European trends in cervical cancer mortality in relation to national screening programs, 1985–2014

BackgroundCervical cancer is the fourth leading oncological cause of death in women. Variable trends in cervical cancer mortality have been observed across Europe, despite the widespread adoption of screening programs. This variability has previously been attributed to heterogeneity in the quality of screening programs.MethodsAge-standardized cervical cancer death rates for European countries between 1985 and 2014 were analyzed using Joinpoint regression. Countries were dichotomized based on year of implementation and population invitational coverage of national population-based cervical cancer screening programs. National cervical cancer mortality trends during the study period were compared based on this classification.ResultsDecreasing trends in mortality were observed in all European countries with the specific exceptions of Bulgaria, Greece and Latvia. The highest rates of cervical cancer mortality throughout the study period were in Romania (16.0-14.9/100,000) and the lowest rates in Italy (1.4-1.2/100,000). The greatest percentage decline in mortality was observed in the United Kingdom and the greatest absolute reduction in mortality was seen in Hungary. European countries which implemented a national population-based cervical cancer screening program prior to 2009 demonstrated greater improvements in cervical cancer mortality outcomes compared to those that did not (p = 0.016).ConclusionCervical cancer mortality is improving in most European countries; however, substantial variation remains. Trends in mortality were associated with the time of implementation of national population-based cervical screening programs.     

Issues and developments on the consumer recovery construct

The consumer recovery model has had increasing influence on mental health practices in the United States, Western Europe, and several other countries. However, adoption of the model has reflected political decisions rather than empirical evidence of the validity of the model or its value for treatment services. The recovery construct is poorly defined, and until recently there has been no reliable and valid measure with which to base a research program. We have developed an empirical measure that is well-suited for both research and clinical applications: the Maryland Assessment of Recovery in Serious Mental Ill-ness (MARS). We briefly describe the MARS and present preliminary data demonstrating that recovery is not a simple by-product of traditional outcome do-mains, but seems to be a distinct construct that may have important implications for understanding consumers with serious mental illness and for evaluating the outcome of treatment programs.     

Conservation of moths in The Netherlands: population trends, distribution patterns and monitoring techniques of day-flying moths

The loss of butterfly diversity in north-western Europe has been studied extensively but much less is known about the status of other macrolepidoptera. The present paper presents results of the research on mainly day-flying larger moths carried out by Dutch Butterfly Conservation in The Netherlands. Research started in 1992 with a public campaign and a mapping programme, leading to an increase in the number of records of macrolepidoptera. Results from the mapping programme on day-flying moths showed a strong general decrease in The Netherlands, comparable with the loss of butterfly diversity. Transect counts have been undertaken since 2000 for a few species and this method is sufficient to measure trends over time if the moth densities are high enough. Another research component was to focus on marshland habitats in The Netherlands. Fifty-five characteristic marshland moth species were selected and the relative abundance of nearly all these species has declined. These trends were compared with four other countries in the Atlantic biogeographical zone. The relative abundance of the majority of marshland moths in The Netherlands was found to be higher than those in other European countries, so that The Netherlands has a special responsibility for the conservation of the moths of its marshes. Moreover, we emphasise that, next to butterflies, moths can be of great use in nature conservation because of their potential significance as indicator species in endangered habitats.     

Transforming Milk in a Global Economy

Large-scale milk production and consumption historically have been localized to Europe and countries with large European-derived populations. However, global patterns have now shifted, with dramatic increases in milk consumption in Asian countries and flat or declining consumption in European and European-derived countries. Efforts to market it around the world emphasize milk's positive effects on child growth, and, by extension, the individual and national benefits that derive from that growth. At the same time, milk has newly emerged in milk promotions in the United States as food that facilitates weight loss. Milk has been able to achieve a global presence and continuing relevance in populations in which its consumption has been declining by continually transforming and repositioning itself as a "special" food with properties able to alleviate the health concerns seen as most salient at the time.     

Towards all-european pollen reports

In the first European Pollenflight Symposium in Königswinter, BRD, March 20–21, in 1987 the outlines for an European data bank were published. By that time Vienna, Austria was already in state of readiness. Since that, countries in Europe have an opportunity to send their prevailing pollen data to the data bank in Vienna, where a software server is ready to accept new data and to send reports day and night. The software of the data bank has been customed to facilitate calculations on PC level. The developing data bank gives a possibility e.g., (1) to compare pollen seasons in various parts of Europe, (2) to make pollen forecasts in different parts of Europe more accurately, (3) to find pollenfree sites in Europe for allergic people, (4) to find out long-time changings in regional and overregional flora as well as in the allergen-content of the air and (5) even to make all-European pollen reports. These could be broadcasted by common satellite TV channels and seen in most European countries. The aim of this study was to compare pollen seasons of the most common allergic symptoms causing plants in Europe: Alnus, Corylus, Betula, Poaceae and Artemisia in 1988 and 1989 and their distribution in Europe. Olea and Parietaria, being widespread pollen allergens in the Mediterranean, have not been taken into consideration for this study in terms of missing data from Spain, southern France and Greece. Information on flowering has been received from Austria, Belgium, BRD, DDR, Denmark, Finland, Italy, The Netherlands, Norway, Poland, Sweden, Switzerland, United Kingdom and the newest site in Estonian SSR. As the number of participating countries is still increasing, (Hungary and France are preparing for joining in 1990), there is no doubt that the need and benefit of a common pollen data bank has been realized in whole Europe.     

