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The article discuses the methodological considerations for clinical guidelines developers in addressing particular physical therapy-related issues when developing guidelines for physical therapy diagnosis and treatment. It cites the Appraisal of Guidelines, Research and Evaluation (AGREE) instrument for assessing the quality of clinical practice guidelines. It proposes a collaboration for the production of international evidence statements for physical therapist practice based on the growth of knowledge in the field.

Achterberg and colleagues conclude there is in train a significant change toward deprivatization in Europe. In the late 1990s Christians were more pro public religion in countries where they were least numerous and in the Netherlands in particular there had been an increasing difference in attitudes between believers and nonbelievers over 25 years. Examining more recent survey data on British attitudes (1998 and 2008), we find a firm consensus among the nonreligious against religion having a high public profile, while Christians are more likely to object to antireligion sentiment and people belonging to non-Christian religions are more likely to support public religion. Nonreligious people appear to be no more hostile now than in the late 1990s, and where there has been a decrease in sympathy for public religion it is among religious groups. [ABSTRACT FROM AUTHOR]

Background: Immunodeficiency in ataxia telangiectasia (A-T) is less severe in patients expressing some mutant or normal ATM kinase activity. We, therefore, determined whether expression of residual ATM kinase activity also protected against tumour development in A-T.Methods: From a total of 296 consecutive genetically confirmed A-T patients from the British Isles and the Netherlands, we identified 66 patients who developed a malignant tumour; 47 lymphoid tumours and 19 non-lymphoid tumours were diagnosed. We determined their ATM mutations, and whether cells from these patients expressed any ATM with residual ATM kinase activity.Results: In childhood, total absence of ATM kinase activity was associated, almost exclusively, with development of lymphoid tumours. There was an overwhelming preponderance of tumours in patients <16 years without kinase activity compared with those with some residual activity, consistent with a substantial protective effect of residual ATM kinase activity against tumour development in childhood. In addition, the presence of eight breast cancers in A-T patients, a 30-fold increased risk, establishes breast cancer as part of the A-T phenotype.Conclusion: Overall, a spectrum of tumour types is associated with A-T, consistent with involvement of ATM in different mechanisms of tumour formation. Tumour type was influenced by ATM allelic heterogeneity, residual ATM kinase activity and age. [ABSTRACT FROM AUTHOR]

The article presents information on the suborbital space flights with reference to national as well as international law. It discusses the legal implications regarding the commercial suborbital flights and also distinguishes between suborbital flights and space rockets. Information on the air and space law regimes signed by the five countries namely Australia, Great Britain, the Netherlands, Sweden and the U.S. is also presented.

We test whether temporal change in species richness (ΔS [%]) is scale-dependent, using data on hoverflies from the UK and the Netherlands. We analysed ΔS between pre-1980 and post-1980 periods using 5 grid resolutions (10×10, 20×20, 40×40, 80×80 and 160×160 km). We also tested the effect of data quality and of unequal survey periods on ΔS estimates, and checked for spatial autocorrelation of ΔS estimates. Using data from equal survey periods, we found significant increases in hoverfly species richness in the Netherlands at fine scales, but no significant change at coarser scales indicating a decrease in beta diversity. In the UK, ΔS was negative at fine scale, near zero at intermediate scales, and positive at coarse scales, indicating that the degree of spatial beta diversity increased between the time periods. The use of unequal survey periods (using longer periods in the past to compensate for lower survey intensity) tended to inflate past species richness, biasing ΔS estimates downwards. High data quality thresholds sometimes obscured dynamics by reducing sample size, but never reversed trends. There was little spatial autocorrelation of ΔS, implying that local drivers (land use change or environmental noise) are important in dynamics of hoverfly diversity. A second, sample agglomeration approach to measure scaling resulted in greater noise in ΔS, obscuring the NL pattern, while still showing strong evidence of fine-scale richness loss in the UK. Our results indicate that explicit considerations of spatial (and temporal) scale are essential in studies documenting past biodiversity change, or projecting change into the future. [ABSTRACT FROM AUTHOR]

Rationale: Khat consumption has increased during the last decades in Eastern Africa and has become a global phenomenon spreading to ethnic communities in the rest of the world, such as The Netherlands, United Kingdom, Canada, and the United States. Very little is known, however, about the relation between khat use and cognitive control functions in khat users. Objective: We studied whether khat use is associated with changes in working memory (WM) and cognitive flexibility, two central cognitive control functions. Methods: Khat users and khat-free controls were matched in terms of sex, ethnicity, age, alcohol and cannabis consumption, and IQ (Raven's progressive matrices). Groups were tested on cognitive flexibility, as measured by a Global- Local task, and on WM using an N-back task. Result: Khat users performed significantly worse than controls on tasks tapping into cognitive flexibility as well as monitoring of information in WM. Conclusions: The present findings suggest that khat use impairs both cognitive flexibility and the updating of information in WM. The inability to monitor information in WM and to adjust behavior rapidly and flexibly may have repercussions for daily life activities. [ABSTRACT FROM AUTHOR]

