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Disparities in access to health care also extend to the end-of-life care. Despite the general principle that palliative care is equitably available for all in need, it remains underutilised by certain groups in the community. Ethnic minorities, older people and patients with non-cancer diseases are found to be at a greatest risk for underutilisation of palliative care. Barriers to access palliative care by these groups in the community are complex and often overlapping. To overcome these barriers, there is a need to take action on many fronts. This paper discusses these barriers and provides an overview of the strategies that have been implemented to address these issues. [ABSTRACT FROM AUTHOR]

Aim: Dietetics as a form of study predates medicine, but the profession did not emerge until the nineteenth century and is still in an emergent stage today in many parts of the world. This paper seeks to demonstrate how the impact of leaders has been critical in terms of the growth and development of the profession. Methods: A narrative review was formed from searching the published literature. Results: The published literature is silent on many aspects of dietetics. In modern times, the majority of written works have come from North America and Western Europe. No work on historical or developmental aspects of dietetics from other parts of the world could be located. Leadership within the profession is well researched, but leadership by the profession in the broader arena of national and international policy and practice is harder to identify. There are calls for curricula to keep pace with the needs of modern healthcare systems if the profession is to flourish. Conclusion: Despite all the changes and the evolution of the profession, much remains unchanged. There are recurring themes throughout the literature reviewed here, those of the breadth of dietetics, the need for evolving curricula, the need for business acumen, the need for diversity and, in more recent times, the ability to work with interdisciplinary teams. But the profession has what it takes. It has within its ranks leaders of today and tomorrow. It is up to the profession to allow those leaders to emerge and take the profession to the next level. [ABSTRACT FROM AUTHOR]

Purpose – This paper aims to describe "transformative scenario planning," a methodology that enables people trying to change the future collaboratively to transform, rather than adapt to, a situation.Design/methodology/approach – The process centers on constructing scenarios of possible futures for a situation, but takes the well-established adaptive scenario planning methodology and turns it on its head – to construct scenarios not only to understand the future, but also to influence it.Findings – Transformative scenario planning teams have tackled some of the most important and difficult challenges of our time: health care, economic development, and climate change across the Americas, Europe, the Middle East, Africa, Asia, and Australia. Some of these teams succeeded in changing their situation and others have failed.Practical implications – The five steps of transformative scenario planning are: convening a team from across the whole system; observing what is happening; constructing stories about what could happen; discovering what can and must be done; and acting to transform the system.Originality/value – The process centers on constructing scenarios of possible futures for a situation, not only to understand the future, but also to learn how to influence it. [ABSTRACT FROM AUTHOR]

Abstract: Flexible transport services (FTS) are an emerging term in passenger transport which covers a range of mobility offers where services are flexible in one or more of the dimensions of route, vehicle allocation, vehicle operator, type of payment and passenger category. Research in New South Wales (NSW), Australia identified a number of barriers to the implementation of FTS and this paper explores the extent to which these barriers have been encountered and tackled in the USA and Europe where flexible transport services have been used increasingly as part of the public transport mix in areas where demand is too low to support conventional public transport. Barriers include institutional frameworks such as policy and regulation; economic issues of funding and fares; operational issues of fleet and vehicles; as well as operator and community attitudes; and information and education. The paper makes recommendations to enable and encourage greater use of flexible transport services by transport service planners and providers through the sharing of best practice and information on overcoming barriers to implementation. [Copyright &y& Elsevier]

Background: research in care home settings is often negatively focused, portraying life as sterile and devoid of meaningful experiences. Care homes have the potential to influence people's lives socially, physically and psychologically. It is important to understand what factors contribute to this.Objective: to conduct a systematic qualitative review of care home life and provide practical recommendations to enhance residents' quality of life.Methods: the following databases were searched: PsycINFO, Medline, Web of Science, EMBASE, Allied and Complementary Medicine Database and Cumulative Index to Nursing and Allied Health Literature. References from appropriate journals and individual articles were checked. Papers that fitted our selection criteria were selected. Two independent reviewers assessed methodological study quality. Thematic analysis and meta-ethnographic methods were adapted to synthesise findings.Results: thirty-one studies were identified. People in care homes voiced concerns about lack of autonomy and difficulty in forming appropriate relationships with others. Four key themes were identified: (i) acceptance and adaptation, (ii) connectedness with others, (iii) a homelike environment, (iv) caring practices.Conclusion: positive experiences in care homes can occur and are important for residents' quality of life. The review supports literature highlighting the need for relationship-centred approaches to care and emphasises the importance of understanding the resident's attitude towards living in care homes. [ABSTRACT FROM AUTHOR]

A documentary review was conducted on the production and publication of research papers on studying the variable Digital Transformation, Education and COVID-19. The bibliometric analysis proposed in this document aims to know the main characteristics of the volume of publications registered in the Scopus database from 2020 to 2022, achieving the identification of 464 publications in total. The information provided by this platform was organized using tables and figures, categorizing the information by Year of Publication, Country of Origin, Area of Knowledge and Type of Publication. Once these characteristics were described, the position of different authors regarding the proposed topic was referenced through qualitative analysis. Among the main findings of this research, it is found that Spain, with 49 publications, was the country with the highest global production. The area of knowledge that made the most significant contribution to the construction of bibliographic material related to the study of Digital Transformation, Education and COVID-19 was the area of Social Sciences with 253 published documents, and the type of publication that was most used during the period mentioned above was the journal article, representing 54% of the total scientific production.

