for the assessment of nurses' perceptions as indicators of human capital quality in healthcare organizations. The Human Capital Questionnaire was applied to a sample of 902 nurses in four European countries (Spain, Portugal, Poland, and the UK). Exploratory factor analysis identified six factors: satisfaction with leadership, identification and commitment, satisfaction with participation, staff well-being, career development opportunities, and motivation. The results showed the validity and reliability of the questionnaire, which when applied to healthcare organizations, provide a better understanding of nurses' perceptions, and is a parsimonious instrument for assessment and organizational accreditation. From a practical point of view, improving the quality of human capital, by analyzing nurses and other healthcare employees' perceptions, is related to workforce empowerment. © 2012 Wiley Publishing Asia Pty Ltd.

  17. A European perspective on alternatives to animal testing for environmental hazard identification and risk assessment.

    Science.gov (United States)

    Scholz, Stefan; Sela, Erika; Blaha, Ludek; Braunbeck, Thomas; Galay-Burgos, Malyka; García-Franco, Mauricio; Guinea, Joaquin; Klüver, Nils; Schirmer, Kristin; Tanneberger, Katrin; Tobor-Kapłon, Marysia; Witters, Hilda; Belanger, Scott; Benfenati, Emilio; Creton, Stuart; Cronin, Mark T D; Eggen, Rik I L; Embry, Michelle; Ekman, Drew; Gourmelon, Anne; Halder, Marlies; Hardy, Barry; Hartung, Thomas; Hubesch, Bruno; Jungmann, Dirk; Lampi, Mark A; Lee, Lucy; Léonard, Marc; Küster, Eberhard; Lillicrap, Adam; Luckenbach, Till; Murk, Albertinka J; Navas, José M; Peijnenburg, Willie; Repetto, Guillermo; Salinas, Edward; Schüürmann, Gerrit; Spielmann, Horst; Tollefsen, Knut Erik; Walter-Rohde, Susanne; Whale, Graham; Wheeler, James R; Winter, Matthew J

    2013-12-01

    Tests with vertebrates are an integral part of environmental hazard identification and risk assessment of chemicals, plant protection products, pharmaceuticals, biocides, feed additives and effluents. These tests raise ethical and economic concerns and are considered as inappropriate for assessing all of the substances and effluents that require regulatory testing. Hence, there is a strong demand for replacement, reduction and refinement strategies and methods. However, until now alternative approaches have only rarely been used in regulatory settings. This review provides an overview on current regulations of chemicals and the requirements for animal tests in environmental hazard and risk assessment. It aims to highlight the potential areas for alternative approaches in environmental hazard identification and risk assessment. Perspectives and limitations of alternative approaches to animal tests using vertebrates in environmental toxicology, i.e. mainly fish and amphibians, are discussed. Free access to existing (proprietary) animal test data, availability of validated alternative methods and a practical implementation of conceptual approaches such as the Adverse Outcome Pathways and Integrated Testing Strategies were identified as major requirements towards the successful development and implementation of alternative approaches. Although this article focusses on European regulations, its considerations and conclusions are of global relevance. Copyright © 2013 Elsevier Inc. All rights reserved.

  18. The influence of early feeding practices on fruit and vegetable intake among preschool children in 4 European birth cohorts.

    Science.gov (United States)

    de Lauzon-Guillain, Blandine; Jones, Louise; Oliveira, Andreia; Moschonis, George; Betoko, Aisha; Lopes, Carla; Moreira, Pedro; Manios, Yannis; Papadopoulos, Nikolaos G; Emmett, Pauline; Charles, Marie Aline

    2013-09-01

    Fruit and vegetable intake in children remains below recommendations in many countries. The long-term effects of early parental feeding practices on fruit and vegetable intake are not clearly established. The purpose of the current study was to examine whether early feeding practices influence later fruit and vegetable intake in preschool children. The study used data from 4 European cohorts: the British Avon Longitudinal Study of Parents and Children (ALSPAC), the French Etude des Déterminants pre et postnatals de la santé et du développement de l'Enfant study, the Portuguese Generation XXI Birth Cohort, and the Greek EuroPrevall study. Fruit and vegetable intake was assessed in each cohort by food-frequency questionnaire. Associations between early feeding practices, such as breastfeeding and timing of complementary feeding, and fruit and/or vegetable intake in 2-4-y-old children were tested by using logistic regressions, separately in each cohort, after adjustment for infant's age and sex and maternal age, educational level, smoking during pregnancy, and maternal fruit and vegetable intake. Large differences in early feeding practices were highlighted across the 4 European cohorts with longer breastfeeding duration in the Generation XXI Birth Cohort and earlier introduction to complementary foods in ALSPAC. Longer breastfeeding duration was consistently related to higher fruit and vegetable intake in young children, whereas the associations with age of introduction to fruit and vegetable intake were weaker and less consistent across the cohorts. Mothers' fruit and vegetable intake (available in 3 of the cohorts) did not substantially attenuate the relation with breastfeeding duration. The concordant positive association between breastfeeding duration and fruit and vegetable intake in different cultural contexts favors an independent specific effect.

  19. Toward a more professional and practical medical education: a novel Central European approach.

    Science.gov (United States)

    Drexel, Heinz; Vonbank, Alexander; Fraunberger, Peter; Riesen, Walter F; Saely, Christoph H

    2015-01-01

    We here present an innovative curriculum for a complete medical education that conforms to the current European Bologna system of academic training. The curriculum aims at raising doctors who are excellently prepared for clinical work over as short a time as 5 years; it provides a comprehensive, yet shorter than usual, education that strongly pronounces the importance of increasing the students' practical clinical competences and rigorously excludes superfluous contents. The curriculum encompasses 52 modules, 32 at the bachelor's and 20 at the master's level. Already at the level of the bachelor degree, full employability is given; the students finish the master's course as medical doctors optimally prepared to manage patients at the level of postgraduate medical education. The structure of the curriculum is modular; each modular component is essential for medical education and contains an average of five European Credit Transfer System credits, amounting to 150 hours of education. Depending on the subspecialty, the courses include lectures, seminars, practical laboratory training, and clinical training at varying quantities. In addition to attendance times, sufficient time slots are prepared for self-study in lectures, seminars, and practical work. With our curriculum, we provide an easily applicable backbone for a modern course of medicine that can be installed also at smaller academic institutions.

  20. European Society of Hypertension practice guidelines for ambulatory blood pressure monitoring.

    Science.gov (United States)

    Parati, Gianfranco; Stergiou, George; O'Brien, Eoin; Asmar, Roland; Beilin, Lawrence; Bilo, Grzegorz; Clement, Denis; de la Sierra, Alejandro; de Leeuw, Peter; Dolan, Eamon; Fagard, Robert; Graves, John; Head, Geoffrey A; Imai, Yutaka; Kario, Kazuomi; Lurbe, Empar; Mallion, Jean-Michel; Mancia, Giuseppe; Mengden, Thomas; Myers, Martin; Ogedegbe, Gbenga; Ohkubo, Takayoshi; Omboni, Stefano; Palatini, Paolo; Redon, Josep; Ruilope, Luis M; Shennan, Andrew; Staessen, Jan A; vanMontfrans, Gert; Verdecchia, Paolo; Waeber, Bernard; Wang, Jiguang; Zanchetti, Alberto; Zhang, Yuqing

    2014-07-01

    Given the increasing use of ambulatory blood pressure monitoring (ABPM) in both clinical practice and hypertension research, a group of scientists, participating in the European Society of Hypertension Working Group on blood pressure monitoring and cardiovascular variability, in year 2013 published a comprehensive position paper dealing with all aspects of the technique, based on the available scientific evidence for ABPM. The present work represents an updated schematic summary of the most important aspects related to the use of ABPM in daily practice, and is aimed at providing recommendations for proper use of this technique in a clinical setting by both specialists and practicing physicians. The present article details the requirements and the methodological issues to be addressed for using ABPM in clinical practice, The clinical indications for ABPM suggested by the available studies, among which white-coat phenomena, masked hypertension, and nocturnal hypertension, are outlined in detail, and the place of home measurement of blood pressure in relation to ABPM is discussed. The role of ABPM in pharmacological, epidemiological, and clinical research is also briefly mentioned. Finally, the implementation of ABPM in practice is considered in relation to the situation of different countries with regard to the reimbursement and the availability of ABPM in primary care practices, hospital clinics, and pharmacies.

  1. Preoperative assessment and classification of benign laryngotracheal stenosis : a consensus paper of the European Laryngological Society

    NARCIS (Netherlands)

    Monnier, Ph.; Dikkers, F. G.; Eckel, H.; Sittel, C.; Piazza, C.; Campos, G.; Remacle, M.; Peretti, G.

    2015-01-01

    Adult and pediatric laryngotracheal stenoses (LTS) comprise a wide array of various conditions that require precise preoperative assessment and classification to improve comparison of different therapeutic modalities in a matched series of patients. This consensus paper of the European

  2. Safety assessment of smoke flavouring primary products by the European Food Safety Authority

    NARCIS (Netherlands)

    Theobald, A.; Arcella, D.; Carere, A.; Croera, C.; Engel, K.H.; Gott, D.; Gurtler, R.; Meier, D.; Pratt, I.; Rietjens, I.M.C.M.; Simon, R.; Walker, R.

    2012-01-01

    This paper summarises the safety assessments of eleven smoke flavouring primary products evaluated by the European Food Safety Authority (EFSA). Data on chemical composition, content of polyaromatic hydrocarbons and results of genotoxicity tests and subchronic toxicity studies are presented and

  3. Voluntary health insurance in the European Union: a critical assessment.

    Science.gov (United States)

    Mossialos, Elias; Thomson, Sarah M S

    2002-01-01

    The authors examine the role and nature of the market for voluntary health insurance in the European Union and review the impact of public policy, at both the national and E.U. levels, on the development of this market in recent years. The conceptual framework, based on a model of industrial analysis, allows a wide range of policy questions regarding market structure, conduct, and performance. By analyzing these three aspects of the market for voluntary health insurance, the authors are also able to raise questions about the equity and efficiency of voluntary health insurance as a means of funding health care in the European Union. The analysis suggests that the market for voluntary health insurance in the European Union suffers from significant information failures that seriously limit its potential for competition or efficiency and also reduce equity. Substantial deregulation of the E.U. market for voluntary health insurance has stripped regulatory bodies of their power to protect consumers and poses interesting challenges for national regulators, particularly if the market is to expand in the future. In a deregulated environment, it is questionable whether this method of funding health care will encourage a more efficient and equitable allocation of resources.

  4. Guideline for load and resistance assessment of existing european railway bridges

    OpenAIRE

    JENSEN, Jens S; CASAS, Joan R; KAROUMI, Raid; PLOS, Mario; CREMONA, Christian; MELBOURNE, Clive

    2008-01-01

    Many of the European railway bridges are getting close to the end of their service life. At the same time the railway operators demand higher axle loads for freight trains and higher speeds for passenger trains. This requires new and better approaches for assessing both the railway loads and the resistance of railway bridges. The main objective of the "Guideline for Load and Resistance Assessment of Existing European Railway Bridges", developed within EU founded project "Sustainable Bridge...

  5. Obsolescence Risk Assessment Process Best Practice

    Science.gov (United States)

    Romero Rojo, F. J.; Roy, R.; Kelly, S.

    2012-05-01

    A component becomes obsolete when it is no longer available from the original manufacturer to the original specification. In long-lifecycle projects, obsolescence has become a major problem as it prevents the maintenance of the system. This is the reason why obsolescence management is now an essential part of the product support activities in sectors such as defence, aerospace, nuclear and railway; where systems need to be supported for several decades. The obsolescence risk assessment for the bill of materials (BoM) is a paramount activity in order to manage obsolescence proactively and cost-effectively. This is the reason why it was necessary to undertake a benchmarking study to develop best practice in this process. A total of 22 obsolescence experts from 13 different organisations/projects from across UK and USA have participated in this study. Their current processes and experience have been taken into account in the development of the best practice process for obsolescence risk assessment. The key factors that have to be analysed in the risk assessment process for each component in the BoM are: number of manufacturers, years to end of life, stock available, consumption rate and operational impact criticality. For the very high risk components, a more detailed analysis is required to inform the decisions regarding the most suitable mitigation strategies. On the contrary, for the low risk components, a fully proactive approach is neither appropriate nor cost effective. Therefore, it is advised for these components that obsolescence issues are dealt with reactively. This process has been validated using case studies with several experts from industry and is currently being implemented by the UK Ministry of Defence as technical guidance within the JSP 886 Volume 7 Part 8.13 standards.

  6. Obsolescence Risk Assessment Process Best Practice

    International Nuclear Information System (INIS)

    Rojo, F J Romero; Roy, R; Kelly, S

    2012-01-01

    A component becomes obsolete when it is no longer available from the original manufacturer to the original specification. In long-lifecycle projects, obsolescence has become a major problem as it prevents the maintenance of the system. This is the reason why obsolescence management is now an essential part of the product support activities in sectors such as defence, aerospace, nuclear and railway; where systems need to be supported for several decades. The obsolescence risk assessment for the bill of materials (BoM) is a paramount activity in order to manage obsolescence proactively and cost-effectively. This is the reason why it was necessary to undertake a benchmarking study to develop best practice in this process. A total of 22 obsolescence experts from 13 different organisations/projects from across UK and USA have participated in this study. Their current processes and experience have been taken into account in the development of the best practice process for obsolescence risk assessment. The key factors that have to be analysed in the risk assessment process for each component in the BoM are: number of manufacturers, years to end of life, stock available, consumption rate and operational impact criticality. For the very high risk components, a more detailed analysis is required to inform the decisions regarding the most suitable mitigation strategies. On the contrary, for the low risk components, a fully proactive approach is neither appropriate nor cost effective. Therefore, it is advised for these components that obsolescence issues are dealt with reactively. This process has been validated using case studies with several experts from industry and is currently being implemented by the UK Ministry of Defence as technical guidance within the JSP 886 Volume 7 Part 8.13 standards.

  7. Focal species candidates for pesticide risk assessment in European rice fields: A review.

    Science.gov (United States)

    Vallon, Martin; Dietzen, Christian; Laucht, Silke; Ludwigs, Jan-Dieter

    2018-04-25

    An assessment of potential risks of pesticides on wildlife is required during the process of product registration within Europe because of the importance of agricultural landscapes as wildlife habitats. Despite their peculiarity and their specific role as artificial wetlands, rice paddies are to date pooled with cereals in guidance documents on how to conduct risk assessments for birds and mammals in Europe. Hence, the focal species currently considered in risk assessments for rice paddies are those known from cereal fields and can therefore be expected to differ significantly from the species actually occurring in the wet environments of rice paddies. We present results of a comprehensive review on bird and mammal species regularly occurring in rice paddies during a time of potential pesticide exposure to identify appropriate focal species candidates for ecotoxicological pesticide risk assessment according to the European Food Safety Authority (EFSA). In addition, we present data on rice cultivation areas and agricultural practices in Europe to give background information supporting the species selection process. Our literature search identified a general scarcity of relevant data, particularly for mammals, which highlights the need for crop-specific focal species studies. However, our results clearly indicate that the relevant bird and mammal species in rice fields indeed differ strongly from the focal species used for the cereal risk assessment. They can thus be used as a baseline for more realistic wildlife risk assessments specific to rice and the development of a revised guidance document to bridge the gap for regulatory decision makers. Integr Environ Assess Manag 2018;00:000-000. © 2018 SETAC. © 2018 SETAC.

  8. Convergence of Croatian Financial and Budget Regulations to the Framework and Practices of the European Union

    Directory of Open Access Journals (Sweden)

    Ivana MALETIĆ

    2010-03-01

    Full Text Available As of 2004 intensive preparatory activities for the accession of the Republic of Croatia into the European Union have started. Significant changes have been taking place in legislation, institutional and administrative respect. The so called “silent reform“ is changing the appearance and the way of work of state administration. Institutions acquire the rules and way of work of the European Union through the usage of pre-accession programmes. General opinion moves in the direction of successfulness, competitiveness, attainment of results and added values. Financial regulations regarding stipulation of budget processes have been changing through the introduction of the following elements: strategic planning, multi-annual budget framework, fiscal discipline, internal audit as well as financial management and control system based on clearly set work processes and procedures. This document provides the description of the most significant changes regarding financial management and budget regulations in the Republic of Croatia which have taken place in the course of adapting (developing the system to the European practices and rules.

  9. RELATIONSHIP BETWEEN EUROPEAN CORN BORER FEEDING ACTIVITY AND NITROGEN LEAF CONTENT UNDER DIFFERENT AGRICULTURAL PRACTICES

    Directory of Open Access Journals (Sweden)

    Ankica Sarajlić

    2015-06-01

    Full Text Available One of the most destructive maize pest in Croatia is European corn borer (Ostrinia nubilalis Hübner (ECB. The aim of this study was to determine the influence of irrigation, nitrogen fertilization, different maize genotypes and nitrogen leaf content on ECB feeding activity. The experiment was set up in Osijek, Croatia under field conditions during 2012-2013 vegetation season. Experiment treatments were as follows: three irrigation levels (A1 - control, A2 from 60% to 80% field water capacity - FWC and A3 from 80% to100% FWC, three nitrogen fertilizer levels (B1 - 0, B2 - 100 and B3 - 200 kg N/ha and four different genotypes (C1 - OSSK 596; C2 - OSSK 617; C3 - OSSK 602 and C4 - OSSK 552. Ear weight, number of larvae in stem and shank, tunnel length and nitrogen leaf content were evaluated. Genotype C1 was the most susceptible for following the tested variables of ECB feeding: tunnel length (TL, larvae in stalk (LS and total number of larvae (TNL at P<0.05 probability level. By raising the level of irrigation, European corn borer feeding activity was reduced while by raising the level of nitrogen fertilization feeding activity was increased. These results suggest that good production practices can significantly affect the susceptibility of maize to European corn borer.

  10. Comparison of methods used in European countries to assess buildings' condition

    NARCIS (Netherlands)

    Vilhena, A.; Costa Branco De Oliveira Pedro, J.A.; De Brito, J.

    2011-01-01

    This paper presents a comparative analysis of methods used in European countries to assess buildings’ condition. The following methods were compared: a Portuguese method to assess buildings condition, an English housing health and safety rating system, a French method to assess buildings that may be

  11. Inspiring Lecturers: Sharing E-Learning Practice through European Case Studies

    DEFF Research Database (Denmark)

    Hayes, Sarah; Godsk, Mikkel; Andersen, Majbrit Vandsø

    2009-01-01

    Sharing best practice in e-learning, when undertaken as an active process, can provide valuable insights, with a real capacity to inspire. This has been our experience in collecting European university e-learning case studies. How this was achieved is the focus of this paper, which discusses...... collaboration, using a database and a weblog (EUNIC, 2008). Some examples of the case studies are provided, with suggestions of ways to develop this process further....... a consistent approach to transferring knowledge that might be followed and developed by others. We will outline a methodology for sharing best practices of e-learning. We will explain how these cases, rather like short stories, were identified, gathered and communicated by the EUNIS ELearning Task Force...

  12. Vanuatu mortuary practices over three millenia : Lapita to early European contact period

    International Nuclear Information System (INIS)

    Valentin, F.; Spriggs, M.; Bedford, S.; Buckley, H.

    2011-01-01

    New discoveries and previously-unpublished data on burials from south, central, and north Vanuatu are reviewed in this paper, offering a synthesis of mortuary practices over three millennia, from Lapita to the early European contact period. Relying on five attributes describing the practices and behaviours (body and bone treatment, position and orientation of the body, ornaments and associated artefacts, and use of single or multiple burial), the analysis emphasizes two major episodes of structural changes in the overall funerary system following initial settlement of Vanuatu. The first occurred towards the end of the Lapita period and the second is indicated by the distinctiveness of the second millennium AD burials. A possible interpretation of these changes, following the lines of Thomas's 'genealogical approach' (2001) is proposed. (author). 70 refs., 5 figs.

  13. Scientific Ocean Drilling to Assess Submarine Geohazards along European Margins

    Science.gov (United States)

    Ask, M. V.; Camerlenghi, A.; Kopf, A.; Morgan, J. K.; Ocean DrillingSeismic Hazard, P. E.

    2008-12-01

    Submarine geohazards are some of the most devastating natural events in terms of lives lost and economic impact. Earthquakes pose a big threat to society and infrastructure, but the understanding of their episodic generation is incomplete. Tsunamis are known for their potential of striking coastlines world-wide. Other geohazards originating below the sea surface are equally dangerous for undersea structures and the coastal population: submarine landslides and volcanic islands collapse with little warning and devastating consequences. The European scientific community has a strong focus on geohazards along European and nearby continental margins, especially given their high population densities, and long historic and prehistoric record of hazardous events. For example, the Mediterranean is surrounded by very densely-populated coastline and is the World's leading holiday destination, receiving up 30% of global tourism. In addition, its seafloor is criss-crossed by hydrocarbon pipelines and telecommunication cables. However, the governing processes and recurrence intervals of geohazards are still poorly understood. Examples include, but are not limited to, earthquakes and volcanic eruptions along the active tectonic margins of the Mediterranean and Sea of Marmara, landslides on both active and passive margins, and tsunamites and seismites in the sedimentary record that suggest a long history of similar events. The development of geophysical networks, drilling, sampling and long-term monitoring are crucial to the understanding of earthquake, landslide, and tsunami processes, and to mitigate the associated risks in densely populated and industrialized regions such as Europe. Scientific drilling, particularly in the submarine setting, offers a unique tool to obtain drill core samples, borehole measurements and long-term observations. Hence, it is a critical technology to investigate past, present, and possible future influences of hazardous processes in this area. The

  14. Social vulnerability assessment: a growing practice in Europe?

    Science.gov (United States)

    Tapsell, S.; McC arthy, S.

    2012-04-01

    This paper builds upon work on social vulnerability from the CapHaz-Net consortium, an ongoing research project funded by the European Commission in its 7th Framework Programme. The project focuses on the social dimensions of natural hazards, as well as on regional practices of risk prevention and management, and aims at improving the resilience of European societies to natural hazards, paying particular attention to social capacity building. The topic of social vulnerability is one of seven themes being addressed in the project. There are various rationales for examining the relevance of social vulnerability to natural hazards. Vulnerability assessment has now been accepted as a requirement for the effective development of emergency management capability, and assessment of social vulnerability has been recognised as being integral to understanding the risk to natural hazards. The aim of our research was to examine social vulnerability, how it might be understood in the context of natural hazards in Europe, and how social vulnerability can be addressed to increase social capacity. The work comprised a review of research on social vulnerability to different natural hazards within Europe and included concepts and definitions of social vulnerability (and related concepts), the purpose of vulnerability assessment and who decides who is vulnerable, different approaches to assessing or measuring social vulnerability (such as the use of 'classical' quantitative vulnerability indicators and qualitative community-based approaches, along with the advantages and disadvantages of both), conceptual frameworks for assessing social vulnerability and three case studies of social vulnerability studies within Europe: flash floods in the Italian Alps, fluvial flooding in Germany and heat waves in Spain. The review reveals variable application of social vulnerability analysis across Europe and there are indications why this might be the case. Reasons could range from the scale of

  15. Surgical, antiseptic, and antibiotic practice in cataract surgery: Results from the European Observatory in 2013.

    Science.gov (United States)

    Behndig, Anders; Cochener-Lamard, Beatrice; Güell, José; Kodjikian, Laurent; Mencucci, Rita; Nuijts, Rudy; Pleyer, Uwe; Rosen, Paul; Szaflik, Jacek; Tassignon, Marie-Jose

    2015-12-01

    To report the results from the first iteration of the European Observatory of Cataract Surgery, which was initiated to track changes in surgical, antiseptic, and antibiotic practices in cataract surgery over the coming years. Practicing European cataract surgeons (n = 479). Internet-based declarative questionnaire or telephone questionnaire. The questionnaire comprised 37 questions divided into 8 categories as follows: screening, surgeon profile, surgical procedure used, product use before arrival at the operating room, techniques for mydriasis and anesthesia, product use during the surgery, product use after the patient leaves the operating room, and surgeon's attitude to guidelines. Cataract surgeons (n = 2700) were initially contacted, of whom 479 (17.7%) were included in the survey. The current baseline survey revealed considerable variation between countries in their implementation of infectious postoperative endophthalmitis (IPOE) prophylaxis. In some countries, adoption of intracameral cefuroxime is almost universal, whereas in others, the use of such prophylaxis is below one half. When intracameral cefuroxime is used, it is generally cefuroxime powder designed for parenteral use. A preparation specifically registered for intracameral use is now available, and this formulation is more commonly used in countries in which intracameral cefuroxime was most widely adopted. The baseline results from this ongoing survey suggest a considerable level of heterogeneity between European countries in IPOE prophylaxis. Further iterations of this survey will monitor whether a consensus begins to emerge. This work was supported by Laboratoires Théa, under the supervision of the expert group. Members of the expert group were remunerated by Laboratoires Théa. J.F. Stolz, MD, PhD, provided editorial assistance in manuscript preparation, for which he was remunerated by Laboratoires Théa. Anders Behndig, Rita Mencucci, and Jacek P. Szaflik report no relevant conflicts of

  16. Genetic cancer risk assessment in practice

    International Nuclear Information System (INIS)

    Gruber, S.

    2004-01-01

    The advent of genetic testing has made a dramatic impact on the management of individuals with inherited susceptibility to cancer and their relatives. Genetic counsel ing, with or without testing, is warranted when clues to familial cancer are recognized. Today, genetic testing for classic cancer genetic syndromes is now the standard of care, and has been complemented by genetic testing for other situations commonly encountered in clinical practice. Genetic testing for colorectal cancer, breast cancer, kidney cancer, thyroid cancer, melanoma, and pancreatic cancer raise important issues about the parameters for testing. Genetic cancer risk assessment can lead to measurable reductions in morbidity and mortality through strategies that rely on surveillance, chemo prevention, and risk-reducing surgery

  17. Some Aspects of International Children Abduction - Theoretical and Practical Approach from the Perspective of the European Law and Judicial Practice

    Directory of Open Access Journals (Sweden)

    Gabriela Lupşan

    2015-05-01

    Full Text Available Everyday life revealed even in the media by presenting cases of international abduction of minors, on the one hand, and on the other hand, the existence of cases increasingly complex from the national/ EU practice, to which we should add the insufficient analysis in the doctrine of the topic in representing some evidence to support the elaboration of this paper. Through its international and / or European regulations (Hague Convention of 25 October 1980 on the Civil Aspects of International Child Abduction, which is supplemented by Regulation (EC no. 2201/2003 of 27 November 2003 concerning jurisdiction, the recognition and enforcement of judgments in matrimonial matters and in matters of parental responsibility, (prevailing the latter and national ones (Law no. 63/2014 amending and supplementing Law no. 369/2004 on the application of the Convention on the Civil Aspects of International Child Abduction which Romania adhered to by the Law no. 100/199, the legislator sought to ensure the prompt return of children abducted in the Member State of origin, the objective being the same: discouraging underage child abduction by a parent or by third parties, usually relatives and, in case of committing an act of international abduction of minors, ensuring the best interests of the child through the cooperation of the competent authorities in the field. The structure includes sections that address theoretical issues (e.g. the notion of international abduction of minors, regulations, procedure for solving the request, the competent authorities and practical aspects, without neglecting the interpretation given by the Court of Justice of the European Union of some texts from the Regulation.

  18. Present status of practical aspects of individual dosimetry. Pt. 2. Eastern European countries

    International Nuclear Information System (INIS)

    Goeksu, H.Y.; Regulla, D.; Drexler, G.

    1995-01-01

    The report is prepared in a historically rather unstable period concerning the Eastern European countries. Many independent states are formed which brought political, economical and administrative changes in the region. However such changes had not direct effect on the radiation protection practices concerning the occupationally exposed persons. In general all the newly formed states have adopted the former laws and regulation. Therefore we kept the names of the country of the origin. In near future laws and regulations are expected to be altered in many of these new states. The present laws and regulations are in great extent very similar to each other. However there are variations in practical aspects of the individual dosimetry due to the size of the country and their involvement with nuclear activities. Almost all countries based their regulations on International Safety Standards of IAEA and ICRP-26 recommendations. Since the Chernobyl accident, very many bilateral agreements have been concluded between Eastern European and OECD for the transfer of technology on the radiation safety of the public as well as occupationally exposed persons. (orig./HP)

  19. Comparison of landslide hazard and risk assessment practices in Europe

    Science.gov (United States)

    Corominas, J.; Mavrouli, O.

    2012-04-01

    defining the different hazard or risk levels and the number and physical interpretation of the latter. In this context suggestions are made to bridge the gaps between the practices and to enhance homogenization of the hazard and risk assessment procedures and of their outputs. This work is presented within the framework of the SafeLand project funded by the European Commission's FP7 programme.

  20. Water Consumption in European Children: Associations with Intake of Fruit Juices, Soft Drinks and Related Parenting Practices

    Directory of Open Access Journals (Sweden)

    Krystallia Mantziki

    2017-05-01

    Full Text Available Background: High intake of fruit juices and soft drinks contributes to excessive weight gain and obesity in children. Furthermore, parenting practices play an important role in the development of children’s dietary habits. The way parents play this role in the development of their children’s choices of beverages is still unclear. Objectives: To study the associations: (1 of both fruit juices and soft drinks consumption with water consumption of children and (2 The associations between parenting practices towards fruit juices and soft drinks and water consumption of children. Design: Cross-sectional data from 6 to 8 year old children from seven European communities (n = 1187 were collected. Associations among fruit juices, soft drinks, the respective parenting practices and the child’s water consumption were assessed by parental questionnaires. Results: The consumption of water was inversely associated with that of soft drinks but not with the consumption of fruit juices. The child’s water intake was favorably influenced when stricter parenting practices towards soft drinks were adopted (e.g., less parental allowance, low home availability and high parental self-efficacy in managing intake. There was less influence observed of parenting practices towards fruit juices. Fruit juices were consumed more often than soft drinks. Conclusions: Low consumption of soft drinks—and not of fruit juices—was associated with high water consumption in children in the current study. Moreover, parenting practices towards both fruit juices and soft drinks were associated with the water intake of the children, irrespective of their socio-economic status.

  1. Environmental assessment of 9 European public bus transportation systems

    DEFF Research Database (Denmark)

    Nanaki, Eva; Koroneos, Christophis; Roset, Jaume

    2017-01-01

    that affect the production of carbon dioxide (CO2) as well as of air pollutants, in 9 major European cities, aiming to provide a comprehensive overview of the actual knowledge on the atmospheric pollution from public transportation systems. CO2 emissions as well as air pollutants, such as CO, HC, PM, NOx......The transportation sector is one of the largest sources of EU’s greenhouse gas emissions. In 2011, transportation represented approximately 25 percent of total EU’s greenhouse gas emissions. Urban mobility accounts for 40% of all CO2 emissions of road transport and up to 70% of other pollutants...... from transport. As, transportation and mobility play a crucial part both in urban economics and the quality of life, it is of great significance to ensure a low carbon transportation sector, so as to deal with the threat that climate change poses to urban areas. This study examines the factors...

  2. Reliability and availability assessments for the next European Torus

    International Nuclear Information System (INIS)

    Bunde, R.

    1988-01-01

    To achieve its targets in reasonable time, the Next European Torus (NET) must be operated with considerable reliability and availability (R and A). Therefore, failure modes, effects, and criticality analysis (FMECA) of the overall plant and of its major components is already being performed as the design evolves. The present status of the R and A work is described in four steps: First, the R and A targets envisaged for the NET operation are discussed. Then an FMECA covering the overall plant is described, and a more detailed FMECA of major components is presented concerning the toroidal field coil systeml plasma heating systems; protection, instrumentation, and control systems; first wall and blanket, as well as the cooling system. Finally, the R and A results are compared with the targets, and measures for improvements are given

  3. An assessment of long term ecosystem research activities across European socio-ecological gradients.

    Science.gov (United States)

    Metzger, M J; Bunce, R G H; van Eupen, M; Mirtl, M

    2010-06-01

    Integration of European long term ecosystem research (LTER) would provide important support for the management of the pan-European environment and ecosystems, as well as international policy commitments. This does require appropriate coverage of Europe and standardised frameworks and research methods between countries. Emerging interest in socio-ecological systems prompted the present assessment of the distribution of LTER activities across European socio-ecological gradients. This paper presents a European stratification with a 1 km(2) resolution, delineating 48 broad socio-ecological regions. The dataset is based on an existing biogeophysical stratification constructed using multivariate clustering of mainly climatic variables and a newly developed socio-economic stratification based on an economic density indicator. The coverage of European LTER facilities across the socio-ecological gradients is tested using this dataset. The analysis shows two strong biases in the present LTER effort. Firstly, urban and disturbed regions are consistently under-represented, illustrating a bias for traditional ecological research away from human activity. Secondly, the Mediterranean, for which some of the most extreme global change impacts are projected, is receiving comparatively little attention. Both findings can help guide future investment in the European LTER network - and especially in a Long Term Socio-Ecological Research (LTSER) component- to provide a more balanced coverage. This will provide better scientific understanding of pan-European environmental concerns and support the management of natural resources and international policy commitments in the European Union. (c) 2010 Elsevier Ltd. All rights reserved.

  4. Beyond parenting practices: extended kinship support and the academic adjustment of African-American and European-American teens.

    Science.gov (United States)

    Pallock, Linda L; Lamborn, Susie D

    2006-10-01

    This study examined adolescents' perceptions of parenting practices and extended kinship support in relation to academic adjustment for 104 African American and 60 European American 9th and 10th graders (14 and 15 year olds). For African-American teens, parental acceptance was associated with school values, teacher bonding, and work orientation. Higher levels of behavioral control and lower levels of psychological control were associated with a stronger work orientation. After accounting for the demographic variables and the three parenting practices, higher levels of extended kinship support related to stronger school values, higher teacher bonding, and a stronger work orientation. For European-American teens, parental acceptance related to academic adjustment, including stronger school values, higher teacher bonding, and a stronger work orientation. European-American adolescents with stronger extended kinship networks reported higher teacher bonding and a stronger work orientation. Results indicate the importance of extended kinship support for both African-American and European-American adolescents.

  5. Payloads development for European land mobile satellites: A technical and economical assessment

    Science.gov (United States)

    Perrotta, G.; Rispoli, F.; Sassorossi, T.; Spazio, Selenia

    1990-01-01

    The European Space Agency (ESA) has defined two payloads for Mobile Communication; one payload is for pre-operational use, the European Land Mobile System (EMS), and one payload is for promoting the development of technologies for future mobile communication systems, the L-band Land Mobile Payload (LLM). A summary of the two payloads and a description of their capabilities is provided. Additionally, an economic assessment of the potential mobile communication market in Europe is provided.

  6. Indicator-based assessment of marine biological diversity – lessons from 10 case studies across the European Seas

    Directory of Open Access Journals (Sweden)

    Laura Uusitalo

    2016-09-01

    Full Text Available The Marine Strategy Framework Directive requires the environmental status of European marine waters to be assessed using biodiversity as one out of 11 descriptors, but the complexity of marine biodiversity and its large span across latitudinal and salinity gradients have been a challenge to the scientific community aiming to produce approaches for integrating information from a broad range of indicators. The Nested Environmental status Assessment Tool (NEAT, developed for the integrated assessment of the status of marine waters, was applied to ten marine ecosystems to test its applicability and compare biodiversity assessments across the four European regional seas. We evaluate the assessment results as well as the assessment designs of the ten cases, and how the assessment design, particularly the choices made regarding the area and indicator selection, affected the results. The results show that only 2 out of the 10 case study areas show more than 50 % probability of being in good status in respect of biodiversity. No strong pattern among the ecosystem components across the case study areas could be detected, but marine mammals, birds, and benthic vegetation indicators tended to indicate poor status while zooplankton indicators indicated good status when included into the assessment. The analysis shows that the assessment design, including the selection of indicators, their target values, geographical resolution and habitats to be assessed, has potentially a high impact on the result, and the assessment structure needs to be understood in order to make an informed assessment. Moreover, recommendations are provided for the best practice of using NEAT for marine status assessments.

  7. BOOK REVIEW - Adrian Liviu Ivan, Teorii și practice ale integrării europene [Theories and Practices of European Integration

    Directory of Open Access Journals (Sweden)

    Adrian Daniel STAN

    2016-06-01

    Full Text Available Teorii și practice ale integrării europene [Theories and Practices of European Integration] is a genuine contribution to understanding how the European Union’s particular character has been adjusted in more than half of century of institutional growth and development. Professor Ivan`s key argument for this book is that the European Union has been shaped as a functional project taking into consideration the diverse heritage and traditions of its Member States. The opening chapter of this book focuses on the particularities of international relations discipline after the Second World War in order to introduce the theme of European Integration Process. This chapter must be analysed in a series of contributions dedicated to the European Integration process and to the theories that made this integration possible because professor Ivan has previously published books such as: Statele Unite ale Europei [The United States of Europe], Sub zodia Statelor Unite ale Europei [Under the Sign of the United States of Europe], in which he debates the origins of the European construction and brings forward arguments to support the importance of each theoretical and functional pillar of this “Common European Project”.

  8. Environmental impact assessment: theory and practice

    National Research Council Canada - National Science Library

    Wathern, Peter

    1988-01-01

    ... projects. Enshrined in legislation in the USA, Canada, Australia, the Netherlands, Japan and, latterly, in the European Community, EIA is an integral part of environmental management. The 'science' and 'art' of EIA are inextricably linked, but the distinction between them is useful and is reflected in the organization of the book. An introductory chapter p...

  9. Characterization and assessment of potential European and Japanese competition in photovoltaics. Final report

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-10-01

    This study is an assessment of the potential of European and Japanese firms to produce and market photovoltaic (PV) power systems internationally in competition with firms in the United States. It consists of three distinct parts: (1) an overview of worldwide export activity which describes the general posture of selected European countries and Japan; (2) an assessment of European competition focusing on Germany, France, and the United Kingdom; and (3) an assessment of Japanese competition. All research was conducted within the United States relying on published reports in the scientific, trade, and business press; a firm's annual reports; and telephone interviews with representatives of European and Japanese firms. European and Japanese government representatives were also contacted and government-sponsored programs evaluated. European competition is addressed in three areas: characterization of the PV industry; current and potential marketing activity; and the status of PV and related technological developments. The same areas are addressed for depicting Japanese competition except that greater emphasis is placed on past industrial experience and related semiconductor sales.

  10. Benefits of a European project on diagnostics of highly pathogenic agents and assessment of potential "dual use" issues.

    Science.gov (United States)

    Grunow, Roland; Ippolito, G; Jacob, D; Sauer, U; Rohleder, A; Di Caro, A; Iacovino, R

    2014-01-01

    Quality assurance exercises and networking on the detection of highly infectious pathogens (QUANDHIP) is a joint action initiative set up in 2011 that has successfully unified the primary objectives of the European Network on Highly Pathogenic Bacteria (ENHPB) and of P4-laboratories (ENP4-Lab) both of which aimed to improve the efficiency, effectiveness, and response capabilities of laboratories directed at protecting the health of European citizens against high consequence bacteria and viruses of significant public health concern. Both networks have established a common collaborative consortium of 37 nationally and internationally recognized institutions with laboratory facilities from 22 European countries. The specific objectives and achievements include the initiation and establishment of a recognized and acceptable quality assurance scheme, including practical external quality assurance exercises, comprising living agents, that aims to improve laboratory performance, accuracy, and detection capabilities in support of patient management and public health responses; recognized training schemes for diagnostics and handling of highly pathogenic agents; international repositories comprising highly pathogenic bacteria and viruses for the development of standardized reference material; a standardized and transparent Biosafety and Biosecurity strategy protecting healthcare personnel and the community in dealing with high consequence pathogens; the design and organization of response capabilities dealing with cross-border events with highly infectious pathogens including the consideration of diagnostic capabilities of individual European laboratories. The project tackled several sensitive issues regarding Biosafety, Biosecurity and "dual use" concerns. The article will give an overview of the project outcomes and discuss the assessment of potential "dual use" issues.

  11. The policy-relevancy of impact assessment tools: Evaluating nine years of European research funding

    NARCIS (Netherlands)

    Podhora, A.; Helming, K.; Adenauer, L.; Heckelei, T.; Kautto, P.; Reidsma, P.; Rennings, K.; Turnpenny, J.; Jansen, J.M.L.

    2013-01-01

    Since 2002, the European Commission has employed the instrument of ex-ante impact assessments (IA) to help focus its policy-making process on implementing sustainable development. Scientific tools should play an essential role of providing the evidence base to assess the impacts of alternative

  12. The European Working Time Directive: a practical review for surgical trainees.

    Science.gov (United States)

    Fitzgerald, J E F; Caesar, B C

    2012-01-01

    The European Working Time Directive (EWTD) 2003/88/EC is a Union Directive laying down minimum health and safety requirements for the organisation of working time. Originally primarily intended as labour law, its progressive introduction up to full implementation for doctors-in-training in August 2009 has substantially reduced duty-hours and caused widespread concern in surgery. Detrimental effects on the continuity of patient care, reduced availability of medical staff with associated rota difficulties, and the reduction in time for training junior doctors have been widely cited. Craft-specialities such as surgery and those providing an acute service have faced particular challenges. This review offers a practical guide for surgical trainees, explaining the European regulations in the context of current terms and conditions of doctor's employment in the UK. Information is provided on protecting training, opting-out, seeking remuneration for this, and ensuring doctors and patients are protected with appropriate medical indemnity cover in place. Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

  13. What can be learned from practical cases of green economy? - studies from five European countries

    DEFF Research Database (Denmark)

    Pitkänen, Kati; Antikainen, Riina; Droste, Nils

    2016-01-01

    negotiation between potential trade-offs among multiple goals, and interests of various stakeholders. The mutual benefits can be communicated through valid impact assessments and the integration of R&D into the practical implementation. Securing the continuity of funding and leadership is crucial...... identified critical factors related to economic viability, public funding, technological development, impact assessments, public policies and regulation, social capital, leadership and coordination as well as public acceptability and image. According to our results, transition to green economies requires...

  14. The European Construction Social Partners: Gender Equality in Theory and Practice

    DEFF Research Database (Denmark)

    Pedersen, Elsebet Frydendal

    2005-01-01

    that play a role in women's integration. The responses indicate that the construction industry still displays inertia and conservatism, and that the social partners coroborate rather than counter this. They express a "discourse" of gender equality, but this does not automatically lead to equal opportunity......This article explores the social partners' role in a gender quality agenda in construction at skilled operative level. It draws on a survey of the European construction social partners that investigated the presence of women in skilled trades and the policies, collective agreements and practices...... policies or programmes. The social partners have a platform to make inroads and to change the industry from within, but need further encouragement to put this on their agenda....

  15. The practice of career development in the international human resource management of the European countries

    Directory of Open Access Journals (Sweden)

    Berber Nemanja

    2014-01-01

    Full Text Available The function very close to the training in the management of human resources is certainly the human resource development. Specifically, the employees acquire new knowledge, abilities and skills during the training process, but also gain new experiences through various business tasks during their working life, developing themselves both, in private life and in the professional sense. Human resource development is seen as the development of the expertise of people through organizational development and training of employees in order of improvement of the performances. In this paper authors explored the practice of carrier development in European countries. Research was based on data from international project, CRANET, in the period from 2008 to 2010. The authors presented data about the usage of techniques for evaluation of career development and investigated obtained results.

  16. Study tour: welcome to 11 european cities. Exchanges of good practice

    Energy Technology Data Exchange (ETDEWEB)

    Anderson-Pejovic, D.; Schilken, P.; Vallar, J.P.

    2001-11-01

    On-site visits, information, meetings with players engaged in practical actions and exchanges of experience: eleven European cities organize visits of about forty sites or installations which include: energy efficient and high environmental quality buildings and districts, cogeneration and tri-generation installations, new technologies such as the fuel cell or the Stirling engine, bike-stations or tram-train stations within the scope of innovative mobility policies, low energy consumption equipment, renewable energy installations, solar buildings, hydro-electric or photovoltaic power stations, wind farms.This document presents a typical two day's visit for the following cities: Amersfoort/Utrecht, Barcelona, Frankfurt, Freiburg, Grenoble, Hannover, Heidelberg, Lausanne, London, Montpellier, Saarbrucken. (J.S.)

  17. Modelling soil erosion at European scale: the importance of management practices and the future climate and land use scenarios

    Science.gov (United States)

    Panagos, Panos; Ballabio, Cristiano; Meusburger, Katrin; Poesen, Jean; Lugato, Emanuele; Montanarella, Luca; Alewell, Christine; Borrelli, Pasquale

    2017-04-01

    The implementation of RUSLE2015 for modelling soil loss by water erosion at European scale has introduced important aspects related to management practices. The policy measurements such as reduced tillage, crop residues, cover crops, grass margins, stone walls and contouring have been incorporated in the RUSLE2015 modelling platform. The recent policy interventions introduced in Good Agricultural Environmental Conditions of Common Agricultural Policy have reduced the rate of soil loss in the EU by an average of 9.5% overall, and by 20% for arable lands (NATURE, 526, 195). However, further economic and political action should rebrand the value of soil as part of ecosystem services, increase the income of rural land owners, involve young farmers and organize regional services for licensing land use changes (Land Degradation and Development, 27 (6): 1547-1551). RUSLE2015 is combining the future policy scenarios and land use changes introduced by predictions of LUISA Territorial Modelling Platform. Latest developments in RUSLE2015 allow also incorporating the climate change scenarios and the forthcoming intensification of rainfall in North and Central Europe contrary to mixed trends in Mediterranean basin. The rainfall erosivity predictions estimate a mean increase by 18% in European Union by 2050. Recently, a module of CENTURY model was coupled with the RUSLE2015 for estimating the effect of erosion in current carbon balance in European agricultural lands (Global Change Biology, 22(5), 1976-1984; 2016). Finally, the monthly erosivity datasets (Science of the Total Environment, 579: 1298-1315) introduce a dynamic component in RUSLE2015 and it is a step towards spatio-temporal soil erosion mapping at continental scale. The monthly mapping of rainfall erosivity permits to identify the months and the areas with highest risk of soil loss where conservation measures should apply in different seasons of the year. In the future, the soil erosion-modelling platform will

  18. Practical Chronic Pain Assessment Tools in Clinical Practice

    OpenAIRE

    Lončarić-Katušin, Mirjana; Milošević, Milan; Žilić, Antonio; Mišković, Petar; Majerić-Kogler, Višnja; Žunić, Josip

    2016-01-01

    The aim of the study was to show the role of tools in the evaluation of chronic pain (CP) in general practitioner (GP) everyday clinical practice. The study was done by analyzing electronic database of the first visits of 1090 CP patients referred to the Pain Clinic of the Karlovac General Hospital, Karlovac, Croatia, by their GPs. All patient records were analyzed according to the cause of CP, strongest pain a week before the examination, quality of sleep, and the Patients’ Global Impression...