In most studies of early modern north-western Europe, England is regarded as the successor of the Netherlands in terms of economic leadership. Whereas related topics like institutional and technological change or changes in trade and capital flows have been incorporated into the research on the comparison of these two rival states, labour migration is usually omitted. This article aims to fill this lacuna by focusing on labour migration to the two core regions of the Netherlands and England: the Randstad and London. Two main research questions are raised in this article. First of all, in what way did the two cores and their hinterlands differ with regard to their demographic, economic, and spatial structures, and how did this contribute to different trends in labour migration over time? Secondly, what was the effect of the configuration of the demand and supply factors of London and the Randstad for their economies and for those who lived in them? By trying to answer these two questions this article aims not only to shed light on a hitherto largely unexplored topic in the comparative geographic, economic, and demographic history of the two countries, but also to contribute to the understanding of migration as a factor in the promotion of economic growth. [ABSTRACT FROM AUTHOR]

The article examines the ways in which Great Britain, France, and The Netherlands attempted to bolster their economic development and stability during the period of post-World War II reconstruction by increasing the power of their respective empires on an international level. The author refers to this as a period of new imperialism, focusing upon Great Britain’s empire in Africa, The Netherlands’ empire in the Dutch East Indies (Indonesia), and the empire known as the French Union. A correlation between overseas economic development and a dollar shortage following World War II is discussed.

Registration or recognition systems for best-practice health promotion interventions may contribute to better quality assurance and control in health promotion practice. In the Netherlands, such a system has been developed and is being implemented aiming to provide policy makers and professionals with more information on the quality and effectiveness of available health promotion interventions and to promote use of good-practice and evidence-based interventions by health promotion organizations. The quality assessments are supervised by the Netherlands Organization for Public Health and the Environment and the Netherlands Youth Institute and conducted by two committees, one for interventions aimed at youth and one for adults. These committees consist of experts in the fields of research, policy and practice. Four levels of recognition are distinguished inspired by the UK Medical Research Council's evaluation framework for complex interventions to improve health: (i) theoretically sound, (ii) probable effectiveness, (iii) established effectiveness, and (iv) established cost effectiveness. Specific criteria have been set for each level of recognition, except for Level 4 which will be included from 2011. This point of view article describes and discusses the rationale, organization and criteria of this Dutch recognition system and the first experiences with the system. [ABSTRACT FROM PUBLISHER]

The three Anglo-Dutch wars of the seventeenth century are traditionally seen as mercantile confrontations. This view has been challenged by political historians. Firstly, this article discusses the historiographic developments in this field. Secondly, it aims to explore the relationship between Anglo-Dutch mercantile competition and political and diplomatic relations in the period 1650 to 1674. It favours an integrated approach in which all these dimensions are taken into account. The article argues that the 1667 Peace Treaty of Breda was a major turning point in Anglo-Dutch relations after which mercantilism ceased to dominate Anglo-Dutch political relations. [ABSTRACT FROM AUTHOR]

Pension systems are one of the fundamental pillars of the welfare state. The ageing of the population caused by longer life expectancy and low birth rates has led to a crisis in the public pension system in developed countries. Changes for the system's sustainability are necessary, and the scientific literature on the subject is abundant, especially in recent years. This article aims to carry out a bibliometric analysis of the research carried out to date, highlighting, in turn, future lines of research. The study was carried out on a total of 1287 articles published from 1936 to 2021 and found in the Scopus database. The SciMAT, VOSviewer, and Datawrapper tools were used to analyse the most important articles, authors, countries, and institutions by volume of production and citations, as well as the relationships between them. Likewise, the most important keywords and their evolution over time were highlighted, obtaining the main focus of the research. In addition to the general analysis, a specific study was carried out in the area of Mathematics. The results show that the leading countries are the United Kingdom, the USA, and the Netherlands. On the other hand, the lead subject area in which these articles have been published is Economics, Econometrics, and Finance. The research trends are sustainability, pension reform related to ageing, and pension insurance. [ABSTRACT FROM AUTHOR]

Co-operation between researchers in the global North and South is critical to the production of new knowledge to inform development policies. However, the agenda-setting process is a formidable obstacle in many development research partnerships. The first section of this article examines how bilateral donor strategies affect collaborative agenda-setting processes. The second section explores researchers' motivations for entering into North-South partnerships; the obstacles that Southern researchers encounter in agenda-setting processes; and the strategies that they employ to ensure that research partnerships respond to their concerns. This analysis suggests that while strong Southern research organisations are best placed to maximise the benefits of collaboration, donors and researchers alike are well advised to recognise the limitations of this approach and use it prudently, because North-South partnerships are not necessarily the best way to advance research agendas rooted in Southern priorities. [ABSTRACT FROM AUTHOR]

The central question in this study is whether the power of the media agenda over the political agenda has recently increased. The agenda-building dynamics are established using cross-country time-series data on four issues, covering fifteen and eight years respectively of British and Dutch parliamentary debates and newspaper articles. Structural equation models show that the parliamentary agenda is more influenced by the media agenda than the other way around, and that the power balance has shifted even more in favour of the media. It is additionally found that media power is especially associated with issues within the European domain. This study contributes empirically to the 'mediatization' debate in a EU context, which is largely limited to the realm of theoretical speculation. [ABSTRACT FROM AUTHOR]

