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This study examines the relationship between instructional quality and mathematics achievement, taking into account socioeconomic status. Data from ten European countries participating in PISA 2012 and 2022 were analysed using the framework of the Dynamic Modelling of Educational Effectiveness. In PISA 2012, instructional quality was defined by student-oriented instruction, classroom management, teacher support, disciplinary climate, and cognitive activation. The finding indicated that teacher support, disciplinary climate, and cognitive activation positively predict student achievement, but dimensions of student-oriented instruction and classroom management were negatively related in several countries. Instructional quality was captured by four dimensions in PISA 2022, namely, teacher support, disciplinary climate, cognitive activation in mathematics of encouraging mathematical thinking and of fostering reasoning. Teacher support and disciplinary climate had a positive effect on achievement, but two aspects of cognitive activation had opposite effects on achievement. SES also had significant indirect effects on achievement through various instructional quality dimensions. Across two PISA cycles, teacher support, disciplinary climate, and cognitive activation consistently benefited low-SES students, while classroom management and student-oriented instruction tended to harm their performance. These results underscore the role of instructional quality in promoting equity for disadvantaged students. Trend data from these two cycles of PISA, give an indication of specific instructional strategies that do consistently contribute to student achievement. Implications and findings are discussed in relation to the policy and practice context in different education systems.

During their careers, teachers experience change in education policy, societal trends, and cultural shifts in pedagogical thought, requiring continual adaptation and innovation of their practices. Coupled with this is an assumed intrinsic desire to progress, whether as part of their own subject expertise, or with a view to taking on a role as leader in school management or a specialist area. Effective support and opportunities for teachers to develop and apply their competences is crucial for maintaining both motivation and high standards in the profession. However, many teachers across Europe claim to struggle to have access to effective forms of continued professional development coupled with the numerous demands already made on their work. On-site courses with opportunities for peer learning remain popular but demand time and are not financially cost-effective in reaching a large number of teachers, nor are they viable during pandemic restrictions. By exploring the pedagogical model of the online courses of the European Commission's Teacher Academy in the context of these challenges, this article discusses how an effective, collaborative approach to online continued professional development can be developed as a way of addressing both teacher and education system needs.

The metamorphosis of core sexual practices and sexual orientation norms resulting from the acculturation of U.S. native and non-native residents remains an enigma. A convenience sample from a metropolitan community college was drawn to describe the consequences of acculturation on U.S. international students' core sexual practices and sexual orientation. Findings include: (1) observed differences in male international student sexual practices to that of the native male population were attributed to social opportunity and not the immigrant paradox, and (2) female international students' core sexual practices and sexual orientation shifted over time to the higher risk sexual practices of the native female population. The U.S. needs to commit resources including qualified health educators, to support state mandated public school and undergraduate sex education for U.S. juveniles and young adults.

Collaboration within mental health centres and with municipalities in Western European healthcare has presented challenges due to structural and cultural disparities. The Danish healthcare system faces obstacles that impact mental healthcare services, particularly in cross-sectorial cooperation. Our aim was to investigate healthcare professionals' experiences of recovery-oriented collaboration within a mental healthcare setting across hospitals and municipalities to gather a deeper understanding of this issue. Twenty-four employees were purposively sampled from mental health centres in Copenhagen and focus group interviews were conducted to explore their perceptions of working together. Inductive content analysis was used to analyse the data and identify themes and categories. The participants emphasised challenges in communication and coordination to improve collaboration within across the two sectors. This study can contribute to a greater understanding of collaboration between mental health centres and municipalities. It aims to inspire improvements in communication, coordination, and the optimisation of mental health service delivery across sectors. [ABSTRACT FROM AUTHOR]

A correction is presented to the article "Consumption of soft drinks and juices and risk of liver and biliary tract cancers in a European cohort" published in a previous issue of the periodical.

Background: This Scoping review (ScR) builds upon the 2017 review conducted by Hansen et al which contributed to evidence base shinrin-yoku (SY), also known as forest bathing (FB), has many positive health effects and is becoming a prescribed dose (specific time spent in nature) by health care providers. Practice and research regarding SY, has been historically based in Asian countries with a recent increase in Europe. The need and call for more research worldwide continues to further the evidence of SY as a health promotion modality. Through this ScR the authors identified programmatic components, health information monitored and screened, time spent in nature, geographical regions, trends, and themes in SY research worldwide. Methods: Following PRISMA-ScR guidelines we searched across 7 electronic databases for SY or FB research articles from 2017 through 2022. PubMed, CINAHL, PsycInfo, ScienceDirect, SCOPUS, Embase, JSTOR were included due to the interdisciplinary nature of SY or FB research. Each database provided unique strengths ensuring a capture of a wide range of articles. The resulting articles were screened and extracted through Covidence. Results: Database searches returned 241 results, with 110 references removed during the deduplication process, 131 were initially screened in the title and abstract review stage. Resulting in 82 unique results deemed relevant and screened in full text. During the final stage of the review, 63 articles met all inclusion criteria and were extracted for data. Conclusions: The practice of SY has physiological (PHYS) and psychological (PSYCH) benefits across age groups. Research findings indicate either the natural or the virtual environment (VW) has significant health benefits. Continued research is encouraged globally for short- and long-term health outcomes for all individuals. The connection with nature benefits the mind, body and soul and is supported by Henry David Thoreau's philosophy: "Our livesneed the relief of where the pine flourishes and the jay still scream." [ABSTRACT FROM AUTHOR]

INTRODUCTION: The apolipoprotein E (APOE) ε4 allele is associated with high risk for Alzheimer's disease. It is unclear whether individual levels of the circulating apoE4 protein in ε4 carriers confer additional risk. Measuring apoE4 protein levels from dried blood spots (DBS) has the potential to provide information on genetic status as well as circulating levels and to include these measures in large survey settings. METHODS: We developed a multiplex immunoassay to detect apoE4 protein levels in DBS from 15,974 participants, aged 50+ from Wave 6 of the Survey of Health, Ageing and Retirement in Europe (SHARE). RESULTS: The apoE4 protein signal was presented in two separable distributions. One distribution corresponded to carriers of at least one copy of the ε4 allele. Fieldwork cofounders affected protein levels but did not explain individual differences. DISCUSSION: Future research should investigate how genotype and apoE4 level interact with lifestyle and other variables to impact cognitive aging. [ABSTRACT FROM AUTHOR]

This study explores the European North-South differences in older partnered individuals' silencing of the sexual self and its links to relational and individual well-being. A web survey was conducted among partnered individuals aged 65 years or above in Norway and Croatia. There were 368 (women: 37.8%, response rate: 22%) and 359 (women: 34.5%, response rate: 27%) individuals who participated in Norway and Croatia, respectively. A range of relational (sexual satisfaction, relationship quality) and individual well-being (anxiety, depression, and life satisfaction) indicators was considered. Sexual self-silencing had significant impacts across outcomes, gender, and countries. Furthermore, contrary to what might be expected, we observed no differences in self-silencing between the two countries; and in both countries, men were more self-silenced than women. Findings suggest that sexual self-silencing can compromise relationship quality and psychological well-being in later life. Health and clinical practice toward older individuals and couples should thus probe about and aim to improve the expression of sexual desires and needs. [ABSTRACT FROM AUTHOR]

