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The interactions of climate change and soils (ICCS) are scarcely examined in Climate Change Education (CCE). Analyzing the pre-conceptions of secondary school students (n = 421) reveals a high number of missing answers (48.2%), while residual participants responded with either medium (33.3%) or low (11.5%) complexity levels. The natural and the human sphere are scarcely interconnected and mentioned positive feedback effects indicate students' spatial distance to the ICCS that occur in Alpine regions. In order to bridge these gaps with more elaborated and regional concepts, a careful consideration of ICCS content is urgently recommended for CCE.

This paper examines the relationship between equality and social Europe, which has remained underdeveloped in the process of European integration. In contrast to the social dimension of the EU, the principle of equality has been significant from the beginning of European integration. The paper opens with an overview of how equality functions as the basis for a social Europe. Next, two interpretations of equality are introduced. The EU's preferred interpretation, which is based on merit, is in sync with market ideals. One of the shortcomings of merit-based equality as a foundation of social Europe, however, is its inability to properly disconnect the vulnerable person from the employment market. This paper argues that an alternative interpretation of equality based on value is more suitable, because value-based equality can challenge the potentially harmful social structure of the market. [ABSTRACT FROM AUTHOR]

Aim: Paleohydrological dynamics are well‐documented for European river systems, promoting shifting phases of isolation and connectivity of their aquatic fauna. These conditions coupled with high rates of hybridisation found in freshwater fishes may introduce considerable complexity and potential mito‐nuclear discordance of phylogenetic patterns. We evaluate this hypothesis using the first large‐scale analysis of nuclear SNPs in European species of grayling (Thymallus) compared to mtDNA data with the aim of reassessing the evolutionary history of this group of rheophilic fishes. Location: Freshwater systems in Europe. Methods: Based on mitochondrial (mitogenomes, control region) and nuclear (ddRADseq) data, we applied population‐genetic, phylogenetic, and biogeographic tools to evaluate lineage diversity in the context of paleohydrological alterations. Results: The results corroborated previously recognised high levels of lineage diversity, but revealed several cases of mito‐nuclear discordance and signals of both historical (natural) and human‐mediated introgression among major inter‐ and intraspecific lineages of Thymallus in Europe. A time‐calibrated phylogeny and ancestral area estimation, based on nuclear SNP data, supported a late Pliocene diversification of the genus in Europe and suggested an early colonisation of the Black Sea basin with subsequent dispersal into Central and Western Europe. Main Conclusions: The genetic structure of Thymallus in Europe recovered by nuclear SNPs contrasts considerably with that supported by mtDNA. Several instances of mito‐nuclear discordance underscore frequent contact of allopatric lineages in a dynamic paleohydrological landscape and reveal the weakness of basing both taxonomic and conservation decisions on inferences based on mtDNA alone. The Danube and Rhine drainages were inferred as important zones of contact between divergent phylogeographic lineages. Additionally, our data cast doubt on the genetic integrity of the endangered T. aeliani. Its divergence from T. thymallus, using nuclear SNPs, appears minimal as samples of T. aeliani group within Danubian lineages, despite carrying highly divergent reciprocally monophyletic mtDNA. [ABSTRACT FROM AUTHOR]

Introduction: The PRESERFLO™ MicroShunt (PMS) has been proven to significantly lower intraocular pressure (IOP) in patients with glaucoma and has been available for use since 2019. With increasing published evidence and growing experience of glaucoma surgeons, the aim of this modified Delphi panel was to build on the findings of a previous Delphi panel conducted in 2021 and provide further guidance on the role of the PMS to treat patients with glaucoma in Europe. Methods: Thirteen European glaucoma surgeons experienced in the PMS procedure participated in a 3-round modified Delphi panel. A targeted literature review and expert steering committee guided Round 1 questionnaire development. Consensus was pre-defined at a threshold of ≥ 70% of panellists selecting 'strongly agree'/'agree' or 'strongly disagree'/'disagree' for 6-point Likert scale questions or ≥ 70% selecting the same option for multiple or single-choice questions. Questions not reaching consensus were restated/revised for the next round, following guidance from free-text responses/scoping questions. Results: In total, 28% (n = 9/32), 52% (n = 16/31) and 91% (n = 10/11) of statements reached consensus in Rounds 1, 2 and 3, respectively. There was agreement that the PMS may be used in patients with pigmentary, post-trauma or post-vitrectomy glaucoma and for patients with uveitic glaucoma without active inflammation. The PMS may be more suitable for patients with contact lenses than other subconjunctival filtering surgeries, without eliminating bleb-associated risks. Consensus was reached that combining PMS implantation and phacoemulsification may be as safe as standalone PMS surgery, but further efficacy data are required. Following a late rise in IOP ≥ 4 months post-surgery, topical aqueous suppressant drops or bleb revision may be suitable management options. Conclusions: This Delphi panel builds on the considerations explored in the 2021 Delphi panel and provides further detailed guidance for glaucoma surgeons on the use of the PMS, reflecting the availability of novel evidence and surgical experience. Videos are available for this article. [ABSTRACT FROM AUTHOR]

Open in new tab Download slide OBJECTIVES Compared to lung resections, airway procedures are relatively rare in thoracic surgery. Despite this, a growing number of dedicated airway centres have formed throughout Europe. These centres are characterized by a close interdisciplinary collaboration and they often act as supra-regional referring centres. To date, most evidence of airway surgery comes from retrospective, single-centre analysis as there is a lack of large-scale, multi-institutional databases. METHODS In 2018, an initiative was formed, which aimed to create an airway database within the framework of the ESTS database (ESTS-AIR). Five dedicated airway centres were asked to test the database in a pilot phase. A 1st descriptive analysis of ESTS-AIR was performed. RESULTS A total of 415 cases were included in the analysis. For adults, the most common indication for airway surgery was post-tracheostomy stenosis and idiopathic subglottic stenosis; in children, most resections/reconstructions had to be performed for post-intubation stenosis. Malignant indications required significantly longer resections [36.0 (21.4–50.6) mm] when compared to benign indications [26.6 (9.4–43.8) mm]. Length of hospital stay was 11.0 (4.1–17.3) days (adults) and 13.4 (7.6–19.6) days (children). Overall, the rates of complications were low with wound infections being reported as the most common morbidity. CONCLUSIONS This evaluation of the 1st cases in the ESTS-AIR database allowed a large-scale analysis of the practice of airway surgery in dedicated European airway centres. It provides proof for the functionality of ESTS-AIR and sets the basis for rolling out the AIR subsection to all centres participating in the ESTS database. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Ornithology 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.)