In this article we investigate whether early retirement patterns vary between countries with distinct early retirement systems. By choosing countries that differ not only with respect to the coverage and generosity of publicly provided pensions but also with respect to the extent to which the state interferes in the non-public pillars of pension provision, we analyse to what extent such issues have an effect on individual early retirement behaviour. Selectivity effects are expected to be stronger in countries with highly fragmented public systems or private early retirement schemes. By pursuing a shift to more private pension provisions, governments might unintentionally create more inequality in early retirement opportunities among the population. For the analysis we use longitudinal data, i.e. British Household Panel Study (BHPS) 1991-2004 (the United Kingdom), the German Socio-Economic Panel (GSOEP) 1990-2005 (Germany, and the Socia-Economics Panel (SEP) 1990-2001 (Netherlands) and a discrete-time competing-risks model. The results suggest that pursuing a shift from public to private early retirement schemes can lower the incidence of early retirement. Yet, at the same time, early retirement can get more selective in that only the higher paid are able to afford it. [ABSTRACT FROM AUTHOR]

Background: To promote early diagnosis and treatment of short stature, consensus meetings were held in the mid nineteen nineties in the Netherlands and the UK. This resulted in guidelines for referral. In this study we evaluate the referral pattern of short stature in primary health care using these guidelines, comparing it with cut-off values mentioned by the WHO. Methods: Three sets of referral rules were tested on the growth data of a random sample (n = 400) of all children born between 01-01-1985 and 31-12-1988, attending school doctors between 1998 and 2000 in Leiden and Alphen aan den Rijn (the Netherlands): the screening criteria mentioned in the Dutch Consensus Guideline (DCG), those of the UK Consensus Guideline (UKCG) and the cut-off values mentioned in the WHO Global Database on Child growth and Malnutrition. Results: Application of the DCG would lead to the referral of too many children (almost 80%). The largest part of the referrals is due to the deflection of height, followed by distance to target height and takes primarily place during the first 3 years. The deflection away from the parental height would also lead to too many referrals. In contrast, the UKCG only leads to 0.3% referrals and the WHO-criteria to approximately 10%. Conclusion: The current Dutch consensus guideline leads to too many referrals, mainly due to the deflection of length during the first 3 years of life. The UKCG leads to far less referrals, but may be relatively insensitive to detect clinically relevant growth disorders like Turner syndrome. New guidelines for growth monitoring are needed, which combine a low percentage of false positive results with a good sensitivity. [ABSTRACT FROM AUTHOR]

1 Plant species differ in their capacity to influence soil organic matter, soil nutrient availability and the composition of soil microbial communities. Their influences on soil properties result in net positive or negative feedback effects, which influence plant performance and plant community composition. 2 For two grassland systems, one on a sandy soil in the Netherlands and one on a chalk soil in the United Kingdom, we investigated how individual plant species grown in monocultures changed abiotic and biotic soil conditions. Then, we determined feedback effects of these soils to plants of the same or different species. Feedback effects were analysed at the level of plant species and plant taxonomic groups (grasses vs. forbs). 3 In the sandy soils, plant species differed in their effects on soil chemical properties, in particular potassium levels, but PLFA (phospholipid fatty acid) signatures of the soil microbial community did not differ between plant species. The effects of soil chemical properties were even greater when grasses and forbs were compared, especially because potassium levels were lower in grass monocultures. 4 In the chalk soil, there were no effects of plant species on soil chemical properties, but PLFA profiles differed significantly between soils from different monocultures. PLFA profiles differed between species, rather than between grasses and forbs. 5 In the feedback experiment, all plant species in sandy soils grew less vigorously in soils conditioned by grasses than in soils conditioned by forbs. These effects correlated significantly with soil chemical properties. None of the seven plant species showed significant differences between performance in soil conditioned by the same vs. other plant species. 6 In the chalk soil, Sanguisorba minor and in particular Briza media performed best in soil collected from conspecifics, while Bromus erectus performed best in soil from heterospecifics. There was no distinctive pattern between soils collected from forb and grass monocultures, and plant performance could not be related to soil chemical properties or PLFA signatures. 7 Our study shows that mechanisms of plant–soil feedback can depend on plant species, plant taxonomic (or functional) groups and site-specific differences in abiotic and biotic soil properties. Understanding how plant species can influence their rhizosphere, and how other plant species respond to these changes, will greatly enhance our understanding of the functioning and stability of ecosystems. [ABSTRACT FROM AUTHOR]

This study assesses whether civic association activity has declined in four Western democracies: Canada, the Netherlands, the United Kingdom, and the United States. Influential accounts of decreasing civic engagement in the United States lead to the expectation of similar patterns in the other three nations. The authors test this hypothesis using data from time-use surveys of adult national samples for the mid-1960s to the late 1990s. One major finding is a clear decline in association activity in the United States, especially after 1975, but relative stability in the other three countries. Equally important are further results indicating that the American decline pertains only to women. Findings are sustained even after controlling for social background characteristics and four other activities (television watching, paid work, childcare, and physical activity). The analysis casts doubt on the theory that declining civic association activity in the United States reflects generational differences. Possible explanations for the reduced activity among American women, including lower levels of state support, are considered. [ABSTRACT FROM AUTHOR]

Set against the backdrop of counter-trafficking initiatives at international level, this article draws on the findings of a comparative study that investigated (through semi-structured interviews with officials and interest groups) the merits and demerits of domestic level responses in the United Kingdom, Australia, Holland, Sweden and Italy. In a context in which trafficking in women for sexual purposes can be understood through the lens of numerous frameworks (human rights, criminality, prostitution policy, immigration, social exclusion, etc.), this article examines the extent to which these different agendas have influenced the construction and operation of the respective domestic regimes. More specifically, it illustrates the extent to which the ambiguities inherent in the United Nation's most recent Anti-Trafficking Protocol permit scope for the incorporation and/or perpetuation of discretion at domestic level. Highlighting the underlying tensions between competing immigration, human rights, policing and social services imperatives, the differential resolution of which leads to the divergence in domestic response, this article situates this complex engagement in the broader context of debates about globalization, exploitation and prostitution. [ABSTRACT FROM AUTHOR]

