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This paper, based on the qualitative study of 100 in-depth interviews, examines the strategies employed by academics in Central and Eastern Europe to challenge the limitations in access to scholarly literature. The findings demonstrate that there are basically four strategies: the first is to use open-source material, the second to "poach" materials, the third to download papers through intermediaries, and the fourth to "pirate" them. An example of the latter is the use of Sci-Hub, which some people see as a form of resistance against academic capitalism and imperialism and at the same time a call to reform how global knowledge production is accessed.

In European post-socialistic countries or more commonly known as Central and Eastern Europe (CEE) countries, regardless of their differences and specifics, the common communist and post-communist legacies in the field of educational sciences are still recognisable. The aim of this article is to explore research activity in the educational sciences in 15 CEE countries: 11 EU member states and 4 from the former Yugoslav Republic in the period from 1996 to 2013. The purpose of this research is to recognise the specificity and dynamics of subject and content issues, and development of methodological approaches in the educational science research. The sample consists of abstracts of 2,395 papers by CEE authors published in 265 journals indexed in Scopus between 1996 and 2013. Content analysis was applied, where the abstracts were grouped into specifically created categories describing the content and methods of the paper and analysed on the basis of two criterion variables -- CEE and non-CEE or international journals. The ?[superscript 2] test showed that the field of educational sciences in 15 European post-socialist countries changed over time in terms of quantity, content and methods, becoming more expansive and diverse, which is recognisable in papers published both in international and in CEE journals.

Purpose: The purpose of this paper is to define the impact of the investment in training in education by the European Social Fund (ESF) in four Eastern countries, namely, Poland, Hungary, Czech Republic and Hungary. Those countries have some political, cultural, social and economic similarities and share some common ground in the human resource development (HRD) sectors. Design/methodology/approach: The authors use the human capital theory with some extensions to analyze the context, operations and impacts of the ESF in the Visegrad four (V4) countries between 2007 and 2013. The authors use three levels of methodology to access each one of those problems. Findings: The authors conclude that the ESF helped building the vocational training system in those countries, and to help them get near the equilibrium of high skills of the V4 Western European neighbors, and therefore, this one was a success story. However, quality issues remain to be addressed that may hinder the continuation of the success in the future. Research limitations/implications: The research could be enlarged in time and space and deepened in terms of methodology. This is one a first clarifying step. Theoretical work should become aware of the dichotomy between absorption and scientific logic. Practical implications: Detailed and precise evaluation practices must be implemented to guide and assess the policy. Social implications: Precisely because funds are scarce this paper enlights the dilemma and the tension between quantity and quality in the European HRD policy, this is an important social problem. Originality/value: The study is original because even if the HRD in those countries had already been studied (Sheehan and Buchelt, 2016), no study analyzing specifically the ESF in those countries has been carried out so far. The authors use an innovative methodology and address questions on context, operations and impact, which are also innovative and very relevant.

Purpose: The purpose of this paper is to review the use of "competence" as a concept and through the use of occupational competence standards in six European countries. Design/methodology/approach: Partners in an Erasmus+ project in each of the six countries prepared a review of the use of "competence" in their countries using a common template. The authors of this paper reviewed additional literature, summarised the individual country reviews and provided an analysis and commentary. Findings: "Competence" is becoming a widely used concept across Europe, but its interpretation and application both vary. Between them, the countries in the study illustrate the use of separate occupational standards, both as a national strategy and developed by self-governing professions; as well as competence embedded directly in qualification and training specifications. The use of separate standards as a mandatory component in national vocational education and training systems is questioned, while the use of appropriate standards for licensing and qualified status is largely endorsed. Research limitations/implications: The country reviews were conducted principally from the perspective of informing the developments taking place in the project, so were not comprehensive and also differed in emphasis between countries. Practical implications: The study points to the need to avoid promoting any particular model of occupational competence at a European level, as opposed to seeking common ground that will aid mutual recognition of qualifications. It also cautions against the uncritical transfer of models and policies from one national system to another. Originality/value: The paper provides additional evidence against "policy borrowing" without careful consideration of context, and contrasts the use of competence standards as part of a system-wide strategy with their tailored application for specific purposes.