Artificial intelligence (AI) is a game changer in many fields, including cultural heritage. It supports the planning and preservation of heritage sites and cities, enables the creation of virtual experiences to enrich cultural tourism and engagement, supports research, and increases access and understanding of heritage objects. Despite some impressive examples, the full potential of AI for economic, social, and cultural change is not yet fully visible. Against this background, this article aims to (a) highlight the scope of AI in the field of cultural heritage and innovation, (b) highlight the state of the art of AI technologies for cultural heritage, (c) highlight challenges and opportunities, and (d) outline an agenda for AI, cultural heritage, and innovation. [ABSTRACT FROM AUTHOR]

Heat stress in cities is projected to strongly increase due to climate change. The associated health risks will be exacerbated by the high population density in cities and the urban heat island effect. However, impacts are still uncertain, which is among other factors due to the existence of multiple metrics for quantifying ambient heat and the typically rather coarse spatial resolution of climate models. Here we investigate projections of ambient heat for 36 major European cities based on a recently produced ensemble of regional climate model simulations for Europe (EURO-CORDEX) at 0.11 ∘ spatial resolution (∼ 12.5 km). The 0.11 ∘ EURO-CORDEX ensemble provides the best spatial resolution currently available from an ensemble of climate model projections for the whole of Europe and makes it possible to analyse the risk of temperature extremes and heat waves at the city level. We focus on three temperature-based heat metrics – yearly maximum temperature, number of days with temperatures exceeding 30 ∘ C, and Heat Wave Magnitude Index daily (HWMId) – to analyse projections of ambient heat at 3 ∘ C warming in Europe compared to 1981–2010 based on climate data from the EURO-CORDEX ensemble. The results show that southern European cities will be particularly affected by high levels of ambient heat, but depending on the considered metric, cities in central, eastern, and northern Europe may also experience substantial increases in ambient heat. In several cities, projections of ambient heat vary considerably across the three heat metrics, indicating that estimates based on a single metric might underestimate the potential for adverse health effects due to heat stress. Nighttime ambient heat, quantified based on daily minimum temperatures, shows similar spatial patterns to daytime conditions, albeit with substantially higher HWMId values. The identified spatial patterns of ambient heat are generally consistent with results from global Earth system models, though with substantial differences for individual cities. Our results emphasise the value of high-resolution climate model simulations for analysing climate extremes at the city level. At the same time, they highlight that improving the predominantly rather simple representations of urban areas in climate models would make their simulations even more valuable for planning adaptation measures in cities. Further, our results stress that using complementary metrics for projections of ambient heat gives important insights into the risk of future heat stress that might otherwise be missed. [ABSTRACT FROM AUTHOR]

Copyright of Die Urologie 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.)

Background: Attention-deficit/hyperactivity disorder (ADHD) is a common, highly heritable neurodevelopmental disorder with profound cognitive, behavioral, and psychosocial impairments with persistence across the life cycle. Our initial genome-wide screening approach for copy number variants (CNVs) in ADHD implicated a duplication of "SLC2A3," encoding glucose transporter-3 (GLUT3). GLUT3 plays a critical role in cerebral glucose metabolism, providing energy for the activity of neurons, which, in turn, moderates the excitatory-inhibitory balance impacting both brain development and activity-dependent neural plasticity. We therefore aimed to provide additional genetic and functional evidence for GLUT3 dysfunction in ADHD. Methods: Case-control association analyses of "SLC2A3" single-nucleotide polymorphisms (SNPs) and CNVs were conducted in several European cohorts of patients with childhood and adult ADHD (SNP, n = 1,886 vs. 1,988; CNV, n = 1,692 vs. 1,721). These studies were complemented by "SLC2A3" expression analyses in peripheral cells, functional EEG recordings during neurocognitive tasks, and ratings of food energy content. Results: Meta-analysis of all cohorts detected an association of SNP rs12842 with ADHD. While CNV analysis detected a population-specific enrichment of "SLC2A3" duplications only in German ADHD patients, the CNV + rs12842 haplotype influenced ADHD risk in both the German and Spanish cohorts. Duplication carriers displayed elevated "SLC2A3" mRNA expression in peripheral blood cells and altered event-related potentials reflecting deficits in working memory and cognitive response control, both endophenotypic traits of ADHD, and an underestimation of energy units of high-caloric food. Conclusions: Taken together, our results indicate that both common and rare "SLC2A3" variation impacting regulation of neuronal glucose utilization and energy homeostasis may result in neurocognitive deficits known to contribute to ADHD risk.

Freshwater mussels are declining throughout their range. Their important ecological functions along with insufficient levels of natural recruitment have prompted captive breeding for population augmentation and questions about the usefulness and applicability of such measures.This article reviews the current state of captive breeding and rearing programmes for freshwater mussels in Europe. It considers the various species, strategies, and techniques of propagation, as well as the different levels of effort required according to rearing method, highlighting the key factors of success.Within the last 30 years, 46 breeding activities in 16 European countries have been reported, mainly of Margaritifera margaritifera and Unio crassus. Some facilities propagate species that are in a very critical situation, such as Pseudunio auricularius, Unio mancus, and Unio ravoisieri, or multiple species concurrently. In some streams, the number of released captive‐bred mussels already exceeds the size of the remaining natural population.Rearing efforts range from highly intensive laboratory incubation to lower intensity methods using in‐river mussel cages or silos. Most breeding efforts are funded by national and EU LIFE(+) grants, are well documented, and consider the genetic integrity of the propagated mussels. Limited long‐term funding perspectives, the availability of experienced staff, water quality, and feeding/survival during early life stages are seen as the most important challenges.Successful captive breeding programmes need to be combined with restoration of the habitats into which the mussels are released. This work will benefit from an evidence‐based approach, knowledge exchange among facilities, and an overall breeding strategy comprising multiple countries and conservation units. [ABSTRACT FROM AUTHOR]

Transitioning urban drainage systems to serve water-smart societies requires the involvement of different disciplines and stakeholders. However, stakeholders have different visions and needs from the transitioning process (e.g in terms of financing, policy adaptation and system management) these also vary between regions and countries. Identifying such different needs for stakeholders is necessary to propose practical adaptation strategies. Therefore, evidence of needs as reflected in policy papers and legislation in seven European countries was collected. Knowledgeable individuals in the urban drainage community were asked about their visions. Results show that whilst there is consensus on the challenges, visions on how to transition are diverse, indicating that more interaction between the different stakeholder groups is required to develop consensus. Additionally, organisational and legislative structures often slow down the necessary change processes. [ABSTRACT FROM AUTHOR]

A fast and extensive build‐up of green hydrogen production is a crucial element for the global energy transition. The availability of low‐cost renewable energy at high operating hours of the electrolyzer is a central criterion in today's choice of location for green hydrogen production. It is analyzed how decreasing electrolyzer costs that are expected by many may influence this choice. The energy system optimization framework ESTRAM is used to find the optimum configuration of wind turbine, photovoltaic (PV), and electrolyzer capacity for covering a given hydrogen demand by locally produced green hydrogen in different European locations. It is found that PV is part of the cost‐optimal solution in 96% of 1372 statistical regions in Europe. Decreasing electrolyzer costs are favoring the utilization of PV in wind–solar hybrid plants. At low electrolyzer costs, pure solar hydrogen outperforms the hybrid variant in many places if hydrogen storage is available, even with few full operating hours per year. At the same time, production costs are converging significantly. The article adds a new perspective to the discussion, as it is systematically shown how further technology development may lead to a shift in locational advantages for green hydrogen production, what should be considered to avoid stranded assets when building infrastructure. [ABSTRACT FROM AUTHOR]