Students' action competence must be taught and developed, particularly for prospective science teachers, to have a pedagogical perspective as environmental educators. As indicated by publications in respected journals, researchers' focus and alignment on the issue of action competence are highly expected. This systematic literature review aims to compare the findings of research articles published by Web of Science-indexed journals. The keyword used to find the articles on the Web of Science's database was "action competence," which discovered 193 publications. Furthermore, 25 articles met the criteria to be analyzed. Preferred reporting items for systematic reviews and meta-analysis was the inclusion and exclusion model used. In the last three years, research focused on action competence has increased. The research employed several methods, i.e., qualitative, quantitative, mixed-methods, and development research. Jelle Boevede Pauw and Wanda Sass were the authors who frequently published research that focused on action competence. The keyword action competence was directly associated with environmental education, sustainable development, education-based learning for sustainable development, and evaluation. The authors who published their research with this focus were from 16 countries, mainly from Europe, i.e., Sweden, Belgium, and Denmark. The continent diversity of authors who contributed articles indicated that the action competence issue had become a global concern. Furthermore, it was found that the number of non-collaborating publications (universities or countries) was higher than those collaborating, even though single authors rarely wrote the articles. The recent trend shows that publications are authored by scientists with various backgrounds such as fields, universities, and even countries. The authors of this paper developed and proposed eight ideas to be reflected by prospective science teachers or science teacher education providers in educating future science teachers concerned about action competence about sustainable development.

The study discussed in this paper is a systematic literature review related to the role of dual language programme (DLP) in mathematics education which has been published within the last 5 years. This study was conducted to identify the distribution of DLP studies in terms of year of publication, the study context covered in previous studies, the context of study areas used, focus and trends of past studies, research methods used in previous studies and the role of language in school mathematics education. This review study followed the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) to analyze articles from Scopus and Web of Science. The findings of the study indicate that research trends in the implementation of the DLP on mathematics education for secondary school students showed an increase from 2017 to 2019. Most DLP-related articles are widely developed in the United States and Germany. The findings indicate that previous studies are more interested in studying the implementation of DLP in rural areas. Past studies have also preferred to use the design of either a qualitative study or a quantitative study to be implemented. Questionnaires, tests and interviews are among the research instruments that are often used for a study.

Speaking skills had always been the most challenging skill among the pupils in language learning. The flipped learning approach is an innovative teaching and learning pedagogy that creates better learning experiences in order to improve pupils' speaking skills. Therefore, this systematic literature review focuses on flipped learning approach in improving pupils' speaking skills. This analysis is done based on the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) review methodology. A total of 39 articles related to flipped learning in improving speaking skills published between 2017 to 2020 were identified from Scopus, Google Scholar and ERIC databases. Based on the results, self-regulated learning, interaction, motivation and achievement were the key themes that promotes the benefit of flipped learning to improve pupils' speaking skills. Hence, this paper is beneficial to policy makers, educators and students in utilizing flipped learning approach to improve pupils' speaking skills from various levels of education.

Abstract: A key environmental concern is pollution loads released from human activity, since excessive pollutant loads can cause significant public health and/or environmental impacts. A principal objective of environmental regulation is therefore to minimise pollutant releases. The most common approach to assessing and monitoring pollutant loads is through pollutant release databases, with such systems now operating throughout Europe, North America and Australia. This paper has compiled and analysed an extensive data set on Australian coal mining and associated pollutant emissions reported through the National Pollutant Inventory (NPI). In Australia, the coal industry has been growing rapidly over recent decades, and this is causing significant community concerns over cumulative environmental impacts. The pollutant loads and intensities from coal mining are analysed in conjunction with production data. The trends identified in this paper provide an important basis to understand the value of pollutant release and transfer registers, such as the NPI, and demonstrate the critical need to integrate such data with ongoing trends in industry and environmental management initiatives. [Copyright &y& Elsevier]

Today, Bosnians represent one of the newly emerging and the most widely dispersed diasporic communities from the Balkans. There are large communities of Bosnians living in almost every European country, as well as throughout North America and Australia. Most were displaced during the 1992-1995 Bosnian war, in which 2.2 million people were forced to leave their homes, 1.6 million of whom looked for refuge abroad. In contrast with, and in response to, the enforced displacement, many members of the Bosnian diaspora have retained strong family and other 'informal' social ties with both Bosnians in other countries and those still living in Bosnia and Herzegovina (BiH, or Bosnia). Such ties - focused on preservation of cultural memory and performance of distinct local identities - form the basis of the global network of the Bosnian diaspora and its link with the original home (land). In this paper, I briefly outline the links and networks that constitute diaspora, and then go on to explore the extent to which recent scholarly literature is able to 'capture' the uniqueness and complexity of the Bosnian diasporic communities in Australia, the United States (U.S.) and Europe. Finally, I attempt to define the concept of 'trans-localism' and how it is (per)formed, and suggest that the predominantly 'transnational' conceptual framework within the migration studies needs to be expanded to include 'trans-local' diasporic identity formation among displaced Bosnians and similar diaspora groups. [ABSTRACT FROM AUTHOR]