This paper reports on an investigation examining provision of physical education continuing professional development (CPD) in European countries undertaken to identify the types of practices being employed. We begin by providing a brief overview of what we currently know about CPD internationally in general education and physical education. Data are reported to reflect Parker and Patton's (2017) key characteristics of CPD that highlight effective CPD, summarise current trends and issues in physical education, and are intended to serve as a guide to how teachers learn and how they might be better served in that learning in these European countries. Studying current practices in CPD provision identified in this study provided modest insight to inform teacher education programmes and CPD providers on the current status of physical education CPD currently being employed in Europe. We propose these findings might inform international and comparative education with respect to CPD and set the foundation for physical education colleagues in Europe to develop a CPD network where endeavours such as sharing of CPD practices, engaging in discussion of those practices, and the design of collaborative research on such CPD practices are based.

This paper reports an international project which took place at Nicolaus Copernicus University, where students and teachers from four European universities met for a two-week summer school. The main objective was to develop intercultural competence of teachers of English as a foreign language and their ability to demonstrate this skill during an English lesson. The paper depicts the tools implemented in the project and shows how they affected the learning outcomes by presenting the students' and teachers' perspectives.

The goal of this paper is to provide a comparative account of tax administration training systems in V4 countries. We also compare their structure to basic training principles, such as those set out by the Intra-European Organisation of Tax Administrations. Because of limited data availability we concentrated on basic characteristics, not on performance indicators. The goal is not only a simple comparative analysis, but also to search for any obvious lapses in good international practice, to try to assess to what extent the organisation of training may account for the relatively poor tax administration system results. The data show clearly that, in the V4 region, the content of the tax administration training system aims to follow good international practice, specified by the Intra-European Organisation of Tax Administrations. The training systems are similar and offer almost fully compulsory vocational training, and good possibilities for specialised training. All four countries have specialist institutions for tax administration training. The most visible gap is the very limited link between tax administration training and university level training in the Czech Republic and Slovakia.

Purpose: The purpose of this paper is to study the effects of a variety of levels of education, namely, high school, vocational and university education, on the probability of being employed in Eastern Europe and the former Soviet Union. Design/methodology/approach: The data are from two waves of the Life-in-Transition Survey that covers 29 post-communist transitional countries. The number of binary logistic models is estimated to quantify the effects of different types of education on the likelihood of being employed, while controlling for different sets of covariates. Findings: The findings reveal that the effect of employment associated with university education is higher than that of vocational education, which in turn is higher than that of high school education. However, the differences between the effects of the various levels of education are not considerable. Any specific level of education is always associated with a higher effect in Eastern Europe as compared to the former Soviet Union. The effect of education is also found to be higher for females than for males. In the former Soviet Union, the positive effect of university and vocational education on employment is found to go down with age. Originality/value: This is the first study which compares effect of different types of education on probability of being employed on a diverse sample of 29 post-communist countries over the period of five years.

This paper examines the usefulness of the new social movements (NSMs) paradigm in the changing context of East European post-communist societies and their agricultural systems and rural communities. Starting with statements formulated in Western sociology in the context of Western democratic societies about NSMs as a protest against modernity, the paper analyses the role of such movements in the still modernizing Eastern European reality. The first part of the paper briefly examines some basic elements of the NSMs paradigm in European and American social science. The goal of this section is not only to identify the basic characteristics of NSMs, but also to identify the typical frames used by them. The second part of the paper focuses on the presence of NSMs in the communist era. Drawing on the idea of NSMs as indicators of a "post-materialist shift" as well as of "anti-establishment" and "pro-participatory democracy", the paper examines the frames of democratic opposition in Eastern Europe before 1989. The final part of the paper considers several selected examples from Poland, Hungary, and the Czech Republic to explore the role of NSMs in the process of shaping new ruralities during the post-communist transformation.