Heat stress in cities is projected to strongly increase due to climate change. The associated health risks will be exacerbated by the high population density in cities and the urban heat island effect. However, impacts are still uncertain, which is among other factors due to the existence of multiple metrics for quantifying ambient heat and the typically rather coarse spatial resolution of climate models. Here we investigate projections of ambient heat for 36 major European cities based on a recently produced ensemble of regional climate model simulations for Europe (EURO-CORDEX) at 0.11° spatial resolution (~12.5 km). The 0.11° EURO-CORDEX ensemble provides the best spatial resolution currently available from an ensemble of climate model projections for the whole of Europe and makes it possible to analyse the risk of temperature extremes and heatwaves at the city-level. We focus on three temperature-based heat metrics - yearly maximum temperature, number of days with temperatures exceeding 30 °C, and Heat Wave Magnitude Index daily (HWMId) - to analyse projections of ambient heat at 3 °C warming in Europe compared to 1981-2010 based on climate data from the EURO-CORDEX ensemble. The results show that southern European cities will be most affected by high levels of ambient heat, but depending on the considered metric, cities in central, eastern, and northern Europe may also experience substantial increases in ambient heat. In several cities, projections of ambient heat vary considerably across the three heat metrics, indicating that estimates based on a single metric might underestimate the potential for adverse health effects due to heat stress. Nighttime ambient heat, quantified based on daily minimum temperatures, shows similar spatial patterns as daytime conditions, albeit with substantially higher HWMId values. The identified spatial patterns of ambient heat are generally consistent with results from global Earth system models, though with substantial differences for individual cities. Our results emphasise the value of high-resolution climate model simulations for analysing climate extremes at the city-level. At the same time, they highlight that improving the currently rather simple representations of urban areas in climate models would make their simulations even more valuable for planning adaptation measures in cities. Further, our results stress that using complementary metrics for projections of ambient heat gives important insights into the risk of future heat stress that might otherwise be missed. [ABSTRACT FROM AUTHOR]

Europe has a long history of human pressure on freshwater ecosystems. As pressure continues to grow and new threats emerge, there is an urgent need for conservation of freshwater biodiversity and its ecosystem services. However, whilst some taxonomic groups, mainly vertebrates, have received a disproportionate amount of attention and funds, other groups remain largely off the public and scientific radar. Freshwater mussels (Bivalvia, Unionida) are an alarming example of this conservation bias and here we point out six conceptual areas that need immediate and long‐term attention: knowledge, threats, socioeconomics, conservation, governance and education. The proposed roadmap aims to advance research, policy and education by identifying the most pressing priorities for the short‐ and long‐term conservation of freshwater mussels across Europe. [ABSTRACT FROM AUTHOR]

The recent increase in openly available ancient human DNA samples allows for large-scale meta-analysis applications. Trans-generational past human mobility is one of the key aspects that ancient genomics can contribute to since changes in genetic ancestry—unlike cultural changes seen in the archaeological record—necessarily reflect movements of people. Here, we present an algorithm for spatiotemporal mapping of genetic profiles, which allow for direct estimates of past human mobility from large ancient genomic datasets. The key idea of the method is to derive a spatial probability surface of genetic similarity for each individual in its respective past. This is achieved by first creating an interpolated ancestry field through space and time based on multivariate statistics and Gaussian process regression and then using this field to map the ancient individuals into space according to their genetic profile. We apply this algorithm to a dataset of 3138 aDNA samples with genome-wide data from Western Eurasia in the last 10,000 y. Finally, we condense this sample-wise record with a simple summary statistic into a diachronic measure of mobility for subregions in Western, Central, and Southern Europe. For regions and periods with sufficient data coverage, our similarity surfaces and mobility estimates show general concordance with previous results and provide a meta-perspective of genetic changes and human mobility. [ABSTRACT FROM AUTHOR]

As part of a request from the “European Megalithic Routes” organization to its Scientific Advisory Board for a comprehensive map of European megaliths, an attempt was made to produce the corresponding map using existing publications on megalithic tombs. As a result, 17409 published megalithic tombs were mapped. This endeavour forms the basis for a continuous and necessary improvement of a map of European megalithic sites, especially regarding the architectural classification of the individual megaliths. [ABSTRACT FROM AUTHOR]

Copyright of Stichproben (19928610) is the property of Stichproben. Verein fur Forderung und Publikation wiss. Arbeiten aus den Afrikawissenschaften 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.)

Experiences from 30 years of geochemical mapping at the (sub)continental scale in Europe using a wide range of different sample media are reviewed and discussed with a focus on the most recent GEMAS (GEochemical Mapping of Agricultural Soils) project. Comparing results from the different surveys it is possible to come to conclusions as to how geochemical surveys at the continental scale could best be designed. High analytical quality and lowest possible detection limits are key requirements. In Europe good outcomes were achieved with the <2 mm fraction of soil samples and aqua regia extraction. Focus should be on high quality of sampling and analyses and more determined parameters rather than on more samples. The sample density of 1 site/2500 km2 provides a good overview of the processes governing geochemistry at the continental scale. Results should be extensively published by the project team to allow the dataset to be known and utilized by the wider scientific community. Thematic collection: This article is part of the Continental-scale geochemical mapping collection available at: https://www.lyellcollection.org/topic/collections/continental-scale-geochemical-mapping [ABSTRACT FROM AUTHOR]

This paper examines how enhanced flexibility across space, time, and a regulatory dimension affects the economic costs and CO 2 emissions of integrating large shares of intermittent renewable energy from wind and solar. We develop a numerical model which resolves hourly dispatch and investment choices among heterogeneous energy technologies and natural resources in interconnected wholesale electricity markets, cross-country trade (spatial flexibility), energy storage (temporal flexibility), and tradable green quotas (regulatory flexibility). Taking the model to the data for the case of Europe's system of interconnected electricity markets, we find that the appropriate combination of flexibility can bring about substantial gains in economic efficiency, reduce costs (up to 13.8%) and lower CO 2 emissions (up to 51.2%). Regulatory flexibility is necessary to realize most of the maximum possible benefits. We also find that gains from increased flexibility are unevenly distributed and that some countries incur welfare losses. [ABSTRACT FROM AUTHOR]

Introduction: The implantation of the PRESERFLO™ MicroShunt (PMS) device has been shown to significantly lower increased intraocular pressure (IOP) in patients with primary open-angle glaucoma (POAG). However, guidelines on best practice for patient selection and pre-/peri-/postoperative care management are lacking. The aim of this modified Delphi panel was to achieve expert consensus on the role of the PMS to treat patients with glaucoma in Europe. Methods: Twelve European glaucoma surgeons experienced with the PMS procedure participated in a three-round modified Delphi panel. A targeted literature review and expert steering committee guided round 1 questionnaire development. Consensus was set at a pre-defined threshold of at least 70% of panellists selecting 'Strongly disagree'/'Disagree' or 'Strongly agree'/'Agree' for six–point Likert scale questions, or at least 70% selecting the same option for multiple-choice questions. Questions not reaching consensus were restated/revised for the next round, following guidance from free-text responses/scoping questions. Results: Consensus was achieved for 60.3% (n = 38/63), 60.0% (n = 18/30), and 100.0% (n = 11/11) of Likert/multiple-choice questions in rounds 1, 2, and 3, respectively. There was agreement that the PMS procedure is effective at reducing IOP in patients with high-tension POAG (greater than 21 mmHg). Although surgical techniques may vary slightly, consensus was reached on several points, including the importance of posterior application of mitomycin C (MMC). Panellists agreed that the PMS postoperative follow-up appointment schedule is reasonably predictable and mostly characterised by fewer visits than with trabeculectomy, particularly in the early phase. Although panellists agreed that combined cataract/PMS surgery and the use of non-MMC wound-healing modulators/antifibrotics during the procedure are possible, further data are needed to determine efficacy. Conclusion: The expert consensus reached in this panel will help inform best practice guidelines in the treatment of patients with glaucoma in Europe. Panellists also highlighted key areas for future research to improve understanding of the PMS in the treatment algorithm of glaucoma. [ABSTRACT FROM AUTHOR]