The requirements of research become more complex and demanding in international collaborations. The opportunity to study naturally occurring variation in treatment prompted networking primary care research networks in the United Kingdom, The Netherlands, and North America to study acute otitis media. Additional challenges faced and addressed in this study included (1) differing national requirements for protecting human subjects; (2) variation in data collection processes in primary care practices; (3) data transmission among participants; (4) duties and tariffs on necessary instruments; (5) fluctuation in currency exchange rates; (6) incapacitation of coinvestigators; (7) complex administration of funds; (8) financing the additional, legitimate costs of collaboration; (9) sustaining strong personal relationships among coinvestigators; and (10) accepting longer time frames than would otherwise be expected. Overall, international practice-based research can be productive, affect millions of people, and be extremely rewarding to investigators. It is not, however, for the faint-hearted. [ABSTRACT FROM AUTHOR]

A key issue in international management is the extent to which management practices are converging in response to the pressures of globalisation, and the ready availability to managers in all parts of the world of the same concepts of what constitutes best practice in the different management disciplines. In some instances convergence may be encouraged by Government action. This is the case with the introduction into The Netherlands of the Investors in People (IiP) scheme that originated in the UK IiP is a benchmark award, given to organisation that can demonstrate that they meet a set of criteria that relate to employee management and the commitment of resources to training. This article is a review of the introduction of IiP in The Netherlands, with the aim of seeing what insights are provided in relation to the cross-cultural transfer of employment relations practice. Two case studies are used to explore the issues from the perspective of organisation working towards the standard in the two countries. It is concluded that the IiP standard can be transferred to another country, but that modifications have to be made to aspects of its organisation to take account of national differences. The implications of the transfer are discussed in relation to the convergence debate. [ABSTRACT FROM AUTHOR]

Theories of democratic government traditionally have relied on a model of organization in which officials act impartially, accept clear lines of accountability and supervision, and define their day-to-day activities through rules, procedures, and confined discretion. In the past 10 years, however, a serious challenge to this ideal has been mounted by critics and reformers who favor market, network, or "mixed-economy" models. We assess the extent to which these new models have influenced the work orientations of frontline staff using three alternative service types—corporate, market, and network—to that proposed by the traditional, procedural model of public bureaucracy. Using surveys of frontline officials in four countries where the revolution in ideas has been accompanied by a revolution in methods for organizing government services, we measure the degree to which the new models are operating as service-delivery norms. A new corporate-market hybrid (called "enterprise governance") and a new network type have become significant models for the organization of frontline work in public programs. [ABSTRACT FROM AUTHOR]

Background: Even though the annual incidence rate of measles has dramatically decreased in industrialised countries since the implementation of universal immunisation programmes, cases continue to occur in countries where endemic measles transmission has been interrupted and in countries where adequate levels of immunisation coverage have not been maintained. The objective of this study is to develop a model to estimate the average cost per measles case and per adverse event following measles immunisation using the Netherlands (NL), the United Kingdom (UK) and Canada as examples. Methods: Parameter estimates were based on a review of the published literature. A decision tree was built to represent the complications associated with measles cases and adverse events following imminisation. Monte-Carlo Simulation techniques were used to account for uncertainty. Results: From the perspective of society, we estimated the average cost per measles case to be US$276, US$307 and US$254 for the NL, the UK and Canada, respectively, and the average cost of adverse events following immunisation per vaccinee to be US$1.43, US$1.93 and US$1.51 for the NL, UK and Canada, respectively. Conclusions: These average cost estimates could be combined with incidence estimates and costs of immunisation programmes to provide estimates of the cost of measles to industrialised countries. Such estimates could be used as a basis to estimate the potential economic gains of global measles eradication. [ABSTRACT FROM AUTHOR]

Ever since the increase at the beginning of the 1980s unemployment in the European Union has remained high. Now, at the end of the 1990s, it is slowly declining but still averages about 10% of the working population. This poor performance is not shared by every European country, however. In particular, much has been made of the relatively good performance of the Netherlands and Great Britain. It is asked whether the Netherlands and Great Britain really have had such an outstanding labour market performance and if so, why is this the case and what lessons can be drawn for other countries. The strategy is to use recent international comparisons to identify the potential determinants of labour market performance and to investigate in detail to what extent these determinants play a role in the specific labour markets of the Netherlands and Great Britain. In the early 1980s standardized unemployment rates in the Netherlands and Great Britain were well above the European Union (EU) average. By the late 1980s unemployment in both countries had fallen to the EU average and was well below.

This interview attempts to articulate what it might mean to speak for "Padagogik" in an era where new trends in education run the risk of marginalizing "Padagogik" as an independent academic discipline. This trend can be found in several European countries and is judged by Herner Saeverot and Gert Biesta to be a development that is cause for concern. (Contains 2 notes.)

The article reports on the euthanasia and palliative care in Netherlands and Great Britain. A type of traditional care practice in Great Britain that is new in Netherlands. Though illegal, this medical ethics in Netherlands is widely accepted. An overview of people's experiences who request for euthanasia but cared for in a Dutch hospice are offered.

