77 results
Search Results
2. Mathematics education in the Netherlands : realism in school mathematics
- Author
-
Carr, Ken and Treffers, Adri
- Published
- 1996
3. The use of mathematics in political science: A survey of European and American Journals.
- Author
-
Riba, Clara
- Subjects
POLITICAL science ,MATHEMATICS ,CONSTITUTIONAL history ,POLITICS in literature - Abstract
The article focuses on the employment of mathematics in political science. It evaluates the use of mathematical tools and methods in present day political science. It reviews the evolution in the use of mathematics, and relates it with the evolution to the different methodological approaches using mathematics, and to the subjects of research in each different sub-areas of political science. It aims to determine the aspects of mathematics that are mostly used and serves as a point of departure for the study of the situation. It analyzes the mathematical content of early political science journals from Europe and America.
- Published
- 1996
- Full Text
- View/download PDF
4. Assessing National Curriculum Mathematics in England: Exploring Children‘s Interpretation of Key Stage 2 Tests in Clinical Interviews.
- Author
-
Cooper, Barry
- Subjects
- *
MATHEMATICS - Abstract
This paper initially discusses recent changes in mathematics education and assessment in England and Wales against the background of research on mathematics performance and assessment. It then reports findings from qualitative research with 10–11 year olds undertaken with the object of exploring the validity of the pilot pencil and paper tests in mathematics developed as part of the assessment programme for the English and Welsh National Curriculum in 1993 and 1994. Fifteen children from across the ’ability‘ range were asked to work through a selection of items in the situation of an individual clinical interview. This enabled in-depth data to be collected about their interpretation of and performance on the items. This paper focuses in particular on items where the ambiguity of the boundary between everyday knowledge and mathematics might be expected to lead to problems for children in interpreting the tasks required of them by the test items. The results show that the nature of the items might well have prevented some of these children, in the context of a paper and pencil testing situation, from demonstrating mathematical capacities and understandings they seem to have possessed. Their initial performance does not always seem to have reflected their underlying competence as demonstrated in the extended interview. [ABSTRACT FROM AUTHOR]
- Published
- 1998
- Full Text
- View/download PDF
5. Modelling TIMSS Data in a European Comparative Perspective: ExploringInfluencing Factors on Achievement in Mathematics in Grade 8.
- Author
-
Bos, Klaas and Kuiper, Wilmad
- Subjects
MATHEMATICS education ,SCIENCE education ,MATHEMATICS - Abstract
In international comparative studies like TIMSS data analysis is aimed at differences and similarities among education systems (countries). In this article the outcomes are presented of explorative path analysis on data collected with grade 8 students and classrooms in eight Western and two Central European education systems. For the 10 education systems the resulting general path model explains 19% or less of the variance in achievement in mathematics. In many systems home educational background and students' attitude towards mathematics have a positive relation with achievement in mathematics, out-of-school activities a negative. Due to the psychometric quality of scales and non-availability of measures of important factors at classroom level (e.g., time on task and teacher's expectation), no significant results were found of factors that can be manipulated by policy makers. [ABSTRACT FROM AUTHOR]
- Published
- 1999
- Full Text
- View/download PDF
6. From Informal Strategies to Structured Procedures: mind the gap!
- Author
-
Anghileri, Julia, Beishuizen, Meindert, and van Putten, Kees
- Subjects
- *
ARITHMETIC , *MATHEMATICS , *STUDENTS - Abstract
This paper explores written calculation methods for division used by pupils in England (n = 276) and the Netherlands (n = 259) at two points in the same school year. Informal strategies are analysed and progression identified towards more structured procedures that result from different teaching approaches. Comparison of the methods used by year 5 (Group 6) pupils in the two countries shows greater success in the Dutch approach, which is based on careful progression from informal strategies to more structured and efficient procedures. This success is particularly notable for the girls in the sample. For the English pupils, whose written solutions largely involved the traditional algorithm, the discontinuity between the formal computation procedure and informal solution strategies presents difficulties. [ABSTRACT FROM AUTHOR]
- Published
- 2002
- Full Text
- View/download PDF
7. Announcements.
- Subjects
CONFERENCES & conventions ,LECTURES & lecturing ,PHILOSOPHY ,MATHEMATICS - Abstract
Announces the schedules of a lecture and conference regarding philosophy and mathematics in Europe in 2004. Venue of the annual lecture by the European Journal of Philosophy; Political representation as a topic in the lecture; Date of the international conference on mathematical knowledge in Great Britain.
- Published
- 2004
- Full Text
- View/download PDF
8. Progress in development of producer price indices for the service industries in Europe.
- Author
-
Norrman, Vera
- Subjects
- *
STATISTICS , *MATHEMATICS , *ECONOMETRICS , *WHOLESALE price indexes , *SERVICE industries - Abstract
This paper presents an inventory study of progress made in developing producer price indices for services in Europe. The report makes a brief historical look at the situation from 1999 and the impact of the requirements of the systems of national accounts is discussed. The report will also describe both the guiding/determining instruments (such as existing manuals, handbooks, international regulations in the field, country-specific development reports) and the official and unofficial institutions that promote and make possible cooperation and information exchange. There are several reasons why some European countries have more developed producer price index (PPI) for services than others. The country-by-country inventory of the present situation in Europe summarises the results of the questionnaire sent to 23 European countries in February/March this year. It is presented in the Annex to this paper. The findings clearly demonstrate that different countries in Europe are at different stages in the development of PPIs for services. The current development process can be shortened and made more effective with the help of international exchange of information and international cooperation within both the official institutions for cooperation and the unofficial networks. The development process in countries with relatively little experience must, however, be allowed to develop at their own pace because the conditions may vary. In conclusion, this report outlines some general wishes and recommendations: - increase of national financial resources in the field; - higher status for PPI for services in the price index family; - increased cooperation between experts in the field of price statistics and those in the field of national accounts. Efforts to increase awareness of the value of PPI for services as deflators for production values in the SNA (System for National Accounts) are necessary so that their value is recognised among the government financial officers. Developments in Sweden, which can be of interest for other countries, are presented in the concluding section of this report. [ABSTRACT FROM AUTHOR]
- Published
- 2004
9. Histories of Science in Early Modern Europe: Introduction.
- Author
-
Goulding, Robert
- Subjects
HISTORY of science ,SCIENCE & civilization ,SEVENTEENTH century ,MODERN civilization ,MATHEMATICS - Abstract
The article presents an introduction on the histories of science in early modern Europe. The papers here argue that there were indeed histories of mathematics before Jean-Etienne Montucla which are worthy of scholarly attention and that the dismissal of Renaissance histories of science as nothing more than a cloud of fine adjectives and metaphors is a fallacy. Three of the papers in this collection address histories of mathematics, which were written from the late fifteenth century to the early seventeenth century. It also provides a new approach that considers the relationship which humanist culture had with the emerging new sciences.
- Published
- 2006
- Full Text
- View/download PDF
10. Computability in Europe 2006.
- Author
-
Beckmann, Arnold and Löwe, Benedikt
- Subjects
COMPUTABLE functions ,SCIENTISTS ,AUTOMATION ,DATABASE management ,DESCRIPTION logics ,DECIDABILITY (Mathematical logic) ,MATHEMATICS ,COMPUTER science - Abstract
The article offers information on Computability in Europe (CiE) which is an informal network of European scientists working on computability theory such as foundations, technical development and applications. CiE aims to deliver advance on theoretical understanding of what can and cannot be computed by any means of computations in its scientific vision performed with discrete or continuous data. It states that CiE 2006 focused on the variety of logical approaches to all kinds of computational barriers which focuses on the hypercomputable ones.
- Published
- 2008
- Full Text
- View/download PDF
11. COMPETENCIAS EMPRENDEDORAS Y DESARROLLO DEL ESPÍRITU EMPRESARIAL EN LOS CENTROS EDUCATIVOS.
- Author
-
Fernández, Luis Sobrado and Rey, Elena Fernández
- Subjects
LEGISLATION ,READING ,WRITING ,MATHEMATICS ,LANGUAGE & languages ,SCIENTISTS ,UNIVERSITIES & colleges ,BUSINESS enterprises - Abstract
Copyright of Educación XX1 is the property of Editorial UNED and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2010
12. "Mathematics made no contribution to the public weal": why Jean Fernel (1497-1558) became a physician.
- Author
-
Henry J
- Subjects
- Europe ethnology, History, 15th Century, History, 16th Century, Astronomy education, Astronomy history, History of Medicine, Mathematics education, Mathematics history, Physicians history, Physicians psychology
- Abstract
This paper offers a caution that emphasis upon the importance of mathematics in recent historiography is in danger of obscuring the historical fact that, for the most part, mathematics was not seen as important in the pre-modern period. The paper proceeds by following a single case study, and in so doing offers the first account of the mathematical writings of Jean Fernel (1497-1558), better known as a leading medical innovator of the 16th century. After establishing Fernel's early commitment to mathematics, and attempt to forge a career as a cosmographer, it goes on to explain his abandonment of mathematics for a career in medicine. The 'mathematization of the world picture' is usually explained in terms of the perceived usefulness of mathematics, but Fernel's case shows that for many pre-modern thinkers, mathematics was not regarded as a useful pursuit. The paper should serve as a reminder, therefore, that the take-up of mathematics by natural philosophers was by no means inevitable, but had to be carefully managed by early modern mathematical practitioners. The case of Fernel indicates that perhaps he was not the only would-be mathematical practitioner to abandon mathematics in favor of a calling that was more appreciated by contemporaries.
