DSpace-CRIS 8

BACKGROUND: Physical and rehabilitation medicine (PRM) units promote health and autonomy. One way to achieve this is through physical activity (PA), yet research shows that individuals with physical impairments are not physically active. One way to motivate them is through adaptive sports (also named para sports), as this allows for a more enjoyable experience. Yet, it is unknown whether such activities are offered in PRM across Europe. The Special Interest Scientific Committees "Sports Affairs" of the European Society of PRM set out to fill this gap of knowledge. AIM: To explore the use of adaptive sports within PRM units in European countries, to collect information on these practices, and to identify any barriers limiting the development of this offer. To investigate how PRM health care professionals view and promote adaptive sports to their patients. DESIGN: Cross-sectional survey. SETTING: European PRM units. POPULATION: PRM health care professionals. METHODS: An online questionnaire was developed and disseminated across Europe. Healthcare professionals working in PRM were invited to respond anonymously. Their views on adaptive sports, as well as the actions they undertook to promote it, were scored, and statistical analyses were performed on these scores. RESULTS: A total of 190 health care professionals, from 31 different European countries, participated. Only 8 of the 31 countries seem to have adopted adaptive sports as a tool in PRM. The main barrier which limited the development of this across Europe was lack of infrastructure. Yet, the majority of health care professionals acknowledge that their patients would largely benefit from such activities. CONCLUSIONS: The offer of adaptive sports in European PRM is poor. Such activities are not systematically presented to patients with physical impairments. There is a need to improve the situation through structural and legislative changes on one end, but also by providing PRM professionals with adequate tools, resources and networks. CLINICAL REHABILITATION IMPACT: By identifying barriers which limit the use of adaptive sports as a therapeutic tool, this study suggests several strategies to develop this in the European field of PRM, as it may be a way to enhance its effectiveness.

The creation of digital reality environments has become one of the major manifestation and causes of concern in the development and application of digital technologies today. Because of their profound social, economic and humanistic implications, the development and applications of technological quantum realities are areas for ethical reflection and regulation. The question is, what are the basic assumptions underpinning the impact of ethical regulation that would enable the common development and application of a system of universal ethical principles in different regions and cultures of the world? It is important to design digital infrastructure that can better accommodate multicultural and pluralistic views from its foundations. It is insufficient to look at only the responses and influences of culture on technology with out considering how the quantum technology can be adapted in anticipation of, and to support, pluralistic multicultural perspectives in its original design.

This paper aims to analyse conical bone points from the Palanga and Šarnelė Stone Age sites situated in northwestern Lithuania. Both sites are wetland-type hunter-gatherer sites with good organic preservation. Conical points are part of osseous artefact collections at both sites, but so far, they have been little analysed in the eastern Baltic Stone Age hunter-gatherer material. This paper presents six artefacts, which have been studied from a typological and technological point of view. Their chronology has been supplemented by AMS 14C dating. Two projectiles are engraved, and their decorative elements have been observed under a stereoscopic microscope. The results indicate that a certain type of conical projectiles had been in use before the appearance of ceramics in hunter-gatherer daily life, but most of the artefacts analysed in this work would fall into the 5th and 4th millennium BC. The decoration found on the surface of two artefacts is typical of the conical points and is prevalent in the eastern Baltic region.

Background. Treatment with angiotensin-converting-enzyme (ACE) inhibitors reduces the rate of cardiovascular events among patients with left-ventricular dysfunction and those at high risk of such events. We assessed whether the ACE inhibitor perindopril reduced cardiovascular risk in a low-risk population with stable coronary heart disease and no apparent heart failure. Methods We recruited patients from October, 1997, to June, 2000. 13 655 patients were registered with previous myocardial infarction (64%), angiographic evidence of coronary artery disease (61%), coronary revascularisation (55%), or a positive stress test only (5%). After a run-in period of 4 weeks, in which all patients received perindopril, 12 218 patients were randomly assigned perindopril 8 mg once daily (n=6110), or matching placebo (n=6108). The mean follow-up was 4.2 years, and the primary endpoint was cardiovascular death, myocardial infarction, or cardiac arrest. Analysis was by intention to treat...

