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Potentially, technology transfer offices (TTOs) can play a significant role in facilitating the successful transfer of technologies and knowledge between universities and industry. Many developing countries are currently developing technology transfer practices within their universities. However, many developing country TTOs operate inefficiently or are ineffective. The sharing of experiences can lead to improvements in this endeavour. Advanced nations can serve as a frame of reference and a basis of policy recommendations for developing countries due to the longevity of their technology transfer activities. The authors issued 234 questionnaires to European university TTOs, of which 54 usable questionnaires were returned. They combine the data from these questionnaires with 19 interviews conducted with university TTO staff from 9 countries in an attempt to create a typology of practices that developing nations could emulate to improve technology transfer in their own contexts. While ultimately a clear typology was not forthcoming, the authors found some relationship between the dominant focus in the mission statement of developed country TTOs, the activities they undertake, their position in the university governance structure and their level of maturity which may usefully inform the development of TTO practices in developing countries.

Governments, businesses, and educational institutions need to collaborate and make significant investments in order to address the growing digital skills crisis. In Europe, hundreds of digital skills initiatives have been launched with different forms of government and private industry support in the last five years alone. Consequently, digital skills initiatives have come to encompass a wide array of interventions. In this context, this paper proposes a typology of digital skills initiatives that was developed based on the analysis of over 300 initiatives listed in the European Commission's repository of best digital skills initiatives. The proposed typology consists of four categories: target group, digital skills, learning format, and sponsoring organization. In terms of target group, digital skills initiatives tend to target one or more of five distinct groups: the general public, educators, adults, seniors and youth. In terms of digital skills, digital skills initiatives tend to focus on general digital skills or specialized digital skills. In terms of learning format, digital skills initiatives tend to offer training and/or a learning resource. In terms of sponsoring organization, the initiatives tend to be sponsored by organizations that are either affiliated or unaffiliated with a technology vendor. The typology is followed by a presentation of mini cases, which highlight different archetypes of the proposed typology. The paper closes with a discussion of practical implications for policy makers, administrators, and scholars interested in digital skills initiatives and the future of work.

European countries differ widely in terms of vocational education and training (VET) tradition and the delivery of VET at the upper secondary level. A statistical approach to build a classification of VET systems in Europe is presented in the present article on the grounds of the size of the vocational enrollment, on the one hand, and the percentage of vocational enrollment in programs in which work and school are combined, on the other hand. Twenty-two European countries with full available information are considered in the study: 18 European Union (EU) countries, three Schengen Area (non-EU) countries (Iceland, Norway, and Switzerland), and the UK (non-EU state outside Schengen). Cluster analysis is a quantitative form of classification. The country groupings emerging from the K-means analysis performed in this paper allow us to distinguish mainly between vocational-oriented countries with high vocational specificity (e.g. Germany, Switzerland, and Austria), highly vocational-oriented countries with traditionally school-based VET programs (e.g. the Czech Republic and Slovakia), and less vocationally-oriented countries (general education-oriented countries such as Estonia and Spain).

The challenge of research methods teaching is gaining attention among policy-makers keen to build social science research capacity and, critically, among educationalists keen to enhance the pedagogy. This paper addresses pedagogy, presenting a new conceptual-empirical typology of pedagogy for social science research methods teaching. Taking a sociocultural perspective, pedagogy is seen as encompassing both actions and underlying values. A mix of qualitative methods was used to engage more than 100 methods teachers (plus students) from diverse UK and international contexts. An expert panel method and focus groups helped elucidate pedagogical knowledge. Video-stimulated reflective dialogue added detail to that knowledge. Thematic analysis was used to make sense of teaching practice with individuals and across the dataset. A typology of research methods teaching developed iteratively across this process, proposing the core categories of "approach," "strategy," "tactics" and "tasks." In-depth case studies helped to gain nuance and test the emergent typology "in situ." The paper argues that the typology contributes a dynamic tool for developing practice. It transforms the way we think about teaching and can be applied in any social science research method teaching context, benefitting the pedagogic community by enabling greater focus in planning and reflection.

Purpose: Digital literacy is not the mere ability to use a digital device or know to use various software. It is a domain of exploration for sociology, psychology, education and, of course, technology. This study aims to present a quantitative analysis of the literature on digital literacy using a bibliometric approach. Design/methodology/approach: Using data from the Web of Science database, the importance of the research is evaluated by reviewing 2307 publications and examining the yearly publication, field category productivity, citation structure, most cited resources, documents, most-cited authors, most productive authors, and country in the field of digital literacy. Further, a cluster analysis is conducted to see the most recurrent keywords and emerging trends in this field. At last, the authors analyzed the thematic progression of keywords over these five years based on the normalized citations. Additionally, a graphical representation of the bibliometric data using VOSviewer is presented in the paper. Findings: The results suggest a steady rate of publication in this field, with most of the research published in education and library fields and the USA leading the country in this realm. The emerging themes in this field are 'Fake News', 'Competence', 'Educational Technology', 'Health Literacy', 'Self-Efficacy' and, interestingly, 'COVID-19'. The results also revealed that COVID-19 has been examined and associated with fake news, higher education, social media and information literacy. Originality/value: This paper provides an overall summary of the most recent research work published from 2017 to 2021 on digital literacy in the backdrop of COVID-19. The study presents the thematic progression over the years and particularly the new keywords that emerged in the limelight of the pandemic. It contributes by updating the existing body of knowledge in the field of digital literacy and presents preliminary results related to COVID-19.