This paper analyses an extensive corpus of texts from the German media and existing studies of German perspectives on Poland, Russia, the Czech Republic and Slovenia in order to demonstrate that there are two idealised culture cognitive models (ICCMs) that function as overarching categories for Europe: the ICCM west (the members of the European Union (EU) until 2004) and the ICCM east (the central and east European countries) as opposing constructions. These ICCMs are seen as hyperonymic categories to the construction of frames on a lower level. Frames are multielement cognitive models through which a society or nation views and structures its image of itself and that of other societies, countries or nations. The function of the frame is to present a simplified, often manipulative schema of a complex social, political and cultural reality. Frames are structures that include a variety of linguistic devices: metaphors that conceptualise, and nouns, verbs and adjectives that describe and evaluate. This paper focuses specifically on three frames (rationality/irrationality; power/weakness; civilisation/barbarism), which have been central to the German media representation of the new EU member states.

This paper examines the influence of self-esteem on achievements of students who are gifted, in relation to the theories of Virginia Satir. Self-esteem training with gifted adolescents in Poland is discussed, as are the influences of school and family on self-esteem of youngsters who are gifted. Implications for Eastern Europe are noted. (SW)

For many years internationalization has not been a strong point of geographical education in post-socialist countries, including Poland. Therefore, all attempts at intensifying it are a real challenge and good practices deserve dissemination. This paper seeks to present the organizational and programme assumptions of a new field of postgraduate study called "Cultural industries in the development policies of cities and regions," (Project supported by the European Social Fund under the Human Capital Operational Programme in the years 2013-2015 (Priority IV: Tertiary Education and Science, Measure 4.3: Enhancing the didactic potential of universities in areas of key importance for the Europe 2020 Strategy. UDA-POKL.04.03.00--00-152/12-00).) developed by the staff of the Institute of Socio-Economic Geography and Spatial Management of Adam Mickiewicz University in Poznan (Poland) as a didactic innovation, based on a modular system of education offering wide internationalization possibilities. The analysis focuses on experiences connected with this process. They include classes prepared in cooperation with visiting professors and practitioners from eight universities and European institutions as well as week-long practical placements in Brussels, arranged thanks to a network of experts and institutions specifically established for this purpose. The results obtained help to formulate conclusions and recommendations for higher schools interested in adopting this kind of good practices connected with the development of geographical education.

In this paper, I am interested in exploring citizenship regimes as they emerge from the interplay of neoliberal and neoconservative developments in contemporary Europe. I am particularly interested in the connections between different types of contemporary precarity and citizenship imaginaries as they transpire at the historical nexus of a transition between state socialism and neoliberalism. I will use Poland as an example of a post-transition neoliberal economy, where the new political leadership took up criticism of precarity, making it an important public idiom through which the interplay of predatory neoliberalism and national neo-conservatism can be viewed. I will address implications of these trends for education.

Presents a paper delivered in Poland in 1989 and in five additional Eastern European cities in 1990. Defines democracy and suggests ways to teach about democratic government. Explores education's role in a democracy. Encourages student participation in student government, classroom discussion, community service, and research projects to give them experience in democratic practices and to teach democratic values. (CH)

The "Teacher Education and Development Study in Mathematics" assessed the knowledge of primary and lower-secondary teachers at the end of their training. The large-scale assessment represented the common denominator of what constitutes mathematics content knowledge and mathematics pedagogical content knowledge in the 16 participating countries. The country means provided information on the overall teacher performance in these 2 areas. By detecting and explaining differential item functioning (DIF), this paper goes beyond the country means and investigates item-by-item strengths and weaknesses of future teachers. We hypothesized that due to differences in the cultural context, teachers from different countries responded differently to subgroups of test items with certain item characteristics. Content domains, cognitive demands (including item difficulty), and item format represented, in fact, such characteristics: They significantly explained variance in DIF. Country pairs showed similar patterns in the relationship of DIF to the item characteristics. Future teachers from Taiwan and Singapore were particularly strong on mathematics content and constructed-response items. Future teachers from Russia and Poland were particularly strong on items requiring non-standard mathematical operations. The USA and Norway did particularly well on mathematics pedagogical content and data items. Thus, conditional on the countries' mean performance, the knowledge profiles of the future teachers matched the respective national debates. This result points to the influences of the cultural context on mathematics teacher knowledge.