Species in the genus Cryphalus are small and notoriously difficult to identify. Even among the relatively well studied European species, erroneous identifications are evident from literature and in museum collections. These misidentifications relate to the small size and similar appearance of Cryphalus species but they are also a product of insufficient diagnostic characters. This is especially unfortunate since some European species are considered pests. Based on the study of more than 1000 specimens and a thorough literature review, robust morphological and molecular evidence supporting all five hitherto recognised native species of Cryphalus in Europe is provided. A key for the reliable identification of these repetition species including new diagnostic characters recognised for the first time, including those from male genitalia, has been constructed. Each native species is provided with a detailed morphological description and their economic significance, distribution, and ecology discussed. Significant genetic variability is observed between certain clusters that should be further explored in a broader geographic context. Lastly, the need for a taxonomic revision of the genus Cryphalus for the entire Palearctic region due to the presence of many similar looking species which are often confused, thus distorting the knowledge of each species is highlighted. [ABSTRACT FROM AUTHOR]

We present a newly developed approach to characterize the sources of fine particulate matter (PM2.5)‐related premature deaths in Europe using the chemical transport model GEOS‐Chem and its adjoint. The contributions of emissions from each individual country, species, and sector are quantified and mapped out at km scale. In 2015, total PM2.5‐related premature death is estimated to be 449,813 (257,846–722,138) in Europe, 59.0% of which were contributed by domestic anthropogenic emissions. The anthropogenic emissions of nitrogen oxides, ammonia, and organic carbon contributed most to the PM2.5‐related health damages, making up 29.6%, 23.2%, and 16.8%, respectively of all domestic anthropogenic contributions. Residential, agricultural, and ground transport emissions are calculated to be the largest three sectoral sources of PM2.5‐related health risks, accounting for 23.5%, 23.0%, and 19.4%, respectively, of total anthropogenic contributions within Europe. After excluding the influence of extra‐regional sources, we find eastern European countries suffered from more premature deaths than their emissions caused; in contrast, the emissions from some central and western European regions contributed premature deaths exceeding three times the number of deaths that occurred locally. During 2005–2015, the first decade of PM2.5 regulation in Europe, emission controls reduced PM2.5‐related health damages in nearly all European countries, resulting in 63,538 (46,092–91,082) fewer PM2.5‐related premature deaths. However, our calculation suggests that efforts to reduce air pollution from key sectors in some countries can be offset by the lag in control of emissions in others. International cooperation is therefore vitally important for tackling air pollution and reducing corresponding detrimental effects on public health. Plain Language Summary: We characterize detailed sources of fine particulate matter (PM2.5)‐attributable health burden in Europe using a newly developed modeling approach. Our calculations show PM2.5 pollution led to 449,813 (257,846–722,138) premature deaths in Europe in 2015, 59.0% of which were related to human activities within Europe. Emissions related to household heating and cooking, farming, and automobiles caused the most premature deaths related to air pollution. People living in eastern European countries experienced even greater harmful air pollution effects than their own emissions caused; they are net importers of the health burden. In contrast, emissions from some central and western European regions caused more premature deaths throughout Europe than were experienced locally. Over the course of a decade of policies regulating PM2.5, pollution‐related health impacts declined in nearly all European countries, although the efforts to reduce air pollution from key sources in some countries was partially offset by a lack of effective emission controls in others. The results not only show where air pollution related health risks came from, they also help us to learn about the limitations of local policies at reducing the pollution health risks, as air pollution is often a regional phenomenon crossing the borders within Europe. Key Points: Residential, agricultural, and ground transport emissions were the largest sources of the PM2.5‐related health burden in EuropeEastern Europe experienced more premature deaths than their own emissions caused, making them net importers of the pollution health burdenEmission reductions, most from transport, energy, and industrial sources, reduced pollution health damages in Europe during 2005–2015 [ABSTRACT FROM AUTHOR]

Due to globalisation and migration, multilingualism has become both a reality and an aim of education systems across Europe, affecting how language education is shaped. To improve the ways in which schools cater for language education in diverse settings, research is required on the potentials of multilingualism in order to design curricula that foster skills in different languages. This paper aims at identifying and explaining research priorities in the field of multilingualism and language education in a cross-national perspective. It draws on data from a survey with 298 expert participants in five European countries (Germany, Italy, the Netherlands, Portugal, Spain) who ranked pre-identified research topics in relation to their perceived urgency. Results show that experts identified 'effectiveness of multilingual support in regular lessons', 'features of multilingual didactics' and 'effectiveness of literacy support in home languages on the development of academic language skills in the majority language' as having the highest research priority overall. However, these results vary across national settings investigated. While the German, Dutch and Portuguese respondents attributed urgency to research on academic language skills, other issues were rated higher in the Spanish and Italian research contexts. The advantages and limitations of conducting cross-national research are also addressed. [ABSTRACT FROM AUTHOR]

Across Europe, public employment services are experimenting with more holistic and cross‐sector collaborations to tackle the wicked problem of long‐term unemployment. These collaborations operate in a context characterised by tensions produced by multiple demands for accountability. Based on case studies of the accountability relations and challenges in five such collaborations in the Netherlands, Belgium (Flanders), Estonia, Scotland and Denmark, we found that: rigorous use of quantifiable measurement regimes made it difficult to attribute salience to important aspects of the progress made by the unemployed citizen; standardised accounts come with the risk of reductionist understandings of the citizen's social circumstances and resources; superficial participation by local politicians resulted in rather weak political accountability and a marked ambiguity of the role of the client as both accountee and accountholder. [ABSTRACT FROM AUTHOR]

This article surveys the fiction productions that received funding from Creative Europe's TV Programming scheme 2014–2020. The evaluation shows that most funding went to North-Western Europe with Scandinavia surpassing Europe's big TV producing nations. The geographical and genre imbalances in the TV scheme must be seen in the light of the long-established close collaboration between Germany and primarily the Scandinavian countries and the profiled position of 'Nordic Noir' crime fiction as the engine that drives forward international collaboration. This trend exemplifies European policy dilemmas emerging from television's role in the intersections of economy and culture. North-European countries appear well-equipped in advance to meet the criteria of Creative Europe through established collaboration, while differences in the media systems and production cultures have kept producers in the South and East of Europe from even applying. The EU funding scheme may, thus, have strengthened already strong relationships rather than creating new ones. [ABSTRACT FROM AUTHOR]