  19. Legal Aspects of the Implementation of European Union’s Common Commercial Policy: Lithuanian Experience and Practice

    Directory of Open Access Journals (Sweden)

    Valantiejus Gediminas

    2016-12-01

    Full Text Available The Common Commercial Policy is the essential basis of the European Union (hereinafter - the EU, which, in particular, is a free trade area between the 28 Member States with a common external customs tariff and a common foreign trade policy as well as common trade rules with the third countries. Implementation of this policy is characterized by the fact that it is based on an exclusive competence of the EU, which after the Treaty of Lisbon (2009 became even more apparent. Therefore the countries of the EU should follow the same legal principles and rules in the regulation of their foreign trade, that is to apply the uniform EU rules on the calculation of customs duties and determination of the customs origin of goods, customs valuation and tariff classification of goods (Common Customs Tariff. However, implementation of these provisions is always experiencing stress due to the different interests of the EU Member States and the different national practices, especially when the administration of customs duties is actually implemented only at the level of individual EU Member States. Therefore the aim of the article is to assess the implementation of the EU’s CCP from the perspective of the EU Member State (Lithuania and to describe existing discrepancies which may serve as an obstacle for the development of common regulatory regime for import customs duties in the EU or hinder its main economic goals in international trade. Analysis of relevant scientific problems is mainly based on the comparative method (comparison of the practice of the national courts in the Republic of Lithuania and the Court of Justice of the European Union in disputes related to the functioning of the EU's customs union and generalization of professional experience (national and EU judicial practice. The research leads to the conclusion that a uniform implementation of Common Commercial Policy and the Common Customs Tariff, as its main element, is not fully ensured on

  20. Best practices in academic assessment in higher education: A case in formative and shared assessment

    Directory of Open Access Journals (Sweden)

    Victor Manuel López Pastor

    2011-09-01

    Full Text Available 800x600 Normal 0 21 false false false CA X-NONE X-NONE The aim of this article is three-fold: (a to present an example of best practices in formative assessment in university instruction, offering three different methods of learning and assessment to pass a subject; (b to analyze differences in academic performance depending on method of learning and assessment chosen; (c to consider professors´ and students´ evaluation of these assessment methods, as well as analyze the workload these methods suppose for both students and professors. The design is based on a single case study. The study analyzes the results obtained in a third- year course at the University of Valladolid (Spain that participated in an ECTS pilot program. Data was collected during academic year 2009-10. Total number of registered students was 77. This paper describes the procedure to develop a formative assessment system and collect data, as well as the main techniques to obtain and analyze data. Findings indicate that there are important differences in student academic performance depending on the learning and assessment method employed in an academic course. Courses are using formative and on going assessment result in significantly higher student academic performance than courses using other learning and assessment methods. Lastly, empirical data suggest that the workload is in line with the ECTS European Credit Transfer System, and is no excessive for the professor. However, students´ subjective perception is that this method involves a heavier workload. These findings may be important, given the current process of convergence towards the new Degrees and ECTS credit system, and the need to adapt these degrees and credits to students’ real workload.  

  1. A Quantitative Microbiological Risk Assessment for Salmonella in Pigs for the European Union

    DEFF Research Database (Denmark)

    Snary, Emma L.; Swart, Arno N.; Simons, Robin R. L.

    2016-01-01

    ,000 and 1 in 10 million servings given consumption of one of the three product types considered (pork cuts, minced meat, and fermented ready‐to‐eat sausages). Further analyses of the farm‐to‐consumption QMRA suggest that the vast majority of human risk derives from infected pigs with a high concentration......A farm‐to‐consumption quantitative microbiological risk assessment (QMRA) for Salmonella in pigs in the European Union has been developed for the European Food Safety Authority. The primary aim of the QMRA was to assess the impact of hypothetical reductions of slaughter‐pig prevalence...

  2. Resource use and costs of exenatide bid or insulin in clinical practice: the European CHOICE study

    Directory of Open Access Journals (Sweden)

    Kiiskinen U

    2013-07-01

    Full Text Available Urpo Kiiskinen,1 Stephan Matthaei,2 Matthew Reaney,3 Chantal Mathieu,4 Claes-Göran Östenson,5 Thure Krarup,6 Michael Theodorakis,7,* Jacek Kiljanski,8 Carole Salaun-Martin,9 Hélène Sapin,9 Bruno Guerci10 1Eli Lilly, Helsinki, Finland; 2Quakenbrück Diabetes Center, Quakenbrück, Germany; 3Eli Lilly, Windlesham, Surrey, UK; 4Department of Endocrinology, UZ Gasthuisberg, Leuven, Belgium; 5Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; 6Department of Endocrinology, Bispebjerg Hospital, Copenhagen, Denmark; 7Department of Clinical Therapeutics, University of Athens School of Medicine, Athens, Greece; 8Eli Lilly, Warsaw, Poland; 9Eli Lilly, Neuilly Cedex, France; 10Department of Diabetes, Metabolic Diseases, and Nutrition, Hôpital Brabois, Vandoeuvre-Lès-Nancy, France *Michael Theodorakis was affiliated with the institution shown above at the time of the study, but has since left this institution Purpose: CHOICE (CHanges to treatment and Outcomes in patients with type 2 diabetes initiating InjeCtablE therapy assessed patterns of exenatide bid and initial insulin therapy usage in clinical practice in six European countries and evaluated outcomes during the study. Methods: CHOICE was a 24-month, prospective, noninterventional observational study. Clinical and resource use data were collected at initiation of first injectable therapy (exenatide bid or insulin and at regular intervals for 24 months. Costs were evaluated from the national health care system perspective at 2009 prices. Results: A total of 2515 patients were recruited. At the 24-month analysis, significant treatment change had occurred during the study in 42.2% of 1114 eligible patients in the exenatide bid cohort and 36.0% of 1274 eligible patients in the insulin cohort. Improvements in glycemic control were observed over the course of the study in both cohorts (P < 0.001 for both, but mean weight was reduced in the exenatide bid cohort (P < 0

  3. An Environmental Risk Assessment for Human-Use Trimethoprim in European Surface Waters

    OpenAIRE

    Straub, J?rg Oliver

    2013-01-01

    An environmental risk assessment (ERA) for the aquatic compartment in Europe from human use was developed for the old antibiotic Trimethoprim (TMP), comparing exposure and effects. The exposure assessment is based on European risk assessment default values on one hand and is refined with documented human use figures in Western Europe from IMS Health and measured removal in wastewater treatment on the other. The resulting predicted environmental concentrations (PECs) are compared with measured...

  4. Epidemiological studies on glyphosate - No new findings for the European risk assessment

    OpenAIRE

    German Federal Institute for Risk Assessment

    2016-01-01

    The assessment of epidemiological studies on the health effects of glyphosate is currently being discussed in the media. In this context, BfR evaluated a so-called expert opinion on epidemiological studies prepared by non-government organisations and concludes that no new findings are being reported for the joint European assessment of the active substance glyphosate. The accusations brought forth in the so-called expert opinion of scientific deception by the assessment authorities are c...

  5. Assessment of agroforestry residue potentials for the bioeconomy in the European Union.

    Science.gov (United States)

    Thorenz, Andrea; Wietschel, Lars; Stindt, Dennis; Tuma, Axel

    2018-03-01

    The biobased chemical industry is characterised by strong growth. Innovative products and materials such as biopolymers have been developed, and current European demand for biopolymers exceeds the domestic supply. Agroforestry residues can serve as main sources of the basic building blocks for chemicals and materials. This work assesses sustainably available agroforestry residues to feed a high added-value materials and product bioeconomy. To evaluate bioeconomic potential, a structured three-step approach is applied. Cultivation practices, sustainability issues, legislative restrictions, technical limitations and competitive applications are considered. All data regarding bioeconomic potential are processed on a regional level and mapped by ArcGIS. Our results identify wheat straw as the most promising source in the agricultural sector, followed by maize stover, barley straw and rape straw, which all contain a total concentration of lignocellulose of more than 80% of dry matter. In the forestry sector, residue bark from two coniferous species, spruce and pine, is the most promising source, with approximately 70% lignocellulose. Additionally, coniferous bark contains considerable amounts of tannin, which has attracted increasing interest for industrial utilisation. A sensitivity analysis concerning removal rates, residue-to-crop ratios, changes in farming technologies and competing applications is applied at the end of the study to consolidate our results.

  6. Childhood obesity: knowledge, attitudes, and practices of European pediatric care providers.

    Science.gov (United States)

    Mazur, Artur; Matusik, Pawel; Revert, Krista; Nyankovskyy, Sergey; Socha, Piotr; Binkowska-Bury, Monika; Grzegorczyk, Joanna; Caroli, Margherita; Hassink, Sandra; Telega, Grzegorz; Malecka-Tendera, Ewa

    2013-07-01

    To determine and compare attitudes, skills, and practices in childhood obesity management in 4 European countries with different obesity prevalence, health care systems, and economic situations. A cross-sectional survey was distributed to primary health care providers from France, Italy, Poland, and Ukraine. The questionnaire was returned by 1119 participants with a response rate of 32.4%. The study revealed that most of the primary health care providers were convinced of their critical role in obesity management but did not feel sufficiently competent to perform effectively. The adherence to recommended practices such as routine weight and height measurements, BMI calculation, and plotting growth parameters on recommended growth charts was poor. Most primary health care providers recognized the need for continuing professional education in obesity management, stressing the importance of appropriate dietary counseling. The study underlines insufficient implementation of national guidelines for management of obesity regardless of the country and its health system. It also makes clear that the critical problem is not elaboration of guidelines but rather creating support systems for implementation of the medical standards among the primary care practitioners.

  7. Psychometric Assessment and Reporting Practices: Incongruence between Theory and Practice

    Science.gov (United States)

    Slaney, Kathleen L.; Tkatchouk, Masha; Gabriel, Stephanie M.; Maraun, Michael D.

    2009-01-01

    The aim of the current study is twofold: (a) to investigate the rates at which researchers assess and report on the psychometric properties of the measures they use in their research and (b) to examine whether or not researchers appear to be generally employing sound/unsound rationales when it comes to how they conduct test evaluations. Based on a…

  8. Assessment of environmental correlates of physical activity: development of a European questionnaire

    Directory of Open Access Journals (Sweden)

    Oja Pekka

    2009-07-01

    Full Text Available Abstract Background Research on the influence of the physical environment on physical activity is rapidly expanding and different measures of environmental perceptions have been developed, mostly in the US and Australia. The purpose of this paper is to (i provide a literature review of measures of environmental perceptions recently used in European studies and (ii develop a questionnaire for population monitoring purposes in the European countries. Methods This study was done within the framework of the EU-funded project 'Instruments for Assessing Levels of Physical Activity and Fitness (ALPHA', which aims to propose standardised instruments for physical activity and fitness monitoring across Europe. Quantitative studies published from 1990 up to November 2007 were systematically searched in Pubmed, Web of Science, TRIS and Geobase. In addition a survey was conducted among members of the European network for the promotion of Health-Enhancing Physical Activity (HEPA Europe and European members of the International Physical Activity and Environment Network (IPEN to identify published or ongoing studies. Studies were included if they were conducted among European general adult population (18+y and used a questionnaire to assess perceptions of the physical environment. A consensus meeting with an international expert group was organised to discuss the development of a European environmental questionnaire. Results The literature search resulted in 23 European studies, 15 published and 8 unpublished. In these studies, 13 different environmental questionnaires were used. Most of these studies used adapted versions of questionnaires that were developed outside Europe and that focused only on the walkability construct: The Neighborhood Environment Walkability Scale (NEWS, the abbreviated version of the NEWS (ANEWS and the Neighborhood Quality of Life Study (NQLS questionnaire have been most commonly used. Based on the results of the literature review and

  9. Long-term dietary exposure to lead in young European children: Comparing a pan-European approach with a national exposure assessment

    DEFF Research Database (Denmark)

    Boon, P.E.; Te Biesebeek, J.D.; van Klaveren, J.D.

    2012-01-01

    Long-term dietary exposures to lead in young children were calculated by combining food consumption data of 11 European countries categorised using harmonised broad food categories with occurrence data on lead from different Member States (pan-European approach). The results of the assessment...... in children living in the Netherlands were compared with a long-term lead intake assessment in the same group using Dutch lead concentration data and linking the consumption and concentration data at the highest possible level of detail. Exposures obtained with the pan-European approach were higher than...... the national exposure calculations. For both assessments cereals contributed most to the exposure. The lower dietary exposure in the national study was due to the use of lower lead concentrations and a more optimal linkage of food consumption and concentration data. When a pan-European approach, using...

  10. Microbiological Assessment of Housekeeping Practices and ...

    African Journals Online (AJOL)

    SARAH

    2016-03-31

    Mar 31, 2016 ... hygienic techniques for slaughtering and dressing. (FAO, 1992). However, meat ... contaminated water, unhygienic practices like poor handling, use of ... without any type of treatment and the butchered meat is washed by the ...

  11. ASSESSMENT OF FOOD SAFETY PRACTICES AMONG CASSAVA ...

    African Journals Online (AJOL)

    Philips Olusola

    public policies on food safety management. ... in the contemporary world and a significant factor in the reduction of productivity. There is some .... adduced to the views of the majority who considered food safety practices a big ..... Contingency.

  12. Issues related to adapting assessment practices

    African Journals Online (AJOL)

    Erna Kinsey

    they leave school, then teaching and specifically assessment have failed. Gruender ... argues that the success of any system of assessment can be judged by the modeling ... proposed to replace the previous eight design features of Curriculum. 2005. ... ment of formative and continuous assessment (Chisholm, 1999:253).

  13. Cardiovascular prevention guidelines in daily practice: a comparison of EUROASPIRE I, II, and III surveys in eight European countries.

    LENUS (Irish Health Repository)

    Kotseva, Kornelia

    2009-03-14

    The first and second EUROASPIRE surveys showed high rates of modifiable cardiovascular risk factors in patients with coronary heart disease. The third EUROASPIRE survey was done in 2006-07 in 22 countries to see whether preventive cardiology had improved and if the Joint European Societies\\' recommendations on cardiovascular disease prevention are being followed in clinical practice.

  14. Modelling the effect of support practices (P-factor) on the reduction of soil erosion by water at European Scale

    NARCIS (Netherlands)

    Panagos, P.; Borrelli, P.; Meusburger, K.; van der Zanden, E.H.; Poesen, J.; Alewell, C.

    2015-01-01

    The USLE/RUSLE support practice factor (P-factor) is rarely taken into account in soil erosion risk modelling at sub-continental scale, as it is difficult to estimate for large areas. This study attempts to model the P-factor in the European Union. For this, it considers the latest policy

  15. Considerations of nano-QSAR/QSPR models for nanopesticide risk assessment within the European legislative framework.

    Science.gov (United States)

    Villaverde, Juan José; Sevilla-Morán, Beatriz; López-Goti, Carmen; Alonso-Prados, José Luis; Sandín-España, Pilar

    2018-09-01

    The European market for pesticides is currently legislated through the well-developed Regulation (EC) No. 1107/2009. This regulation promotes the competitiveness of European agriculture, recognizing the necessity of safe pesticides for human and animal health and the environment to protect crops against pests, diseases and weeds. In this sense, nanotechnology can provide a tremendous opportunity to achieve a more rational use of pesticides. However, the lack of information regarding nanopesticides and their fate and behavior in the environment and their effects on human and animal health is inhibiting rapid nanopesticide incorporation into European Union agriculture. This review analyzes the recent state of knowledge on nanopesticide risk assessment, highlighting the challenges that need to be overcame to accelerate the arrival of these new tools for plant protection to European agricultural professionals. Novel nano-Quantitative Structure-Activity/Structure-Property Relationship (nano-QSAR/QSPR) tools for risk assessment are analyzed, including modeling methods and validation procedures towards the potential of these computational instruments to meet the current requirements for authorization of nanoformulations. Future trends on these issues, of pressing importance within the context of the current European pesticide legislative framework, are also discussed. Standard protocols to make high-quality and well-described datasets for the series of related but differently sized nanoparticles/nanopesticides are required. Copyright © 2018 Elsevier B.V. All rights reserved.

  16. Spatially based methods to assess the ecological status of riverine fish assemblages in European ecoregions

    NARCIS (Netherlands)

    Schmutz, S.; Beier, U.; Bohmer, J.; Leeuw, de J.J.

    2007-01-01

    The objective was to develop spatially based (type-specific) methods to assess the ecological status of European rivers according to the EU Water Framework Directive. Some 15 000 samples from about 8000 sites were pre-classified within a five-tiered classification system based on hydromorphological

  17. 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

  18. Validity of a short questionnaire to assess physical activity in 10 European countries

    NARCIS (Netherlands)

    Feskens, E.J.M.

    2012-01-01

    To accurately examine associations of physical activity (PA) with disease outcomes, a valid method of assessing free-living activity is required. We examined the validity of a brief PA questionnaire (PAQ) used in the European Prospective Investigation into Cancer and Nutrition (EPIC). PA energy

  19. Evaluating European imports of Asian aquaculture products using statistically supported life cycle assessments

    NARCIS (Netherlands)

    Henriksson, Patrik John Gustav

    2015-01-01

    This thesis aims to evaluate the environmental sustainability of European imports of farmed aquatic food products from Asia, using life cycle assessment (LCA). Farming of Asian tiger prawn, whiteleg shrimp, freshwater prawn, tilapia and pangasius catfish in Bangladesh, China, Thailand and Vietnam

  20. Assessing European capacity for geological storage of carbon dioxide-the EU GeoCapacity project

    NARCIS (Netherlands)

    Vangkilde-Pedersen, T.; Anthonsen, K.L.; Smith, N.; Kirk, K.; Neele, F.; Meer, B. van der; Le Gallo, Y. le; Bossie-Codreanu, D.; Wojcicki, A.; Nindre, Y.-M. le; Hendriks, C.; Dalhoff, F.; Peter Christensen, N.

    2009-01-01

    The focus of the GeoCapacity project is GIS mapping of CO2 point sources, infrastructure and geological storage in Europe. The main objective is to assess the European capacity for geological storage of CO2 in deep saline aquifers, oil and gas structures and coal beds. Other priorities are further

  1. Cognitive Assessment Practices: A Survey of School Psychologists

    Science.gov (United States)

    Sotelo-Dynega, Marlene; Dixon, Shauna G.

    2014-01-01

    The present article describes an exploratory study regarding the preferred cognitive assessment practices of current school psychologists. Three hundred and twenty-three school psychologists participated in the survey. The results suggest that the majority of school psychologists endorsed that they base their assessment practices on an underlying…

  2. Assessment of vegetable production practices in Qwaqwa within ...

    African Journals Online (AJOL)

    In this study, the information such as biographical information of the vegetable farmers, information about the vegetable gardens or farms, the current vegetable farming practices, irrigation practices on the vegetable soil and the farmers' physical and financial records were assessed. The assessment was conducted through ...

  3. Implications of teacher educators' practices in assessment for ...

    African Journals Online (AJOL)

    This study presents findings on teacher educators' practices in assessment and their implications for student learning in Tanzania. Research on classroom assessment has been dichotomizing assessment and teaching-learning processes instead of viewing assessment as an integral part of the teachinglearning process.

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

    Science.gov (United States)

    Le Reste, Jean Yves; Nabbe, Patrice; Rivet, Charles; Lygidakis, Charilaos; Doerr, Christa; Czachowski, Slawomir; Lingner, Heidrun; Argyriadou, Stella; Lazic, Djurdjica; Assenova, Radost; Hasaganic, Melida; Munoz, Miquel Angel; Thulesius, Hans; Le Floch, Bernard; Derriennic, Jeremy; Sowinska, Agnieska; Van Marwijk, Harm; Lietard, Claire; Van Royen, Paul

    2015-01-01

    Background Multimorbidity, according to the World Health Organization, exists when there are two or more chronic conditions in one patient. This definition seems inaccurate for the holistic approach to Family Medicine (FM) and long-term care. To avoid this pitfall the European General Practitioners Research Network (EGPRN) designed a comprehensive definition of multimorbidity using a systematic literature review. Objective To translate that English definition into European languages and to validate the semantic, conceptual and cultural homogeneity of the translations for further research. Method Forward translation of the EGPRN’s definition of multimorbidity followed by a Delphi consensus procedure assessment, a backward translation and a cultural check with all teams to ensure the homogeneity of the translations in their national context. Consensus was defined as 70% of the scores being higher than 6. Delphi rounds were repeated in each country until a consensus was reached Results 229 European medical expert FPs participated in the study. Ten consensual translations of the EGPRN comprehensive definition of multimorbidity were achieved. Conclusion A comprehensive definition of multimorbidity is now available in English and ten European languages for further collaborative research in FM and long-term care. PMID:25607642

  5. Updated European Union Risk Assessment Report of Alkanes, C10-13, Chloro

    OpenAIRE

    2008-01-01

    A risk assessment of alkanes, C10-13, chloro (short-chain chlorinated paraffins or SCCPs) produced in accordance with Council Regulation (EEC) 793/93 was published in October 1999 . Subsequent marketing and use restrictions for two uses (metal working and use for fat liquoring of leather) have come into force in the European Union through Directive 2002/45/EC . This Directive also states that all remaining uses of short-chain chlorinated paraffins will be reviewed by the European Commission ...

  6. Quality assessment and improvements in pathology practice

    NARCIS (Netherlands)

    Kuijpers, C.C.H.J.

    2016-01-01

    Every patient has the right to receive optimal quality health care. With regard to pathology practice, a small (interpretational) difference can have major impact for the patient, because prognosis and treatment selection are often based on the pathology report. Unfortunately, it is inevitable that

  7. Issues in Assessment: Putting Theory into Practice.

    Science.gov (United States)

    Malinowski, Patricia A., Ed.

    Assessment as conducted at Finger Lakes Community College (FLCC) in Canandaigua (New York) has taken various forms and has been conducted under various names. This publication offers an overview of assessment at the college from a philosophical and historical perspective. In both general and specific terms, the efforts of the college to meet the…

  8. Ethical and practical issues regarding research in children: The European perspective

    International Nuclear Information System (INIS)

    Sauer, P.J.J.

    2005-01-01

    Children, like all humans, are exposed to compounds in the environment and sometimes to drugs. The effect of this exposure cannot simply be deducted from studies in adults or animals. Effects might be different and even more dramatic than in adults due to the stage of growth and development of the infant. Around 80% of drugs used in young individuals are not licensed for use in this age group. Almost three new chemical compounds enter the environment each day. Toxicological studies in infants and children therefore are needed and ethically acceptable. However, appropriate safeguards must be taken into account. According to the Good Clinical Practice Directive of the European Parliament (2001/20) not only therapeutic, but also non-therapeutic research in infants and children is allowed, provided the study can only be conducted in children, and the results of the study in children will be of benefit to the group represented and no more than minimal harm and risk is inflicted to the children. Many more toxicological studies are needed in children and infants. Not conducting these studies is detrimental for this age group

  9. [Spanish adaptation of the 2016 European Guidelines on cardiovascular disease prevention in clinical practice].

    Science.gov (United States)

    Royo-Bordonada, Miguel Ángel; Armario, Pedro; Lobos Bejarano, José María; Pedro-Botet, Juan; Villar Álvarez, Fernando; Elosua, Roberto; Brotons Cuixart, Carlos; Cortés, Olga; Serrano, Benilde; Camafort Babkowski, Miguel; Gil Núñez, Antonio; Pérez, Antonio; Maiques, Antonio; de Santiago Nocito, Ana; de Castro, Almudena; Alegría, Eduardo; Baeza, Ciro; Herranz, María; Sans, Susana; Campos, Pilar

    The VI European Guidelines for Cardiovascular Prevention recommend combining population and high-risk strategies with lifestyle changes as a cornerstone of prevention, and propose the SCORE function to quantify cardiovascular risk. The guidelines highlight disease specific interventions, and conditions as women, young people and ethnic minorities. Screening for subclinical atherosclerosis with noninvasive imaging techniques is not recommended. The guidelines distinguish four risk levels (very high, high, moderate and low) with therapeutic objectives for lipid control according to risk. Diabetes mellitus confers a high risk, except for subjects with type 2 diabetes with less than cardiovascular risk, taking into account the lesion of target organs. The guidelines don't recommend antiplatelet drugs in primary prevention because of the increased bleeding risk. The low adherence to the medication requires simplified therapeutic regimes and to identify and combat its causes. The guidelines highlight the responsibility of health professionals to take an active role in advocating evidence-based interventions at the population level, and propose effective interventions, at individual and population level, to promote a healthy diet, the practice of physical activity, the cessation of smoking and the protection against alcohol abuse. Copyright © 2017. Publicado por Elsevier España, S.L.U.

  10. Spanish adaptation of the 2016 European Guidelines on cardiovascular disease prevention in clinical practice.

    Science.gov (United States)

    Royo-Bordonada, M Á; Armario, P; Lobos Bejarano, J M; Pedro-Botet, J; Villar Alvarez, F; Elosua, R; Brotons Cuixart, C; Cortés, O; Serrano, B; Camafort Babkowski, M; Gil Núñez, A; Pérez, A; Maiques, A; de Santiago Nocito, A; Castro, A; Alegría, E; Baeza, C; Herranz, M; Sans, S; Campos, P

    The VI European Guidelines for Cardiovascular Prevention recommend combining population and high-risk strategies with lifestyle changes as a cornerstone of prevention, and propose the SCORE function to quantify cardiovascular risk. The guidelines highlight disease specific interventions, and conditions as women, young people and ethnic minorities. Screening for subclinical atherosclerosis with noninvasive imaging techniques is not recommended. The guidelines distinguish four risk levels (very high, high, moderate and low) with therapeutic objectives for lipid control according to risk. Diabetes mellitus confers a high risk, except for subjects with type 2 diabetes with less than <10 years of evolution, without other risk factors or complications, or type 1 diabetes of short evolution without complications. The decision to start pharmacological treatment of arterial hypertension will depend on the blood pressure level and the cardiovascular risk, taking into account the lesion of target organs. The guidelines don't recommend antiplatelet drugs in primary prevention because of the increased bleeding risk. The low adherence to the medication requires simplified therapeutic regimes and to identify and combat its causes. The guidelines highlight the responsibility of health professionals to take an active role in advocating evidence-based interventions at the population level, and propose effective interventions, at individual and population level, to promote a healthy diet, the practice of physical activity, the cessation of smoking and the protection against alcohol abuse. Copyright © 2017. Publicado por Elsevier España, S.L.U.

  11. [Spanish adaptation of the 2016 European Guidelines on cardiovascular disease prevention in clinical practice].

    Science.gov (United States)

    Royo-Bordonada, Miguel Ángel; Armario, Pedro; Lobos Bejarano, José María; Pedro-Botet, Juan; Villar Álvarez, Fernando; Elosua, Roberto; Brotons Cuixart, Carlos; Cortés, Olga; Serrano, Benilde; Camafort Babkowski, Miguel; Gil Núñez, Antonio; Pérez, Antonio; Maiques, Antonio; de Santiago Nocito, Ana; de Castro, Almudena; Alegría, Eduardo; Baeza, Ciro; Herranz, María; Sans, Susana; Campos, Pilar

    The VI European Guidelines for Cardiovascular Prevention recommend combining population and high-risk strategies with lifestyle changes as a cornerstone of prevention, and propose the SCORE function to quantify cardiovascular risk. The guidelines highlight disease specific interventions, and conditions as women, young people and ethnic minorities. Screening for subclinical atherosclerosis with noninvasive imaging techniques is not recommended. The guidelines distinguish four risk levels (very high, high, moderate and low) with therapeutic objectives for lipid control according to risk. Diabetes mellitus confers a high risk, except for subjects with type 2 diabetes with less than <10 years of evolution, without other risk factors or complications, or type 1 diabetes of short evolution without complications. The decision to start pharmacological treatment of arterial hypertension will depend on the blood pressure level and the cardiovascular risk, taking into account the lesion of target organs. The guidelines don't recommend antiplatelet drugs in primary prevention because of the increased bleeding risk. The low adherence to the medication requires simplified therapeutic regimes and to identify and combat its causes. The guidelines highlight the responsibility of health professionals to take an active role in advocating evidence-based interventions at the population level, and propose effective interventions, at individual and population level, to promote a healthy diet, the practice of physical activity, the cessation of smoking and the protection against alcohol abuse. Copyright © 2017. Publicado por Elsevier España, S.L.U.

  12. Recommendations for a trans-European dietary assessment method in children between 4 and 14 years

    DEFF Research Database (Denmark)

    Andersen, L. F.; Lioret, S.; Brants, H.

    2011-01-01

    Background/Objectives: The main objective of European Food Consumption Validation (EFCOVAL)-child Project is to define and evaluate a trans-European methodology for undertaking national representative dietary surveys among children in the age group of 4-14 years. In the process of identifying...... was to investigate whether the method (two non-consecutive 24-h dietary recalls (24-HDRs)) suggested for the adults in European Food Consumption Survey Method (EFCOSUM) would be usable for children in the age group between 4 and 14 years. However, all available dietary assessment methods were included...... of 4-14 years. Nevertheless, on the basis of the literature, the recommendations were separated for preschoolers (4-6 years) and schoolchildren (7-14 years). Conclusion: For preschoolers, two non-consecutive days of a structured food record are recommended, using a (for children adapted) picture...

  13. Audit Practices: Summary of Risk Assessment Methodologies

    National Research Council Canada - National Science Library

    2002-01-01

    .... The primary objective of an audit risk assessment is to provide its users with the assurance that audit resources are focused on those areas needing greatest attention and will provide the best value...

  14. Clinical practice guidelines and consensus statements in oncology--an assessment of their methodological quality.

    Directory of Open Access Journals (Sweden)

    Carmel Jacobs

    Full Text Available Consensus statements and clinical practice guidelines are widely available for enhancing the care of cancer patients. Despite subtle differences in their definition and purpose, these terms are often used interchangeably. We systematically assessed the methodological quality of consensus statements and clinical practice guidelines published in three commonly read, geographically diverse, cancer-specific journals. Methods Consensus statements and clinical practice guidelines published between January 2005 and September 2013 in Current Oncology, European Journal of Cancer and Journal of Clinical Oncology were evaluated. Each publication was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II rigour of development and editorial independence domains. For assessment of transparency of document development, 7 additional items were taken from the Institute of Medicine's standards for practice guidelines and the Journal of Clinical Oncology guidelines for authors of guidance documents.Consensus statements and clinical practice guidelines published between January 2005 and September 2013 in Current Oncology, European Journal of Cancer and Journal of Clinical Oncology were evaluated. Each publication was assessed using the Appraisal of Guidelines for Research and Evaluation II (AGREE II rigour of development and editorial independence domains. For assessment of transparency of document development, 7 additional items were taken from the Institute of Medicine's standards for practice guidelines and the Journal of Clinical Oncology guidelines for authors of guidance documents.Thirty-four consensus statements and 67 clinical practice guidelines were evaluated. The rigour of development score for consensus statements over the three journals was 32% lower than that of clinical practice guidelines. The editorial independence score was 15% lower for consensus statements than clinical practice guidelines. One journal scored

  15. Assessment of zoonotic potential of four European swine influenza viruses in the ferret model

    DEFF Research Database (Denmark)

    Fobian, Kristina; P. Fabrizio, Thomas; Yoon, Sun-Woo

    herds and enhanced focus on risk assessment of these new viruses. In this study, four European swine influenza viruses were assessed for their zoonotic potential. Of the four viruses, two were enzootic viruses of subtype H1N2 (with avian-like H1) and H3N2 and two were new reassortants, one with avian......The reverse zoonotic events that introduced the 2009 pandemic influenza virus into swine herds have drastically increased the diversity of reassortants throughout Europe. The pandemic potential of these novel reassortments is unknown, hence necessitating enhanced surveillance of European swine...... to neuraminidase inhibitors. These findings suggest that the investigated viruses have the potential to infect humans and further underline the need for continued surveillance as well as pandemic and zoonotic assessment of new influenza reassortants....

  16. Harmonisation of food categorisation systems for dietary exposure assessments among European children

    DEFF Research Database (Denmark)

    De Neve, Melissa; Sioen, Isabelle; Boon, Polly

    2010-01-01

    Within the European project called EXPOCHI (Individual Food Consumption Data and Exposure Assessment Studies for Children), 14 different European individual food consumption databases of children were used to conduct harmonised dietary exposure assessments for lead, chromium, selenium and food...... colours. For this, two food categorisation systems were developed to classify the food consumption data in such a way that these could be linked to occurrence data of the considered compounds. One system served for the exposure calculations of lead, chromium and selenium. The second system was developed...... for the exposure assessment of food colours. The food categories defined for the lead, chromium and selenium exposure calculations were used as a basis for the food colour categorisation, with adaptations to optimise the linkage with the food colour occurrence data. With this work, an initial impetus was given...

  17. Major knowledge gaps and system barriers to guideline implementation among European physicians treating patients with atrial fibrillation: a European Society of Cardiology international educational needs assessment.

    Science.gov (United States)

    Heidbuchel, Hein; Dagres, Nikolaos; Antz, Matthias; Kuck, Karl-Heinz; Lazure, Patrice; Murray, Suzanne; Carrera, Céline; Hindricks, Gerhard; Vahanian, Alec

    2018-03-12

    Guideline-adherent treatment is associated with improved prognosis in atrial fibrillation (AF) patients but is insufficiently implemented in clinical practice. The European Society of Cardiology (ESC) performed a multinational educational needs assessment study among cardiologists, general practitioners/family physicians (GPs/FPs), and neurologists in order to evaluate knowledge and skills of physicians and system factors related to AF care delivery. A total of 561 physicians (294 cardiologists, 131 neurologists, and 136 GPs/FPs) from six European countries participated. This mixed-methods study included exploratory semi-structured qualitative interviews (n = 30) and a quantitative survey that included two clinical cases (n = 531). We identified eight key knowledge gaps and system barriers across all domains of AF care. A majority across all specialties reported skills needing improvement to classify AF pathophysiologically, rather than based on duration of episodes, and reported lack of availability of long-term electrocardiogram recording. Skills interpreting the CHA2DS2-VASc and the HAS-BLED scores were reported as needing improvement by the majority of neurologists (52% and 60%, respectively) and GPs/FPs (65% and 74%). Cardiologists calculated the CHA2DS2-VASc and HAS-BLED scores in 94%/70% in a presented case patient, but only 60%/49% of neurologists and 58%/42% of GPs/FPs did. There was much uncertainty on how to deal with anticoagulant therapy in complex patients. There was also a high disparity in using rate or rhythm control strategies, and indications for ablation. Information delivery to patients and communication between different specialties was often considered suboptimal, while national regulations and restrictions often hamper international guideline implementation. We identified major gaps in physicians' knowledge and skills across all domains of AF care, as well as system factors hampering guideline-compliant care implementation and

  18. Quantity and quality assessment of randomized controlled trials on orthodontic practice in PubMed.

    Science.gov (United States)

    Shimada, Tatsuo; Takayama, Hisako; Nakamura, Yoshiki

    2010-07-01

    To find current high-quality evidence for orthodontic practice within a reasonable time, we tested the performance of a PubMed search. PubMed was searched using publication type randomized controlled trial and medical subject heading term "orthodontics" for articles published between 2003 and 2007. The PubMed search results were compared with those from a hand search of four orthodontic journals to determine the sensitivity of PubMed search. We evaluated the precision of the PubMed search result and assessed the quality of individual randomized controlled trials using the Jadad scale. Sensitivity and precision were 97.46% and 58.12%, respectively. In PubMed, of the 277 articles retrieved, 161 (58.12%) were randomized controlled trials on orthodontic practice, and 115 of the 161 articles (71.42%) were published in four orthodontic journals: American Journal of Orthodontics and Dentofacial Orthopedics, The Angle Orthodontist, the European Journal of Orthodontics, and the Journal of Orthodontics. Assessment by the Jadad scale revealed 60 high-quality randomized controlled trials on orthodontic practice, of which 45 (75%) were published in these four journals. PubMed is a highly desirable search engine for evidence-based orthodontic practice. To stay current and get high-quality evidence, it is reasonable to look through four orthodontic journals: American Journal of Orthodontics and Dentofacial Orthopedics, The Angle Orthodontist, the European Journal of Orthodontics, and the Journal of Orthodontics.

  19. Benefits of a European Project on Diagnostics of Highly Pathogenic Agents and Assessment of Potential “Dual Use” Issues

    Science.gov (United States)

    Grunow, Roland; Ippolito, G.; Jacob, D.; Sauer, U.; Rohleder, A.; Di Caro, A.; Iacovino, R.

    2014-01-01

    Quality assurance exercises and networking on the detection of highly infectious pathogens (QUANDHIP) is a joint action initiative set up in 2011 that has successfully unified the primary objectives of the European Network on Highly Pathogenic Bacteria (ENHPB) and of P4-laboratories (ENP4-Lab) both of which aimed to improve the efficiency, effectiveness, and response capabilities of laboratories directed at protecting the health of European citizens against high consequence bacteria and viruses of significant public health concern. Both networks have established a common collaborative consortium of 37 nationally and internationally recognized institutions with laboratory facilities from 22 European countries. The specific objectives and achievements include the initiation and establishment of a recognized and acceptable quality assurance scheme, including practical external quality assurance exercises, comprising living agents, that aims to improve laboratory performance, accuracy, and detection capabilities in support of patient management and public health responses; recognized training schemes for diagnostics and handling of highly pathogenic agents; international repositories comprising highly pathogenic bacteria and viruses for the development of standardized reference material; a standardized and transparent Biosafety and Biosecurity strategy protecting healthcare personnel and the community in dealing with high consequence pathogens; the design and organization of response capabilities dealing with cross-border events with highly infectious pathogens including the consideration of diagnostic capabilities of individual European laboratories. The project tackled several sensitive issues regarding Biosafety, Biosecurity and “dual use” concerns. The article will give an overview of the project outcomes and discuss the assessment of potential “dual use” issues. PMID:25426479

  20. An Assessment of Economic Stability under the New European Economic Governance

    Directory of Open Access Journals (Sweden)

    Gheorghe HURDUZEU

    2015-06-01

    Full Text Available The economic crisis, followed by the sovereign debt crisis, resulted in high unemployment, unsustainable public finances and deepening disparities between Euro Area member states, and underlined the necessity of strengthening economic coordination. In order to lessen the effects of the crises, to prevent further deepening of the economic context and the appearance of new similar situations, the European framework was improved by the provisions of the new economic governance. The aim of this paper is to assess the effects regarding macroeconomic stability within Euro Area member states, achieved under the new economic governance framework. In this respect, the first part of the paper consists in an overview of the provisions imposed through the European Semester, the reformed Stability and Growth Pact and the other elements of the new European governance. In order to assess the achievement of economic stability we analyzed data for Southern Euro Area member states, during 2009-2013, as this group of countries registered most issues during 2013. We took into consideration five important indicators, essential in any economy that form the macroeconomic stability pentagon: economic growth rate, unemployment rate, inflation rate, budgetary balance and current account balance. By comparing the area obtained through the macroeconomic stability pentagon, we conclude on meeting one of the main objectives of the new European governance: economic stability.

  1. Social health and dementia: a European consensus on the operationalization of the concept and directions for research and practice.

    Science.gov (United States)

    Dröes, R M; Chattat, R; Diaz, A; Gove, D; Graff, M; Murphy, K; Verbeek, H; Vernooij-Dassen, M; Clare, L; Johannessen, A; Roes, M; Verhey, F; Charras, K

    2017-01-01

    Because the pattern of illnesses changes in an aging population and many people manage to live well with chronic diseases, a group of health care professionals recently proposed reformulating the static WHO definition of health towards a dynamic one based on the ability to physically, mentally and socially adapt and self-manage. This paper is the result of a collaborative action of the INTERDEM Social Health Taskforce to operationalize this new health concept for people with dementia, more specifically the social domain, and to formulate directions for research and practice to promote social health in dementia. Based on the expertise of the Social Health Taskforce members (N = 54) three groups were formed that worked on operationalizing the three social health dimensions described by Huber et al.: (1) capacity to fulfil potential and obligations; (2) ability to manage life with some degree of independence; (3) participation in social activities. For each dimension also influencing factors, effective interventions and knowledge gaps were inventoried. After a consensus meeting, the operationalizations of the dimensions were reviewed by the European Working Group of People with Dementia (EWGPWD). The social health dimensions could be well operationalized for people with dementia and are assessed as very relevant according to the Social Health Taskforce and EWGPWD. Personal (e.g. sense of coherence, competencies), disease-related (e.g. severity of cognitive impairments, comorbidity), social (support from network, stigma) and environmental factors (e.g. enabling design, accessibility) that can influence the person with dementia's social health and many interventions promoting social health were identified. A consensus-based operationalization of social health in dementia is proposed, and factors that can influence, and interventions that improve, social health in dementia identified. Recommendations are made for research and practice.

  2. Medical practice and legal background of decisions for severely ill newborn infants: viewpoints from seven European countries.

    Science.gov (United States)

    Sauer, P J J; Dorscheidt, J H H M; Verhagen, A A E; Hubben, J H

    2013-02-01

    To comparing attitudes towards end-of-life (EOL) decisions in newborn infants between seven European countries. One paediatrician and one lawyer from seven European countries were invited to attend a conference to discuss the practice of EOL decisions in newborn infants and the legal aspects involved. All paediatricians/neonatologists indicated that the best interest of the child should be the leading principle in all decisions. However, especially when discussing cases, important differences in attitude became apparent, although there are no significant differences between the involved countries with regard to national legal frameworks. Important differences in attitude towards neonatal EOL decisions between European countries exist, but they cannot be explained solely by medical or legal reasons. ©2012 The Author(s)/Acta Paediatrica ©2012 Foundation Acta Paediatrica.

  3. Ideas, Individuals, and Institutions : Notion and Practices of a European Electricity System

    NARCIS (Netherlands)

    Lagendijk, Vincent

    2018-01-01

    Based upon extensive multi-archival research, this article traces the long lineage of the notion of European electricity network. Since the 1930s engineers and policy makers conceived of a geographical conception for rationalising and optimising electricity supply: a European one. This article

  4. Assessment, Student Learning and Classroom Practice: A Review

    Science.gov (United States)

    Amua-Sekyi, Ekua Tekyiwa

    2016-01-01

    Assessment in its various forms has always been a central part of educational practice. Evidence gleaned from the empirical literature suggests that assessment, especially high stakes external assessment has effect on how teachers teach and consequently, how students learn. Through focus group discussions, this paper draws upon the experiences of…

  5. The Practicalities of Assessing Freezing of Gait

    NARCIS (Netherlands)

    Barthel, C.; Mallia, E.; Debu, B.; Bloem, B.R.; Ferraye, M.U.

    2016-01-01

    BACKGROUND: Freezing of gait (FOG) is a mysterious, complex and debilitating phenomenon in Parkinson's disease. Adequate assessment is a pre-requisite for managing FOG, as well as for assigning participants in FOG research. The episodic nature of FOG, as well as its multiple clinical expressions

  6. Prior learning assessment and quality assurance practice ...

    African Journals Online (AJOL)

    The use of RPL (Recognition of Prior Learning) in higher education to assess RPL candidates for admission into programmes of study met with a lot of criticism from faculty academics. Lecturers viewed the possibility of admitting large numbers of under-qualified adult learners, as a threat to the institution's reputation, or an ...

  7. Enhancing teaching and assessment practices in affective ...

    African Journals Online (AJOL)

    The results of the study indicate that social studies tutors in the TTCs seldom teach in the affective domain because they have little knowledge about the taxonomic levels of internalisation of the affective domain. Similarly, the tutors hardly assess the affective outcomes and ineffectively too because of lack of adequate ...

  8. The potential role of life cycle assessment in regulation of chemicals in the European Union

    DEFF Research Database (Denmark)

    Christensen, Frans Møller; Olsen, Stig Irving

    2004-01-01

    Scope and Background. This paper presents the preliminary results from an ongoing feasibility study, investigating potential application of elements from the life cycle assessment (LCA) framework in European chemicals' policy. Many policy areas affect manufacturing, marketing and use of chemicals...... dialogues with various stakeholders. Results and Discussion. LCAs are comparative and more holistic in view as compared to chemical risk assessments for regulatory purposes1. LCAs may therefore potentially improve the basis for decisions between alternatives in cases where a risk assessment calls for risk...

  9. Biodiversity in environmental assessment-current practice and tools for prediction

    International Nuclear Information System (INIS)

    Gontier, Mikael; Balfors, Berit; Moertberg, Ulla

    2006-01-01

    Habitat loss and fragmentation are major threats to biodiversity. Environmental impact assessment and strategic environmental assessment are essential instruments used in physical planning to address such problems. Yet there are no well-developed methods for quantifying and predicting impacts of fragmentation on biodiversity. In this study, a literature review was conducted on GIS-based ecological models that have potential as prediction tools for biodiversity assessment. Further, a review of environmental impact statements for road and railway projects from four European countries was performed, to study how impact prediction concerning biodiversity issues was addressed. The results of the study showed the existing gap between research in GIS-based ecological modelling and current practice in biodiversity assessment within environmental assessment

  10. 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

  11. Assessment of goods and services, vulnerability, and conservation status of European seabed biotopes: a stepping stone towards ecosystem-based marine spatial management

    Directory of Open Access Journals (Sweden)

    M. SALOMIDI

    2012-02-01

    Full Text Available The goal of ecosystem-based marine spatial management is to maintain marine ecosystems in a healthy, productive and resilient condition; hence, they can sustainably provide the needed goods and services for human welfare. However, the increasing pressures upon the marine realm threaten marine ecosystems, especially seabed biotopes, and thus a well-planned approach of managing use of marine space is essential to achieve sustainability. The relative value of seabed biotopes, evaluated on the basis of goods and services, is an important starting point for the spatial management of marine areas. Herein, 56 types of European seabed biotopes and their related goods, services, sensitivity issues, and conservation status were compiled, the latter referring to management and protection tools which currently apply for these biotopes at European or international level. Fishing activities, especially by benthic trawls, and marine pollution are the main threats to European seabed biotopes. Increased seawater turbidity, dredged sediment disposal, coastal constructions, biological invasions, mining, extraction of raw materials, shipping-related activities, tourism, hydrocarbon exploration, and even some practices of scientific research, also exert substantial pressure. Although some first steps have been taken to protect the European sea beds through international agreements and European and national legislation, a finer scale of classification and assessment of marine biotopes is considered crucial in shaping sound priorities and management guidelines towards the effective conservation and sustainability of European marine resources.