This article explores the experiences of young, well-educated Eastern Europeans who have moved to Western Europe in search of opportunities for professional development, opportunities that, for the most part, are not available in their home countries. The focus of this paper is on the resulting outcome of downskilling, where these individuals work in positions well below their levels of education and capability. Based on 22 in-depth interviews with workers living in Ireland, England, the Netherlands, Poland and the Czech Republic, the study offers two major findings. First, although self-directed expatriates move to host countries specifically for professional development opportunities, they do little to research on their career and employment options prior to moving to the host country. Second, organizations are not fully utilizing the available human capital offered by Eastern Europeans, suggesting untapped opportunities to achieve competitive advantage through human capital.

This article reflects on and discusses Central and Eastern European (CEE) learners' adaptability and achievement in one English post-1992 university. There appears to be a scarcity of studies of values, beliefs, attitudes and needs as well as achievement (and factors contributing to it) between CEE and other learners. Since the expansion of the European Union, CEE students' presence in British higher education has become more pronounced. CEE learners are treated as home students (for the purpose of fees) and yet they come from a distinctively different socio-historical background and pedagogic tradition--tradition (as explained further in the article) that is, to a certain extent, common in CEE countries as a result of the sovietisation of education systems within post communistic countries of Central and Eastern Europe. In the British higher education sector there is a move in curriculum delivery towards more personalised learning, which underlines that effective teaching and learning starts with understanding the individual student. Therefore, it is important that universities with a high proportion of EU students attempt to understand where CEE students come from and what their aspirations might be. This article provides some insights into CEE learners' values, attitudes and motivations to learn and looks for possible reasons for their success. (Contains 2 notes.)

Over a decade ago the newsletter of the American Historical Association "Perspectives" carried a long lead article entitled "Teaching 'Eastern Europe' without the Iron Curtain." Referring to the challenge posed by the revolutions of 1989 in Eastern Europe to the teaching of European history, the author, Larry Wolff, saw it as "an opportunity to think critically about the ways in which the Cold War has shaped the way we teach the history of Eastern Europe." He argued that the very notion of Eastern Europe was historically dubious, invented in the age of the Enlightenment "as a politically charged, cultural construction." The Cold War and the Iron Curtain gave this division of Europe "an air of geopolitical inevitability, encouraging historians to interpret earlier periods in terms of the same distinction between Western and Eastern Europe." A year after the publication of Wolff's article in "Perspectives" and four and a half years after the dramatic fall of communism in Poland, a paper surveying the treatment of Poland in historical texts, presented at the American Historical Association's annual meeting in January 1994, still found numerous omissions and distortions. With eight countries of Eastern Europe now in the European Union, and five years after three of them joined NATO, what do recently published Western Civilization textbooks say about Eastern Europe? Using modern Polish history (the Enlightenment to the present) as a test case, this article seeks to answer that question by surveying six representative textbooks. (Contains 159 notes.)

Discusses the fall of communism in eastern Europe. Applies Latin America models to eastern Europe. Suggests that revolutions are shaped by the systems against which they are directed. Concludes that the problems of eastern Europe are not caused by the system so much as by geography. Argues that poor capitalism may lie in the future for eastern Europe. (DK)

This paper provides a new synthesis of perforated fish vertebrae in prehistoric and historic Europe, with a particular focus on Poland, within the broader context of Central and Eastern Europe. The earliest examples of such artefacts in Europe date from the Upper Palaeolithic, but compared to other 'beads' manufactured from animal bone, perforated fish vertebrae are rare. This paper examines the diachronic trends in the range of species that have been chosen for such objects, as well as their depositional contexts. Despite the wide range of freshwater and marine species exploited by people, only the vertebrae of a few species—especially pike and catfish—were selected for use as beads. There is a general shift from their deposition in funerary contexts in prehistoric European societies to their association as low‐status objects associated with Christian private devotion in the post‐conversion period. However, this may not reflect continuity in the use of fish vertebrae, with a shift in their symbolism after the conversion to Christianity, given the substantial chronological gaps in the archaeological record. This synthesis nonetheless provides a solid foundation for contextualising future archaeological finds of such artefacts. [ABSTRACT FROM AUTHOR]