A revised framework for the regulation of in vitro diagnostic devices (IVDs) came into force in Australia on July 1, 2010 that aims to 'ensure that public and personal health are adequately protected', but which instead may lead to adverse outcomes in clinical diagnosis and management. The regulatory process aims to regulate all IVDs, including those used by clinical diagnostic laboratories, which are already subject to scrutiny as part of the current laboratory accreditation process. The IVD regulatory process initiated in Australia is similar to that used in Canada, but different to that currently operating in the USA and Europe. However, it is feasible that other countries will in time adopt a similar regulatory framework, given that many countries are involved in the development process. In this opinion paper, the regulatory process for IVDs across several geographies are outlined, as are some benefits and weaknesses of the new regulatory process now applied to Australia, as potentially planned for other regions of the world. [ABSTRACT FROM AUTHOR]

This article considers the relationship between artistic research, creative production and exegesis. What it is that renders a particular creative outcome as significant and the ways in which an accompanying critical text functions as a navigational tool, directing readers towards points of entry into the overall work, is at the core of the paper; and the issue of interdependence as contrasted with independence is duly addressed. These matters are discussed within the context of university expectations surrounding higher degrees by research, and are informed by professional research, supervision and examination experience in Europe and Australia. Embodied knowledge and somatic intelligence are explored, and the paper concludes with a focus on the differing impacts of time on varying forms of creative production: on what this wear and tear of time might do to exegesis and to either an art object or an event. [ABSTRACT FROM AUTHOR]

This paper explores the representation of Tenberry, a Ngaiwong man from Moorundie on the Murray River in South Australia, and his significant place in the colonial discourse of European settlement and race relations over the first decades of settlement. From around 1845, when he made his first public appearance in the engraved frontispiece to Edward John Eyre's journals of exploration, his image was circulated through explorer's narratives, pioneer reminiscences, evangelical propaganda, the developing colonial art scene, scientific collections, and popular press accounts. Producing and circulating stereotypes such as 'King' Tenberry and his 'manly' and 'amiable' son Warrulan systematically defined Indigenous Australia for British colonists; with all the power, clarity and seeming truth of visual imagery, these allowed them to see Tenberry as guardian of tradition and the past, in counterpoint to visions of Warrulan's future, whose 'capacity for improvement,' once removed from his people, gave settlers cause for hope. As these images travelled from Moorundie to the centres of Empire, they mapped a global visual economy that told the colonisers' story of progress, displacing the Indigenous people in imagined but powerful ways. [ABSTRACT FROM AUTHOR]

In late 2008 the State of Victoria, in Australia, released 'Freight Futures: The Victorian Freight Network Strategy' (DoT, 2008). This was the first major Australian State Freight Strategy that recommended the implementation of an information communication technology (ICT) public domain portal that would enable small and medium enterprises (SMEs) within the freight transport sector to achieve higher levels of productivity and efficiency through access to, and use of, an internet based e-freight portal, utilising software-as-a-service (SaaS) applications. This was a planning initiative that may be seen as a next step compared to the Tsinghua University e-freight software applications that were listed on a 'public domain' marketplace, or even wider in application than the Port community efreight portals that Singapore and other major ports have already built. Efficiencies for the target user groups using these e-freight applications are identified as delivering significant productivity benefits to the user communities. [ABSTRACT FROM AUTHOR]

This paper explores the relative influence of factors affecting light rail ridership on 57 light rail routes in Australia, Europe and North America through an empirical examination of route level data. Previous research suggests a wide range of possible ridership drivers but is mixed in clarifying major influences. A multiple-regression analysis of route level ridership (boardings per route km) and catchment residential and employment density, car ownership, service level, speed, stop spacing, share of accessible stops, share of segregated right of away and integrated fares was undertaken. This established a statistically significant model (99% level, R = 0.76) with five significant variables including service level, routes being in Europe, speed, integrated ticketing and employment density. In general these findings support selected results from previous research. A secondary analysis of service effectiveness measures (boardings/vehicle km, i.e. the relative ridership performance for a given level of service), established a statistically significant model (99% level, R = 0.67) with 6 significant explanatory variables including being in Europe, speed, employment density, integrated ticketing, track segregation and service level. The latter implies that a higher frequency results in higher service effectiveness. Overall the research findings stress the importance of providing a high level of service as a major driver of light rail ridership. The 'European Factor' is also an important though intriguing influence but its cause remains unclear and requires further research to elaborate its nature. [ABSTRACT FROM AUTHOR]

This paper provides an update of a previous review ' Red Meat in the Diet' published in the Nutrition Bulletin in 2005. An update on red meat consumption levels in the UK and other countries is provided, and a summary of the nutritional content of red meat in the diet is given. Current evidence on dietary and lifestyle factors associated with red meat consumption and the effects of red meat intake on health and chronic disease outcomes are discussed. As there is now continued debate about the environmental impact of different aspects of our diet, sustainability issues regarding red meat were also discussed. [ABSTRACT FROM AUTHOR]