Objective : To compare outcomes between patients with primary external ventricular device (EVD)–driven treatment of intracranial hypertension and those with primary intraparenchymal monitor (IP)–driven treatment. Methods: The CENTER-TBI study is a prospective, multicenter, longitudinal observational cohort study that enrolled patients of all TBI severities from 62 participating centers (mainly level I trauma centers) across Europe between 2015 and 2017. Functional outcome was assessed at 6 months and a year. We used multivariable adjusted instrumental variable (IV) analysis with "center" as instrument and logistic regression with covariate adjustment to determine the effect estimate of EVD on 6-month functional outcome. Results: A total of 878 patients of all TBI severities with an indication for intracranial pressure (ICP) monitoring were included in the present study, of whom 739 (84%) patients had an IP monitor and 139 (16%) an EVD. Patients included were predominantly male (74% in the IP monitor and 76% in the EVD group), with a median age of 46 years in the IP group and 48 in the EVD group. Six-month GOS-E was similar between IP and EVD patients (adjusted odds ratio (aOR) and 95% confidence interval [CI] OR 0.74 and 95% CI [0.36–1.52], adjusted IV analysis). The length of intensive care unit stay was greater in the EVD group than in the IP group (adjusted rate ratio [95% CI] 1.70 [1.34–2.12], IV analysis). One hundred eighty-seven of the 739 patients in the IP group (25%) required an EVD due to refractory ICPs. Conclusion: We found no major differences in outcomes of patients with TBI when comparing EVD-guided and IP monitor–guided ICP management. In our cohort, a quarter of patients that initially received an IP monitor required an EVD later for ICP control. The prevalence of complications was higher in the EVD group. Protocol: The core study is registered with ClinicalTrials.gov, number NCT02210221, and the Resource Identification Portal (RRID: SCR_015582). [ABSTRACT FROM AUTHOR]

Seasonal snow cover plays a major role in the climate system of the Northern Hemisphere via its effect on land surface albedo and fluxes. In climate models the parameterization of interactions between snow and atmosphere remains a source of uncertainty and biases in the representation of local and global climate. Here, we evaluate the ability of an ensemble of regional climate models (RCMs) coupled with different land surface models to simulate snow–atmosphere interactions over Europe in winter and spring. We use a previously defined index, the snow-albedo sensitivity index (SASI), to quantify the radiative forcing associated with snow cover anomalies. By comparing RCM-derived SASI values with SASI calculated from reanalyses and satellite retrievals, we show that an accurate simulation of snow cover is essential for correctly reproducing the observed forcing over middle and high latitudes in Europe. The choice of parameterizations, and primarily the choice of the land surface model, strongly influences the representation of SASI as it affects the ability of climate models to simulate snow cover accurately. The degree of agreement between the datasets differs between the accumulation and ablation periods, with the latter one presenting the greatest challenge for the RCMs. Given the dominant role of land surface processes in the simulation of snow cover during the ablation period, the results suggest that, during this time period, the choice of the land surface model is more critical for the representation of SASI than the atmospheric model. [ABSTRACT FROM AUTHOR]

Climate change is a worldwide challenge. Its consequences do encompass severe threats not only for the existence and somatic health, but also for the mental health of children and adolescents. Mental health can be impaired by three types of consequences. Direct consequences of climate change, such as natural disasters and indirect consequences, such as loss of land, flight and migration, exposure to violence, change of social, ecological, economic or cultural environment. Moreover, the increasing awareness of the existential dimension of climate change in children and adolescents can influence their well-being or challenge their mental health. Consequences of climate change for somatic health may interact with mental health or have psychological sequelae in children and adolescents. Based on the estimates by the United Nations Intergovernmental Panel on Climate Change, we have summarized current data on these differential pathways as to how climate change affects the mental health of children worldwide through selective literature research on Pubmed. Mental health sequelae of direct and indirect consequences of climate change, increased awareness and physical health problems caused by climate change are presented. We give insights into special vulnerabilities of children and adolescents and identify high-risk groups. As the "Fridays for Future" movement has been initiated in northern Europe, we will discuss these results with a focus on children and adolescents in Europe. The results indicate that climate change is a serious threat to children and adolescent mental health. Children´s rights, mental health and climate change should not continue to be seen as separate points; instead, they need to be brought together to address this major challenge determining the future of our children and their descendants. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to evaluate both publication and authorship characteristics in Knee Surgery, Sports Traumatology, Arthroscopy journal (KSSTA) regarding knee arthroplasty over the past 15 years. Methods: PubMed was searched for articles published in KSSTA between January 1, 2006, and December 31st, 2020, utilising the search term 'knee arthroplasty'. 1288 articles met the inclusion criteria. The articles were evaluated using the following criteria: type of article, type of study, main topic and special topic, use of patient-reported outcome scores, number of references and citations, level of evidence (LOE), number of authors, gender of the first author and continent of origin. Three time intervals were compared: 2006–2010, 2011–2015 and 2016–2020. Results: Between 2016 and 2020, publications peaked at 670 articles (52%) compared with 465 (36%) published between 2011 and 2016 and 153 articles (12%) between 2006 and 2010. While percentage of reviews (2006–2010: 0% vs. 2011–2015: 5% vs. 2016–2020: 5%) and meta-analyses (1% vs. 6% vs. 5%) increased, fewer case reports were published (13% vs. 3% vs. 1%) (p < 0.001). Interest in navigation and computer-assisted surgery decreased, whereas interest in perioperative management, robotic and individualized surgery increased over time (p < 0.001). There was an increasing number of references [26 (2–73) vs. 30 (2–158) vs. 31 (1–143), p < 0.001] while number of citations decreased [30 (0–188) vs. 22 (0–264) vs. 6 (0–106), p < 0.001]. LOE showed no significant changes (p = 0.439). The number of authors increased between each time interval (p < 0.001), while the percentage of female authors was comparable between first and last interval (p = 0.252). Europe published significantly fewer articles over time (56% vs. 47% vs. 52%), whereas the number of articles from Asia increased (35% vs. 45% vs. 37%, p = 0.005). Conclusion: Increasing interest in the field of knee arthroplasty-related surgery arose within the last 15 years in KSSTA. The investigated topics showed a significant trend towards the latest techniques at each time interval. With rising number of authors, the part of female first authors also increased—but not significantly. Furthermore, publishing characteristics showed an increasing number of publications from Asia and a slightly decreasing number in Europe. Level of evidence: IV. [ABSTRACT FROM AUTHOR]