Special welfare concerns in countries dependent on live animal trade: the real foreign animal disease emergency for Canada

Any outbreak of an Office International des Epizooties trade-disrupting (previously List-A) disease, such as classical swine fever or foot and mouth disease in a previously disease-free region can have severe consequences for nonhuman animal welfare. In addition to animals destroyed for the purposes of disease eradication, certain preexisting trade patterns may result in welfare slaughter programs affecting many more animals than the disease eradication effort. Welfare slaughter is the destruction of healthy animals to prevent overcrowding on farms under movement restriction and as a consequence of loss of access to live animal export markets. Governments of European countries have anticipated welfare slaughter as part of their disease eradication preparedness. The concept of welfare slaughter and the resource implications thereof have not been included in current, published, livestock disease emergency-planning documents in Canada or the United States. Animal welfare, specifically the killing of healthy animals (not foreign animal disease eradication) has been the focus of public concern in recent disease-eradication efforts in Europe. North American organizations responsible for livestock exotic disease emergency preparedness need to expand their plans to include welfare slaughter.     

The changing landscape of European and international regulation on embryonic stem cell research

Legislation in individual member states of the European Union on human embryonic stem cell (hESC) research is as divergent as the different cultural, ethical, and religious views on the issue. On the occasion of the public launch of the European Human Embryonic Stem Cell Registry (hESCreg: www.hescreg.eu), a two-day symposium was held on 18 and 19 January 2008 in Berlin to offer participants an overview of state-of-the-art hESC research and legislation throughout Europe and in selected regions of the world. Thirty leading scientists from Europe as well as from the United States, Japan, and Australia reported on a range of aspects related to research on hESC and reviewed the key elements of the newly established hESCreg database of hESC lines. In this article we summarize and complete the information on the current status of international hESC regulation.     

Ecology and epidemiology of Echinococcus multilocularis in Europe

Human alveolar echinococcosis (AE), caused by the larval stage of Echinococcus multilocularis has a high mortality rate in untreated patients. The life-cycle of E. multilocularis in Europe predominantly involves foxes as definitive hosts. However, experimental studies demonstrated a comparable biotic potential of E. multilocularis in dogs and raccoon dogs but an insignificant potential in cats. AE occurs in central and eastern Europe at low incidence rates. Recent studies in foxes have shown that E. multilocularis has a wider geographic range (including Italy) than previously thought. In recent years, increases in fox populations have been observed in many European countries, especially in urban areas. As a result, the E. multilocularis cycle is now established in the urban environment. This presents an increased risk of infection for a large human population. Based on these facts and new epidemiological data, possible intervention strategies are presented.     

Challenges facing European agriculture and possible biotechnological solutions

Agriculture faces many challenges to maximize yields while it is required to operate in an environmentally sustainable manner. In the present study, we analyze the major agricultural challenges identified by European farmers (primarily related to biotic stresses) in 13 countries, namely Belgium, Bulgaria, the Czech Republic, France, Germany, Hungary, Italy, Portugal, Romania, Spain, Sweden, UK and Turkey, for nine major crops (barley, beet, grapevine, maize, oilseed rape, olive, potato, sunflower and wheat). Most biotic stresses (BSs) are related to fungi or insects, but viral diseases, bacterial diseases and even parasitic plants have an important impact on yield and harvest quality. We examine how these challenges have been addressed by public and private research sectors, using either conventional breeding, marker-assisted selection, transgenesis, cisgenesis, RNAi technology or mutagenesis. Both national surveys and scientific literature analysis followed by text mining were employed to evaluate genetic engineering (GE) and non-GE approaches. This is the first report of text mining of the scientific literature on plant breeding and agricultural biotechnology research. For the nine major crops in Europe, 128 BS challenges were identified with 40% of these addressed neither in the scientific literature nor in recent European public research programs. We found evidence that the private sector was addressing only a few of these “neglected” challenges. Consequently, there are considerable gaps between farmer’s needs and current breeding and biotechnology research. We also provide evidence that the current political situation in certain European countries is an impediment to GE research in order to address these agricultural challenges in the future. This study should also contribute to the decision-making process on future pertinent international consortia to fill the identified research gaps.     