- Published
- 2011
- Full Text
- View/download PDF
13. Cube root extraction in medieval mathematics
- Author
-
Johansson, Bo Göran
- Subjects
- *
CUBE root , *MEDIEVAL mathematics , *ALGORITHMS , *ORDERED algebraic structures , *MATHEMATICS - Abstract
Abstract: The algorithms used in Arabic and medieval European mathematics for extracting cube roots are studied with respect to algebraic structure and use of external memory (dust board, table, paper). They can be separated into two distinct groups. One contains methods used in the eastern regions from the 11th century, closely connected to Chinese techniques, and very uniform in structure. The other group, showing much wider variation, contains early Indian methods and techniques developed in central and western parts of the Arabic areas and in Europe. This study supports hypotheses previously formulated by Luckey and Chemla on an early scientific connection between China and Persia. [Copyright &y& Elsevier]
- Published
- 2011
- Full Text
- View/download PDF
14. Postwar Science in Divided Europe: A Continuing Cooperation.
- Author
-
Debru, Claude
- Subjects
- *
HISTORY of science , *INTERNATIONAL cooperation on science , *MATHEMATICS , *BIOCHEMISTRY , *NEUROSCIENCES , *INTERNATIONAL cooperation ,20TH century - Abstract
This paper is devoted to an outline of certain aspects of international scientific cooperation and exchange between Eastern and Western European countries from 1950 to 1989, with an emphasis on mathematics, biochemistry and neuroscience. [ABSTRACT FROM AUTHOR]
- Published
- 2013
- Full Text
- View/download PDF
15. Implicating Culicoides Biting Midges as Vectors of Schmallenberg Virus Using Semi-Quantitative RT-PCR.
- Author
-
Veronesi, Eva, Henstock, Mark, Gubbins, Simon, Batten, Carrie, Manley, Robyn, Barber, James, Hoffmann, Bernd, Beer, Martin, Attoui, Houssam, Mertens, Peter Paul Clement, and Carpenter, Simon
- Subjects
CULICOIDES ,CERATOPOGONIDAE ,ARBOVIRUSES ,REVERSE transcriptase polymerase chain reaction ,QUANTITATIVE research ,RNA - Abstract
Background: The recent unprecedented emergence of arboviruses transmitted by Culicoides biting midges in northern Europe has necessitated the development of techniques to differentiate competent vector species. At present these techniques are entirely reliant upon interpretation of semi-quantitative RT-PCR (sqPCR) data in the form of C
q values used to infer the presence of viral RNA in samples. Methodology/Principal Findings: This study investigates the advantages and limitations of sqPCR in this role by comparing infection and dissemination rates of Schmallenberg virus (SBV) in two colony lines of Culicoides. Through the use of these behaviorally malleable lines we provide tools for demarcating arbovirus infection and dissemination rates in Culicoides which to date have prevented clear implication of primary vector species in northern Europe. The study demonstrates biological transmission of SBV in an arthropod vector, supporting the conclusions from field-caught Culicoides and provides a general framework for future assessment of vector competence of Culicoides for arboviruses using sqPCR. Conclusions/Significance: When adopting novel diagnostic technologies, correctly implicating vectors of arboviral pathogens requires a coherent laboratory framework to fully understand the implications of results produced in the field. This study illustrates these difficulties and provides a full examination of sqPCR in this role for the Culicoides-arbovirus system. [ABSTRACT FROM AUTHOR]- Published
- 2013
- Full Text
- View/download PDF
16. Albrecht Dürer and Early Modern Merchant ships. A reflection on the spread of ideas and transfer of technology.
- Author
-
Ditta, Massimiliano, Auer, Jens, and Maarleveld, Thijs
- Subjects
TECHNOLOGY transfer ,SHIPBUILDING ,MODERN history ,NAVAL architecture - Abstract
Copyright of Archeologia Postmedievale is the property of Edizioni all'Insegna del Giglio and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2014
17. The Abel Prize: The Missing Nobel in Mathematics?
- Author
-
Helsvig, Kim G.
- Subjects
ABEL Prize ,NOBEL Prizes ,MATHEMATICS -- Social aspects ,HISTORY of science ,PRIZES (Contests & competitions) ,HISTORY of Norway ,UNIVERSITIES & colleges ,TWENTY-first century ,HISTORY - Abstract
The Norwegian government created the Abel Prize in Mathematics in 2002 in memory of mathematician Niels Henrik Abel (1802-1829). The aim was to establish the annual Abel Prize as the world's leading prize in mathematics. The creation of the prize was the result of a short and successful campaign in the spring and summer of 2001, which presented the prize as 'the missing Nobel Prize in mathematics.' The prize was very well received, both by the international mathematical community and Norwegian politicians. Sweden's Nobel Foundation, however, found repeated references to the new prize as 'a Nobel in mathematics' to be quite inappropriate. This article focuses on how the prize was successfully established in Norway, a country considered by some to be at the mathematical periphery, and to what extent the Abel Prize has been able to live up to the high expectations during its first 10 years. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
18. Climate Change and Macro-Economic Cycles in Pre-Industrial Europe.
- Author
-
Pei, Qing, Zhang, David D., Lee, Harry F., and Li, Guodong
- Subjects
CLIMATE change ,MACROECONOMICS ,SUPPLY & demand ,MARKETING ,SOCIAL adjustment ,SOCIAL sciences - Abstract
Climate change has been proven to be the ultimate cause of social crisis in pre-industrial Europe at a large scale. However, detailed analyses on climate change and macro-economic cycles in the pre-industrial era remain lacking, especially within different temporal scales. Therefore, fine-grained, paleo-climate, and economic data were employed with statistical methods to quantitatively assess the relations between climate change and agrarian economy in Europe during AD 1500 to 1800. In the study, the Butterworth filter was adopted to filter the data series into a long-term trend (low-frequency) and short-term fluctuations (high-frequency). Granger Causality Analysis was conducted to scrutinize the associations between climate change and macro-economic cycle at different frequency bands. Based on quantitative results, climate change can only show significant effects on the macro-economic cycle within the long-term. In terms of the short-term effects, society can relieve the influences from climate variations by social adaptation methods and self-adjustment mechanism. On a large spatial scale, temperature holds higher importance for the European agrarian economy than precipitation. By examining the supply-demand mechanism in the grain market, population during the study period acted as the producer in the long term, whereas as the consumer in the short term. These findings merely reflect the general interactions between climate change and macro-economic cycles at the large spatial region with a long-term study period. The findings neither illustrate individual incidents that can temporarily distort the agrarian economy nor explain some specific cases. In the study, the scale thinking in the analysis is raised as an essential methodological issue for the first time to interpret the associations between climatic impact and macro-economy in the past agrarian society within different temporal scales. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
19. The Neolithic Demographic Transition in Europe: Correlation with Juvenility Index Supports Interpretation of the Summed Calibrated Radiocarbon Date Probability Distribution (SCDPD) as a Valid Demographic Proxy.
- Author
-
Downey, Sean S., Bocaege, Emmy, Kerig, Tim, Edinborough, Kevan, and Shennan, Stephen
- Subjects
RADIOCARBON dating ,DEMOGRAPHIC transition ,CEMETERIES ,PROBABILITY theory ,ARCHAEOLOGICAL excavations - Abstract
Analysis of the proportion of immature skeletons recovered from European prehistoric cemeteries has shown that the transition to agriculture after 9000 BP triggered a long-term increase in human fertility. Here we compare the largest analysis of European cemeteries to date with an independent line of evidence, the summed calibrated date probability distribution of radiocarbon dates (SCDPD) from archaeological sites. Our cemetery reanalysis confirms increased growth rates after the introduction of agriculture; the radiocarbon analysis also shows this pattern, and a significant correlation between both lines of evidence confirms the demographic validity of SCDPDs. We analyze the areal extent of Neolithic enclosures and demographic data from ethnographically known farming and foraging societies and we estimate differences in population levels at individual sites. We find little effect on the overall shape and precision of the SCDPD and we observe a small increase in the correlation with the cemetery trends. The SCDPD analysis supports the hypothesis that the transition to agriculture dramatically increased demographic growth, but it was followed within centuries by a general pattern of collapse even after accounting for higher settlement densities during the Neolithic. The study supports the unique contribution of SCDPDs as a valid demographic proxy for the demographic patterns associated with early agriculture. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