This paper discusses empirical comparisons of higher education institutions across world regions. It argues that institutional data systems have the potential for complementing global comparisons promoted by rankings by providing sensible information on institutional size, budgets, staffing, enrolments and activity profiles. With this perspective in hand, this paper tackles three questions. First, how is it feasible to identify Higher Education Institutions (HEIs) given their complex structures? Second, how is it feasible to define the perimeter of HEI sectors? Third, what kinds of data could be used for comparison, and where are the main data gaps? By analysing institutional data systems across the United States, Europe and Asia, the paper concludes that institutional data systems display some remarkable similarities that make them an important resource for global comparisons; however, variation in the context of data production and usage implies differences in the higher education perimeter and on institutional delimitation; sensible comparisons, therefore, require explicit knowledge of the institutional context in which data have been borne.

This paper discusses the representation of resource exploitation and consumption in German geography textbooks. The aim of the paper is to contribute to a critical and reflective understanding of the representation of resource-related issues in textbooks by analyzing two scientific debates (resource curse and actor analysis). The paper shows that all studied geography textbooks contribute to a certain degree to awareness raising in Education for Sustainable Development (ESD), but references to the everyday life of students are rare. There are only few action-orientated tasks in the frame of resource exploitation and consumption in the studied textbooks. As real-world examples help develop students' critical thinking skills and shape their ideas of sustainable development, these aspects reflect a pedagogical shortcoming.

Purpose: This study explores the potential of the Farm Accountancy Data Network (FADN) to assess the technical, economic and environmental effects of cooperative innovation projects at farm level. Design/Methodology/Approach: The analysis of the FADN potential relies on the classification of innovations and the co-identification, through the Most Significant Change (MSC) approach, of the most relevant indicators for tracking and assessing the performances of innovations and attributing to them the effects of a specific innovation. Findings: The study shows that the FADN has a certain range of useful indicators and that they have a good coverage of the different types of innovation. Furthermore, the farm visits let emerge the importance of participatory approaches to capture the different changes and interplays occurred in farming processes. Practical implications: The paper lays the foundations for the adaptation of the current methodology for data collecting and provides useful insights concerning the overcoming representativeness claims, costs' issues, and problems related to the observation time limit. Theoretical implications: The paper reveals the importance of participatory monitoring and evaluation approaches in helping the collection of more robust and relevant account data on farm, as well as in attributing certain results to a specific innovation and recognising synergies and side-effects of cooperative processes. Originality/Values: The paper provides some recommendations on how to enlarge the scope of the FADN survey in order to be used effectively in the analysis of the performance of cooperative innovations at farm level.

Classifications are a basic tool for research, which allow summarizing the diversity of objects in a number of categories that fits the cognitive abilities of the human mind. Their relevance for higher education is emphasized by the differentiation of institutional profiles. Yet, unlike in the US, there is currently no classification of European Higher Education Institutions (HEIs). This paper fills this gap by developing a classification of European HEIs, which focuses on differences in activity profiles and subject scope. To this aim, it uses data from an enriched version of the European Tertiary Education Register on a sample of more than 2000 HEIs in a large number of European countries. The classification comprises six classes that occupy distinct positions in a configuration space defined by two dimensions, i.e. research vs. educational orientation and subject specialization. Ex-post analysis shows that classes are identifiable and can be attributed meaningful labels; the class of research universities comprises most European HEIs competing in international rankings, while a class of generalist HEIs with lower research orientation that cuts across the traditional distinction between universities and Universities of Applied Sciences can be distinguished. Furthermore, three classes of specialist HEIs can be identified. The classification provides a meaningful representation of European higher education that is more fine-grained than the distinction between university and non-university sectors while remaining parsimonious. We, finally show how national categories map to the classification, displaying its potential to compare differences in national institutional settings across Europe.

Comparative studies on 'apprenticeships' in Europe increasingly cover a variety of programmes previously not considered under this heading. The paper explores the potential of a new, combined cultural-historical and functional classification of apprenticeships on the basis of their underpinning training logic. Four main logics are discussed which categorise apprenticeships according to their key purpose and the responsibilities with regard to content, organisation and financing. It is argued that the typology can serve as an explanatory framework for ongoing changes in apprenticeship approaches and may be used for the identification of similarities and common challenges.

The proposed paper seeks to add a different dimension to the educational borrowing, lending, and transfer literature by examining the consequences of educational reforms that are implemented under dictatorships and their lasting impacts. In using Tunisia as an example, we assess the effects of the 2008 Licence-Maitrise-Doctorat ([LMD] Bachelor-Master-PhD) reform under Tunisia's former dictator, Zine El Abidine Ben Ali (from 1987 to 2011). The use of coercive transfer and subsequent implementation of LMD reforms by Ben Ali's government were in response to the creation of the European Higher Education Area in 1999 under the Bologna Declaration, which was adopted by twenty-nine European countries. The justification for the indirect coercive transfer of the Bologna model was to ensure the quality of higher education, to encourage student and teacher mobility, to facilitate both the equivalence of diplomas and young people's integration into the labor market. In what follows, we seek to construct a typology of the consequence of wholesaling adopting a reform without tailoring it to the local needs. In this typology, we account for the processes of policy mobilization, local articulation and ownership, structural factors, and path dependency by discussing the power relations through which indirect coercive transfer occur. In doing this, methodologically, we use a comparative-historical approach to Tunisia's higher education policy discourse. Theoretically, we seek to advance the literature of indirect coercive transfer by concluding as to the different factors that should be considered in North-South policy borrowing and transfer.