The increased emergence of cereal stem rust in southern and western Europe, caused by the pathogen Puccinia graminis, and the prevalence of alternate (sexual) host, Berberis species, have regained attention as the sexual host may serve as source of novel pathogen variability that may pose a threat to cereal supply. The main objective of the present study was to investigate the functional role of Berberis species in the current epidemiological situation of cereal stemrust in Europe. Surveys in 11 European countrieswere carried out from 2018 to 2020, where aecial infections from five barberry species were collected. Phylogenetic analysis of 121 single aecial clusters of diverse origin using the elongation factor 1-a gene indicated the presence of different special forms (aka formae speciales) of P. graminis adapted to different cereal and grass species. Inoculation studies using aecial clusters from Spain, United Kingdom, and Switzerland resulted in 533 stem rust isolates sampled from wheat, barley, rye, and oat, which confirmed the presence of multiple special forms of P. graminis. Microsatellite marker analysis of a subset of 192 sexually-derived isolates recovered on wheat, barley and rye from the three populations confirmed the generation of novel genetic diversity revealed by the detection of 135multilocus genotypes. Discriminant analysis of principal components resulted in four genetic clusters, which grouped at both local and country level. Here, we demonstrated that a variety of Berberis species may serve as functional alternate hosts for cereal stem rust fungi and highlights the increased risks that the sexual cycle may pose to cereal production in Europe, which calls for new initiatives within rust surveillance, epidemiological research and resistance breeding. [ABSTRACT FROM AUTHOR]

Background: Recognized disparities in quality of end‐of‐life care exist. Our aim was to assess the quality of care for patients dying from cancer, as perceived by bereaved relatives, within hospitals in seven European and South American countries. Materials and Methods: A postbereavement survey was conducted by post, interview, or via tablet in Argentina, Brazil, Uruguay, U.K., Germany, Norway, and Poland. Next of kin to cancer patients were asked to complete the international version of the Care Of the Dying Evaluation (i‐CODE) questionnaire 6–8 weeks postbereavement. Primary outcomes were (a) how frequently the deceased patient was treated with dignity and respect, and (b) how well the family member was supported in the patient's last days of life. Results: Of 1,683 potential participants, 914 i‐CODE questionnaires were completed (response rate, 54%). Approximately 94% reported the doctors treated their family member with dignity and respect "always" or "most of the time"; similar responses were given about nursing staff (94%). Additionally, 89% of participants reported they were adequately supported; this was more likely if the patient died on a specialist palliative care unit (odds ratio, 6.3; 95% confidence interval, 2.3–17.8). Although 87% of participants were told their relative was likely to die, only 63% were informed about what to expect during the dying phase. Conclusion: This is the first study assessing quality of care for dying cancer patients from the bereaved relatives' perspective across several countries on two continents. Our findings suggest many elements of good care were practiced but improvement in communication with relatives of imminently dying patients is needed. (ClinicalTrials.gov Identifier: NCT03566732). Implications for Practice: Previous studies have shown that bereaved relatives' views represent a valid way to assess care for dying patients in the last days of their life. The Care Of the Dying Evaluation questionnaire is a suitable tool for quality improvement work to help determine areas where care is perceived well and areas where care is perceived as lacking. Health care professionals need to sustain high quality communication into the last phase of the cancer trajectory. In particular, discussions about what to expect when someone is dying and the provision of hydration in the last days of life represent key areas for improvement. Disparities exist in the quality of end‐of‐life care. This article assesses the quality of care for dying cancer patients, as perceived by bereaved relatives, within hospitals in seven European and South American countries. [ABSTRACT FROM AUTHOR]

Headache and facial pain are among the most common, disabling and costly diseases in Europe, which demands for high quality health care on all levels within the health system. The role of the Danish Headache Society is to educate and advocate for the needs of patients with headache and facial pain. Therefore, the Danish Headache Society has launched a third version of the guideline for the diagnosis, organization and treatment of the most common types of headaches and facial pain in Denmark. The second edition was published in Danish in 2010 and has been a great success, but as new knowledge and treatments have emerged it was timely to revise the guideline. The recommendations for the primary headaches and facial pain are largely in accordance with the European guidelines produced by the European Academy of Neurology. The guideline should be used a practical tool for use in daily clinical practice for primary care physicians, neurologists with a common interest in headache, as well as other health-care professionals treating headache patients. The guideline first describes how to examine and diagnose the headache patient and how headache treatment is organized in Denmark. This description is followed by sections on the characteristics, diagnosis and treatment of each of the most common primary and secondary headache disorders and trigeminal neuralgia. The guideline includes many tables to facilitate a quick overview. Finally, the particular challenges regarding migraine and female hormones as well as headache in children are addressed. [ABSTRACT FROM AUTHOR]

Aims: To investigate the differences between Sweden, Denmark, Finland and Norway regarding residential/home care units' and frontline managers' background factors, the resources allocated and measures taken during the initial phases of the COVID-19 pandemic, and whether and how these differences were associated with COVID-19 among older people in residential/home units. Methods: Register- and survey-based data. Responses from managers in municipal and private residential/home units. Number of municipal COVID-19 cases from national registries. Multilevel logistic multivariate regression analysis with presence of COVID-19 among older people in residential/home units as the outcome variable. Results: The proportions of residential/home units with client COVID-19 cases, mid-March–April 2020 were Denmark 22.7%, Finland 9.0%, Norway 9.7% and Sweden 38.8%, most cases found in clusters. The proportions were similar among employees. Client likelihood of having COVID-19 was six-fold higher if the employees had COVID-19. Mean client cases per residential/home unit were Denmark 0.78, Finland 0.46, Norway 0.22 and Sweden 1.23. For the same municipal infection incidence class, Sweden's mean client infection levels were three-fold those of other countries. The regression analysis variables country, municipal COVID-19 incidence proportion, and care type were associated with client cases at p ⩽.001. Compared with Denmark, the odds ratios (ORs) for Sweden, Norway and Finland were 1.86, 0.41 and 0.35 respectively. The variable difficulties in preventive testing had an OR of 1.56, p ⩽.05. Conclusions: Municipal COVID-19 incidence, employee cases, and the lack of testing resources somewhat explained the confirmed COVID-19 cases among older people in residential/home units. A two- to five-fold unexplained inter-country difference in ORs in the multivariate analyses was notable. The level of protection of vulnerable older clients in municipal and private residential/home units differed between the included countries. [ABSTRACT FROM AUTHOR]