In support of the European Space Agency Soil Moisture and Ocean Salinity (SMOS) mission, a number of soil moisture and sea salinity campaigns, including airborne L-band radiometer measurements, have been carried out. The radiometer used in this context is fully polarimetric and has built-in radio-frequency-interference (RFI)-detection capabilities. Thus, the instrument, in addition to supplying L-band data to the geophysicists, also gave valuable information about the RFI environment. Campaigns were carried out in Australia and in a variety of European locations, resulting in the largest and most comprehensive data set available for assessing RFI at L-band. This paper introduces the radiometer system and how it detects RFI using the kurtosis method, reports on the percentage of data that are typically flagged as being corrupted by RFI, and gives a hint about geographical distribution. Also, examples of polarimetric signatures are given, and the possibility of detecting RFI using such data is discussed. [ABSTRACT FROM AUTHOR]

This paper analyzes the effects of ATM surcharges on deployment and welfare, in a model where banks compete for ATM and banking services. Foreign fees, surcharges and the interchange fee are endogenously determined. We find situations in which surcharges are welfare enhancing. Under strategic fee setting, the increase in deployment caused by surcharging might compensate the surplus loss caused by the increase in prices. [ABSTRACT FROM AUTHOR]

Copyright of ÖZP - Österreichische Zeitschrift für Politikwissenschaft is the property of Oesterreichische Zeitschrift fur Politikwissenschaft 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.)

In many parts of the world, higher education is viewed as a prime 'motor' for the development of a knowledge-based economy. Under the banner of this 'new economy', higher education policies, programmes and practices have been increasingly co-opted and shaped by wider geo-strategic political and economic interests. This paper explores three, interlinked, higher education policy spaces - in Europe, the United States, and Australia. It explores how the growing range of educational initiatives at the European level has affected - both directly and indirectly - American and Australian policymaking in higher education. The European higher education project, which is increasingly perceived as having some significance to the global economy, has set off a series of dynamic reactions in both Australia and the United States, which is leading to multiple new logics and new imaginaries about the global higher education landscape. Through this, a more integrated and relational global system of higher education is emerging. [ABSTRACT FROM AUTHOR]

Background: The universal goal of medical education is to train excellent physicians, able to maintain the health of individuals and communities. The route to achieving this goal has shifted over time. This paper describes the absolutes and ambiguities of philosophical vision, responsiveness to stakeholders, curriculum content and delivery, and assessment of trainees and training programs across much of the developed world. Description: Traditional medical education is content focused and organized by organ systems. Newer curricula, informed by current learning theories, emphasize a competencies based approach, with clinical scenarios at the centre of teaching and assessment of students. Associated with this is a shift from the in-depth knowledge of the specialist to a 'what must a generalist know' approach. These models are explored as are options for curriculum delivery, input from governments, students, the public and faculty, and methods and importance of accreditation. Conclusion: The goals and the process of training physicians to achieve these exhibit numerous commonalities across time and place throughout the developed world while still allowing for cultural or national adaptations. All models and content aim for minimum basic knowledge, while emphasizing communication skills, cultural awareness and professionalism amongst future physicians. [ABSTRACT FROM AUTHOR]

Copyright of International Review of Education / Internationale Zeitschrift für Erziehungswissenschaft is the property of Springer Nature 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.)

Europe lags far behind Australia, New Zealand, Canada and the USA in terms of implementing regulatory procedures for the import and release of invertebrate biological control agents (IBCAs). A number of standards, documents and guidelines have been produced over recent years in an attempt to harmonize regulation of IBCA introduction into Europe. Despite these efforts, the number of member countries implementing any form of IBCA regulation remains low, with many industries, biological practitioners and regulators fearing that a regulatory system would render the process of approval for IBCA introduction into a country costly and time consuming. Europe’s priority is therefore to formulate a regulatory system that will be readily approved of and adopted by all member countries. In this paper we review the current regulatory processes operating in Australia, New Zealand, Canada and the USA. There is potential for Europe to benefit from the years of experience that these countries have in IBCA regulation. We therefore propose recommendations based on features of the regulatory processes in each of the four countries that work well and that could be adopted to generate a workable Europe-wide regulatory system. [ABSTRACT FROM AUTHOR]

Predischarge occupational therapy home assessments are routinely performed with older adults in Europe, Australia and North America. Their primary aim is to facilitate a timely and safe discharge from hospital. However, there is a lack of published research on this topic, especially studies exploring occupational therapists' perceptions of home assessments. The paper aims to redress this by describing occupational therapists' perceptions of predischarge occupational therapy home assessments with older adults in acute care. All occupational therapists who undertook home assessments in an acute care hospital with older adults during the duration of the study period were invited to complete a reflective diary. In total, 15 reflective diaries were completed by six therapists. The data were analysed using thematic content analysis. The findings suggest that home assessments were carried out because of mobility or environmental concerns. Satisfaction and dissatisfaction with the outcome of the home assessment were related to the incidents that occurred during the assessment. Some of the occupational therapists' anxieties were related to the older adults' level of functioning or ill health, and the older adults' own concerns did have an impact upon the therapists' expectations of the home assessment process. [ABSTRACT FROM AUTHOR]