Background: Due to changes in Polish society resulting from a significant inflow of immigrants to Poland, the need to develop the cultural competences of various professional groups who have contact with immigrants in their work has increased. These groups should include healthcare professionals, especially because of the significant increase in the number of culturally diverse patients. Therefore, medical education in Poland has had to rapidly adapt to this novel situation. For instance, the teaching process should be now more focused on the development and evaluation of the cultural competences of prospective health care workers. However, there is still a lack of standardized, valid and reliable instruments to assess cross-cultural competences among healthcare professionals. The purpose of the present paper was to describe, for the first time, the translation, adaptation, and psychometric evaluation of the Polish version of the Cross-Cultural Competence Inventory. Methods: Across two studies, we examined psychometric properties of the Cross-Cultural Competence Inventory (CCCI) such as reliability (i.e. internal consistency, test-retest reliability, factor structure) and validity (i.e. theoretical, criteria, convergent). In the first study, 408 participants (75% were healthcare professionals) completed the Polish version of the CCCI and the Positive/Negative Attitude Towards Culturally Divergent People Questionnaire. In the second study, 317 participants (97% were healthcare professionals) completed the CCCI twice, with an interval of at least 22 days. In addition, across two study sessions, participants completed questionnaires constructed to measure (a) cultural intelligence, (b) need for cognitive closure, (c) emphatic sensitiveness, (d) emotional intelligence, (e) self-esteem, (f) social desirability, and (g) personality. Finally, to additionally examine the theoretical validity, 36 professional cross-cultural competence trainers completed the CCCI during a one-session study. Results: Our findings confirm the reliability and validity of the CCCI. More precisely, in study 1 we proved the theoretical validity and reliability (i.e. internal consistency) of the CCCI. While the assumed structure did not fit the data well, all items were significantly related to the general factor, thus providing strong support for the usage of the total score of the CCCI. In study 2, we additionally estimated the test-retest reliability and theoretical, criterion and convergent validity. Across two studies we were able to successfully confirm these psychometric properties. The reliability was satisfactory and ranged from .83 to .86. We also observed a high and significant positive correlation between CCCI and the Cultural Intelligence Scale, which measures a concept similar to the one measured by CCCI. In addition, a significant relationship between intercultural competences (CCCI) and other variables such as personality, empathic sensitivity, emotional intelligence, self-esteem (positive correlations) and the need for cognitive closure (mainly negative correlation) were demonstrated. Conclusions: The obtained results support the usage of the CCCI questionnaire in scientific research, such as, for example, among healthcare professionals (nurses, doctors) and students of medical fields (nursing, medicine). [ABSTRACT FROM AUTHOR]

Background: The European Disability Strategy (2010-2020) seeks to significantly raise the proportion of people with disabilities working in the open labour market. The ERGO WORK project is a collaboration of academic and industrial partners in six European countries, focused on understanding and tackling barriers to workplace inclusion for workers with disabilities. Methods: This study sought to explore the perceptions and needs of stakeholders in terms of workplace adaptation to the needs of employees with disabilities. An exploratory online survey was completed by 480 participants across six countries. Results: The analysis suggests that workplaces could be further improved to meet the needs of employees with considerable scope for training within companies to raise awareness about employees' needs, employers' obligations and workplace adaptation. Conclusions: This snapshot suggests there is still a gap between intent and reality in workplace inclusion and further strategies are needed to improve the opportunities for employees with disabilities. The paper argues that ergonomics may have a key role to play in tackling these challenges and adapting the workplace environment and job design to suit the needs of individual employees. [ABSTRACT FROM AUTHOR]

Cercariae of Plagiorchis spp. are frequently reported in European freshwater snails, but their true diversity is difficult to estimate due to subtle differences in morphology. We molecularly characterized 67 isolates of Plagiorchis cercariae collected from four lymnaeid snail hosts, Ampullaceana balthica, Ampullaceana lagotis, Radix auricularia and Lymnaea stagnalis in freshwater ecosystems in the Czech Republic and Poland. Based on mitochondrial cox1 and nuclear 28S sequences, ten species or species-level lineages were identified, including the first molecular evidence of P. vespertilionis from snail hosts and two species-level lineages reported for the first time. Previously undescribed species and species-level lineages are characterized morphometrically. We confirm the overlapping spatial distribution of Plagiorchis spp. in their snail hosts from Central Europe with those from Western and sub-Arctic Europe. Our results increase the known diversity of Plagiorchis spp. in Europe to 25 species/lineages in snails, but further research is needed to establish links between life cycle stages and to assess the host specificity of these parasites. [ABSTRACT FROM AUTHOR]