Carbonate rocks are very soluble and export elements in dissolved form, and precipitation of secondary phases can occur on a large scale. They leave a strong chemical signature in soil that can be quantified and classified by geochemical indices, and which is useful for evaluating chemical weathering trends (e.g. the Chemical Index of Alteration (CIA) or the Mafic Index of Alteration (MIA)). Due to contrasting chemical compositions and high Ca content, a special adaptation of classical weathering indices is necessary to interpret weathering trends in carbonate-derived soil. In fact, this adaptation seems to be a good tool for distinguishing weathering grades of source-rock types at the continental scale, and allows a more robust interpretation of soil parent-material weathering grade and its impact on the current chemical composition of soil. An increasing degree of weathering results in Al enrichment and Mg loss in addition to Fe loss and Si enrichment, leaching of mobile cations such as Ca and Na, and precipitation of Fe-oxides and hydroxides. The relation between soil weathering status and its spatial distribution in Europe provides important information about the role played by climate and terrain. The geographical distribution of soil chemistry contributes to a better understanding of soil nutritional status, element enrichment, degradation mechanisms, desertification, soil erosion and contamination. [ABSTRACT FROM AUTHOR]

This is a Delphi study based on a scoping literature review. Targeted muscle reinnervation (TMR) enables patients with high upper limb amputations to intuitively control a prosthetic arm with up to six independent control signals. Although there is a broad agreement regarding the importance of structured motor learning and prosthetic training after such nerve transfers, to date, no evidence-based protocol for rehabilitation after TMR exists. We aimed at developing a structured rehabilitation protocol after TMR surgery after major upper limb amputation. The purpose of the protocol is to guide clinicians through the full rehabilitation process, from presurgical patient education to functional prosthetic training. European clinicians and researchers working in upper limb prosthetic rehabilitation were invited to contribute to a web-based Delphi study. Within the first round, clinical experts were presented a summary of recent literature and were asked to describe the rehabilitation steps based on their own experience and scientific evidence. The second round was used to refine these steps, while the importance of each step was rated within the third round. Experts agreed on a rehabilitation protocol that consists of 16 steps and starts before surgery. It is based on two overarching principles, namely the necessity of multiprofessional teamwork and a careful selection and education of patients within the rehabilitation team. Among the different steps in therapy, experts rated the training with electromyographic biofeedback as the most important one. Within this study, a first rehabilitation protocol for TMR patients based on a broad experts' consensus and relevant literature could be developed. The detailed steps for rehabilitation start well before surgery and prosthetic fitting, and include relatively novel interventions as motor imagery and biofeedback. Future studies need to further investigate the clinical outcomes and thereby improve therapists' practice. Graded rehabilitation offered by a multiprofessional team is needed to enable individuals with upper limb amputations and TMR to fully benefit from prosthetic reconstruction. Low. • TMR rehabilitation should already start before surgical interventions. • TMR rehabilitation is best provided in multiprofessional teams. • Surface EMG biofeedback can assist in motor learning after nerve transfers. • The patient's goals direct decision-making. [ABSTRACT FROM AUTHOR]

Background Mobility is defined as the ability to independently move around the environment and is a key contributor to quality of life, especially in older age. The aim of this study was to evaluate the use of mobility as a decisive outcome for the marketing authorisation of drugs by the European Medicines Agency (EMA). Methods Fifteen therapeutic areas which commonly lead to relevant mobility impairments and alter the quantity and/or the quality of walking were selected: two systemic neurological diseases, four conditions primarily affecting exercise capacity, seven musculoskeletal diseases and two conditions representing sensory impairments. European Public Assessment Reports (EPARs) published by the EMA until September 2020 were examined for mobility endpoints included in their 'main studies'. Clinical study registries and primary scientific publications for these studies were also reviewed. Results Four hundred and eighty-four EPARs yielded 186 relevant documents with 402 'main studies'. The EPARs reported 153 primary and 584 secondary endpoints which considered mobility; 70 different assessment tools (38 patient-reported outcomes, 13 clinician-reported outcomes, 8 performance outcomes and 13 composite endpoints) were used. Only 15.7% of those tools distinctly informed on patients' mobility status. Out of 402, 105 (26.1%) of the 'main studies' did not have any mobility assessment. Furthermore, none of these studies included a digital mobility outcome. Conclusions For conditions with a high impact on mobility, mobility assessment was given little consideration in the marketing authorisation of drugs by the EMA. Where mobility impairment was considered to be a relevant outcome, questionnaires or composite scores susceptible to reporting biases were predominantly used. [ABSTRACT FROM AUTHOR]

As Europe is faced with increasing droughts and extreme precipitation, countries are taking measures to adapt to these changes. It is challenging, however, to navigate through the wide range of possible measures, taking into account the efficacy, economic impact and social justice aspects of these measures, as well as the governance requirements for implementing them. This article presents the approach of selecting and analysing adaptation measures to increasing extreme weather events caused by ongoing climate change that was developed and applied in the H2020 project BINGO (Bringing Innovation to Ongoing Water Management). The purpose of this project is (a) to develop an integrated participatory approach for selecting and evaluating adaptation measures, (b) to apply and evaluate the approach across six case-study river basins across Europe, and (c) to support decision-making towards adaptation capturing the diversity, the different circumstances and challenges river basins face across Europe. It combines three analyses: governance, socio-economic and social justice The governance analysis focuses on the requirements associated with the measures and the extent to which these requirements are met at the research sites. The socio-economic impact focuses on the efficacy of the measures in reducing the risks and the broad range of tools available to compare the measures on their societal impact. Finally, a tentative social justice analysis focuses on the distributive impacts of the adaptation measures. In the summary of results, we give an overview of the outcome of the different analyses. In the conclusion, we briefly assess the main pros and cons of the different analyses that were conducted. The main conclusion is that although the research sites were very different in both the challenges and the institutional context, the approach presented here yielded decision-relevant outcomes. [ABSTRACT FROM AUTHOR]

The European Commission's Farm to Fork (F2F) strategy, under the European Green Deal, acknowledges that innovative techniques, including biotechnology, may play a role in increasing sustainability. At the same time, organic farming will be promoted, and at least 25% of the EU's agricultural land shall be under organic farming by 2030. How can both biotechnology and organic farming be developed and promoted simultaneously to contribute to achieving the Sustainable Development Goals (SDGs)? We illustrate that achieving the SDGs benefits from the inclusion of recent innovations in biotechnology in organic farming. This requires a change in the law. Otherwise, the planned increase of organic production in the F2F strategy may result in less sustainable, not more sustainable, food systems. Sustainable food systems will require profound changes in people's consumption patterns and lifestyles, which is true regardless of the farming methods used and does not change the fact that organic farming often requires more land than conventional farming for the same quantity of food output. Some features of organic farming in the EU contribute to the Sustainable Development Goals (SDGs); other features may jeopardize the achievement of SDGs 2, 13, and 15. The negative indirect effects of additional land-use change may outweigh the positive direct effects on global climate and biodiversity, so that a large-scale switch to organic farming in the EU could possibly turn out to be a disservice to global sustainability. Achieving the SDGs would benefit from the inclusion of biotech innovations in organic farming. The implementation of required changes in the EU law is unlikely under current political realities but is nevertheless recommended from a scientific perspective. [ABSTRACT FROM AUTHOR]