As part of the study “The burden of rheumatoid arthritis and patient access to treatment”, this paper reviews evidence on the health burden of rheumatoid arthritis (RA) in terms of morbidity (DALYs), mortality (% of deaths attributable to RA) and quality of life (utility and loss of QALYs), as well as the economic impact on society. Based on available literature on the prevalence and the cost of RA, combined with economic indicators, the annual cost per patient as well as the total national cost is estimated for Europe and North America (Canada and the United States), as well as Australia, Turkey, the Russian Federation and South Africa. Total costs to society were estimated at €45.3 billion in Europe and at €41.6 billion in the United States. Utility scores were found to be amongst the lowest compared to other diseases. [ABSTRACT FROM AUTHOR]

Telephone based tobacco cessation services, or quitlines, have become central components of many comprehensive tobacco control programmes. This paper provides an overview of their history, noting milestones in the growth of quitlines. Key factors in their worldwide adoption were solid evidence from clinical trials with large community samples and strong backing from public health officials. Quitlines are now available throughout most of North America, Europe, Australia and in many other locations around the world. The paper also offers several recommendations for future directions in quitline practice and research. Benchmarks should be established for key areas of quitline implementation, such as accessibility, quality and cost efficiency. Advances in pharmacotherapy, telephony and web based applications should be investigated for opportunities to expand service offerings. Research and development are needed to determine how best to serve a diverse clientele in the most cost effective manner. Funding should be expanded and diversified to enable quitlines to serve much larger numbers of users. Healthcare providers should be targeted for quitline promotion, to engage them in a broad effort to increase the number of patients receiving cessation messages from clinicians. The goal of quitline promotion should expand to include an increase in unaided quit attempts in the population. Early research findings were quickly adopted in quitline practice, and future research to answer questions that have arisen through the implementation of quitlines will probably also find quick adoption. [ABSTRACT FROM AUTHOR]

While identity has long been a prominent focus of education, and religious education, in Europe and Britain, little explicit attention has been given to it in Australia, even though its importance as an educational goal is implied. This paper reports on a project concerned with 'education in identity' which attempted to address this imbalance. A generic notion of education in identity is developed, underpinned by a conceptualisation of identity and of what constitutes identity health. [ABSTRACT FROM AUTHOR]

The previous papers of this issue discuss the views teachers from the United States, Australia, Hong Kong SAR, and Mainland China have on effective mathematics teaching and learning. Similarities and differences are found and a differentiation from West to East can be worked out in the order of the regions as listed above. The picture of teachers' views can, however, be differentiated when they are looked at from a European perspective. On the basis of the analysis of two comparative studies on teaching cultures in three European countries and a questioning of teachers, this commentary therefore locates France, Germany, and England within this framework so that the East-West-contrast is distinguished in more detail. [ABSTRACT FROM AUTHOR]

Purpose - The aim of this paper is to provide a brief overview of the evolution of a new e-research paradigm and to outline key projects and developments in Europe, North America, Canada and Australia. The article also provides a detailed summary of the Dataset Acquisition, Accessibility and Annotation e-Research Technology (DART) project. Design/methodology/approach - A review of relevant government reports, documents and general literature was conducted. Findings - Projects currently being conducted in Europe, the USA, Canada and Australia are part of an international movement that aims to use modern ICTs to enhance e-research. The DART project is a significant part of this movement as it has adopted a "whole process" approach to e-research, and provides a platform for the examination of the technical, legal and policy issues that arise in the new e-research environment. Originality/value - Provides an overview of current projects that concern the development of e-research, with a particular focus on Australian research and the DART project. [ABSTRACT FROM AUTHOR]

This paper assesses growth models for biotechnology organisations, comparing the dynamics of company evolution in the previous decade with circumstances pertinent to the more recent market downturn and financial constraints. Using anecdotal evidence gained from senior executives in biotechnology companies in the USA, Australia and Europe, the author demonstrates how the utilisation of human talent has evolved over the past decade. The creative use of human capital for companies with limited financial means is discussed, in the context of the differing needs of organisations as they progress along the biotechnology life cycle. [ABSTRACT FROM AUTHOR]

The extreme variability of human immunodeficiency virus type 1 (HIV-1) makes it possible to conduct transmission studies on the basis of genetic analysis and to trace global and local patterns in the spread of the virus. Two such patterns are discussed in this paper. First, in many European countries (e.g., Scotland and Germany), homosexual men tend to be infected with a subtly different variant of HIV-1 than intravenous drug users. In other European countries (e.g., Norway and Sweden), a distinction is also found between the two risk groups; but based on available data, the distinction is a different one. The second pattern is a worldwide tendency for homosexual men in many different geographic regions around the world to carry HIV-1 subtype B, the variant that is most prevalent in the Americas, Europe, and Australia. In contrast, people infected via other routes (mostly heterosexual contact) in those same countries carry a mixture of other subtypes. Biologic differences between the viruses infecting different risk groups have not been found; the most likely explanation for the findings is different epidemiologic patterns. Although data are still scarce, the authors attempt to use these patterns in the reconstruction of the worldwide spread of the HIV epidemic. Am J Epidemiol 2000;152:814–22. [ABSTRACT FROM PUBLISHER]