This paper addresses early modern botanical nomenclature, the practices of identifying and publishing synonyms in particular, as a collaborative "information science". Before Linnaean nomenclature became the lingua franca of botany, it was inevitable that, over time, the same plant was given several names by different people, which created confusion and made communication among botanists increasingly difficult. What names counted as synonyms and actually referred to the same plant had to be identified by meticulously comparing living and dried specimens of this and similar plants as well as relevant illustrations und descriptions in the botanical literature. Identifying synonyms required and generated an ever-expanding mass of data, which was used continuously to adjust and rearrange plant names. Despite the greatest care, judgements on synonyms were not definitive, which meant that published lists of synonyms for individual species of plants were in a state of flux and had to be constantly updated, corrected, and rewritten. This required long-term international collaborations, the accumulated results of which were not published once but consecutively, in augmented and corrected editions of a book. As a result of this networked approach, synonyms are networked names that reflect the epistemic interconnectedness of the botanical community. These questions will be discussed with a focus on the Dutch botanist Johannes Burman (1706-1779), who placed synonyms at the centre of his work as posthumous editor-and co-author-of the botanical manuscripts that were left behind by other botanists.

Literature on global international student mobility (ISM) highlights the uneven nature of student flows--from the developing to the developed world--however, studies have yet to address whether this pattern is replicated within expanding regional networks. Utilizing social network analysis, UNESCO ISM data, and World Bank income classifications, this paper examines economic inequality in ISM from 2008-2012 globally and within the Southern African Development Community, the European Higher Education Area, the Union of South American Nations, and University Mobility in Asia and the Pacific. Findings reaffirm previous global analyses which indicate that higher-income countries play a preeminent role as receivers; whereas, lower-income countries function primarily as source nations. This study demonstrates that this pattern is replicated fractally within the four regional networks as well. Globally and regionally, economically developed countries comprise the core of the world-system in tertiary education while less-developed nations are relegated to peripheral status.

The purpose of this review is to further our knowledge about what is meant by inclusion in research addressing the topic. While it is common to remark that inclusion is defined in different ways in research, few attempts have been made to map and analyse different types of definitions and whether there are patterns to be find in how the concept is used. The 30 most cited journal articles from a North American and a European research arena were selected for analysis. Each article was analysed in relation to genre, theoretical tradition and inclusion concept used. The review yielded several important results. To name a few, a divide was identified between position articles, with developed discussions about and analyses of the meaning of inclusion, and empirical articles, where inclusion signifies that children with disabilities are placed in the mainstream. In addition, writing within a critical theoretical tradition was much more common among positional papers. Further, both arenas are dominated by Anglo-Saxon researchers. It is argued that the conceptual confusion characterising the field impedes its development.

A result of the pandemic is an urgent need for data collaborations that empower the clinical and scientific communities in responding to rapidly evolving global challenges. The ICU4Covid project joined research institutions, medical centers, and hospitals all around Europe in a telemedicine network for sharing capabilities, knowledge, and expertise distributed within the network. However, healthcare data sharing has ethical, regulatory, and legal complexities that pose several restrictions on their access and use. To mitigate this issue, the ICU4Covid project integrates a federated learning architecture, allowing distributed machine learning within a cross-institutional healthcare system without the data being transported or exposed outside their original location. This paper presents the federated learning approach to support the decision-making process for ICU patients in a European telemedicine network. The proposed approach was applied to the early identification of high-risk hypertensive patients. Experimental results show how the knowledge of every single node is spread within the federation, improving the ability of each node to make an early prediction of high-risk hypertensive patients. Moreover, a performance evaluation shows an accuracy and precision of over 90%, confirming a good performance of the FL approach as a prediction test. The FL approach can significantly support the decision-making process for ICU patients in distributed networks of federated healthcare organizations. [ABSTRACT FROM AUTHOR]

Aim: This paper introduces the Surveillance of Cerebral Palsy in Europe (SCPE) classification of events contributing to postneonatally acquired cerebral palsy, presents its interrater reliability, and describes the cases identified in the SCPE database. Method: The development of the classification, based on literature review and expert discussions, resulted in six main categories and 19 subcategories. The first chronological event designated as the primary event was mainly reported. Interrater reliability was assessed through online exercise providing 24 clinical vignettes representing single/complex pathways. Percent agreement and Gwet's AC1 index of reliability were estimated. Primary events were described using data of 221 children born between 2008 and 2012. Results: Thirty‐nine professionals (21 registries) participated in the reliability exercise. Substantial overall agreement was reached (0.75), with some contrast between complex (0.48, moderate agreement) and single events involved (0.89, almost perfect). The distribution of primary events showed that 32.1% were infections (category A), 23.1% head injuries (B), 15.4% related to surgery or medical interventions (C), 13.1% cerebrovascular accidents (D), 9.1% hypoxic brain damaging events of other origins (E), and 7.2% miscellaneous (F). Interpretation: This classification allows all the events involved to be recorded while consistently reporting the primary event, and may be used in different settings. What this paper adds: A standardized classification enables the description of the events contributing to postneonatal cerebral palsy (CP).The first chronological event in complex pathway leading to CP is coded.Category choice and coding of the primary event identify preventable situations.The detailed 2‐level classification is easy to use in various settings.Substantial overall interrater reliability shows that main categories can be consistently differentiated. [ABSTRACT FROM AUTHOR]

In contemporary research on the word race, there is no consensus on what race actually is. Moreover, scholarly research has stated that the notion of race does not apply to the human species. However, as soon as race enters political discourse, it becomes so "self-evident" that it does not raise the question of what we are talking about when we talk about race. This paper deals with the issue that there are a number of different meanings of the word race, focusing primarily on the difference between the "Anglo-American" meaning of the word race and that used in continental Europe. The paper argues that the meaning of race depends on the cultural, social and historical context of a given country, making race a fluid and context-shifting concept whose meanings are not compatible with each other. [ABSTRACT FROM AUTHOR]