The theme of this special issue is timely as the world becomes increasingly flat and globally connected (Friedman, 2007). By focusing on an international perspective in problem-based learning (PBL), it puts culture squarely in the center, whether it is a national or disciplinary culture. The articles in this special issue represent Thailand, South Africa, the Netherlands, the United Kingdom, and the United States. They represent disciplines that include engineering, business, hotel administration, social studies, and sport and exercise physiology. Student populations range from secondary school to postgraduate. It is clear from this collection that PBL serves diverse student populations who have differing needs. Some of the articles discuss the challenges that learners face, in particular, learning to do PBL, whether a result of prior knowledge, language, or experiences in schooling. A consistent theme throughout the special issue is that there are different models of PBL adapted to their local contexts and cultures. Together, this set of papers demonstrates that PBL is being used in a wide range of disciplines by an international PBL community. The two big themes that jump out of this special issue are the need to adapt to local contexts, whether that is cultural or disciplinary contexts (e.g., Hallinger and Lu, this issue; Henry et al., this issue; Summers & Dickinson, this issue). Some of these adaptations have included lectures-so this begs the question as to whether these are appropriately placed just-in-time information resources or whether they are undermining some of the goals of PBL as in the Henry et al. study-creating what Brown and Campione (1996) have called "lethal mutations." Further research is needed to understand the tradeoffs in different adaptations of PBL to understand which ones are pragmatically useful and productive, which ones may pit one goal against another (e.g., sacrificing self-directed learning goals as a tradeoff for more efficiency in content coverage), and which ones no longer seem to be PBL. In some sense, these can be helpful in identifying a hard boundary, if indeed one exists (and they often don't, as found in Hmelo-Silver, Duncan, & Chinn, 2007). Another theme that permeated these studies was a notion of distributed scaffolding (Puntambekar & Kolodner, 2005). The facilitator provides one important source of scaffolding, but several of these studies used other scaffolds as well-through structuring the problem, providing worksheets, creating concept maps (e.g., the Zwaal & Otting study), or encouraging multiple perspectives (as in Smith & Cook study's use of the Six Thinking Hats). Distributed scaffolding is particularly useful in thinking about how technology might play a role in PBL (e.g., Bridges, Botelho, & Tsang, 2010; Hmelo-Silver et al., 2009), particularly in extending the human facilitator as PBL is scaled to larger groups. A word of caution is a need to see both sides of the elephant as educators try to understand how these adaptations and scaffolds help deal with the challenges in enacting PBL in diverse environments. To accomplish that, this community needs mixed methods that help understand not only what students learn, but how students learn and how facilitators use these new models and tools.

Cooperation in business ethics research is important across disciplines, to help strengthen the base of a field which is still new in Europe. A study on recruitment interviewing in Germany, U.K. and the Netherlands is used to demonstrate the value of interdisciplinary business ethics research, particularly across cultures. [ABSTRACT FROM AUTHOR]

We examine gender differences in the relative poverty of men and women in eight industrialized countries. The analyses are based on data from the Luxembourg Income Study, which includes data from the United States, Canada, Australia, the United Kingdom, West Germany, Sweden, Italy, and the Netherlands. We examine the importance of the gender-specific demographic compositions of marriage, parenthood, and employment in accounting for differences in men's and women's poverty rates, both within and across countries. The cross-national comparisons suggest that the relative importance of demographic characteristics differs by country and that factors such as religion, culture, and government policies also help determine the gap between women's and men's poverty rates. [ABSTRACT FROM AUTHOR]

A key distinction in models of social policy and typologies of welfare provision has been a differentiation between residual and institutional types. However, despite the gradual elaboration of models based on this distinction, there has been little effort to apply them in empirical comparative analysis or to assess the strengths and weaknesses of the models. This article initially examines two main approaches in identifying types of welfare states and major welfare state variations. It subsequently applies severill dimensions of variation posited by the residual and institutional models in a comparison of the United States, the United Kingdom, the Netherlands and Sweden. This comparison forms the point of departure for evaluating the merits and limitations of models based on the residual-institutional distinction. [ABSTRACT FROM AUTHOR]

The article presents information about recent developments in women's role in Great Britain's armed forces. Countries like Canada, the Netherlands, Norway have women personnel in almost all military positions. There are a number of factors that influence women's military roles, such as military variables, including the national security situation and military accession policies, and characteristics of the social structure. The percentage of female officers in the British Women's Royal Army Corps increased from 4.3% in 1989 to 5.7% in June 1993. Women participation in the Royal Air Force operations has increased from 7% in April 1989 to 8.6% in June 1993.

Views on ethical conduct in occupational medicine practice can vary from country to country and even between occupational health practitioners. However, there are many areas of common agreement, and this is apparent on comparing guidance documents on ethics produced by several different organizations. The usefulness of these documents will depend in part on how aware practitioners are of their existence. A standardized questionnaire administered to 70 occupational physicians in the Netherlands, UK, and Singapore showed that there was a lack of awareness of guidance documents on ethics, even for publications from their own countries. Only five of the 70 respondents consulted an ethics document in the past year. In addition to publications, other avenues were used for advice on ethical issues. There was a difference in opinion between the physicians from Singapore and those from the two European countries on whether specific occupational health activities were ethical. These findings reinforce the need for international guidance on ethics to take into account differences in attitudes and practice between countries. On many issues there was no unanimity of opinion, even between occupational physicians from the same country. This may be an indication of the complexity of ethical matters, and provides a rationale for publishing guidance on ethics in occupational medicine. [ABSTRACT FROM PUBLISHER]