Background: Cryoballoon ablation for the treatment of patients with atrial fibrillation (AF) has been utilized in Europe for >15 years. Objectives: Report patient and procedural characteristics that influence the safety of cryoablation for the treatment of AF. Methods: Patients enrolled in the prospective, multicenter Cryo AF Global Registry were treated at 38 European centers. Freedom from a ≥30s episode of AF/atrial flutter (AFL)/atrial tachycardia (AT) at 12‐months and serious complications were analyzed. Univariate and multivariable models identified baseline patient and procedural characteristics that predicted a procedure‐related complication. Results: Of the 1418 subjects who completed an index procedure, the cohort was 62 ± 11 years of age, 37.7% female, and 72.2% paroxysmal AF (PAF). The mean procedure, left atrial dwell, and fluoroscopy times were 81 ± 34, 54 ± 25, and 14 ± 13 min, respectively. Among the 766 patients with 12‐month follow‐up, freedom from a ≥30 s AF/AFL/AT recurrence was 83.3% (95% CI: 79.8%–86.3%) and 71.6% (95% CI: 64.6%–77.4%) in patients with PAF and persistent AF. The serious procedure‐ and device‐related adverse event rates were 4.7% and 2.0%. No baseline patient characteristic independently predicted a procedure‐related adverse event; however, prolonged procedure duration (OR = 1.01 [95% CI: 1.00–1.01]), use of general anesthesia (OR = 1.71 [95% CI: 1.01–2.92]), and delivery of a cavotricuspid isthmus line (OR = 3.04 [95% CI: 1.01–9.20]) were each independently associated with the occurrence of a serious procedural safety event (all p <.05). Conclusions: Cryoballoon ablation is safe and effective in real‐world use across a broad cohort of patients with AF. [ABSTRACT FROM AUTHOR]

Introduction: Romiplostim has been approved in Europe since 2009 to treat patients with chronic primary immune thrombocytopenia (ITP). Using real-world data from seven European countries, we measured the effectiveness and safety outcomes within 24 weeks following romiplostim initiation by duration of ITP: less than 3 months ("newly diagnosed"), 3-12 months ("persistent"), and more than 12 months ("chronic").Methods: Adults with ITP and ≥ 1 romiplostim administration between 2009 and 2012 were included. Endpoints included durable platelet response, median platelet count, rescue therapy, bleeding and adverse events. We used inverse probability of censoring weighted estimators to estimate cumulative risk of each outcome. There were 64 newly diagnosed, 50 persistent, and 226 chronic ITP patients at romiplostim initiation.Results: Durable platelet response at 24 weeks ranged from 32% [confidence interval (CI): 18-46%] in newly diagnosed patients to 53% (CI 37-68%) in persistent patients. Median platelet count during follow-up ranged from 88 (CI 80-96) × 109/L in chronic patients to 131 (CI 102-160) × 109/L in newly diagnosed patients.Conclusion: Regardless of ITP duration, over half of patients discontinued concomitant ITP medications. Few adverse events were observed. Although only approved for chronic patients, estimates of the romiplostim treatment effect were similar across patients being managed in European clinical practice, regardless of ITP duration at romiplostim initiation. [ABSTRACT FROM AUTHOR]

Background: The prevalence of health information technology (HIT) as an adjunct to increase safety and quality in healthcare applications is well known. There is a relationship between the use of HIT and safer-prescribing practices in long-term care.Objective: The objective of this systematic review is to determine an association between the use of HIT and the improvement of prescription administration in long-term care facilities.Methods: A systematic review was conducted using the MEDLINE and CINAHL databases. With the use of certain key terms, 66 articles were obtained. Each article was then reviewed by two researchers to determine if the study was germane to the research objective. If both reviewers agreed with using the article, it became a source for our review. The review was conducted and structured based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Results: The researchers identified 14 articles to include in a group for analysis from North America, Europe, and Australia. Electronic health records and electronic medication administration records were the two most common forms of technological interventions (6 of 14, 43%). Reduced risk, decreased error, decreased missed dosage, improved documentation, improved clinical process, and stronger clinical focus comprised 92% of the observations.Conclusions: HIT has shown beneficial effects for many healthcare organizations. Long-term care facilities that implemented health information technologies, have shown reductions in adverse drug events caused by medication errors overall reduced risk to the organization. The implementation of new technologies did not increase the time nurses spent on medication rounds. [ABSTRACT FROM AUTHOR]

Background All antigens described in the KN blood group system are located in the long homologous repeat D (LHR‐D) of complement receptor 1 (CR1). While there have been reports that some sera react only with the long homologous repeat C (LHR‐C), the antigens in LHR‐C are unknown. Study Design and Methods Recombinant LHR‐C and LHR‐D were used to identify antibodies directed against LHR‐C of CR1, into which a point mutation was introduced to characterize the underlying blood group antigens. In addition, database studies to define haplotypes of CR1 were performed. Results: Several antisera were identified that were specific against CR1 p.1208His and against CR1 p.1208Arg, located in LHR‐C. Fifteen KN haplotypes were found in the Ensembl genome browser. It was shown that due to a linkage disequilibrium anti‐CR1 p.1208His may be mistaken for anti‐KCAM. Conclusion: A novel antithetical KN blood group antigen pair was found at position p.1208 of CR1, for which the names DACY and YCAD are proposed. Antibodies against these two novel antigens seem to contribute to more than a quarter of all KN sera in Europe. [ABSTRACT FROM AUTHOR]

During the period Koselleck called the Sattelzeit (roughly 1750 to 1850) princely chambers of curiosities became public museums that the elites visited for educational purposes. The Louvre in Paris served as the principal model. Here, after 1800, a chronological (and canonical) collection came into being and that would be emulated by other European rulers. The plurality of territorial states meant that museums and art galleries were rebuilt or maintained in many Italian and German cities, all of which claimed to represent the respective national culture. What was exhibited in European museums from the 1840s onwards was intended to increase the fame of the rulers and the prestige of their capital cities. This contribution is a comparative analysis of how non-national affiliations and loyalties shaped the foundation of Italian and German museums before 1850 while the ideal of a 'national' museum drastically changed after the formation of the nation states. [ABSTRACT FROM AUTHOR]

We perform simulations with the WRF regional climate model at 12 and 3 km grid resolution for the current and future climates over Central Europe and evaluate their added value with a focus on the daily cycle and frequency distribution of rainfall and the relation between extreme precipitation and air temperature. First, a 9 year period of ERA-Interim driven simulations is evaluated against observations; then global climate model runs (MPI-ESM-LR RCP4.5 scenario) are downscaled and analyzed for three 12-year periods: a control, a mid-of-century and an end-of-century projection. The higher resolution simulations reproduce both the diurnal cycle and the hourly intensity distribution of precipitation more realistically compared to the 12 km simulation. Moreover, the observed increase of the temperature–extreme precipitation scaling from the Clausius–Clapeyron (C–C) scaling rate of ~ 7% K−1 to a super-adiabatic scaling rate for temperatures above 11 °C is reproduced only by the 3 km simulation. The drop of the scaling rates at high temperatures under moisture limited conditions differs between sub-regions. For both future scenario time spans both simulations suggest a slight decrease in mean summer precipitation and an increase in hourly heavy and extreme precipitation. This increase is stronger in the 3 km runs. Temperature–extreme precipitation scaling curves in the future climate are projected to shift along the 7% K−1 trajectory to higher peak extreme precipitation values at higher temperatures. The curves keep their typical shape of C–C scaling followed by super-adiabatic scaling and a drop-off at higher temperatures due to moisture limitation. [ABSTRACT FROM AUTHOR]