Purpose: The aim was to identify the competencies professionals need to promote co-creation engagement within communities. Design/methodology/approach: Co-creation could contribute to building community capacity to promote health. Professional development is key to support co-creative practices. Participants were professionals in a position to promote co-creation processes in health-promoting welfare settings across Denmark, Portugal, France and United Kingdom. An overarching unstructured topic guide was used within interviews, focus groups, questionnaires and creative activities. Findings: The need to develop competencies to promote co-creation was high across all countries. Creating a common understanding of co-creation and the processes involved to increase inclusivity, engagement and shared understanding was also necessary. Competencies included: How to run co-creation from the beginning of the process right through to evaluation, using feedback and communication throughout using an open action-oriented approach; initiating a perspective change and committing to the transformation of co-creation into a real-life process. Practical implications: Overall, learning about underlying principles, process initiation, implementation and facilitation of co-creation were areas identified to be included within a co-creation training programme. This can be applied through the framework of enabling change, advocating for co-creative processes, mediating through partnership, communication, leadership, assessment, planning, implementation, evaluation and research, ethical values and knowledge of co-creative processes. Originality/value: This study provides novel findings on the competencies needed for health promoting professionals to embed co-creative processes within their practice, and the key concerns that professionals with a position to mediate co-creation have in transferring the abstract term of co-creation into a real-world practice. [ABSTRACT FROM AUTHOR]

The objective of this study was to investigate the re-emergence of a previously important crop pathogen in Europe, Puccinia graminis f.sp. tritici, causing wheat stem rust. The pathogen has been insignificant in Europe for more than 60 years, but since 2016 it has caused epidemics on both durum wheat and bread wheat in local areas in southern Europe, and additional outbreaks in Central- and West Europe. The prevalence of three distinct genotypes/races in many areas, Clade III-B (TTRTF), Clade IV-B (TKTTF) and Clade IV-F (TKKTF), suggested clonal reproduction and evolution by mutation within these. None of these genetic groups and races, which likely originated from exotic incursions, were detected in Europe prior to 2016. A fourth genetic group, Clade VIII, detected in Germany (2013), was observed in several years in Central- and East Europe. Tests of representative European wheat varieties with prevalent races revealed high level of susceptibility. In contrast, high diversity with respect to virulence and Simple Sequence Repeat (SSR) markers were detected in local populations on cereals and grasses in proximity to Berberis species in Spain and Sweden, indicating that the alternate host may return as functional component of the epidemiology of wheat stem rust in Europe. A geographically distant population from Omsk and Novosibirsk in western Siberia (Russia) also revealed high genetic diversity, but clearly different from current European populations. The presence of Sr31 -virulence in multiple and highly diverse races in local populations in Spain and Siberia stress that virulence may emerge independently when large geographical areas and time spans are considered and that Sr31 -virulence is not unique to Ug99. All isolates of the Spanish populations, collected from wheat, rye and grass species, were succesfully recovered on wheat, which underline the plasticity of host barriers within P. graminis. The study demonstrated successful alignment of two genotyping approaches and race phenotyping methodologies employed by different laboratories, which also allowed us to line up with previous European and international studies of wheat stem rust. Our results suggest new initiatives within disease surveillance, epidemiological research and resistance breeding to meet current and future challenges by wheat stem rust in Europe and beyond. [ABSTRACT FROM AUTHOR]

Metagenomics can unveil the genetic content of the total microbiota in different environments, such as food products and the guts of humans and livestock. It is therefore considered of great potential to investigate the transmission of foodborne hazards as part of source-attribution studies. Source-attribution of antimicrobial resistance (AMR) has traditionally relied on pathogen isolation, while metagenomics allows investigating the full span of AMR determinants. In this study, we hypothesized that the relative abundance of fecal resistome components can be associated with specific reservoirs, and that resistomes can be used for AMR source-attribution. We used shotgun-sequences from fecal samples of pigs, broilers, turkeys- and veal calves collected across Europe, and fecal samples from humans occupationally exposed to livestock in one country (pig slaughterhouse workers, pig and broiler farmers). We applied both hierarchical and flat forms of the supervised classification ensemble algorithm Random Forests to classify resistomes into corresponding reservoir classes. We identified country-specific and -independent AMR determinants, and assessed the impact of country-specific determinants when attributing AMR resistance in humans. Additionally, we performed a similarity percentage analysis with the full spectrum of AMR determinants to identify resistome signatures for the different reservoirs. We showed that the number of AMR determinants necessary to attribute a resistome into the correct reservoir increases with a larger reservoir heterogeneity, and that the impact of country-specific resistome signatures on prediction varies between countries. We predicted a higher occupational exposure to AMR determinants among workers exposed to pigs than among those exposed to broilers. Additionally, results suggested that AMR exposure on pig farms was higher than in pig slaughterhouses. Human resistomes were more similar to pig and veal calves' resistomes than to those of broilers and turkeys, and the majority of these resistome dissimilarities can be explained by a small set of AMR determinants. We identified resistome signatures for each individual reservoir, which include AMR determinants significantly associated with on-farm antimicrobial use. We attributed human resistomes to different livestock reservoirs using Random Forests, which allowed identifying pigs as a potential source of AMR in humans. This study thus demonstrates that it is possible to apply metagenomics in AMR source-attribution. [ABSTRACT FROM AUTHOR]

We conduct the first 4D‐Var inversion of NH3 accounting for NH3 bi‐directional flux, using CrIS satellite NH3 observations over Europe in 2016. We find posterior NH3 emissions peak more in springtime than prior emissions at continental to national scales, and annually they are generally smaller than the prior emissions over central Europe, but larger over most of the rest of Europe. Annual posterior anthropogenic NH3 emissions for 25 European Union members (EU25) are 25% higher than the prior emissions and very close (<2% difference) to other inventories. Our posterior annual anthropogenic emissions for EU25, the UK, the Netherlands, and Switzerland are generally 10%–20% smaller than when treating NH3 fluxes as uni‐directional emissions, while the monthly regional difference can be up to 34% (Switzerland in July). Compared to monthly mean in‐situ observations, our posterior NH3 emissions from both schemes generally improve the magnitude and seasonality of simulated surface NH3 and bulk NHx wet deposition throughout most of Europe, whereas evaluation against hourly measurements at a background site shows the bi‐directional scheme better captures observed diurnal variability of surface NH3. This contrast highlights the need for accurately simulating diurnal variability of NH3 in assimilation of sun‐synchronous observations and also the potential value of future geostationary satellite observations. Overall, our top‐down ammonia emissions can help to examine the effectiveness of air pollution control policies to facilitate future air pollution management, as well as helping us understand the uncertainty in top‐down NH3 emissions estimates associated with treatment of NH3 surface exchange. Plain Language Summary: Atmospheric ammonia contributes to air pollutants and excessive deposition of reactive nitrogen that is detrimental to sensitive ecosystems. Ammonia is emitted mainly by agricultural livestock and fertilizer use. While surface measurements of NH3 are sparse, satellite observations can provide near daily global coverage. Here we calculate monthly NH3 emissions over Europe, the only region adopting NH3 control policies, using an air quality model coupled with a process‐based bi‐directional NH3 flux scheme and NH3 measurements observed by the CrIS satellite instrument. Our CrIS‐derived annual regional total anthropogenic NH3 emissions are close (<2% difference) to statistic‐based bottom‐up estimates and are 10%–20% lower than when treating NH3 exchange between the atmosphere and biosphere as one‐way emissions. Our top‐down NH3 emissions estimates may help to assess the efficacy of NH3 abatement policies and provide quantitative support for future policy making. Key Points: First 4D‐Var inversion to include bi‐directional flux of NH3, based on CrIS NH3 and cross‐validated with surface observationsBi‐directional flux reduces posterior regional NH3 emissions by 10%–20% annually (monthly up to 34%), compared to uni‐directional emissionsPosterior NH3 emissions generally improve simulated seasonality and magnitude of NH3 and NHx wet deposition [ABSTRACT FROM AUTHOR]