This paper scrutinises European methods developed since 2010 for identifying urban, rural, and intermediate areas, addressing the need for locally relevant and internationally comparable methodologies. The inadequacy of the traditional urban-rural dichotomy methods in describing peri-urbanisation and the demand for efficient fund allocation and international performance comparisons has driven the proliferation of these methods by European institutions, national governments, and statistical offices. Since a comprehensive study of such methods is lacking, the paper analyses their characteristics (through the variables and statistical techniques used, along with the spatial unit of reference), as well as their local relevance and international comparability. The analysis reveals the predominance of a multi-scalar approach emphasising territorial discontinuity patterns and challenging traditional administrative boundaries. While these methods are effective for local policymaking with variables such as demographic dynamics and economic specialisation, they exhibit limited international comparability. Instead, methods relying solely on demographic data demonstrate harmonization, enabling more robust statistical comparisons due to their inherent simplicity. • There is a need for delimitation that is locally relevant and internationally comparable contemporarily. • National governments and statistical offices, as well as scholars propose some original methods to settle this dispute. • More articulated methods provide a solid evidence-based policymaking but less reliable statistical comparisons. • Demographic methods are the most widely used for comparable statistical information due to their reliability. [ABSTRACT FROM AUTHOR]

In 2011 a working group of the European Society for the Study of Tourette syndrome (ESSTS) developed the first European Guidelines for Tourette syndrome (TS) published in the ECAP journal. After a decade ESSTS now presents updated guidelines, divided into four sections: Part I: assessment, Part II: psychological interventions, Part III: pharmacological treatment and Part IV: deep brain stimulation (DBS). In this paper, we summarise new developments described in the guidelines with respect to assessment and treatment of tics. Further, summary findings from a recent survey conducted amongst TS experts on these same topics are presented, as well as the first European patient representative statement on research. Finally, an updated decision tree is introduced providing a practical algorithm for the treatment of patients with TS. Interestingly, in the last decade there has been a significant shift in assessment and treatment of tics, with more emphasis on non-pharmacological treatments. [ABSTRACT FROM AUTHOR]

Cerebral magnetic resonance imaging (MRI) is considered an important tool in the assessment of a child with cerebral palsy (CP), as it is abnormal in more than 80% of children with CP, disclosing the pathogenic pattern responsible for the neurological condition. MRI, therefore, is recommended as the first diagnostic step after medical history taking and neurological examination. With the advances in genetic diagnostics, the genetic contribution to CP is increasingly discussed, and the question arises about the role of genetic testing in the diagnosis of cerebral palsy. The paper gives an overview on genetic findings reported in CP, which are discussed with respect to the underlying brain pathology according to neuroimaging findings. Surveillance of Cerebral Palsy in Europe (SCPE) classifies neuroimaging findings in CP into five categories, which help to stratify decisions concerning genetic testing. Predominant white and gray matter injuries are by far predominant (accounting for around 50 and 20% of the findings). They are considered to be acquired. Here, predisposing genetic factors may play a role to increase vulnerability (and should especially be considered, when family history is positive and/or causative external factors are missing). In maldevelopments and normal findings (around 11% each), monogenic causes are more likely, and thus, genetic testing is clearly recommended. In the miscellaneous category, the precise nature of the MRI finding has to be considered as it could indicate a genetic origin. [ABSTRACT FROM AUTHOR]

Low back pain (LBP) is a morbid condition that has afflicted several citizens in Europe. It has negatively impacted the European economy due to several man-days lost, with bed rest and forced inactivity being the usual LBP care and management steps. Direct models, which incorporate various regression analyses, have been executed for the investigation of this premise due to the simplicity of translation. However, such straight models fail to completely consider the impact of association brought about by a mix of nonlinear connections and autonomous factors. In this paper, we discuss a system that aids decision-making regarding the best-suited support system for LBP, allowing the individual to avail of reinforcement and improvement in its self-management. These activities are monitored with the help of a wearable sensor that helps in their detection and their classification as those that soothe or aggravate LBP and hence, should or should not be performed. This system helps the patients set their own boundaries and milestones with respect to suitable activities. This system also does windowing and feature extraction. The present study is an empirical and comparative analysis of the most suitable activities that patients suffering from low back pain can select. The evaluation shows that the system can distinguish between nine common daily activities effectively and helps self-monitor these activities for the efficient management of LBP. [ABSTRACT FROM AUTHOR]

• AV disengagement on public roads dominated by causes due to a planning issue. • AV disengagement induced by lacking certain numbers of radar and LiDAR sensors. • Drivers' take-over time impacted by disengagement cause and roadway characteristics. • To improve AV disengagements five or more radar sensors are needed. • Optimal number of LiDAR sensors to be installed is 3 or 4. Automated vehicles (AV) testing on the public roads is ongoing in several states in the US as well as in Europe and Asia. As long as the automated vehicle technology has not achieved full automation (Level 5), human drivers are still expected to take over the steering wheel and throttles when there is an automated vehicle disengagement. However, contributing factors and the mechanism about automated vehicle-initiated disengagement has not been quantitatively and comprehensively explored and investigated due to the lack of field test data. Besides, understanding human drivers' perception and promptness of reaction to the AV disengagement is essential to ensure safety transition between automated and manual driving. By harnessing California's Autonomous Vehicle Disengagement Report Database, which includes the AV disengagement data from field tests in 2016–2017, this paper quantitatively investigated the AV disengagement using multiple statistical modeling approaches that involve statistical modeling and classification tree. Specifically, the paper identifies the contributing factors impacting human drivers' promptness to AV disengagements, and quantitatively investigates the underlying causes to AV disengagements. Results indicate that current AV disengagement on public roads is dominated by causes due to a planning issue. The cause of an AV disengagement is significantly induced by lacking certain numbers of radar and LiDAR sensors installed on the automated vehicles. These thresholds of these sensors needed are revealed. Cause of disengagement and roadway characteristics significantly impact drivers' take-over time when facing an AV disengagement. AV perception or control issue-based disengagement can significantly extend drivers' perception-reaction time to take over the driving. The quantitative knowledge obtained ultimately facilitates revealing the mechanisms of the automated vehicle disengagements to ensure safe AV operations on public roads. [ABSTRACT FROM AUTHOR]