The Kyoto protocol was the first step taken by governments towards implementing the Framework Convention on Climate Change (1992). This seeks to prevent dangerous 'global' warming and its impacts; the assumption being that all or most of this warming is caused by human action and is therefore susceptible to mitigation. Only governments in developed countries have so far committed themselves to emission reduction targets and thus to potentially major interventions in their economies and societies. At Kyoto, in December 1997, developed countries negotiated national commitments. Their net reductions of six greenhouse gases measured from a 1990 baseline, are to be achieved between 2008 and 2012. However, Australia may increase its net greenhouse gas emissions by 8%, while the UK agreed to a cut by 12.5%, considerably above the EU average cut of 8%. Examples of 'common but differentiated' responsibility have major economic implications, especially for trade. The mandatory British reduction target - if the Kyoto Protocol comes into force - is considerably below a promised 20% reduction, a target to which the UK government remains committed. This paper asks why the EU/UK and Australia adopted such different positions. It does so by analysing internal factors and forces that have shaped domestic policies. It is argued that while similar motivations produced different outcomes, the Australian government also received less biased and broader advice from its experts. The Australian case, as well as that of the EU/UK, thus presents a most interesting contrast to Swedish climate policy. [ABSTRACT FROM AUTHOR]

Holistic nursing care, which has been discussed a lot recently, provides better quality and more effective patient care. This study was planned to analyze the studies conducted on holistic care, by using the bibliometric method and to reveal which types of studies are needed to increase the effectiveness of holistic nursing care and to make it more widespread. The study has the potential to guide scientists who would like to work on this subject. This study describes the current published evidence about holistic nursing between January,1, 1979 and March 18, 2023. The study's data obtained from the Web of Science (WOS) database were analyzed using both quantitative and qualitative measures. The Excel program was used to analyze the study's data, and VOSviewer was used to visualize it. A total of 3887 publications (reviews and articles) obtained in the search for holistic nursing have been published. A total of 2716 (69 875%) of all publications on holistic nursing were published since 2013, and these publications were cited 45 843 times, and 77.832% of all citations were cited to publications published since 2013. The top 5 countries that made the highest number of contributions were the United States (1259 documents), England (457 documents), Australia (380 documents), Canada (253 documents), and Sweden (183 documents). The University of London in England was the top institute focused on holistic nursing. Holistic nursing is a growing and developing subject, especially considering the number of citations and publications in the last 10 years. Most research and cooperation has occurred in a few developed nations: America, Australia, and European countries., (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc.)

Background: The value-based healthcare (VBH) concept is designed to improve individual healthcare outcomes without increasing expenditure and is increasingly being used to determine resourcing of and reimbursement for medical services. Radiology is a major contributor to patient and societal healthcare at many levels. Despite this, some VBH models do not acknowledge radiology's central role; this may have future negative consequences for resource allocation., Methods, Findings and Interpretation: This multi-society paper, representing the views of Radiology Societies in Europe, the USA, Canada, Australia and New Zealand, describes the place of radiology in VBH models and the healthcare value contributions of radiology. Potential steps to objectify and quantify the value contributed by radiology to healthcare are outlined., (© 2020 The Authors. Journal of Medical Imaging and Radiation Oncology published by John Wiley & Sons Australia, Ltd on behalf of Royal Australian and New Zealand College of Radiologists.)

Aim: This study aims to present a general bibliometric overview of the development status of global nursing research from 2000 to 2019., Design: A longitudinal bibliometric analysis of nursing research was conducted., Methods: Nursing research publications (N = 88,665) were obtained from Web of Science. Bibliometric method was used to map the output and citation impact trends of countries/regions, institutions, disciplines, and journals and analyse the research collaboration among countries/regions and institutions., Results: The global paper output in nursing research increased steadily over the past two decades and it varied in different countries/regions with the USA being far ahead of the others. The paper output and cross-border collaboration are mainly distributed in several developed countries like the USA, the UK, Australia, and Canada. The University of Pennsylvania, Harvard University, University of Toronto, and University of North Carolina at Chapel Hill have high academic influence in the field of nursing. Increasing attention from academic fields has been paid to research on nursing. Journal of Advanced Nursing is the most prolific and most cited journal in nursing field., Conclusion: Nursing research has developed steadily over the last two decades. Both the scientific output and research collaboration are disproportionally distributed between high-income countries/regions and low- and middle-income countries/regions. Most research and collaboration have taken place in a few developed countries across North America, Europe, and Oceania., Impact: The study highlighted the need for policy makers and funding agencies, especially those from low- and middle-income countries/regions, to allocate research funding that supports the nursing higher education and international cooperation so as to promote the development of high-quality nursing research in those countries/regions. At the same time, researchers from non-English-speaking countries/regions should attach more importance to publishing papers in English, strengthening the academic exchanges with international nursing colleagues and better integrating into the international academic community., (© 2020 John Wiley & Sons Ltd.)