  12. Obsolescence Risk Assessment Process Best Practice

    OpenAIRE

    Romero Rojo, Francisco Javier; Roy, Rajkumar; Kelly, S.

    2013-01-01

    A component becomes obsolete when it is no longer available from the original manufacturer to the original specification. In long-lifecycle projects, obsolescence has become a major problem as it prevents the maintenance of the system. This is the reason why obsolescence management is now an essential part of the product support activities in sectors such as defence, aerospace, nuclear and railway; where systems need to be supported for several decades. The obsolescence risk assessment for th...

  13. Practical session assessments in human anatomy: Weightings and performance.

    Science.gov (United States)

    McDonald, Aaron C; Chan, Siew-Pang; Schuijers, Johannes A

    2016-07-08

    Assessment weighting within a given module can be a motivating factor for students when deciding on their commitment level and time given to study a specific topic. In this study, an analysis of assessment performances of second year anatomy students was performed over four years to determine if (1) students performed better when a higher weighting was given to a set of practical session assessments and (2) whether an improved performance in the practical session assessments had a carry-over effect on other assessment tasks within that anatomy module and/or other anatomy modules that follow. Results showed that increasing the weighting of practical session assessments improved the average mark in that assessment and also improved the percentage of students passing that assessment. Further, it significantly improved performance in the written end-semester examination within the same module and had a carry-over effect on the anatomy module taught in the next teaching period, as students performed better in subsequent practical session assessments as well as subsequent end-semester examinations. It was concluded that the weighting of assessments had significant influences on a student's performance in that, and subsequent, assessments. It is postulated that practical session assessments, designed to develop deep learning skills in anatomy, improved efficacy in student performance in assessments undertaken in that and subsequent anatomy modules when the weighting of these assessments was greater. These deep learning skills were also transferable to other methods of assessing anatomy. Anat Sci Educ 9: 330-336. © 2015 American Association of Anatomists. © 2015 American Association of Anatomists.

  14. Geographical representation of the European populations with a view to the assessment of collective doses

    International Nuclear Information System (INIS)

    Garnier, A.; Sauve, A.; Madelmont, C.

    1980-01-01

    Demographical data are very important in assessing health consequences of the siting of nuclear plants. In addition to a detailed description of the distribution of population living in the neighbourhood of every site, a less definite representation of the population as a whole is needed to assess the consequences of the long-range transport of pollutants within or outside the national boundaries, in order to determine the collective doses according to the concepts of the ICRP recommendations. For this purpose, the census data of the nine countries of the European Community have been collected. They are presented in two forms: either by communes or following a more or less close-meshed grid. The points have been defined by their geographical coordinates. After merging the informations, the demographic data were classified according to the geographical coordinates. One of them is a distribution programme of the population in the meshes of an European grid, some examples of which are shown. (H.K.)

  15. Marine and coastal ecosystem services on the science–policy–practice nexus: challenges and opportunities from 11 European case studies

    NARCIS (Netherlands)

    Drakou, E.G.; Kermagoret, C.; Liquete, C.; Ruiz-Frau, A.; Burkhard, K.; Lillebø, A.I.; van Oudenhoven, A.P.E.; Ballé-Béganton, J.; Rodrigues, J.G.; Nieminen, E.; Oinonen, S.; Ziemba, A.; Gissi, E.; Depellegrin, D.; Veidemane, K.; Ruskule, A.; Delangue, J.; Böhnke-Henrichs, A.; Boon, A.; Wenning, R.; Martino, S.; Hasler, B.; Termansen, M.; Rockel, M.; Hummel, H.; El Serafy, G.; Peev, P.

    2017-01-01

    We compared and contrasted 11 European case studies to identify challenges and opportunitiestoward the operationalization of marine and coastal ecosystem service (MCES) assessments inEurope. This work is the output of a panel convened by the Marine Working Group of theEcosystemServices Partnership

  16. IncobotulinumtoxinA use in aesthetic indications in daily practice: a European multicenter, noninterventional, retrospective study

    Directory of Open Access Journals (Sweden)

    Pavicic T

    2015-03-01

    Full Text Available Tatjana Pavicic,1 Welf Prager,2 Markus Klöppel,3 Simon Ravichandran,4 Olivier Galatoire5 1Private Practice, Munich, Germany; 2Dr. Prager & Partner, Derma-Hamburg, Hamburg, Germany; 3Private Practice Clinic of Esthetic Surgery, MediCenter Munich-Solln, Munich, Germany; 4Clinetix Rejuvenation, Glasgow, Scotland, UK; 5Department of Ophthalmology, Adolphe Rothschild Ophthalmological Foundation, Paris, France Purpose: To characterize utilization patterns and treatment satisfaction with incobotulinumtoxinA for aesthetic indications and assess adherence to the Summary of Product Characteristics. Patients and methods: Data were collected retrospectively from physicians in Germany, France, and the UK regarding patients (n=638 treated with incobotulinumtoxinA for aesthetic indications. Data on indication, treatment interval, dose injected, physician and patient satisfaction, and adverse drug reactions were recorded according to routine daily practice. Results: Most patients (76.0% received incobotulinumtoxinA for glabellar frown lines (GFL and were given doses of ≤20 U. The majority of treatment intervals were 5 months or longer. Overall, 64.1% of patients were treated for off-label indications, sometimes in combination with treatment for GFL. The most frequently treated off-label indications were horizontal forehead lines (38.6% and/or crow's feet (CF; 31.7%; for CF, >95% of injected doses were ≤24 U. In Germany, a smaller proportion of patients were given incobotulinumtoxinA treatment for CF (27.6%, compared with France (40.4% and the UK (33.2%, although country-specific differences were less prominent when treatment cycle data for CF were examined. Treatment satisfaction among physicians and patients (overall, and for GFL specifically was very high, with excellent tolerability and only one mild adverse drug reaction reported. Conclusion: In daily practice, incobotulinumtoxinA is mainly used for GFL; however, its use for CF and horizontal forehead

  17. CNOSSOS-EU: Development of a common environmental noise assessment method in the European Union

    International Nuclear Information System (INIS)

    Aspuru Soloaga, I.; Segues Echazarreta Segues, F.

    2011-01-01

    This article presents the main aspects of the work undertaken in the development of the common european method of environmental noise assessment CNOSSOS-EU. It summarizes the design, structure and content, and the methodological basis on which it is based. Taking into account the experience gained in the first round of strategic noise mapping, some conclusions are settled about its applications for the third round, and tits implications for the Spanish case. (Author) 9 refs.

  18. Exploiting Synergies in European Wind and Hydrogen Sectors: A Cost-benefit Assessment

    OpenAIRE

    SHAW SUZANNE; PETEVES ESTATHIOS

    2007-01-01

    This article outlines an assessment of the perspectives for exploiting synergies between European wind and hydrogen energy sectors, where wind energy conversion to hydrogen is used as a common strategy for reducing network management costs in high wind energy penetration situations, and for production of renewable hydrogen. The attractiveness of this approach, referred to here as a ¿¿wind-hydrogen strategy¿¿, is analysed using a costbenefit approach to evaluate the final impact...

  19. Current European Practice in the Diagnosis and Treatment of Inflammatory Bowel Disease-Associated AnaemiaJ

    DEFF Research Database (Denmark)

    Stein, Jürgen; Bager, Palle; Befrits, Ragnar

    Aim: Iron deficiency (ID), a common complication of inflammatory bowel disease (IBD), can trigger hospitalization and increase morbidity. Intravenous (I.V.) iron is the recommended treatment for IBD-associated anemia. This study evaluated current European practice in diagnosis and treatment of IBD......-associated anemia. Materials & Methods: Gastroenterologists from 4 European countries (Austria, Italy, The Netherlands and Sweden) completed questionnaires on the last five IBD patients treated for anemia within six months. The survey was performed between August and September 2010 and recorded details on patient...... as the preferred route for iron therapy, current practice continues to rely on oral iron preparations in most iron-treated patients with IBD, even when severely anemic. Insufficient replacement of iron or monitoring of iron status is indicated by the frequency of severe anemia in this cohort of 575 patients...

  20. Assessment of alcohol advertising practices in Ethiopia | Negussie ...

    African Journals Online (AJOL)

    Assessment of alcohol advertising practices in Ethiopia. ... Abstract. Background: Alcohol advertising should be prepared with an appropriate sense of responsibility to the consumer public. In Ethiopia ... AJOL African Journals Online. HOW TO ...

  1. Assessment of the knowledge, attitude and practice of voluntary non ...

    African Journals Online (AJOL)

    Assessment of the knowledge, attitude and practice of voluntary ... The commonest reason for not donating blood was fear to damage of health as reported in ... to arouse the interest of the general public in voluntary blood donation exercises.

  2. Integrating Occupational Therapy Specific Assessments in Practice: Exploring Practitioner Experiences

    Directory of Open Access Journals (Sweden)

    Eric Asaba

    2017-01-01

    Full Text Available Background. Occupational therapists sometimes find it challenging to integrate client-centered and occupational therapy specific assessments in practice. The aim of this study was to explore the use of occupational therapy specific assessments such as the Assessment of Motor and Process Skills (AMPS among occupational therapists in Sweden and Japan. Methods. Interviews and qualitative thematic analyses were utilized. Findings. Four themes are reported: (1 use it or lose it, (2 simply no space until after hours, (3 biggest barriers can be colleagues, and (4 being more specific: communication. Conclusion. In keeping with previous studies, occupational therapists often find it challenging to implement client-centered and occupation-based assessment tools into practice. However, more work is needed to understand how best practices can be incorporated into a changing occupational therapy daily practice.

  3. An assessment of water, sanitation and hygiene (wash) practices ...

    African Journals Online (AJOL)

    An assessment of water, sanitation and hygiene (wash) practices and quality of routinely ... East African Medical Journal ... There was a high uptake of households with treated drinking water (92%), availability of hand washing facilities in ...

  4. Assessment of Perceived Corrupt Practices in Marketing of ...

    African Journals Online (AJOL)

    Assessment of Perceived Corrupt Practices in Marketing of Agricultural Produce Among Women Marketers in Ogbomoso Agricultural of Oyo State, Nigeria. ... Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL ...

  5. Life Cycle Assessment - Theory and Practice

    DEFF Research Database (Denmark)

    This book is a uniquely pedagogical while still comprehensive state-of-the-art description of LCA-methodology and its broad range of applications. The five parts of the book conveniently provide: I) the history and context of Life Cycle Assessment (LCA) with its central role as quantitative and s...... needed to perform an LCA. V) An appendix with an LCA report template, a full example LCA report serving as inspiration for students who write their first LCA report, and a more detailed overview of existing LCIA methods and their similarities and differences....

  6. A socio-economic impact assessment of the European launcher sector

    Science.gov (United States)

    Monte, Luca del; Scatteia, Luigi

    2017-08-01

    In a context where the economic strains are challenging European policies as well as the very fabric of governmental contributions to public life, innovation and efficacy of public policy in research are called upon to support growth in Europe and to sustain employment and entrepreneurial capacities. Governments need evidence that the investments in space, while providing strategic tools to implement sovereign policies, create jobs and build the competitive European economy of the future. This is particularly true when the decisions at stake have a potential bearing on the future of the European space sector for at least the next 30 years, as it has been the case for the ESA Council at ministerial level meeting in December 2014. On that occasion, Ministers took the decision to start the development of a new Ariane 6 launcher and Vega evolutions having a critical bearing on the Member States' strategic industrial capabilities and on the sustainability of the European guaranteed access to space. Given the importance of the subject, and following similar studies undertaken in the past for e.g. the Ariane 1-4 programme, the Agency has requested an independent consulting team to perform a dedicated study to assess ex-post the direct, indirect and induced socio-economic impacts of the Ariane 5 programme (mid-term evaluation) and of the Vega programme (early evaluation) globally, at European level, and within the economies and industries of each ESA Member State. This paper presents the assessment of the socio-economic impacts allowing the evaluation of the return on public investments in launchers through ESA in a wider perspective, going beyond the purely economic terms. The scope of the assessment covered in total approximately 25 ESA programmatic and activity lines and 30,000 commitments from 1986 to end 2012. In the framework of the study, the economic impact of the European launcher programmes is measured through a GDP impact defined as the straight economic

  7. ROMANIA’S FIRST FIVE YEARS IN THE EUROPEAN UNION. A SHORT ASSESSMENT

    Directory of Open Access Journals (Sweden)

    VADASAN Ioana

    2012-12-01

    Full Text Available It’s been more than 5 years since our country has joined the European Union, on January the 1st 2007. It’s been a long road, as fulfilling the Copenhagen criteria had not been an easy task. But was it all worth it? Are we better off today, five years after? Did we know how to take advantage of European Union membership? Did we know what to do and how to do it, in order to benefit from (all the advantages of the Single Market? These are some questions we will try to answer in this paper. In this paper, we will present data regarding: the evolution of Romania’s foreign trade, overall, as well as with the rest of the European Union countries; the evolution of Romania’s economic growth, in comparison with European Union’s average economic growth; the evolution of foreign direct investments in Romania; the absorption degree of structural and cohesion funds, in comparison with other countries of the European Union. We will analyze these data, and we will make comparisons between Romania and the European Union, in order to see the similarity between Romania’s evolution and EU’s evolution. We will also analyze the structural and cohesion funds absorption degree, in comparison with other European Union countries. Finally, we will try to assess whether we knew how to take advantage of our European Union membership, as being member implies both advantages and disadvantages. Knowing how to fully benefit from the advantages and how to diminish the disadvantages is the winning strategy. Did Romania know how to maximize its advantages? As we will see in the conclusions of this paper, the answers to these questions are not always in our advantage. There are still some lessons to be learned, especially regarding the absorption of structural and cohesion funds, and attracting foreign direct investments.

  8. DEA best practice assesses relative efficiency, profitability

    International Nuclear Information System (INIS)

    Taylor, D.T.; Thompson, R.G.

    1995-01-01

    The US Federal Energy Regulatory Commission (FERC), in its Order 636 of Apr. 8, 1992, stated, ''All natural gas suppliers, including pipelines, will compete for gas purchases on an equal footing.'' This FERC order changed the economic environment in the natural gas pipeline industry. Now, gas pipeline companies must know their market position, since rate of return regulation is no longer relevant. They must be managed more than before as companies have been in less-regulated parts of the oil and gas business. How they adapt to the new environment, therefore, can be instructive to companies throughout the energy industry. In this article, DEA best-practice methods measure relative efficiency and profitability potential. This measurement reflects fundamental economic relationships. The operational efficiency model analyzed is as follows: Y 1 = f(x 1 , x 2 ), where Y 1 is gross profits, x 1 is total assets (capital employed), and x 2 is total employees (labor employed). Y 1 is a comprehensive indicator of a pipeline's output, whereas x 1 represents the pipeline's total capital employed, and x 2 represents the pipeline's total labor employed. This model reflects principles long studied in economics

  9. Qualification Needs, Approaches and Strategies in the Second-Hand Sector. A European Good-Practice Report

    OpenAIRE

    Arold, Heike; Koring, Claudia; Windelband, Lars

    2008-01-01

    Against the background of changing consumer behaviour and environmental policies, a growing second-hand sector is expected. In order to ensure quality and professionalism within companies operating in this sector, it is necessary to develop a unified Europewide and sector-specific qualification which is geared to real working processes and requirements. This good practice report describes the training and qualification structures in the European second-hand sector. In addition, occupational a...

  10. Investigating the Dynamics of Formative Assessment: Relationships between Teacher Knowledge, Assessment Practice and Learning

    Science.gov (United States)

    Herman, Joan; Osmundson, Ellen; Dai, Yunyun; Ringstaff, Cathy; Timms, Michael

    2015-01-01

    This exploratory study of elementary school science examines questions central to policy, practice and research on formative assessment: What is the quality of teachers' content-pedagogical and assessment knowledge? What is the relationship between teacher knowledge and assessment practice? What is the relationship between teacher knowledge,…

  11. Conscientious objection to sexual and reproductive health services: international human rights standards and European law and practice.

    Science.gov (United States)

    Zampas, Christina; Andión-Ibañez, Ximena

    2012-06-01

    The practice of conscientious objection often arises in the area of individuals refusing to fulfil compulsory military service requirements and is based on the right to freedom of thought, conscience and religion as protected by national, international and regional human rights law. The practice of conscientious objection also arises in the field of health care, when individual health care providers or institutions refuse to provide certain health services based on religious, moral or philosophical objections. The use of conscientious objection by health care providers to reproductive health care services, including abortion, contraceptive prescriptions, and prenatal tests, among other services is a growing phenomena throughout Europe. However, despite recent progress from the European Court of Human Rights on this issue (RR v. Poland, 2011), countries and international and regional bodies generally have failed to comprehensively and effectively regulate this practice, denying many women reproductive health care services they are legally entitled to receive. The Italian Ministry of Health reported that in 2008 nearly 70% of gynaecologists in Italy refuse to perform abortions on moral grounds. It found that between 2003 and 2007 the number of gynaecologists invoking conscientious objection in their refusal to perform an abortion rose from 58.7 percent to 69.2 percent. Italy is not alone in Europe, for example, the practice is prevalent in Poland, Slovakia, and is growing in the United Kingdom. This article outlines the international and regional human rights obligations and medical standards on this issue, and highlights some of the main gaps in these standards. It illustrates how European countries regulate or fail to regulate conscientious objection and how these regulations are working in practice, including examples of jurisprudence from national level courts and cases before the European Court of Human Rights. Finally, the article will provide recommendations

  12. Zinc status, psychological and nutritional assessment in old people recruited in five European countries: Zincage study.

    Science.gov (United States)

    Marcellini, Fiorella; Giuli, Cinzia; Papa, Roberta; Gagliardi, Cristina; Dedoussis, George; Herbein, George; Fulop, Tamas; Monti, Daniela; Rink, Lothar; Jajte, Jolanta; Mocchegiani, Eugenio

    2006-01-01

    The paper shows the results on the relationship between zinc status, psychological dimensions (cognitive functions, mood, perceived stress) and nutritional aspects in European healthy old subjects recruited for ZINCAGE Project (supported by the European Commission in the Sixth Framework Programme). The old healthy subjects were recruited in Italy, Greece, Germany, France, Poland taking into account the different dietary habits between Northern and Southern European Countries and the pivotal role played by zinc for psychological functions. Measures of the cognitive status, mood and perceived stress level were obtained at baseline, using the "Mini Mental State Examination (MMSE)"; the "Geriatric Depression Scale (GDS - 15 items)" and the "Perceived Stress Scale (PSS)", respectively. Nutritional status was assessed using "Frequency Food Questionnaire". The sample included 853 old subjects, classified in 4 groups of age: 60-69-years-old (n = 359); 70-74-years-old (n = 225); 75-79-years-old (n = 153); 80-84-years-old (n = 116). Subjects were studied on the basis of plasma zinc, in which zinc relationship between marginal zinc deficiency and impaired psychological dimensions occurred in Greece than in other European countries due to low intake and less variety of foods rich of zinc. This phenomenon was independent by the age, suggesting that a correct zinc intake from a wide range of foods may be useful to maintain a satisfactory plasma zinc levels as well as psychological status in elderly with subsequent achievement of healthy ageing.

  13. Age assessment based on third molar mineralisation : An epidemiological-radiological study on a Central-European population.

    Science.gov (United States)

    Hofmann, Elisabeth; Robold, Matthias; Proff, Peter; Kirschneck, Christian

    2017-03-01

    The method published in 1973 by Demirjian et al. to assess age based on the mineralisation stage of permanent teeth is standard practice in forensic and orthodontic diagnostics. From age 14 onwards, however, this method is only applicable to third molars. No current epidemiological data on third molar mineralisation are available for Caucasian Central-Europeans. Thus, a method for assessing age in this population based on third molar mineralisation is presented, taking into account possible topographic and gender-specific differences. The study included 486 Caucasian Central-European orthodontic patients (9-24 years) with unaffected dental development. In an anonymized, randomized, and blinded manner, one orthopantomogram of each patient at either start, mid or end of treatment was visually analysed regarding the mineralisation stage of the third molars according to the method by Demirjian et al. Corresponding topographic and gender-specific point scores were determined and added to form a dental maturity score. Prediction equations for age assessment were derived by linear regression analysis with chronological age and checked for reliability within the study population. Mineralisation of the lower third molars was slower than mineralisation of the upper third molars, whereas no jaw-side-specific differences were detected. Gender-specific differences were relatively small, but girls reached mineralisation stage C earlier than boys, whereas boys showed an accelerated mineralisation between the ages of 15 and 16. The global equation generated by regression analysis (age = -1.103 + 0.268 × dental maturity score 18 + 28 + 38 + 48) is sufficiently accurate and reliable for clinical use. Age assessment only based on either maxilla or mandible also shows good prognostic reliability.

  14. Optimizing stormwater treatment practices a handbook of assessment and maintenance

    CERN Document Server

    Erickson, Andrew J; Gulliver, John S

    2013-01-01

    Optimizing Stormwater Treatment Practices: A Handbook of Assessment and Maintenance provides the information necessary for developing and operating an effective maintenance program for stormwater treatment. The book offers instructions on how to measure the level of performance of stormwater treatment practices directly and bases proposed maintenance schedules on actual performance and historical maintenance efforts and costs. The inspection methods, which are proven in the field and have been implemented successfully, are necessary as regulatory agencies are demanding evaluations of the performance of stormwater treatment practices. The authors have developed a three-tiered approach that offers readers a standard protocol for how to determine the effectiveness of stormwater treatment practices currently in place. This book also: Provides a standard protocol for how to determine the effectiveness of stormwater treatment practices Assists readers with identifying which assessment techniques to use for stormwa...

  15. From Cyclone Tracks to the Costs of European Winter Storms: A Probabilistic Loss Assessment Model

    Science.gov (United States)

    Orwig, K.; Renggli, D.; Corti, T.; Reese, S.; Wueest, M.; Viktor, E.; Zimmerli, P.

    2014-12-01

    European winter storms cause billions of dollars of insured losses every year. Therefore, it is essential to understand potential impacts of future events, and the role reinsurance can play to mitigate the losses. The authors will present an overview on natural catastrophe risk assessment modeling in the reinsurance industry, and the development of a new innovative approach for modeling the risk associated with European winter storms.The new innovative approach includes the development of physically meaningful probabilistic (i.e. simulated) events for European winter storm loss assessment. The meteorological hazard component of the new model is based on cyclone and windstorm tracks identified in the 20thCentury Reanalysis data. The knowledge of the evolution of winter storms both in time and space allows the physically meaningful perturbation of historical event properties (e.g. track, intensity, etc.). The perturbation includes a random element but also takes the local climatology and the evolution of the historical event into account.The low-resolution wind footprints taken from the 20thCentury Reanalysis are processed by a statistical-dynamical downscaling to generate high-resolution footprints for both the simulated and historical events. Downscaling transfer functions are generated using ENSEMBLES regional climate model data. The result is a set of reliable probabilistic events representing thousands of years. The event set is then combined with country and site-specific vulnerability functions and detailed market- or client-specific information to compute annual expected losses.

  16. The Practice of Campus-Based Threat Assessment: An Overview

    Science.gov (United States)

    Pollard, Jeffrey W.; Nolan, Jeffrey J.; Deisinger, Eugene R. D.

    2012-01-01

    This article provides an overview of threat assessment and management as implemented on campuses of higher education. Standards of practice and state calls for implementation are cited. An overview of some of the basic principles for threat assessment and management implementation is accompanied by examples of how they are utilized. Pitfalls…

  17. Violence Risk Assessment Practices in Denmark: A Multidisciplinary National Survey

    Directory of Open Access Journals (Sweden)

    Nielsen Louise Hjort

    2015-12-01

    Full Text Available With a quadrupling of forensic psychiatric patients in Denmark over the past 20 years, focus on violence risk assessment practices across the country has increased. However, information is lacking regarding Danish risk assessment practice across professional disciplines and clinical settings; little is known about how violence risk assessments are conducted, which instruments are used for what purposes, and how mental health professionals rate their utility and costs. As part of a global survey exploring the application of violence risk assessment across 44 countries, the current study investigated Danish practice across several professional disciplines and settings in which forensic and high-risk mental health patients are assessed and treated. In total, 125 mental health professionals across the country completed the survey. The five instruments that respondents reported most commonly using for risk assessment, risk management planning and risk monitoring were Broset, HCR-20, the START, the PCL-R, and the PCL:SV. Whereas the HCR-20 was rated highest in usefulness for risk assessment, the START was rated most useful for risk management and risk monitoring. No significant differences in utility were observed across professional groups. Unstructured clinical judgments were reported to be faster but more expensive to conduct than using a risk assessment instrument. Implications for clinical practice are discussed.

  18. Increased Authenticity in Practical Assessment Using Emergency Case OSCE Stations

    Science.gov (United States)

    Ruesseler, Miriam; Weinlich, Michael; Byhahn, Christian; Muller, Michael P.; Junger, Jana; Marzi, Ingo; Walcher, Felix

    2010-01-01

    In case of an emergency, a fast and structured patient management is crucial for patient's outcome. The competencies needed should be acquired and assessed during medical education. The objective structured clinical examination (OSCE) is a valid and reliable assessment format to evaluate practical skills. However, traditional OSCE stations examine…

  19. The potential role of Life Cycle Assessment in regulation of chemicals in the European Union

    DEFF Research Database (Denmark)

    Christensen, Frans Møller; Olsen, Stig Irving

    2003-01-01

    The regulation of chemicals in EU is undergoing substantial changes these years with implementation of the “REACH” system. Simultaneously, the concepts of LCA and Integrated Product Policy (IPP) are becoming increasingly integrated in European standardisation and regulatory activities. As a logical...... consequence, the European Chemicals Bureau (ECB) has enrolled in the OMNIITOX project with the clear aim of investigating possible applications of LCA in future EU regulation of chemicals. Implementation of REACH will expand and change the activities and services currently delivered by ECB as the focal point...... uses of LCA could be in overall priority setting (including non-chemical products) of environmental product policy and in standardisation work related to products/processes releasing chemicals to the environment. A number of methodological interactions between regulatory risk assessment and LCA as well...

  20. Mapping the scope of occupational therapy practice in palliative care: A European Association for Palliative Care cross-sectional survey.

    Science.gov (United States)

    Eva, Gail; Morgan, Deidre

    2018-05-01

    Occupational therapists play an integral role in the care of people with life-limiting illnesses. However, little is known about the scope of occupational therapy service provision in palliative care across Europe and factors influencing service delivery. This study aimed to map the scope of occupational therapy palliative care interventions across Europe and to explore occupational therapists' perceptions of opportunities and challenges when delivering and developing palliative care services. A 49-item online cross-sectional survey comprised of fixed and free text responses was securely hosted via the European Association for Palliative Care website. Survey design, content and recruitment processes were reviewed and formally approved by the European Association for Palliative Care Board of Directors. Descriptive statistics and thematic analysis were used to analyse data. Setting/respondents: Respondents were European occupational therapists whose caseload included palliative care recipients (full-time or part-time). In total, 237 valid responses were analysed. Findings demonstrated a consistency in occupational therapy practice in palliative care between European countries. Clinician time was prioritised towards indirect patient care, with limited involvement in service development, leadership and research. A need for undergraduate and postgraduate education was identified. Organisational expectations and understanding of the scope of the occupational therapy role constrain the delivery of services to support patients and carers. Further development of occupational therapy in palliative care, particularly capacity building in leadership and research activities, is warranted. There is a need for continuing education and awareness raising of the role of occupational therapy in palliative care.

  1. A CRITICAL ASSESSMENT OF THE EUROPEAN COMMISSION’S CIVIL SOCIETY DISCOURSE AND SOCIAL PLATFORM OF EUROPEAN NGOs

    DEFF Research Database (Denmark)

    KUTAY, RIZA ACAR

    2011-01-01

    European NGO network, the Social Platform of European NGOs. The common understanding conceives of these organizations as conducive to democratization of EU governance within the scope of participatory democracy. However, I endeavour to argue that the Commission has had an aim to make use of the civil...... society discourse for its institutional interests, while intentionally and unintentionally shaping (and reshaping) civic action in Europe. Participatory democracy project, which is promoted by the Commission, can be seen as a deliberate venture of shaping civic action and state-society relationships......, which has been particularly created by the Commission to disperse the participatory democracy and good governance discourse in Europe....

  2. Measures for assessing practice change in medical practitioners.

    Science.gov (United States)

    Hakkennes, Sharon; Green, Sally

    2006-12-06

    There are increasing numbers of randomised trials and systematic reviews examining the efficacy of interventions designed to bring about a change in clinical practice. The findings of this research are being used to guide strategies to increase the uptake of evidence into clinical practice. Knowledge of the outcomes measured by these trials is vital not only for the interpretation and application of the work done to date, but also to inform future research in this expanding area of endeavour and to assist in collation of results in systematic reviews and meta-analyses. The objective of this review was to identify methods used to measure change in the clinical practices of health professionals following an intervention aimed at increasing the uptake of evidence into practice. All published trials included in a recent, comprehensive Health Technology Assessment of interventions to implement clinical practice guidelines and change clinical practice (n = 228) formed the sample for this study. Using a standardised data extraction form, one reviewer (SH), extracted the relevant information from the methods and/or results sections of the trials. Measures of a change of health practitioner behaviour were the most common, with 88.8% of trials using these as outcome measures. Measures that assessed change at a patient level, either actual measures of change or surrogate measures of change, were used in 28.8% and 36.7% of studies (respectively). Health practitioners' knowledge and attitudes were assessed in 22.8% of the studies and changes at an organisational level were assessed in 17.6%. Most trials of interventions aimed at changing clinical practice measured the effect of the intervention at the level of the practitioner, i.e. did the practitioner change what they do, or has their knowledge of and/or attitude toward that practice changed? Less than one-third of the trials measured, whether or not any change in practice, resulted in a change in the ultimate end-point of

  3. Mental Health Professionals' Suicide Risk Assessment and Management Practices.

    Science.gov (United States)

    Roush, Jared F; Brown, Sarah L; Jahn, Danielle R; Mitchell, Sean M; Taylor, Nathanael J; Quinnett, Paul; Ries, Richard

    2018-01-01

    Approximately 20% of suicide decedents have had contact with a mental health professional within 1 month prior to their death, and the majority of mental health professionals have treated suicidal individuals. Despite limited evidence-based training, mental health professionals make important clinical decisions related to suicide risk assessment and management. The current study aimed to determine the frequency of suicide risk assessment and management practices and the association between fear of suicide-related outcomes or comfort working with suicidal individuals and adequacy of suicide risk management decisions among mental health professionals. Mental health professionals completed self-report assessments of fear, comfort, and suicide risk assessment and management practices. Approximately one third of mental health professionals did not ask every patient about current or previous suicidal thoughts or behaviors. Further, comfort, but not fear, was positively associated with greater odds of conducting evidence-based suicide risk assessments at first appointments and adequacy of suicide risk management practices with patients reporting suicide ideation and a recent suicide attempt. The study utilized a cross-sectional design and self-report questionnaires. Although the majority of mental health professionals report using evidenced-based practices, there appears to be variability in utilization of evidence-based practices.

  4. An Assessment of the Results of European Parliament Elections in Greece and European Union Under the Shadow of Economic Crisis.

    Science.gov (United States)

    Fanourgiakis, John; Kanoupakis, Emmanuel

    2016-10-01

    On January 1, 1981, Greece became the tenth member of the European Economic Community and, 20 years later, on January 1, 2001, joined the euro area. In May of 2010 and February of 2012, Greece signed the first and the second economic adjustment programs and adopted austerity policies throughout the public sector in order to avoid the economic collapse, affecting residents' income and health status. We studied the questionnaires of polls conducted in Greece before the elections of the European Parliament (May 25, 2014) and the "Europeans 2014" Eurobarometer's survey in March of 2014. The responses of Greek voters from the Greek polls were alarming, pointing out their declining personal economic situation and Greece's national economic situation, with a sense that the country was heading in the wrong direction, declaring themselves unsatisfied and insecure. The responses of Greek voters from the "Europeans 2014" survey were even more alarming. Health was the first priority for the voters. As the Greek polls and the Eurobarometer's survey forecasted, but more significantly as the results of the Euro-elections showed, Greek voters preferred to put their hopes in something new. © The Author(s) 2016.

  5. A Critical Assessment of a Eurosceptic Party Group on European Integration: A Case Study of the European Conservatives and Reformists Group

    Directory of Open Access Journals (Sweden)

    Akbaba Sertan

    2014-06-01

    Full Text Available The article explores Euroscepticism and the way it is utilized within the politics of Europe, analyzed upon evidence from a Eurosceptic Euro-party located in the European Parliament, namely the European Conservatives and Reformists Group (ECR. The aim of this article is to clarify that the selected party> disproves the argument of EU- criticism being an unfavourable condition, and, more importantly, its contribution to the political contestation in the EU. For such an assessment, a survey of the party> manifesto, party working documents, as well as the discourses of the Member of the European Parliament (MEPs will be analyzed, and the concept of Euroscepticism will be once again in the centre of this analysis. This argument is evaluated based on the transnational-level analysis of the aforementioned party, focusing primarily on three specific issues-the democratic deficit, the issue of sovereignty! and anti-immigration rhetoric.

  6. Assessment Training: A Precondition for Teachers' Competencies and Use of Classroom Assessment Practices

    Science.gov (United States)

    Koloi-Keaikitse, Setlhomo

    2016-01-01

    Student assessment, particularly at classroom level, remains an integral part of teaching and learning and is a driving force for the implementation of educational policies and practices in many countries. Nevertheless, problems associated with teachers' classroom assessment practices continue to exist in schools and research shows that teachers…

  7. Progress on the European Safety and Environmental Assessment of Fusion Power (SEAFP)

    International Nuclear Information System (INIS)

    Cook, I.

    1994-01-01

    The Safety and Environmental Assessment of Fusion Power (SEAFP) project was set up by the European Community Fusion Programme in response to recommendations made by a high level Fusion Programme Evaluation Board. The Evaluation Board stated that fusion potentially possesses ''inherent environmental and safety advantages over all current alternatives for base load electricity generation'', but that a ''convincing demonstration'' of these potential advantages is necessary. SEAFP is undertaken by three main participants: the NET Team, The Euratom/UKAEA Association, and European industry. Other EC fusion laboratories also participate. The work embraces the outline design of fusion power stations, the safety and environmental assessment of those designs, and interactions between design and assessment to improve the design. The project began in April 1992 and will report in December 1994. In the first year of the project, five candidate blanket concepts were developed in parallel. Other aspects of design were developed as far as possible independently of the blanket designs. Assessments were made of the technical merits of the candidate designs, and scoping calculations were used to provide preliminary assessments of their accident and waste management characteristics. Accident identification studies were used to select the bounding sequences to be analysed later in detail. Targets for safety and environmental performance were developed. This phase of the study culminated, in August 1993, in the selection of two plant models, one based on a water/martensitic steel/lithium-lead blanket, the other based on a helium/vanadium alloy/lithium oxide blanket, to be developed and assessed in more detail. Other design variants will be assessed through sensitivity studies. ((orig.))

  8. Bilingual Language Assessment: Contemporary Versus Recommended Practice in American Schools.

    Science.gov (United States)

    Arias, Graciela; Friberg, Jennifer

    2017-01-01

    The purpose of this study was to identify current practices of school-based speech-language pathologists (SLPs) in the United States for bilingual language assessment and compare them to American Speech-Language-Hearing Association (ASHA) best practice guidelines and mandates of the Individuals with Disabilities Education Act (IDEA, 2004). The study was modeled to replicate portions of Caesar and Kohler's (2007) study and expanded to include a nationally representative sample. A total of 166 respondents completed an electronic survey. Results indicated that the majority of respondents have performed bilingual language assessments. Furthermore, the most frequently used informal and standardized assessments were identified. SLPs identified supports, and barriers to assessment, as well as their perceptions of graduate preparation. The findings of this study demonstrated that although SLPs have become more compliant to ASHA and IDEA guidelines, there is room for improvement in terms of adequate training in bilingual language assessment.

  9. SAUDI TEACHERS’ PRACTICES OF FORMATIVE ASSESSMENT: A QUALITATIVE STUDY

    Directory of Open Access Journals (Sweden)

    Saeed Almuntasheri

    2016-12-01

    Full Text Available Shifting from teacher-centred to student-centred practices requires teachers to understand strategies to interact with students in science classes. Formative assessment strategies are very critical component of classroom interaction where teachers obtain information about student learning wherever possible. Traditionally, however, teachers ask questions and evaluate student responses but without investigating student contributions to the classroom interaction. This qualitative study aimed at developing teachers’ knowledge of formative assessment strategies when teaching science-based inquiry in Saudi Arabia. 12 teachers were observed when teaching science and details of one teachers’ practices of formative assessment is presented in this study. Formative assessment framework that describes assessment conversations is used and modified to observe teachers’ assessment practices. Assessment conversation consists of four-step cycles, where the teacher elicits information from students through questioning, the student responds, the teacher recognizes the student’s response, and then uses the information to develop further inquiry. Findings indicate that teachers ask questions and receive responses but rarely allow students to share their own ideas or discuss their own thinking. The study underlines the importance of integrating formative assessment strategies during scientific inquiry teaching for professional development as a way to increase student participation and allow opportunities for students’ inquiry in science classes.

  10. Translating Theory Into Practice: Implementing a Program of Assessment.

    Science.gov (United States)

    Hauer, Karen E; O'Sullivan, Patricia S; Fitzhenry, Kristen; Boscardin, Christy

    2018-03-01

    A program of assessment addresses challenges in learner assessment using a centrally planned, coordinated approach that emphasizes assessment for learning. This report describes the steps taken to implement a program of assessment framework within a medical school. A literature review on best practices in assessment highlighted six principles that guided implementation of the program of assessment in 2016-2017: (1) a centrally coordinated plan for assessment aligns with and supports a curricular vision; (2) multiple assessment tools used longitudinally generate multiple data points; (3) learners require ready access to information-rich feedback to promote reflection and informed self-assessment; (4) mentoring is essential to facilitate effective data use for reflection and learning planning; (5) the program of assessment fosters self-regulated learning behaviors; and (6) expert groups make summative decisions about grades and readiness for advancement. Implementation incorporated stakeholder engagement, use of multiple assessment tools, design of a coaching program, and creation of a learner performance dashboard. The assessment team monitors adherence to principles defining the program of assessment and gathers and responds to regular feedback from key stakeholders, including faculty, staff, and students. Next steps include systematically collecting evidence for validity of individual assessments and the program overall. Iterative review of student performance data informs curricular improvements. The program of assessment also highlights technology needs that will be addressed with information technology experts. The outcome ultimately will entail showing evidence of validity that the program produces physicians who engage in lifelong learning and provide high-quality patient care.

  11. The European Union climate and energy package. Assessment and perspectives for 2030

    International Nuclear Information System (INIS)

    Gautier, Celia; Loiseaux, Damien

    2014-03-01

    After having presented the three pillars of the climate and energy package of the European Union, this publication recalls the genesis of its adoption and its components in the 2009 package (directives on the European carbon market, on renewable energies, on CO 2 capture and storage). It indicates and comments the objectives of the package by 2020 (reduction of emissions, share of renewable energies, reduction of energy consumption, share of renewable energies in transports). It proposes an assessment of the 2009 climate and energy package in terms of objectives, presents a status of the package implementation (notably in France and in Germany), outlines its benefits (for the European society and economy, impacts at the world level, fragile development of renewable energies), and drawbacks (insufficient objective, ETS dysfunction, impact of the economic crisis, lack of integration of package policies and energy and tax policies, limitations of directives on products and sub-sectors, imported emissions as the undetected stowaway). It reports the recommendations of the Action Climat network to strengthen the action on climate before 2020 and for the package by 2030

  12. Energy Efficiency Practices: Assessment of Ohrid Hotel Industry

    OpenAIRE

    Petrevska, Biljana; Cingoski, Vlatko

    2016-01-01

    This paper provides information on the extent how the hotel industry in Ohrid meets the energy efficiency practices in terms of the current level of involvement. By undertaking an online survey in three, four and five-star hotels, the study assesses the attitudes and willingness of hotel managers concerning applying energy efficiency and environmental protection concepts and practices. Moreover, it investigates various determinants of energy consumption, like: solid waste management, resource...

  13. Assessment of radiation protection practices among radiographers in Lagos, Nigeria

    OpenAIRE

    Eze, Cletus Uche; Abonyi, Livinus Chibuzo; Njoku, Jerome; Irurhe, Nicholas Kayode; Olowu, Oluwabola

    2013-01-01

    Background: Use of ionising radiation in diagnostic radiography could lead to hazards such as somatic and genetic damages. Compliance to safe work and radiation protection practices could mitigate such risks. The aim of the study was to assess the knowledge and radiation protection practices among radiographers in Lagos, Nigeria. Materials and Methods: The study was a prospective cross sectional survey. Convenience sampling technique was used to select four x-ray diagnostic centres in four te...

  14. European Explorers' Engagements with Sexuality in Indigenous Cultures : The Forsters' Interpretations of Tahitian Sexual Practices

    NARCIS (Netherlands)

    van Tilburg, M.W.A.

    2013-01-01

    While current analyses of European interpretations of non-western cultures are guided by a modern concept of sexuality, this article argues for a more encompassing, historical awareness by drawing historical constructs of sexuality into the analysis. To illustrate the point, it will analyze the

  15. Practice of using the educational facilities in some West-European countries

    International Nuclear Information System (INIS)

    Elagin, Yu.P.

    1995-01-01

    A review deals with results on using multifunctional educational facilities, choice of their optimal number with simulation of NPP sites in European countries. The role of instructors, the content of educational program, tasks of individual retraining are considered. Cost benefit analysis is made. 5 refs

  16. Sustainable urban development, the Dutch method: best practice for the European integrated approach?

    NARCIS (Netherlands)

    Boeve, M.N.; van Middelkoop, L.

    2010-01-01

    An important European environmental policy aim is to create "sustainable cities". The aim of this article is to explore the possible tensions between environmental measures and urban spatial planning law that can arise in creating such sustainable cities and examine opportunities for integrated

  17. European variation in health workforce planning: do we need best practices or situational solutions?

    NARCIS (Netherlands)

    Batenburg, R.

    2013-01-01

    Context:The feasibility study report published by Matrix Insight in 2012, is probably the first empirical and systematic comparison of health workforce planning systems in all European countries. As such, the report provides important data and information to explore what differences and similarities

  18. Patterns in current perioperative practice: survey of colorectal surgeons in five northern European countries

    DEFF Research Database (Denmark)

    Lassen, K; Hannemann, P; Ljungqvist, O

    2005-01-01

    Evidence for optimal perioperative care in colorectal surgery is abundant. By avoiding fasting, intravenous fluid overload, and activation of the neuroendocrine stress response, postoperative catabolism is reduced and recovery enhanced. The specific measures that can be used routinely include...... in colorectal cancer surgery in five northern European countries: Scotland, the Netherlands, Denmark, Sweden, and Norway....

  19. Formalized 2003 European Guidelines on Cardiovascular Disease Prevention in Clinical Practice

    Czech Academy of Sciences Publication Activity Database

    Peleška, Jan; Anger, Z.; Buchtela, David; Tomečková, Marie; Veselý, Arnošt

    2004-01-01

    Roč. 25, - (2004), s. 444 ISSN 0195-668X. [ESC Congress 2004. 28.08.2004-01.09.2004, Munich] Institutional research plan: CEZ:AV0Z1030915 Keywords : formalized European guidelines on CVD prevention * computer GLIF model * decision algorithm Subject RIV: BD - Theory of Information

  20. A review of the organization, regulation, and financing practices of postgraduate education in clinical nursing in 12 European countries.

    Science.gov (United States)

    Rautiainen, Elina; Vallimies-Patomäki, Marjukka

    2016-01-01

    The aim of this study was to generate information of postgraduate education in clinical nursing in the EU member states. Data were collected via a structured electronic questionnaire and the questionnaire was sent to the government chief nurses in 26 EU countries in May 2013. Response rate was 46% (n=12). In total, 42 domains of specialization were identified. The most common domains were intensive care, mental health, operating room, emergency care, and pediatrics. Specialization programs were organized by university in two of the respondent countries, as residency program in one country, and as a mix of them in four countries. Regulation practices varied remarkably between the countries: scope of practice, subjects, entry requirements, length of education, description of the minimum competence requirements, and education standards related to the specialization programs were most often regulated by act, decree or other regulation. In some of the countries, no registration was required beyond the initial registration, whereas in some others, registration practices varied depending on the specialization program. New information was gathered on the regulation practices of postgraduate education in clinical nursing in the European Region concerning title provision, entry requirements, and financing practices. The awarded title on specialization programs depended on the level of postgraduate education, and the title might vary between the domains. General clinical experience was included in the entry requirements in seven countries. The government was mainly responsible for financing the postgraduate education in four countries, employer in three countries, and in the rest of the countries, there was a combination of different financiers. The importance of knowledge exchange on postgraduate education across the European countries needs to be acknowledged. Information provided by this study on international regulation practices provides useful information for the policy

  1. Pan-European Coastal Erosion and Accretion: translating incomplete data and information for coastal reslience assessments

    Science.gov (United States)

    van Heteren, Sytze; Moses, Cherith; van der Ven, Tamara

    2017-04-01

    EMODnet has changed the face of the European marine data landscape and is developing tools to connect national data and information resources to make them easily available for multiple users, for multiple purposes. Building on the results of EUROSION, an EU-project completed some ten years ago, EMODnet-Geology has been compiling coastal erosion and sedimentation data and information for all European shorelines. Coverage is being expanded, and data and information are being updated. Challenges faced during this compilation phase are posed by a) differences between parameters used as indicators of shoreline migration, b) restricted access to third-party data, and c) data gaps. There are many indicators of coastal behaviour, with inherent incompatibilities and variations between low-lying sediment and cliffed rock shorelines. Regionally, low data availability and limited access result in poor coverage. With Sentinel data expected to become increasingly available, it is time to invest in automated methods to derive coastal-erosion data from satellite monitoring. Even so, consistency of data and derived information on coastal erosion and accretion does not necessarily translate into usability in pan-European coastal-zone management. Indicators of shoreline change need to be assessed and weighted regionally in light of other parameters in order to be of value in assessing coastal resilience or vulnerability. There is no single way to portray coastal vulnerability for all of Europe in a meaningful way. A common legend, however attractive intuitively, results in data products that work well for one region but show insufficient or excessive detail elsewhere. For decision making, uniform products are often not very helpful. The ability to zoom in on different spatial levels is not a solution either. It is better to compile and visualize vulnerability studies with different legends, and to provide each map with a confidence assessment and other relevant metadata.