A review of resistance breeding options targeting western corn rootworm (Diabrotica virgifera virgifera LeConte)

1 This review presents the latest research regarding maize resistance breeding against western corn rootworm (WCR) in the U.S.A. and Europe.
2 Investigations in Europe on the development of maize cultivars possessing resistant mechanisms against WCR are just beginning. In 2003, the European Commission implemented measures aimed at slowing down the spread of the WCR in Europe. Nevertheless, this pest has already been found in 20 countries of the European region. To establish a sustainable production system, the evaluation of native (nontransgenic) resistance in maize cultivars is essential.
3 This review emphasizes the future challenges involved in the research of native resistance breeding in maize against the insect.     

Origins of the Human Genome Project

The Human Genome Project has become a reality. Building on a debate that dates back to 1985, several genome projects are now in full stride around the world, and more are likely to form in the next several years. Italy began its genome program in 1987, and the United Kingdom and U.S.S.R. in 1988. The European communities mounted several genome projects on yeast, bacteria, Drosophila, and Arabidospis thaliana (a rapidly growing plant with a small genome) in 1988, and in 1990 commenced a new 2-year program on the human genome. In the United States, we have completed the first year of operation of the National Center for Human Genome Research at the National Institutes of Health (NIH), now the largest single funding source for genome research in the world. There have been dedicated budgets focused on genome-scale research at NIH, the U.S. Department of Energy, and the Howard Hughes Medical Institute for several years, and results are beginning to accumulate. There were three annual meetings on genome mapping and sequencing at Cold Spring Harbor, New York, in the spring of 1988, 1989, and 1990; the talks have shifted from a discussion about how to approach problems to presenting results from experiments already performed. We have finally begun to work rather than merely talk. The purpose of genome projects is to assemble data on the structure of DNA in human chromosomes and those of other organisms. A second goal is to develop new technologies to perform mapping and sequencing. There have been impressive technical advances in the past 5 years since the debate about the human genome project began. We are on the verge of beginning pilot projects to test several approaches to sequencing long stretches of DNA, using both automation and manual methods. Ordered sets of yeast artificial chromosome and cosmid clones have been assembled to span more than 2 million base pairs of several human chromosomes, and a region of 10 million base pairs has been assembled for Caenorhabditis elegans by a collaboration between Washington University and the Medical Research Council laboratory in Cambridge, U.K. This project is now turning to sequencing C. elegans DNA as a logical extension of this work. These are but the first fruits of the genome project. There is much more to come.     

Assessing the Sustainability of the Lithuanian Hazardous Waste Management System

Human activities generate waste, whose amounts tend to increase as the demand for quality of life becomes greater and greater. Hazardous waste (HW) generally makes up only about 1% of all waste in Europe; nevertheless, it presents a serious risk to the ecosystem and human health unless managed and treated safely. Several countries of the European Union (EU) report treatment rates of HW in excess of 40%; the others export a large portion of it. Notwithstanding that lots of efforts have been made to properly identify, treat, recycle, store, transport, and dispose of HW, this is still a hot topic faced by the governments of many EU countries. The objective of this article is to present a sustainable indicators system to assist in the implementation of a modern and sustainable hazardous waste management (HWM) system in Lithuania. The specific goals are (1) to promote the development of a comprehensive monitoring and enforcement system for timely implementation of HWM rules and other related pieces of legislation and (2) to assist in the implementation of training and awareness of the programs of HWM in support of the development of background data for policy making, including improvement of a hazardous waste identification scheme. The emphasis is put on preventing future discharges of HW by promoting the actions that will result in avoidance, recycling, or recovery of the otherwise hazardous waste.     

Virgin forests in Romania and Bulgaria: results of two national inventory projects and their implications for protection

Despite extensive forest destruction in the Middle Ages and later intensive commercial forest management, remnants of virgin forests remained spared in some Central, Eastern and South-Eastern European countries. These virgin forests are the last examples of original forests in this part of Europe. That is why their protection becomes an important issue of current European forestry and nature protection policy. But the knowledge about the location and the area of virgin forests in these countries is incomplete up till now. This article has the prime goal to present a conceptual framework what virgin forests might be (“A conceptual framework for defining of virgin forests” section). Based on this framework, a working methodology has been tested in Bulgaria and Romania (“Results of the two national projects in Romania and in Bulgaria” section and further). For this reason two projects have been carried out by the Royal Dutch Society of Nature Conservation (KNNV) in close co-operation with the Forestry Institutes in Romania and in Bulgaria. The results of these projects are described in general terms and further analysis in the future is necessary to describe specific features like forest structure and spatial heterogeneity of these forests. Based on the results of the inventory, principles of sustainable protection and management of the mapped virgin forests were defined and described in the research reports. The usefulness of the inventory became evident already during the EU pre-accession period of both countries while preparing the NATURA 2000 network. The remaining virgin forests of temperate Europe are an inexhaustible source of ecological information about biodiversity, structure, natural processes and overall functioning of undisturbed forest ecosystems. Their research will reveal information which can be used for ecological restoration of man-made forests which are degraded through intensive forestry practices over the last centuries. The last virgin forests of temperate Europe represent an irreplaceable part of the natural capital of Europe and are worth to be protected by law. Their last remnants in South-Eastern and Eastern Europe are endangered by commercial activities. A full inventory of remaining virgin forests in all countries of temperate Europe is a matter of highest urgency. A representative selection of virgin forest sites should be declared by UNESCO as World Heritage Sites.     