Recent comprehensive data provided through the DAISIE project (www.europe-aliens.org) have facilitated the development of the first pan-European assessment of the impacts of alien plants, vertebrates, and invertebrates – in terrestrial, freshwater, and marine environments – on ecosystem services. There are 1094 species with documented ecological impacts and 1347 with economic impacts. The two taxonomic groups with the most species causing impacts are terrestrial invertebrates and terrestrial plants. The North Sea is the maritime region that suffers the most impacts. Across taxa and regions, ecological and economic impacts are highly correlated. Terrestrial invertebrates create greater economic impacts than ecological impacts, while the reverse is true for terrestrial plants. Alien species from all taxonomic groups affect “supporting”, “provisioning”, “regulating”, and “cultural” services and interfere with human well-being. Terrestrial vertebrates are responsible for the greatest range of impacts, and these are widely distributed across Europe. Here, we present a review of the financial costs, as the first step toward calculating an estimate of the economic consequences of alien species in Europe.

1 Pathways describe the processes that result in the introduction of alien species from one location to another. A framework is proposed to facilitate the comparative analysis of invasion pathways by a wide range of taxa in both terrestrial and aquatic ecosystems. Comparisons with a range of data helped identify existing gaps in current knowledge of pathways and highlight the limitations of existing legislation to manage introductions of alien species. The scheme aims for universality but uses the European Union as a case study for the regulatory perspectives. 2 Alien species may arrive and enter a new region through three broad mechanisms: importation of a commodity, arrival of a transport vector, and/or natural spread from a neighbouring region where the species is itself alien. These three mechanisms result in six principal pathways: release, escape, contaminant, stowaway, corridor and unaided. 3 Alien species transported as commodities may be introduced as a deliberate release or as an escape from captivity. Many species are not intentionally transported but arrive as a contaminant of a commodity, for example pathogens and pests. Stowaways are directly associated with human transport but arrive independently of a specific commodity, for example organisms transported in ballast water, cargo and airfreight. The corridor pathway highlights the role transport infrastructures play in the introduction of alien species. The unaided pathway describes situations where natural spread results in alien species arriving into a new region from a donor region where it is also alien. 4 Vertebrate pathways tend to be characterized as deliberate releases, invertebrates as contaminants and plants as escapes. Pathogenic micro-organisms and fungi are generally introduced as contaminants of their hosts. The corridor and unaided pathways are often ignored in pathway assessments but warrant further detailed consideration. 5 Synthesis and applications. Intentional releases and escapes should be straightforward to monitor and regulate but, in practice, developing legislation has proved difficult. New introductions continue to occur through contaminant, stowaway, corridor and unaided pathways. These pathways represent special challenges for management and legislation. The present framework should enable these trends to be monitored more clearly and hopefully lead to the development of appropriate regulations or codes of practice to stem the number of future introductions.

The accelerating rates of international trade, travel, and transport in the latter half of the twentieth century have led to the progressive mixing of biota from across the world and the number of species introduced to new regions continues to increase. The importance of biogeographic, climatic, economic, and demographic factors as drivers of this trend is increasingly being realized but as yet there is no consensus regarding their relative importance. Whereas little may be done to mitigate the effects of geography and climate on invasions, a wider range of options may exist to moderate the impacts of economic and demographic drivers. Here we use the most recent data available from Europe to partition between macroecological, economic, and demographic variables the variation in alien species richness of bryophytes, fungi, vascular plants, terrestrial insects, aquatic invertebrates, fish, amphibians, reptiles, birds, and mammals. Only national wealth and human population density were statistically significant predictors in the majority of models when analyzed jointly with climate, geography, and land cover. The economic and demographic variables reflect the intensity of human activities and integrate the effect of factors that directly determine the outcome of invasion such as propagule pressure, pathways of introduction, eutrophication, and the intensity of anthropogenic disturbance. The strong influence of economic and demographic variables on the levels of invasion by alien species demonstrates that future solutions to the problem of biological invasions at a national scale lie in mitigating the negative environmental consequences of human activities that generate wealth and by promoting more sustainable population growth.