Varying sets of items and constructs are a problem frequently encountered in cross-national and longitudinal studies in marketing. We discuss the use of multi-group latent variable models in this situation and describe a method that can be used to handle unequal sets of items and constructs across groups in such models. A simulation study based on cross-national marketing data from Belgium and Great Britain revealed that accurate estimates of differences between latent means can be obtained with this procedure with as few as two common items, although a fairly large sample size is required to obtain small standard errors of the estimates of latent mean differences. A substantive example involving a confirmatory factor model as well as a structural model is also provided, using longitudinal data concerning the quality image of a food product in the Netherlands. [ABSTRACT FROM AUTHOR]

1. Monitoring schemes for butterflies in the United Kingdom and the Netherlands are aimed at the detection of long-term trends. It is useful to examine the power of these schemes to detect trends in a given period of time 2. The approach was based on an ANOVA-model, and the trends were compared with the random population changes from one year to another. Several assumptions were made for simplicity's sake: autocorrelation in the data was ignored and only linear trends in log10 (N+ 1) transformed data were examined. 3. The relevant variance components to examine were the year-to-year variances and year-by-site variances. These were estimated from the time series of the British Butterfly Monitoring Scheme. Year-to-year variances appeared to be higher in northern Britain than in other regions. In addition. variance components were related to the voltinism of species. 4. Power assessment was based on the estimates of variance components and on the number of sampling sites. In the British scheme. for 37 out of 51 species studied a decrease of 50% or less is detectable with a power of 80% within a 20-year period. In the Dutch scheme such a decrease is detectable for 29 out of 47 species. 5. Because the schemes lack power for a number of species, several strategies are discussed to enhance power. For species present at less than 50 sites. it is most effective to increase the number of sampling sites where they are present. if that is possible in practice. But for species that are present at more than 50 sites, a further increase hardly improves the power. For these species. it is more efficient to adjust the data for weather conditions than to increase the number of sites. 6. The assumptions we made hard affect the results for common species. But for rare species the results are more or less questionable. To get better estimates of the power, methods to assess power for monitoring schemes need to he developed that treat count data as discrete random variables. [ABSTRACT FROM AUTHOR]

Cross-national comparisons generally show large differences in life satisfaction of individuals within and between European countries. This paper addresses the question of whether and how job quality and working conditions contribute to the quality of life of employed populations in nine strategically selected EU countries: Finland, Sweden, the UK, the Netherlands, Germany, Portugal, Spain, Hungary, and Bulgaria. Using data from the European Quality of Life Survey 2003, we examine relationships between working conditions and satisfaction with life, as well as whether spillover or segmentation mechanisms better explain the link between work domain and overall life satisfaction. Results show that the level of life satisfaction varies significantly across countries, with higher quality of life in more affluent societies. However, the impact of working conditions on life satisfaction is stronger in Southern and Eastern European countries. Our study suggests that the issue of security, such as security of employment and pay which provides economic security, is the key element that in a straightforward manner affects people's quality of life. Other working conditions, such as autonomy at work, good career prospects and an interesting job seem to translate into high job satisfaction, which in turn increases life satisfaction indirectly. In general, bad-quality jobs tend to be more "effective" in worsening workers' perception of their life conditions than good jobs are in improving their quality of life. We discuss the differences in job-related determinants of life satisfaction between the countries and consider theoretical and practical implications of these findings.

To achieve efficient and effective quality improvement, European universities have gradually adopted organizational strategies, structures, technologies, management instruments, and values that are commonly found in the private business sector. Whereas some studies have shown that such managerialism is beneficial to the quality of job performances of university employees, others have argued that managerialism is largely counterproductive and that it results in lower performances. The latter situation is called a "managerialism contradiction". This paper tests two lines of reasoning underlying a potential contradiction governing the relationship between managerialism and job performances, while using university employee survey data from six European countries (Belgium, Finland, Germany, Netherlands, Sweden, UK). The results tend to support the assumption that managerialism, in these six countries at least, has a positive effect, albeit a modest one, on the quality of performances. The most important conclusion is therefore that there is no managerialism contradiction at work in European universities.

Presents memorandums related to law and legislations of several economies as of February 1900. Details of changes made in German bank laws; Discussion on national and local taxation in Great Britain; Laws enacted by Holland and Switzerland for compulsory insurance of employees.

The paper uses household economic panel data from five countries--Australia, Britain, Germany, Hungary and The Netherlands--to provide a reassessment of the impact of economic well-being on happiness. The main conclusion is that happiness is considerably more affected by economic circumstances than previously believed. In all five countries wealth affects life satisfaction more than income. In the countries for which consumption data are available (Britain and Hungary), non-durable consumption expenditures also prove at least as important to happiness as income.

The evaluation of government-financed research has become increasingly important in the last few decades in terms of increasing the quality of, and payoff from, the research that is done, reducing the cost of doing it, and lending public credibility to the manner in which research is funded. But there are very large differences throughout the world in the extent to which systems used promote these results. This paper briefly presents the dimensional results of a study designed to comparatively evaluate the national-level research evaluation models in sixteen countries on five merit-defining dimensions. (Contains 6 figures.)