Background: Magnetic resonance imaging (MRI) with hyperpolarized [1-13C]pyruvate allows real-time and pathway specific clinical detection of otherwise unimageable in vivo metabolism. However, the comparability between sites and protocols is unknown. Here, we provide initial experiences on the agreement of hyperpolarized MRI between sites and protocols by repeated imaging of same healthy volunteers in Europe and the US. Methods: Three healthy volunteers traveled for repeated multicenter brain MRI exams with hyperpolarized [1-13C]pyruvate within one year. First, multisite agreement was assessed with the same echo-planar imaging protocol at both sites. Then, this was compared to a variable resolution echo-planar imaging protocol. In total, 12 examinations were performed. Common metrics of 13C-pyruvate to 13C-lactate conversion were calculated, including the kPL, a model-based kinetic rate constant, and its model-free equivalents. Repeatability was evaluated with intraclass correlation coefficients (ICC) for absolute agreement computed using two-way random effects models. Results: The mean kPL across all examinations in the multisite comparison was 0.024 ± 0.0016 s−1. The ICC of the kPL was 0.83 (p = 0.14) between sites and 0.7 (p = 0.09) between examinations of the same volunteer at any of the two sites. For the model-free metrics, the lactate Z-score had similar site-to-site ICC, while it was considerably lower for the lactate-to-pyruvate ratio. Conclusions: Estimation of metabolic conversion from hyperpolarized [1-13C]pyruvate to lactate using model-based metrics such as kPL suggests close agreement between sites and examinations in volunteers. Our initial results support harmonization of protocols, support multicenter studies, and inform their design. [ABSTRACT FROM AUTHOR]

Most genome-wide association studies (GWAS) of complex traits are performed using models with additive allelic effects. Hundreds of loci associated with type 2 diabetes have been identified using this approach. Additive models, however, can miss loci with recessive effects, thereby leaving potentially important genes undiscovered. We conducted the largest GWAS meta-analysis using a recessive model for type 2 diabetes. Our discovery sample included 33,139 case subjects and 279,507 control subjects from 7 European-ancestry cohorts, including the UK Biobank. We identified 51 loci associated with type 2 diabetes, including five variants undetected by prior additive analyses. Two of the five variants had minor allele frequency of <5% and were each associated with more than a doubled risk in homozygous carriers. Using two additional cohorts, FinnGen and a Danish cohort, we replicated three of the variants, including one of the low-frequency variants, rs115018790, which had an odds ratio in homozygous carriers of 2.56 (95% CI 2.05-3.19; P = 1 × 10-16) and a stronger effect in men than in women (for interaction, P = 7 × 10-7). The signal was associated with multiple diabetes-related traits, with homozygous carriers showing a 10% decrease in LDL cholesterol and a 20% increase in triglycerides; colocalization analysis linked this signal to reduced expression of the nearby PELO gene. These results demonstrate that recessive models, when compared with GWAS using the additive approach, can identify novel loci, including large-effect variants with pathophysiological consequences relevant to type 2 diabetes. [ABSTRACT FROM AUTHOR]

The aims of this centre-based survey, promoted and disseminated by the European Heart Rhythm Association (EHRA) was to investigate the current practice for the investigation of Sudden Unexplained Death in the Young (SUDY) amongst European countries. An online questionnaire composed of 21 questions was submitted to the EHRA Research Network, European Cardiac Arrhythmia Genetics (ECGen) Focus Group members, and European Reference Network GUARD-Heart healthcare partners. There were 81 respondents from 24 European countries. The majority (78%) worked in a dedicated clinic focusing on families with inherited cardiac conditions and/or SUDY or had easy access to a nearby one. On average, an autopsy was performed in 43% of SUDY cases. Macroscopic examination of the body and all organs were completed in 71% of cases undergoing autopsy, and expert cardiac examination in 32%. Post-mortem genetic testing was requested on average in 37% of Sudden Arrhythmic Death Syndrome (SADS) cases, but not at all by 20% of survey respondents. Psychological support and bereavement counselling for SADS/SUDY families were available for ≤50% of participants. Whilst electrocardiogram (ECG) and echocardiography were largely employed to investigate SADS relatives, there was an inconsistent approach to the use of provocative testing with exercise ECG, sodium channel blocking drugs, and/or epinephrine and genetic testing. The survey highlighted a significant heterogeneity of service provision and variable adherence to current recommendations for the investigation of SUDY, partly attributable to the availability of dedicated units and specialist tests, genetic evaluation, and post-mortem examination. [ABSTRACT FROM AUTHOR]

Aim: To inform the primary care community about priorities for research in primary care as came up from the European project TO-REACH and to discuss transferability of service and policy innovations between countries. Background: TO-REACH stands for Transfer of Organizational innovations for Resilient, Effective, equitable, Accessible, sustainable and Comprehensive Health services and systems. This EU-funded project has put health systems and services research higher on the European agenda and has led to the current development of a European 'Partnership Transforming Health and Care Systems'. Methods: To identify research priorities, both qualitative and quantitative approaches were used. Policy documents and strategic roadmaps were searched, and priorities were mapped. Stakeholders were involved through national roundtable consultations and online consultations. Regarding transferability, we carried out a review of the literature, guided by a conceptual framework, and using a snowballing approach. Findings: Primary care emerged as an important priority from the inventory, as are areas that are conducive to strengthening primary care, such as workforce policies. The large variation in service organisation and policy around primary care in Europe is a huge potential for cross-country learning. However, the simple transfer of primary care service and policy arrangements from one health system to another has a big chance to fail, unless known conditions for successful transfer are taken into account and gaps in our knowledge about transfer are resolved. [ABSTRACT FROM AUTHOR]

The European refugee crisis has been communicated visually through images such as those of Alan Kurdi lying dead on the beach, by body bags on the harbor front of Lampedusa, by people walking through Europe and by border guards and fences. This article examines the broader visual environment within which EU policy-making took place from October 2013 to October 2015. It identifies 'tragedy' as the key term used by the EU to explain its actions and decisions and points out that discourses of humanitarianism and border control were both in place. The article provides a theoretical account of how humanitarianism and border control might be visualized by news photography. Adopting a multi-method design and analyzing a dataset of more than 1000 photos, the article presents a visual discourse analysis of five generic iconic motifs and a quantitative visual content analysis of shifts and continuity across four moments in time. The article connects these visual analyses to the policies and discourses of the EU holding that the ambiguity of the EU's discourse was mirrored by the wider visual environment. [ABSTRACT FROM AUTHOR]