20. How Can Inequalities in Mortality Be Reduced? A Quantitative Analysis of 6 Risk Factors in 21 European Populations.
- Author
-
Eikemo, Terje A., Hoffmann, Rasmus, Kulik, Margarete C., Kulhánová, Ivana, Toch-Marquardt, Marlen, Menvielle, Gwenn, Looman, Caspar, Jasilionis, Domantas, Martikainen, Pekka, Lundberg, Olle, Mackenbach, Johan P., and null, null
- Subjects
EMPLOYMENT ,SOCIOECONOMICS ,EQUALITY ,MORTALITY ,HEALTH policy ,QUANTITATIVE research - Abstract
Background: Socioeconomic inequalities in mortality are one of the greatest challenges for health policy in all European countries, but the potential for reducing these inequalities is unclear. We therefore quantified the impact of equalizing the distribution of six risk factors for mortality: smoking, overweight, lack of physical exercise, lack of social participation, low income, and economic inactivity. Methods: We collected and harmonized data on mortality and risk factors by educational level for 21 European populations in the early 2000s. The impact of the risk factors on mortality in each educational group was determined using Population Attributable Fractions. We estimated the impact on inequalities in mortality of two scenarios: a theoretical upward levelling scenario in which inequalities in the risk factor were completely eliminated, and a more realistic best practice scenario, in which inequalities in the risk factor were reduced to those seen in the country with the smallest inequalities for that risk factor. Findings: In general, upward levelling of inequalities in smoking, low income and economic inactivity hold the greatest potential for reducing inequalities in mortality. While the importance of low income is similar across Europe, smoking is more important in the North and East, and overweight in the South. On the basis of best practice scenarios the potential for reducing inequalities in mortality is often smaller, but still substantial in many countries for smoking and physical inactivity. Interpretation: Theoretically, there is a great potential for reducing inequalities in mortality in most European countries, for example by equity-oriented tobacco control policies, income redistribution and employment policies. Although it is necessary to achieve substantial degrees of upward levelling to make a notable difference for inequalities in mortality, the existence of best practice countries with more favourable distributions for some of these risk factors suggests that this is feasible. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
21. SCIENTIFIC RESEARCH PUBLICATION PRODUCTIVITY IN THE AREAS OF MATHEMATICS AND PHYSICS IN SOUTH EASTERN EUROPE.
- Author
-
KUTLAČA, Đuro, ŽIVKOVIĆ, Lazar, ŠTRBAC, Dijana, BABIĆ, Dragan, and SEMENČENKO, Dušica
- Subjects
SCIENCE publishing ,BIBLIOGRAPHIC databases ,MATHEMATICAL research ,PHYSICS research - Abstract
The paper presents the scientific publication productivity, registered in Web of Science (WoS) databases in two fields of science, Mathematics and Physics, for authors from countries of South East Europe (SEE). Using Revealed Publication Advantage (RPA) indicator calculated for SEE countries, policy makers could get insight into the scientific publication productivity of SEE countries, in these two scientific fields, compared with the world average. The scientific output in Mathematics and Physics from the SEE region represents majority of the overall scientific output in every particular country in this region. The scientific output in Mathematics and Physics from the SEE region is comparable with those of other research groups in the world. When analysing Web of Science publications by field of research, Mathematics represents 2.1% of the total worldwide scientific production, while Physics accounts for 8.8%, giving a total of 10.9% for Physics and Mathematics combined -- over 1,547,187 publications in the period 2005-2010. In South East Europe, Mathematics is 3.5% of the total scientific production, while Physics is 9.6% - bringing the total for Physics and Mathematics to 13.1%. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
22. Heavenly Networks. Celestial Maps and Globes in Circulation between Artisans, Mathematicians, and Noblemen in Renaissance Europe.
- Author
-
Gessner S
- Subjects
- Astronomy instrumentation, Europe, History, 16th Century, Art history, Astronomy history, Mathematics history
- Abstract
The aim of this paper is to examine the iconography on a set of star charts by Albrecht Dürer (1515), and celestial globes by Caspar Vopel (1536) and Christoph Schissler (1575). The iconography on these instruments is conditioned by strong traditions which include not only the imagery on globes and planispheres (star charts), but also ancient literature about the constellations. Where this iconography departs from those traditions, the change had to do with humanism in the sixteenth century. This "humanistic" dimension is interwoven with other concerns that involve both "social" and "technical" motivations. The interplay of these three dimensions illustrates how the iconography on celestial charts and globes expresses some features of the shared knowledge and shared culture between artisans, mathematicians, and nobles in Renaissance Europe.
- Published
- 2015
- Full Text
- View/download PDF
23. Panethnic Differences in Blood Pressure in Europe: A Systematic Review and Meta-Analysis.
- Author
-
Modesti, Pietro Amedeo, Reboldi, Gianpaolo, Cappuccio, Francesco P., Agyemang, Charles, Remuzzi, Giuseppe, Rapi, Stefano, Perruolo, Eleonora, Parati, Gianfranco, and null, null
- Subjects
BLOOD pressure ,DISEASE prevalence ,DIABETES ,SYSTEMATIC reviews - Abstract
Background: People of Sub Saharan Africa (SSA) and South Asians(SA) ethnic minorities living in Europe have higher risk of stroke than native Europeans(EU). Study objective is to provide an assessment of gender specific absolute differences in office systolic(SBP) and diastolic(DBP) blood pressure(BP) levels between SSA, SA, and EU. Methods and Findings: We performed a systematic review and meta-analysis of observational studies conducted in Europe that examined BP in non-selected adult SSA, SA and EU subjects. Medline, PubMed, Embase, Web of Science, and Scopus were searched from their inception through January 31st 2015, for relevant articles. Outcome measures were mean SBP and DBP differences between minorities and EU, using a random effects model and tested for heterogeneity. Twenty-one studies involving 9,070 SSA, 18,421 SA, and 130,380 EU were included. Compared with EU, SSA had higher values of both SBP (3.38 mmHg, 95% CI 1.28 to 5.48 mmHg; and 6.00 mmHg, 95% CI 2.22 to 9.78 in men and women respectively) and DBP (3.29 mmHg, 95% CI 1.80 to 4.78; 5.35 mmHg, 95% CI 3.04 to 7.66). SA had lower SBP than EU(-4.57 mmHg, 95% CI -6.20 to -2.93; -2.97 mmHg, 95% CI -5.45 to -0.49) but similar DBP values. Meta-analysis by subgroup showed that SA originating from countries where Islam is the main religion had lower SBP and DBP values than EU. In multivariate meta-regression analyses, SBP difference between minorities and EU populations, was influenced by panethnicity and diabetes prevalence. Conclusions: 1) The higher BP in SSA is maintained over decades, suggesting limited efficacy of prevention strategies in such group in Europe;2) The lower BP in Muslim populations suggests that yet untapped lifestyle and behavioral habits may reveal advantages towards the development of hypertension;3) The additive effect of diabetes, emphasizes the need of new strategies for the control of hypertension in groups at high prevalence of diabetes. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
24. Expert Opinions on Improving Femicide Data Collection across Europe: A Concept Mapping Study.
- Author
-
Vives-Cases, Carmen, Goicolea, Isabel, Hernández, Alison, Sanz-Barbero, Belen, Gill, Aisha K., Baldry, Anna Costanza, Schröttle, Monika, and Stoeckl, Heidi
- Subjects
FEMICIDE ,GENDER inequality ,VIOLENCE against women ,HUMAN Development Index - Abstract
Femicide, defined as the killings of females by males because they are females, is becoming recognized worldwide as an important ongoing manifestation of gender inequality. Despite its high prevalence or widespread prevalence, only a few countries have specific registries about this issue. This study aims to assemble expert opinion regarding the strategies which might feasibly be employed to promote, develop and implement an integrated and differentiated femicide data collection system in Europe at both the national and international levels. Concept mapping methodology was followed, involving 28 experts from 16 countries in generating strategies, sorting and rating them with respect to relevance and feasibility. The experts involved were all members of the EU-Cost-Action on femicide, which is a scientific network of experts on femicide and violence against women across Europe. As a result, a conceptual map emerged, consisting of 69 strategies organized in 10 clusters, which fit into two domains: “Political action” and “Technical steps”. There was consensus among participants regarding the high relevance of strategies to institutionalize national databases and raise public awareness through different stakeholders, while strategies to promote media involvement were identified as the most feasible. Differences in perceived priorities according to the level of human development index of the experts’ countries were also observed. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
25. Contrasting Role of Temperature in Structuring Regional Patterns of Invasive and Native Pestilential Stink Bugs.
- Author
-
Venugopal, P. Dilip, Dively, Galen P., Herbert, Ames, Malone, Sean, Whalen, Joanne, and Lamp, William O.
- Subjects
PLANT diseases ,STINKBUGS ,INSECT pests ,INTRODUCED species ,SPECIES distribution - Abstract
Objectives: Assessment and identification of spatial structures in the distribution and abundance of invasive species is important for unraveling the underlying ecological processes. The invasive agricultural insect pest Halyomorpha halys that causes severe economic losses in the United States is currently expanding both within United States and across Europe. We examined the drivers of H. halys invasion by characterizing the distribution and abundance patterns of H. halys and native stink bugs (Chinavia hilaris and Euschistus servus) across eight different spatial scales. We then quantified the interactive and individual influences of temperature, and measures of resource availability and distance from source populations, and their relevant spatial scales. We used Moran’s Eigenvector Maps based on Gabriel graph framework to quantify spatial relationships among the soybean fields in mid-Atlantic Unites States surveyed for stink bugs. Findings: Results from the multi-spatial scale, multivariate analyses showed that temperature and its interaction with resource availability and distance from source populations structures the patterns in H. halys at very broad spatial scale. H. halys abundance decreased with increasing average June temperature and distance from source population. H. halys were not recorded at fields with average June temperature higher than 23.5°C. In parts with suitable climate, high H. halys abundance was positively associated with percentage developed open area and percentage deciduous forests at 250m scale. Broad scale patterns in native stink bugs were positively associated with increasing forest cover and, in contrast to the invasive H. halys, increasing mean July temperature. Our results identify the contrasting role of temperature in structuring regional patterns in H. halys and native stink bugs, while demonstrating its interaction with resource availability and distance from source populations for structuring H. halys patterns. Conclusion: These results help predicting the pest potential of H. halys and vulnerability of agricultural systems at various regions, given the climatic conditions, and its interaction with resource availability and distance from source populations. Monitoring and control efforts within parts of the United States and Europe with more suitable climate could focus in areas of peri-urban developments with deciduous forests and other host plants, along with efforts to reduce propagule pressure. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