This paper reflects on the usefulness and applicability of comparative inquiry for policy and practice in education development projects involving universities within the EU or EEA (Socrates, Erasmus, etc.) and especially in technical aid and outreach programmes (Tempus etc.), using concrete examples, exploring the distinctions made in EU regulatory documents and funding frameworks between research and development. The tension is shown between overt political objectives such as the transfer of assumed know-how to solve immediate priority problems of common concern, and educational objectives of extending understanding among equal partners. It is suggested that the more a development project is a shared learning programme, the more applicable and fruitful are comparative methods. Experienced examples are considered of research investigation applied to development programmes from within, whether as practitioner research or by independent research commissioned by practitioners, to assist in pursuing development objectives; of surveys commissioned by the EC across programmes to evaluate the overall effectiveness of a scheme and identify best practice for the future; and of research undertaken independently, taking advantage of access to the project framework to explore questions which are not necessarily or exclusively instrumental. The need is identified to bring these into a coherent system, and recommendations are outlined for future policy.

Dialogue between the leaders of academic clinical organisations in different countries has revealed that the core elements of the partnership between universities and health care systems are remarkably consistent across national boundaries. There is now an impetus to move beyond analysis of common challenges and towards strategies for success that draw on international experience. This paper summarises some of the conclusions that emerged when leaders of teaching hospitals, health care systems, health professional schools and universities met to learn from international experience and to identify strategies for success. The conclusion reached is that these organisations must articulate their unique role in national health systems, communicate their underlying values and redefine the social contract with their national and local communities. (Contains 1 note.)

This article presents seven reports on the interviews about reception and use of international indicators among respondents from Belgium, Denmark, France, Italy, The Netherlands, Spain and United Kingdom. The first report is based on interviews with 5 respondents occupied with different aspects of the macro level of the Flemish educational system. It focuses on the content of the interviews and is structured upon seven headlines referring to the BEQUAD interview schedule. The second report is based on six interviews with respondents placed at different levels of the Danish educational system. This report is written on the basis of the interviews and the structure of the report is built upon seven headlines referring to the guideline of interview headings including a summary and a conclusion. The third is based on six interviews conducted during the months of May and June, 2002, with a union representative with the SNES (secondary education teachers) (A), the Director of School Education (B), a Counsellor at the "Cour des Comptes" and Chairman of the Higher Council for School Assessment (C), a counsellor and Director of Programming and Development (D), a Senator (E) and a Deputy Director of Higher Education (F). Most of the interviewees expressed their views on the best-known publications by the OECD and French education system. All interviews give emphasis on the use of indicators to serve specific ends. The fourth is based on interviews with 6 people engaged in key positions in the Italian Educational system. The fifth is based on interviews with six people occupying different key positions in the Dutch educational system. The report summarises the content of the interviews and is based on the seven headings of the BEQUAD interview schedule. Next is a report based on interviews with 6 people occupying key positions in the Spanish educational scene. The interviews aimed at getting relevant information about their perceptions on the possible influences of international indicators to decision-making processes and public information. The last report is based on interviews with three groups of respondents in the UK. The report summarises the content of the interviews and the Department of Education and Skills (DFES) written response and is structured using the seven section headings of the BEQUAD interview schedule. (Contains 2 footnotes.)

The article discusses personal transportation in the 21st century, and postulates a national system of automated transport. The article discusses Cybercars, which are fully automated road vehicles. A fleet of such vehicles forms a cybernetic transportation system (CTS) for passengers or goods, operating on either a simple route or an elaborate network to provide on-demand door-to-door transportation. The CTS controls the fleet through a central management system. In 1997, a fleet of four cybercars was put into operation at Schiphol Airport in Amsterdam, Netherlands. A larger system is planned to be put into operation at Heathrow Airport in London, England in 2008. Issues discussed include obstacle avoidance, platoon operation of closely spaced vehicles, navigation, and communications.

Background: Healthy life years have superseded life expectancy (LE) as the most important indicator for population health. The most common approach to separate the total number of life years into those spent in good and poor health is the Sullivan method which incorporates the health dimension to the classic period life table, thus transforming the LE indicator into the health expectancy (HE) indicator. However, life years derived from a period life table and health prevalence derived from survey data are based on different conceptual frameworks. Method: We modify the Sullivan method by combining the health prevalence data with the conceptually better fitting cross-sectional average length of life (CAL). We refer to this alternative HE indicator as the "cross-sectional average length of healthy life" (HCAL). We compare results from this alternative indicator with the conventional Sullivan approach for nine European countries. The analyses are based on EU-SILC data in three empirical applications, including the absolute and relative level of healthy life years, changes between 2008 and 2014, and the extent of the gender gap. Results: HCAL and conventional HE differ in each of these empirical applications. In general, HCAL provides larger gains in healthy life years in recent years, but at the same time greater declines in the proportion of healthy life years. Regarding the gender gap, HCAL provides a more favourable picture for women compared to conventional HE. Nonetheless, the extent of these differences between the indicators is only of minor extent. Conclusions: Albeit the differences between HE and HCAL are small, we found some empirical examples in which the two indicators led to different conclusions. It is important to note, however, that the measurement of health and the data quality are much more important for the healthy life years indicator than the choice of the variant of the Sullivan method. Nonetheless, we suggest to use HCAL in addition to HE whenever possible because it widens the spectrum of empirical analyses and serves for verification of results based on the highly sensitive HE indicator. [ABSTRACT FROM AUTHOR]