This study examined the utility of a biopsychosocial model to explain both higher body mass index (BMI) and disordered eating. The study was designed to examine the predictors of higher BMI and a number of measures of disordered eating (dietary restraint, drive for muscularity, drive for thinness, binge eating, and compensatory behaviour). Young adults (N = 838) recruited from seven countries, grouped into four regions (Europe, North American countries, Australia, Japan), completed an online survey, with each completion being 12 months apart. The survey included assessments of BMI and disordered eating, and a range of biological, psychological and sociocultural factors expected to predict both outcomes. Results revealed unique patterns of association between predictors and BMI as well as different measures of disordered eating in the four geographical regions. The findings identify the specific nature of biopsychosocial factors that predict both higher BMI and different aspects of disordered eating. They also demonstrate that caution needs to be exercised in generalising findings from one country to other countries. What is already known about this topic: The literature has already identified various aspects of the biopsychosocial model that predicts disordered eating and higher weight. These studies have primarily focused on disordered eating in cross-sectional studies among adolescents. Obesity and disordered eating have been shown to be related What this topic adds: The study identified the biopsychosocial factors that predict higher BMI and disordered eating among young adults over a 12-month period. The study examined all components of the biopsychosocial model in the one study. The study was conducted across seven countries and identified how these relationships vary from one country to another. [ABSTRACT FROM AUTHOR]

The management of atrial fibrillation (AF), the most common sustained arrhythmia, impacts healthcare resource utilization (HCRU). This study aims to estimate global resource use in AF patients, using the GARFIELD-AF registry. A prospective cohort study was conducted to characterize HCRU in AF patients enrolled in sequential cohorts from 2012 to 2016 in 35 countries. Components of HCRU studied were hospital admissions, outpatient care visits, and diagnostic and interventional procedures occurring during follow-up. AF-related HCRU was reported as the percentage of patients demonstrating at least one event and was quantified as rate-per-patient-per-year (PPPY) over time. A total of 49,574 patients was analyzed, having an overall median follow-up of 719 days. Almost all patients (99.5%) had at least one outpatient care visit, while hospital admissions were the second most frequent medical contact, with similar proportions in North America (37.5%) and Europe (37.2%), and slightly higher in the other GARFIELD-AF countries (42.0%; namely Australia, Egypt, and South Africa). Asia and Latin America showed lower percentages of hospitalizations, outpatient care visits, and diagnostic and interventional procedures. Analyses of GARFIELD-AF highlighted the vast AF-related HCRU, underlying significant geographical differences in the type, quantity, and frequency of AF-related HCRU. These differences were likely attributable to health service availability and differing models of care. [ABSTRACT FROM AUTHOR]

During recent years there has been a growth in the use of assisted reproductive techniques (ARTs) across Europe, America and Australia. This has resulted in debates about whether health insurance should cover this procedure. This study used the closed-ended willingness to pay (WTP) technique to establish the value the infertile place on in vitro fertilization treatment in Scotland. One approach to help inform this debate is to employ economic tools to assess the costs and benefits of the treatment. Costs can then be compared with benefits, and the public provision of the service encouraged or discouraged on the basis of these results. To date, economic evaluations which have attempted to inform the debate about the provision of ARTs have assumed that the only factor that is important is whether users leave the service with a child. One approach that should allow for all such attributes in the economic evaluation is the economic instrument of WTP. This technique is based on the premise that the maximum amount of money an individual is willing to pay for a commodity is an indicator of the value to him/her of that commodity. This paper uses the WTP technique to assess the benefits from ARTs. These benefits are then compared with the costs of providing the treatment. The aim is to show how the application of this specific tool can be of use to policy makers considering the public provision of ARTs.

This paper examines the current fertility (1971–72) of migrant women in Australia, in order to compare the fertility levels and patterns prevalent among migrants from nine selected countries with those of the Australian born women. Birth registration data have been mainly used in the analysis.Three main points emerge. Among the married women there were few differences in fertility regardless of the country of birth. A major exception was the somewhat higher fertility levels among the southern European migrants. Extramarital fertility seemed to vary substantially between different migrant groups: New Zealanders had the highest and the Italians and Greeks had the lowest levels. There were major differences in the proportion of women married among the various migrant groups; again the southern Europeans had highest proportions married. Comparison of the reproductive behaviour of migrants with their counterparts in the countries of origin showed that the southern European migrants in Australia had higher fertility rates than those prevalent in their countries of origin. [ABSTRACT FROM PUBLISHER]

Purpose: Since new digital micro-credential technologies emerged a decade ago, there has been a rapid rise in micro-credentials in the education landscape. Much has been promised about these educational technologies, yet there is much confusion by key stakeholders in the digital micro-credential ecosystem. This confusion has led to significant efforts globally to define micro-credentials to ensure quality learning and generate beneficial impacts to learners, employers, education providers and edtech organisations. Design/methodology/approach: This commentary reviews relevant literature on digital micro-credentials and other alternative credentials to determine how these educational technologies can meet the demands of the Fourth Industrial Revolution to nurture lifelong learning for working learners. Findings: Universities are being challenged to address the changing needs and uncertainty being introduced by the Fourth and Fifth Industrial Revolutions, particularly with implications for workforce upskilling and lifelong learning. To adapt, universities will need to rethink their roles and shift their institutional mindsets in how they may approach the challenges through mechanisms such as digital micro-credentials. Research limitations/implications: This paper focuses on the analysis of five policy statements about micro-credentials. While these policy statements represent a sample, there is a representation of Western education-related systems. Thus, they skew the findings towards Western education systems thinking. Practical implications: Understanding how micro-credentials are being positioned within education-related systems is useful for applying the educational technologies by, for example, universities, learners and employers. Social implications: Provides an overview of how these educational technologies may provide beneficial impacts for society as it plans to adapt to economic uncertainty and change. Originality/value: The commentary provides a policy context for the emerging use of micro-credential technologies to examine demands for workforce upskilling.