  2. Trends in socioeconomic inequalities in self-assessed health in 10 European countries

    DEFF Research Database (Denmark)

    Kunst, Anton E; Bos, Vivian; Lahelma, Eero

    2005-01-01

    BACKGROUND: Changes over time in inequalities in self-reported health are studied for increasingly more countries, but a comprehensive overview encompassing several countries is still lacking. The general aim of this article is to determine whether inequalities in self-assessed health in 10...... Germany, Austria, Italy, and Spain. The proportion of respondents with self-assessed health less than 'good' was measured in relation to educational level and income level. Inequalities were measured by means of age-standardized prevalence rates and odds ratios (ORs). RESULTS: Socioeconomic inequalities...... in self-assessed health showed a high degree of stability in European countries. For all countries together, the ORs comparing low with high educational levels remained stable for men (2.61 in the 1980s and 2.54 in the 1990s) but increased slightly for women (from 2.48 to 2.70). The ORs comparing extreme...

  3. European project for developing general guidelines for harmonising internal dose assessment procedures (IDEAS)

    International Nuclear Information System (INIS)

    Andrasi, A.; Bailey, M.; Puncher, M.; Berkovski, V.; Eric Blanchardon, E.; Jourdain, J.-R.; Carlo-Maria Castellani, C.-M.; Doerfel, H.; Christian Hurtgen, Ch.; Le Guen, B.

    2003-01-01

    Several international intercomparison exercises on intake and internal dose assessments from monitoring data led to the conclusion that the results calculated by different participants varied significantly mainly because of the wide variety of methods and assumptions applied in the assessment procedure. Based on these experiences the need for harmonisation of the procedures has been formulated as an EU research project under the 5 th Framework Programme (2001-2005), with the aim of developing general guidelines for standardising assessments of intakes and internal doses. In the IDEAS project eight institutions from seven European countries are participating using inputs also from internal dosimetry professionals from across Europe to ensure broad consensus in the outcome of the project. The IDEAS project is explained

  4. Neonicotinoids and bees: The case of the European regulatory risk assessment.

    Science.gov (United States)

    Auteri, Domenica; Arena, Maria; Barmaz, Stefania; Ippolito, Alessio; Linguadoca, Alberto; Molnar, Tunde; Sharp, Rachel; Szentes, Csaba; Vagenende, Benedicte; Verani, Alessia

    2017-02-01

    Neonicotinoid insecticides are systemic pesticides authorised in Europe since 1991. From their introduction on the market, they have received significant attention from the scientific community, particularly regarding the assessment of lethal and sublethal effects on bees. The availability of scientific evidence alongside some concerns raised on the bee health led to the development of more articulate risk assessment methodologies for pesticides. To support the European Commission in its decision-making process, since 2012 EFSA has been requested to evaluate the risk to bees posed by the exposure to neonicotinoids. The outcome of the EFSA evaluations has been used by risk managers to revise the approval conditions of the substances clothianidin, imidacloprid and thiamethoxam and to impose severe restrictions on their use. Meanwhile, a number of new studies have been carried out. EFSA is evaluating these data in order to further support the decision-making process with updated scientific assessments. Copyright © 2016 Elsevier B.V. All rights reserved.

  5. Using a social justice and health framework to assess European climate change adaptation strategies.

    Science.gov (United States)

    Boeckmann, Melanie; Zeeb, Hajo

    2014-11-28

    Climate change puts pressure on existing health vulnerabilities through higher frequency of extreme weather events, changes in disease vector distribution or exacerbated air pollution. Climate change adaptation policies may hold potential to reduce societal inequities. We assessed the role of public health and social justice in European climate change adaptation using a three-fold approach: a document analysis, a critical discourse analysis of a subgroup of strategies, and a ranking of strategies against our social justice framework. The ranking approach favored planning that includes various adaptation types, social issues and infrastructure changes. Themes on values identified in the five subgroup documents showed that risks are perceived as contradictory, technology is viewed as savior, responsibilities need to be negotiated, and social justice is advocated by only a few countries. Of 21 strategy documents assessed overall, those from Austria, England and Sweden received the highest scores in the ranking. Our qualitative assessment showed that in European adaptation planning, progress could still be made through community involvement into adaptation decisions, consistent consideration of social and demographic determinants, and a stronger link between infrastructural adaptation and the health sector. Overall, a social justice framework can serve as an evaluation guideline for adaptation policy documents.

  6. Curriculum structure, content, learning and assessment in European undergraduate dental education - update 2010.

    LENUS (Irish Health Repository)

    Manogue, M

    2011-08-01

    This paper presents an updated statement on behalf of the Association for Dental Education in Europe (ADEE) in relation to proposals for undergraduate Curriculum Structure, Content, Learning, Assessment and Student \\/ Staff Exchange for dental education in Europe. A task force was constituted to consider these issues and the two previous, related publications produced by the Association (Plasschaert et al 2006 and 2007) were revised. The broad European dental community was circulated and contributed to the revisions. The paper was approved at the General Assembly of ADEE, held in Amsterdam in August 2010 and will be updated again in 2015.

  7. A pan-European quantitative assessment of soil loss by wind

    Science.gov (United States)

    Borrelli, Pasqualle; Lugato, Emanuele; Panagos, Panos

    2016-04-01

    Soil erosion by wind is a serious environmental problem often low perceived but resulting in severe soil degradation forms. On the long-term a considerable part of topsoil - rich in nutrient and organic matters - could be removed compromising the agricultural productivity and inducing an increased use of fertilizers. Field scale studies and observations proven that wind erosion is a serious problem in many European sites. The state-of-the-art suggests a scenario where wind erosion locally affects the temperate climate areas of the northern European countries, as well as the semi-arid areas of the Mediterranean region. However, observations, field measurements and modelling assessments are extremely limited and unequally distributed across Europe. It implies a lack of knowledge about where and when wind erosion occurs, limiting policy actions aimed at mitigating land degradation. To gain a better understanding about soil degradation process, the Soil Resource Assessment working group of the Joint Research Centre carried out the first pan-European assessments of wind-erodible fraction of soil (EF) (Geoderma, 232, 471-478, 2014) and land susceptibility to wind erosion (Land Degradation & Development, DOI: 10.1002/ldr.2318). Today's challenge is to integrate the insights archived by these pan-European assessments, local experiments and field-scale models into a new generation of regional-scale wind erosion models. A GIS version of the Revised Wind Erosion Equation (RWEQ) was developed with the aim to i) move a step forward into the aforementioned challenges, and ii) evaluate the soil loss potential due to wind erosion in the agricoltural land of the EU. The model scheme was designed to describe daily soil loss potential, combining spatiotemporal conditions of soil erodibility, crust factor, soil moisture content, vegetation coverage and wind erosivity at 1 km2 resolution. The average soil loss predicted by GIS-RWEQ in the EU arable land ranges from 0 to 39.9 Mg ha-1 yr

  8. Impact of refining the assessment of dietary exposure to cadmium in the European adult population.

    Science.gov (United States)

    Ferrari, Pietro; Arcella, Davide; Heraud, Fanny; Cappé, Stefano; Fabiansson, Stefan

    2013-01-01

    Exposure assessment constitutes an important step in any risk assessment of potentially harmful substances present in food. The European Food Safety Authority (EFSA) first assessed dietary exposure to cadmium in Europe using a deterministic framework, resulting in mean values of exposure in the range of health-based guidance values. Since then, the characterisation of foods has been refined to better match occurrence and consumption data, and a new strategy to handle left-censoring in occurrence data was devised. A probabilistic assessment was performed and compared with deterministic estimates, using occurrence values at the European level and consumption data from 14 national dietary surveys. Mean estimates in the probabilistic assessment ranged from 1.38 (95% CI = 1.35-1.44) to 2.08 (1.99-2.23) µg kg⁻¹ bodyweight (bw) week⁻¹ across the different surveys, which were less than 10% lower than deterministic (middle bound) mean values that ranged from 1.50 to 2.20 µg kg⁻¹ bw week⁻¹. Probabilistic 95th percentile estimates of dietary exposure ranged from 2.65 (2.57-2.72) to 4.99 (4.62-5.38) µg kg⁻¹ bw week⁻¹, which were, with the exception of one survey, between 3% and 17% higher than middle-bound deterministic estimates. Overall, the proportion of subjects exceeding the tolerable weekly intake of 2.5 µg kg⁻¹ bw ranged from 14.8% (13.6-16.0%) to 31.2% (29.7-32.5%) according to the probabilistic assessment. The results of this work indicate that mean values of dietary exposure to cadmium in the European population were of similar magnitude using determinist or probabilistic assessments. For higher exposure levels, probabilistic estimates were almost consistently larger than deterministic counterparts, thus reflecting the impact of using the full distribution of occurrence values to determine exposure levels. It is considered prudent to use probabilistic methodology should exposure estimates be close to or exceeding health-based guidance values.

  9. Environmental impact assessment in practice: A gender critique

    International Nuclear Information System (INIS)

    Kurian, P.A.; Purdue Univ., West Lafayette, IN

    1995-01-01

    The author evaluates the extent to which environmental impact assessment (EIA) as conceptualized by EIA systems is a gendered process. Through a discourse analysis of in-depth interviews with bureaucrats, technocrats, and activists involved with the Sardar Sarovar dam project in India, the author examines the practice of EIA in a Third World country. She uses a theoretical framework, informed by a theory of gender, to evaluate the interviews. In practice, EIA is marked by gender biases that ignore the gender-specific nature of impacts. Such biases distort the impact assessment process, making environmental sustainability difficult, if not impossible, to achieve

  10. Practice and assessment of sea dumping of radioactive wastes

    International Nuclear Information System (INIS)

    Templeton, W.L.; Bewers, J.M.

    1985-08-01

    This paper discusses the practice and assessment of the ocean dumping of low-level radioactive wastes. It describes the international and multilateral regulatory framework, the sources, composition, packaging and rate of dumping and, in particular, the recent radiological assessment of the only operational disposal site in the northeast Atlantic. The paper concludes with a discussion of future ocean disposal practices for radioactive wastes, and the application of the approach to the dumping of non-radioactive contaminants in the ocean. 39 refs., 1 fig., 4 tabs

  11. The assessment of learning in engineering education practice and policy

    CERN Document Server

    Heywood, John

    2016-01-01

    Explores how we judge engineering education in order to effectively redesign courses and programs that will prepare new engineers for various professional and academic careers This book considers the functions of assessment and its measurement in engineering education. Chapters two through three discuss efforts toward alternative curriculum in engineering and advanced level exams for university entry in engineering science. Chapter four reviews investigations of what engineers do at work and their implications assessment. Chapter five records the development of competency based assessment and considers its implications for the engineering curriculum. Chapter six discusses the impact of the accrediting authorities on assessment, outcomes based assessment, taxonomies and assessment in mastery and personalized systems of instruction. Chapters seven through eight consider student variability (e.g. intellectual development, emotional intelligence) and reflective practice. Questio s are raised about the assessment...

  12. Using health technology assessment to assess the value of new medicines: results of a systematic review and expert consultation across eight European countries.

    Science.gov (United States)

    Angelis, Aris; Lange, Ansgar; Kanavos, Panos

    2018-01-01

    Although health technology assessment (HTA) systems base their decision making process either on economic evaluations or comparative clinical benefit assessment, a central aim of recent approaches to value measurement, including value based assessment and pricing, points towards the incorporation of supplementary evidence and criteria that capture additional dimensions of value. To study the practices, processes and policies of value-assessment for new medicines across eight European countries and the role of HTA beyond economic evaluation and clinical benefit assessment. A systematic (peer review and grey) literature review was conducted using an analytical framework examining: (1) 'Responsibilities and structure of HTA agencies'; (2) 'Evidence and evaluation criteria considered in HTAs'; (3) 'Methods and techniques applied in HTAs'; and (4) 'Outcomes and implementation of HTAs'. Study countries were France, Germany, England, Sweden, Italy, Netherlands, Poland and Spain. Evidence from the literature was validated and updated through two rounds of feedback involving primary data collection from national experts. All countries assess similar types of evidence; however, the specific criteria/endpoints used, their level of provision and requirement, and the way they are incorporated (e.g. explicitly vs. implicitly) varies across countries, with their relative importance remaining generally unknown. Incorporation of additional 'social value judgements' (beyond clinical benefit assessment) and economic evaluation could help explain heterogeneity in coverage recommendations and decision-making. More comprehensive and systematic assessment procedures characterised by increased transparency, in terms of selection of evaluation criteria, their importance and intensity of use, could lead to more rational evidence-based decision-making, possibly improving efficiency in resource allocation, while also raising public confidence and fairness.

  13. Patterns in current anaesthesiological peri-operative practice for colonic resections: a survey in five northern-European countries

    DEFF Research Database (Denmark)

    Hannemann, P; Lassen, K; Hausel, J

    2006-01-01

    -acting anaesthetic medication may be beneficial. We examined whether these strategies have been adopted in five northern-European countries. METHODS: In 2003, a questionnaire concerning peri-operative anaesthetic routines in elective, open colonic cancer resection was sent to the chief anaesthesiologist in 258......-operative fasting, thoracic epidurals and short-acting anaesthetics. However, premedication with longer-acting agents is still common. Avoidance of fluid overload has not yet found its way into daily practice. This may leave patients undergoing elective colonic surgery at risk of oversedation and excessive fluid...

  14. European Model Code of safe practice in the storage and handling of petroleum products. Part I. Operations

    Energy Technology Data Exchange (ETDEWEB)

    1973-01-01

    This safe practice code was prepared by a working group consisting of experts from 10 Western European countries. It consists of short guidelines and technical advice on general precautions, injuries and medical services, permits to work, fire prevention and fighting, jetties, pipework, storage tanks, static electricity, electrical equipment, road vehicles, tank cars, handling of bitumen products, liquefied petroleum gases, packed products and training of personnel. The code is supplemented by 10 appendices, including a suggested syllabus for a 2-day course on fire prevention and emergency action for managers of oil installations.

  15. Phytosanitary inspection of woody plants for planting at european union entry points: A practical enquiry

    OpenAIRE

    Eschen, René; Rigaux, Ludovic; Sukovata, Lidia; Vettraino, Anna Maria; Marzano, Mariella; Grégoire, Jean-Claude

    2015-01-01

    Phytosanitary import inspections are important to avoid entry of harmful pests on live plants. In the European Union (EU), all consignments of live plants must be inspected at the first point of entry, and plants allowed entry can be moved without further inspection among the 28 Member States and Switzerland. It is important that inspections in EU countries adhere to the same standard to avoid introduction of harmful organisms through countries with weaker methods. We tested whether sampling ...

  16. HERCA, a forum for practical cooperation between the European radiation protection authorities

    International Nuclear Information System (INIS)

    Guzmán, O.

    2015-01-01

    HERCA (Heads of the European Radiological protection Competent Authorities) is an association bringing together the Heads of 51 Radiation Protection Authorities from 31 European countries. It has the ambition to develop new harmonized approaches to radiation protection without duplicating other international efforts. The association enables close contacts between the national authorities both on the managerial level and between experts in several Working Groups. Close contacts with the European Commission ensures relevance and avoids duplication of work. Through the establishment of HERCA, a forum for closer cooperation between the radiological protection authorities in Europe has been established. HERCA is also ready and willing to collaborate with other relevant stakeholders and partners and in this context it has developed relations with more than fifty of them, including international organizations. This article describes, the origin of the association, the structure & membership mentioning some major achievements of the association. It then focus on HERCA’s relations with relevant stakeholders to conclude with an outlook on HERCA’s role in the radiation protection arena. [es

  17. Formative Assessment: Exploring Tunisian Cooperative Teachers Practices in Physical Education

    Directory of Open Access Journals (Sweden)

    Melki Hasan

    2017-10-01

    Full Text Available Purpose: This article is based on questions related to the formative assessment of preparatory trainee ship in the professional life of Physical Education teachers. In general, in the first training program, the traineeship represents an integral part of training. In this sense, the traineeship offers a vital opportunity for future teacher to gain practical experience in the real environment, given that formative evaluation is a process of collecting evidence from trainees by cooperative teachers to make decisions about their knowledge and skills, to guide their own instructional activities and to control their behavior. Accordingly, this study proposed to explore practices of Tunisians cooperative teachers in relation to the formative assessment. Material: To verify our proposed object, we conducted a research using a questionnaire distributed among 96 cooperative teachers in different educational institutions located in the region of the greater Tunis. During the school year 2015-2016, the questionnaire was the subject of a statistical analysis using frequencies and percentages. Results: The analysis of such data revealed a range of practices about formative estimation among cooperative teachers. In particular, each teacher acknowledged the value of guiding and encouraging student’s self-assessment. So that they could lead their students to assume a share of evaluative activity. Conclusion: Both theoretical and practical implications of these findings are discussed, and some recommendations are made for future practice.

  18. Assessment of the smoke-free outdoor regulation in the WHO European Region.

    Science.gov (United States)

    Martínez, Cristina; Guydish, Joseph; Robinson, Gillian; Martínez-Sánchez, Jose María; Fernández, Esteve

    2014-07-01

    The aim of this study is to assess the level of protection of secondhand smoke in outdoor locations among countries belonging to the WHO European Region. This cross-sectional study measures the level of protection provided by laws in outdoor locations. A protocol to evaluate the outdoor smoke-free legislation was developed according to the recommendations provided by the WHO Guidelines for implementing smoke-free outdoor places. For each law 6 main sectors and 28 outdoor locations were evaluated. 68 laws from 48 countries were reviewed, totally assessing 1758 locations. Overall 3.1% of the locations specified 100% smoke-free outdoor regulation without exceptions, 2.5% permitted smoking in designated outdoor areas, 37.5% allowed smoking everywhere, and 56.9% did not provide information about how to deal with smoking in outdoor places. In the Education sector 17.8% of the laws specified smoke-free outdoor regulation, mainly in the primary and secondary schools. Three pioneering laws from recreational locations and two from general health facilities specified 100% outdoor smoke-free regulation. Outdoor smoke-free policies among countries belonging to the WHO European Region are limited and mainly have been passed in the primary and secondary schools, which protect minors from the hazards of secondhand smoke in educational settings. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. Assessment of external costs for transport project evaluation: Guidelines in some European countries

    Energy Technology Data Exchange (ETDEWEB)

    Petruccelli, Umberto, E-mail: umberto.petruccelli@unibas.it

    2015-09-15

    Many studies about the external costs generated by the transport system have been developed in the last twenty years. To standardize methodologies and assessment procedures to be used in the evaluation of the projects, some European countries recently have adopted specific guidelines that differ from each other in some aspects even sensibly. This paper presents a critical analysis of the British, Italian and German guidelines and is aimed at cataloguing the external cost types regarded and the assessment methods indicated as well as to highlight the differences of the results, in terms of applicability and reliability. The goal is to contribute to a European standardization process that would lead to the drafting of guidelines suited for all EU countries. - Highlights: • The analyzed guidelines agree on the methods to evaluate costs from air pollution, greenhouse gases and accidents. • They recommend respectively: dose-resp. approach; costs to reduce/permit emissions; whole direct, indirect and social costs. • For noise, DE guide indicates defensive expenditure or SP methods; IT guide, SP method; UK guide, the hedonic prices one. • For on territory impact, DE guide regards only the barrier effect; the IT one, also the soil consumption and system effects. • British guide proposes a qualitative methodology to estimate the impact on various landscapes and environments.

  20. Are Lead Exposures a Risk in European Fresh Waters? A Regulatory Assessment Accounting for Bioavailability.

    Science.gov (United States)

    Peters, Adam; Wilson, Iain; Merrington, Graham; Chowdhury, M Jasim

    2018-01-01

    An indicative compliance assessment of the Europe-wide bioavailable lead Environmental Quality Standard of 1.2 µg L -1 (EQS) was undertaken against regulatory freshwater monitoring data from six European member states and FOREGS database. Bio-met, a user-friendly tool based upon Biotic Ligand Models (BLMs) was used to account for bioavailability, along with the current European Water Framework Directive lead dissolved organic carbon correction approach. The outputs from both approaches were compared to the BLM. Of the 9054 freshwater samples assessed only 0.6% exceeded the EQS of 1.2 µg L -1 after accounting for bioavailability. The data showed that ambient background concentrations of lead across Europe are unlikely to influence general compliance with the EQS, although there may be isolated local issues. The waters showing the greatest sensitivity to potential lead exposures are characterized by relatively low DOC (< 0.5 mg L -1 ), regardless of the pH and calcium concentrations.

  1. Food and feed chemical contaminants in the European Union: Regulatory, scientific, and technical issues concerning chemical contaminants occurrence, risk assessment, and risk management in the European Union.

    Science.gov (United States)

    Silano, Marco; Silano, Vittorio

    2017-07-03

    A priority of the European Union is the control of risks possibly associated with chemical contaminants in food and undesirable substances in feed. Following an initial chapter describing the main contaminants detected in food and undesirable substances in feed in the EU, their main sources and the factors which affect their occurrence, the present review focuses on the "continous call for data" procedure that is a very effective system in place at EFSA to make possible the exposure assessment of specific contaminants and undesirable substances. Risk assessment of contaminants in food atances in feed is carried currently in the European Union by the CONTAM Panel of EFSA according to well defined methodologies and in collaboration with competent international organizations and with Member States.

  2. The assessment of female students' perceptions, practices and ...

    African Journals Online (AJOL)

    The main purpose of this study was to assess perceptions, practices and challenges of ... Stratified sampling followed by Simple random sampling (lottery method) technique ... The gathered information was analyzed using both quantitative and ... By Country · List All Titles · Free To Read Titles This Journal is Open Access.

  3. Assessment of Pragmatic Difficulties and Socioemotional Adjustment in Practice

    Science.gov (United States)

    Farmer, Marion; Oliver, Alice

    2005-01-01

    Background: In professional practice, psychologists and other professionals such as therapists and teachers receive referrals of many children who present with social, emotional and behavioural difficulties that are difficult to understand and assess. The problems of some of these children may stem from pragmatic difficulties in communication.…

  4. Comparative assessment of knowledge, attitude and practice of ...

    African Journals Online (AJOL)

    This study was carried out to assess the level of knowledge, attitude and practice regarding cervical cancer and its screening among female clinical nursing students in Southern Nigeria. Methodology: ... There is need to adopt urgent and drastic intervention strategies to save our women from unnecessary death. Keywords: ...

  5. Assessment of Non-Sterile Pharmaceutical Compounding Practices ...

    African Journals Online (AJOL)

    A descriptive cross-sectional survey was conducted to assess the practices of non-sterile pharmaceutical compounding in selected 42 community and 3 hospital pharmacies in Addis Ababa, Ethiopia from 01 April, 2016 to 15 May, 2016. The study revealed that the most commonly prescribed and compounded non-sterile ...

  6. Assessment of best practice of software development in developing ...

    African Journals Online (AJOL)

    ... Understand the technology of the software (4.03), Memory limit set (3.91), Application pool not shared (3.88) and other parameters were examined for software development. The analysis shows the variance of the assessment of best practices in Software development firms and they are in conformity with the global trend.

  7. Students' Assessment Of Farm Practical Programme In Selected ...

    African Journals Online (AJOL)

    Students' Assessment Of Farm Practical Programme In Selected Universities Of Southwestern, Nigeria. ... Journal of Agriculture, Forestry and the Social Sciences ... Students reported that lack of planning, improper implementation of activities lined up for the programme, lack of fund to properly finance the programme and ...

  8. Review Article: The roles of assessment in curriculum practice and ...

    African Journals Online (AJOL)

    Assessment is indispensable component of curriculum practice. In systems of education, one of the prime considerations of administrators, teachers, and students alike are the outcomes of learning, what ability students can demonstrate because of increase in their knowledge and changes in understanding because of ...

  9. Assessing Preschool Teachers' Practices to Promote Self-Regulated Learning

    Science.gov (United States)

    Adagideli, Fahretdin Hasan; Saraç, Seda; Ader, Engin

    2015-01-01

    Recent research reveals that in preschool years, through pedagogical interventions, preschool teachers can and should promote self-regulated learning. The main aim of this study is to develop a self-report instrument to assess preschool teachers' practices to promote self-regulated learning. A pool of 50 items was recruited through literature…

  10. A practical, systematic and structured approach to piping vibration assessment

    International Nuclear Information System (INIS)

    Sukaih, Naren

    2002-01-01

    The main aim of this paper is to present a systematic and structured approach to piping vibration assessment and control. Piping vibration assessment is a complex subject, since there are no general analytical methods for dealing with vibration problems. It was noted that most existing vibrating piping systems had poor or degraded support arrangements. This approach therefore focuses mainly on vibration control through assessing and improving the supporting systems. Vibration theory has not been covered in any detail. A simplified procedure is presented for the Integrity custodian to determine when a simple assessment may be carried out and when specialist/consultant services are required. The assessment techniques are based on simplifying assumptions, good rules of thumb and available literature and current practices. A typical case study is used to illustrate the use and the flexibility of the above approach. A standard sheet is proposed to record and document the assessment and recommendations

  11. Evaluating an holistic assessment tool for palliative care practice.

    Science.gov (United States)

    McIlfatrick, Sonja; Hasson, Felicity

    2014-04-01

    To evaluate a holistic assessment tool for palliative care practice. This included identifying patients' needs using the holistic tool and exploring the usability, applicability and barriers and facilitators towards implementation in practice. The delivery of effective holistic palliative care requires a careful assessment of the patients' needs and circumstances. Whilst holistic assessment of palliative care needs is advocated, questions exist around the appropriateness of tools to assist this process. Mixed-method research design. Data collection involved an analysis of piloted holistic assessments undertaken using the tool (n = 132) and two focus groups with healthcare professionals (n = 10). The tool enabled health professionals to identify and gain an understanding of the needs of the patients, specifically in relation to the physical healthcare needs. Differences, however, between the analysis of the tool documentation and focus group responses were identified in particular areas. For example, 59 (68·8%) respondents had discussed preferred priorities of care with the patient; however, focus group comments revealed participants had concerns around this. Similarly, whilst over half of responses (n = 50; 57·5%) had considered a prognostic clinical indicator for the patient as an action, focus group results indicated questions around healthcare professionals' knowledge and perceived usefulness of such indicators. Positive aspects of the tool were that it was easy to understand and captured the needs of individuals. Negative aspects of the tool were that it was repetitive and the experience of assessors required consideration. The tool evaluation identified questions regarding holistic assessment in palliative care practice and the importance of communication. A holistic assessment tool can support patient assessment and identification of patients' needs in the 'real world' of palliative care practice, but the 'tool' is merely an aid to assist professionals to

  12. Self-assessment, reflection on practice and critical thinking in nursing students.

    Science.gov (United States)

    Siles-González, José; Solano-Ruiz, Carmen

    2016-10-01

    In accordance with the principles of the European Higher Education Area, the aim of this study was to contribute to the implementation of self-assessment through the application of reflection on learning and critical thinking. The theoretical framework employed was Habermas's critical theory and emancipatory interest as a preliminary step to generate educational transformations. The methodological contribution is the design a student self-assessment document that promotes reflection on action and critical thinking. The development of assessment through peer evaluation and other intermediate solutions until achieving self-assessment entails a shift in the educational and scientific paradigm, but also involves the implementation in practice of democratic and ethical principles, values and premises in society. Self-assessment is a novel concept for students, and obliges them to reinterpret their role. Due to the diversity of students' principles, values, motivations, interests and aspirations, this reinterpretation of their role can have a positive outcome, stimulating an active and critical attitude towards group work and self-assessment; or, on the contrary, can generate a stance characterised by disinterest, passivity and lack of critical thinking. The forms of assessment adopted in a given educational system reflect ways of thinking related to ideologies, values, ethical principles and educational paradigms: in order to render implementation of effective self-assessment feasible, it is necessary to undertake structural and regulatory reforms. Students have little experience of reflection on practice or critical thinking. Massification and cultural and structural factors determine the form of assessment. In this context, it would seem advisable to move towards self-assessment gradually and cautiously. Copyright © 2016 Elsevier Ltd. All rights reserved.

  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. Assessment and monitoring practices of Australian fitness professionals.

    Science.gov (United States)

    Bennie, Jason A; Wiesner, Glen H; van Uffelen, Jannique G Z; Harvey, Jack T; Craike, Melinda J; Biddle, Stuart J H

    2018-04-01

    Assessment and monitoring of client health and fitness is a key part of fitness professionals' practices. However, little is known about prevalence of this practice. This study describes the assessment/monitoring practices of a large sample of Australian fitness professionals. Cross-sectional. In 2014, 1206 fitness professionals completed an online survey. Respondents reported their frequency (4 point-scale: [1] 'never' to [4] 'always') of assessment/monitoring of eight health and fitness constructs (e.g. body composition, aerobic fitness). This was classified as: (i) 'high' ('always' assessing/monitoring ≥5 constructs); (ii) 'medium' (1-4 constructs); (iii) 'low' (0 constructs). Classifications are reported by demographic and fitness industry characteristics. The odds of being classified as a 'high assessor/monitor' according to social ecological correlates were examined using a multiple-factor logistic regression model. Mean age of respondents was 39.3 (±11.6) years and 71.6% were female. A total of 15.8% (95% CI: 13.7%-17.9%) were classified as a 'high' assessor/monitor. Constructs with the largest proportion of being 'always' assessed were body composition (47.7%; 95% CI: 45.0%-50.1%) and aerobic fitness (42.5%; 95% CI: 39.6%-45.3%). Those with the lowest proportion of being 'always' assessed were balance (24.0%; 95% CI: 24.7%-26.5%) and mental health (20.2%; 95% CI: 18.1%-29.6%). A perceived lack of client interest and fitness professionals not considering assessing their responsibility were associated with lower odds of being classified as a 'high assessor/monitor'. Most fitness professionals do not routinely assess/monitor client fitness and health. Key factors limiting client health assessment and monitoring include a perceived lack of client interest and professionals not considering this their role. Copyright © 2017. Published by Elsevier Ltd.

  15. Theory versus practice in Strategic Environmental Assessment (SEA)

    International Nuclear Information System (INIS)

    Lobos, Víctor; Partidario, Maria

    2014-01-01

    Could the theory of Strategic Environmental Assessment (SEA) be ahead of its time and decoupled from its practice? This paper evolved in search for this leading research question. Over the years the discourse on SEA experienced a gradual shift from the technocratic and rationalist thinking that supported its origin to more strategic approaches and integrated concepts, suggested since the mid 1990's. In this paper we share the results of our analysis of international thinking and practical experience with SEA. Results reveal that SEA practice changes very slowly when compared to advanced thinking supporting the noted shift. Current SEA practice shows to be still predominantly rooted in the logic of projects' environmental impact assessment (EIA). It is strongly bound to legal and regulatory requirements, and the motivation for its application persists being the delivery of environmental (or final) reports to meet legal obligations. Even though advanced SEA theoretical thinking claim its potential to help decisions to look forward, change mind-sets and the rationale of decision-making to meet sustainability challenges and enhance societal values, we note a weak relationship between the theoretical development of SEA and its practice. Why is this happening? Which factors explain this apparent inertia, resistance to change, in the SEA practice? Results appear to demonstrate the influence of assumptions, understandings, concepts, and beliefs in the use of SEA, which in turn suggest the political sensitivity of the instrument. - Highlights: • Theoretical thinking in SEA is ahead of its time. • SEA international practice reveals inertia to move out of project’ EIA comfort zone. • World current SEA practice show similar understandings of 30 years ago. • 100 world reports and survey of practitioners supported world review. • SEA great challenge is to change paradigms into new scientific complexity theories

  16. Theory versus practice in Strategic Environmental Assessment (SEA)

    Energy Technology Data Exchange (ETDEWEB)

    Lobos, Víctor, E-mail: vlobosg@gmail.com [CEG-IST, Instituto Superior Técnico, Universidade de Lisboa, Research Group on Strategic Approaches to Environment and Sustainability (SENSU), 1049-001 Lisboa (Portugal); Centro de Estudios del Desarrollo, San Crescente 551, Las Condes, Santiago (Chile); Partidario, Maria [CEG-IST, Instituto Superior Técnico, Universidade de Lisboa, Research Group on Strategic Approaches to Environment and Sustainability (SENSU), 1049-001 Lisboa (Portugal)

    2014-09-15

    Could the theory of Strategic Environmental Assessment (SEA) be ahead of its time and decoupled from its practice? This paper evolved in search for this leading research question. Over the years the discourse on SEA experienced a gradual shift from the technocratic and rationalist thinking that supported its origin to more strategic approaches and integrated concepts, suggested since the mid 1990's. In this paper we share the results of our analysis of international thinking and practical experience with SEA. Results reveal that SEA practice changes very slowly when compared to advanced thinking supporting the noted shift. Current SEA practice shows to be still predominantly rooted in the logic of projects' environmental impact assessment (EIA). It is strongly bound to legal and regulatory requirements, and the motivation for its application persists being the delivery of environmental (or final) reports to meet legal obligations. Even though advanced SEA theoretical thinking claim its potential to help decisions to look forward, change mind-sets and the rationale of decision-making to meet sustainability challenges and enhance societal values, we note a weak relationship between the theoretical development of SEA and its practice. Why is this happening? Which factors explain this apparent inertia, resistance to change, in the SEA practice? Results appear to demonstrate the influence of assumptions, understandings, concepts, and beliefs in the use of SEA, which in turn suggest the political sensitivity of the instrument. - Highlights: • Theoretical thinking in SEA is ahead of its time. • SEA international practice reveals inertia to move out of project’ EIA comfort zone. • World current SEA practice show similar understandings of 30 years ago. • 100 world reports and survey of practitioners supported world review. • SEA great challenge is to change paradigms into new scientific complexity theories.

  17. Optimizing Team Dynamics: An Assessment of Physician Trainees and Advanced Practice Providers Collaborative Practice.

    Science.gov (United States)

    Foster, Cortney B; Simone, Shari; Bagdure, Dayanand; Garber, Nan A; Bhutta, Adnan

    2016-09-01

    The presence of advanced practice providers has become increasingly common in many ICUs. The ideal staffing model for units that contain both advanced practice providers and physician trainees has not been described. The objectives of this study were to evaluate ICU staffing models that include physician trainees and advanced practice providers and their effects on patient outcomes, resident and fellow education, and training experience. A second aim was to assess strategies to promote collaboration between team members. PubMed, CINAHL, OVID MEDLINE, and Cochrane Review from 2002 to 2015. Experimental study designs conducted in an ICU setting. Two reviewers screened articles for eligibility and independently abstracted data using the identified search terms. We found 21 articles describing ICU team structure and outcomes. Four articles were found describing the impact of advanced practice providers on resident or fellow education. Two articles were found discussing strategies to promote collaboration between advanced practice providers and critical care fellows or residents. Several articles were identified describing the utilization of advanced practice providers in the ICU and the impact of models of care on patient outcomes. Limited data exist describing the impact of advanced practice providers on resident and fellow education and training experience. In addition, there are minimal data describing methods to enhance collaboration between providers. Future research should focus on determining the optimal ICU team structure to improve patient outcomes, education of trainees, and job satisfaction of team members and methods to promote collaboration between advanced practice providers and physicians in training.

  18. Measures for assessing practice change in medical practitioners

    Directory of Open Access Journals (Sweden)

    Green Sally

    2006-12-01

    Full Text Available Abstract Background There are increasing numbers of randomised trials and systematic reviews examining the efficacy of interventions designed to bring about a change in clinical practice. The findings of this research are being used to guide strategies to increase the uptake of evidence into clinical practice. Knowledge of the outcomes measured by these trials is vital not only for the interpretation and application of the work done to date, but also to inform future research in this expanding area of endeavour and to assist in collation of results in systematic reviews and meta-analyses. Methods The objective of this review was to identify methods used to measure change in the clinical practices of health professionals following an intervention aimed at increasing the uptake of evidence into practice. All published trials included in a recent, comprehensive Health Technology Assessment of interventions to implement clinical practice guidelines and change clinical practice (n = 228 formed the sample for this study. Using a standardised data extraction form, one reviewer (SH, extracted the relevant information from the methods and/or results sections of the trials. Results Measures of a change of health practitioner behaviour were the most common, with 88.8% of trials using these as outcome measures. Measures that assessed change at a patient level, either actual measures of change or surrogate measures of change, were used in 28.8% and 36.7% of studies (respectively. Health practitioners' knowledge and attitudes were assessed in 22.8% of the studies and changes at an organisational level were assessed in 17.6%. Conclusion Most trials of interventions aimed at changing clinical practice measured the effect of the intervention at the level of the practitioner, i.e. did the practitioner change what they do, or has their knowledge of and/or attitude toward that practice changed? Less than one-third of the trials measured, whether or not any change

  19. Self-Assessment in Librarianship: Current Practices and Future Possibilities

    Directory of Open Access Journals (Sweden)

    Ania Dymarz

    2015-07-01

    Full Text Available The authors of this qualitative study set out to investigate self-assessment practices within the library profession. The researchers conducted semi-structured interviews with a purposeful sample of nine librarians coming from a range of library settings and possessing a diversity of library experience. Interviews were then transcribed and coded in NVIVO to identify emergent themes. This paper details some of the results of that study, highlighting motivations, limitations, and strategies with regard to self-assessment. The findings present a summary of a range of approaches to the practice of assessment as reported by the interviewees. One area of possible growth for our profession, as highlighted by the findings, is in the development of peer networks as a support for the individual practice of self-assessment. While the results of this small case study cannot be generalized, the authors hope these preliminary findings can open up the conversation around self-assessment both for individual librarians and for those librarians and managers working to shape their workplace culture.

  20. Purchasing health services abroad: practices of cross-border contracting and patient mobility in six European countries.

    Science.gov (United States)

    Glinos, Irene A; Baeten, Rita; Maarse, Hans

    2010-05-01

    Contracting health services outside the public, statutory health system entails purchasing capacity from domestic non-public providers or from providers abroad. Over the last decade, these practices have made their way into European health systems, brought about by performance-oriented reforms and EU principles of free movement. The aim of the article is to explain the development, functioning, purposes and possible implications of cross-border contracting. Primary and secondary sources on purchasing from providers abroad have been collected in a systematic way and analysed in a structured frame. We found practices in six European countries. The findings suggest that purchasers from benefit-in-kind systems contract capacity abroad when this responds to unmet demand; pressures domestic providers; and/or offers financial advantages, especially where statutory purchasers compete. Providers which receive patients tend to be located in countries where treatment costs are lower and/or where providers compete. The modalities of purchasing and delivering care abroad vary considerably depending on contracts being centralised or direct, the involvement of middlemen, funding and pricing mechanisms, cross-border pathways and volumes of patient flows. The arrangements and concepts which cross-border contracting relies on suggest that statutory health purchasers, under pressure to deliver value for money and striving for cost-efficiency, experiment with new ways of organising health services for their populations. Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved.

  1. Patient blood management knowledge and practice among clinicians from seven European university hospitals: a multicentre survey.

    Science.gov (United States)

    Manzini, P M; Dall'Omo, A M; D'Antico, S; Valfrè, A; Pendry, K; Wikman, A; Fischer, D; Borg-Aquilina, D; Laspina, S; van Pampus, E C M; van Kraaij, M; Bruun, M T; Georgsen, J; Grant-Casey, J; Babra, P S; Murphy, M F; Folléa, G; Aranko, K

    2018-01-01

    The aim of this survey was to evaluate the knowledge about Patient Blood Management (PBM) principles and practices amongst clinicians working in seven European hospitals participating in a European Blood Alliance (EBA) project. A web-based questionnaire was sent to 4952 clinicians working in medical, surgery and anaesthesiology disciplines. The responses were analysed, and the overall results as well as a comparison between hospitals are presented. A total of 788 responses (16%) were obtained. About 24% of respondents were not aware of a correlation between preoperative anaemia (POA) and perioperative morbidity and mortality. For 22%, treatment of POA was unlikely to favourably influence morbidity and mortality even before surgery with expected blood loss. More than half of clinicians did not routinely treat POA. 29%, when asked which is the best way to treat deficiency anaemia preoperatively, answered that they did not have sufficient knowledge and 5% chose to 'do nothing'. Amongst those who treated POA, 38% proposed red cell transfusion prior to surgery as treatment. Restrictive haemoglobin triggers for red blood cell transfusion, single unit policy and reduction of number and volumes of blood samples for diagnostic purposes were only marginally implemented. Overall, the responses indicated poor knowledge about PBM. Processes to diagnose and treat POA were not generally and homogeneously implemented. This survey should provide further impetus to implement programmes to improve knowledge and practice of PBM. © 2017 International Society of Blood Transfusion.

  2. Sustainability assessment of energy technologies via social indicators: Results of a survey among European energy experts

    International Nuclear Information System (INIS)

    Gallego Carrera, Diana; Mack, Alexander

    2010-01-01

    Sustainability assessment of energy technologies oftentimes fails to account for social repercussions and long-term negative effects and benefits of energy systems. As part of the NEEDS project, an expert-based set of social indicators was developed and verified by the European stakeholders with the objective of contributing in the development of social indicators for the assessment of societal effects of energy systems. For this purpose, scientific experts from four sample countries France, Germany, Italy and Switzerland were interviewed to assess 16 different energy systems on a specific stakeholder reviewed indicator set. The indicator set covers the four main criteria: 'security and reliability of energy provision; 'political stability and legitimacy'; 'social and individual risks' and 'quality of life'. This article will review the process of indicator development and assessment and highlight results for today's most prominent and future energy technologies and some likely to make an impact in the future. Expert judgments varied considerably between countries and energy systems, with the exception of renewable technologies, which were overall positively assessed on almost all evaluation criteria.

  3. GOOD PRACTICE IN CROATIAN SOCIAL POLICY – RECCOMENDATIONS FOR THE COUNTRIES OF THE EUROPEAN UNION

    Directory of Open Access Journals (Sweden)

    Ida Mahmutefendić

    2015-12-01

    Full Text Available Social policy has the ideal of cohesion and inclusiveness of all citizens, but it has to “play” an active role in creating opportunities for them. It encopmasses in itself primarily a balance between economic efficiency and social solidarity distribution, and strives towards a consensual social model in which the government and the opposition generally agree on the fundamental priorities of society. Starting from July 1st, 2013, Croatia has been a member of the European Union. What experiences can that country bring to European Union? In spite of the differences between the European countries becoming more and more expressed and bigger, there is a common element: a conscience that social justice and social reconciliation could contribute to an economical development and that are not just an expense; but the opposite: an economical development that must contribute to social reconciliation. In the process of the preparation for this work and during the process of its realization, I used the methods of reading a lot of literature, including professional books, professional journals and legislation literature. Social policy has been for years one of my major fields of interest, so some facts I knew already. My research goal is to examine the development so far of the social policy in Croatia, to detect the most important conditions which are necessary to develop high-quality social policies, to discover which are strong sides, and which are weak sides of the Croatian social policy, and therefore what is important to strongly develop, and what is redundant and/or old-fashioned, to throw away or neglect.

  4. Energy policy (Of the European Union, Slovakia, comparison with Austria and its practical application)

    International Nuclear Information System (INIS)

    Obrtalova, S.