The Quality of Life after Traumatic Brain Injury (QOLIBRI) instrument is an internationally validated patient-reported outcome measure for assessing disease-specific health-related quality of life (HRQoL) in individuals after traumatic brain injury (TBI). However, no reference values for general populations are available yet for use in clinical practice and research in the field of TBI. The aim of the present study was, therefore, to establish these reference values for the United Kingdom (UK) and the Netherlands (NL). For this purpose, an online survey with a reworded version of the QOLIBRI for general populations was used to collect data on 4403 individuals in the UK and 3399 in the NL. This QOLIBRI version was validated by inspecting descriptive statistics, psychometric criteria, and comparability of the translations to the original version. In particular, measurement invariance (MI) was tested to examine whether the items of the instrument were understood in the same way by different individuals in the general population samples and in the TBI sample across the two countries, which is necessary in order to establish reference values. In the general population samples, the reworded QOLIBRI displayed good psychometric properties, including MI across countries and in the non-TBI and TBI samples. Therefore, differences in the QOLIBRI scores can be attributed to real differences in HRQoL. Individuals with and without a chronic health condition did differ significantly, with the latter reporting lower HRQoL. In conclusion, we provided reference values for healthy individuals and individuals with at least one chronic condition from general population samples in the UK and the NL. These can be used in the interpretation of disease-specific HRQoL assessments after TBI applying the QOLIBRI on the individual level in clinical as well as research contexts. [ABSTRACT FROM AUTHOR]

Clinical criteria/Family history-based BRCA testing misses a large proportion of BRCA carriers who can benefit from screening/prevention. We estimate the cost-effectiveness of population-based BRCA testing in general population women across different countries/health systems. A Markov model comparing the lifetime costs and effects of BRCA1/BRCA2 testing all general population women ≥30 years compared with clinical criteria/FH-based testing. Separate analyses are undertaken for the UK/USA/Netherlands (high-income countries/HIC), China/Brazil (upper–middle income countries/UMIC) and India (low–middle income countries/LMIC) using both health system/payer and societal perspectives. BRCA carriers undergo appropriate screening/prevention interventions to reduce breast cancer (BC) and ovarian cancer (OC) risk. Outcomes include OC, BC, and additional heart disease deaths and incremental cost-effectiveness ratio (ICER)/quality-adjusted life year (QALY). Probabilistic/one-way sensitivity analyses evaluate model uncertainty. For the base case, from a societal perspective, we found that population-based BRCA testing is cost-saving in HIC (UK-ICER = $−5639/QALY; USA-ICER = $−4018/QALY; Netherlands-ICER = $−11,433/QALY), and it appears cost-effective in UMIC (China-ICER = $18,066/QALY; Brazil-ICER = $13,579/QALY), but it is not cost-effective in LMIC (India-ICER = $23,031/QALY). From a payer perspective, population-based BRCA testing is highly cost-effective in HIC (UK-ICER = $21,191/QALY, USA-ICER = $16,552/QALY, Netherlands-ICER = $25,215/QALY), and it is cost-effective in UMIC (China-ICER = $23,485/QALY, Brazil−ICER = $20,995/QALY), but it is not cost-effective in LMIC (India-ICER = $32,217/QALY). BRCA testing costs below $172/test (ICER = $19,685/QALY), which makes it cost-effective (from a societal perspective) for LMIC/India. Population-based BRCA testing can prevent an additional 2319 to 2666 BC and 327 to 449 OC cases per million women than the current clinical strategy. Findings suggest that population-based BRCA testing for countries evaluated is extremely cost-effective across HIC/UMIC health systems, is cost-saving for HIC health systems from a societal perspective, and can prevent tens of thousands more BC/OC cases. [ABSTRACT FROM AUTHOR]

The article ponders on studies concerning the impact of primary headaches on a nation's economy. It identifies various types of primary headaches. It offers information on a cost analysis of primary headaches in Turkey. It mentions the surveys conducted in Great Britain and the Netherlands that calculated the cost of migraine per patient.

Background: Health equity is a multidimensional concept that has been internationally considered as an essential element for health system development. However, our understanding about the root causes of health equity is limited. In this study, we investigated the historical roots and seminal works of research on health equity. Methods: Health equity-related publications were identified and downloaded from the Web of Science database (n = 67,739, up to 31 October 2018). Their cited references (n = 2,521,782) were analyzed through Reference Publication Year Spectroscopy (RPYS), which detected the historical roots and important works on health equity and quantified their impact in terms of referencing frequency. Results: A total of 17 pronounced peaks and 31 seminal works were identified. The first publication on health equity appeared in 1966. But the first cited reference can be traced back to 1801. Most seminal works were conducted by researchers from the US (19, 61.3%), the UK (7, 22.6%) and the Netherlands (3, 9.7%). Research on health equity experienced three important historical stages: origins (1800–1965), formative (1966–1991) and development and expansion (1991–2018). The ideology of health equity was endorsed by the international society through the World Health Organization (1946) declaration based on the foundational works of Chadwick (1842), Engels (1945), Durkheim (1897) and Du Bois (1899). The concept of health equity originated from the disciplines of public health, sociology and political economics and has been a major research area of social epidemiology since the early nineteenth century. Studies on health equity evolved from evidence gathering to the identification of cost-effective policies and governmental interventions. Conclusion: The development of research on health equity is shaped by multiple disciplines, which has contributed to the emergence of a new stream of social epidemiology and political epidemiology. Past studies must be interpreted in light of their historical contexts. Further studies are needed to explore the causal pathways between the social determinants of health and health inequalities. [ABSTRACT FROM AUTHOR]