Gastric cancer (GC) is responsible for 9% of cancer deaths worldwide. Over 950,000 new cases are diagnosed each year, and about 90% of them are in advanced stage, requiring chemotherapy. In Europe there has been research based on pre- and postoperative chemotherapy treatment, using 5-fluorouracil, epirubicin, cisplatin, capecitabine, and docetaxel. Chemotherapy significantly impairs the quality of life of patients; however, the final effects are not always satisfactory. There is scientific evidence that gastric mucus tumors and signet ring cell carcinomas have a pattern of specific signatures, that distinguish them from other gastric cancer subtypes, and may be associated with a poor response to systematic treatment. Signet ring cell carcinoma is less chemosensitive than others, and the increase in the percentage of signet ring cells correlates with resistance to chemotherapy. Perioperative chemotherapy in advanced signet ring cell carcinomas is an independent factor of poor prognosis and survival, which is explained by the toxicity of neoadjuvant treatment. Therefore, curative surgical resection enhanced by standardized lymphadenectomy remains the recommended gold standard in GC therapy. According to presented studies, early detection and aggressive treatments for this subtype of GC is a reasonable approach. This review paper is mostly addressed to physicians who are interested in updating to the state of the art concerning different subtypes of gastric carcinoma. [ABSTRACT FROM AUTHOR]

The main purpose of this article is to identify and classify smart and sustainable urban mobility solutions in the context of three narratives for sustainable mobility: electromobility, collective transport 2.0 and low-mobility societies. The research process of this study included the following methods: review of the literature, namely, strategic European documents, sustainable urban mobility plans in chosen cities and scientific publications addressing smart and sustainable mobility, case studies of selected cities in Europe and technology mapping to visualize the study results. The main result of this study is the review of various smart and sustainable urban solutions (SSUM) and their classification within the three narratives of electromobility, collective transport 2.0 and low-mobility societies. This article expands the concept of the three narratives for sustainable mobility with the aspect of smart mobility enriched with the variety of example solutions, case studies and good practices within mobility strategies in European cities. The study results can be useful for different stakeholders engaged in developing and introducing the sustainable mobility strategies in cities. Based on the catalogue of SSUM solutions, presented case studies and good practices, they may gain the necessary knowledge, consider the possible initiatives towards green transformation in cities and finally adjust them to the citizens' need. [ABSTRACT FROM AUTHOR]

The present paper seeks to contribute to the better knowledge of the parental rocks of different soil types that are found in Romania, as well as their share in the country's territory. During its geological-geographical evolution, on Romania’s territory various geological (petrographic) formations have been formed, from crystalline rocks to loams, sands, fluvial and organic deposits. Because the types of rocks are numerous and their territorial distribution changes in narrower areas, the paper aims to group them according to their associating mode, genesis, as well as to their contribution to soil formation. The paper introduces a new map of solification rocks in Romania, scale 1:1.000.000, which aims not only to their theoretical classification, but also to determine the surfaces occupied by each category, and their distribution on the country's major relief units. In addition to the new map, achieved after the processing and updating of different cartographical materials using GIS techniques, information regarding the soil types formed on each category of parental rocks is provided. [ABSTRACT FROM AUTHOR]

Background: Health care organizations need to be responsive to the needs of increasingly diverse patient populations. We compared the contents of six publicly available approaches to organizational responsiveness to diversity. The central questions addressed in this paper are: what are the most consistently recommended issues for health care organizations to address in order to be responsive to the needs of diverse groups that differ from the majority population? How much consensus is there between various approaches?Methods: We purposively sampled six approaches from the US, Australia and Europe and used qualitative textual analysis to categorize the content of each approach into domains (conceptually distinct topic areas) and, within each domain, into dimensions (operationalizations). The resulting classification framework was used for comparative analysis of the content of the six approaches.Results: We identified seven domains that were represented in most or all approaches: organizational commitment, empirical evidence on inequalities and needs, a competent and diverse workforce, ensuring access for all users, ensuring responsiveness in care provision, fostering patient and community participation, and actively promoting responsiveness. Variations in the operationalization of these domains related to different scopes, contexts and types of diversity. For example, approaches that focus on ethnic diversity mostly provide recommendations to handle cultural and language differences; approaches that take an intersectional approach and broaden their target population to vulnerable groups in a more general sense also pay attention to factors such as socio-economic status and gender.Conclusions: Despite differences in labeling, there is a broad consensus about what health care organizations need to do in order to be responsive to patient diversity. This opens the way to full scale implementation of organizational responsiveness in healthcare and structured evaluation of its effectiveness in improving patient outcomes. [ABSTRACT FROM AUTHOR]