As Europe is faced with increasing droughts and extreme precipitation, countries are taking measures to adapt to these changes. It is challenging, however, to navigate through the wide range of possible measures, taking into account the efficacy, economic impact and social justice aspects of these measures, as well as the governance requirements for implementing them. This article describes and evaluates an approach to selecting and analysing climate change adaptation measures that was applied at six research sites across Europe. It describes the steps that were taken in collecting, selecting and analysing adaptation measures, in a process with local stakeholders, with concrete examples from the case studies. The governance analysis focuses on the requirements associated with the measures and the extent to which these requirements are met at the research sites. The socio-economic impact focuses on the efficacy of the measures in reducing the risks and the broad range of tools available to compare the measures on their societal impact. Finally, the social justice analysis focuses on the distributive impacts of the adaptation measures. In the discussion, we identify some key findings with regard to the different kind of measures. In the conclusion we briefly assess the main pros and cons of the different analyses that were conducted. The main conclusion is that although the research sites were very different in both the challenges and the institutional context, the approach presented here yielded decision relevant outcomes. [ABSTRACT FROM AUTHOR]

This sensitivity study investigates the impact of the spatial scales of land use, soil moisture and orography patterns on land–atmosphere exchange fluxes, domain-wide averages and meteorologic conditions in convection-permitting RCM simulations. We perform five WRF RCM simulations, each with the same 3 km resolution atmospheric setup but different combinations of coarsely resolved (12 km) land use and soil type, initial soil moisture and orography for the heat-wave summer 2003 over central Europe. Our results indicate that a coarser-resolved orography significantly alters the flow over and around mountain ridges such as the Alps and impact the large-scale flow pattern. The smoothed mountain ridges result in weaker Föhn effects and in enhanced locally generated convective precipitation patterns, peaking earlier in the afternoon. In comparison, the impact of a coarser-resolved land use is smaller and mainly related to changes in the overall spatial fraction of a land use, rather than to the loss of heterogeneity of the different land use types on the scale analyzed here. Albeit, even small changes in the initial soil moisture (both spatial averages and local differences) have a higher potential to affect the overall simulation results, although this might also depend on the land surface model. Overall, effects induced by the coarsely resolved land surface properties are small compared to the differences between simulations with 3 km and 12 km grid spacings of the atmosphere. [ABSTRACT FROM AUTHOR]

Introduction: Man-machine interfacing remains the main challenge for accurate and reliable control of bionic prostheses. Implantable electrodes in nerves and muscles may overcome some of the limitations by significantly increasing the interface's reliability and bandwidth. Before human application, experimental preclinical testing is essential to assess chronic in-vivo biocompatibility and functionality. Here, we analyze available animal models, their costs and ethical challenges in special regards to simulating a potentially life-long application in a short period of time and in non-biped animals. Methods: We performed a literature analysis following the PRISMA guidelines including all animal models used to record neural or muscular activity via implantable electrodes, evaluating animal models, group size, duration, origin of publication as well as type of interface. Furthermore, behavioral, ethical, and economic considerations of these models were analyzed. Additionally, we discuss experience and surgical approaches with rat, sheep, and primate models and an approach for international standardized testing. Results: Overall, 343 studies matched the search terms, dominantly originating from the US (55%) and Europe (34%), using mainly small animal models (rat: 40%). Electrode placement was dominantly neural (77%) compared to muscular (23%). Large animal models had a mean duration of 135 ± 87.2 days, with a mean of 5.3 ± 3.4 animals per trial. Small animal models had a mean duration of 85 ± 11.2 days, with a mean of 12.4 ± 1.7 animals. Discussion: Only 37% animal models were by definition chronic tests (>3 months) and thus potentially provide information on long-term performance. Costs for large animals were up to 45 times higher than small animals. However, costs are relatively small compared to complication costs in human long-term applications. Overall, we believe a combination of small animals for preliminary primary electrode testing and large animals to investigate long-term biocompatibility, impedance, and tissue regeneration parameters provides sufficient data to ensure long-term human applications. [ABSTRACT FROM AUTHOR]

In the past 5 years several projects were launched in FP7 and H2020 with the aim to support competence building in nuclear by fostering education and training (E&T) initiatives. ENETRAP III, CONCERT, CINCH II, MEET-CINCH, PETRUS and EAGLE deal with advanced E&T in the fields of radiation protection, nuclear chemistry and geological disposal and the transfer of basic knowledge about ionising radiation, its benefits and risks, to the general public. They were launched with the overall objective of maintaining and extending nuclear know-how and competences in Europe and ensuring sustainable knowledge transfer to current and future generations. This paper describes the aims and achievements of these projects and, based on insights and experiences from these projects, provides some recommendations for future policy support regarding maintaining competences in nuclear industry and research. [ABSTRACT FROM AUTHOR]

Prostate-specific membrane antigen (PSMA) is expressed in most prostate cancers and can be identified by PSMA-ligand imaging, which has already become clinically accepted in several countries in- and outside Europe. PSMA-directed radioligand therapy (PSMA-RLT) with Lutetium-177 (177Lu-PSMA) is currently undergoing clinical validation. Retrospective observational data have documented favourable safety and striking clinical responses. Recent results from a prospective clinical trial (phase II) have been published confirming high response rates, low toxicity and reduction of pain in metastatic castration-resistant prostate cancer (mCRPC) patients who had progressed after conventional treatments. Such patients typically survive for periods less than 1.5 years. This has led some facilities to adopt compassionate or unproven use of this therapy, even in the absence of validation within a randomised-controlled trial. As a result, a consistent body of evidence exists to support efficacy and safety data of this treatment. The purpose of this guideline is to assist nuclear medicine specialists to deliver PSMA-RLT as an "unproven intervention in clinical practice", in accordance with the best currently available knowledge. [ABSTRACT FROM AUTHOR]

The analysis builds on previous research exploring the impact of far-right support on citizenship policy. Using Bayesian analyses, this research evaluates the impact of far-right success on citizenship policy restrictiveness and citizenship policy outcomes per year across 29 European countries between 2003–2014. Results reveal that far-right success is a statistically and substantively significant factor in determining citizenship policy restrictiveness as well as rates of naturalization. However, differential levels of impact suggest that far-right influence is not uniform throughout the policy process. [ABSTRACT FROM AUTHOR]

For almost half a century weekly samples for the measurement of krypton-85 (85Kr) activity concentrations in surface air have been collected by the Bundesamt für Strahlenschutz (BfS), Germany. Sampling started at Freiburg (230m asl) in 1973, Mt Schauinsland (1205m asl) in 1976 and Mt Jungfraujoch in Switzerland (3454 asl) in 1990. Distinct maxima in the time series of atmospheric 85Kr activity concentration are caused by emissions from nuclear reprocessing plants in Europe, mainly the La Hague, France, and Sellafield, UK, reprocessing plants. Between 1970 and 1990 peak activity concentrations measured in winter along the Rhine Rift in Freiburg are often higher than at Mt Schauinsland, due to emissions from the operating pilot reprocessing plant in Karlsruhe - approximately 130 km to the north - and large-scale inversions that inhibit exchange of air masses within the Rhine Rift with those at higher altitudes. From the early 1990s onwards, after the shut-down of the pilot plant, differences between Freiburg and Schauinsland are much smaller. Activity concentrations measured at Jungfraujoch are generally lower and close to baseline levels, due to its location in the free troposphere. Weekly baseline and average 85Kr activity concentration in the atmosphere in Central Europe were modelled from almost 12,000 individual measurements at 11 stations. The baseline and average have continuously increased, interrupted by a relatively stable period between 2009 and the end of 2014 with a baseline activity concentration of about 1.39 Bq/m3. Depending on the geographical location and hydrological conditions, the modelled baseline or average 85Kr activity concentration time series can be used as input functions for the dating of young groundwater. • 50 years of continuous krypton-85 activity concentration measurements in air are presented. • Activity concentration has been increasing over the past 50 years. • A baseline and average input function for dating groundwater is presented. [ABSTRACT FROM AUTHOR]