26. Neighbourhood Walkability and Daily Steps in Adults with Type 2 Diabetes.
- Author
-
Hajna, Samantha, Ross, Nancy A., Joseph, Lawrence, Harper, Sam, and Dasgupta, Kaberi
- Subjects
WALKABILITY ,TYPE 2 diabetes ,DISEASES in adults ,GEOGRAPHIC information systems ,REGRESSION analysis - Abstract
Introduction: There is evidence that greater neighbourhood walkability (i.e., neighbourhoods with more amenities and well-connected streets) is associated with higher levels of total walking in Europe and in Asia, but it remains unclear if this association holds in the Canadian context and in chronic disease populations. We examined the relationships of different walkability measures to biosensor-assessed total walking (i.e., steps/day) in adults with type 2 diabetes living in Montreal (QC, Canada). Materials and Methods: Participants (60.5±10.4 years; 48.1% women) were recruited through McGill University-affiliated clinics (June 2006 to May 2008). Steps/day were assessed once per season for one year with pedometers. Neighbourhood walkability was evaluated through participant reports, in-field audits, Geographic Information Systems (GIS)-derived measures, and the Walk Score
® . Relationships between walkability and daily steps were estimated using Bayesian longitudinal hierarchical linear regression models (n = 131). Results: Participants who reported living in the most compared to the least walkable neighbourhoods completed 1345 more steps/day (95% Credible Interval: 718, 1976; Quartiles 4 versus 1). Those living in the most compared to the least walkable neighbourhoods (based on GIS-derived walkability) completed 606 more steps per day (95% CrI: 8, 1203). No statistically significant associations with steps were observed for audit-assessed walkability or the Walk Score® . Conclusions: Adults with type 2 diabetes who perceived their neighbourhoods as more walkable accumulated more daily steps. This suggests that knowledge of local neighborhood features that enhance walking is a meaningful predictor of higher levels of walking and an important component of neighbourhood walkability. [ABSTRACT FROM AUTHOR]- Published
- 2016
- Full Text
- View/download PDF
27. Quality Assessment of Urinary Stone Analysis: Results of a Multicenter Study of Laboratories in Europe.
- Author
-
Siener, Roswitha, Buchholz, Noor, Daudon, Michel, Hess, Bernhard, Knoll, Thomas, Osther, Palle J., Reis-Santos, José, Sarica, Kemal, Traxer, Olivier, Trinchieri, Alberto, and null, null
- Subjects
URINARY calculi ,DISEASE relapse prevention ,CLINICAL pathology ,INFRARED spectroscopy ,THERAPEUTICS - Abstract
After stone removal, accurate analysis of urinary stone composition is the most crucial laboratory diagnostic procedure for the treatment and recurrence prevention in the stone-forming patient. The most common techniques for routine analysis of stones are infrared spectroscopy, X-ray diffraction and chemical analysis. The aim of the present study was to assess the quality of urinary stone analysis of laboratories in Europe. Nine laboratories from eight European countries participated in six quality control surveys for urinary calculi analyses of the Reference Institute for Bioanalytics, Bonn, Germany, between 2010 and 2014. Each participant received the same blinded test samples for stone analysis. A total of 24 samples, comprising pure substances and mixtures of two or three components, were analysed. The evaluation of the quality of the laboratory in the present study was based on the attainment of 75% of the maximum total points, i.e. 99 points. The methods of stone analysis used were infrared spectroscopy (n = 7), chemical analysis (n = 1) and X-ray diffraction (n = 1). In the present study only 56% of the laboratories, four using infrared spectroscopy and one using X-ray diffraction, fulfilled the quality requirements. According to the current standard, chemical analysis is considered to be insufficient for stone analysis, whereas infrared spectroscopy or X-ray diffraction is mandatory. However, the poor results of infrared spectroscopy highlight the importance of equipment, reference spectra and qualification of the staff for an accurate analysis of stone composition. Regular quality control is essential in carrying out routine stone analysis. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
28. Prediction of Bladder Outcomes after Traumatic Spinal Cord Injury: A Longitudinal Cohort Study.
- Author
-
Pavese, Chiara, Schneider, Marc P., Schubert, Martin, Curt, Armin, Scivoletto, Giorgio, Finazzi-Agrò, Enrico, Mehnert, Ulrich, Maier, Doris, Abel, Rainer, Röhrich, Frank, Weidner, Norbert, Rupp, Rüdiger, Kessels, Alfons G., Bachmann, Lucas M., and Kessler, Thomas M.
- Subjects
PREDICTION models ,SPINAL cord injuries ,BLADDER ,URINARY incontinence ,CLINICAL trials ,COMPARATIVE studies ,LONGITUDINAL method ,RESEARCH methodology ,MEDICAL cooperation ,NEUROGENIC bladder ,PHARMACOKINETICS ,RESEARCH ,LOGISTIC regression analysis ,EVALUATION research ,RECEIVER operating characteristic curves ,DISEASE complications ,DIAGNOSIS - Abstract
Background: Neurogenic bladder dysfunction represents one of the most common and devastating sequelae of traumatic spinal cord injury (SCI). As early prediction of bladder outcomes is essential to counsel patients and to plan neurourological management, we aimed to develop and validate a model to predict urinary continence and complete bladder emptying 1 y after traumatic SCI.Methods and Findings: Using multivariate logistic regression analysis from the data of 1,250 patients with traumatic SCI included in the European Multicenter Spinal Cord Injury study, we developed two prediction models of urinary continence and complete bladder emptying 1 y after traumatic SCI and performed an external validation in 111 patients. As predictors, we evaluated age, gender, and all variables of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) and of the Spinal Cord Independence Measure (SCIM). Urinary continence and complete bladder emptying 1 y after SCI were assessed through item 6 of SCIM. The full model relies on lower extremity motor score (LEMS), light-touch sensation in the S3 dermatome of ISNCSI, and SCIM subscale respiration and sphincter management: the area under the receiver operating characteristics curve (aROC) was 0.936 (95% confidence interval [CI]: 0.922-0.951). The simplified model is based on LEMS only: the aROC was 0.912 (95% CI: 0.895-0.930). External validation of the full and simplified models confirmed the excellent predictive power: the aROCs were 0.965 (95% CI: 0.934-0.996) and 0.972 (95% CI 0.943-0.999), respectively. This study is limited by the substantial number of patients with a missing 1-y outcome and by differences between derivation and validation cohort.Conclusions: Our study provides two simple and reliable models to predict urinary continence and complete bladder emptying 1 y after traumatic SCI. Early prediction of bladder function might optimize counselling and patient-tailored rehabilitative interventions and improve patient stratification in future clinical trials. [ABSTRACT FROM AUTHOR]- Published
- 2016
- Full Text
- View/download PDF
29. The arithmetic of reducing relative and absolute inequalities in health: a theoretical analysis illustrated with European mortality data.
- Author
-
Mackenbach, Johan P., Martikainen, Pekka, Menvielle, Gwenn, and de Gelder, Rianne
- Subjects
MORTALITY ,MATHEMATICAL models ,MATHEMATICS ,RESEARCH funding ,THEORY ,SOCIOECONOMIC factors ,RELATIVE medical risk ,HEALTH & social status - Abstract
Background Reducing inequalities in health is a great challenge for public health, but how relative and absolute inequalities in mortality respond to changes in mortality by socioeconomic group is not well understood. Methods We derived arithmetically what combinations of changes and starting levels of mortality by socioeconomic group produce narrowing, and what combinations produce widening of relative and absolute inequalities in mortality. We then determined empirically how often these scenarios actually occur with data on inequalities in cause-specific mortality in five European countries spanning four decades (1970-2010). Results Changes in the rate ratio depend exclusively on the ratio of relative mortality change between socioeconomic groups, whereas changes in the rate difference depend on whether the ratio of relative mortality change between socioeconomic groups is larger or smaller than the rate ratio. This implies that, in case of declining mortality and faster relative mortality decline in higher socioeconomic groups, the rate difference will increase until the rate ratio becomes equal to the ratio of relative mortality decline, but will then start to decline. In the most common scenario in our data set (starting rate ratio above 1.00 and faster relative mortality decline in higher than lower socioeconomic groups), the rate ratio indeed always goes up but the rate difference goes down in about half of all cases, sometimes after a period of growth. Conclusions A narrowing of absolute inequalities occurs under a wider range of conditions than a narrowing of relative inequalities in mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