The rapid pace of urbanization and increasing demands for urban functionalities have led to diversification and complexity in the types of urban surface elements. The conventional approach of relying solely on remote sensing imagery for urban surface element extraction faces emerging challenges. Data-driven techniques, including deep learning and machine learning, necessitate a substantial number of annotated samples as prerequisites. In response, our study proposes a knowledge-driven approach that integrates multisource data with ontology to achieve precise urban surface element extraction. Within this framework, components from the EIONET Action Group on Land Monitoring in Europe matrix serve as ontology primitives, forming a shared vocabulary. The semantics of surface elements are deconstructed using these primitives, enabling the creation of specific descriptions for various types of urban surface elements by combining these primitives. Our approach integrates multitemporal high-resolution remote sensing data, network big data, and other heterogeneous data sources. It segments high-resolution images into individual patches, and for each unit, urban surface element classification is accomplished through semantic rule-based inference. We conducted experiments in two regions with varying levels of urban scene complexity, achieving overall accuracies of 93.03% and 97.35%, respectively. Through this knowledge-driven approach, our proposed method significantly enhances the classification performance of urban surface elements in complex scenes, even in the absence of sample data, thereby presenting a novel approach to urban surface element extraction. [ABSTRACT FROM AUTHOR]

The standard approach when studying atmospheric circulation regimes and their dynamics is to use a hard regime assignment, where each atmospheric state is assigned to the regime it is closest to in distance. However, this may not always be the most appropriate approach as the regime assignment may be affected by small deviations in the distance to the regimes due to noise. To mitigate this we develop a sequential probabilistic regime assignment using Bayes's theorem, which can be applied to previously defined regimes and implemented in real time as new data become available. Bayes's theorem tells us that the probability of being in a regime given the data can be determined by combining climatological likelihood with prior information. The regime probabilities at time t can be used to inform the prior probabilities at time t + 1, which are then used to sequentially update the regime probabilities. We apply this approach to both reanalysis data and a seasonal hindcast ensemble incorporating knowledge of the transition probabilities between regimes. Furthermore, making use of the signal present within the ensemble to better inform the prior probabilities allows for identifying more pronounced interannual variability. The signal within the interannual variability of wintertime North Atlantic circulation regimes is assessed using both a categorical and regression approach, with the strongest signals found during very strong El Niño years. Significance Statement: Atmospheric circulation regimes are recurrent and persistent patterns that characterize the atmospheric circulation on time scales of 1–3 weeks. They are relevant for predictability on these time scales as mediators of weather. In this study we propose a novel approach to assigning atmospheric states to six predefined wintertime circulation regimes over the North Atlantic and Europe, which can be applied in real time. This approach introduces a probabilistic, instead of deterministic, regime assignment and uses prior knowledge on the regime dynamics. It allows us to better identify the regime persistence and indicates when a state does not clearly belong to one regime. Making use of an ensemble of model simulations, we can identify more pronounced interannual variability by using the full ensemble to inform prior knowledge on the regimes. [ABSTRACT FROM AUTHOR]

From ancient time the economies had periods of expansion followed by recession, each crisis was determined by various internal or external factors. With globalization, economic interconnection and the liberalization of resource exchange between states, high risk of economic crises have sprung up. The main purpose of the article is to determine a data model, using specific data analysis techniques, and based on it to study the economic cyclicality in Europe and the prediction of a possible economic crisis. The study was conducted on a number of 37 indicators selected from 11 categories, a set of 29 countries in Europe and over a period of 24 years (1995 − 2018) using the K-Means algorithm. Grouping the data for each country in three classes and describing each class by taking into account the variables with the highest discriminative power, leads to the main conclusion that in the next several years, an economic crisis in Europe has a high probability to be a reality. [ABSTRACT FROM AUTHOR]

Europe's mountain forests, which are naturally valuable areas due to their high biodiversity and well-preserved natural characteristics, are experiencing major alterations, so an important component of monitoring is obtaining up-to-date information concerning species composition, extent, and location. An important aspect of mapping tree stands is the selection of remote sensing data that vary in temporal, spectral, and spatial resolution, as well as in open and commercial access. For the Tatra Mountains area, which is a unique alpine ecosystem in central Europe, we classified 13 woody species by iterative machine learning methods using random forest (RF) and support vector machine (SVM) algorithms of more than 1000 polygons collected in the field. For this task, we used free Sentinel-2 multitemporal satellite data (10 m pixel size, 12 spectral bands, and 21 acquisition dates), commercial PlanetScope data (3 m pixel size, 8 spectral bands, and 3 acquisitions dates), and airborne HySpex hyperspectral data (2 m pixel size, 430 spectral bands, and a single acquisition) with fusion of the data of topographic derivatives based on Shuttle Radar Topography Mission (SRTM) and airborne laser scanning (ALS) data. The iterative classification method achieved the highest F1-score with HySpex (0.95 RF; 0.92 SVM) imagery, but the multitemporal Sentinel-2 data cube, which consisted of 21 scenes, offered comparable results (0.93 RF; 0.89 SVM). The three images of the high-resolution PlanetScope produced slightly less accurate results (0.89 RF; 0.87 SVM). [ABSTRACT FROM AUTHOR]

The paper investigates the assumed ideological divide between cosmopolitans and communitarians as part of a new globalisation-related cleavage in Europe. First, the central values and attitudes that form the foundation of the ideological divide are identified. Then, a new methodological approach is proposed, in order to identify the ideological divide using two different classification approaches. Based on data of the European Social Survey 2016, latent-profile-analysis is used to identify societal groups, with similar attitudes regarding six globalisation-related items. The results show, that on the one hand, there are indications of a new ideological divide along attitudes towards globalisation, which also coincide with structural traits. On the other hand, there is a clear distinction between people with very strong positive/negative globalisation-related attitudes, and those with more moderate opinions. [ABSTRACT FROM AUTHOR]

