Suchergebnisse

PURPOSE: With better access to early diagnosis and appropriate treatment, cervical cancer (CC) burden decreased in several European countries. In Eastern European (EE) countries, which accessed European Union in 2004, CC survival was worse than in the rest of Europe. The present study investigates CC survival differences across five European regions, considering stage at diagnosis (local, regional and metastatic), morphology (mainly squamous versus glandular tumours) and patients' age. METHODS: We analysed 101,714 CC women diagnosed in 2000-2007 and followed-up to December 2008. Age-standardised 5-year relative survival (RS) and the excess risks of cancer death in the 5 years after diagnosis were computed. RESULTS: EE women were older and less commonly diagnosed with glandular tumours. Proportions of local stage cancers were similar across Europe, while morphology- and stage-specific RS (especially for non-metastatic disease) were lower in Eastern Europe. Adjusting for age and morphology, excess risk of local stage CC death for EE patients remained higher than that for other European women. CONCLUSION: Stage, age and morphology alone do not explain worse survival in Eastern Europe: less effective care may play a role, probably partly due to fewer or inadequate resources being allocated to health care in this area, compared to the rest of Europe.

To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Download ; IntroductionSequence-based typing of hepatitis A virus (HAV) is important for outbreak detection, investigation and surveillance. In 2013, sequencing was central to resolving a large European Union (EU)-wide outbreak related to frozen berries. However, as the sequenced HAV genome regions were only partly comparable between countries, results were not always conclusive.AimThe objective was to gather information on HAV surveillance and sequencing in EU/European Economic Area (EEA) countries to find ways to harmonise their procedures, for improvement of cross-border outbreak responses.MethodsIn 2014, the European Centre for Disease Prevention and Control (ECDC) conducted a survey on HAV surveillance practices in EU/EEA countries. The survey enquired whether a referral system for confirming primary diagnostics of hepatitis A existed as well as a central collection/storage of hepatitis A cases' samples for typing. Questions on HAV sequencing procedures were also asked. Based on the results, an expert consultation proposed harmonised procedures for cross-border outbreak response, in particular regarding sequencing. In 2016, a follow-up survey assessed uptake of suggested methods.ResultsOf 31 EU/EEA countries, 23 (2014) and 27 (2016) participated. Numbers of countries with central collection and storage of HAV positive samples and of those performing sequencing increased from 12 to 15 and 12 to 14 respectively in 2016, with all countries typing an overlapping fragment of 218 nt. However, variation existed in the sequenced genomic regions and their lengths.ConclusionsWhile HAV sequences in EU/EEA countries are comparable for surveillance, collaboration in sharing and comparing these can be further strengthened.

Commentary on the changes to society brought about by independence, the need to re-establish peace, and the importance of union and justice for overcoming tyranny

"The article develops a new definition of conspiracy theory more apt for historicizing purposes than the existing systematic and philosophical ones. It shows that modern conspiracy narratives do appear only with the Renaissance. Also, 'security' as the aim of state and international politics became important only now during the Italian Renaissance while the term and concept had been nearly forgotten during the Middle Ages. The article shows then that both, security politics in practice and political language as well as modern conspiracy narratives belong to the new type of political communication which emerged with inter-territorial diplomacy in 15th century Italy (example: Lorenzo de' Medici) and with the first emerging information public sphere in 16th century Europe (example: conspiracism during the French Wars of Religion). The narrative modus of analyzing the present state of affairs, of constructing reality and of planning and conjecturing in that form of political communication is highly similar to the construction of conspiracy narratives. All modern forms of opposition between security and conspiracy theories can be seen as derivatives of that Renaissance constellation." (author's abstract)

The study of the role of the Ukrainian agricultural sector in meeting the demand for organic products in the European Union is vital for understanding and maximising the benefits for Ukraine. This is crucial in the context of the development of the organic market and expanding cooperation with Europe, which indicates the relevance of the problem discussed in the present study. The purpose of this study was to identify the current position, dominant trends, and prospects for increasing Ukrainian organic imports to the European Union. The methodological framework of this study included the general and special methods of scientific cognition: monographic, dialectical, tabular, graphical, abstract and logical, and comparative analysis. The study analysed the vectors and dynamics of development of organic agriculture in the European Union, specifically, identified the growth of domestic and import demand for organic products, expansion of the list of commodity items, the existence of a gap between supply and demand, and high concentration of the commodity structure of imports. The study found the principal factors that ensure Ukraine's leading position among the key importers of organic food: geographical location, increase in domestic production of organic products, improvement of the system of its certification, and establishment of partnerships with the European Union. Ukraine's position in most commodity groups of import demand for organic products has been strengthened: specifically, Ukraine's share of imports has increased, and its structural characteristics have improved in terms of increasing the share of high value-added products. The study highlighted the barriers faced by Ukrainian exporters when entering the European market and acting as a deterrent to expanding the volume and range of exported organic products. The areas for increasing the potential of Ukraine in meeting the demand for organic products in the European Union were outlined. The findings of this study provide valuable information for producers, entrepreneurs, and stakeholders involved in the development of the organic market in Europe and sustainable agriculture. The outlined priorities for the development of organic production in Ukraine can underlie the development of a national programme aimed at increasing the competitiveness of the Ukrainian organic industry in the markets of the European Union.