    2005-04-01

    This thesis has been prepared in frame of the study at the Faculty of Management, Comenius University in Bratislava, major European Integration. The work aims on raising the attention on reasonable serious and actual topic and tries to stimulate the discussion about the possible solution of contemporary non-sustainable energy situation. Interest of the broad public and its understanding of the connection with sustainable development is inevitable. The thesis concerns on the energy policy in the European Union, it is about the energy management as a whole and related problems and approaches to its solutions as well. In a shortened and simplified form there are described the basic principle tools and aspects of the energy management on an international level, while it portrays also the historical conjunctions of the topic. In the other part of the thesis the answers on questions about the compatibility of the Slovak energy policy and European Union intentions are presented. Austrian energy policy is compared as well. This part discusses also the energy possibilities of the Slovakia, from the point of view of nature, legislation and financial conditions. The fourth chapter is focused on the particular possibilities of the energy problems' solutions, respectively the opportunity of strategic investment into energy solutions on a companies' level. In order to describe and evaluate independently the particular measures, various renewable energy resources, cogeneration and energy investment proposals are listed. The aim of the measures is increased energy efficiency of the company. The used information comes from various foreign and domestic resources, mostly the Internet and written publications. (author)

  5. Practical experience in post-mortem tissue donation in consideration of the European tissue law.

    Science.gov (United States)

    Karbe, Thomas; Braun, Christian; Wulff, Birgit; Schröder, Ann Sophie; Püschel, Klaus; Bratzke, Hansjürgen; Parzeller, Markus

    2010-03-01

    In consequence of the European guidelines of safety and quality standards for the donation, retrieval, storing and distribution of human tissues and cells the purpose of tissue transplantation was implemented into German legislation in May 2007. The law came into effect on August 1st 2007 considering of the European rules. The Institutes for Legal Medicine of the University of Frankfurt/Main and the University Medical Center Hamburg-Eppendorf developed a model for tissue retrieval. The Institute of Legal Medicine (I.f.R.) at the University Medical Center Hamburg cooperates with the German Institute of Cell and Tissue Replacement (Deutsches Institut für Zell--und Gewebeersatz DIZG). Potential post-mortem tissue donors (PMTD) among the deceased are selected by standardized sets of defined criteria. The procedure is guided by the intended exclusion criteria of the tissue regulation draft (German Transplant Law TPG GewV) in accordance with the European Guideline (2006/17/EC). Following the identification of the donor and subsequent removal of tissue, the retrieved samples were sent to the DIZG, a non-profit tissue bank according to the tissue regulation. Here the final processing into transplantable tissue grafts takes place, which then results in the allocation of tissue to hospitals in Germany and other European countries. The Center of Legal Medicine at the Johann Wolfgang Goethe-University Medical Center Frankfurt/Main cooperates since 2000 with Tutogen, a pharmaceutical company. Harvesting of musculoskeletal tissues follows corresponding regulations. To verify the outcome of PMTD at the I.f.R. Hamburg, two-statistic analysis over 12 and 4 months have been implemented. Our results have shown an increasing number of potential appropriate PMTD within the second inquiry interval but a relatively small and unvaryingly rate of successful post-mortem tissue retrievals similar to the first examination period. Thus, the aim of the model developed by the I.f.R. is to

  6. The European renewable energy target for 2030 – An impact assessment of the electricity sector

    International Nuclear Information System (INIS)

    Knopf, Brigitte; Nahmmacher, Paul; Schmid, Eva

    2015-01-01

    The European Union set binding targets for the reduction of greenhouse gases (GHG) and the share of renewable energy (RE) in final energy consumption by 2020. The European Council agreed to continue with this strategy through to 2030 by setting a RE target of 27% in addition to a GHG reduction target of 40%. We provide a detailed sectoral impact assessment by analyzing the implications for the electricity sector in terms of economic costs and the regional distribution of investments and shares of electricity generated from renewable energy sources (RES-E). According to the Impact Analysis by the European Commission the 27% RE target corresponds to a RES-E share of 49%. Our model-based sensitivity analysis on underlying technological and institutional assumptions shows that the cost-effective RES-E share varies between 43% and 56%. Secondly, we quantify the economic costs of these variants and those which would be incurred with higher shares. The long-term additional costs for higher RES-E shares would be less than 1% of total system costs. The third aspect relates to the regional distribution of EU-wide efforts for upscaling renewables. We point out that delivering high RES-E shares in a cost-effective manner involves considerably different efforts by the Member States. -- Highlights: •A renewable (RES) target of 27% is the cost-effective share for 40% GHG reduction. •For the electricity sector the RES-E share varies between 43% and 56%. •Long-term costs for higher RES-E shares are less than 1% of total system costs. •There are large differences in RES deployment and costs between Member States. •A lack of a governance mechanism makes the EU-wide RES target difficult to achieve

  7. A quality assessment of the MARS crop yield forecasting system for the European Union

    Science.gov (United States)

    van der Velde, Marijn; Bareuth, Bettina

    2015-04-01

    Timely information on crop production forecasts can become of increasing importance as commodity markets are more and more interconnected. Impacts across large crop production areas due to (e.g.) extreme weather and pest outbreaks can create ripple effects that may affect food prices and availability elsewhere. The MARS Unit (Monitoring Agricultural ResourceS), DG Joint Research Centre, European Commission, has been providing forecasts of European crop production levels since 1993. The operational crop production forecasting is carried out with the MARS Crop Yield Forecasting System (M-CYFS). The M-CYFS is used to monitor crop growth development, evaluate short-term effects of anomalous meteorological events, and provide monthly forecasts of crop yield at national and European Union level. The crop production forecasts are published in the so-called MARS bulletins. Forecasting crop yield over large areas in the operational context requires quality benchmarks. Here we present an analysis of the accuracy and skill of past crop yield forecasts of the main crops (e.g. soft wheat, grain maize), throughout the growing season, and specifically for the final forecast before harvest. Two simple benchmarks to assess the skill of the forecasts were defined as comparing the forecasts to 1) a forecast equal to the average yield and 2) a forecast using a linear trend established through the crop yield time-series. These reveal a variability in performance as a function of crop and Member State. In terms of production, the yield forecasts of 67% of the EU-28 soft wheat production and 80% of the EU-28 maize production have been forecast superior to both benchmarks during the 1993-2013 period. In a changing and increasingly variable climate crop yield forecasts can become increasingly valuable - provided they are used wisely. We end our presentation by discussing research activities that could contribute to this goal.

  8. Validity of a short questionnaire to assess physical activity in 10 European countries.

    Science.gov (United States)

    Peters, Tricia; Brage, Soren; Westgate, Kate; Franks, Paul W; Gradmark, Anna; Tormo Diaz, Maria Jose; Huerta, Jose Maria; Bendinelli, Benedetta; Vigl, Mattheaus; Boeing, Heiner; Wendel-Vos, Wanda; Spijkerman, Annemieke; Benjaminsen-Borch, Kristin; Valanou, Elisavet; de Lauzon Guillain, Blandine; Clavel-Chapelon, Françoise; Sharp, Stephen; Kerrison, Nicola; Langenberg, Claudia; Arriola, Larraitz; Barricarte, Aurelio; Gonzales, Carlos; Grioni, Sara; Kaaks, Rudolf; Key, Timothy; Khaw, Kay Tee; May, Anne; Nilsson, Peter; Norat, Teresa; Overvad, Kim; Palli, Domenico; Panico, Salvatore; Ramón Quirós, Jose; Ricceri, Fulvio; Sanchez, Maria-Jose; Slimani, Nadia; Tjonneland, Anne; Tumino, Rosario; Feskins, Edith; Riboli, Elio; Ekelund, Ulf; Wareham, Nick

    2012-01-01

    To accurately examine associations of physical activity (PA) with disease outcomes, a valid method of assessing free-living activity is required. We examined the validity of a brief PA questionnaire (PAQ) used in the European Prospective Investigation into Cancer and Nutrition (EPIC). PA energy expenditure (PAEE) and time spent in moderate and vigorous physical activity (MVPA) was measured in 1,941 healthy individuals from 10 European countries using individually-calibrated combined heart-rate and movement sensing. Participants also completed the short EPIC-PAQ, which refers to past year's activity. Pearson (r) and Spearman (σ) correlation coefficients were calculated for each country, and random effects meta-analysis was used to calculate the combined correlation across countries to estimate the validity of two previously- and one newly-derived ordered, categorical PA indices ("Cambridge index", "total PA index", and "recreational index") that categorized individuals as inactive, moderately inactive, moderately active, or active. The strongest associations with PAEE and MVPA were observed for the Cambridge index (r = 0.33 and r = 0.25, respectively). No significant heterogeneity by country was observed for this index (I(2) = 36.3%, P = 0.12; I(2) = 0.0%, P = 0.85), whereas heterogeneity was suggested for other indices (I(2) > 48%, P  47%, P PAQ is suitable for categorizing European men and women into four distinct categories of overall physical activity. The difference in PAEE between categories may be useful when estimating effect sizes from observational research.

  9. Risk assessment of pesticides and other stressors in bees: Principles, data gaps and perspectives from the European Food Safety Authority.

    Science.gov (United States)

    Rortais, Agnès; Arnold, Gérard; Dorne, Jean-Lou; More, Simon J; Sperandio, Giorgio; Streissl, Franz; Szentes, Csaba; Verdonck, Frank

    2017-06-01

    Current approaches to risk assessment in bees do not take into account co-exposures from multiple stressors. The European Food Safety Authority (EFSA) is deploying resources and efforts to move towards a holistic risk assessment approach of multiple stressors in bees. This paper describes the general principles of pesticide risk assessment in bees, including recent developments at EFSA dealing with risk assessment of single and multiple pesticide residues and biological hazards. The EFSA Guidance Document on the risk assessment of plant protection products in bees highlights the need for the inclusion of an uncertainty analysis, other routes of exposures and multiple stressors such as chemical mixtures and biological agents. The EFSA risk assessment on the survival, spread and establishment of the small hive beetle, Aethina tumida, an invasive alien species, is provided with potential insights for other bee pests such as the Asian hornet, Vespa velutina. Furthermore, data gaps are identified at each step of the risk assessment, and recommendations are made for future research that could be supported under the framework of Horizon 2020. Finally, the recent work conducted at EFSA is presented, under the overarching MUST-B project ("EU efforts towards the development of a holistic approach for the risk assessment on MUltiple STressors in Bees") comprising a toolbox for harmonised data collection under field conditions and a mechanistic model to assess effects from pesticides and other stressors such as biological agents and beekeeping management practices, at the colony level and in a spatially complex landscape. Future perspectives at EFSA include the development of a data model to collate high quality data to calibrate and validate the model to be used as a regulatory tool. Finally, the evidence collected within the framework of MUST-B will support EFSA's activities on the development of a holistic approach to the risk assessment of multiple stressors in bees. In

  10. Environmental exposure assessment in European birth cohorts: results from the ENRIECO project

    Directory of Open Access Journals (Sweden)

    Gehring Ulrike

    2013-01-01

    Full Text Available Abstract Environmental exposures during pregnancy and early life may have adverse health effects. Single birth cohort studies often lack statistical power to tease out such effects reliably. To improve the use of existing data and to facilitate collaboration among these studies, an inventory of the environmental exposure and health data in these studies was made as part of the ENRIECO (Environmental Health Risks in European Birth Cohorts project. The focus with regard to exposure was on outdoor air pollution, water contamination, allergens and biological organisms, metals, pesticides, smoking and second hand tobacco smoke (SHS, persistent organic pollutants (POPs, noise, radiation, and occupational exposures. The review lists methods and data on environmental exposures in 37 European birth cohort studies. Most data is currently available for smoking and SHS (N=37 cohorts, occupational exposures (N=33, outdoor air pollution, and allergens and microbial agents (N=27. Exposure modeling is increasingly used for long-term air pollution exposure assessment; biomonitoring is used for assessment of exposure to metals, POPs and other chemicals; and environmental monitoring for house dust mite exposure assessment. Collaborative analyses with data from several birth cohorts have already been performed successfully for outdoor air pollution, water contamination, allergens, biological contaminants, molds, POPs and SHS. Key success factors for collaborative analyses are common definitions of main exposure and health variables. Our review emphasizes that such common definitions need ideally be arrived at in the study design phase. However, careful comparison of methods used in existing studies also offers excellent opportunities for collaborative analyses. Investigators can use this review to evaluate the potential for future collaborative analyses with respect to data availability and methods used in the different cohorts and to identify potential partners

  11. Promoting Assessment Efficacy through an Integrated System for Online Clinical Assessment of Practical Skills

    Science.gov (United States)

    Hay, Peter J.; Engstrom, Craig; Green, Anita; Friis, Peter; Dickens, Sue; Macdonald, Doune

    2013-01-01

    This paper presents evaluation outcomes from an externally funded research project involving the online clinical assessment of practical skills (eCAPS) using web-based video technologies within a university medical programme. eCAPS was implemented to trial this web-based approach for promoting the efficacy of "practical" skills…

  12. Protection of the right to privacy in the practice of the European Court of Human Rights

    Directory of Open Access Journals (Sweden)

    Mladenov Marijana

    2013-01-01

    Full Text Available The right to privacy is a fundamental human right and an essential component of the protection of human autonomy and freedom. The development of science and information systems creates various opportunities for interferences with physical and moral integrity of a person. Therefore, it is necessary to determine the precise content of the right to privacy. The European Convention on Human Rights and Fundamental Freedoms guarantees this right under Article 8. The European Court of Human Rights did not precisely define the content of the right to privacy and thereby the applicants could bring different aspects of life into the scope of respect for private life. According to the Court, the concept of privacy and private life includes the following areas of human life: the right to establish and maintain relationships with other human beings, protection of the physical and moral integrity of persons, protection of personal data, change of personal name, various issues related to sexual orientation and transgender. The subject of this paper is referring to previously mentioned spheres of human life in the light of interpretation of Article 8 of the Convention.

  13. Testing practices in the 21st century: Developments and European psychologists’ opinions

    Czech Academy of Sciences Publication Activity Database

    Evers, A.; Muñiz, J.; Bartram, D.; Boben, D.; Egeland, J.; Fernández-Hermida, J.R.; Frans, Ö.; Gintiliené, G.; Hagemeister, C.; Halama, P.; Iliescu, D.; Jaworowska, A.; Jiménez, P.; Manthouli, M.; Matesic, K.; Schittekatte, M.; Sümer, H.C.; Urbánek, Tomáš

    2012-01-01

    Roč. 17, č. 4 (2012), s. 300-319 ISSN 1016-9040 Institutional support: RVO:68081740 Keywords : psychometric testing * testing practices * survey * Europe * EFPA Subject RIV: AN - Psychology Impact factor: 0.794, year: 2012

  14. Endorsing the Practical Endorsement? OCR's Approach to Practical Assessment in Science A-Levels

    Science.gov (United States)

    Evans, Steve; Wade, Neil

    2015-01-01

    This article summarises the practical requirements for new science A-levels in biology, chemistry and physics for first teaching from September 2015. It discusses the background to how the new approach was reached and how OCR has seen this taking shape in our assessment models. The opportunities presented by this new approach to practical…

  15. Assessment of general education teachers' Tier 1 classroom practices: contemporary science, practice, and policy.

    Science.gov (United States)

    Reddy, Linda A; Fabiano, Gregory A; Jimerson, Shane R

    2013-12-01

    Progress monitoring is a type of formative assessment. Most work on progress monitoring in elementary school settings has been focused on students. However, teachers also can benefit from frequent evaluations. Research addressing teacher progress monitoring is critically important given the recent national focus on teacher evaluation and effectiveness. This special topic section of School Psychology Quarterly is the first to showcase the current research on measuring Tier 1 instructional and behavioral management practices used by prekindergarten and elementary school teachers in general education settings. The three studies included in the special section describe the development and validation efforts of several teacher observational and self-report measures of instruction and/or behavioral management. These studies provide evidence for the utility of such assessments for documenting the use of classroom practices, and these assessment results may be leveraged in innovative coaching models to promote best practice. These articles also offer insight and ideas for the next generation of teacher practice assessment for the field. Finally, the special topic is capped by a commentary synthesizing the current work and offers "big ideas" for future measurement development, policy, and professional development initiatives. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  16. European audit of current practice in diagnosis and treatment of childhood growth hormone deficiency

    DEFF Research Database (Denmark)

    Juul, Anders; Bernasconi, Sergio; Clayton, Peter E

    2002-01-01

    The present survey among members of the ESPE on current practice in diagnosis and treatment of growth hormone (GH) deficiency (GHD) is of great clinical relevance and importance in the light of the recently published guidelines for diagnosis and treatment of GHD by the Growth Hormone Research...... Society. We have found much conformity but also numerous discrepancies between the recommendations of the Growth Hormone Research Society and the current practice in Europe....

  17. Assessment of HIV molecular surveillance capacity in the European Union, 2016.

    Science.gov (United States)

    Keating, Patrick; Pharris, Anastasia; Leitmeyer, Katrin; De Angelis, Stefania; Wensing, Annemarie; Amato-Gauci, Andrew J; Broberg, Eeva

    2017-12-01

    IntroductionExpanding access to HIV antiretroviral treatment is expected to decrease HIV incidence and acquired immunodeficiency syndrome (AIDS) mortality. However, this may also result in increased HIV drug resistance (DR). Better monitoring and surveillance of HIV DR is required to inform treatment regimens and maintain the long term effectiveness of antiretroviral drugs. As there is currently no formal European Union (EU)-wide collection of HIV DR data, this study aimed to assess the current HIV molecular surveillance capacity in EU/European Economic Area (EEA) countries in order to inform the planning of HIV DR monitoring at EU level. Methods: Thirty EU/EEA countries were invited to participate in a survey on HIV molecular surveillance capacity, which also included laboratory aspects. Results: Among 21 responding countries, 13 reported using HIV sequence data (subtype and/or DR) for surveillance purposes at national level. Of those, nine stated that clinical, epidemiological and sequence data were routinely linked for analysis. Discussion/conclusion : We identified similarities between existing HIV molecular surveillance systems, but also found important challenges including human resources, data ownership and legal issues that would need to be addressed.Information on capacities should allow better planning of the phased introduction of HIV DR surveillance at EU/EEA level.

  18. Exploiting synergies in European wind and hydrogen sectors: A cost-benefit assessment

    International Nuclear Information System (INIS)

    Shaw, Suzanne; Peteves, Estathios

    2008-01-01

    This article outlines an assessment of the perspectives for exploiting synergies between European wind and hydrogen energy sectors, where wind energy conversion to hydrogen is used as a common strategy for reducing network management costs in high wind energy penetration situations, and for production of renewable hydrogen. The attractiveness of this approach, referred to here as a 'wind-hydrogen strategy', is analysed using a cost-benefit approach to evaluate the final impact at the level of the end-consumer when this strategy is implemented. The analysis is conducted for four scenarios, based on different levels of: wind energy penetration in the electricity network area, hydrogen energy price, and environmental taxation on fuels. The effect of technological learning on the outcome is also analysed for the period up to 2050. The results of the analysis indicate that the relative value of the wind energy in the electricity market compared to the hydrogen market is a deciding factor in the attractiveness of the strategy; here the wind energy penetration in the network is a key consideration. Finally, in order to exploit learning effects from linking European wind and hydrogen sectors, action would need to be taken in the short term. (author)

  19. Integrating microsatellite DNA markers and otolith geochemistry to assess population structure of European hake (Merluccius merluccius)

    Science.gov (United States)

    Tanner, Susanne E.; Pérez, Montse; Presa, Pablo; Thorrold, Simon R.; Cabral, Henrique N.

    2014-04-01

    Population structure and natal origins of European hake were investigated using microsatellite DNA markers and otolith geochemistry data. Five microsatellites were sequenced and otolith core geochemical composition was determined from age-1 hake collected in the northeast Atlantic Ocean and the Mediterranean Sea. Microsatellites provided evidence of a major genetic split in the vicinity of the Strait of Gibraltar, separating the Atlantic and the Mediterranean populations, with the exception of the Gulf of Cádiz. Based on classification models using otolith core geochemical values, individual natal origins were identified, although with an increased error rate. Coupling genotype and otolith data increased the classification accuracy of individuals to their potential natal origins while providing evidence of movement between the northern and southern stock units in the Atlantic Ocean. Information obtained by the two natural markers on population structure of European hake was complementary as the two markers act at different spatio-temporal scales. Otolith geochemistry provides information over an ecological time frame and on a fine spatial scale, while microsatellite DNA markers report on gene flow over evolutionary time scales and therefore act on a broader spatio-temporal resolution. Thus, this study confirmed the value of otolith geochemistry to complement the assessment of early life stage dispersal in populations with high gene flow and low genetic divergence.

  20. European TBM for ITER: Structural material assessment and breeding capability - Comparative analysis

    International Nuclear Information System (INIS)

    Herreras, Y.; Perlado, J.M.; Ibarra, A.

    2007-01-01

    Full text of publication follows: The ITER European Party is currently developing for DEMO reactor specifications two breeding blanket concepts: the Helium-Cooled Lithium-Lead blanket (HCLL), using a liquid breeder; and the Helium-Cooled Pebble-Bed blanket (HCPB), using a lithiated solid breeder. These two research lines are expected to be tested in ITER as Test Blanket Modules (TBM), in order to demonstrate their safety, economical and environmental suitability. In this sense, structural material activation and breeding blanket capability represent two major challenges. This paper presents new calculations regarding neutronic irradiation inside the ITER Vacuum Vessel. In particular, results are focused on the irradiation affecting the equatorial ports, where the TBM will be located for testing. The methodology employed mainly consists in calculating the neutronic irradiation levels at the required locations with the transport code MCNP, where the input geometry has been previously designed with the program CATIA V5. The main structural materials proposed for the European Test blanket Modules are selected in order to carry out a comparative analysis in safety terms: material activation and basic parameters for damage analysis are evaluated with the code ACAB, based on the neutronic irradiation results mentioned above. Finally, the breeding blanket capability is assessed for both breeding blanket concepts; the results are compared considering the choice of the structural material. (authors)

  1. European Psychiatric Association (EPA) guidance on forensic psychiatry: Evidence based assessment and treatment of mentally disordered offenders.

    Science.gov (United States)

    Völlm, Birgit A; Clarke, Martin; Herrando, Vicenç Tort; Seppänen, Allan O; Gosek, Paweł; Heitzman, Janusz; Bulten, Erik

    2018-03-20

    Forensic psychiatry in Europe is a specialty primarily concerned with individuals who have either offended or present a risk of doing so, and who also suffer from a psychiatric condition. These mentally disordered offenders (MDOs) are often cared for in secure psychiatric environments or prisons. In this guidance paper we first present an overview of the field of forensic psychiatry from a European perspective. We then present a review of the literature summarising the evidence on the assessment and treatment of MDOs under the following headings: The forensic psychiatrist as expert witness, risk, treatment settings for mentally disordered offenders, and what works for MDOs. We undertook a rapid review of the literature with search terms related to: forensic psychiatry, review articles, randomised controlled trials and best practice. We searched the Medline, Embase, PsycINFO, and Cochrane library databases from 2000 onwards for adult groups only. We scrutinised publications for additional relevant literature, and searched the websites of relevant professional organisations for policies, statements or guidance of interest. We present the findings of the scientific literature as well as recommendations for best practice drawing additionally from the guidance documents identified. We found that the evidence base for forensic-psychiatric practice is weak though there is some evidence to suggest that psychiatric care produces better outcomes than criminal justice detention only. Practitioners need to follow general psychiatric guidance as well as that for offenders, adapted for the complex needs of this patient group, paying particular attention to long-term detention and ethical issues. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  2. The Assessment of Eating Behaviour in Children Who Are Obese: A Psychological Approach. A Position Paper from the European Childhood Obesity Group

    Science.gov (United States)

    Braet, Caroline; O'Malley, Grace; Weghuber, Daniel; Vania, Andrea; Erhardt, Éva; Nowicka, Paulina; Mazur, Artur; Frelut, Marie Laure; Ardelt-Gattinger, Elisabeth

    2014-01-01

    Objective This paper introduces health professionals to the different psychological models thought to influence eating behaviour in the absence of hunger in children who are obese and to propose a method of assessing these behaviours in practice. Methods Clinical researchers from the European Childhood Obesity Group (ECOG) adopted an evidence-based approach to examine the literature concerning the assessment of eating behaviour in children who are obese. Studies published in English were filtered out of the medical and psychological literature from 1960 to the present, and the resulting bibliography was searched for relevant articles. Key themes from the current evidence were compiled and classified according to the underpinning psychological models. Based on the current evidence and the authors' combined clinical experience, a three-staged approach to assessment was agreed by consensus. Results Valid and reliable tools for assessing and monitoring each of the three identified models (Dietary Restraint Theory, Emotional Eating and the Diathesis-Stress Model) are suggested for use in clinical practice, and the ECOG three-staged approach to assessing eating behaviours in the absence of hunger is described. Conclusions This paper presents practical guidance on how to assess eating behaviour in the absence of hunger in children who are clinically obese and suggests a focus for future research. PMID:24820848

  3. Teaching and Assessing Professionalism in Medical Learners and Practicing Physicians

    Directory of Open Access Journals (Sweden)

    Paul S. Mueller

    2015-04-01

    Full Text Available Professionalism is a core competency of physicians. Clinical knowledge and skills (and their maintenance and improvement, good communication skills, and sound understanding of ethics constitute the foundation of professionalism. Rising from this foundation are behaviors and attributes of professionalism: accountability, altruism, excellence, and humanism, the capstone of which is professionalism. Patients, medical societies, and accrediting organizations expect physicians to be professional. Furthermore, professionalism is associated with better clinical outcomes. Hence, medical learners and practicing physicians should be taught and assessed for professionalism. A number of methods can be used to teach professionalism (e.g. didactic lectures, web-based modules, role modeling, reflection, interactive methods, etc.. Because of the nature of professionalism, no single tool for assessing it among medical learners and practicing physicians exists. Instead, multiple assessment tools must be used (e.g. multi-source feedback using 360-degree reviews, patient feedback, critical incident reports, etc.. Data should be gathered continuously throughout an individual’s career. For the individual learner or practicing physician, data generated by these tools can be used to create a “professionalism portfolio,” the totality of which represents a picture of the individual’s professionalism. This portfolio in turn can be used for formative and summative feedback. Data from professionalism assessments can also be used for developing professionalism curricula and generating research hypotheses. Health care leaders should support teaching and assessing professionalism at all levels of learning and practice and promote learning environments and institutional cultures that are consistent with professionalism precepts.

  4. Assessment of heterogeneity between European Populations: a Baltic and Danish replication case-control study of SNPs from a recent European ulcerative colitis genome wide association study

    DEFF Research Database (Denmark)

    Andersen, Vibeke; Ernst, Anja; Sventoraityte, Jurgita

    2011-01-01

    the combined Baltic, Danish, and Norwegian panel versus the combined German, British, Belgian, and Greek panel (rs7520292 (P = 0.001), rs12518307 (P = 0.007), and rs2395609 (TCP11) (P = 0.01), respectively). No SNP reached genome-wide significance in the combined analyses of all the panels. Conclusions......Background: Differences in the genetic architecture of inflammatory bowel disease between different European countries and ethnicities have previously been reported. In the present study, we wanted to assess the role of 11 newly identified UC risk variants, derived from a recent European UC genome...... wide association study (GWAS) (Franke et al., 2010), for 1) association with UC in the Nordic countries, 2) for population heterogeneity between the Nordic countries and the rest of Europe, and, 3) eventually, to drive some of the previous findings towards overall genome-wide significance. Methods...

  5. International online survey to assess current practice in equine anaesthesia.

    Science.gov (United States)

    Wohlfender, F D; Doherr, M G; Driessen, B; Hartnack, S; Johnston, G M; Bettschart-Wolfensberger, R

    2015-01-01

    Multicentre Confidential Enquiries into Perioperative Equine Fatalities (CEPEF) have not been conducted since the initial CEPEF Phases 1-3, 20 years ago. To collect data on current practice in equine anaesthesia and to recruit participants for CEPEF-4. Online questionnaire survey. An online questionnaire was prepared and the link distributed internationally to veterinarians possibly performing equine anaesthesia, using emails, posters, flyers and an editorial. The questionnaire included 52 closed, semiclosed and open questions divided into 8 subgroups: demographic data, anaesthetist, anaesthesia management (preoperative, technical equipment, monitoring, drugs, recovery), areas of improvements and risks and motivation for participation in CEPEF-4. Descriptive statistics and Chi-squared tests for comparison of categorical variables were performed. A total of 199 questionnaires were completed by veterinarians from 14 different countries. Of the respondents, 43% worked in private hospitals, 36% in private practices and 21% in university teaching hospitals. In 40 institutions (23%) there was at least one diplomate of the European or American colleges of veterinary anaesthesia and analgesia on staff. Individual respondents reported routinely employ the following anaesthesia monitoring modalities: electrocardiography (80%), invasive arterial blood pressures (70%), pulse oximetry (60%), capnography (55%), arterial blood gases (47%), composition of inspired and expired gases (45%) and body temperature (35%). Drugs administered frequently or routinely as part of a standard protocol were: acepromazine (44%), xylazine (68%), butorphanol (59%), ketamine (96%), diazepam (83%), isoflurane (76%), dobutamine (46%), and, as a nonsteroidal anti-inflammatory drug, phenylbutazone (73%) or flunixin meglumine (66%). Recovery was routinely assisted by 40%. The main factors perceived by the respondents to affect outcome of equine anaesthesia were the preoperative health status of the

  6. Bleeding risk assessment and management in atrial fibrillation patients. Executive Summary of a Position Document from the European Heart Rhythm Association [EHRA], endorsed by the European Society of Cardiology [ESC] Working Group on Thrombosis.

    Science.gov (United States)

    Lip, Gregory Y H; Andreotti, Felicita; Fauchier, Laurent; Huber, Kurt; Hylek, Elaine; Knight, Eve; Lane, Deirdre; Levi, Marcel; Marín, Francisco; Palareti, Gualtiero; Kirchhof, Paulus

    2011-12-01

    In this executive summary of a Consensus Document from the European Heart Rhythm Association, endorsed by the European Society of Cardiology Working Group on Thrombosis, we comprehensively review the published evidence and propose a consensus on bleeding risk assessments in atrial fibrillation (AF) patients. The main aim of the document was to summarise 'best practice' in dealing with bleeding risk in AF patients when approaching antithrombotic therapy, by addressing the epidemiology and size of the problem, and review established bleeding risk factors. We also summarise definitions of bleeding in the published literature. Patient values and preferences balancing the risk of bleeding against thromboembolism as well as the prognostic implications of bleeding are reviewed. We also provide an overview of published bleeding risk stratification and bleeding risk schema. Brief discussion of special situations (e.g. periablation, peri-devices such as implantable cardioverter defibrillators [ICD] or pacemakers, presentation with acute coronary syndromes and/or requiring percutanous coronary interventions/stents and bridging therapy) is made, as well as a discussion of the prevention of bleeds and managing bleeding complications. Finally, this document puts forwards consensus statements that may help to define evidence gaps and assist in everyday clinical practice.

  7. Assessment of application of 5S practices in ceramic industry

    Directory of Open Access Journals (Sweden)

    Danel Kleszcz

    2017-10-01

    Full Text Available Results of research connected with determining the degree of implementation of 5S practices in ceramics industry are discussed in this paper. Direct survey with employees of companies plus ex-pert interview was used in the research. A 21 point scale was used to assess the degree of implemen-tation the 5S practices at individual stages of the manufacturing process. The specificity of produc-tion in ceramics industry enforces maintaining the regime of cleanliness during production. The research revealed that the level of conscious implementation of the 5S practices in companies de-pends on the culture of organization and the degree of involvement of employees in the improvement actions in their company. The presented results are a part of the research aimed at determining refer-ence requirements for companies in terms of implementation and making use of the Lean Manage-ment (LM instruments.

  8. Discourses and Practices in Teaching Methods and Assessment

    Directory of Open Access Journals (Sweden)

    Deepak Gopinath

    2015-02-01

    Full Text Available Translating the purposes of education into practice is particularly challenging for those who are new or have recently entered academia. By reflecting on my first years of teaching in higher education, I discuss two key aspects of my teaching practice: shifts in choice of teaching methods and a critique of different forms of assessment. Through the discussion, I argue that a teacher needs to be reflective on both these aspects and that such reflection needs to be carried out so that the student develops into a “self-directing,” “self-monitoring,” and “self-correcting” individual. At the end of the discussion, the relevance of a “project-based learning” approach starts to become significant in taking my pedagogical practice forward.

  9. European Values and Practices in Post-Communist Public Administration: The Baltic States

    DEFF Research Database (Denmark)

    Pedersen, Karin Hilmer; Johannsen, Lars

    2015-01-01

    In Chapter Twelve Karin Hilmer Pedersen and Lars Johannsen look into the changes in public administration and in the identity of public servants after the breakdown of the Soviet regime. Fundamental reconstructions of the political, economic and administrative systems of the Central and East...... democracy. Public administrations have undergone complete changes in their legal environment and deep structural reorganisation, combined with a high degree of turnover among staff. This has turned previous Soviet administrations into capable modern administrations. The question highlighted in this chapter...... is whether the public servants have also returned to Europe in the sense of sharing common European values and administrative identity. Pedersen and Johannsen find that the core principles of integrity and neutrality have been internalised and many, though not all, public servants see responsiveness...

  10. Assessment of factors influencing trace element content of mushrooms from European part of Russia

    International Nuclear Information System (INIS)

    Gorbunov, A.V.; Lyapunov, S.M.; Okina, O.I.; Frontas'eva, M.V.; Pavlov, S.S.

    2009-01-01

    The results on trace element content in 12 species of basidial mushrooms from the European part of Russia are presented. Difference in the elemental content of wild and cultivated mushrooms is demonstrated. Assessment of technogenic contamination impact on trace element content of champignons is given. It was revealed that in the described conditions the accumulation of Ni, Cu, Zn, Cd, and Pb in Boletus edulis is not observed. High content of the mentioned elements in these mushrooms is caused by high content of their mobile forms in soil. It was shown that the high concentration of mobile forms of metals in soil establishes in the process of natural many years' accumulation of organic matter followed by its decomposition

  11. Environmental risk assessment of water quality in harbor areas: a new methodology applied to European ports.

    Science.gov (United States)

    Gómez, Aina G; Ondiviela, Bárbara; Puente, Araceli; Juanes, José A

    2015-05-15

    This work presents a standard and unified procedure for assessment of environmental risks at the contaminant source level in port aquatic systems. Using this method, port managers and local authorities will be able to hierarchically classify environmental hazards and proceed with the most suitable management actions. This procedure combines rigorously selected parameters and indicators to estimate the environmental risk of each contaminant source based on its probability, consequences and vulnerability. The spatio-temporal variability of multiple stressors (agents) and receptors (endpoints) is taken into account to provide accurate estimations for application of precisely defined measures. The developed methodology is tested on a wide range of different scenarios via application in six European ports. The validation process confirms its usefulness, versatility and adaptability as a management tool for port water quality in Europe and worldwide. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. Mechanical design assessments of structural components and auxiliaries of the Joint European Torus

    International Nuclear Information System (INIS)

    Sonnerup, L.

    1985-01-01

    The general design of the Joint European Torus (JET) is briefly described. The loads on its major structural components, at normal operation, and in cases of plasma instability and/or disruption, are discussed. The way these components have been assessed and optimised in relation to their loads is presented. A short account of mechanical design problems of auxiliary equipment is given. Finally, the state of operation of JET and its implications for the mechanical design at the time of the conference will be summarized. The mechanically most important components of the JET device are the support structure of the toroidal magnet, th vacuum vessel, the coils of the magnets and the pedestals supporting the weight of the torus. These components all participate in resisting and transmitting the primary forces during operation. (orig.)

  13. Mechanical design assessments of structural components and auxiliaries of the Joint European Torus

    International Nuclear Information System (INIS)

    Sonnerup, L.

    1986-01-01

    The general design of the Joint European Torus (JET) is briefly described. The loads on its major structural components, at normal operation, and in cases of plasma instability and/or disruption, are discussed. The way these components have been assessed and optimised in relation to their loads is presented. A short account of mechanical design problems of auxiliary equipment is given. Finally, the state of operation of JET and its implications for the mechanical design is summarized. The mechanically most important components of the JET device are the support structure of the toroidal magnet, the vacuum vessel, the coils of the magnets and the pedestals supporting the weight of the torus. These components all participate in resisting and transmitting the primary forces during operation. (orig.)

  14. The Graduating European Dentist: Contemporaneous Methods of Teaching, Learning and Assessment in Dental Undergraduate Education.

    Science.gov (United States)

    Field, J C; Walmsley, A D; Paganelli, C; McLoughlin, J; Szep, S; Kavadella, A; Manzanares Cespedes, M C; Davies, J R; DeLap, E; Levy, G; Gallagher, J; Roger-Leroi, V; Cowpe, J G

    2017-12-01

    It is often the case that good teachers just "intuitively" know how to teach. Whilst that may be true, there is now a greater need to understand the various processes that underpin both the ways in which a curriculum is delivered, and the way in which the students engage with learning; curricula need to be designed to meet the changing needs of our new graduates, providing new, and robust learning opportunities, and be communicated effectively to both staff and students. The aim of this document is to draw together robust and contemporaneous methods of teaching, learning and assessment that help to overcome some of the more traditional barriers within dental undergraduate programmes. The methods have been chosen to map specifically to The Graduating European Dentist, and should be considered in parallel with the benchmarking process that educators and institutions employ locally. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  15. National advisory bodies in the system of public governance in science and higher education: european practices

    Directory of Open Access Journals (Sweden)

    I. O. Degtyarova

    2015-12-01

    Full Text Available The article is focused on the analysis of organizational and legal conditions for the functioning of the highest advisory bodies in the fields of research and higher education, created at the state level at the central governing institutions in Ukraine and selected European countries. The article is aimed at the research of the model of formation and functioning of the national advisory bodies on research and higher education in Poland, Germany, and Czech Republic in the system of science management, based on the national legislation. The following national bodies are studied in the paper: National Council of Science and Higher Education of Poland, the Committee of Science Policy of Poland, the Council for Research, Development and Innovation of Czech Republic, National Council for Research, Innovation and Science Policy of Hungary, the German Research Council and others. It is proved that advisory bodies are an important element of the system of public governance, as well as actors in shaping of the national science and higher education policy. They are formed in a democratic way due to the principle of shared governance and mostly of institutional representation. The article considered selected aspects of the establishment of the National R&D Council of Ukraine, as stated in the Law of Ukraine «On Scientific and R&D Activity» comparing with the relevant European institutions. The analysis of the concept for the National Council for Science and Technologies (R&D of Ukraine along with the administrative and management risks could be considered while implementation of the Law of Ukraine «On Scientific and R&D Activity».

  16. Customer satisfaction survey to improve the European cystic fibrosis external quality assessment scheme.

    Science.gov (United States)

    Berwouts, Sarah; Dequeker, Elisabeth

    2011-08-01

    The Cystic Fibrosis European Network, coordinated from within the Katholieke Universiteit Leuven, is the provider of the European cystic fibrosis external quality assessment (EQA) scheme. The network aimed to seek feedback from laboratories that participated in the cystic fibrosis scheme in order to improve services offered. In this study we analysed responses to an on-line customer satisfaction survey conducted between September and November 2009. The survey was sent to 213 laboratories that participated in the cystic fibrosis EQA scheme of 2008; 69 laboratories (32%) responded. Scores for importance and satisfaction were obtained from a five-point Likert scale for 24 attributes. A score of one corresponded to very dissatisfied/very unimportant and five corresponded to very satisfied/very important. Means were calculated and placed in a two-dimensional grid (importance-satisfaction analysis). Means were subtracted from each other to obtain gap values (gap-analysis). No attribute had a mean score below 3.63. The overall mean of satisfaction was 4.35. Opportunities for improvement enclosed clarity, usefulness and completeness of the general report and individual comments, and user-friendliness of the electronic datasheet. This type of customer satisfaction survey was a valuable instrument to identify opportunities to improve the cystic fibrosis EQA scheme. It should be conducted on a regular basis to reveal new opportunities in the future and to assess effectiveness of actions taken. Moreover, it could be a model for other EQA providers seeking feedback from participants. Overall, the customer satisfaction survey provided a powerful quality of care improvement tool.

  17. Management Effectiveness and Land Cover Change in Dynamic Cultural Landscapes - Assessing a Central European Biosphere Reserve

    Directory of Open Access Journals (Sweden)

    Bettina Ohnesorge

    2013-12-01

    Full Text Available Protected areas are a central pillar of efforts to safeguard biodiversity and ecosystem services, but their contribution to the conservation and management of European cultural landscapes that have complex spatial-temporal dynamics is unclear. The conservation strategy of biosphere reserves aims at integrating biodiversity and ecosystem service conservation with economic development by designating zones of differing protection and use intensities. It is applied worldwide to protect and manage valuable cultural landscapes. Using the example of a German biosphere reserve, we developed a framework to assess the effectiveness of Central European reserves in meeting their land cover related management goals. Based on digital biotope maps, we defined and assessed land cover change processes that were relevant to the reserve management's goals over a period of 13 years. We then compared these changes in the reserve's core, buffer, and transition zones and in a surrounding reference area by means of a geographical information system. (Un-desirable key processes related to management aims were defined and compared for the various zones. We found that - despite an overall land cover persistence of approximately 85% across all zones - differences in land cover changes can be more prominent across zones inside the reserve than between the areas inside and outside of it. The reserve as a whole performed better than the surrounding reference area when using land cover related management goals as a benchmark. However, some highly desirable targets, such as the conversion of coniferous plantations into seminatural forests or the gain of valuable biotope types, affected larger areas in the nonprotected reference area than in the transition zone.

  18. Economic assessment of wild bird mortality induced by the use of lead gunshot in European wetlands.

    Science.gov (United States)

    Andreotti, Alessandro; Guberti, Vittorio; Nardelli, Riccardo; Pirrello, Simone; Serra, Lorenzo; Volponi, Stefano; Green, Rhys E

    2018-01-01

    In European wetlands, at least 40 bird species are exposed to the risk of lead poisoning caused by ingestion of spent lead gunshot. Adopting a methodology developed in North America, we estimated that about 700,000 individuals of 16 waterbird species die annually in the European Union (EU) (6.1% of the wintering population) and one million in whole Europe (7.0%) due to acute effects of lead poisoning. Furthermore, threefold more birds suffer sub-lethal effects. We assessed the economic loss due to this lead-induced mortality of these 16 species by calculating the costs of replacing lethally poisoned wild birds by releasing captive-bred ones. We assessed the cost of buying captive-bred waterbirds for release from market surveys and calculated how many captive-bred birds would have to be released to compensate for the loss, taking into account the high mortality rate of captive birds (72.7%) in the months following release into the wild. Following this approach, the annual cost of waterbird mortality induced by lead shot ingestion is estimated at 105 million euros per year in the EU countries and 142 million euros in the whole of Europe. An alternative method, based upon lost opportunities for hunting caused by deaths due to lead poisoning, gave similar results of 129 million euros per year in the EU countries and 185 million euros per year in the whole of Europe. For several reasons these figures should be regarded as conservative. Inclusion of deaths of species for which there were insufficient data and delayed deaths caused indirectly by lead poisoning and effects on reproduction would probably increase the estimated losses substantially. Nevertheless, our results suggest that the benefits of a restriction on the use of lead gunshot over wetlands could exceed the cost of adapting to non-lead ammunition. Copyright © 2017 Elsevier B.V. All rights reserved.

  19. Learning Assessment in physical education: the relationship between assessment practices of teachers and learning approaches

    Directory of Open Access Journals (Sweden)

    Marco Vinicio Gutiérrez

    2015-02-01

    Full Text Available This article shows the result of an investigation that studied teachers’ assessment practices in Physical Education in public schools from Suba in Bogota and the relationship between these practices with both superfluous and superficial learning approaches. It is organized into two sections; the first presents a classification of the evaluation practices, and the second establishes the relationship between these practices with the superficial and profound learning approaches. This article nourishes itself from a mixed-method research approach wherein the sample consisted of 68 teachers from whom data was collected using a survey. This data was then analyzed using the statistical software R. The results show the object, the purpose, procedures and ways in which teachers develop their assessment practice in physical education, and as well show a trend towards promoting meaningful and profound learning.

  20. Formative Assessment: Exploring Tunisian Cooperative Teachers Practices in Physical Education

    OpenAIRE

    Melki Hasan; S. Bouzid Mohamed; Haweni Aymen; Fadhloun Mourad; Mrayeh Meher; Souissi Nizar

    2017-01-01

    Purpose: This article is based on questions related to the formative assessment of preparatory trainee ship in the professional life of Physical Education teachers. In general, in the first training program, the traineeship represents an integral part of training. In this sense, the traineeship offers a vital opportunity for future teacher to gain practical experience in the real environment, given that formative evaluation is a process of collecting evidence from trainees by cooperative teac...

  1. Everyday classroom assessment practices in science classrooms in Sweden

    Science.gov (United States)

    Gómez, María del Carmen; Jakobsson, Anders

    2014-12-01

    The focus of this study is to examine to what extent and in what ways science teachers practice assessment during classroom interactions in everyday activities in an upper-secondary school in Sweden. We are science teachers working now with a larger research project on assessment in science education that seeks to examine teachers' assessment practices in the upper-secondary school. Framing questions include: are teachers performing an integrated assessment of students' skills as the national curriculum mandates? If so, what do the instructional discourses look like in those situations and what are students' experiences regarding their agency on learning and assessment? We emphasize the social, cultural and historic character of assessment and sustain a situated character of learning instead of the notion that learning is "stored inside the head". Teacher led lessons in three science classrooms were video-recorded and analyzed by combining ethnographic and discourse methods of analysis. Both methods are appropriate to the theoretical foundation of our approach on learning and can give some answers to questions about how individuals interact socially, how their experience is passed on to next generations through language and how language use may reveal cultural changes in the studied context. Making the study of action in a classroom the focal point of sociocultural analysis supports the examination of assessment processes and identification of the social roles in which teachers and students are immersed. Such an approach requires observations of how teachers act in authentic teaching situations when they interact with their students in classroom making possible to observe negotiation processes, agencies when both teachers and students are involved in every-day activities. Our study showed that teachers mostly ignored students' questions and that students solved their own problems by helping each other. Teachers did not provide opportunities for students to discuss

  2. 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

  3. Global megatrends and their implications for environmental assessment practice

    Energy Technology Data Exchange (ETDEWEB)

    Retief, Francois, E-mail: francois.retief@nwu.ac.za [Research Unit for Environmental Sciences and Management, North-West University (South Africa); Bond, Alan [School of Environmental Sciences, University of East Anglia (United Kingdom); Research Unit for Environmental Sciences and Management, North-West University (South Africa); Pope, Jenny [Integral Sustainability (Australia); Research Unit for Environmental Sciences and Management, North-West University (South Africa); Morrison-Saunders, Angus [Murdoch University (Australia); Research Unit for Environmental, Sciences and Management, North-West University (South Africa); King, Nicholas [Research Unit for Environmental Sciences and Management, North-West University (South Africa)

    2016-11-15

    This paper addresses the future of environmental assessment (EA) practice in light of a rapidly changing world. We apply a literature review-based methodology to firstly identify key global megatrends and then reflect upon the implications for EA practice based on some known challenges. The key megatrends identified are synthesised into six categories: i) demographics, ii) urbanization, iii) technological innovation, iv) power shifts, v) resource scarcity and vi) climate change. We then discuss the implications of these megatrends for EA practice against four known EA challenges namely: dealing with i) complexity and uncertainty, ii) efficiency, iii) significance and iv) communication and participation. Our analysis suggests important implications for EA practice such as: increased difficulties with accuracy of prediction; the need for facilitative adaptation; an increase in the occurrence of unexpected events; higher expectations for procedural efficiency; challenges with information and communication management; dealing with significance judgements; and mitigation amidst resource scarcity and increasing pressures on earth systems. The megatrends underscore the need for continued evolution of EA thinking and practice, especially moving away from seeking a predictable single future or outcome towards the possibility of multiple scenarios with associated adaptability and enhanced system resilience capable of responding to rapid change.