Objective From May to September 2014, Epilepsia conducted an online survey seeking opinions on whether consciousness should be used in describing focal and generalized seizures, and what terms should be applied to describe focal seizures with loss of awareness and amnesia. This study reports the findings of that survey. Methods Two questions asked if consciousness should be used to classify seizures and what terms should be applied. Another four questions addressed demographic information. Results Of 209 individuals that started the poll, 147 (70.3%) completing it, and most that completed it were epileptologists (66%) from Europe (41%) and North America (27%). A majority (64%) indicated that the presence or absence of consciousness should be used to describe focal and generalized seizures, whereas 23% said it should not be used. When asked what term should be used to describe focal seizures with altered awareness and amnesia, 36% said focal impaired consciousness seizures ( FICS), 30% selected complex partial seizures ( CPS), and 16% answered focal dyscognitive seizures. Significance This survey indicates that most responders prefer that consciousness be considered in the description of focal and generalized seizures, despite the difficulty in determining awareness clinically. Furthermore, responders could not agree on a single term that could be used to define focal seizures with loss of awareness and amnesia. [ABSTRACT FROM AUTHOR]

The legal regulation of the protection of the state secret have appeared relatively late in European legal history over the last two centuries. The secrecy provisions have always been in accordance with the standards of the given age, in most cases relatively neutral regulations, and a certain development arc can be observed. It can be seen in the gradual modernization of the rules and, on the other hand, in the increase in the number of guarantee elements from the end of the socialist era. With regard to criminal law, there is a tendency for criminal offenses regarding to state to gradually less and less severe. The various rules of state secrecy and related crimes has eased in most European countries’ criminal law regulation since 1989. [ABSTRACT FROM AUTHOR]

Data about the regulatory approaches to donor human milk (DHM) in European countries are lacking. The aim of this study is to describe the various regulations of DHM within European countries, to assess its legislative context and its impact in relation to donor milk banking. We performed a cross‐sectional survey using a semistructured online questionnaire addressing 29 national European milk‐banking representatives from June 2020 to February 2021. Representatives of 26 national DHM services participated in this study. The legal classification and regulatory status of DHM were defined in 9 out of 26 areas of jurisdiction (35%) as either food product (n = 6), product of human origin according to a blood, tissue, cell regulation (n = 2), or medicinal product (n = 1). In the remainder, DHM remains unclassified. Most legislations did not provide a comprehensive framework concerning DHM and costs to cover milk bank operations were rarely reimbursed. In general, the lack of national legislative governance and the actual legislative regulations in place do not support the use of DHM in European countries. National medical guidelines for the use of DHM have been issued in only 11 countries. The current number and distribution of milk banks (n = 239) within participating countries may not provide an equitable access to DHM for eligible infants. These findings could guide stakeholders aiming to establish a regulatory framework for DHM. Key messages: There is a lack of a legislative framework concerning the use of donor human milk in the majority of European countries.Available national legislative frameworks differed widely with gaps in the regulation of safety and quality of donor human milk, protection of donors and recipients, and cost recovery.Despite clearly demonstrated benefits and unequivocal recommendations for the use of donor human milk there is a lack of national guidance in many European countries. [ABSTRACT FROM AUTHOR]

In 2011 a working group of the European Society for the Study of Tourette Syndrome (ESSTS) has developed the first European assessment guidelines for Tourette syndrome (TS). Now, we present an updated version 2.0 of these European clinical guidelines for Tourette syndrome and other tic disorders, part I: assessment. Therefore, the available literature has been thoroughly screened, supplemented with national guidelines across countries and discussions among ESSTS experts. Diagnostic changes between DSM-IV and DSM-5 classifications were taken into account and new information has been added regarding differential diagnoses, with an emphasis on functional movement disorders in both children and adults. Further, recommendations regarding rating scales to evaluate tics, comorbidities, and neuropsychological status are provided. Finally, results from a recently performed survey among ESSTS members on assessment in TS are described. We acknowledge that the Yale Global Tic Severity Scale (YGTSS) is still the gold standard for assessing tics. Recommendations are provided for scales for the assessment of tics and psychiatric comorbidities in patients with TS not only in routine clinical practice, but also in the context of clinical research. Furthermore, assessments supporting the differential diagnosis process are given as well as tests to analyse cognitive abilities, emotional functions and motor skills. [ABSTRACT FROM AUTHOR]

Like other fields of social policy, the organization of long‐term care (LTC) varies temporally and geographically. The present article aims to advance the comparison of LTC systems worldwide by proposing a conceptual framework to analyse variation, putting a special focus on analysing the role of public and private actor types. In a precluding literature review of existing LTC typologies, we find that there are various promising classification approaches, but with an overwhelming concentration on European countries and often constructed in‐transparently and superficially. Building on the concept of the care/welfare mix, we develop a multi‐dimensional, actor‐centred typology of LTC systems. In doing so, we employ the methodological procedure of theoretically constructing a typological attribute space. We argue that three dimensions, that is service provision, financing and regulation, are crucial for differentiating types. Furthermore, we chose an actor‐centred approach, asking who bears the main responsibility in each dimension. Five relevant types of corporate actors are distinguished: state, societal actors, private for‐profit actors, private individual actors, and global actors. Finally, we present and discuss the resulting attribute space and further illustrated the typology's use by exemplarily classifying three countries. [ABSTRACT FROM AUTHOR]