30. Diet Quality Scores and Prediction of All-Cause, Cardiovascular and Cancer Mortality in a Pan-European Cohort Study.
- Author
-
Lassale, Camille, Gunter, Marc J., Romaguera, Dora, Peelen, Linda M., Van der Schouw, Yvonne T., Beulens, Joline W. J., Freisling, Heinz, Muller, David C., Ferrari, Pietro, Huybrechts, Inge, Fagherazzi, Guy, Boutron-Ruault, Marie-Christine, Affret, Aurélie, Overvad, Kim, Dahm, Christina C., Olsen, Anja, Roswall, Nina, Tsilidis, Konstantinos K., Katzke, Verena A., and Kühn, Tilman
- Subjects
CARDIOVASCULAR disease related mortality ,CANCER-related mortality ,NUTRITION ,FOOD quality ,ETIOLOGY of diseases - Abstract
Scores of overall diet quality have received increasing attention in relation to disease aetiology; however, their value in risk prediction has been little examined. The objective was to assess and compare the association and predictive performance of 10 diet quality scores on 10-year risk of all-cause, CVD and cancer mortality in 451,256 healthy participants to the European Prospective Investigation into Cancer and Nutrition, followed-up for a median of 12.8y. All dietary scores studied showed significant inverse associations with all outcomes. The range of HRs (95% CI) in the top vs. lowest quartile of dietary scores in a composite model including non-invasive factors (age, sex, smoking, body mass index, education, physical activity and study centre) was 0.75 (0.72–0.79) to 0.88 (0.84–0.92) for all-cause, 0.76 (0.69–0.83) to 0.84 (0.76–0.92) for CVD and 0.78 (0.73–0.83) to 0.91 (0.85–0.97) for cancer mortality. Models with dietary scores alone showed low discrimination, but composite models also including age, sex and other non-invasive factors showed good discrimination and calibration, which varied little between different diet scores examined. Mean C-statistic of full models was 0.73, 0.80 and 0.71 for all-cause, CVD and cancer mortality. Dietary scores have poor predictive performance for 10-year mortality risk when used in isolation but display good predictive ability in combination with other non-invasive common risk factors. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
31. A Software Tool for Estimation of Burden of Infectious Diseases in Europe Using Incidence-Based Disability Adjusted Life Years.
- Author
-
Colzani, Edoardo, Cassini, Alessandro, Lewandowski, Daniel, Mangen, Marie-Josee J., Plass, Dietrich, McDonald, Scott A., van Lier, Alies, Haagsma, Juanita A., Maringhini, Guido, Pini, Alessandro, Kramarz, Piotr, and Kretzschmar, Mirjam E.
- Subjects
COMMUNICABLE diseases ,DISEASE progression ,PUBLIC health ,EPIDEMIOLOGY ,MEDICAL decision making - Abstract
The burden of disease framework facilitates the assessment of the health impact of diseases through the use of summary measures of population health such as Disability-Adjusted Life Years (DALYs). However, calculating, interpreting and communicating the results of studies using this methodology poses a challenge. The aim of the Burden of Communicable Disease in Europe (BCoDE) project is to summarize the impact of communicable disease in the European Union and European Economic Area Member States (EU/EEA MS). To meet this goal, a user-friendly software tool (BCoDE toolkit), was developed. This stand-alone application, written in C++, is open-access and freely available for download from the website of the European Centre for Disease Prevention and Control (ECDC). With the BCoDE toolkit, one can calculate DALYs by simply entering the age group- and sex-specific number of cases for one or more of selected sets of 32 communicable diseases (CDs) and 6 healthcare associated infections (HAIs). Disease progression models (i.e., outcome trees) for these communicable diseases were created following a thorough literature review of their disease progression pathway. The BCoDE toolkit runs Monte Carlo simulations of the input parameters and provides disease-specific results, including 95% uncertainty intervals, and permits comparisons between the different disease models entered. Results can be displayed as mean and median overall DALYs, DALYs per 100,000 population, and DALYs related to mortality vs. disability. Visualization options summarize complex epidemiological data, with the goal of improving communication and knowledge transfer for decision-making. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
32. Living arrangement and cognitive decline among older people in Europe.
- Author
-
MAZZUCO, STEFANO, MEGGIOLARO, SILVIA, ONGARO, FAUSTA, and TOFFOLUTTI, VERONICA
- Subjects
- *
PSYCHOLOGICAL aspects of aging , *FAMILIES , *HOUSING , *MATHEMATICS , *MEMORY , *MENTAL orientation , *POPULATION geography , *VERBAL behavior , *SECONDARY analysis , *WELL-being - Abstract
Family resources may play an important role in the wellbeing of older people. In this paper, we examine the association between living arrangement and cognitive decline among people over 65 living in different European countries. The underlined hypothesis is that living with others (i.e. spouse or/and children) vis-à-vis living alone may have a positive role in maintaining cognitive functioning, but also that such beneficial influence varies according to the circumstances. To this end, we used data from the first two waves of the Survey of Health, Ageing and Retirement in Europe (SHARE), which provides indicators of several cognitive functions: orientation, immediate recall, delayed recall, verbal fluency and numeracy. Net of both the potential biases due to the selective attrition and the re-test effects, the evidence shows that the association between living arrangement and cognitive decline depends on the geographical area and on the starting level of cognitive function. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
33. Navigating behavioral energy sufficiency. Results from a survey in Swiss cities on potential behavior change.
- Author
-
Seidl, Roman, Moser, Corinne, and Blumer, Yann
- Subjects
ENERGY consumption ,POWER resources ,ENERGY conservation ,CLIMATE change ,ELECTRICITY - Abstract
Many countries have some kind of energy-system transformation either planned or ongoing for various reasons, such as to curb carbon emissions or to compensate for the phasing out of nuclear energy. One important component of these transformations is the overall reduction in energy demand. It is generally acknowledged that the domestic sector represents a large share of total energy consumption in many countries. Increased energy efficiency is one factor that reduces energy demand, but behavioral approaches (known as “sufficiency”) and their respective interventions also play important roles. In this paper, we address citizens’ heterogeneity regarding both their current behaviors and their willingness to realize their sufficiency potentials—that is, to reduce their energy consumption through behavioral change. We collaborated with three Swiss cities for this study. A survey conducted in the three cities yielded thematic sets of energy-consumption behavior that various groups of participants rated differently. Using this data, we identified four groups of participants with different patterns of both current behaviors and sufficiency potentials. The paper discusses intervention types and addresses citizens’ heterogeneity and behaviors from a city-based perspective. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF
34. Developing a policy game intervention to enhance collaboration in public health policymaking in three European countries.
- Author
-
Spitters, H. P. E. M., van Oers, J. A. M., Sandu, P., Lau, C. J., Quanjel, M., Dulf, D., Chereches, R., and van de Goor, L. A. M.
- Subjects
HEALTH policy ,PUBLIC health ,GAME theory ,MEDICAL publishing ,COMPARATIVE studies ,COOPERATIVENESS ,MATHEMATICS ,RESEARCH methodology ,MEDICAL cooperation ,POLICY sciences ,RESEARCH ,RESEARCH funding ,EVALUATION research - Abstract
Background: One of the key elements to enhance the uptake of evidence in public health policies is stimulating cross-sector collaboration. An intervention stimulating collaboration is a policy game. The aim of this study was to describe the design and methods of the development process of the policy game ‘In2Action’ within a real-life setting of public health policymaking networks in the Netherlands, Denmark and Romania.Methods: The development of the policy game intervention consisted of three phases, pre intervention, designing the game intervention and tailoring the intervention.Results: In2Action was developed as a role-play game of one day, with main focus to develop in collaboration a cross-sector implementation plan based on the approved strategic local public health policy.Conclusions: This study introduced an innovative intervention for public health policymaking. It described the design and development of the generic frame of the In2Action game focusing on enhancing collaboration in local public health policymaking networks. By keeping the game generic, it became suitable for each of the three country cases with only minor changes. The generic frame of the game is expected to be generalizable for other European countries to stimulate interaction and collaboration in the policy process. [ABSTRACT FROM AUTHOR]- Published
- 2017
- Full Text
- View/download PDF
35. The relationship between context, structure, and processes with outcomes of 6 regional diabetes networks in Europe.
- Author
-
Mahdavi, Mahdi, Vissers, Jan, Elkhuizen, Sylvia, van Dijk, Mattees, Vanhala, Antero, Karampli, Eleftheria, Faubel, Raquel, Forte, Paul, Coroian, Elena, and van de Klundert, Joris
- Subjects
TYPE 2 diabetes ,PUBLIC health ,HEALTH outcome assessment ,CROSS-sectional method ,QUALITY of life ,EPIDEMIOLOGY - Abstract
Background: While health service provisioning for the chronic condition Type 2 Diabetes (T2D) often involves a network of organisations and professionals, most evidence on the relationships between the structures and processes of service provisioning and the outcomes considers single organisations or solo practitioners. Extending Donabedian’s Structure-Process-Outcome (SPO) model, we investigate how differences in quality of life, effective coverage of diabetes, and service satisfaction are associated with differences in the structures, processes, and context of T2D services in six regions in Finland, Germany, Greece, Netherlands, Spain, and UK. Methods: Data collection consisted of: a) systematic modelling of provider network’s structures and processes, and b) a cross-sectional survey of patient reported outcomes and other information. The survey resulted in data from 1459 T2D patients, during 2011–2012. Stepwise linear regression models were used to identify how independent cumulative proportion of variance in quality of life and service satisfaction are related to differences in context, structure and process. The selected context, structure and process variables are based on Donabedian’s SPO model, a service quality research instrument (SERVQUAL), and previous organization and professional level evidence. Additional analysis deepens the possible bidirectional relation between outcomes and processes. Results: The regression models explain 44% of variance in service satisfaction, mostly by structure and process variables (such as human resource use and the SERVQUAL dimensions). The models explained 23% of variance in quality of life between the networks, much of which is related to contextual variables. Our results suggest that effectiveness of A1c control is negatively correlated with process variables such as total hours of care provided per year and cost of services per year. Conclusions: While the selected structure and process variables explain much of the variance in service satisfaction, this is less the case for quality of life. Moreover, it appears that the effect of the clinical outcome A1c control on processes is stronger than the other way around, as poorer control seems to relate to more service use, and higher cost. The standardized operational models used in this research prove to form a basis for expanding the network level evidence base for effective T2D service provisioning. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
36. Flight capacities of yellow-legged hornet (Vespa velutina nigrithorax, Hymenoptera: Vespidae) workers from an invasive population in Europe.