  4. Global megatrends and their implications for environmental assessment practice

    International Nuclear Information System (INIS)

    Retief, Francois; Bond, Alan; Pope, Jenny; Morrison-Saunders, Angus; King, Nicholas

    2016-01-01

    This paper addresses the future of environmental assessment (EA) practice in light of a rapidly changing world. We apply a literature review-based methodology to firstly identify key global megatrends and then reflect upon the implications for EA practice based on some known challenges. The key megatrends identified are synthesised into six categories: i) demographics, ii) urbanization, iii) technological innovation, iv) power shifts, v) resource scarcity and vi) climate change. We then discuss the implications of these megatrends for EA practice against four known EA challenges namely: dealing with i) complexity and uncertainty, ii) efficiency, iii) significance and iv) communication and participation. Our analysis suggests important implications for EA practice such as: increased difficulties with accuracy of prediction; the need for facilitative adaptation; an increase in the occurrence of unexpected events; higher expectations for procedural efficiency; challenges with information and communication management; dealing with significance judgements; and mitigation amidst resource scarcity and increasing pressures on earth systems. The megatrends underscore the need for continued evolution of EA thinking and practice, especially moving away from seeking a predictable single future or outcome towards the possibility of multiple scenarios with associated adaptability and enhanced system resilience capable of responding to rapid change.

  5. Assessment of Teacher Perceived Skill in Classroom Assessment Practices Using IRT Models

    Science.gov (United States)

    Koloi-Keaikitse, Setlhomo

    2017-01-01

    The purpose of this study was to assess teacher perceived skill in classroom assessment practices. Data were collected from a sample of (N = 691) teachers selected from government primary, junior secondary, and senior secondary schools in Botswana. Item response theory models were used to identify teacher response on items that measured their…

  6. Analysing employment practices in Western European multinationals: coordination, industrial relations and employment flexibility in Poland

    NARCIS (Netherlands)

    Kahancová, M.; van der Meer, M.

    2005-01-01

    Despite the fact that multinational companies (MNCs) in Central Eastern Europe significantly contribute to employment growth in the region, qualitative knowledge about diffusion of employment practices in this region, and about coordination of MNCs with local labour market actors and institutions is

  7. Regulations, policies and practices concerning work stress in five European countries

    NARCIS (Netherlands)

    Kompier, M.; Gier, E. de; Smulders, P.; Draaisma, D.

    1994-01-01

    A comparative inventory of regulations, policies and practices in The Netherlands, Sweden, UK, Germany and France with regard to the prevention of work stress was carried out. In each country data were collected by means of interviews with key informants and through exploring relevant documents and

  8. Readability assessment of online patient education materials provided by the European Association of Urology.

    Science.gov (United States)

    Betschart, Patrick; Zumstein, Valentin; Bentivoglio, Maico; Engeler, Daniel; Schmid, Hans-Peter; Abt, Dominik

    2017-12-01

    To assess the readability of the web-based patient education material provided by the European Association of Urology. English patient education materials (PEM) as available in May 2017 were obtained from the EAU website. Each topic was analyzed separately using six well-established readability assessment tools, including Flesch-Kincaid Grade Level (FKGL), SMOG Grade Level (SMOG), Coleman-Liau Index (CLI), Gunning Fog Index (GFI), Flesch Reading Ease Formula (FRE) and Fry Readability Graph (FRG). A total of 17 main topics were identified of which separate basic and in-depth information is provided for 14 topics. Calculation of grade levels (FKGL, SMOG, CLI, GFI) showed readability scores of 7th-13th grade for basic information, 8th-15th grade for in-depth information and 7th-15th grade for single PEM. Median FRE score was 54 points (range 45-65) for basic information and 56 points (41-64) for in-depth information. The FRG as a graphical assessment revealed only 13 valid results with an approximate 8th-17th grade level. The EAU provides carefully worked out PEM for 17 urological topics. Although improved readability compared to similar analyses was found, a simplification of certain chapters might be helpful to facilitate better patient understanding.

  9. An Environmental Risk Assessment for Human-Use Trimethoprim in European Surface Waters

    Science.gov (United States)

    Straub, Jürg Oliver

    2013-01-01

    An environmental risk assessment (ERA) for the aquatic compartment in Europe from human use was developed for the old antibiotic Trimethoprim (TMP), comparing exposure and effects. The exposure assessment is based on European risk assessment default values on one hand and is refined with documented human use figures in Western Europe from IMS Health and measured removal in wastewater treatment on the other. The resulting predicted environmental concentrations (PECs) are compared with measured environmental concentrations (MECs) from Europe, based on a large dataset incorporating more than 1800 single MECs. On the effects side, available chronic ecotoxicity data from the literature were complemented by additional, new chronic results for fish and other organisms. Based on these data, chronic-based deterministic predicted no effect concentrations (PNECs) were derived as well as two different probabilistic PNEC ranges. The ERA compares surface water PECs and MECs with aquatic PNECs for TMP. Based on all the risk characterization ratios (PEC÷PNEC as well as MEC÷PNEC) and risk graphs, there is no significant risk to surface waters. PMID:27029296

  10. Lessons from the SPA European performance assessment exercise for spent fuel disposal in granite

    International Nuclear Information System (INIS)

    Baudoin, P.; Besnus, F.; Gay, D.; Serres, C.

    2000-01-01

    The SPA project, addressing performance assessment of spent fuel disposal, is a direct continuation of the efforts made by the European Community since 1982 to build a common understanding of the methods applicable to performance assessment of a deep geological disposal. It enabled to draw preliminary conclusions on the respective importance of the radionuclides present in the different types of waste, on the influence of some of the main assumptions used in the modelling and helped to specify the expectable role of disposal system components. From 1996 to 1999, six national research institutions in six member countries of EU (Spain, Germany, France, The Netherlands, Belgium and Finland) were involved in this project devoted to the case of spent fuel. This paper only addresses the assessments made by IPSN (France) for the granite site in the case of the normal evolution scenario. According to the results obtained, the maximum effective dose is in a first time mainly caused by two fission products ( 129 I and 79 Se). Then, radionuclides from radioactive decay chains ( 226 Ra , 230 Th and 229 Th) progressively become the main contributors. (author)

  11. An Environmental Risk Assessment for Human-Use Trimethoprim in European Surface Waters

    Directory of Open Access Journals (Sweden)

    Jürg Oliver Straub

    2013-03-01

    Full Text Available An environmental risk assessment (ERA for the aquatic compartment in Europe from human use was developed for the old antibiotic Trimethoprim (TMP, comparing exposure and effects. The exposure assessment is based on European risk assessment default values on one hand and is refined with documented human use figures in Western Europe from IMS Health and measured removal in wastewater treatment on the other. The resulting predicted environmental concentrations (PECs are compared with measured environmental concentrations (MECs from Europe, based on a large dataset incorporating more than 1800 single MECs. On the effects side, available chronic ecotoxicity data from the literature were complemented by additional, new chronic results for fish and other organisms. Based on these data, chronic-based deterministic predicted no effect concentrations (PNECs were derived as well as two different probabilistic PNEC ranges. The ERA compares surface water PECs and MECs with aquatic PNECs for TMP. Based on all the risk characterization ratios (PEC÷PNEC as well as MEC÷PNEC and risk graphs, there is no significant risk to surface waters.

  12. European Top Managers' Age-Related Workplace Norms and Their Organizations' Recruitment and Retention Practices Regarding Older Workers.

    Science.gov (United States)

    Oude Mulders, Jaap; Henkens, Kène; Schippers, Joop

    2017-10-01

    Top managers guide organizational strategy and practices, but their role in the employment of older workers is understudied. We study the effects that age-related workplace norms of top managers have on organizations' recruitment and retention practices regarding older workers. We investigate two types of age-related workplace norms, namely age equality norms (whether younger and older workers should be treated equally) and retirement age norms (when older workers are expected to retire) while controlling for organizational and national contexts. Data collected among top managers of 1,088 organizations from six European countries were used for the study. Logistic regression models were run to estimate the effects of age-related workplace norms on four different organizational outcomes: (a) recruiting older workers, (b) encouraging working until normal retirement age, (c) encouraging working beyond normal retirement age, and (d) rehiring retired former employees. Age-related workplace norms of top managers affect their organizations' practices, but in different ways. Age equality norms positively affect practices before the boundary of normal retirement age (Outcomes a and b), whereas retirement age norms positively affect practices after the boundary of normal retirement age (Outcomes c and d). Changing age-related workplace norms of important actors in organizations may be conducive to better employment opportunities and a higher level of employment participation of older workers. However, care should be taken to target the right types of norms, since targeting different norms may yield different outcomes. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  13. Positive parenting attitudes and practices in three transitional Eastern European countries: Bosnia and Herzegovina, Macedonia and Serbia.

    Science.gov (United States)

    Petrovic, Marija; Vasic, Vladimir; Petrovic, Oliver; Santric-Milicevic, Milena

    2016-06-01

    To identify potential predictors of using only non-violent forms of discipline for children aged 2-14 years and of being against physical punishment among Roma and non-Roma parents/caregivers in Eastern European countries with similar cultural-historical backgrounds. UNICEF Multiple Indicator Cluster Survey data collected in 2010-2011 in Bosnia and Herzegovina, Macedonia and Serbia (total of 9973 respondents) were analysed using multivariate logistic regression modelling with receiver operating characteristic analysis. Approximately 27 % of the respondents practiced only non-violent child discipline. Roma children experienced only non-violent discipline less than half as often as their non-Roma counterparts. Household wealth index and child sex were significant predictors of positive parenting attitudes and practice. For Roma respondents, rural residence also contributed to being against physical punishment. Parents\\caregivers from more affluent households are more likely than those who are less affluent to be against physical punishment of children and are more likely to practice only non-violent discipline. Evidence-based interventions are required to support existing positive forms of child rearing. These should target less affluent households from Roma settlements in the studied countries.

  14. Reflective practice: assessment of assignments in English for Specific Purposes

    Directory of Open Access Journals (Sweden)

    Galina Kavaliauskiené

    2007-10-01

    Full Text Available The construct alternative assessment has been widely used in higher education. It is often defined as any type of assessment of learners who provide a response to an assignment. The key features of alternative assessment are active participation of learners in self-evaluation of their performance, and the development of reflective thinking through reflective thinking (Schön, 1983. The success of alternative assessment in language teaching is predetermined by student’s performance and demonstrates learner’s language proficiency in contemporary communicative classrooms. This paper aims at researching the influence of students’ evaluations of various assignments for their linguistic development in English for Specific Purposes (ESP. The study uses learners’ assessment of different assignments and learners’ in-course and post-course written reflections on benefits to language mastery. Learners’ assignments included were contributions to portfolios (dossiers, such as essays and summaries, oral presentations, short impromptu talks, creative tasks, tests, and self-assessment notes (reflections on activities in learning ESP. Findings were obtained for two streams of the project participants. Results showed that self-assessment was beneficial for learners’ linguistic development. The context of learners’ reflections reveals that the attitudes to various assignments are affected by success or failure in students’ performance. Reflective practice might help teachers develop ways of dealing with previously identified difficulties and improve the quality of teaching.

  15. Incorporating Self and Peer Assessment in Reflective Teaching Practices

    Directory of Open Access Journals (Sweden)

    Ni Made Ratminingsih

    2017-11-01

    Full Text Available More currently literature reviews suggests the use of authentic assessment, which aims to involve students to be more responsible with their learning. This article reports the findings of a descriptive study on student teachers’ perception on the use of self and peer assessment to give evaluation on planning the lesson and teaching performance in Reflective Teaching Class. There were 100 samples taken randomly from 234 students in a survey using questionnaire and 15 students participating in the focus group discussion (FGD. The finding from the questionnaire shows that they had a very positive perception toward the use of self and peer assessment. Additionally, from the FGD, they conveyed by practicing doing self assessment, they could learn to see self performance deeply, strengths and weaknesses. From peer-assessment, they could learn collaboratively from feedback given by peers how to make a better lesson plan and perform a more effective teaching. Hence, self and peer assessment is considered beneficial for preparing the real teaching practicum and future career development. However, there are some problems challenged them, such as feeling subjectivity in assessing both self or peers, embarrassed and less confidence, and time constraints to make evaluation and reflection in the classroom

  16. Rotation therapy for maniacs, melancholics and idiots: theory, practice and perception in European medical and literary case histories.

    Science.gov (United States)

    Dickson, Sheila

    2018-03-01

    This article examines the development and use of rotation therapy in the emerging field of psychiatry at the beginning of the 19th century, and the cross-fertilization between British, Irish, German, French and other European proponents of 'Cox's Swing'. Its short-lived popularity is linked to prevalent Enlightenment thought, to the development of an industrial and technological society, to the modern medical theories of irritability, and to the new practice of 'moral management' of the mentally ill. Case studies documenting the use of the Swing are considered from these perspectives, and are compared with contemporary public reactions in the form of publications in newspapers and of a literary text by German Romantic author Ludwig Achim von Arnim.

  17. Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment.

    Science.gov (United States)

    Anandarajah, G; Hight, E

    2001-01-01

    The relationship between spirituality and medicine has been the focus of considerable interest in recent years. Studies suggest that many patients believe spirituality plays an important role in their lives, that there is a positive correlation between a patient's spirituality or religious commitment and health outcomes, and that patients would like physicians to consider these factors in their medical care. A spiritual assessment as part of a medical encounter is a practical first step in incorporating consideration of a patient's spirituality into medical practice. The HOPE questions provide a formal tool that may be used in this process. The HOPE concepts for discussion are as follows: H--sources of hope, strength, comfort, meaning, peace, love and connection; O--the role of organized religion for the patient; P--personal spirituality and practices; E--effects on medical care and end-of-life decisions.

  18. Conclusions and recommendations of the European ORAMED project for practical interventional radiology and nuclear medicine

    International Nuclear Information System (INIS)

    Nikodemova, Denisa; Fueloep, Marko; Cabanekova, Helena

    2012-01-01

    The results of the recently published doses obtained by medical staff working in pulsed radiation fields, and performing interventional radiology (IR) or interventional cardiology (IC) procedures, as well as applications of radionuclides in nuclear medicine (NM), have shown significantly high levels of exposure, mainly to the hands and other parts of their bodies uncovered by protective equipment. The coordinated project ORAMED (Optimization of Radiation Protection of Medical Staff) was set-up by participation of 12 European countries and 34 IR/IC and NM departments, with the 5 main tasks: (i) optimization of radiation protection in IR and IC,with the aim to standardize a unified method of extremities and eye lens doses estimation, for 3 cardiac and 5 interventional diagnostic and therapeutic examinations; (ii) verification of the possibilities to use active personal dosemeters for typical pulsed radiation fields used in IR and IC; (iii) contribution to the extremities and eye lens dose reduction in nuclear medicine; (iv) development and application of a suitable eye lens dosemeter; and (v) elaboration of training materials and guidelines for radiation protection issues at IR, IC and NM workplaces. The present study presents some important results and recommendations for dose reduction and avoidance of some typical failures during work near ionizing radiation sources. (P.A.)

  19. Management of Lyme Disease in European Children: a Review for Practical Purpose.

    Science.gov (United States)

    D'Alessandro, Matteo; Loy, Anna; Castagnola, Elio

    2017-08-01

    Lyme disease is a tick-borne zoonosis transmitted through a bite of a tick carrying a spirochete belonging to Borrelia species. In the last 20 years, the reported incidence of Lyme disease is increased by three times in Europe. Clinically, the illness develops through a primary stage with a typical skin rash (erythema marginatum), then a secondary stage with possible neurologic or cardiac involvement. The last stage (chronic Lyme disease) is mainly represented by arthritis or late neurological complications but nowadays is rarely seen due to precocious antibiotic use. The diagnosis of Lyme disease is essentially based on history in agreement with tick exposure (living/recent traveling in endemic area or tick bite) and clinical findings compatible with the disease. At present, no laboratory diagnostic tool available can neither establish nor exclude the diagnosis of Lyme disease. The management of Lyme disease should comprise a prophylactic administration of antibiotic in selected population (patients exposed to a tick bite in endemic regions) in which the typical signs of Lyme disease are not yet appeared; conversely, patients with current signs of Lyme disease should undergo a standard therapeutic course. First-line therapy should be oral tetracycline or oral penicillin/cephalosporin (in pediatric populations, beta-lactamic drugs are preferred). In severe courses, intravenous route should be preferred. The aim of this review is to provide an updated guide to the management of pediatric Lyme patients, from prophylaxis to first- and second-line therapy in European setting.

  20. Exploring experts' views and perspectives on the enhancement of Strategic Environmental Assessment in European small islands

    International Nuclear Information System (INIS)

    Polido, Alexandra; João, Elsa; Ramos, Tomás B.

    2016-01-01

    Small islands have the attention of the international community because they are territories with unique features, and a pressing need for the enhancement of sustainability. Strategic Environmental Assessment (SEA) has characteristics that may promote the development and improvement of sustainability in these territories: (i) changing the mind-set, and the decision-making and institutional paradigm, (ii) facilitating cooperation and coordination between different stakeholders, and (iii) providing a framework for good governance and community empowerment. The scientific literature suggests that there may be a need for context-specific SEA in these territories. However, SEA studies often do not incorporate local contextual information, including intuitive knowledge and sense of place. Therefore, there is a possible gap between what is found in the literature and what local communities think, including different stakeholders and experts. Hence, the main goal of this research was to gain an insight into the views and perspectives of small islands SEA experts about issues related to SEA in European small islands, including context-specific approaches, as well as the contribution of SEA for sustainability in these territories. To achieve the research aim, exploratory research using a questionnaire-based survey was designed, aimed at experts on SEA in European small islands. Findings showed regional cooperation networks may have a fundamental role when developing SEA-specific approaches in these territories. This is because SEA-specific approaches encourage a joint effort among islands within one region to improve SEA capacity-building, develop and share a baseline information system, and to share and exchange resources, overall. Also, guidelines are preferred among experts over more legal frameworks and regulations. Finally, the research showed that experts view SEA as a way to enhance sustainability in small islands. This study highlights the importance of integrating

  1. Practice and progress in integrated assessments of climate change

    International Nuclear Information System (INIS)

    Toth, F.L.

    1995-01-01

    This paper is intended to provide an overview of the state of the art integrated socioeconomic-biophysical assessments of climate change as presented at the IIASA workshop in October 1993. The paper seeks to tally the major improvements facilitated by integrated assessments in understanding the global warming problem and the crucial unresolved problems they currently face. The basic conclusion is that, as a result of a healthy diversity in practice, integrated assessments show significant progress in structuring the economic issues of climate change and providing the first broad insights into policy options. But, as some of the simple and traditional cases seem to be solved, more complex and difficult contingencies come to the fore. This suggests a long way to go to develop skills that will be required to address the numerous open issues. (author)

  2. COPD management: role of symptom assessment in routine clinical practice

    Science.gov (United States)

    van der Molen, Thys; Miravitlles, Marc; Kocks, Janwillem WH

    2013-01-01

    Patients with chronic obstructive pulmonary disease (COPD) present with a variety of symptoms that significantly impair health-related quality of life. Despite this, COPD treatment and its management are mainly based on lung function assessments. There is increasing evidence that conventional lung function measures alone do not correlate well with COPD symptoms and their associated impact on patients’ everyday lives. Instead, symptoms should be assessed routinely, preferably by using patient-centered questionnaires that provide a more accurate guide to the actual burden of COPD. Numerous questionnaires have been developed in an attempt to find a simple and reliable tool to use in everyday clinical practice. In this paper, we review three such patient-reported questionnaires recommended by the latest Global Initiative for Chronic Obstructive Lung Disease guidelines, ie, the modified Medical Research Council questionnaire, the clinical COPD questionnaire, and the COPD Assessment Test, as well as other symptom-specific questionnaires that are currently being developed. PMID:24143085

  3. Initial development of a practical safety audit tool to assess fleet safety management practices.

    Science.gov (United States)

    Mitchell, Rebecca; Friswell, Rena; Mooren, Lori

    2012-07-01

    Work-related vehicle crashes are a common cause of occupational injury. Yet, there are few studies that investigate management practices used for light vehicle fleets (i.e. vehicles less than 4.5 tonnes). One of the impediments to obtaining and sharing information on effective fleet safety management is the lack of an evidence-based, standardised measurement tool. This article describes the initial development of an audit tool to assess fleet safety management practices in light vehicle fleets. The audit tool was developed by triangulating information from a review of the literature on fleet safety management practices and from semi-structured interviews with 15 fleet managers and 21 fleet drivers. A preliminary useability assessment was conducted with 5 organisations. The audit tool assesses the management of fleet safety against five core categories: (1) management, systems and processes; (2) monitoring and assessment; (3) employee recruitment, training and education; (4) vehicle technology, selection and maintenance; and (5) vehicle journeys. Each of these core categories has between 1 and 3 sub-categories. Organisations are rated at one of 4 levels on each sub-category. The fleet safety management audit tool is designed to identify the extent to which fleet safety is managed in an organisation against best practice. It is intended that the audit tool be used to conduct audits within an organisation to provide an indicator of progress in managing fleet safety and to consistently benchmark performance against other organisations. Application of the tool by fleet safety researchers is now needed to inform its further development and refinement and to permit psychometric evaluation. Copyright © 2012 Elsevier Ltd. All rights reserved.

  4. Assessment of radiation protection practices among radiographers in Lagos, Nigeria.

    Science.gov (United States)

    Eze, Cletus Uche; Abonyi, Livinus Chibuzo; Njoku, Jerome; Irurhe, Nicholas Kayode; Olowu, Oluwabola

    2013-11-01

    Use of ionising radiation in diagnostic radiography could lead to hazards such as somatic and genetic damages. Compliance to safe work and radiation protection practices could mitigate such risks. The aim of the study was to assess the knowledge and radiation protection practices among radiographers in Lagos, Nigeria. The study was a prospective cross sectional survey. Convenience sampling technique was used to select four x-ray diagnostic centres in four tertiary hospitals in Lagos metropolis. Data were analysed with Epi- info software, version 3.5.1. Average score on assessment of knowledge was 73%. Most modern radiation protection instruments were lacking in all the centres studied. Application of shielding devices such as gonad shield for protection was neglected mostly in government hospitals. Most x-ray machines were quite old and evidence of quality assurance tests performed on such machines were lacking. Radiographers within Lagos metropolis showed an excellent knowledge of radiation protection within the study period. Adherence to radiation protection practices among radiographers in Lagos metropolis during the period studied was, however, poor. Radiographers in Lagos, Nigeria should embrace current trends in radiation protection and make more concerted efforts to apply their knowledge in protecting themselves and patients from harmful effects of ionising radiation.

  5. Do pressure ulcer risk assessment scales improve clinical practice?

    Directory of Open Access Journals (Sweden)

    Jan Kottner

    2010-07-01

    Full Text Available Jan Kottner1, Katrin Balzer21Department of Nursing Science, Charité-Universitätsmedizin Berlin, Germany; 2Nursing Research Group, Institute for Social Medicine, Universitätsklinikum Schleswig-Holstein, Lübeck, GermanyAbstract: Standardized assessment instruments are deemed important for estimating pressure ulcer risk. Today, more than 40 so-called pressure ulcer risk assessment scales are available but still there is an ongoing debate about their usefulness. From a measurement point of view pressure ulcer (PU risk assessment scales have serious limitations. Empirical evidence supporting the validity of PU risk assessment scale scores is weak and obtained scores contain varying amounts of measurement error. The concept of pressure ulcer risk is strongly related to the general health status and severity of illness. A clinical impact due do the application of these scales could also not be demonstrated. It is questionable whether completion of standardized pressure ulcer risk scales in clinical practice is really needed.Keywords: Braden pressure ulcer, prevention, risk assessment, nursing assessment, predictive value, clinical effectiveness, review

  6. Ecological models and pesticide risk assessment: current modeling practice.

    Science.gov (United States)

    Schmolke, Amelie; Thorbek, Pernille; Chapman, Peter; Grimm, Volker

    2010-04-01

    Ecological risk assessments of pesticides usually focus on risk at the level of individuals, and are carried out by comparing exposure and toxicological endpoints. However, in most cases the protection goal is populations rather than individuals. On the population level, effects of pesticides depend not only on exposure and toxicity, but also on factors such as life history characteristics, population structure, timing of application, presence of refuges in time and space, and landscape structure. Ecological models can integrate such factors and have the potential to become important tools for the prediction of population-level effects of exposure to pesticides, thus allowing extrapolations, for example, from laboratory to field. Indeed, a broad range of ecological models have been applied to chemical risk assessment in the scientific literature, but so far such models have only rarely been used to support regulatory risk assessments of pesticides. To better understand the reasons for this situation, the current modeling practice in this field was assessed in the present study. The scientific literature was searched for relevant models and assessed according to nine characteristics: model type, model complexity, toxicity measure, exposure pattern, other factors, taxonomic group, risk assessment endpoint, parameterization, and model evaluation. The present study found that, although most models were of a high scientific standard, many of them would need modification before they are suitable for regulatory risk assessments. The main shortcomings of currently available models in the context of regulatory pesticide risk assessments were identified. When ecological models are applied to regulatory risk assessments, we recommend reviewing these models according to the nine characteristics evaluated here. (c) 2010 SETAC.

  7. The impact of electricity production upon the environment: the lessons drawn from recent european assessment

    International Nuclear Information System (INIS)

    Lambert, H.; Beutier, D.

    2004-01-01

    European choices where energy policy is concerned must take account of the effects of each source of electricity production upon both man and the environment. In order to assess these effects, two approaches can be used: the external cost (EC) approach and the life cycle analysis (LCA) approach. Regarding nuclear energy, the documentation for life cycle analysis or for external cost type surveys is more comprehensive than for other forms of production and the values indicated are generally coherent. To a lesser extent, this is also the case of hydro-electricity. Therefore, in general it is relatively simple to establish reference thresholds for these sectors. The exercise becomes rather more difficult in the case of certain, so-called renewable energies, due to their intermittent nature and the high energy intensity processes that they include. This raises the question of national differences and the generic nature of the LCA. Indeed, the incorporation of secondary energy (or even replacement energy) leads to high levels of disparity according to the national mix concerned. A prime example of 'dependent' renewable energy is photovoltaic solar energy. Assessments remain incomplete for several sectors and other limitations apply to the accounting aspects of the LCA approach. (authors)

  8. Internal evaluation of the European network for health technology assessment project.

    Science.gov (United States)

    Håheim, Lise Lund; Imaz, Iñaki; Loud, Marlène Läubli; Gasparetto, Teresa; González-Enriquez, Jesús; Dahlgren, Helena; Trofimovs, Igor; Berti, Elena; Mørland, Berit

    2009-12-01

    The internal evaluation studied the development of the European network for Health Technology Assessment (EUnetHTA) Project in achieving the general objective of establishing an effective and a sustainable network of health technology assessment (HTA) in Europe. The Work Package 3 group was dedicated to this task and performed the work. Information on activities during the project was collected from three sources. First, three yearly cross-sectional studies surveyed the participants' opinions. Responses were by individuals or by institutions. The last round included surveys to the Steering Committee, the Stakeholder Forum, and the Secretariat. Second, the Work Package Lead Partners were interviewed bi-annually, five times in total, to update the information on the Project's progress. Third, additional information was sought in available documents. The organizational structure remained stable. The Project succeeded in developing tools aimed at providing common methodology with intent to establish a standard of conducting and reporting HTA and to facilitate greater collaboration among agencies. The participants/agencies expressed their belief in a network and in maintaining local/national autonomy. The Work Package Leaders expressed a strong belief in the solid base of the Project for a future network on which to build, but were aware of the need for funding and governmental support. Participants and Work Package Leaders have expressed support for a future network that will improve national and international collaboration in HTA based on the experience from the EUnetHTA project.

  9. European cardiovascular nurses' and allied professionals' knowledge and practical skills regarding cardiopulmonary resuscitation.

    Science.gov (United States)

    Pettersen, Trond R; Mårtensson, Jan; Axelsson, Åsa; Jørgensen, Marianne; Strömberg, Anna; Thompson, David R; Norekvål, Tone M

    2018-04-01

    Cardiopulmonary resuscitation (CPR) remains a cornerstone in the treatment of cardiac arrest, and is directly linked to survival rates. Nurses are often first responders and need to be skilled in the performance of cardiopulmonary resuscitation. As cardiopulmonary resuscitation skills deteriorate rapidly, the purpose of this study was to investigate whether there was an association between participants' cardiopulmonary resuscitation training and their practical cardiopulmonary resuscitation test results. This comparative study was conducted at the 2014 EuroHeartCare meeting in Stavanger ( n=133) and the 2008 Spring Meeting on Cardiovascular Nursing in Malmö ( n=85). Participants performed cardiopulmonary resuscitation for three consecutive minutes CPR training manikins from Laerdal Medical®. Data were collected with a questionnaire on demographics and participants' level of cardiopulmonary resuscitation training. Most participants were female (78%) nurses (91%) from Nordic countries (77%), whose main role was in nursing practice (63%), and 71% had more than 11 years' experience ( n=218). Participants who conducted cardiopulmonary resuscitation training once a year or more ( n=154) performed better regarding ventilation volume than those who trained less (859 ml vs. 1111 ml, p=0.002). Those who had cardiopulmonary resuscitation training offered at their workplace ( n=161) also performed better regarding ventilation volume (889 ml vs. 1081 ml, p=0.003) and compression rate per minute (100 vs. 91, p=0.04) than those who had not. Our study indicates a positive association between participants' performance on the practical cardiopulmonary resuscitation test and the frequency of cardiopulmonary resuscitation training and whether cardiopulmonary resuscitation training was offered in the workplace. Large ventilation volumes were the most common error at both measuring points.

  10. Innovative Soil Management Practices (SMP) Assessment in Europe and China

    Science.gov (United States)

    Barão, Lúcia

    2017-04-01

    The growing world population poses a major challenge to global agricultural food and feed production through the pressure to increase agricultural outputs either by increasing the land area dedicated to agriculture or by productivity increases. Whether in developed or developing regions, agricultural intensification based on conventional approaches has resulted in severe environmental impacts and innovative soil management practices are needed to halter ongoing soil degradation and promote sustainable land management capable to produce more from less. The iSQAPER project - Interactive Soil Quality Assessment in Europe and China for Agricultural Productivity and Environmental Resilience - aims to develop a Soil Quality app (SQAPP) linking soil and agricultural management practices to soil quality indicators. This easy friendly tool will provide a direct and convenient way to advise farmers and other suitable actors in this area, regarding the best management practices to be adopted in very specific and local conditions. In this particular study from iSQAPER, we aimed to identify the most promising innovative soil management practices (SMP) currently used and its geographical distribution along different pedo-climatic regions in Europe (Boreal, Atlantic, Mediterranean Temperate, Mediterranean Semi-Arid, Southern Sub-Continental and Northern Sub-Continental) and China (Middle Temperate, Warm temperate and Central Asia Tropical). So far we have identified 155 farms where innovative SMP's are used, distributed along 4 study site regions located in China (Qiyang, Suining, Zhifanggou and Gongzhuling) and 10 study site regions located in Europe (The Netherlands, France, Portugal, Spain, Greece, Slovenia, Hungary, Romania, Poland and Estonia) and covering the major pedo-climatic regions. From this identification we concluded that the most used innovative SMP's in the study site regions in Europe are Manuring & Composting (14%), Min-till (14%), Crop rotation (12

  11. Assessment of regulatory effectiveness. Peer discussions on regulatory practices

    International Nuclear Information System (INIS)

    1999-09-01

    This report arises from the seventh series of peer discussions on regulatory practices entitled 'Assessment of Regulatory Effectiveness'. The term 'regulatory effectiveness' covers the quality of the work and level of performance of a regulatory body. In this sense, regulatory effectiveness applies to regulatory body activities aimed at preventing safety degradation and ensuring that an acceptable level of safety is being maintained by the regulated operating organizations. In addition, regulatory effectiveness encompasses the promotion of safety improvements, the timely and cost effective performance of regulatory functions in a manner which ensures the confidence of the operating organizations, the general public and the government, and striving for continuous improvements to performance. Senior regulators from 22 Member States participated in two peer group discussions during March and May 1999. The discussions were focused on the elements of an effective regulatory body, possible indicators of regulatory effectiveness and its assessment. This report presents the outcome of these meetings and recommendations of good practices identified by senior regulators, which do not necessarily reflect those of the governments of the nominating Member States, the organizations they belong to, or the International Atomic Energy Agency. In order to protect people and the environment from hazards associated with nuclear facilities, the main objective of a nuclear regulatory body is to ensure that a high level of safety in the nuclear activities under its jurisdiction is achieved, maintained and within the control of operating organizations. Even if it is possible to directly judge objective safety levels at nuclear facilities, such safety levels would not provide an exclusive indicator of regulatory effectiveness. The way the regulatory body ensures the safety of workers and the public and the way it discharges its responsibilities also determine its effectiveness. Hence the

  12. Implementation Strategies for Gender-Sensitive Public Health Practice: A European Workshop.

    Science.gov (United States)

    Oertelt-Prigione, Sabine; Dalibert, Lucie; Verdonk, Petra; Stutz, Elisabeth Zemp; Klinge, Ineke

    2017-11-01

    Providing a robust scientific background for the focus on gender-sensitive public health and a systematic approach to its implementation. Within the FP7-EUGenMed project ( http://eugenmed.eu ) a workshop on sex and gender in public health was convened on February 2-3, 2015. The experts participated in moderated discussion rounds to (1) assemble available knowledge and (2) identify structural influences on practice implementation. The findings were summarized and analyzed in iterative rounds to define overarching strategies and principles. The participants discussed the rationale for implementing gender-sensitive public health and identified priorities and key stakeholders to engage in the process. Communication strategies and specific promotion strategies with distinct stakeholders were defined. A comprehensive list of gender-sensitive practices was established using the recently published taxonomy of the Expert Recommendations for Implementing Change (ERIC) project as a blueprint. A clearly defined implementation strategy should be mandated for all new projects in the field of gender-sensitive public health. Our tool can support researchers and practitioners with the analysis of current and past research as well as with the planning of new projects.

  13. COPD management: role of symptom assessment in routine clinical practice

    Directory of Open Access Journals (Sweden)

    van der Molen T

    2013-10-01

    Full Text Available Thys van der Molen,1,2 Marc Miravitlles,3 Janwillem WH Kocks1,21Department of General Practice, 2GRIAC (Groningen Research Institute for Asthma and COPD, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; 3Pneumology Department, Hospital Universitari Vall d'Hebron, Biomedical Research Networking Centre in Respiratory Diseases (CIBERES, Barcelona, SpainAbstract: Patients with chronic obstructive pulmonary disease (COPD present with a variety of symptoms that significantly impair health-related quality of life. Despite this, COPD treatment and its management are mainly based on lung function assessments. There is increasing evidence that conventional lung function measures alone do not correlate well with COPD symptoms and their associated impact on patients' everyday lives. Instead, symptoms should be assessed routinely, preferably by using patient-centered questionnaires that provide a more accurate guide to the actual burden of COPD. Numerous questionnaires have been developed in an attempt to find a simple and reliable tool to use in everyday clinical practice. In this paper, we review three such patient-reported questionnaires recommended by the latest Global Initiative for Chronic Obstructive Lung Disease guidelines, ie, the modified Medical Research Council questionnaire, the clinical COPD questionnaire, and the COPD Assessment Test, as well as other symptom-specific questionnaires that are currently being developed.Keywords: chronic obstructive pulmonary disease, symptoms, questionnaires

  14. Effects of the European Community directive on lifting and handling practice.

    Science.gov (United States)

    Docker, S M

    1993-07-01

    The new legislation on lifting and handling requires the application of ergonomic principles to manual handling operations. A written assessment is required for all unavoidable manual handling operations which involve the risk of injury to employees. Employers are now expected to provide equipment to enable staff to avoid lifting heavy loads.

  15. Assessment of Clinical Practices for Crushing Medication in Geriatric Units.

    Science.gov (United States)

    Fodil, M; Nghiem, D; Colas, M; Bourry, S; Poisson-Salomon, A-S; Rezigue, H; Trivalle, C

    2017-01-01

    To assess the modification of the form of medication and evaluate staff observance of good clinical practices. One-day assessment of clinical practices. 17 geriatrics units in the 3 Teaching Hospitals of Paris-Sud (APHP), France. Elderly in-patients with difficulties swallowing capsules and tablets. Assessment of target-patient prescriptions and direct observation of nurses' medical rounds. 155/526 in-patients (29.5%) were unable to swallow tablets or capsules: 98 (40.3%) in long-term care, 46 patients (23.8%) in the rehabilitation unit and 11 (12.2%) in the acute care unit (p = .005). In thirty-nine (27.3%) of the 143 prescriptions studied all tablets were safe to crush and all capsules were safe to open. In 104 cases, at least one medication could not be safely modified, including 26 cases (18.2%) in which none of the prescribed drugs were safe to crush or open. In 48.2% of the 110 medications that were crushed, crushing was forbidden, and presented a potential threat in 12.7% of cases or a reduced efficacy in 8.2% of cases. Crushing methods were rarely appropriate: no specific protective equipment was used (81.8%), crushing equipment was shared between patients without cleaning (95.1%), medications were spilled or lost (69.9%). The method of administration was appropriate (water, jellified water) in 25% of the cases, questionable (soup, coffee, compote, juice, cream) in 55% of the cases and unacceptable (laxative) in 21% of the cases. Management of drug prescriptions in patients with swallowing difficulties is not optimal, and may even have iatrogenic effects. In this study, 12.7% of the modifications of the drug form could have been harmful. Doctors, pharmacists and nurses need to reevaluate their practices.

  16. Pesticides and public health: an analysis of the regulatory approach to assessing the carcinogenicity of glyphosate in the European Union.

    Science.gov (United States)

    Clausing, Peter; Robinson, Claire; Burtscher-Schaden, Helmut

    2018-03-13

    The present paper scrutinises the European authorities' assessment of the carcinogenic hazard posed by glyphosate based on Regulation (EC) 1272/2008. We use the authorities' own criteria as a benchmark to analyse their weight of evidence (WoE) approach. Therefore, our analysis goes beyond the comparison of the assessments made by the European Food Safety Authority and the International Agency for Research on Cancer published by others. We show that not classifying glyphosate as a carcinogen by the European authorities, including the European Chemicals Agency, appears to be not consistent with, and in some instances, a direct violation of the applicable guidance and guideline documents. In particular, we criticise an arbitrary attenuation by the authorities of the power of statistical analyses; their disregard of existing dose-response relationships; their unjustified claim that the doses used in the mouse carcinogenicity studies were too high and their contention that the carcinogenic effects were not reproducible by focusing on quantitative and neglecting qualitative reproducibility. Further aspects incorrectly used were historical control data, multisite responses and progression of lesions to malignancy. Contrary to the authorities' evaluations, proper application of statistical methods and WoE criteria inevitably leads to the conclusion that glyphosate is 'probably carcinogenic' (corresponding to category 1B in the European Union). © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  17. For better and for worse : The relationship between union dissolution and self-assessed health in European Panel Data

    NARCIS (Netherlands)

    Monden, C.W.S.; Uunk, W.J.G.

    2013-01-01

    We investigate the association between union dissolution and self-assessed health in European panel data. Previous studies suggest that this association might be negative, yet it is unclear to what extent this reflects causation (an effect of union dissolution of health) and/or selection (an effect

  18. Combining ISO/IEC 17025:2005 and European Commission Decision 2002/657 audit requirements: a practical way forward.

    Science.gov (United States)

    Kay, Jack F

    2012-08-01

    Laboratories involved in the analyses of veterinary drug residues are under increasing pressure to demonstrate that they produce meaningful and reliable data. Quality assurance and quality control systems are implemented in laboratories to provide evidence of this and these are subject to external assessment to ensure that they are effective. Audits to ISO/IEC 17025:2005, an internationally accepted standard, and subsequent accreditation provide laboratories and their customers with a degree of assurance that the laboratories are operating in control and the data they report can be relied on. However, national or regional authorities may place additional requirements on laboratories to ensure quality data are reported. For example, in the European Union, all official control laboratories involved in veterinary drug residue analyses must also meet the requirements of European Commission Decision 2002/657/EC which sets performance criteria for analytical methods used in this area and these are subject to additional audits by national or regional authorities. All audits place considerable time and resource demands on laboratories and this paper discusses the burden audits place on laboratories and describes a UK initiative to combine these audits to the benefit of both the regulatory authority and the laboratory. © 2012 John Wiley & Sons, Ltd.

  19. Creating scientists teaching and assessing science practice for the NGSS

    CERN Document Server

    Moore, Christopher

    2018-01-01

    Teach students to reason like scientists. This practical new book provides a clear framework for helping students develop scientific thinking so they are not just memorizing content but are becoming engaged in the real work scientists do. You'll learn how to teach students to analyse scientific testing, to understand if something caused something else, and to understand the value of evidence. The book offers ideas for lesson plans and assessments and also features reproducible tools and handouts that you can use in the classroom immediately.

  20. Brent Spar abandonment - Best Practicable Environmental Option (BPEO) assessment

    International Nuclear Information System (INIS)

    1994-12-01

    Possible methods of abandoning or re-using the Brent Spar storage and tanker offloading facility following its decommissioning in 1991 are discussed. The report assesses six of the thirteen possible methods, including horizontal dismantling and onshore disposal, vertical dismantling and onshore disposal, in-field disposal, deep water disposal, refurbishment and re-use, and continued maintenance, in order to determine the Best Practicable Environmental Option (BPEO). The BPEO covers technical feasibility risks to health and safety of the work force, environmental impacts, public acceptability and costs. (UK)

  1. Institutional Quality of the Business Environment: Some European Practices in a Comparative Analysis

    Directory of Open Access Journals (Sweden)

    Cosmin Marinescu

    2013-02-01

    Full Text Available In contemporary economic literature, we can find plenty of theoretical and empirical approaches which seek to highlight the most appropriate factorial variables that are associated with the institutional quality of the business environment. This study presents, in a summarised version, the institutional logic of transaction costs that was substantiated within a scientific research project. In essence, the economic performances of the business environment are circumscribed by the institutions that facilitate or constrain the entrepreneurial initiatives and the economic activity in general. In terms of empirical analysis, the comparative approach of the EU business environments illustrates various exemples of (good or bad practices with respect to the institutional quality of the business environment. By selecting certain relevant institutional variables, the original character of this research resides in developing an indicator – The Institutional Quality of the Business Environment (hereafter IQBE which offers a dynamic perspective upon the business environments that characterise both Romania and other EU countries.

  2. Pediatric biobanking: a pilot qualitative survey of practices, rules and researcher opinions in ten European countries

    DEFF Research Database (Denmark)

    Salvaterra, Elena; Giorda, Roberto; Bassi, Maria Teresa

    2012-01-01

    Ethical, legal, and social issues related to the collection, storage, and use of biospecimens and data derived from children raise critical concerns in the international debate. So far, a number of studies have considered a variety of the individual issues crucial to pediatric biobanking such as ......Ethical, legal, and social issues related to the collection, storage, and use of biospecimens and data derived from children raise critical concerns in the international debate. So far, a number of studies have considered a variety of the individual issues crucial to pediatric biobanking...... such as decision making, privacy protection, minor recontact, and research withdrawal by focusing on theoretical or empirical perspectives. Our research attempted to analyze such issues in a comprehensive manner by exploring practices, rules, and researcher opinions regarding proxy consent, minor assent, specimens...

  3. Coexistence dilemmas in European marine spatial planning practices. The case of marine renewables and marine protected areas

    International Nuclear Information System (INIS)

    Kyriazi, Zacharoula; Maes, Frank; Degraer, Steven

    2016-01-01

    The question whether coexistence of marine renewable energy (MRE) projects and marine protected areas (MPAs) is a common spatial policy in Europe and how a number of factors can affect it, has been addressed by empirical research undertaken in eleven European marine areas. Policy drivers and objectives that are assumed to affect coexistence, such as the fulfillment of conservation objectives and the prioritization of other competing marine uses, were scored by experts and predictions were crosschecked with state practice. While in most areas MRE-MPA coexistence is not prohibited by law, practice indicates resistance towards it. Furthermore expert judgment demonstrated that a number of additional factors, such as the lack of suitable space for MRE projects and the uncertainty about the extent of damage by MRE to the MPA, might influence the intentions of the two major parties involved (i.e. the MRE developer and the MPA authority) to pursue or avoid coexistence. Based on these findings, the interactions of these two players are further interpreted, their policy implications are discussed, while the need towards efficient, fair and acceptable MRE-MPA coexistence is highlighted.

  4. Tracking the Evolution of "Research & Practice in Assessment" through the Pages of RPA

    Science.gov (United States)

    Anderson, Robin D.; Curtis, Nicolas A.

    2017-01-01

    Ten years ago, "Research & Practice in Assessment" (RPA) was born, providing an outlet for assessment-related research. Since that first winter issue, assessment research and practice has evolved. Like with many evolutions, the assessment practice evolution is best described as a change of emphasis as opposed to a radical revolution.…

  5. Bleeding risk assessment and management in atrial fibrillation patients. Executive Summary of a Position Document from the European Heart Rhythm Association [EHRA], endorsed by the European Society of Cardiology [ESC] Working Group on Thrombosis

    NARCIS (Netherlands)

    Lip, Gregory Y. H.; Andreotti, Felicita; Fauchier, Laurent; Huber, Kurt; Hylek, Elaine; Knight, Eve; Lane, Deirdre; Levi, Marcel; Marín, Francisco; Palareti, Gualtiero; Kirchhof, Paulus

    2011-01-01

    In this executive summary of a Consensus Document from the European Heart Rhythm Association, endorsed by the European Society of Cardiology Working Group on Thrombosis, we comprehensively review the published evidence and propose a consensus on bleeding risk assessments in atrial fibrillation (AF)

  6. Risk assessment in the European Community (EC); perspective as partial contributor in decision making

    International Nuclear Information System (INIS)

    Vinck, W.