This paper uses data from the OECD's 2015 PISA and an endogenous treatment effects model to investigate the impact of different intensities of digital device use for academic purposes on science learning outcomes. When we do not differentiate the location of device use, we find that greater use can help students improve their science scores in most of the countries. When we consider school and outside-of-school use separately, we find the above positive results are driven by outside-of-school digital device use and that there are more negative results of increased device use at school.

This paper analyses the current state of postcolonial and decolonial science teaching, based on a systematic review of the literature, with a special focus on the European context. It shows that currently, a very narrow view on postcolonial science teaching prevails, limiting its scope to former colonies. A total of 227 articles published 2013-2022 were identified using meta-interpretation combined with systematic searches. 43 of these articles were selected for the sample and analysed. Included were only articles reporting on teaching practice in regular science classes in secondary school. The analysis identified as the main theme the question of how to coordinate Indigenous knowledge systems and Western science in the classroom. Further, translanguaging and pedagogy of justice are used as approaches toward decolonising science education. One striking finding in the analysis is the absence of de-/postcolonial approaches from European countries. This indicates that teaching practice in Europe might currently not undergo decolonisation. This contradicts Aimé Césaire's observation that both the colonised "and" the colonisers were decivilised during colonialism and need decolonisation [Césaire, A. (1955). "Discours sur le colonialisme" [Discourse on colonialism] (6th ed.). Présence Africaine]. In this article, the different approaches toward decolonisation and an outline of decolonial science teaching for the European context are presented.

The use of video games in schools is not new. However, classroom use of video games may be poised for a dramatic shift as billion dollar video game franchises such as "Assassin's Creed" and "Minecraft" continue to invest in features aimed at facilitating the use of these games for education (Egbert & Borysenko, 2018; Porter, 2018). A number of factors have contributed to the rise of classroom use of commercial off-the-shelf (COTS) games. These include increasing cultural acceptance of video games as a legitimate art form (Tavinor, 2011), a growing body of literature on the benefits of digital game-based learning (DGBL) (Coleman & Money, 2019), and desire of game developers to capture education dollars (Jowitt, 2016). Research on COTS games in the classroom has tended to focus on whether games can improve knowledge and skill acquisition (Van Eck, 2006). Much less attention has been given to the question of student agency in COTS games. In particular, while there has been some acknowledgement that educators play a role in determining student agency outcomes in games (Lopez Lopez et al., 2019; Seventko et al., 2017), the specific ways in which educators influence student agency in games has been undertheorized. To better understand the role of educators in shaping student agency in COTS games, this paper analyzes classroom use of "Minecraft" as a case study.

International student mobility (ISM) has emerged as an important field of study that various nations and organizations have been attaching great importance to. This paper studies the drivers of international student mobility, using a competing destinations model for the international student flows among 35 OECD countries in the period 2004-2018, by integrating the motivations for ISM. We find that OECD students are motivated by both career orientation and personal and cultural experience when decide to move abroad for study. Nonetheless, remarkable differences emerge when considering country subgroups (origin countries, wealthier, English-speaking top destination (namely US, the UK, Canada, and Australia), and European countries, students search for personal and cultural experience, valuing the lifestyle of the destination country. Students seeking for education quality are instead polarised in the rest of the OECD countries.

Research on Artificial Intelligence, especially in the field of machine learning, has exploded in the twenty-first century. AI research in universities has long been funded by a combination of government and corporate sources. The funding of AI research in the contemporary university includes technology companies as both funders and generators of research areas. This paper looks at the links between technology companies and AI research in three areas: first, the ways in which technology companies influence both the content and practices of AI research in universities; second, how university research policies enable conditions that blur traditional boundaries between corporate and academic AI research; and third, how an ethos of 'open science', that is increasingly corporatised, moves ideas about AI from universities to companies. We conclude that technology companies influence AI research within established feedback loops in the transformed relationships between economy, society, research, and the contemporary university.

Background: There is significant interest in comparing countries on many different indicators of social problems and policies. Cross-national comparisons of drug prevalence and policies are often hampered by differences in the approach used to reach respondents and the methods used to obtain information in national surveys. The paper explores how much these differences could affect cross-country comparisons.Methods: This study reports prevalence of drug use according to the most recent national household survey and then adjusts estimates as if all national surveys used the same methodology. The analysis focuses on European countries for which the European Monitoring Centre for Drugs and Drug Addiction reports data, the United States, Canada, and Australia. Adjustment factors are based on US data.Findings: Adjusting for modality differences appears likely to modestly affect the rankings of countries by prevalence, but to an extent that could be important for comparisons. For example, general population surveys suggest that the US had some of the highest cannabis and cocaine prevalence rates circa 2012, but this is partially driven by the use of a modality known to produce higher prevalence estimates. This analysis shows that country rankings are partly an artifact of the mode of interview used in national general population surveys.Conclusions: Our preliminary efforts suggest that cross-national prevalence comparisons, policy analyses and, other projects such as estimating the global burden of disease could be improved by adjusting estimates from drug use surveys for differences in modality. Research is needed to create more authoritative adjustment factors. [ABSTRACT FROM AUTHOR]