- Author
-
Sauvard, Daniel, Imbault, Vanessa, and Darrouzet, Éric
- Subjects
HORNETS ,INSECT flight ,INSECT populations ,INTRODUCED insects - Abstract
The invasive yellow-legged hornet, Vespa velutina nigrithorax Lepeletier, 1836 (Hymenoptera: Vespidae), is native to Southeast Asia. It was first detected in France (in the southwest) in 2005. It has since expanded throughout Europe and has caused significant harm to honeybee populations. We must better characterize the hornet’s flight capacity to understand the species’ success and develop improved control strategies. Here, we carried out a study in which we quantified the flight capacities of V. velutina workers using computerized flight mills. We observed that workers were able to spend around 40% of the daily 7-hour flight tests flying. On average, they flew 10km to 30km during each flight test, although there was a large amount of variation. Workers sampled in early summer had lower flight capacities than workers sampled later in the season. Flight capacity decreased as workers aged. However, in the field, workers probably often die before this decrease becomes significant. During each flight test, workers performed several continuous flight phases of variable length that were separated by rest phases. Based on the length of those continuous flight phases and certain key assumptions, we estimated that V. velutina colony foraging radius is at least 700 m (half that in early summer); however, some workers are able to forage much farther. While these laboratory findings remain to be confirmed by field studies, our results can nonetheless help inform V. velutina biology and control efforts. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
37. Relative age effect and second-tiers: No second chance for later-born players.
- Author
-
Rađa, Ante, Padulo, Johnny, Jelaska, Igor, Ardigò, Luca Paolo, and Fumarco, Luca
- Subjects
SOCCER tournaments ,SOCCER players ,PROFESSIONAL sports ,ATHLETIC leagues ,SPORTS - Abstract
The main objective of this research was to determine the existence of relative age effect (RAE) in five European soccer leagues and their second-tier competitions. Even though RAE is a well-known phenomenon in professional sports environments it seems that the effect does not decline over the years. Moreover, additional information is required, especially when taking into account second-tier leagues. Birthdates from 1,332 first-tier domestic players from France, England, Spain, Germany and Italy and birthdates from 1,992 second-tier domestic players for the 2014/2015 season were taken for statistical analysis. In addition to standard statistical tests, the data were analyzed using econometric techniques for count data using Poisson and negative binomial regressions. The results obtained confirmed a biased distribution of birthdates in favor of players born earlier in the calendar year. For all of the five first-tier soccer leagues there was an unequal distribution of birthdates (France χ
2 = 40.976, P<0.001; England χ2 = 21.892, P = 0.025; Spain χ2 = 24.690, P = 0.010; Germany χ2 = 22.889, P = 0.018; Italy χ2 = 28.583, P = 0.003). The results for second-tier leagues were similar (France χ2 = 46.741, P<0.001; England χ2 = 27.301, P = 0.004; Spain χ2 = 49.745, P<0.001; Germany χ2 = 30.633, P = 0.001; Italy χ2 = 36.973, P<0.001). Econometric techniques achieved similar results: estimated effect of month of birth, i.e., long-term RAE on players’ representativeness, is negative (statistically significant at the 1% level). On average, one month closer to the end of the year reduces the logs of expected counts of players by 6.9%. Assuming this effect as linear, being born in the month immediately before the cut-off date (i.e., December/August), reduces the logs of expected counts of players by approximately 75.9%. Further, ID (index of discrimination, that is, the ratio between the expected counts of players born in the middle of the first and the twelfth month of the selection year) is 2.13 and 2.22 for the first- and second-tier, respectively. In other words, in the top five European first-tier and second-tier leagues, one should expect the number of players born in the first month of the calendar year to be twice the number of those born in the last month. The RAE in the second-tiers is the same as in the first-tiers, so it appears that there is no second chance for later born players. This reduces the chances to recover talented players discarded in youth simply because of lower maturity. [ABSTRACT FROM AUTHOR]- Published
- 2018
- Full Text
- View/download PDF
38. Revealing the impact of the Caucasus region on the genetic legacy of Romani people from genome-wide data.
- Author
-
Bánfai, Zsolt, Ádám, Valerián, Pöstyéni, Etelka, Büki, Gergely, Czakó, Márta, Miseta, Attila, and Melegh, Béla
- Subjects
ROMANIES ,ETHNOLOGY ,EMIGRATION & immigration ,POPULATION genetics ,INFORMATION design - Abstract
Romani people are a significant minority in Europe counting about 10 million individuals scattered throughout the continent. They are a migratory group originating from Northwestern India. Their exodus from India occurred approximately 1000–1500 years ago. The migration route of the Romani people was reconstructed with the help of cultural anthropology, linguistics and historical records. Their migration made them through Central Asia, Middle East and the Caucasus region, prior to the arriving into Europe. Yet the significance of these regions, especially of the Caucasus, in Roma ancestry was a rather neglected topic. Contribution of the Caucasus and further affected regions to the ancestry of Roma was investigated based on genome-wide autosomal marker data. 158 European Roma samples and 41 populations from the Caucasus region, from Middle East, Central Asia and from South Asia were considered in our tests. Population structure and ancestry analysis algorithms were applied to investigate the relationship of Roma with these populations. Identical by descent DNA segment analyses and admixture linkage disequilibrium based tests were also applied. Our results suggest that the Caucasus region plays also a significant role in the genetic legacy of Romani people besides the main sources, Europe and South Asia, previously investigated by other population genetic studies. The Middle East and Central Asia seems slightly less important but far from negligible in connection with the sources of Roma ancestry. Our results point out that the Caucasus region and altogether the area of the Caspian and Black Seas had a significant role in the migration of Romani people towards Europe and contributed significantly to the genetic legacy of Roma rival to the European and Indian main sources. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
39. Individual and country-level determinants of nursing home admission in the last year of life in Europe.
- Author
-
Stolz, Erwin, Mayerl, Hannes, Rásky, Éva, and Freidl, Wolfgang
- Subjects
NURSING care facilities - Abstract
Background: Previous research has focussed on individual-level determinants of nursing home admission (NHA), although substantial variation in the prevalence of NHA between European countries suggests a substantial impact of country of residence. The aim of this analysis was to assess individual-level determinants and the role of country of residence and specifically a country`s public institutional long-term care infrastructure on proxy-reported NHA in the last year of life. Methods: We analysed data from 7,018 deceased respondents (65+) of the Survey of Health, Ageing and Retirement in Europe (2004–2015, 16 countries) using Bayesian hierarchical logistic regression analysis in order to model proxy-reported NHA. Results: In total, 14% of the general older population utilised nursing home care in the last year of life but there was substantial variation across countries (range = 2–30%). On the individual-level, need factors such as functional and cognitive impairment were the strongest predictors of NHA. In total, 18% of the variance of NHA was located at the country-level; public expenditure on institutional care strongly affected the chance of NHA in the last year of life. Conclusion: On the individual-level, the strong impact of need factors indicated equitable access to NHA, whereas differences in public spending for institutional care indicated inequitable access across European countries. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
40. Inertia location and slow network modes determine disturbance propagation in large-scale power grids.
- Author
-
Pagnier, Laurent and Jacquod, Philippe
- Subjects
ELECTRIC power distribution grids ,ELECTRIC power ,TRANSIENTS (Dynamics) ,ELECTRIC faults ,LAPLACIAN matrices ,FAULT location (Engineering) - Abstract
Conventional generators in power grids are steadily substituted with new renewable sources of electric power. The latter are connected to the grid via inverters and as such have little, if any rotational inertia. The resulting reduction of total inertia raises important issues of power grid stability, especially over short-time scales. With the motivation in mind to investigate how inertia reduction influences the transient dynamics following a fault in a large-scale electric power grid, we have constructed a model of the high voltage synchronous grid of continental Europe. To assess grid stability and resilience against disturbance, we numerically investigate frequency deviations as well as rates of change of frequency (RoCoF) following abrupt power losses. The magnitude of RoCoF's and frequency deviations strongly depend on the fault location, and we find the largest effects for faults located on the support of the slowest mode—the Fiedler mode—of the network Laplacian matrix. This mode essentially vanishes over Belgium, Eastern France, Western Germany, northern Italy and Switzerland. Buses inside these regions are only weakly affected by faults occuring outside. Conversely, faults inside these regions have only a local effect and disturb only weakly outside buses. Following this observation, we reduce rotational inertia through three different procedures by either (i) reducing inertia on the Fiedler mode, (ii) reducing inertia homogeneously and (iii) reducing inertia outside the Fiedler mode. We find that procedure (iii) has little effect on disturbance propagation, while procedure (i) leads to the strongest increase of RoCoF and frequency deviations. This shows that, beyond absorbing frequency disturbances following nearby faults, inertia also mitigates frequency disturbances from distant power losses, provided both the fault and the inertia are located on the support of the slowest modes of the grid Laplacian. These results for our model of the European transmission grid are corroborated by numerical investigations on the ERCOT transmission grid. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
41. Treatment of radius or ulna fractures in the elderly: A systematic review covering effectiveness, safety, economic aspects and current practice.