The article explores a key aspect in the development of contemporary European populist parties: the celebrity dynamics of their leadership. It presents a systematic comparison of leaders from the main populist parties, exploring the correlation between leadership visibility, fame, and the ideological and organisational characteristics of parties. Furthermore, it investigates the subset of leaders whose public notoriety predates their political involvement, with a view to establishing how they balance the demands of political responsibility and authenticity of character, both in terms of organisational control and communicative strategy. Analytically, the study helps illuminate the mechanisms through which populist parties adapt to participation in the political game while continuing to mark their ideological difference. Empirically, the findings highlight the uniqueness of an outlier case, Beppe Grillo's leadership of Italy's Five-Star Movement, in which celebrity is leveraged into a kingmaker role, while still retaining the public persona of an outside observer.

On March 29, 2017, a European Summit on the Prevention and Self-Management of Chronic Respiratory Diseases (CRD) was organized by the European Forum for Research and Education in Allergy and Airway Diseases. The event took place in the European Parliament of Brussels and was hosted by MEP David Borrelli and MEP Sirpa Pietikainen. The aim of the Summit was to correspond to the needs of the European Commission and of patients suffering from CRD to join forces in Europe for the prevention and self-management. Delegates of the European Rhinologic Society, European Respiratory Society, European Academy of Allergy and Clinical Immunology, European Academy of Paediatrics, and European Patients Organization EFA all lectured on their vision and action plan to join forces in achieving adequate prevention and self-management of CRD in the context of Precision Medicine. Recent data highlight the preventive capacity of education on optimal care pathways for CRD. Self-management and patient empowerment can be achieved by novel educational on-line materials and by novel mobile health tools enabling patients and doctors to monitor and optimally treat CRDs based on the level of control. This report summarizes the contributions of the representatives of different European academic stakeholders in the field of CRD. ; Peer reviewed

A European unemployment insurance scheme has gained increased attention as a new and ambitious common fiscal instrument which could be used for temporary cross-country transfers. Part of the national stabilizers composing unemployment insurance schemes would be transferred to the central level. Unemployed are then insured by both layers. When a country is hit by an asymmetric shock, it would receive positive net transfers from the central fund in the form of reduced taxes and increased benefits, providing risk-sharing for the whole union. We build a two-country DSGE model with supply, demand and labor market shocks in order to capture the recent national insurance system and the unemployment insurance union (UIU) design. The model is calibrated to the euro area core and periphery data and matches the empirically observed cyclicality of the net replacement rate, the wage and unemployment dynamics. This baseline scenario is then compared to an optimal unemployment insurance union with passive and active benefit policies. For all underlying shocks, we find that the UIU reduces the fluctuation of consumption and unemployment while it increases the fluctuations of the trade balance. In case of a positive domestic government spending shock the UIU reduces the negative crowding out effect on private consumption and investment. The model will be used to analyze the effects of national and supranational benefit policies on labour market patterns and welfare.

This study estimates the impact on Burkina Faso of eliminating tariffs on imports from the EU under EPAs, considering trade, revenue and welfare effects. At complete elimination of tariffs on all products imports from trade classification sections (TDC 01-13) from the EU. Burkina Faso is likely to experience both welfare gains and losses depending on the values of imports of each trade classification section in question. The overall welfare effect relative to GDP tends to be very small and positive, but potential tariff revenue losses are enormous even when the country has up to fifteen twenty-five years in which to implement the tariff reductions, unless with scope for tax substitution. EPAs effects are concentrated on those product sections where trade creation outweighs trade diversion such as Animal products, Vegetable products, Animal/Veg. products, Mineral products, and Textiles products. Besides, product sections with the greatest market opportunities for EU suppliers to displace any of the other suppliers, ECOWAS and/or ROW include sections where trade diversion outweighs trade creation effects, such as prepared foodstuffs, product of chemicals, plastics, raw hides & skin, etc. The sensitive products (SPs) to be excluded from tariff removal should include sections in which ECOWAS member nations are suppliers to regional importers so that excluding them as SPs would improve the welfare gain compared to estimates where tariff are removed from those products in which ECOWAS have zero potential. The results at this level of aggregation will provide useful information to the on-going negotiations between ECOWAS and the EU in determining Burkinabe"s products to be exempted from tariff removal during EPAs based on the severity of the effects on varied trade classification (TDC) sections, among other considerations.

Following a long period in which labor in Eastern Europe had been marginalized, often with unionists' complicity, five conditions now favor revival: survival imperatives of the union bureaucracy, incorporation into the European Union, emerging international solidarity, a new generation of workers, and the end of postcommunism in the firm, or the dismissal of unessential workers. This article focuses on subjective factors: union officials' own misgivings about unions in the postcommunist era and their revived interest now that they no longer need to defend the unskilled. Yet three factors work against union revival: ideological (continued distrust of unions), organizational (plethora of small firms), and structural (location in the global economy). Labor is likely to remain weak, with a few stronger unions emerging that are more elitist, male, "producerist," and less class oriented. Legacies continue to be the major problem, but in a twist, the problem today is the legacy not of communism but of postcommunism.