DNA 测序技术领域的相关政府投入分析

DNA测序技术是遗传工程的核心技术之一,发展快速和低成本的基因测序技术成为研究焦点。美国、欧盟等发达国家和地区大力支持DNA测序技术的创新研究,并投入了大量的科研经费。在美国,国家卫生研究院(NIH)下属的国家人类基因组研究院(NHGRI)、美国能源部(DOE)以及美国科学基金委(NSF)等机构是进行DNA测序技术相关项目经费分配的主要政府部门。DNA测序作为生命科学研究的关键技术也是欧盟框架计划资助的重要内容之一,其以多个欧洲国家间合作以及产学研合作的形式开展。中国在DNA测序技术领域也开展了一些研究。     

Childhood of a phoenix: modern biology in Eastern and South-Eastern Europe

With the expanding unification of Europe, the face of European science is changing. For some countries these changes are more pronounced than for others. Here, we survey the present state of science, most notably molecular biology research, in Eastern and South-Eastern European countries. We focus on the strategies these countries are taking in their quest for scientific excellence, discuss some of the acute challenges they face and explore several success stories in the making.     

Patentability of life and ethics

Patent law has relied in part on ethical considerations since its inception in Europe. Such considerations have been introduced more recently in the United States. Whereas the EU Directive on the protection on the occasion of the Human Genome Project of biotechnological inventions was intended to foster economic development in Europe, its implementation is outweighted by controversy about patenting life and commercialization of science. The confusion created must be cleared at the international level through harmonization of patent office policies preventing abusive commercial practices in the absence of inventiveness.     

Intelligence differences between European and oriental Jews in Israel

A number of studies have found that Ashkenazi Jews in the United States have a high average IQ. It has been proposed by Cochran, Hardy and Harpending (2006) that this can be explained by the occupational constraints imposed on the Ashkenazi for many centuries in Europe, when they were largely confined to money-lending. They propose that this selected for the high verbal and mathematical intelligence that has several times been found in American Ashkenazim. The current study investigates how far this theory holds for European and Oriental Jews in Israel. A review of studies shows that Oriental Jews in Israel have an average IQ 14 points lower than that of European (largely Ashkenazi) Jews. It is proposed that this difference can be explained in terms of the Cochran, Hardy and Harpending theory because Oriental Jews were permitted to engage in a much wider range of occupations and hence did not come under the selection pressure to develop the high verbal and mathematical intelligence that was present for Ashkenazim.     

The origin and spread of the new daisy rust in Britain

Since 1997, wild and cultivated daisies in Britain and other European countries have been suffering from a rust fungus epidemic that menaces the future cultivation of horticultural varieties. The causal fungus was first discovered in Australia 100 years ago and may have evolved there from another rust fungus on daisies previously introduced from Europe. At present, ornamental daisies can be grown successfully only when protected by fungicide sprays.     

Climate change and the recent emergence of bluetongue in Europe

Bluetongue, a devastating disease of ruminants, has historically made only brief, sporadic incursions into the fringes of Europe. However, since 1998, six strains of bluetongue virus have spread across 12 countries and 800 km further north in Europe than has previously been reported. We suggest that this spread has been driven by recent changes in European climate that have allowed increased virus persistence during winter, the northward expansion of Culicoides imicola, the main bluetongue virus vector, and, beyond this vector's range, transmission by indigenous European Culicoides species - thereby expanding the risk of transmission over larger geographical regions. Understanding this sequence of events may help us predict the emergence of other vector-borne pathogens.     

Complementary medicine in Europe.

Complementary or unconventional treatments are used by many doctors and other therapists throughout Europe. The major forms are acupuncture, homoeopathy, manual therapy or manipulation, and phytotherapy or herbal medicine. The relative popularity of therapies differs between countries, but public demand is strong and growing. Regulation of practitioners varies widely: in most countries only registered health professionals may practice, but in the United Kingdom practice is virtually unregulated. Germany and some Scandinavian countries have intermediate systems. Legal reforms are in progress in the Netherlands and the United Kingdom. European institutions are starting to influence the development of complementary medicine. Harmonisation of training and regulation of practitioners is the challenge for the future.