- Author
-
Mellstrand Navarro, Cecilia, Brolund, Agneta, Ekholm, Carl, Heintz, Emelie, Hoxha Ekström, Emin, Josefsson, Per Olof, Leander, Lina, Nordström, Peter, Zidén, Lena, and Stenström, Karin
- Subjects
RADIAL bone ,META-analysis ,RADIUS (Geometry) ,PHYSICAL sciences ,COST analysis ,GRIP strength - Abstract
Background: The objective of the present study was to evaluate effectiveness, complications and cost-effectiveness of any surgical or non-surgical treatment for radius or ulna fractures in elderly patients. Secondary objectives were to analyze present treatment traditions of distal radius fractures (DRF) in Sweden and to calculate resource usage for its treatment. Methods and findings: The assessment contains a systematic review of clinical and health economic studies comparing treatment options for radius or ulna fractures. The results regarding the effectiveness of the treatments are summarized in meta-analyses. In addition, the assessment contains a cost analysis for different treatment options commonly used for DRF care, and an analysis of registry data on the incidence and treatment of DRF. In total 31 randomized controlled trials were included in meta-analyses. When comparing functional outcome for plate fixation versus non-surgical treatment for DRF, there were no clinically important differences at one-year follow-up (mean difference [MD], -3.29, 95% CI, -7.03; 0.44). Similar results were found when comparing plating and percutaneous methods with respect to functional outcome (standardized mean difference [SMD], -0.07, 95% CI, -0.21; 0.07) and grip strength (MD, -3.47, 95% CI, -11.21; 4.28). There were no differences for minor complications, (risk difference [RD], -0.01, 95% CI, -0.07; 0.05) whereas major complications were less common for the percutaneous group, (RD, 0.02, 95% CI, 0.02; 0.03). Given the low number of studies, the evidence above was rated as moderate certainty. The cost for plate fixation versus plaster cast was estimated to 1698 compared to 137 US dollars. For DRF, plate fixation increased in Sweden between 2005 and 2013, and was the most common surgical method in 2013. Conclusions: Surgical treatment of moderately displaced distal radius fractures in elderly patients offers no clear benefit compared to non-surgical treatment. Plating procedures have become more common during the second millennium and involve higher costs and higher risk of major complications than percutaneous options. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
42. Exploring the mechanism of crashes with automated vehicles using statistical modeling approaches.
- Author
-
Wang, Song and Li, Zhixia
- Subjects
STATISTICAL models ,CIVIL engineering ,TRAFFIC safety ,PHYSICAL sciences ,QUANTITATIVE research ,DISTRACTED driving ,CARRIAGES & carts - Abstract
Autonomous Vehicles (AV) technology is emerging. Field tests on public roads have been on going in several states in the US as well as in Europe and Asia. During the US public road tests, crashes with AV involved happened, which becomes a concern to the public. Most previous studies on AV safety relied heavily on assessing drivers’ performance and behaviors in a simulation environment and developing automated driving system performance in a closed field environment. However, contributing factors and the mechanism of AV-related crashes have not been comprehensively and quantitatively investigated due to the lack of field AV crash data. By harnessing California’s Report of Traffic Collision Involving an Autonomous Vehicle Database, which includes the AV crash data from 2014 to 2018, this paper investigates by far the most current and complete AV crash database in the US using statistical modeling approaches that involve both ordinal logistic regression and CART classification tree. The quantitative analysis based on ordinal logistic regression and CART models has successfully explored the mechanism of AV-related crash, via both perspectives of crash severity and collision types. Particularly, the CART model reveals and visualize the hierarchical structure of the AV crash mechanism with knowledge of how these traffic, roadway, and environmental contributing factors can lead to crashes of various serveries and collision types. Statistical analysis results indicate that crash severity significantly increases if the AV is responsible for the crash. The highway is identified as the location where severe injuries are likely to happen. AV collision types are affected by whether the vehicle is on automated driving mode, whether the crashes involve pedestrians/cyclists, as well as the roadway environment. The method used in this research provides a proven approach to statistically analyze and understand AV safety issues. And this benefit is potential be even enhanced with an increasing sample size of AV-related crashes records in the future. The comprehensive knowledge obtained ultimately facilitates assessing and improving safety performance of automated vehicles. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
43. The relative age effect in European elite soccer: A practical guide to Poisson regression modelling.
- Author
-
Doyle, John R. and Bottomley, Paul A.
- Subjects
POISSON regression ,REGRESSION analysis ,PHYSICAL sciences ,SOCCER ,SOCIAL sciences ,AGE discrimination in employment - Abstract
Many disciplines of scholarship are interested in the Relative Age Effect (RAE), whereby age-banding confers advantages on older members of the cohort over younger ones. Most research does not test this relationship in a manner consistent with theory (which requires a decline in frequency across the cohort year), instead resorting to non-parametric, non-directional approaches. In this article, the authors address this disconnect, provide an overview of the benefits associated with Poisson regression modelling, and two managerially useful measures for quantifying RAE bias, namely the Indices of Discrimination and Wastage. In a tutorial-like exposition, applications and extensions of this approach are illustrated using data on professional soccer players competing in the top two tiers of the “Big Five” European football leagues in the search to identify paragon clubs, leagues, and countries from which others may learn to mitigate this form of age-discrimination in the talent identification process. As with OLS regression, Poisson regression may include more than one independent variable. In this way we test competing explanations of RAE; control for unwanted sources of covariation; model interaction effects (that different clubs and countries may not all be subject to RAE to the same degree); and test for non-monotonic versions of RAE suggested in the literature. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
44. Importance of modelling decisions on estimating trajectories of depressive symptoms and co-morbid conditions in older adults: Longitudinal studies from ten European countries.
- Author
-
Marroig, Alejandra, Čukić, Iva, Robitaille, Annie, Piccinin, Andrea, and Muniz Terrera, Graciela
- Subjects
OLDER people ,LONGITUDINAL method ,PHYSICAL sciences ,COUNTRIES ,AGE groups ,DEMOGRAPHIC surveys - Abstract
Background: International comparisons of trajectories of depressive symptoms in older adults are scarce and longitudinal associations with co-morbid conditions not fully understood. Objective: To compare trajectories of depressive symptoms from participants living in 10 European Countries and identify ages at which the associations of co-morbid conditions with these trajectories become more relevant. Methods: Latent growth curve models were fitted to depressive symptoms scores from participants of the Survey of Health and Retirement in Europe (SHARE) initiative (combined n = 21,253) and co-morbid conditions modelled as time varying covariates. To identify the ages at which the association between co-morbid conditions and depressive symptoms was significant the Johnson-Neyman (JN) technique was used. Results: The shape of depressive symptoms trajectories varied between countries, and was highly dependent on modelling decisions. The association between the average number of co-morbidities reported over time and depressive symptoms was consistent and positive across countries and ages. Conclusion: International differences in ageing-related trajectories of depressive symptoms emerged. The longitudinal association of co-morbid conditions with trajectories of depressive symptoms was found, but the results overall suggest that modelling decisions could greatly influence the outcomes, and should thus be interpreted with caution. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
45. The French version of the HSCL-25 has now been validated for use in primary care.
- Author
-
Nabbe, Patrice, Le Reste, Jean Yves, Guillou-Landreat, Morgane, Gatineau, Florence, Le Floch, Bernard, Montier, Tristan, Van Marwijk, Harm, and Van Royen, Paul
- Subjects
PRIMARY care ,PRINCIPAL components analysis ,ERGONOMICS ,MEDICAL practice ,RANDOMIZATION (Statistics) - Abstract
Background: The Hopkins Symptom Checklist in 25 items (HSCL-25) helps to assess anxiety and depression in Primary Care. Anxiety and depression show considerable overlap in primary care. This self-administrated questionnaire is valid, reliable and ergonomic in the original US version. We have translated it into French. The aim of this study was to estimate the test characteristics of the HSCL-25, in its French version (F-HSCL-25), by comparing it to the Present State Examination-9 French version (F-PSE-9) and by determining its internal validity and dimensions. Method: Outpatients from three French General Practice settings (rural, semi-rural and urban) were recruited: approximately 20,000 outpatients among 17 GPs. Two groups were formed: F-HSCL-25 ≥1.75 and F-HSCL-25 <1.75. A validated cut-off score of > 1.75 was considered to indicate a clinically relevant level of symptoms of depression and anxiety. In order to obtain two balanced groups, a different method of randomization was chosen for each group. The F-PSE-9 was randomly administered to 1 in 2 patients in the F-HSCL-25 ≥1.75 group, and to 1 in 16 in the (much larger) F-HSCL-25 <1.75 group. The diagnostic performance was assessed and the test results obtained from both groups were compared with their F-PSE-9 results. Results: Of the 1126 patients who completed the F-HCL-25, 886 joined the F-HSCL-25 <1.75 group and 240 the F-HSCL-25 ≥1.75 group. The overall prevalence of depression, using the F-HSCL-25, was 21% in these medical practices. The diagnostic performance of the F-HSCL-25 versus the F-PSE-9, the external criteria were as follows: Positive Predictive Value (PPV) 69.8%, Negative Predictive Value (NPV) 87%; Sensitivity 59.1%, and Specificity 91.4%. The Principal Component Analysis showed that F-HSCL-25 is a one-dimensional tool (anxiety and depression dimensions combined) with a Cronbach Alpha of 0.93. Conclusion: The F-HSCL-25 is an appropriate diagnostic tool for anxiety and depression in primary care in France due to its high specificity and high NPV. The HSCL-25 scale has a high eigenvalue. This pilot study will be extended throughout Europe; however, preliminary evidence suggests that the HSCL-25 is a reliable and suitable diagnostic tool for primary care. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
46. Impact of a progressive stepped care approach in an improving access to psychological therapies service: An observational study.