Objective Birth cohorts collect valuable and under-utilized information on employment and health of parents before and during pregnancy, at birth, and sometimes after birth. In this discussion paper, we examine how these data could be exploited to study the complex relationships and interactions between parenthood, work, and health among parents themselves. Methods Using a web-based database of birth cohorts, we summarize information on maternal employment and health conditions and other potentially related variables in cohorts spread throughout Europe. This provided information on what data are available and could be used in future studies, and what was missing if specific questions are to be addressed, exploiting the opportunity to explore work-health associations across heterogenous geographical and social contexts. Results We highlight the many potentialities provided by birth cohorts and identify gaps that need to be addressed to adopt a life-course approach and investigate topics specific to the peri-pregnancy period, such as psychosocial aspects. We address the technical difficulties implied by data harmonization and the ethical challenges related to the repurposing of data, and provide scientific, ecological and economic arguments in favor of improving the value of data already available as a result of a serious investment in human and material resources. Conclusions There is a hidden treasure in birth cohorts that deserves to be brought out to study the relationships between employment and health among working parents in a time when the boundaries between work and life are being stretched more than ever before. [ABSTRACT FROM AUTHOR]

The recent advent of remote ventilator telemonitoring has the potential to revolutionize home-assisted ventilation care in the United States and elsewhere. Home ventilation machines (i.e., respiratory assist devices and portable ventilators) can now wirelessly transmit usage and performance data to cloud-based web servers for remote access by participating clinicians. In this Focused Review, we provide an update on available technology, suggest practical applications for clinical care and research, and review supporting literature. Remote monitoring permits early data review, refinement of device settings to optimize ventilatory function, and troubleshooting if a new problem arises after initial setup. Data from home spirometry and noninvasively measured blood gas tensions can complement ventilator data to reflect physiological response. Acknowledging a paucity of published outcome studies, remote telemonitoring may be a cost-effective strategy to reduce emergency room visits, urgent clinic appointments, and hospitalizations. Ongoing clinical trials in Europe aim to expand on the benefit of this rapidly evolving technology. However, several barriers may hinder widespread implementation, especially in the United States. Clinicians must familiarize themselves with each ventilator manufacturer's proprietary software to safely leverage this technology for improving care. Legal and ethical considerations threaten clinician interest. Medical insurance payers must adapt a reimbursement scheme to incentivize clinicians and durable medical equipment companies to perform this time-consuming service. Cohort-level ventilator data will facilitate multicenter clinical trials focused on improving the respiratory care of this vulnerable population. [ABSTRACT FROM AUTHOR]

In this article, we examine developments in HBO's original European productions based on a quantitative overview of production from 2007 to early 2020. We supplement this overview with an analysis of the generic changes during the past decade as well as a practical producers' approach to remakes. The intention is not to analyse the specific series' content; rather, we scrutinize genre, talent and remakes through the perspective of the HBO brand and the creatives behind the series. The main empirical material for this article is interviews with key informants and an exploitation of online resources. Altogether, this establishes both a historical overview of the productions and an up-to-date idea of how the transnational institution considers its own local endeavours. [ABSTRACT FROM AUTHOR]

This chapter evaluates HBO Europe’s local productions for European territories. Based on a complete registration of all HBO Europe productions and interviews with leading personnel, the chapter argues that HBO has been able to transpose the US brand and production model to Europe, and has succeeded in localizing content for local audiences, while at the same time catering a transnational audience. Especially through local format adaptations, local talent development and a richly represented crime genre, HBO Europe has been able to secure a European brand name as well as an opportunity to transfer the ‘quality’ brand to local audiences across Europe. The result is localized production models and a transnational availability of local European TV productions. [ABSTRACT FROM AUTHOR]

This Forum aims to push existing debates in critical border and migration studies over the featuring of morals, ethics and rights in everyday practices relating to the governance of the mobility of non-citizen populations. Its contributors steer away from the actual evaluation or advocacy of the good/just/ethical, focusing instead on the sociological examination of morals and ethics in practice, i.e. how actors understand morally and ethically the border and migration policies they implement or resist. A proliferating interest in the discursive and non-discursive materialisation of moral and ethical elements in asylum and migration policies has examined the intertwinement of care and control logics underlying the management of refugee camps, borders and borderzones, and hotspots alongside the deployment of search-and-rescue operations. Nevertheless, recent research has shown the need to unpack narratives and actions displaying values and symbols that are not necessarily encompassed within this intertwinement of compassion and repression. We argue that there is a need to pay more attention to the diversity, plurality and the operation of morality, ethics and rights in settings and geographies, and of including a diversity of actors both across and beyond EUrope. [ABSTRACT FROM AUTHOR]

Background: Alterations in glucose metabolism that lead to the development of metabolic and cardiovascular disease may begin already in childhood. Objective: This study aims to generate pediatric age and sex‐specific reference values for fasting concentrations of glucose, hemoglobin A1c (HbA1c), insulin, C‐peptide, and homeostasis model assessment: insulin resistance (HOMA‐IR) in Danish/North‐European white children and adolescents from a population‐based cohort and to compare values from children and adolescents with overweight/obesity with this reference. Methods: The population‐ and obesity clinic‐based cohorts consisted of 2451 and 1935 children and adolescents between 6 and 18 years of age. Anthropometric measurements and blood samples were obtained and percentile curves were calculated. Results: In the population‐based cohort, glucose, insulin, and HOMA‐IR values increased before the expected onset of puberty (P < .05). Thereafter, all variables decreased in girls (P < .05) and HbA1c decreased in boys (P < .05). Concentrations of all measured markers of glucose metabolism were higher in the obesity clinic‐based cohort than the population‐based cohort (both sexes P < .001). Specifically, insulin and HOMA‐IR continued to increase to 18 years in the clinic‐based cohort, particularly among boys. Conclusions: Fasting glucose, insulin, and HOMA‐IR change during childhood, making pediatric reference values essential for timely identification of derangements in glucose metabolism. Children and adolescents with obesity exhibit increased concentrations of these biomarkers. [ABSTRACT FROM AUTHOR]