Background: Varicocoeles have been considered for a long time potentially correctable causes for male infertility, even though the correlation of this condition with infertility and sperm damage is still debated. Objective: To present a summary of the evidence evaluation for imaging varicocoeles, to underline the need for a standardized examination technique and for a unique classification, and to focus on pitfalls in image interpretation. Methods: Based on the evidence of the literature, the current role of ultrasound (US) imaging for varicocoeles has been reported and illustrated, with emphasis on examination technique, classification, and pitfalls. Results: US is the imaging modality of choice. It is widely used in Europe, while in other countries clinical classification of varicocoeles is considered sufficient to manage the patient. A number of US classifications exist for varicocoeles, in which the examinnation is performed in different ways. Discussion: An effort toward standardization is mandatory, since lack of standardization contributes to the confusion of the available literature, and has a negative impact on the understanding of the role itself of imaging in patients with varicocoeles. Conclusion: Use of the Sarteschi/Liguori classification for varicocoeles is recommended, since it is the most complete and widely used US scoring system available today. Tubular extratesticular structures resembling varicocoeles, either at palpation or at US, should be identified and correctly characterized. [ABSTRACT FROM AUTHOR]

Status epilepticus (SE) is a neurological and medical emergency, defined as a condition resulting either from the failure of the mechanisms responsible of seizure self-limitation or from the initiation of mechanisms which lead to atypically prolonged seizures. Further than death, SE can have long-term consequences, including neuronal injury, depending on the type, cause and duration of seizures with severe associated disabilities. In Europe, SE shows an incidence rate ranging about 9 to 40/100,000/y. In adults, mortality of patients with SE is ∼ 30%, and even higher (up to 40%) in refractory status epilepticus. To date, etiology, duration, presence of comorbidity, level of consciousness, semiology and age are the main clinical predictors of SE outcome. [ABSTRACT FROM AUTHOR]

In the wake of mass-migrations of refugees seeking safety and stability in Europe, this contribution studies emerging grassroots organizations that support refugee status holders in Rotterdam, the Netherlands. The municipality expects these organizations to adhere to the European trend to incorporate immigrant integration priorities in interventions that apply to all residents. The article discusses the paradox of how bureaucratic classifications regarding preferred target groups cast certain grassroots responses as fringe-activities that are less legible bureaucratically. Based on a year of ethnographic fieldwork, this article shows how this lessened legibility translates into profound insecurities for grassroots organizers. The article discusses how these insecurities, in combination with the uncertainty grassroots organizers feel regarding their employability, motivate them to play guessing games and to give in to municipal preferences to boost their eligibility for funding. It argues that this process of giving in to municipal preferences should be understood as an attempt to render their endeavors legible, reduce precariousness, secure a livelihood, and turn affective labor into a life-sustaining practice. In so doing, this contribution evokes the story of a particular grassroots organizer--a woman of color with a forced migration background. [ABSTRACT FROM AUTHOR]

The textile and fashion industry is amongst the most resource-intensive and polluting industries, thus impacting the natural environment. During the last decades, there has been an increase in the manufacturing of textiles. Europe consumes large amounts of textiles and clothing due to the current "buy-and-throw-away" culture, so it is crucial to minimize the environmental footprint of the textile and fashion industry. To this end, fashion and textiles should be part of a circular economy, thus extending the life of textiles and clothes, while retaining textile fibers within a closed circuit. There is a need of increasing textile recycling and reuse to minimize the production of virgin textile fibers. However, textiles are mostly sorted manually, thus to process huge volumes of materials and reduce the associated costs, automated sorting systems are required. This paper presents an approach for the sensing and classifying parts of an automatic waste-textile-sorting machine. To this end, the infrared spectra of the textile samples is analyzed and, by applying suitable statistical multivariate methods specially designed to solve classification problems, 100% classification accuracy of unknown fiber samples is reached. The results allow predicting that textile-fibers can be automatically classified with 100% accuracy at high speed, with no need to apply any prior analytical treatment to the textile samples. [ABSTRACT FROM AUTHOR]

Aims: River gravel bars are endangered habitats in Europe. However, classification schemes of their vegetation and habitat types differ among European countries, and they are even ignored in some national schemes. This causes problems in conservation planning, monitoring and management. Hence we aimed at building the first unified vegetation classification for river gravel‐bar habitats across European mountain systems. Location: Europe. Methods: In total 4,769 vegetation plot records of river gravel‐bar plant communities were collected from national, regional or private databases, digitized from the literature and newly collected in the field. A hierarchical classification expert system with formal definitions of vegetation types was created. The definitions combined the criteria of presence or cover of groups of species with similar ecology or single species narrowly specialized to a particular gravel‐bar habitat. The TWINSPAN classification was applied to early‐successional vegetation types to check whether the classification based on formal definitions was supported by the results of unsupervised classification. Similarity patterns among vegetation types were visualized using the detrended correspondence analysis (DCA) ordination. Results: Early‐successional and scrub gravel‐bar vegetation types were respectively classified into two classes: Thlaspietea rotundifolii and Salicetea purpureae. Eleven associations and four alliances (Calamagrostion pseudophragmitae, Epilobion fleischeri, Salicion cantabricae and Salicion eleagno‐daphnoidis) were defined formally. Based on a critical revision, some associations or alliances defined in the previous literature were merged or discarded. The main gradient in variability within the gravel‐bar vegetation is connected with the altitudinal gradient, biogeographical variation, local hydromorphological processes and various successional changes. Conclusions: The first unified and formalized classification system of the European mountain river gravel‐bar vegetation was created, and species composition, ecology and distribution of these types were characterized. The syntaxonomical nomenclature of these types was checked and revised. This study provides a base for conservation planning of these threatened and rapidly disappearing habitats. [ABSTRACT FROM AUTHOR]

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