Successful alien plant invasion is influenced by both climate change and plant–plant interactions. We estimate the single and interactive effects of competition and extreme weather events on the performance of the global legume invader Lupinus polyphyllus (Lindl.).In three experimental studies we assessed (i) the stress tolerance of seedling and adult L. polyphyllus plants against extreme weather events (drought, fluctuating precipitation, late frost), (ii) the competitive effects of L. polyphyllus on native grassland species and vice versa, and (iii) the interactive effects of extreme weather events and competition on the performance of L. polyphyllus.Drought reduced growth and led to early senescence of L. polyphyllus but did not reduce adult survival. Fluctuating precipitation events and late frost reduced the length of inflorescences. Under control conditions, interspecific competition reduced photosynthetic activity and growth of L. polyphyllus. When subjected to competition during drought, L. polyphyllus conserved water while simultaneously maintaining high assimilation rates, demonstrating increased water use efficiency. Meanwhile, native species had reduced performance under drought.In summary, the invader gained an advantage under drought conditions through a smaller reduction in performance relative to its native competitors but was competitively inferior under control conditions. This provides evidence for a possible invasion window for this species. While regions of high elevation or latitude with regular severe late frost events might remain inaccessible for L. polyphyllus, further spread across Europe seems probable as the predicted increase in drought events may favour this non‐native legume over native species. [ABSTRACT FROM AUTHOR]

Background: With climate change, heat waves are expected to become more frequent in the near future. Already, on average more than 25 000 "heat deaths" are estimated to occur in Europe every year. However, heat stress and heat illnesses arise not just when ambient temperatures are high. Physical exertion increases heat production within the organism many times over; if not enough heat is lost, there is a risk of exertional heat stress. This review article discusses contributing factors, at-risk groups, and the diagnosis and treatment of heat illnesses. Methods: A selective literature search was carried out on PubMed. Current guidelines and expert recommendations were also included. Results: Apart from muscular heat production (>70% of converted energy), there are other factors that singly or in combination can give rise to heat stress: clothing, climate/acclimatization, and individual factors. Through its insulating properties, clothing reduces the evaporation of sweat (the most effective physiological cooling mechanism). A sudden heat wave, or changing the climate zone (as with air travel), increases the risk of a heat-related health event. Overweight, low fitness level, acute infections, illness, dehydration, and other factors also reduce heat tolerance. In addition to children, older people are particularly at risk because of their reduced physiological adaptability, (multi-)morbidity, and intake of prescription drugs. A heat illness can progress suddenly to life-threatening heat stroke. Successful treatment depends on rapid diagnosis and cooling the body down as quickly as possible. The aim is to reduce core body temperature to <40 °C within 30 minutes. Conclusion: Immediately effective cooling interventions are the only causal treatment for heat stroke. Time once lost cannot be made up. Prevention (acclimatiza tion, reduced exposure, etc.) and terminating the heat stress in good time (e.g., stopping work) are better than any cure. [ABSTRACT FROM AUTHOR]

Objectives: To assess the current state of hybrid imaging in Europe with respect to operations, reading and reporting, as well as qualification and training. Methods: The first survey (LOCAL) was sent to the heads of the departments of radiology and nuclear medicine in Europe in 2017, including 15 questions regarding the organisation of hybrid imaging operations, reporting strategies for PET/CT and the existence of relevant training programmes. The second survey (NATIONAL) consisted of 10 questions and was directed to the national ministries of health of 37 European countries addressing combined training options in radiology and nuclear medicine. Results: In the LOCAL survey, 61 valid responses from 26 European countries were received. In almost half of the institutions, hybrid imaging was performed within a single department, mainly in nuclear medicine departments (31%). In half of the centres (51%), PET/CT reports were performed jointly, while in 20% of the centres, reporting was performed by nuclear medicine physicians. Radiologists were responsible for presenting hybrid imaging results in clinical boards in 34% of responding sites. Integrated hybrid imaging training was available in 41% sites. In the NATIONAL survey, responses from 34 countries were received and demonstrated a heterogeneous landscape of official training possibilities in radiology and nuclear medicine with limited opportunities for additional qualifications in hybrid imaging. Conclusions: The results of these surveys demonstrate a notable heterogeneity in the current practice of hybrid imaging throughout Europe. This heterogeneity exists despite the general consensus that strong professional cooperation is required in order to ensure high clinical quality and to strengthen the clinical role of hybrid imaging. [ABSTRACT FROM AUTHOR]

Can participation in job-related training contribute to the formation and maintenance of adults’ literacy skills? Although evidence suggests that participation in training is related to higher literacy skills, it remains unclear whether this association reflects a causal effect of training participation on literacy (training effects), results from the self-selection of more high-skilled individuals into training (selection effects), or is due to other sources of endogeneity (e.g., omitted variable bias). To unravel these possibilities, we used data from the Programme for the International Assessment of Adult Competencies (PIAAC) and its German follow-up, PIAAC-Longitudinal (PIAAC-L). As these unique data offer repeated measures of literacy skills, spaced three years apart, in a large and representative sample, they allowed us to disentangle training effects from selection effects and to account for potential endogeneity. Analyses revealed that, even after taking account of formal education and a host of job characteristics, individuals with higher literacy skills were more likely to participate in training. By contrast, no evidence for effects of training on literacy skills emerged in any of our models, which comprised lagged-dependent, fixed effects, and instrumental-variable models. These findings suggest that, rather than job-related training contributing to literacy development, individuals with higher literacy skills are more likely to participate in training. [ABSTRACT FROM AUTHOR]

The Vienna Basin, a major petroleum province in Central Europe, hosts hydrocarbons in stacked carbonate and siliciclastic reservoirs. The study of 84 oil and 51 gas samples in the Austrian sector yields new insights into the petroleum system. The Upper Jurassic Mikulov and Falkenstein formations are the only significant source rocks, which generated oil between 0.7 and 1.0%Rr, and gas between 1.1 and 1.6%Rr. Microbial gas prevails in the southern part of the basin. Biodegradation affects oil down to a depth of 2000 m. Miocene reservoirs in the hanging wall of major faults and oils in transgressive sands are more prone to biodegradation than footwall flysch reservoirs and oils in turbiditic sands in structuralstratigraphic traps. Anaerobic biodegradation results in the formation of isotopically heavy CO2 and isotopically light (secondary) microbial methane. Hydrocarbons in deep carbonate reservoirs are affected by thermochemical sulphate reduction (TSR). While TSR-affected gas is rich in H2S and CO2, TSR-affected oil is characterized by increased dibenzothiophene/phenantrene (DBT/Ph) ratios. In clastic reservoirs, H2S is removed by pyrite precipitation, whereas DBT/Ph ratios remain high. Hence, high DBT/Ph ratios may be used as proxy for TSR. Stable sulphur isotopes signatures confirm Upper Triassic anhydrites as the main sulphur source for H2S. [ABSTRACT FROM AUTHOR]