- Author
-
Boyd, Lisa, Baker, Emma, and Reilly, Joe
- Subjects
SCIENTIFIC observation ,STATISTICAL hypothesis testing ,BIBLIOTHERAPY - Abstract
England’s national Improving Access to Psychological Therapies (IAPT) programme advocates stepped care as its organizational delivery of psychological therapies to common mental health problems. There is limited evidence regarding the efficacy of stepped care as a service delivery model, heterogeneity of definition and differences in model implementation in both research and routine practice, hence outcome comparison in terms of effectiveness of model is difficult. Despite sound evidence of the efficacy of low intensity interventions there appears to be a perpetuation of the notion that severity and complexity should only be treated by a high intensity intervention through the continuation of a stratified care model. Yet no psychotherapy treatment is found to be more superior to another, and not enough is known about what works for whom to aid the matching of treatment decision. In the absence of understanding precise treatment factors optimal for recovery, it may be useful to better understand the impact of a service delivery model, and whether different models achieve different outcomes. This study aims to contribute to the discussion regarding the stepped care definition and delivery, and explores the impact on clinical outcomes where different types of stepped care have been implemented within the same service. An observational cohort study analysed retrospective data (n = 16,723) over a 4 year period, in a single IAPT service, where delivery changed from one type of stepped care model to another. We compared the outcomes of treatment completers with a stratified care model and a progression care model. We also explored the assumption that patients who score severe on psychological measures, and therefore are potentially complex, would achieve better outcomes in a stratified model. Outcomes in each model type were compared, alongside baseline factor variables. A significant association was observed between a recovery outcome and model type, with patients 1.5 times more likely to recover in the progression delivery model. The potential implications are that with a progression stepped care model of service delivery, more patients can be treated with a lower intensity intervention, even with initial severe presentations, ensuring that only those that need high intensity CBT or equivalent are stepped up. This could provide services with an effective clinical model that is efficient and potentially more cost effective. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
47. A discriminatory test for the wheat B and G genomes reveals misclassified accessions of Triticum timopheevii and Triticum turgidum.
- Author
-
Czajkowska, Beata I., Oliveira, Hugo R., and Brown, Terence A.
- Subjects
EMMER wheat ,WHEAT ,GENOMES ,SINGLE nucleotide polymorphisms ,BOTANY ,COMPARATIVE genomics - Abstract
The tetraploid wheat species Triticum turgidum and Triticum timopheevii are morphologically similar, and misidentification of material collected from the wild is possible. We compared published sequences for the Ppd-A1, Ppd-B1 and Ppd-G1 genes from multiple accessions of T. turgidum and T. timopheevii and devised a set of four polymerase chain reactions (PCRs), two specific for Ppd-B1 and two for Ppd-G1. We used these PCRs with 51 accessions of T. timopheevii and 20 of T. turgidum. Sixty of these accessions gave PCR products consistent with their taxon identifications, but the other eleven accessions gave anomalous results: ten accessions that were classified as T. turgidum were identified as T. timopheevii by the PCRs, and one T. timopheevii accession was typed as T. turgidum. We believe that these anomalies are not due to errors in the PCR tests because the results agree with a more comprehensive analysis of genome-wide single nucleotide polymorphisms, which similarly suggest that these eleven accessions have been misclassified. Our results therefore show that the accepted morphological tests for discrimination between T. turgidum and T. timopheevii might not be entirely robust, but that species identification can be made cheaply and quickly by PCRs directed at the Ppd-1 gene. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
48. Exposure to outdoor air pollution and its human health outcomes: A scoping review.
- Author
-
Sun, Zhuanlan and Zhu, Demi
- Subjects
AIR pollution ,AIR pollution control ,PEDIATRIC respiratory diseases ,POLLUTION ,AIR pollution prevention ,RESPIRATORY diseases - Abstract
Despite considerable air pollution prevention and control measures that have been put into practice in recent years, outdoor air pollution remains one of the most important risk factors for health outcomes. To identify the potential research gaps, we conducted a scoping review focused on health outcomes affected by outdoor air pollution across the broad research area. Of the 5759 potentially relevant studies, 799 were included in the final analysis. The included studies showed an increasing publication trend from 1992 to 2008, and most of the studies were conducted in Asia, Europe, and North America. Among the eight categorized health outcomes, asthma (category: respiratory diseases) and mortality (category: health records) were the most common ones. Adverse health outcomes involving respiratory diseases among children accounted for the largest group. Out of the total included studies, 95.2% reported at least one statistically positive result, and only 0.4% showed ambiguous results. Based on our study, we suggest that the time frame of the included studies, their disease definitions, and the measurement of personal exposure to outdoor air pollution should be taken into consideration in any future research. The main limitation of this study is its potential language bias, since only English publications were included. In conclusion, this scoping review provides researchers and policy decision makers with evidence taken from multiple disciplines to show the increasing prevalence of outdoor air pollution and its adverse effects on health outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
49. Evolution and study of a copycat effect in intimate partner homicides: A lesson from Spanish femicides.
- Author
-
Torrecilla, José L., Quijano-Sánchez, Lara, Liberatore, Federico, López-Ossorio, Juan J., and González-Álvarez, José L.
- Subjects
HOMICIDE ,INTIMATE partner violence ,INJURY risk factors ,TIME series analysis ,VIOLENT crimes ,BIOLOGICAL evolution - Abstract
Objectives: This paper focuses on the issue of intimate partner violence and, specifically, on the distribution of femicides over time and the existence of copycat effects. This is the subject of an ongoing debate often triggered by the social alarm following multiple intimate partner homicides (IPHs) occurring in a short span of time. The aim of this research is to study the evolution of IPHs and provide a far-reaching answer by rigorously analyzing and searching for patterns in data on femicides. Methods: The study analyzes an official dataset, provided by the system VioGén of the Secretaría de Estado de Seguridad (Spanish State Secretariat for Security), including all the femicides occurred in Spain in 2007-2017. A statistical methodology to identify temporal interdependencies in count time series is proposed and applied to the dataset. The same methodology can be applied to other contexts. Results: There has been a decreasing trend in the number of femicides per year. No interdependencies among the temporal distribution of femicides are observed. Therefore, according to data, the existence of copycat effect in femicides cannot be claimed. Conclusions: Around 2011 there was a clear change in the average number of femicides which has not picked up. Results allow for an informed answer to the debate on copycat effect in Spanish femicides. The planning of femicides prevention activities should not be a reaction to a perceived increase in their occurrence. As a copycat effect is not detected in the studied time period, there is no evidence supporting the need to censor media reports on femicides. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
50. Value of information analysis in telehealth for chronic heart failure management.
- Author
-
Grustam, Andrija S., Buyukkaramikli, Nasuh, Koymans, Ron, Vrijhoef, Hubertus J. M., and Severens, Johan L.
- Subjects
TELEMEDICINE ,HEART failure ,HEART failure patients ,HEALTH facilities ,MARKOV processes ,OPPORTUNITY costs - Abstract
Objectives: Value of information (VOI) analysis provides information on opportunity cost of a decision in healthcare by estimating the cost of reducing parametric uncertainty and quantifying the value of generating additional evidence. This study is an application of the VOI methodology to the problem of choosing between home telemonitoring and nurse telephone support over usual care in chronic heart failure management in the Netherlands. Methods: The expected value of perfect information (EVPI) and the expected value of partially perfect information (EVPPI) analyses were based on an informal threshold of €20K per quality-adjusted life-year. These VOI-analyses were applied to a probabilistic Markov model comparing the 20-year costs and effects in three interventions. The EVPPI explored the value of decision uncertainty caused by the following group of parameters: treatment-specific transition probabilities between New York Heart Association (NYHA) defined disease states, utilities associated with the disease states, number of hospitalizations and ER visits, health state specific costs, and the distribution of patients per NYHA group. We performed the analysis for two population sizes in the Netherlands—patients in all NYHA classes of severity, and patients in NYHA IV class only. Results: The population EVPI for an effective population of 2,841,567 CHF patients in All NYHA classes of severity over the next 20 years is more than €4.5B, implying that further research is highly cost-effective. In the NYHA IV only analysis, for the effective population of 208,003 patients over next 20 years, the population EVPI at the same informal threshold is approx. €590M. The EVPPI analysis showed that the only relevant group of parameters that contribute to the overall decision uncertainty are transition probabilities, in both All NYHA and NYHA IV analyses. Conclusions: Results of our VOI exercise show that the cost of uncertainty regarding the decision on reimbursement of telehealth interventions for chronic heart failure patients is high in the Netherlands, and that future research is needed, mainly on the transition probabilities. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.