Do cultural norms that allow individuals to choose their social relationships put them at risk for, or protect them from, loneliness? After all, more freedom to choose whom to relate to may promote that individuals can choose higher-quality relationships (which protects from loneliness), but it may also imply a higher risk of social isolation (which puts at risk for loneliness). We propose that the solution to this cultural loneliness paradox of choice is to distinguish whether more individual choice flows from cultural norms that provide more opportunities for new relationships (as implied by higher relational mobility; higher RMn), or from cultural norms that allow to leave established relationships (as implied by lower relational stability; lower RSn). Specifically, we suggest that more individual choice protects from loneliness when emerging from higher RMn (which allows to establish new higher-quality relationships), but puts at risk for loneliness when emerging from lower RSn (which increases the risk of social isolation by undermining the stability of established relationships). Findings from two cross-sectional survey studies in four European countries (Study 1: Finland, N = 237; Portugal, N = 261; Study 2: Poland, N = 242; Austria, N = 2 41) supported this line of thought: Higher RMn was consistently related to lower loneliness across all samples, and lower RSn was related to higher loneliness in two out of four samples (and either non-significantly related to higher loneliness or unrelated to it in the other two samples). We discuss the importance and implications of differentiating RMn and RSn to resolve the cultural loneliness paradox of choice. [ABSTRACT FROM AUTHOR]

Cropping practices have a great potential to improve soil quality through changes in soil biota. Yet the effects of these soil‐improving cropping systems on soil fungal communities are not well known. Here, we analysed soil fungal communities using standardized measurements in 12 long‐term experiments and 20 agricultural treatments across Europe. We were interested in whether the same practices (i.e., tillage, fertilization, organic amendments and cover crops) applied across different sites have predictable and repeatable effects on soil fungal communities and guilds. The fungal communities were very variable across sites located in different soil types and climatic regions. The arbuscular mycorrhizal fungi (AMF) were the fungal guild with most unique species in individual sites, whereas plant pathogenic fungi were most shared between the sites. The fungal communities responded to the cropping practices differently in different sites and only fertilization showed a consistent effect on AMF and plant pathogenic fungi, whereas the responses to tillage, cover crops and organic amendments were site, soil and crop‐species specific. We further show that the crop yield is negatively affected by cropping practices aimed at improving soil health. Yet, we show that these practices have the potential to change the fungal communities and that change in plant pathogenic fungi and in AMF is linked to the yield. We further link the soil fungal community and guilds to soil abiotic characteristics and reveal that especially Mn, K, Mg and pH affect the composition of fungi across sites. In summary, we show that fungal communities vary considerably between sites and that there are no clear directional responses in fungi or fungal guilds across sites to soil‐improving cropping systems, but that the responses vary based on soil abiotic conditions, crop type and climatic conditions. Highlights: Soil fungi were analysed using standardized measurements in 12 long‐term experiments and 20 agricultural treatmentsFungal communities responded to the cropping practices differently at different sitesOnly reduced fertilization showed a consistent effect on AMF and plant pathogenic fungi, whereas the responses to tillage, cover crops and organic amendments were site specific.Fungal community structure varied significantly between sites, crops and climate conditions; therefore, more cross‐site studies are needed in order to manage beneficial soil fungi in agricultural systems. [ABSTRACT FROM AUTHOR]

This article examines political parties' approach to trade unions and the role of private and public party finance in contemporary democracies. We suggest that both unions' direct donations and states' party finance regimes may account for variation in the strength of parties' organizational links to unions. We investigate this argument with a new data set covering parties historically aligned with trade unions and union confederations in 12 mature democracies. Our empirical analysis provides support for the hypothesis that financial contributions are positively associated with stronger organizational links but also suggests that this relationship is constrained by the level of public subsidies and state regulation of donations. The findings point to the need for more research on how private and public money affects parties' interactions with civil society actors. [ABSTRACT FROM AUTHOR]

The gray wolf Canis lupus range in central Europe is dynamically expanding, reconnecting previously isolated populations. Thus, a recent paper has proposed to merge the current Baltic and Central European (CE) wolf management units, which are no longer isolated by distance. However, recent genetic findings indicate that these two populations are not genetically homogenous. Here we review the most recent data on wolf genetic structure in central Europe and show that even though the CE and Baltic wolves represent the same phylogeographic lineage, their demographic history has resulted in significant genetic structure between these two populations. While the groups are interconnected by moderate gene flow, it is not high enough to reduce the strong founder signal observed in the CE population, suggesting that population dynamics within the CE wolf range are largely independent from those of its source (Baltic) population. Consequently, a management unit combining the CE and Baltic wolves would not form a demographically coherent entity. Thus, we recommend that conservation management units maintain their separate status. [ABSTRACT FROM AUTHOR]

The precautionary principle finds itself at the forefront of scientific and regulatory discussions about nanotechnology and nanomaterials. In this study, we investigated whether European experts on nanotechnology governance and the management of nanomaterials (NMs) believe that more should be done to implement the precautionary principle when it comes to NMs, including why it should/should not be used and why it has/has not been adopted so far. In total, 54 relevant experts were identified using a snowball sampling methodology, and eventually 33 were interviewed. In total, 70% of the stakeholders strongly believed that the precautionary principle should be applied to manage NMs, while fewer than 1% believed that it could be applied for certain NMs and 7% had no opinion in favour of or against it. For the majority of the experts, the precautionary principle was considered fundamental for dealing with uncertain, complex, ambiguous risks, and they felt a precaution-based management and decision-making approach should be in place for controlling NMs. Arguments for why the precautionary principle has not been adopted so far for NM management were expressed, including the systematic stigmatisation of the principle as being unscientific and anti-innovation, a fear of overregulating an otherwise beneficial technology or product and diverging interests, priorities, and decision-making criteria. Based on our findings, we conclude that there is strong support among experts to strengthen the implementation of the precautionary principle in Europe when it comes to nanomaterials. [ABSTRACT FROM AUTHOR]

Purpose: To develop a European White Paper document on oropharyngeal dysphagia (OD) in head and neck cancer (HNC). There are wide variations in the management of OD associated with HNC across Europe. Methods: Experts in the management of specific aspects of OD in HNC across Europe were delegated by their professional medical and multidisciplinary societies to contribute to this document. Evidence is based on systematic reviews, consensus-based position statements, and expert opinion. Results: Twenty-four sections on HNC-specific OD topics. Conclusion: This European White Paper summarizes current best practice on management of OD in HNC, providing recommendations to support patients and health professionals. The body of literature and its level of evidence on diagnostics and treatment for OD in HNC remain poor. This is in the context of an expected increase in the prevalence of OD due to HNC in the near future. Contributing factors to increased prevalence include aging of our European population (including HNC patients) and an increase in human papillomavirus (HPV) related cancer, despite the introduction of HPV vaccination in various countries. We recommend timely implementation of OD screening in HNC patients while emphasizing the need for robust scientific research on the treatment of OD in HNC. Meanwhile, its management remains a challenge for European professional associations and policymakers. [ABSTRACT FROM AUTHOR]