    1981-01-01

    This paper is oriented towards the use of nuclear power for electricity production. The subject is discussed under the following headings: preamble; survey of practice and trends in reliability analyses and risk assessment:general (the risk concept; the types of reliability and risk analysis; the present state and trends of a probabilistic approach in safety analysis); risk analysis, partial contributor in the acceptability-problem (the political scene; technological society; cost effectiveness of risk reduction, cost-risk-benefit balancing; risk perception and acceptance; comparison of energy systems); need for and limitations of quantified safety objectives. (U.K.)

  7. Russian practice of RPV integrity assessment under PTS conditions

    International Nuclear Information System (INIS)

    Piminov, V.; Dragunov, Yu.; Kostyrkin, S.; Akbachev, I.

    1997-01-01

    In this paper the approach used by Gidopress (main designer of Russian WWER reactors) for RPV integrity assessment is presented. Recently performed calculations for RPVs of Novoronezh NPP, units 3 and 4, are used as an example of practical application of this approach. The calculations have been performed on the base of Russian regulatory requirements, at the same time the recommendations of IAEA Guidelines for PTS assessment was also taken into account. The scope of the work includes: Analysis of real state of NPP systems and PTS selection; analysis of material behavior including results of templets investigation; thermal hydraulic calculations; structural analyses for the leading transients; development of supplementary measures to reduce the risk of RPV fracture. 5 refs, 9 figs, 1 tab

  8. Russian practice of RPV integrity assessment under PTS conditions

    Energy Technology Data Exchange (ETDEWEB)

    Piminov, V; Dragunov, Yu; Kostyrkin, S; Akbachev, I

    1997-09-01

    In this paper the approach used by Gidopress (main designer of Russian WWER reactors) for RPV integrity assessment is presented. Recently performed calculations for RPVs of Novoronezh NPP, units 3 and 4, are used as an example of practical application of this approach. The calculations have been performed on the base of Russian regulatory requirements, at the same time the recommendations of IAEA Guidelines for PTS assessment was also taken into account. The scope of the work includes: Analysis of real state of NPP systems and PTS selection; analysis of material behavior including results of templets investigation; thermal hydraulic calculations; structural analyses for the leading transients; development of supplementary measures to reduce the risk of RPV fracture. 5 refs, 9 figs, 1 tab.

  9. Fishing impact and environmental status in European seas: A diagnosis from stock assessments and ecosystem indicators

    DEFF Research Database (Denmark)

    Gascuel, Didier; Coll, Marta; Fox, Clive

    2016-01-01

    Stock-based and ecosystem-based indicators are used to provide a new diagnosis of the fishing impact and environmental status of European seas. In the seven European marine ecosystems covering the Baltic and the North-east Atlantic, (i) trends in landings since 1950 were examined; (ii) syntheses...

  10. Assessment of Electro-Mechanic Technician Qualifications in the Context of European Transparency Tools

    Science.gov (United States)

    Ozcan, Mustafa; Vuranok, Turan Tolga; Ball, Claudia

    2017-01-01

    Purpose: This study explores the applicability and transferability of tools developed for the realization of comparability and transparency of qualifications across Europe. It relates to the implementation of the European Credit System for Vocational Education and Training (ECVET) and the European Qualifications Framework (EQF) in the automotive…

  11. An assessment of long term ecosystem research activities across European socio-ecological gradients

    NARCIS (Netherlands)

    Metzger, M.J.; Bunce, R.G.H.; Eupen, van M.; Mirtl, M.

    2010-01-01

    Integration of European long term ecosystem research (LTER) would provide important support for the management of the pan-European environment and ecosystems, as well as international policy commitments. This does require appropriate coverage of Europe and standardised frameworks and research

  12. European integration assessed in the light of the 'rules vs. standards debate'

    NARCIS (Netherlands)

    F. Weber (Franziska)

    2011-01-01

    textabstractThe interplay of various legal systems in the European Union (EU) has long triggered a debate on the tension between uniformity and diversity of Member States' (MS) laws. This debate takes place among European legal scholars and is also paralleled by economic scholars, e.g. in the ambit

  13. Thyroid volume and urinary iodine in European schoolchildren: standardization of values for assessment of iodine deficiency

    NARCIS (Netherlands)

    Delange, F.; Benker, G.; Caron, P.; Eber, O.; Ott, W.; Peter, F.; Podoba, J.; Simescu, M.; Szybinsky, Z.; Vertongen, F.; Vitti, P.; Wiersinga, W.; Zamrazil, V.

    1997-01-01

    Up to 1992, most European countries used to be moderately to severely iodine deficient. The present study aimed at evaluating possible changes in the status of iodine nutrition in 12 European countries during the past few years. Thyroid volume was measured by ultrasonography in 7599 schoolchildren

  14. Health visiting assessment--unpacking critical attributes in health visitor needs assessment practice: a case study.

    Science.gov (United States)

    Appleton, Jane V; Cowley, Sarah

    2008-02-01

    Assessment of family health need is a central feature of health visiting practice in which a range of skills, knowledge and judgements are used. These assessments are pivotal in uncovering need, safeguarding children and in determining levels of health intervention to be offered to children and their families by the health visiting service in the UK. The central focus of this paper is to outline the critical attributes of the basic principles that underpin health visiting assessment practice that emerged as part of a case study enquiry. A case study design informed by a constructivist methodology was used to examine health visitors' professional judgements and use of formal guidelines in identifying health needs and prioritising families requiring extra health visiting support. The main study was conducted in three community Trust case sites in England, UK, with pilot work being undertaken in a fourth site. Fifteen health visitors participated in the main study and data were collected during 56 observed home visits to families receiving extra health visiting support. Separate in-depth interviews were conducted with the health visitors, pre- and post-home contacts, while 53 client interviews also took place. The analysis suggests that there are certain fundamental elements associated with the majority of health visitor assessments and these have been termed assessment principles. These characteristics are integral to, and provide the basis upon which health visitors' assessments are conducted and professional judgement is formed. They reflect the basic principles of health visiting assessment practice, which exist despite the constraints and realities of the practice context and can be differentiated from the activity centred methods of assessment processes.

  15. Construction of knowledge, attitude and practice questionnaire for assessing plagiarism.

    Science.gov (United States)

    Poorolajal, J; Cheraghi, P; Irani, A Doosti; Cheraghi, Z; Mirfakhraei, M

    2012-01-01

    This study was conducted to develop a questionnaire in order to evaluate knowledge, attitude and practice (KAP) of the faculty members and students toward plagiarism. A KAP study was conducted from June to October 2011 enrolling 390 volunteers anonymously (response rate 96%). The questionnaire included the following four parts: (a) general characteristics like gender, academic degree and education level; (b) nine questions regarding knowledge (Min=0, Max=9); (c) nine questions regarding attitude (Min=9, Max=27); and (d) eight questions regarding practice (Min=0, Max=8). A pilot study was conducted to assess reliability of the questions regarding knowledge and attitude. Cronbach's alpha coefficient for the knowledge and attitude questions was 0.70 and 0.74 respectively. The overall prevalence of at least once plagiarism commission was 38% (SD=0.035). The overall mean score of knowledge, attitude and practice was 5.94 (SD=1.66), 24.12 (SD=2.99), and 0.66 (SD=1.15) respectively. Knowledge of plagiarism was significantly higher among higher academic degrees and females. Their negative attitude toward plagiarism was stronger too. No statistically significant difference regarding plagiarism commission was observed among different academic degrees in both sexes. According to linear regression analysis, plagiarism commission decreased 13% per one unit increase in score of knowledge (P=0.005) and 16% per one unit increase in score of attitude (Pplagiarism and to estimate the prevalence and the type of plagiarism commission.

  16. Construction of Knowledge, Attitude and Practice Questionnaire for Assessing Plagiarism

    Science.gov (United States)

    Poorolajal, J; Cheraghi, P; Irani, A Doosti; Cheraghi, Z; Mirfakhraei, M

    2012-01-01

    Background This study was conducted to develop a questionnaire in order to evaluate knowledge, attitude and practice (KAP) of the faculty members and students toward plagiarism. Methods: A KAP study was conducted from June to October 2011 enrolling 390 volunteers anonymously (response rate 96%). The questionnaire included the following four parts: (a) general characteristics like gender, academic degree and education level; (b) nine questions regarding knowledge (Min=0, Max=9); (c) nine questions regarding attitude (Min=9, Max=27); and (d) eight questions regarding practice (Min=0, Max=8). A pilot study was conducted to assess reliability of the questions regarding knowledge and attitude. Cronbach’s alpha coefficient for the knowledge and attitude questions was 0.70 and 0.74 respectively. Results: The overall prevalence of at least once plagiarism commission was 38% (SD=0.035). The overall mean score of knowledge, attitude and practice was 5.94 (SD=1.66), 24.12 (SD=2.99), and 0.66 (SD=1.15) respectively. Knowledge of plagiarism was significantly higher among higher academic degrees and females. Their negative attitude toward plagiarism was stronger too. No statistically significant difference regarding plagiarism commission was observed among different academic degrees in both sexes. According to linear regression analysis, plagiarism commission decreased 13% per one unit increase in score of knowledge (P=0.005) and 16% per one unit increase in score of attitude (Pplagiarism and to estimate the prevalence and the type of plagiarism commission. PMID:23304676

  17. Nuclear cardiology practice and associated radiation doses in Europe: results of the IAEA Nuclear Cardiology Protocols Study (INCAPS) for the 27 European countries

    Energy Technology Data Exchange (ETDEWEB)

    Lindner, Oliver; Burchert, Wolfgang [University Hospital of the Ruhr University, Institute of Radiology, Nuclear Medicine and Molecular Imaging, Heart and Diabetes Center North Rhine-Westphalia Bochum, Bad Oeynhausen (Germany); Pascual, Thomas N.B.; Kashyap, Ravi; Dondi, Maurizio; Paez, Diana [International Atomic Energy Agency, Section of Nuclear Medicine and Diagnostic Imaging, Division of Human Health, Vienna (Austria); Mercuri, Mathew [Columbia University Medical Center and New York-Presbyterian Hospital, Division of Cardiology, Department of Medicine, New York, NY (United States); Acampa, Wanda [National Council of Research, Institute of Biostructures and Bioimaging, Naples (Italy); Flotats, Albert [Universitat Autonoma de Barcelona, Nuclear Medicine Department, Hospital de la Santa Creu i Sant Pau, Barcelona (Spain); Kaufmann, Philipp A. [University Hospital Zurich, Department of Nuclear Medicine and Cardiac Imaging, Zurich (Switzerland); Kitsiou, Anastasia [Sismanoglio Hospital, Department of Cardiology, Athens (Greece); Knuuti, Juhani [University of Turku, and Turku University Hospital, Turku PET Centre, Turku (Finland); Underwood, S.R. [Imperial College London, National Heart and Lung Institute, London (United Kingdom); Royal Brompton and Harefield Hospitals, Department of Nuclear Medicine, London (United Kingdom); Vitola, Joao V. [Quanta Diagnostico and Terapia, Curitiba (Brazil); Mahmarian, John J. [Houston Methodist DeBakey Heart and Vascular Center, Department of Cardiology, Houston, TX (United States); Karthikeyan, Ganesan [All India Institute of Medical Sciences, Department of Cardiology, New Delhi (India); Better, Nathan [Royal Melbourne Hospital and University of Melbourne, Department of Nuclear Medicine, Melbourne (Australia); Rehani, Madan M. [International Atomic Energy Agency, Radiation Protection of Patients Unit, Vienna (Austria); Massachusetts General Hospital and Harvard Medical School, Department of Radiology, Boston, MA (United States); Einstein, Andrew J. [Columbia University Medical Center and New York-Presbyterian Hospital, Division of Cardiology, Department of Medicine, New York, NY (United States); Columbia University Medical Center and New York-Presbyterian Hospital, Department of Radiology, New York, NY (United States); Collaboration: for the INCAPS Investigators Group

    2016-04-15

    Nuclear cardiology is widely used to diagnose coronary artery disease and to guide patient management, but data on current practices, radiation dose-related best practices, and radiation doses are scarce. To address these issues, the IAEA conducted a worldwide study of nuclear cardiology practice. We present the European subanalysis. In March 2013, the IAEA invited laboratories across the world to document all SPECT and PET studies performed in one week. The data included age, gender, weight, radiopharmaceuticals, injected activities, camera type, positioning, hardware and software. Radiation effective dose was calculated for each patient. A quality score was defined for each laboratory as the number followed of eight predefined best practices with a bearing on radiation exposure (range of quality score 0 - 8). The participating European countries were assigned to regions (North, East, South, and West). Comparisons were performed between the four European regions and between Europe and the rest-of-the-world (RoW). Data on 2,381 European patients undergoing nuclear cardiology procedures in 102 laboratories in 27 countries were collected. A cardiac SPECT study was performed in 97.9 % of the patients, and a PET study in 2.1 %. The average effective dose of SPECT was 8.0 ± 3.4 mSv (RoW 11.4 ± 4.3 mSv; P < 0.001) and of PET was 2.6 ± 1.5 mSv (RoW 3.8 ± 2.5 mSv; P < 0.001). The mean effective doses of SPECT and PET differed between European regions (P < 0.001 and P = 0.002, respectively). The mean quality score was 6.2 ± 1.2, which was higher than the RoW score (5.0 ± 1.1; P < 0.001). Adherence to best practices did not differ significantly among the European regions (range 6 to 6.4; P = 0.73). Of the best practices, stress-only imaging and weight-adjusted dosing were the least commonly used. In Europe, the mean effective dose from nuclear cardiology is lower and the average quality score is higher than in the RoW. There is regional variation in effective dose in

  18. Nuclear cardiology practice and associated radiation doses in Europe: results of the IAEA Nuclear Cardiology Protocols Study (INCAPS) for the 27 European countries

    International Nuclear Information System (INIS)

    Lindner, Oliver; Burchert, Wolfgang; Pascual, Thomas N.B.; Kashyap, Ravi; Dondi, Maurizio; Paez, Diana; Mercuri, Mathew; Acampa, Wanda; Flotats, Albert; Kaufmann, Philipp A.; Kitsiou, Anastasia; Knuuti, Juhani; Underwood, S.R.; Vitola, Joao V.; Mahmarian, John J.; Karthikeyan, Ganesan; Better, Nathan; Rehani, Madan M.; Einstein, Andrew J.

    2016-01-01

    Nuclear cardiology is widely used to diagnose coronary artery disease and to guide patient management, but data on current practices, radiation dose-related best practices, and radiation doses are scarce. To address these issues, the IAEA conducted a worldwide study of nuclear cardiology practice. We present the European subanalysis. In March 2013, the IAEA invited laboratories across the world to document all SPECT and PET studies performed in one week. The data included age, gender, weight, radiopharmaceuticals, injected activities, camera type, positioning, hardware and software. Radiation effective dose was calculated for each patient. A quality score was defined for each laboratory as the number followed of eight predefined best practices with a bearing on radiation exposure (range of quality score 0 - 8). The participating European countries were assigned to regions (North, East, South, and West). Comparisons were performed between the four European regions and between Europe and the rest-of-the-world (RoW). Data on 2,381 European patients undergoing nuclear cardiology procedures in 102 laboratories in 27 countries were collected. A cardiac SPECT study was performed in 97.9 % of the patients, and a PET study in 2.1 %. The average effective dose of SPECT was 8.0 ± 3.4 mSv (RoW 11.4 ± 4.3 mSv; P < 0.001) and of PET was 2.6 ± 1.5 mSv (RoW 3.8 ± 2.5 mSv; P < 0.001). The mean effective doses of SPECT and PET differed between European regions (P < 0.001 and P = 0.002, respectively). The mean quality score was 6.2 ± 1.2, which was higher than the RoW score (5.0 ± 1.1; P < 0.001). Adherence to best practices did not differ significantly among the European regions (range 6 to 6.4; P = 0.73). Of the best practices, stress-only imaging and weight-adjusted dosing were the least commonly used. In Europe, the mean effective dose from nuclear cardiology is lower and the average quality score is higher than in the RoW. There is regional variation in effective dose in

  19. Practicability of passenger vehicle driving emission tests according to new European Union procedures

    Directory of Open Access Journals (Sweden)

    Pielecha Jacek

    2017-01-01

    Full Text Available The article compares driving test data using the latest legislative proposals applicable to passenger cars. Several measurements were performed on the same test route in accordance with the RDE test guidelines, which requires a number of criteria to be met. These criteria include: the length of the measuring segments, their overall test time share, and the dynamic characteristics of the drive. A mobile device for reading the EOBD System information was used to record the engine and vehicle operating parameters during tests. This allowed for the monitoring of parameters such as: load value, engine speed and vehicle velocity. The obtained results were then analyzed for their compatibility with the RDE procedure requirements. Despite the same research route, the obtained results were not the same. The analysis also uses the two-dimensional operating time share characteristics expressed in vehicle velocity and acceleration co-ordinates. As a result it was possible to compare the dynamic properties, share of operating time and, consequently, to check the validity of conducted drive tests in terms of their practicability and emission values.

  20. Rapid assessment of injection practices in Cambodia, 2002

    Directory of Open Access Journals (Sweden)

    Goldstein Susan

    2005-06-01

    Full Text Available Abstract Background Injection overuse and unsafe injection practices facilitate transmission of bloodborne pathogens such as hepatitis B virus (HBV, hepatitis C virus (HCV, and human immunodeficiency virus (HIV. Anecdotal reports of unsafe and unnecessary therapeutic injections and the high prevalence of HBV (8.0%, HCV (6.5%, and HIV (2.6% infection in Cambodia have raised concern over injection safety. To estimate the magnitude and patterns of such practices, a rapid assessment of injection practices was conducted. Methods We surveyed a random sample of the general population in Takeo Province and convenience samples of prescribers and injection providers in Takeo Province and Phnom Penh city regarding injection-related knowledge, attitudes, and practices. Injection providers were observed administering injections. Data were collected using standardized methods adapted from the World Health Organization safe injection assessment guidelines. Results Among the general population sample (n = 500, the overall injection rate was 5.9 injections per person-year, with 40% of participants reporting receipt of ≥ 1 injection during the previous 6 months. Therapeutic injections, intravenous infusions, and immunizations accounted for 74%, 16% and 10% of injections, respectively. The majority (>85% of injections were received in the private sector. All participants who recalled their last injection reported the injection was administered with a newly opened disposable syringe and needle. Prescribers (n = 60 reported that 47% of the total prescriptions they wrote included a therapeutic injection or infusion. Among injection providers (n = 60, 58% recapped the syringe after use and 13% did not dispose of the used needle and syringe appropriately. Over half (53% of the providers reported a needlestick injury during the previous 12 months. Ninety percent of prescribers and injection providers were aware HBV, HCV, and HIV were transmitted through unsafe

  1. Corporate social responsibility in coal industry (practices of russian and european companies

    Directory of Open Access Journals (Sweden)

    Т. В. Пономаренко

    2016-12-01

    Full Text Available Corporate social responsibility (CSR is built on interaction between companies and the society which is especially important for major companies that exploit natural resources and play the role of city-forming socially significant entities. Various interpretations of the notion of social responsibility define the varying levels of influence companies have on the society, different levels of contribution of companies in the said process and the degree and level of implementation of CSR. The relations between social responsibility and economic results and the effects of implementing CSR policies are often not obvious.This study offers an assessment of present-day state of corporate social responsibility policies in coal companies of Russia and Poland and formulates proposals on implementing social responsibility projects with consideration of state-of-the-art CSR concepts.The results of the study are as follows: the achieved level of social responsibility in coal companies of Russia and Poland has been assessed; it is proven that most companies in the coal industry are at the level of fragmentary application of CSR concepts; an analysis has been carried out of tools available in the area of social responsibility of coal companies.

  2. Assessing environmental performance in the European Union: Eco-innovation versus catching-up

    International Nuclear Information System (INIS)

    Beltrán-Esteve, Mercedes; Picazo-Tadeo, Andrés J.

    2017-01-01

    This paper assesses environmental performance in the European Union (EU) using Luenberger productivity indicators, directional distance functions and Data Envelopment Analysis techniques. It considers four indicators of the pressures exerted by economic activity on the environment: global warming, tropospheric ozone formation, acidification and particulate formation. The change in environmental performance from the early 2000s onwards is decomposed at the levels of country and environmental pressure, and as the result of eco-innovations and catching-up with the best available environmental technologies; furthermore, we distinguish between the periods of economic growth (2001–07) and severe crisis (2007–13). Our main finding is that environmental performance improved in both periods, mainly fuelled by advances in environmental technology. Accordingly, environmental policies aimed at boosting catching-up are highly recommended, particularly in the newer member states that joined the EU from 2004 onwards, which perform further away from their respective environmental technological frontiers. In addition, re-establishing the pre-crisis eco-innovation investment levels would also be highly advisable in order to return to the rates of environmental technical progress registered in the expansion period. - Highlights: • Environmental performance has noticeably improved in the EU since the 2000's. • Eco-innovations have bolstered progress in environmental performance. • Policies aimed at boosting catching-up are highly recommended in the EU.

  3. Towards a Western European “Social Movement Society”? An Assessment: 1981–2009

    Directory of Open Access Journals (Sweden)

    Mario Quaranta

    2016-04-01

    Full Text Available Some social movements scholars argue that contemporary democracies are becoming “social movements societies”: citizens are often mobilized to make claims; protest actions are progressively becoming part of institutional politics; and protest has diffused to new constituents. In other words, participants in protest activities are more difficult to be identified. This article aims to provide an updated assessment of the “social movement society” thesis in Western Europe, with a focus on the expansion, institutionalization, and, in particular, to the diffusion of political protest to new groups. Using the European Values Study, which spans from 1981 to 2009, it is found that in Western Europe forms of protest are more popular than in the past, that a partial institutionalization has occurred, and that traditionally disengaged individuals protest more compared to the past. However, the process of “normalization” of the political protester has yet to be completed, given that differences in the levels of engagement still exist among social groups.

  4. Airborne trace element pollution in 11 European cities assessed by exposure of standardised ryegrass cultures

    Science.gov (United States)

    Klumpp, Andreas; Ansel, Wolfgang; Klumpp, Gabriele; Breuer, Jörn; Vergne, Philippe; Sanz, María José; Rasmussen, Stine; Ro-Poulsen, Helge; Ribas Artola, Àngela; Peñuelas, Josep; He, Shang; Garrec, Jean Pierre; Calatayud, Vicent

    Within a European biomonitoring programme, Italian ryegrass ( Lolium multiflorum Lam.) was employed as accumulative bioindicator of airborne trace elements (As, Cd, Cr, Cu, Fe, Ni, Pb, Sb, V, Zn) in urban agglomerations. Applying a highly standardised method, grass cultures were exposed for consecutive periods of four weeks each to ambient air at up to 100 sites in 11 cities during 2000-2002. Results of the 2001 exposure experiments revealed a clear differentiation of trace element pollution within and among local monitoring networks. Pollution was influenced particularly by traffic emissions. Especially Sb, Pb, Cr, Fe, and Cu exhibited a very uneven distribution within the municipal areas with strong accumulation in plants from traffic-exposed sites in the city centres and close to major roads, and moderate to low levels in plants exposed at suburban or rural sites. Accumulation of Ni and V was influenced by other emission sources. The biomonitoring sites located in Spanish city centres featured a much higher pollution load by trace elements than those in other cities of the network, confirming previously reported findings obtained by chemical analyses of dust deposition and aerosols. At some heavily-trafficked sites, legal thresholds for Cu, Pb, and V contents in foodstuff and animal feed were reached or even surpassed. The study confirmed that the standardised grass exposure is a useful and reliable tool to monitor and to assess environmental levels of potentially toxic compounds of particulate matter.

  5. European Portuguese adaptation and validation of dilemmas used to assess moral decision-making.

    Science.gov (United States)

    Fernandes, Carina; Gonçalves, Ana Ribeiro; Pasion, Rita; Ferreira-Santos, Fernando; Paiva, Tiago Oliveira; Melo E Castro, Joana; Barbosa, Fernando; Martins, Isabel Pavão; Marques-Teixeira, João

    2018-03-01

    Objective To adapt and validate a widely used set of moral dilemmas to European Portuguese, which can be applied to assess decision-making. Moreover, the classical formulation of the dilemmas was compared with a more focused moral probe. Finally, a shorter version of the moral scenarios was tested. Methods The Portuguese version of the set of moral dilemmas was tested in 53 individuals from several regions of Portugal. In a second study, an alternative way of questioning on moral dilemmas was tested in 41 participants. Finally, the shorter version of the moral dilemmas was tested in 137 individuals. Results Results evidenced no significant differences between English and Portuguese versions. Also, asking whether actions are "morally acceptable" elicited less utilitarian responses than the original question, although without reaching statistical significance. Finally, all tested versions of moral dilemmas exhibited the same pattern of responses, suggesting that the fundamental elements to the moral decision-making were preserved. Conclusions We found evidence of cross-cultural validity for moral dilemmas. However, the moral focus might affect utilitarian/deontological judgments.

  6. European Portuguese adaptation and validation of dilemmas used to assess moral decision-making

    Directory of Open Access Journals (Sweden)

    Carina Fernandes

    2018-04-01

    Full Text Available Abstract Objective To adapt and validate a widely used set of moral dilemmas to European Portuguese, which can be applied to assess decision-making. Moreover, the classical formulation of the dilemmas was compared with a more focused moral probe. Finally, a shorter version of the moral scenarios was tested. Methods The Portuguese version of the set of moral dilemmas was tested in 53 individuals from several regions of Portugal. In a second study, an alternative way of questioning on moral dilemmas was tested in 41 participants. Finally, the shorter version of the moral dilemmas was tested in 137 individuals. Results Results evidenced no significant differences between English and Portuguese versions. Also, asking whether actions are “morally acceptable” elicited less utilitarian responses than the original question, although without reaching statistical significance. Finally, all tested versions of moral dilemmas exhibited the same pattern of responses, suggesting that the fundamental elements to the moral decision-making were preserved. Conclusions We found evidence of cross-cultural validity for moral dilemmas. However, the moral focus might affect utilitarian/deontological judgments.

  7. Participation of the Nuclear Regulatory Authority in the 'Third European Intercomparison Exercise on Internal Dose Assessment'

    International Nuclear Information System (INIS)

    Rojo, Ana Maria; Gomez Parada, Ines Maria

    2001-01-01

    This paper resume the participation of the Argentine Nuclear Regulatory Authority (ARN) in the 'Third European Intercomparison Exercise on Internal Dose Assessment'. It takes place during 5 months in 1998 and the final meeting was held in Weimar, Germany, on May 1999. This exercise involved the previous distribution of seven cases, simulated and real, describing possible incorporations of radioactive materials. There was a description of the event, data of retention or excretion measurements and air concentration data. The fifty participants belong to twenty three countries had do solve the cases and informed the results to the organizers, mainly the incorporation and effective dose was required. The objective was to review the methodology, the codes and the different assumptions used by the participants for discussing the consistent of the result. The results are shown through tables including the maximum and minimum values gave for the final report and the results informed by ARN. This exercise allowed to compare the methodology used by the ARN internal dosimetry group with other choose by several international groups to assure that the codes, assumptions and methodology were satisfactory to solve the different cases given by the organizers. (author)

  8. Teacher coaching supported by formative assessment for improving classroom practices.

    Science.gov (United States)

    Fabiano, Gregory A; Reddy, Linda A; Dudek, Christopher M

    2018-06-01

    The present study is a wait-list controlled, randomized study investigating a teacher coaching approach that emphasizes formative assessment and visual performance feedback to enhance elementary school teachers' classroom practices. The coaching model targeted instructional and behavioral management practices as measured by the Classroom Strategies Assessment System (CSAS) Observer and Teacher Forms. The sample included 89 general education teachers, stratified by grade level, and randomly assigned to 1 of 2 conditions: (a) immediate coaching, or (b) waitlist control. Results indicated that, relative to the waitlist control, teachers in immediate coaching demonstrated significantly greater improvements in observations of behavior management strategy use but not for observations of instructional strategy use. Observer- and teacher-completed ratings of behavioral management strategy use at postassessment were significantly improved by both raters; ratings of instructional strategy use were significantly improved for teacher but not observer ratings. A brief coaching intervention improved teachers' use of observed behavior management strategies and self-reported use of behavior management and instructional strategies. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

  9. Environmental assessment for sustainable development: process, actors and practice

    International Nuclear Information System (INIS)

    Andre, P.; Delisle, C.E.; Reveret, J.-P.

    2003-01-01

    Multiple environmental problems afflict our contemporary world and have been the subject of discussions during many international meetings. All declarations resulting from these meetings insist on including environmental problems and on environmental assessment (EA) as an important tool to achieve this. This book aims to reach three objectives. First, it introduces EA to people from different disciplines, and therefore it opens up the perspective of new disciplinary horizons. Second, the authors discuss EA as a socio-political process rather than emphasizing methodologies. Third, this book draws mainly on the experience in Francophone countries which is still poorly disseminated. This book focusses on process and actors. Thus, the subject matter is divided into five major parts: the history and major issues of EA from a sustainable development perspective (Chapters 1 to 3); the actors, i.e. the Project Proponent and consulting firms, the public, the decision maker and international actors (Chapters 4 to 7); methods and tools including public participation (Chapters 8 and 9); processes in practice through step by step processes in practice and case studies (Chapters 10 and 11); and, finally, recent and upcoming developments in EA, including elements of strategic environmental assessment (Chapters 12 and 13). An index facilitates searching for information. The reader is also invited to consult the book's website

  10. Nuclear cardiology practice and associated radiation doses in Europe: results of the IAEA Nuclear Cardiology Protocols Study (INCAPS) for the 27 European countries.

    Science.gov (United States)

    Lindner, Oliver; Pascual, Thomas N B; Mercuri, Mathew; Acampa, Wanda; Burchert, Wolfgang; Flotats, Albert; Kaufmann, Philipp A; Kitsiou, Anastasia; Knuuti, Juhani; Underwood, S Richard; Vitola, João V; Mahmarian, John J; Karthikeyan, Ganesan; Better, Nathan; Rehani, Madan M; Kashyap, Ravi; Dondi, Maurizio; Paez, Diana; Einstein, Andrew J

    2016-04-01

    Nuclear cardiology is widely used to diagnose coronary artery disease and to guide patient management, but data on current practices, radiation dose-related best practices, and radiation doses are scarce. To address these issues, the IAEA conducted a worldwide study of nuclear cardiology practice. We present the European subanalysis. In March 2013, the IAEA invited laboratories across the world to document all SPECT and PET studies performed in one week. The data included age, gender, weight, radiopharmaceuticals, injected activities, camera type, positioning, hardware and software. Radiation effective dose was calculated for each patient. A quality score was defined for each laboratory as the number followed of eight predefined best practices with a bearing on radiation exposure (range of quality score 0 - 8). The participating European countries were assigned to regions (North, East, South, and West). Comparisons were performed between the four European regions and between Europe and the rest-of-the-world (RoW). Data on 2,381 European patients undergoing nuclear cardiology procedures in 102 laboratories in 27 countries were collected. A cardiac SPECT study was performed in 97.9 % of the patients, and a PET study in 2.1 %. The average effective dose of SPECT was 8.0 ± 3.4 mSv (RoW 11.4 ± 4.3 mSv; P cardiology is lower and the average quality score is higher than in the RoW. There is regional variation in effective dose in relation to the best practice quality score. A possible reason for the differences between Europe and the RoW could be the safety culture fostered by actions under the Euratom directives and the implementation of diagnostic reference levels. Stress-only imaging and weight-adjusted activity might be targets for optimization of European nuclear cardiology practice.

  11. Practical consequences of the assessment of different energy health risks

    International Nuclear Information System (INIS)

    Hamilton, L.D.

    1984-01-01

    Public authorities must make decisions about energy, and the risks of alternative strategies need to be calculated including health and environmental costs. Information from various sources must be organized into a logical framework for comparing impacts. This must include the widest practicable range of health and environmental damage - public health impact of pollution, role of accidents, disease and hazardous materials in the workplace, and odds for catastrophes. It must put each part of the energy cycle into perspective - giving particular attention to uncertainties in knowledge - to convey what is known, what is uncertain, and the importance of each factor in the overall picture. This paper gives examples of the use of health-impact assessment by decision-makers: (1) comparative risk assessment of the health effects of coal and nuclear fuel cycles used in nuclear power plant siting and licensing hearings, and (2) health risks of acid deposition and other air-transported pollutants, carried out as part of an assessment for the U.S. Congress Office of Technology Assessment. (author)

  12. Practical implications of pre-employment nurse assessments.

    Science.gov (United States)

    Kuthy, James E; Ramon, Cheree; Gonzalez, Ronald; Biddle, Dan A

    2013-01-01

    Hiring nurses is a difficult task that can have serious repercussions for medical facilities. If nurses without proper skills are hired, patients can suffer from insufficient quality of care and potentially life-threatening conditions. Nurse applicants' technical knowledge is extremely important to avoid negative outcomes; however, there are soft skills that factor into their success, such as bedside manner, personality, communication, and decision making. In order for medical facilities to select and maintain high-performing nurse staff, hiring managers must incorporate evaluations for these types of skills in their hiring process. The current study focused on using content/criterion-related validation design to create assessments by which nurse applicants can be evaluated for both technical knowledge/skills and soft skills. The study included participation of more than 876 nursing staff members. To rank applicants on divergent skills, 3 assessment types were investigated, resulting in the creation of an assessment with 3 components. The clinical, situational, and behavioral components that were created measure applicants' job knowledge, interpersonal competency in medical facility-related situations, and aspects of personality and behavior, respectively. Results indicate that using the assessment can predict 45% of a nurse applicant's future job performance. Practical implications include hiring and maintaining a higher quality of nurses and decreased hiring costs.

  13. European network for Health Technology Assessment Joint Action (EUnetHTA JA): a process evaluation performed by questionnaires and documentary analysis.

    Science.gov (United States)

    Woodford Guegan, Eleanor; Cook, Andrew

    2014-06-01

    The European network for Health Technology Assessment Joint Action (EUnetHTA JA) project's overarching objective was to 'establish an effective and sustainable HTA [Health technology assessment] collaboration in Europe that brings added value at the regional, national and European level'. Specific objectives were to develop a strategy and business model for sustainable European collaboration on HTA, develop HTA tools and methods and promote good practice in HTA methods and processes. We describe activities performed on behalf of the National Institute for Health Research HTA programme; evaluating the project processes and developing a data set for a registry of planned clinical studies of relevance to public funders. Annual self-completion online questionnaires were sent to project participants and external stakeholders to identify their views about the project processes. Documentary review was undertaken at the project end on the final technical reports from the work packages to examine whether or not their deliverables had been achieved. The project's impact was assessed by whether or not the deliverables were produced, the objectives met and additional 'added value' generated. The project's effectiveness was evaluated by its processes, communication, administration, workings of individual work packages and involvement of external stakeholders. A two-stage Delphi exercise was undertaken to identify the data elements that should be included in a registry of planned clinical studies of relevance to public funders. The data set was validated by an efficacy testing exercise. High response rates were achieved for the questionnaires sent to project participants and this was attributed to the evidence-based strategy implemented. Response rates to questionnaires sent to external stakeholders were disappointingly lower. Most of the high-level objectives were achieved, although applying the developed tools in practice will be implemented in the European network for Health

  14. Health risk assessment and the practice of industrial hygiene.

    Science.gov (United States)

    Paustenbach, D J

    1990-07-01

    It has been claimed that there may be as many as 2000 airborne chemicals to which persons could be exposed in the workplace and in the community. Of these, occupational exposure limits have been set for approximately 700 chemicals, and only about 30 chemicals have limits for the ambient air. It is likely that some type of health risk assessment methodology will be used to establish limits for the remainder. Although these methods have been used for over 10 yr to set environmental limits, each step of the process (hazard identification, dose-response assessment, exposure assessment, and risk characterization) contains a number of traps into which scientists and risk managers can fall. For example, regulatory approaches to the hazard identification step have allowed little discrimination between the various animal carcinogens, even though these chemicals can vary greatly in their potency and mechanisms of action. In general, epidemiology data have been given little weight compared to the results of rodent bioassays. The dose-response extrapolation process, as generally practiced, often does not present the range of equally plausible values. Procedures which acknowledge and quantitatively account for some or all of the different classes of chemical carcinogens have not been widely adopted. For example, physiologically based pharmacokinetic (PB-PK) and biologically based models need to become a part of future risk assessments. The exposure evaluation portion of risk assessments can now be significantly more valid because of better dispersion models, validated exposure parameters, and the use of computers to account for complex environmental factors. Using these procedures, industrial hygienists are now able to quantitatively estimate the risks caused not only by the inhalation of chemicals but also those caused by dermal contact and incidental ingestion. The appropriate use of risk assessment methods should allow scientists and risk managers to set scientifically valid

  15. Selected Abstracts of the 2nd Congress of joint European Neonatal Societies (jENS 2017; Venice (Italy; October 31-November 4, 2017; Session "Perinatal Practices"

    Directory of Open Access Journals (Sweden)

    --- Various Authors

    2017-10-01

    Full Text Available Selected Abstracts of the 2nd Congress of joint European Neonatal Societies (jENS 2017; Venice (Italy; October 31-November 4, 201758th ESPR Annual Meeting, 7th International Congress of UENPS, 3rd International Congress of EFCNIORGANIZING INSTITUTIONSEuropean Society for Paediatric Research (ESPR, European Society for Neonatology (ESN, Union of European Neonatal & Perinatal Societies (UENPS, European Foundation for the Care of Newborn Infants (EFCNIORGANIZING COMMITTEELuc Zimmermann (President of ESPR, Morten Breindahl (President of ESN, Manuel Sánchez Luna (President of UENPS, Silke Mader (Chairwoman of the Executive Board and Co-Founder of EFCNISCIENTIFIC COMMITTEEVirgilio P. Carnielli (Congress President Chair, Pierre Gressens (Past Scientific President, Umberto Simeoni, Manon Benders, Neil Marlow, Ola D. Saugstad, Petra Hüppi, Agnes van den HoogenSession "Perinatal Practices"ABS 1. VACUUM EXTRACTION AND RISK OF NEONATAL COMPLICATIONS: A POPULATION-BASED COHORT STUDY • D. Rossetti, A.S. Laganà, G. Valenti, B. Chiofalo, S. Butticè, G. Sanpietro, A.M.C. Rapisarda, F. Sapia, M. Noventa, A. Vitagliano, S.G. VitaleABS 2. ELECTIVE CAESAREAN SECTION AND RES­PIRATORY MORBIDITIES IN TERM INFANTS • P. Mallya, S. GargABS 3. RISK FACTORS AND OUTCOME IN PRE­VIABLE PPROM AND CURRENT TREATMENT PRACTICE • A. van Gennip, E.E.M. Mulder, R.M. Brohet, J. van Eyck, R.A. van LingenABS 4. ASSESSMENT OF FUNCTIONAL STATUS IN PRETERM INFANTS: ONLINE SURVEY TO INFORM SCORING OF A CLINICIAN-REPORTED OUTCOMES (CLINRO TOOL • M. Turner, I. Hansen-Pupp, J. Higginson, R. Ward, M. Vanya, E. Flood, E. Schwartz, H. Doll, A. Tocoian, A. Mangili, N. Barton, S. SardaABS 5. INFANTS AND MATERNAL OUTCOME OF PREGNANCIES COMPLICATED BY H1N1 INFECTION NEEDING ECMO THERAPY: A UK ECMO CENTRE EXPERIENCE • N. Singh, J. Behrsin, F. Siddiqui, R. Porter, M. Charlton, A. Akuma, S. MittalABS 6. THE ASSOCIATION OF NEONATAL MORBIDITIES AND MORTALITY OF PRETERM INFANTS WITH

  16. The complexity of managing COPD exacerbations: a grounded theory study of European general practice

    Science.gov (United States)

    Risør, Mette Bech; Spigt, Mark; Iversen, R; Godycki-Cwirko, M; Francis, N; Altiner, A; Andreeva, E; Kung, K; Melbye, H

    2013-01-01

    Objectives To understand the concerns and challenges faced by general practitioners (GPs) and respiratory physicians about primary care management of acute exacerbations in patients with chronic obstructive pulmonary disease (COPD). Design 21 focus group discussions (FGDs) were performed in seven countries with a Grounded Theory approach. Each country performed three rounds of FGDs. Setting Primary and secondary care in Norway, Germany, Wales, Poland, Russia, The Netherlands, China (Hong Kong). Participants 142 GPs and respiratory physicians were chosen to include urban and rural GPs as well as hospital-based and out patient-clinic respiratory physicians. Results Management of acute COPD exacerbations is dealt with within a scope of concerns. These concerns range from ‘dealing with comorbidity’ through ‘having difficult patients’ to ‘confronting a hopeless disease’. The first concern displays medical uncertainty regarding diagnosis, medication and hospitalisation. These clinical processes become blurred by comorbidity and the social context of the patient. The second concern shows how patients receive the label ‘difficult’ exactly because they need complex attention, but even more because they are time consuming, do not take responsibility and are non-compliant. The third concern relates to the emotional reactions by the physicians when confronted with ‘a hopeless disease’ due to the fact that most of the patients do not improve and the treatment slows down the process at best. GPs and respiratory physicians balance these concerns with medical knowledge and practical, situational knowledge, trying to encompass the complexity of a medical condition. Conclusions Knowing the patient is essential when dealing with comorbidities as well as with difficult relations in the consultations on exacerbations. This study suggests that it is crucial to improve the collaboration between primary and secondary care, in terms of, for example, shared consultations

  17. Modular framework to assess the risk of African swine fever virus entry into the European Union.

    Science.gov (United States)

    Mur, Lina; Martínez-López, Beatriz; Costard, Solenne; de la Torre, Ana; Jones, Bryony A; Martínez, Marta; Sánchez-Vizcaíno, Fernando; Muñoz, María Jesús; Pfeiffer, Dirk U; Sánchez-Vizcaíno, José Manuel; Wieland, Barbara

    2014-07-03

    The recent occurrence and spread of African swine fever (ASF) in Eastern Europe is perceived as a serious risk for the pig industry in the European Union (EU). In order to estimate the potential risk of ASF virus (ASFV) entering the EU, several pathways of introduction were previously assessed separately. The present work aimed to integrate five of these assessments (legal imports of pigs, legal imports of products, illegal imports of products, fomites associated with transport and wild boar movements) into a modular tool that facilitates the visualization and comprehension of the relative risk of ASFV introduction into the EU by each analyzed pathway. The framework's results indicate that 48% of EU countries are at relatively high risk (risk score 4 or 5 out of 5) for ASFV entry for at least one analyzed pathway. Four of these countries obtained the maximum risk score for one pathway: Bulgaria for legally imported products during the high risk period (HRP); Finland for wild boar; Slovenia and Sweden for legally imported pigs during the HRP. Distribution of risk considerably differed from one pathway to another; for some pathways, the risk was concentrated in a few countries (e.g., transport fomites), whereas other pathways incurred a high risk for 4 or 5 countries (legal pigs, illegal imports and wild boar). The modular framework, developed to estimate the risk of ASFV entry into the EU, is available in a public domain, and is a transparent, easy-to-interpret tool that can be updated and adapted if required. The model's results determine the EU countries at higher risk for each ASFV introduction route, and provide a useful basis to develop a global coordinated program to improve ASFV prevention in the EU.

  18. Environmental assessment of microwaves and the effect of European energy efficiency and waste management legislation.

    Science.gov (United States)

    Gallego-Schmid, Alejandro; Mendoza, Joan Manuel F; Azapagic, Adisa

    2018-03-15

    More than 130 million microwaves are affected by European Union (EU) legislation which is aimed at reducing the consumption of electricity in the standby mode ('Standby Regulation') and at more sustainable management of end-of-life electrical and electronic waste ('WEEE Directive'). While legislation focuses on these two life cycle stages, there is little information on the environmental impacts of the entire life cycle of microwaves. To address this gap, this paper presents a comprehensive life cycle assessment of microwaves and assesses the environmental implications of the Standby Regulation and the WEEE Directive at the EU level. The impacts are first considered at the level of individual appliances and then at the EU level, with the aim of evaluating the potential environmental implications of the full implementation of the above two EU regulations by 2020. The effects of the electricity decarbonisation and the expected increase in the number of microwaves in use have also been considered. The results suggest that implementation of the EU regulation by 2020 will reduce the environmental impacts considered by 4%-9% compared to the current situation. The majority of these reductions is due to the Standby Regulation, with the contribution of the WEEE Directive being small (~0.3%). However, the expected decarbonisation of electricity will result in much higher reductions (6%-24%) for most impact categories. The results also show that the materials used to manufacture the microwaves, the manufacturing process and end-of-life disposal are environmental hot-spots for several impacts, including depletion of abiotic elements. Therefore, efforts to reduce the environmental impacts of a future electricity mix should be combined with the development of specific eco-design regulations for microwaves that stipulate optimisation of resource consumption. Possible future trends, such as shorter lifetimes and limited availability of some resources, make the development of such

  19. Virtual assessment of the endocranial morphology of the early modern European fossil calvaria from cioclovina, romania.

    Science.gov (United States)

    Kranioti, Elena F; Holloway, Ralph; Senck, Sascha; Ciprut, Tudor; Grigorescu, Dan; Harvati, Katerina

    2011-07-01

    Endocasts provide evidence on size and shape characteristics, blood supply trajectories, and neurological features of the brain, allowing comparative analyses of fossil hominins crucial to our understanding of human brain evolution. Here, we assess the morphological features of the virtual endocast of the Cioclovina Upper Paleolithic calvarium, one of the earliest reliably dated European modern human fossils. Our study was conducted on a computed tomography (CT) scan of the original specimen. The endocranial profile was approximated via a semiautomatic segmentation of the CT data. Virtual reconstructions of the endocast were used for assessing the morphological features of the endocranium and for the estimation of the endocranial volume. Cioclovina exhibits a clockwise torque with a small anterior extension of the left frontal lobe over the right one and a protrusion of the right occipital lobe over the left, most likely due to the superior sagittal sinus coursing over the occipital pole. There is an obvious right predominance of the posterior drainage system. Interestingly, the area of the frontal sinus is occupied by dense bony tissue with small air cells corresponding probably to a natural bony loss in the diploë and to vascular spaces. An estimated endocranial volume of 1498.53 cc was calculated. The convolutional details of the third inferior frontal gyrus (Broca's caps) are indistinguishable from those found in modern Homo sapiens, and the left occipital lobe appears wider than the right, a possible correlate of right-handedness. Our metric analysis of endocranial measurements also aligns Cioclovina with modern humans. Copyright © 2011 Wiley-Liss, Inc.