In this paper, we present results of the 3-D tomographic modelling of the crustal structure and Moho topography applied to data recorded in SE Poland during the CELEBRATION 2000 seismic experiment. The target area covers ca. 500 km × 500 km and represents a complex geological setting from old Precambrian platform (East European Craton, EEC), through the crustal blocks (terranes) that form the Trans-European Suture Zone, to the young Alpine orogen—the Carpathians. We test two different inversion strategies using two different algorithms: (i) coupled inversion of and arrivals to constrain both the crustal velocities and the Moho depths; (ii) decoupled inversion of arrivals only using previously obtained smooth 3-D crustal velocity model. The coupled inversion of and arrivals results in a much smoother crustal velocity field than the one previously obtained by inversion of first arrivals only. Also, the obtained Moho structure is much smoother than the Moho map compiled from the existing 2-D models. Decoupled inversion of the reflections provides Moho structure comparable in resolution to the compiled map. Synthetic tests indicate that with our data set we are able to resolve larger than 100-km-size Moho structures. The modelled Moho is shallowest in the area of the Upper Silesian Block ( ca. 32 km), then it is deepening by ca. 10 km over 100-km-wide zone along the margin of the EEC and finally it reaches up to 48 km depth in the area of the EEC. Our favoured strategy for modelling large refraction/wide-angle reflection data set consists of derivation of a smooth crustal velocity model by a first-arrival tomography and then complementing this model by a decoupled inversion of reflections in order to constrain minimum-structure Moho topography. [ABSTRACT FROM AUTHOR]

The paper deals with Solidago ×snarskisii, a natural hybrid between the North American S. gigantea and the European S. virgaurea, as a new casual alien species to the flora of Poland. It was found in August 2018 in the town of Suwałki, NE Poland, growing on a fallow land among its parental species. The population of the hybrid consisted of one cluster of shoots, including four generative and three vegetative shoots, and it was associated with meadow, grassland, and ruderal plant species. The locality of S. ×snarskisii in Poland was mapped using the ATPOL cartogram method. [ABSTRACT FROM AUTHOR]

Background. The problem of the ageing population has resulted in attitudes towards aging in different age groups becoming a subject of increased academic interest. Objectives. To provide comparative characteristics of the prevalence of manifestations of gerontological ageism among university students in five European countries. Material and methods. The sample consisted of university students (n = 2493) aged 18–25 from Belarus (n = 827), Russia (n = 528), Poland (n = 798), Lithuania (n = 223) and Ukraine (n = 117). The prevalence of gerontological ageism among respondents was evaluated according to the Fraboni Ageism Scale. Results. The prevalence and manifestations of gerontological ageism vary depending on the country. The maximum total indicator, displaying the highest overall level of ageism, was noted among Belarusian students, the minimum – in Lithuania (p < 0.05). The final indicators of gerontological ageism were found to be the following: the level of age discrimination and negative emotional attitude towards the elderly was increased in one fifth of the respondents in all five groups. The observation found the level of ageism averaging at 60%, evenly distributed in all groups. The predominant attitudes towards older people were found to be neutral or positive (84.6%). Conclusions. The manifestations of ageism are international in nature and can explain 20% of the total variety of answers characterising the differences in ranked attributes and degree of ageism. The total indicator showed the highest degree of gerontological ageism among students in Belarus, the lowest – among those in Lithuania, with levels of gerontological ageism among students in Russia, Poland and Ukraine distributed in between. [ABSTRACT FROM AUTHOR]