Purpose: To study the trends of smoking-attributable mortality among the low and high educated in consecutive birth cohorts in 11 European countries. Methods: Register-based mortality data were collected among adults aged 30 to 79 years in 11 European countries between 1971 and 2012. Smoking-attributable deaths were estimated indirectly from lung cancer mortality rates using the Preston-Glei-Wilmoth method. Rate ratios and rate differences among the low and high-educated were estimated and used to estimate the contribution of inequality in smoking-attributable mortality to inequality in total mortality. Results: In most countries, smoking-attributable mortality decreased in consecutive birth cohorts born between 1906 and 1961 among low- and high-educated men and high-educated women, but not among low-educated women among whom it increased. Relative educational inequalities in smoking-attributable mortality increased among both men and women with no signs of turning points. Absolute inequalities were stable among men but slightly increased among women. The contribution of inequality in smoking-attributable mortality to inequality in total mortality decreased in consecutive generations among men but increased among women. Conclusions: Smoking might become less important as a driver of inequalities in total mortality among men in the future. However, among women, smoking threatens to further widen inequalities in total mortality. [ABSTRACT FROM AUTHOR]

Study Question: Does sexual intercourse in the implantation time window (5-9 days after ovulation) reduce fecundability?Summary Answer: After adjustment for intercourse in the fecund window and clustering by couple, there was no association between intercourse in the implantation time window and fecundity.What Is Known Already: Previous research has suggested an association between intercourse in the peri-implantation time window (5-9 days after estimated ovulation) and reduced fecundability.Study Design, Size, Duration: We used data from the FERTILI study, a prospective observational study conducted in five European countries, with data collected from 1992 to 1996.Participants/materials, Setting, Methods: Women who were experienced in fertility awareness tracking kept a daily diary of cervical mucus observations, basal body temperature measurements, coitus and clinically identified pregnancy. We estimated the day of ovulation as cycle length minus 13 days. From 661 women, 2606 cycles had intercourse during the fecund window (from 5 days before to 3 days after the estimated day of ovulation), resulting in 418 pregnancies (conception cycles). An established Bayesian fecundability model was used to estimate the fecundability ratio (FR) of peri-implantation intercourse on fecundability, while adjusting for each partner's age, prior pregnancy, the couple's probability of conception and intercourse pattern(s). We conducted sensitivity analyses estimating ovulation as cycle length minus 12 days, or alternatively, as the peak day of estrogenic cervical mucus.Main Results and the Role Of Chance: There was no effect of peri-implantation intercourse on fecundability: adjusted FR for three or more acts of peri-implantation intercourse versus none: 1.00, 95% credible interval: 0.76-1.13. Results were essentially the same with sensitivity analyses. There was an inverse relationship between frequency of intercourse in the fecund window and intercourse in the peri-implantation window.Limitations, Reasons For Caution: Women with known subfertility were excluded from this study. Many couples in the study were avoiding pregnancy during much of the study, so 61% of otherwise eligible cycles in the database were not at meaningful risk of pregnancy and did not contribute to the analysis. Some couples may not have recorded all intercourse.Wider Implications Of the Findings: We believe the current balance of evidence does not support a recommendation for avoiding intercourse in the peri-implantation period among couples trying to conceive.Study Funding/competing Interest(s): No external funding. The authors have no potential competing interests.Trial Registration Number: N/A. [ABSTRACT FROM AUTHOR]

"Småblank" is the only population of Atlantic salmon in Europe living its entire life in the river habitat without performing migrations to the sea or lakes. Home range size and habitat use were compared between an unregulated tributary and hydro-power regulated parts of the main river during 2014–2017. In total, 140 småblank were tagged with radio transmitters and tracked for 4–5 months. Tagged fish tended to stay within small areas: the average 50% home range was 1123 m2 and the average 95% home range was 4416 m2. Mean distance between the furthermost positions for individual fish during tracking was 242 m, and the fish did not migrate between different stretches of the river. The small home range and non-migrating behaviour may explain why småblank are divided into several genetically distinct populations with limited gene flow. The results showed that småblank were far more stationary than what is known for other landlocked salmon populations. Use of moderate or high water velocities' (> 50 s−1) areas with coarse river substrates implies a vulnerability to anthropogenic effects such as water diversion, dams and weirs. [ABSTRACT FROM AUTHOR]

Risk aversive perceptions and practices among ECEC practitioners and parents have proven to be an important reason for the decline of young children's opportunities for free outdoor play. Yet, there are also cultural differences in the perception of children's risky play. This study aims at examining the factors that ECEC practitioners and parents experience as barriers for children's outdoor play, especially those associated with risk. ECEC practitioners and parents in five different European countries (Greece, Portugal, Estonia, Croatia and Norway) received questionnaires about their perception of children's outdoor play. The sample consists of 32 ECEC practitioners and 184 parents. Results show that parents and ECEC practitioners from Norway are less risk aversive to children's play than those from the southern European countries. Traffic is a barrier for outdoor play among parents from all countries (above 50%), and stranger danger is particularly noticed in parents from Greece (80.6%) and Portugal (62.9%), whereas in Norway this value is only 13.3%. The mean average age from which parents allow their children to play outside is quite different between the participating countries, ranging from 5.8 years in Norway to 11.8 years in Greece. In total, fear of children getting injured and adults' own concern/anxiety are only mentioned as barriers by 9.4% and 3.1% of ECEC practitioners, respectively. Lack of play spaces (74.3%) and poor play facilities (80%) are also considered obstacles to letting children play outside by Greek parents, whereas Portuguese ones emphasized media alerts (61.3%). Our results suggest a differentiated approach between countries to tackle the reported barriers to children's outdoor risky play. [ABSTRACT FROM AUTHOR]

Background: Levels of physical activity and variation in physical activity and sedentary time by place and person in European children and adolescents are largely unknown. The objective of the study was to assess the variations in objectively measured physical activity and sedentary time in children and adolescents across Europe. Methods: Six databases were systematically searched to identify pan-European and national data sets on physical activity and sedentary time assessed by the same accelerometer in children (2 to 9.9 years) and adolescents (≥10 to 18 years). We harmonized individual-level data by reprocessing hip-worn raw accelerometer data files from 30 different studies conducted between 1997 and 2014, representing 47,497 individuals (2–18 years) from 18 different European countries. Results: Overall, a maximum of 29% (95% CI: 25, 33) of children and 29% (95% CI: 25, 32) of adolescents were categorized as sufficiently physically active. We observed substantial country- and region-specific differences in physical activity and sedentary time, with lower physical activity levels and prevalence estimates in Southern European countries. Boys were more active and less sedentary in all age-categories. The onset of age-related lowering or leveling-off of physical activity and increase in sedentary time seems to become apparent at around 6 to 7 years of age. Conclusions: Two third of European children and adolescents are not sufficiently active. Our findings suggest substantial gender-, country- and region-specific differences in physical activity. These results should encourage policymakers, governments, and local and national stakeholders to take action to facilitate an increase in the physical activity levels of young people across Europe. [ABSTRACT FROM AUTHOR]