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

    International Nuclear Information System (INIS)

    Crutzen, S.; Hurst, R.; Debarberis, L.; Lemaitre, P.; Eriksen, B.

    1999-01-01

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

  1. Violence prevention in schools: Resilience promotion in the framework of a European practice research project

    Directory of Open Access Journals (Sweden)

    Katharina Rauh

    2014-12-01

    Full Text Available The following article presents the theoretical background, design and evaluation results of the international practice research project Strong implementing strategies of violence prevention in schools by means of resilience promotion. After presenting the results from the quantitative and qualitative results briefly, success factors for the implementation of a prevention strategy are highlighted. Este artigo apresenta o quadro teórico, a conceção e a avaliação dos resultados do projeto internacional Strong de investigação prática no que à implementação de estratégias de prevenção da violência nas escolas diz respeito através da promoção da resiliência. Após a apresentação breve dos resultados quantitativos e qualitativos, serão realçados os fatores de sucesso de uma estratégia de prevenção. En este artículo se presenta el marco teórico, el diseño y la evaluación de los resultados del proyecto internacional de investigación práctica Strong de la implementación de estrategias para prevenir la violencia en las escuelas mediante la promoción de la resiliencia. Después de la breve presentación de los resultados cuantitativos y cualitativos se destacarán los factores de éxito de una estrategia de prevención. Cet article présente le cadre théorique, la conception et l'évaluation des résultats du projet international de recherche pratique Strong dans la mise en œuvre de stratégies visant à prévenir la violence dans les écoles préoccupations en favorisant la résilience. Après la brève présentation des résultats quantitatifs et qualitatifs seront mis en évidence les facteurs de réussite d'une stratégie de prévention

  2. 76 FR 37119 - Development of Best Practices for Community Health Needs Assessment and Implementation Strategy...

    Science.gov (United States)

    2011-06-24

    ... Best Practices for Community Health Needs Assessment and Implementation Strategy; Public Forum AGENCY... processes relating to community health needs assessment (CHNA) and implementation strategy/plan development... practices in CHNA and implementation strategy development and execution for improved community health...

  3. Socioeconomic impact assessment in ex ante evaluations: a case study on the rural development programs of the European Union.

    Science.gov (United States)

    Vidueira, Pablo; Díaz-Puente, José M; Rivera, María

    2014-08-01

    Ex ante impact assessment has become a fundamental tool for effective program management, and thus, a compulsory task when establishing a new program in the European Union (EU). This article aims to analyze benefits from ex ante impact assessment, methodologies followed, and difficulties encountered. This is done through the case study on the rural development programs (RDPs) in the EU. Results regarding methodologies are then contrasted with the international context in order to provide solid insights to evaluators and program managing authorities facing ex ante impact assessment. All European RDPs from the period 2007 through 2013 (a total of 88) and their corresponding available ex ante evaluations (a total of 70) were analyzed focusing on the socioeconomic impact assessment. Only 46.6% of the regions provide quantified impact estimations on socioeconomic impacts in spite of it being a compulsory task demanded by the European Commission (EC). Recommended methods by the EC are mostly used, but there is a lack of mixed method approaches since qualitative methods are used in substitution of quantitative ones. Two main difficulties argued were the complexity of program impacts and the lack of needed program information. Qualitative approaches on their own have been found as not suitable for ex ante impact assessment, while quantitative approaches-such as microsimulation models-provide a good approximation to actual impacts. However, time and budgetary constraints make that quantitative and mixed methods should be mainly applied on the most relevant impacts for the program success. © The Author(s) 2014.

  4. Protection goals in environmental risk assessment: a practical approach.

    Science.gov (United States)

    Garcia-Alonso, Monica; Raybould, Alan

    2014-12-01

    Policy protection goals are set up in most countries to minimise harm to the environment, humans and animals caused by human activities. Decisions on whether to approve new agricultural products, like pesticides or genetically modified (GM) crops, take into account these policy protection goals. To support decision-making, applications for approval of commercial uses of GM crops usually comprise an environmental risk assessment (ERA). These risk assessments are analytical tools, based on science, that follow a conceptual model that includes a problem formulation step where policy protection goals are considered. However, in most countries, risk assessors face major problems in that policy protection goals set in the legislation are stated in very broad terms and are too ambiguous to be directly applicable in ERAs. This means that risk assessors often have to interpret policy protection goals without clear guidance on what effects would be considered harmful. In this paper we propose a practical approach that may help risk assessors to translate policy protection goals into unambiguous (i.e., operational) protection goals and to establish relevant assessment endpoints and risk hypotheses that can be used in ERAs. Examples are provided to show how this approach can be applied to two areas of environmental concern relevant to the ERAs of GM crops.

  5. Occupational exposure assessment: Practices in Malaysian nuclear agency

    Science.gov (United States)

    Sarowi, S. Muhd; Ramli, S. A.; Kontol, K. Mohamad; Rahman, N. A. H. Abd.

    2016-01-01

    Malaysian Nuclear Agency (Nuclear Malaysia) is the leading agency in introducing and promoting the application of nuclear science technology in Malaysia. The agency provides major nuclear facilities purposely for research and commercialisation such as reactor, irradiation plants and radioisotope production laboratory. When dealing with ionizing radiation, there is an obligatory requirement to monitor and assess the radiation exposure to the workers. The personal dose of radiation workers were monitored monthly by assessing their Thermoluminescence Dosimeter (TLD) dose reading. This paper will discuss the current practice in managing, assessing, record keeping and reporting of the occupational exposure in Nuclear Malaysia including the Health Physic Group roles and challenges. The statistics on occupational radiation exposure of monitored workers working in different fields in Nuclear Malaysia from 2011 - 2013 will also be presented. The results show that the null hypothesis (H₀) was accepted which the means of every populations are all equal or not differ significantly. This hypothesis states that the dose exposure received by the radiation workers in Nuclear Malaysia is similar and there were no significant changes from 2011 to 2013. The radiation monitoring programme correlate with the requirement of our national law, the Atomic Energy Licensing Act 1984 (Act 304).

  6. Occupational exposure assessment: Practices in Malaysian nuclear agency

    Energy Technology Data Exchange (ETDEWEB)

    Sarowi, S. Muhd, E-mail: suzie@nuclearmalaysia.gov.my; Ramli, S. A.; Kontol, K. Mohamad [Radiation Safety & Health Division, Malaysian Nuclear Agency, 43000 Kajang, Selangor (Malaysia); Rahman, N. A. H. Abd. [Faculty of Science & Mathematics, Sultan Idris of Education Universit, 35900, Tanjong Malim, Perak Darul Ridzuan (Malaysia)

    2016-01-22

    Malaysian Nuclear Agency (Nuclear Malaysia) is the leading agency in introducing and promoting the application of nuclear science technology in Malaysia. The agency provides major nuclear facilities purposely for research and commercialisation such as reactor, irradiation plants and radioisotope production laboratory. When dealing with ionizing radiation, there is an obligatory requirement to monitor and assess the radiation exposure to the workers. The personal dose of radiation workers were monitored monthly by assessing their Thermoluminescence Dosimeter (TLD) dose reading. This paper will discuss the current practice in managing, assessing, record keeping and reporting of the occupational exposure in Nuclear Malaysia including the Health Physic Group roles and challenges. The statistics on occupational radiation exposure of monitored workers working in different fields in Nuclear Malaysia from 2011 - 2013 will also be presented. The results show that the null hypothesis (H{sub 0}) was accepted which the means of every populations are all equal or not differ significantly. This hypothesis states that the dose exposure received by the radiation workers in Nuclear Malaysia is similar and there were no significant changes from 2011 to 2013. The radiation monitoring programme correlate with the requirement of our national law, the Atomic Energy Licensing Act 1984 (Act 304)

  7. Occupational exposure assessment: Practices in Malaysian nuclear agency

    International Nuclear Information System (INIS)

    Sarowi, S. Muhd; Ramli, S. A.; Kontol, K. Mohamad; Rahman, N. A. H. Abd.

    2016-01-01

    Malaysian Nuclear Agency (Nuclear Malaysia) is the leading agency in introducing and promoting the application of nuclear science technology in Malaysia. The agency provides major nuclear facilities purposely for research and commercialisation such as reactor, irradiation plants and radioisotope production laboratory. When dealing with ionizing radiation, there is an obligatory requirement to monitor and assess the radiation exposure to the workers. The personal dose of radiation workers were monitored monthly by assessing their Thermoluminescence Dosimeter (TLD) dose reading. This paper will discuss the current practice in managing, assessing, record keeping and reporting of the occupational exposure in Nuclear Malaysia including the Health Physic Group roles and challenges. The statistics on occupational radiation exposure of monitored workers working in different fields in Nuclear Malaysia from 2011 - 2013 will also be presented. The results show that the null hypothesis (H 0 ) was accepted which the means of every populations are all equal or not differ significantly. This hypothesis states that the dose exposure received by the radiation workers in Nuclear Malaysia is similar and there were no significant changes from 2011 to 2013. The radiation monitoring programme correlate with the requirement of our national law, the Atomic Energy Licensing Act 1984 (Act 304)

  8. European drought under climate change and an assessment of the uncertainties in projections

    Science.gov (United States)

    Yu, R. M. S.; Osborn, T.; Conway, D.; Warren, R.; Hankin, R.

    2012-04-01

    Extreme weather/climate events have significant environmental and societal impacts, and anthropogenic climate change has and will continue to alter their characteristics (IPCC, 2011). Drought is one of the most damaging natural hazards through its effects on agricultural, hydrological, ecological and socio-economic systems. Climate change is stimulating demand, from public and private sector decision-makers and also other stakeholders, for better understanding of potential future drought patterns which could facilitate disaster risk management. There remain considerable levels of uncertainty in climate change projections, particularly in relation to extreme events. Our incomplete understanding of the behaviour of the climate system has led to the development of various emission scenarios, carbon cycle models and global climate models (GCMs). Uncertainties arise also from the different types and definitions of drought. This study examines climate change-induced changes in European drought characteristics, and illustrates the robustness of these projections by quantifying the effects of using different emission scenarios, carbon cycle models and GCMs. This is achieved by using the multi-institutional modular "Community Integrated Assessment System (CIAS)" (Warren et al., 2008), a flexible integrated assessment system for modelling climate change. Simulations generated by the simple climate model MAGICC6.0 are assessed. These include ten C4MIP carbon cycle models and eighteen CMIP3 GCMs under five IPCC SRES emission scenarios, four Representative Concentration Pathway (RCP) scenarios, and three mitigation scenarios with CO2-equivalent levels stabilising at 550 ppm, 500 ppm and 450 ppm. Using an ensemble of 2160 future precipitation scenarios, we present an analysis on both short (3-month) and long (12-month) meteorological droughts based on the Standardised Precipitation Index (SPI) for the baseline period (1951-2000) and two future periods of 2001-2050 and 2051

  9. Impact assessment of radionuclides released to environment from the European Spallation Source

    Energy Technology Data Exchange (ETDEWEB)

    Nielsen, S.; Andersson, K. [Technical University of Denmark (Denmark); Ene, D. [European Spallation Soure AB - ESS, Lund (Sweden)

    2014-07-01

    The European Spallation Source (ESS) is a large science and technology infrastructure project currently under construction in Lund, Sweden, with operation planned by 2019. The facility design and construction includes a linear proton accelerator, a heavy-metal target station, neutron instruments, laboratories, and a data management and software development centre. During operation the ESS will produce a wide range of radionuclides via spallation and activation processes. Radiological assessments are needed to ensure that operational discharges and releases from potential incidents/accidents are within acceptable limits. The spectrum of radionuclides produced at ESS is quite different from that produced in nuclear power plants and assessment work has therefore been challenged by lack of information on less well-known radionuclides. Traditional assessment methodologies have been applied focusing on releases to air and public sewer systems and calculating radiation doses to representative persons living in and near Lund close to the ESS site. Exposure pathways considered include external radiation from radionuclides in air, external radiation from radionuclides deposited on ground and skin, inhalation of radionuclides and ingestion of locally produced contaminated food. Atmospheric dispersion has been simulated with the Gaussian plume model which is considered adequate within a few kilometres. Effects of release height have been investigated and site specific values of other parameters such as wind speed, wind direction, rain fall etc. have been used. Contamination of food has been calculated from the (ECOSYS) food dose model used in the RODOS and ARGOS decision support systems. The food dose model does not contain specific data for a number of ESS relevant radionuclides, e.g. {sup 7}Be, {sup 32}P and {sup 35}S. The data required include mobility of these isotopes, soil-to-plant concentration ratios and equilibrium transfer factors of daily intake by ingestion of meat

  10. Allergens in law - European legislation assessed against the preferences of food allergic consumers

    NARCIS (Netherlands)

    Hendriks, M.J.; Frewer, L.J.; Meulen, van der B.M.J.

    2011-01-01

    This article reviews current European legislation concerning allergens and their labelling, in particular in relation to the need to optimise consumer protection and improve the quality of life of food allergic consumers. Adequate communication concerning the presence of (potentially) allergenic

  11. European project SARGEN IV: safety approach and assessment of GEN IV reactors

    International Nuclear Information System (INIS)

    Ammirabile, L.

    2013-01-01

    • SARGEN I V has elaborated a proposal for the harmonization of safety assessment practices for GEN IV NPP. • An overall reinforcement of DiD is expected for GEN I V NPP, including improved independence between all levels of DiD. • An inherent approach should reinforce the fulfillment of fundamental safety functions e.g. the consequences for some situations should be reduced and the grace periods should be extended. For the same reason, the use of passive systems can be envisaged. • The need of complementary and integrated deterministic and probabilistic approaches is reiterated. • Methodologies: Some of them are not yet applied. • Assessment of hazards would be a challenging aspect of next generation of NPP safety assessment and should be improved, which is confirmed by the first insights of Fukushima Daiichi TEPCO reactors accidents. • Provisions to cope with extreme events notably to improve the grace period before cliff-edge effects and thus allowing back-up measures to be implemented have to be defined and should be considered as hardened equipments

  12. Principles for the risk assessment of genetically modified microorganisms and their food products in the European Union.

    Science.gov (United States)

    Aguilera, Jaime; Gomes, Ana R; Olaru, Irina

    2013-10-01

    Genetically modified microorganisms (GMMs) are involved in the production of a variety of food and feed. The release and consumption of these products can raise questions about health and environmental safety. Therefore, the European Union has different legislative instruments in place in order to ensure the safety of such products. A key requirement is to conduct a scientific risk assessment as a prerequisite for the product to be placed on the market. This risk assessment is performed by the European Food Safety Authority (EFSA), through its Scientific Panels. The EFSA Panel on Genetically Modified Organisms has published complete and comprehensive guidance for the risk assessment of GMMs and their products for food and/or feed use, in which the strategy and the criteria to conduct the assessment are explained, as well as the scientific data to be provided in applications for regulated products. This Guidance follows the main risk assessment principles developed by various international organisations (Codex Alimentarius, 2003; OECD, 2010). The assessment considers two aspects: the characterisation of the GMM and the possible effects of its modification with respect to safety, and the safety of the product itself. Due to the existing diversity of GMMs and their products, a categorisation is recommended to optimise the assessment and to determine the extent of the required data. The assessment starts with a comprehensive characterisation of the GMM, covering the recipient/parental organism, the donor(s) of the genetic material, the genetic modification, and the final GMM and its phenotype. Evaluation of the composition, potential toxicity and/or allergenicity, nutritional value and environmental impact of the product constitute further cornerstones of the process. The outcome of the assessment is reflected in a scientific opinion which indicates whether the product raises any safety issues. This opinion is taken into account by the different European regulatory

  13. Public Values and Stakeholder Involvement - A new framework for Performance Assessment? The European Project RISCOM-II. Work Package 1

    Energy Technology Data Exchange (ETDEWEB)

    Andersson, Kjell [Karinta-Konsult, Taeby (Sweden); Chataignier, Stephane [Electricite de France (France); Drottz-Sjoeberg, Britt-Marie [BMD Research (Sweden)] [and others

    2002-11-01

    RISCOM-II is a project within the fifth framework programme of the European Commission. It is based on a widely recognised need for more transparent decision processes in nuclear waste management. The objective of the RISCOM-II project is to share the knowledge of the context of radioactive waste management in various European countries and to see to what extent it is possible to apply more widely the RISCOM Model in order to improve the acceptability of radioactive waste management. Thus, the project aims to promote the development of processes involving transparency, as well as means involving greater participation of the public. Key topics studied in the RISCOM-II Project are issues in risk assessment to better understand how factual elements relate to value-laden issues and how stakeholder concerns can be addressed, as well as organizational issues affecting transparency in Europe. A range of public participation processes are analysed, some will be selected for testing and hearings are evaluated with respect to transparency. There are five participating countries: Sweden, the United Kingdom, Finland, the Czech Republic, and France, which are represented by various organizations: safety or radiation protection authorities, operators involved in nuclear wastes and the production of nuclear power, research institutes or organizations, and consultants. Work Package No 1(WP-1), Public values and performance assessment, emphasises the importance of value-laden issues involved in nuclear waste management. The expert dominance in the field has so far tended to avoid values or deal with them in seemingly factual frameworks. The objectives of (WP-1) are thus: 1. to identify value-laden issues raised by performance assessment, trying to understand how factual and technical elements relate to value-laden issues 2. to find value judgements of stakeholders, and explore if and how they could be addressed in performance assessment 3. to initiate open debate about risk and

  14. Public Values and Stakeholder Involvement - A new framework for Performance Assessment? The European Project RISCOM-II. Work Package 1

    International Nuclear Information System (INIS)

    Andersson, Kjell; Chataignier, Stephane; Drottz-Sjoeberg, Britt-Marie

    2002-11-01

    RISCOM-II is a project within the fifth framework programme of the European Commission. It is based on a widely recognised need for more transparent decision processes in nuclear waste management. The objective of the RISCOM-II project is to share the knowledge of the context of radioactive waste management in various European countries and to see to what extent it is possible to apply more widely the RISCOM Model in order to improve the acceptability of radioactive waste management. Thus, the project aims to promote the development of processes involving transparency, as well as means involving greater participation of the public. Key topics studied in the RISCOM-II Project are issues in risk assessment to better understand how factual elements relate to value-laden issues and how stakeholder concerns can be addressed, as well as organizational issues affecting transparency in Europe. A range of public participation processes are analysed, some will be selected for testing and hearings are evaluated with respect to transparency. There are five participating countries: Sweden, the United Kingdom, Finland, the Czech Republic, and France, which are represented by various organizations: safety or radiation protection authorities, operators involved in nuclear wastes and the production of nuclear power, research institutes or organizations, and consultants. Work Package No 1(WP-1), Public values and performance assessment, emphasises the importance of value-laden issues involved in nuclear waste management. The expert dominance in the field has so far tended to avoid values or deal with them in seemingly factual frameworks. The objectives of (WP-1) are thus: 1. to identify value-laden issues raised by performance assessment, trying to understand how factual and technical elements relate to value-laden issues 2. to find value judgements of stakeholders, and explore if and how they could be addressed in performance assessment 3. to initiate open debate about risk and

  15. WWER 440/213 NPP containment from the point of view of IAEA requirements and current European practice

    International Nuclear Information System (INIS)

    Sabata, M.

    2000-01-01

    In principle, in a NPP three barriers are used to prevent the release of radioactive substances into the environment: the fuel cladding, the primary circuit boundary, and the containment. The presentation deals with the third barrier - the containment, and explains the philosophy of maximum design accident management in the containment of WWER-440/213 NPPs. This type of containment is shown to be an original and fully functional technical solution. Due to the use of the large reserve of the H 3 BO 3 solution and to the active spray systems, an underpressure can be quickly established, thus minimizing any impact of the accident on the environment. The capability of the bubble condenser system for a maximum design accident has been proven by analyses and by tests performed within the framework of PHARE PH 2.13/95: the condenser system can reduce the pressure in the containment in an effective way. The majority of questions arising so far have been answered and the concern resulting from insufficient verification of the system with regard to western standards has been refuted. The WWER-440/213 is fully consistent with IAEA requirements and with current European practice. (A.K.)

  16. Needs assessment for business strategies of anesthesiology groups' practices.

    Science.gov (United States)

    Scurlock, Corey; Dexter, Franklin; Reich, David L; Galati, Maria

    2011-07-01

    Progress has been made in understanding strategic decision making influencing anesthesia groups' operating room business practices. However, there has been little analysis of the remaining gaps in our knowledge. We performed a needs assessment to identify unsolved problems in anesthesia business strategy based on Porter's Five Forces Analysis. The methodology was a narrative literature review. We found little previous investigation for 2 of the 5 forces (threat of new entrants and bargaining power of suppliers), modest understanding for 1 force (threat of substitute products or services), and substantial understanding for 2 forces (bargaining power of customers and jockeying for position among current competitors). Additional research in strategic decisions influencing anesthesia groups should focus on the threat of new entrants, bargaining power of suppliers, and the threat of substitute products or services.

  17. Mass Casualty Chemical Incident Operational Framework, Assessment and Best Practices

    Energy Technology Data Exchange (ETDEWEB)

    Greenwalt, R. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Hibbard, W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2016-08-09

    Emergency response agencies in most US communities are organized, sized, and equipped to manage those emergencies normally expected. Hospitals in particular do not typically have significant excess capacity to handle massive numbers of casualties, as hospital space is an expensive luxury if not needed. Unfortunately this means that in the event of a mass casualty chemical incident the emergency response system will be overwhelmed. This document provides a self-assessment means for emergency managers to examine their response system and identify shortfalls. It also includes lessons from a detailed analysis of five communities: Baltimore, Boise, Houston, Nassau County, and New Orleans. These lessons provide a list of potential critical decisions to allow for pre-planning and a library of best practices that may be helpful in reducing casualties in the event of an incident.

  18. Governance in Strategic Environmental Assessment: Lessons from the Portuguese practice

    International Nuclear Information System (INIS)

    Monteiro, Margarida B.; Partidário, Maria Rosário

    2017-01-01

    The analysis of governance in Strategic Environmental Assessment (SEA) can help understand why, whether and how strategic decision-making happens. Understanding the governance context is strategic to improve the role and capacity of SEA to stimulate, and legitimate decisions that integrate environmental issues and are sustainability driven. The objective of this paper is to discuss why governance is important in SEA. In the SEA literature governance is mostly addressed in silos (i.e. public participation or decisions transparency or accountability) rather than in an integrated way. In addition few authors adopt a strategic view to address the governance context within which SEA is used. In this paper we address the heuristics of governance in SEA based on theoretical and empirical evidence, suggesting how SEA may incorporate the governance dimension. First a review of the SEA literature in relation to governance sets the context to the analysis on how governance is approached in practice, based on 60 Portuguese SEA cases. This is followed by the presentation of an empirical SEA case conducted in Portugal to illustrate what, in our understanding, can be an example of good practice in considering governance in SEA. Final discussion reflects on the role of governance in SEA in promoting engagement, enabling collaborative action, learning processes and dialogues, concluding on the relevance of governance in creating development contexts that can deal with change.

  19. Multidimensional severity assessment in bronchiectasis: an analysis of seven European cohorts.

    Science.gov (United States)

    McDonnell, M J; Aliberti, S; Goeminne, P C; Dimakou, K; Zucchetti, S C; Davidson, J; Ward, C; Laffey, J G; Finch, S; Pesci, A; Dupont, L J; Fardon, T C; Skrbic, D; Obradovic, D; Cowman, S; Loebinger, M R; Rutherford, R M; De Soyza, A; Chalmers, J D

    2016-12-01

    Bronchiectasis is a multidimensional disease associated with substantial morbidity and mortality. Two disease-specific clinical prediction tools have been developed, the Bronchiectasis Severity Index (BSI) and the FACED score, both of which stratify patients into severity risk categories to predict the probability of mortality. We aimed to compare the predictive utility of BSI and FACED in assessing clinically relevant disease outcomes across seven European cohorts independent of their original validation studies. The combined cohorts totalled 1612. Pooled analysis showed that both scores had a good discriminatory predictive value for mortality (pooled area under the curve (AUC) 0.76, 95% CI 0.74 to 0.78 for both scores) with the BSI demonstrating a higher sensitivity (65% vs 28%) but lower specificity (70% vs 93%) compared with the FACED score. Calibration analysis suggested that the BSI performed consistently well across all cohorts, while FACED consistently overestimated mortality in 'severe' patients (pooled OR 0.33 (0.23 to 0.48), p<0.0001). The BSI accurately predicted hospitalisations (pooled AUC 0.82, 95% CI 0.78 to 0.84), exacerbations, quality of life (QoL) and respiratory symptoms across all risk categories. FACED had poor discrimination for hospital admissions (pooled AUC 0.65, 95% CI 0.63 to 0.67) with low sensitivity at 16% and did not consistently predict future risk of exacerbations, QoL or respiratory symptoms. No association was observed with FACED and 6 min walk distance (6MWD) or lung function decline. The BSI accurately predicts mortality, hospital admissions, exacerbations, QoL, respiratory symptoms, 6MWD and lung function decline in bronchiectasis, providing a clinically relevant evaluation of disease severity. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  20. The European Survey on Adverse Systemic Reactions in Allergen Immunotherapy (EASSI): A paediatric assessment.

    Science.gov (United States)

    Rodríguez Del Río, Pablo; Vidal, Carmen; Just, Jocelyne; Tabar, Ana I; Sanchez-Machin, Inmaculada; Eberle, Peter; Borja, Jesus; Bubel, Petra; Pfaar, Oliver; Demoly, Pascal; Calderón, Moises A

    2017-02-01

    Safety data on 'real-life' allergen immunotherapy (AIT) in children and adolescents is usually extrapolated from studies in adults. Patients aged 18 or under initiating aeroallergen AIT were evaluated in a prospective European survey. Patient profiles and systemic reactions (SRs) were recorded. Descriptive, univariate and multivariate analyses were used to identify risk factors for SRs. A total of 1563 patients (mean ± SD age: 11.7 ± 3.9 years; rhinitis: 93.7%; asthma: 61.5%; polysensitization: 62.5%) and 1578 courses of AIT were assessed. Single-allergen AIT was administered in 89.5% of cases (n = 1412; mites: 49%; grass pollen: 25.8%; tree pollen: 8.7%; Alternaria: 4.6%; dander: 0.8%; weed pollen: 0.6%). Subcutaneous AIT (SCIT) was used in 71.4% (n = 1127) of the treatments, including 574 (50.9%) with natural extracts. Sublingual AIT (SLIT) was used for the remaining 451 treatments (drops: 73.8%; tablets: 26.2%). The mean ± SD follow-up period was 12.9 ± 3.3 months. The estimated total number of doses was 19,669 for SCIT and 131,550 for SLIT. Twenty-four patients (1.53%) experienced 29 SRs. Respiratory (55.7%) and skin symptoms (37.9%) were most frequent. Anaphylaxis was diagnosed in 3 SRs (10.3%), and adrenaline was administered in 2 of these cases. In a univariate analysis, the risk of SRs was lower in mite-sensitized patients and higher in cases of pollen polysensitization (>3), grass pollen extracts and the use of natural extracts (vs. allergoids). In a real-life paediatric setting, AIT is safe. SRs are infrequent and generally not severe. Pollen polysensitization, grass pollen extracts and natural extracts (vs. allergoids) were risk factors for AIT-associated SRs. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. Assessing the strength and effectiveness of renewable electricity feed-in tariffs in European Union countries

    International Nuclear Information System (INIS)

    Jenner, Steffen; Groba, Felix; Indvik, Joe

    2013-01-01

    In the last two decades, feed-in tariffs (FIT) have emerged as one of the most popular policies for supporting renewable electricity (RES-E) generation. A few studies have assessed the effectiveness of RES-E policies, but most ignore policy design features and market characteristics (e.g. electricity price and production cost) that influence policy strength. We employ 1992–2008 panel data to conduct the first econometric analysis of the effectiveness of FIT policies in promoting solar photovoltaic (PV) and onshore wind power development in 26 European Union countries. We develop a new indicator for FIT strength that captures variability in tariff size, contract duration, digression rate, and electricity price and production cost to estimate the resulting return on investment. We regress this indicator on added RES-E capacity using a fixed effects specification and find that FIT policies have driven solar PV development in the EU. However, this effect is overstated without controlling for country characteristics and is concealed without accounting for policy design. We do not find robust evidence that FIT policies have driven wind power development. Overall, we show that the interaction of policy design, electricity price, and electricity production cost is a more important determinant of RES-E development than policy enactment alone. - Highlights: ► This is the first econometric study of feed-in tariff (FIT) efficacy in Europe. ► We test the impact of FIT's on photovoltaic (PV) and wind power from 1992 to 2008. ► We calculate country- and year-specific return on investment provided by each FIT. ► FIT policies increased PV installations by ∼0.5% per ROI percentage point. ► Policy design, market traits, and ROI are more important factors than policy alone.

  2. Microbial biodiversity assessment of the European Space Agency's ExoMars 2016 mission.

    Science.gov (United States)

    Koskinen, Kaisa; Rettberg, Petra; Pukall, Rüdiger; Auerbach, Anna; Wink, Lisa; Barczyk, Simon; Perras, Alexandra; Mahnert, Alexander; Margheritis, Diana; Kminek, Gerhard; Moissl-Eichinger, Christine

    2017-10-25

    The ExoMars 2016 mission, consisting of the Trace Gas Orbiter and the Schiaparelli lander, was launched on March 14 2016 from Baikonur, Kazakhstan and reached its destination in October 2016. The Schiaparelli lander was subject to strict requirements for microbial cleanliness according to the obligatory planetary protection policy. To reach the required cleanliness, the ExoMars 2016 flight hardware was assembled in a newly built, biocontrolled cleanroom complex at Thales Alenia Space in Turin, Italy. In this study, we performed microbiological surveys of the cleanroom facilities and the spacecraft hardware before and during the assembly, integration and testing (AIT) activities. Besides the European Space Agency (ESA) standard bioburden assay, that served as a proxy for the microbiological contamination in general, we performed various alternative cultivation assays and utilised molecular techniques, including quantitative PCR and next generation sequencing, to assess the absolute and relative abundance and broadest diversity of microorganisms and their signatures in the cleanroom and on the spacecraft hardware. Our results show that the bioburden, detected microbial contamination and microbial diversity decreased continuously after the cleanroom was decontaminated with more effective cleaning agents and during the ongoing AIT. The studied cleanrooms and change room were occupied by very distinct microbial communities: Overall, the change room harboured a higher number and diversity of microorganisms, including Propionibacterium, which was found to be significantly increased in the change room. In particular, the so called alternative cultivation assays proved important in detecting a broader cultivable diversity than covered by the standard bioburden assay and thus completed the picture on the cleanroom microbiota. During the whole project, the bioburden stayed at acceptable level and did not raise any concern for the ExoMars 2016 mission. The cleanroom complex at

  3. Qualified Presumption of Safety (QPS) is a generic risk assessment approach applied by the European Food Safety Authority (EFSA)

    DEFF Research Database (Denmark)

    Leuschner, R. G. K.; Robinson, T. P.; Hugas, M.

    2010-01-01

    Qualified Presumption of Safety (QPS) is a generic risk assessment approach applied by the European Food Safety Authority (EFSA) to notified biological agents aiming at simplifying risk assessments across different scientific Panels and Units. The aim of this review is to outline the implementation...... and value of the QPS assessment for EFSA and to explain its principles such as the unambiguous identity of a taxonomic unit, the body of knowledge including potential safety concerns and how these considerations lead to a list of biological agents recommended for QPS which EFSA keeps updated through...

  4. The european flood alert system EFAS – Part 2: Statistical skill assessment of probabilistic and deterministic operational forecasts

    Directory of Open Access Journals (Sweden)

    J. C. Bartholmes

    2009-02-01

    Full Text Available Since 2005 the European Flood Alert System (EFAS has been producing probabilistic hydrological forecasts in pre-operational mode at the Joint Research Centre (JRC of the European Commission. EFAS aims at increasing preparedness for floods in trans-national European river basins by providing medium-range deterministic and probabilistic flood forecasting information, from 3 to 10 days in advance, to national hydro-meteorological services.

    This paper is Part 2 of a study presenting the development and skill assessment of EFAS. In Part 1, the scientific approach adopted in the development of the system has been presented, as well as its basic principles and forecast products. In the present article, two years of existing operational EFAS forecasts are statistically assessed and the skill of EFAS forecasts is analysed with several skill scores. The analysis is based on the comparison of threshold exceedances between proxy-observed and forecasted discharges. Skill is assessed both with and without taking into account the persistence of the forecasted signal during consecutive forecasts.

    Skill assessment approaches are mostly adopted from meteorology and the analysis also compares probabilistic and deterministic aspects of EFAS. Furthermore, the utility of different skill scores is discussed and their strengths and shortcomings illustrated. The analysis shows the benefit of incorporating past forecasts in the probability analysis, for medium-range forecasts, which effectively increases the skill of the forecasts.

  5. Energy: actions for the public. Good european practices; Energie: actions vers le grand public. Bonnes pratiques europeennes

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-04-01

    Many actions and programs are implemented in european towns relative to the energy control and the environmental quality in urban areas. They are often different in function of political, environmental, historical or cultural factors. The knowledge and the dissemination of these european experiences appear as an asset for the french energy policy. In this framework, the actions of the people awareness are fundamental. This document presents the subject approach and the obtained results for eight experiences of european towns. (A.L.B.)

  6. Fast-PPP assessment in European and equatorial region near the solar cycle maximum

    Science.gov (United States)

    Rovira-Garcia, Adria; Juan, José Miguel; Sanz, Jaume

    2014-05-01

    The Fast Precise Point Positioning (Fast-PPP) is a technique to provide quick high-accuracy navigation with ambiguity fixing capability, thanks to an accurate modelling of the ionosphere. Indeed, once the availability of real-time precise satellite orbits and clocks is granted to users, the next challenge is the accuracy of real-time ionospheric corrections. Several steps had been taken by gAGE/UPC to develop such global system for precise navigation. First Wide-Area Real-Time Kinematics (WARTK) feasibility studies enabled precise relative continental navigation using a few tens of reference stations. Later multi-frequency and multi-constellation assessments in different ionospheric scenarios, including maximum solar-cycle conditions, were focussed on user-domain performance. Recently, a mature evolution of the technique consists on a dual service scheme; a global Precise Point Positioning (PPP) service, together with a continental enhancement to shorten convergence. A end to end performance assessment of the Fast-PPP technique is presented in this work, focussed in Europe and in the equatorial region of South East Asia (SEA), both near the solar cycle maximum. The accuracy of the Central Processing Facility (CPF) real-time precise satellite orbits and clocks is respectively, 4 centimetres and 0.2 nanoseconds, in line with the accuracy of the International GNSS Service (IGS) analysis centres. This global PPP service is enhanced by the Fast-PPP by adding the capability of global undifferenced ambiguity fixing thanks to the fractional part of the ambiguities determination. The core of the Fast-PPP is the capability to compute real-time ionospheric determinations with accuracies at the level or better than 1 Total Electron Content Unit (TECU), improving the widely-accepted Global Ionospheric Maps (GIM), with declared accuracies of 2-8 TECU. This large improvement in the modelling accuracy is achieved thanks to a two-layer description of the ionosphere combined with

  7. Assessing Clinical Microbiology Practice Guidelines: American Society for Microbiology Ad Hoc Committee on Evidence-Based Laboratory Medicine Practice Guidelines Assessment.

    Science.gov (United States)

    Nachamkin, Irving; Kirn, Thomas J; Westblade, Lars F; Humphries, Romney

    2017-11-01

    As part of the American Society for Microbiology (ASM) Evidence-Based Laboratory Medicine Practice Guidelines Committee of the Professional Practice Committee, an ad hoc committee was formed in 2014 to assess guidelines published by the committee using an assessment tool, Appraisal of Guidelines for Research Evaluation II (AGREE II). The AGREE II assessment helps reviewers determine whether published guidelines are robust, transparent, and clear in presenting practice recommendations in a standardized manner. Identifying strengths and weaknesses of practice guidelines by ad hoc assessments helps with improving future guidelines through the participation of key stakeholders. This minireview describes the development of the ad hoc committee and results from their review of several ASM best practices guidelines and a non-ASM practice guideline from the Emergency Nurses Association. Copyright © 2017 American Society for Microbiology.

  8. Assessment of the waste electrical and electronic equipment management systems profile and sustainability in developed and developing European Union countries.

    Science.gov (United States)

    Ibanescu, Dumitrita; Cailean Gavrilescu, Daniela; Teodosiu, Carmen; Fiore, Silvia

    2018-03-01

    The assessment of waste management systems for electrical and electronic equipment (WEEE) from developed economies (Germany, Sweden and Italy) and developing countries (Romania and Bulgaria), is discussed covering the period 2007-2014. The WEEE management systems profiles are depicted by indicators correlated to WEEE life cycle stages: collection, transportation and treatment. The sustainability of national WEEE management systems in terms of greenhouse gas emissions is presented, together with the greenhouse gas efficiency indicator that underlines the efficiency of WEEE treatment options. In the countries comparisons, the key elements are: robust versus fragile economies, the overall waste management performance and the existence/development of suitable management practices on WEEE. Over the life cycle perspective, developed economies (Germany, Sweden and Italy) manage one order of magnitude higher quantities of WEEE compared to developing countries (Romania and Bulgaria). Although prevention and reduction measures are encouraged, all WEEE quantities were larger in 2013, than in 2007. In 2007-2014, developed economies exceed the annual European collection target of 4 kg WEEE/capita, while collection is still difficult in developing countries. If collection rates are estimated in relationship with products placed on market, than similar values are registered in Sweden and Bulgaria, followed by Germany and Italy and lastly Romania. WEEE transportation shows different patterns among countries, with Italy as the greatest exporter (in 2014), while Sweden treats the WEEE nationally. WEEE reuse is a common practice in Germany, Sweden (from 2009) and Bulgaria (from 2011). By 2014, recycling was the most preferred WEEE treatment option, with the same kind of rates performance, over 80%, irrespective of the country, with efforts in each of the countries in developing special collection points, recycling facilities and support instruments. The national total and the

  9. Walking the sustainability assessment talk — Progressing the practice of environmental impact assessment (EIA)

    International Nuclear Information System (INIS)

    Morrison-Saunders, Angus; Retief, Francois

    2012-01-01

    Internationally there is a growing demand for environmental impact assessment (EIA) to move away from its traditional focus towards delivering more sustainable outcomes. South Africa is an example of a country where the EIA system seems to have embraced the concept of sustainability. In this paper we test the existing objectives for EIA in South Africa against sustainability principles and then critique the effectiveness of EIA practice in delivering these objectives. The outcome of the research suggests that notwithstanding a strong and explicit sustainability mandate through policy and legislation, the effectiveness of EIA practice falls far short of what is mandated. This shows that further legislative reform is not required to improve effectiveness but rather a focus on changing the behaviour of individual professionals. We conclude by inviting further debate on what exactly practitioners can do to give effect to sustainability in EIA practice.

  10. Walking the sustainability assessment talk - Progressing the practice of environmental impact assessment (EIA)

    Energy Technology Data Exchange (ETDEWEB)

    Morrison-Saunders, Angus, E-mail: a.morrison-saunders@murdoch.edu.au [School of Environmental Sciences and Development, North West University (South Africa); School of Environmental Science, Murdoch University (Australia); Retief, Francois [School of Environmental Sciences and Development, North West University (South Africa)

    2012-09-15

    Internationally there is a growing demand for environmental impact assessment (EIA) to move away from its traditional focus towards delivering more sustainable outcomes. South Africa is an example of a country where the EIA system seems to have embraced the concept of sustainability. In this paper we test the existing objectives for EIA in South Africa against sustainability principles and then critique the effectiveness of EIA practice in delivering these objectives. The outcome of the research suggests that notwithstanding a strong and explicit sustainability mandate through policy and legislation, the effectiveness of EIA practice falls far short of what is mandated. This shows that further legislative reform is not required to improve effectiveness but rather a focus on changing the behaviour of individual professionals. We conclude by inviting further debate on what exactly practitioners can do to give effect to sustainability in EIA practice.

  11. From Assessment Cocktail to Assessment Symphony: The Development of Best Assessment Practices

    Directory of Open Access Journals (Sweden)

    Hanan M. Al-Kadri

    2015-12-01

    Despite the proven positive effects of formative compared to summative assessment on students׳ learning, most examinations in medical schools are still summative. Even assessment that is meant to be formative, is often used for summative decision making. The question therefore is: Are we reversing back to the psychometric era?

  12. Assessment of Electrical Safety Beliefs and Practices: A Case Study

    Directory of Open Access Journals (Sweden)

    S. Boubaker

    2017-12-01

    Full Text Available In this paper, the electrical safety beliefs and practices in Hail region, Saudi Arabia, have been assessed. Based on legislative recommendations and rules applied in Saudi Arabia, on official statistics regarding the electricity-caused accidents and on the analysis of more than 200 photos captured in Hail (related to electrical safety, a questionnaire composed of 36 questions (10 for the respondents information, 16 for the home safety culture and 10 for the electrical devices purchasing culture has been devised and distributed to residents. 228 responses have been collected and analyzed. Using a scale similar to the one adopted for a university student GPA calculation, the electrical safety level (ESL in Hail region has been found to be 0.76 (in a scale of 4 points which is a very low score and indicates a poor electrical safety culture. Several recommendations involving different competent authorities have been proposed. Future work will concern the assessment of safety in industrial companies in Hail region.

  13. Use of darbepoetin alfa in European clinical practice for the management of chemotherapy-induced anaemia in four tumour types: final data from the CHOICE study.

    Science.gov (United States)

    Aerts, J G; Swieboda-Sadlej, A; Karanikiotis, C; Labourey, J-L; Galid, A; Wheeler, T; Pujol, B; Van Belle, S

    2012-07-01

    The CHOICE study was a prospective, multicentre, observational study designed to assess levels of adherence in current clinical practice to the European product label and EORTC guidelines for the treatment of chemotherapy-induced anaemia (CIA) with darbepoetin alfa (DA). Here we present data split by tumour types: breast, colorectal, ovarian and lung. Haemoglobin (Hb) levels and red blood cell transfusion requirements were evaluated among patients with solid tumours in 11 European countries. The primary outcome measure was the proportion of patients with a target Hb level of ≥10-≤12 g/dL. The full analysis set included 1887 patients (mean ± SD 62.4 ± 11.4 years); 1585 (84%) had a current disease stage of ≥3. Common chemotherapy regimens were non-platinum + non-taxane based (n = 696 [37%]) or platinum + non-taxane based (n = 660 [35%]). Breast cancer (n = 575): The mean ± SD Hb level at baseline was 9.9 ± 0.8 g/dL (n = 568). Target Hb level was reached by 187 (55%) patients. Colorectal cancer (n = 310): At baseline the mean ± SD Hb level was 9.8 ± 0.8 g/dL (n = 306). Target Hb level was reached by 107 patients (56%). Ovarian cancer (n = 301): The mean ± SD Hb level at baseline was 9.7 ± 0.8 g/dL (n = 294). Target Hb level was reached by 81 patients (44%). Lung cancer (n = 701): At baseline the mean ± SD Hb level was 9.8 ± 0.9 g/dL (n = 692). Target Hb level was reached by 142 patients (39%). Five severe or life-threatening adverse drug reactions were seen (three patients with breast cancer, one patient with colorectal cancer and one patient with ovarian cancer). Potential bias could not be excluded due to the study's observational nature. This study demonstrates that the recommendations are adhered to in clinical practice, with the mean starting Hb level type. Furthermore, DA is likely to be effective and well tolerated for the treatment of CIA in

  14. European practices of providing of efficiency of self-organizations institutions of population in the context of public services

    Directory of Open Access Journals (Sweden)

    T. V. Serohina

    2017-06-01

    level of financing carried out by persons with appropriate competence and qualifications. The example of Portugal discloses the status of self-organization institutions as public benefit organizations, which provides them of advantages, particularly in competition with private sector organizations. However, in the light of practical implementation of the principle of subsidiarity and other elements of decentralization is appropriate to introduce European experience in the domestic soil in the context of attracting self-organization institutions in the scope of public services delivery. The results of the study formulated the main components of a mechanism to ensure effectiveness of the self-organizations institutions in the provision of public services: subsidies of statutory activities; delegation of services; regulatory support; recognition of the status of self-organization institutions as public benefit organizations; limitation of agreements terms.

  15. Diagnostic and management practices for phenylketonuria in 19 countries of the South and Eastern European Region: survey results.

    Science.gov (United States)

    Giżewska, Maria; MacDonald, Anita; Bélanger-Quintana, Amaya; Burlina, Alberto; Cleary, Maureen; Coşkun, Turgay; Feillet, François; Muntau, Ania C; Trefz, Friedrich K; van Spronsen, Francjan J; Blau, Nenad

    2016-02-01

    To avoid potentially severe outcomes, phenylketonuria (PKU) must be detected as soon as possible after birth and managed with life-long treatment. A questionnaire-based survey was performed to document diagnosis and management practices for PKU in a region of Southern and Eastern Europe. Prevalence and management data were obtained from 37/59 (63 %) centres within 19/22 (86%) contacted countries (N = 8600 patients). The main results' analysis was based on completed questionnaires obtained from 31 centres (53%) within 15 countries (68%). A median of 10 % of patients per centre had been diagnosed after the newborn period. Metabolic dieticians and specialised adult PKU clinics were lacking in 36 and 84% of centres, respectively. In 26% of centres, treatment initiation was delayed until >15 days of life. Blood phenylalanine (Phe) thresholds to start treatment and upper Phe targets were inconsistent across centres. Ten percent of centres reported monitoring Phe every 2 weeks for pregnant women with PKU, which is insufficient to minimise risk of neonatal sequalae. Sapropterin dihydrochloride treatment was available in 48% of centres, with 24-h responsiveness tests most common (36%). Only o