Background: The European Parliament's directive on open data indicates the direction to follow for all public institutions in Europe. The portal Polish Platform of Medical Research (PPM) required more information about researcher attitudes and training requirements for strategic planning. Objectives: The aim was to assess (1) the status of knowledge about research data management among medical researchers in Poland, and (2) their attitudes towards data sharing. This knowledge may help to inform a training program and adapt PPM to the requirements of researchers. Methods: The authors circulated an online survey and received responses from 603 researchers representing medical sciences and related disciplines. The survey was conducted in 2019 at seven Polish medical universities and at the Nofer Institute of Occupational Medicine. Analysis used descriptive statistics. Results: Data sharing was not widespread (55.7% only shared with their research team, 9.8% had shared data on an open access basis). Many cited possible benefits of research data sharing but were concerned about drawbacks (e.g. fraud, plagiarism). Discussion: Polish medical scientists, like many researchers, are not aware of the processes required for safe data preparation for sharing. Academic libraries should develop roles for data librarians to help train researchers. Conclusion: Fears about the dangers of data sharing need to be overcome before researchers are willing to share their own research data. [ABSTRACT FROM AUTHOR]

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Background: To be able to provide high-quality palliative care, there need to be a number of organizational structures available in the nursing homes. It is unclear to what extent such structures are actually present in nursing homes in Europe. We aim to examine structural indicators for quality of palliative care in nursing homes in Europe and to evaluate the differences in terms of availability of and access to palliative care, infrastructure for residents and families, multidisciplinary meetings and quality improvement initiatives. Methods: A PACE cross-sectional study (2015) of nursing homes in Belgium, England, Finland, Italy, the Netherlands and Poland. Nursing homes (N = 322) were selected in each country via proportional stratified random sampling. Nursing home administrators (N = 305) filled in structured questionnaires on nursing home characteristics. Organization of palliative care was measured using 13 of the previously defined IMPACT structural indicators for quality of palliative care covering four domains: availability of and access to palliative care, infrastructure for residents and families, multidisciplinary meetings and quality improvement initiatives. We calculated structural indicator scores for each country and computed differences in indicator scores between the six countries. Pearson's Chi-square test was used to compute the p-value of each difference. Results: The availability of specialist palliative care teams in nursing homes was limited (6.1–48.7%). In Finland, Poland and Italy, specialist advice was also less often available (35.6–46.9%). Up to 49% of the nursing homes did not provide a dedicated contact person who maintained regular contact with the resident and relatives. The 24/7 availability of opioids for all nursing home residents was low in Poland (37.5%). Conclusions: This study found a large heterogeneity between countries in the organization of palliative care in nursing homes, although a common challenge is ensuring sufficient structural access to specialist palliative care services. Policymakers and health and palliative care organizations can use these structural indicators to identify areas for improvement in the organization of palliative care. [ABSTRACT FROM AUTHOR]

• Prevalence of self-medication was around 25 % among older Europeans. • Women presenting greater odds of self-medication. • Not using medication prescribed presented a higher chance to self-medicate. • Longstanding illness is associated with higher risk of self-medication. Self-medication, despite some benefits, carries many risks, especially when practiced by older adults who are polymedicated. Information addressing the prevalence and associated factors of self-medication in older age in a European context is scarce and sometimes contradictory. This paper aims to estimate the prevalence of self-medication among older adults across Europe and to identify its predictive factors. Cross-sectional study. Micro-data from the European Health Interview Survey (2006–2009) was used. The sample comprised 31,672 community-dwelling individuals aged 65 and over living in private households in 14 European countries. The analyses explored the use, over the last two weeks, of any medicines, supplements, or vitamins that were not prescribed by a doctor. The mean self-medication prevalence was 26.3 %, being the highest in Poland (49.4 %) and the lowest in Spain (7.8 %). Greater odds of self-medication were found for women and for participants who were younger, divorced, or presented a higher educational degree. The presence of long-standing illness and physical pain or not using prescribed medication also significantly increased the possibility of self-medication. A wide variation in the odds of self-medication between countries was also observed (up to 8 times more for Poland, compared to Spain). Self-medication is a prevalent problem among older Europeans, and even though some think it is risk-free, dangers tend to be greater with advancing age. This study will help identify the groups most likely to have this behavior so that we can focus on targeted educative and preventive initiatives. [ABSTRACT FROM AUTHOR]