Between Consumerism and Protectionism: Attitudes towards Children, Consumption and the Media in Estonia

ERIC Educational Resources Information Center

Keller, Margit; Kalmus, Veronika

2009-01-01

This study measures attitudes towards children's vulnerability or empowerment within consumer culture, based on data from a representative population survey (N = 1475) conducted in Estonia in 2005. The study use indices comprised of assessments of consumption practices and assertions pertaining to the "endangered vs empowered child"…

Factors That Influence Students' Motivation to Start and to Continue Studying Information Technology in Estonia

ERIC Educational Resources Information Center

Kori, Külli; Pedaste, Margus; Altin, Heilo; Tõnisson, Eno; Palts, Tauno

2016-01-01

Despite the high competition for places to study curricula related to information technology (IT) at the higher education level in Estonia, a large number of IT students drop out. Therefore, it is important to explore what influences students to start studying IT and what influences them to persist with their degree program. In this study, data…

A feasibility study of municipal solid waste incineration fly ash utilisation in Estonia.

PubMed

Berber, Hakan; Frey, Ruedi; Voronova, Viktoria; Koroljova, Arina

2017-09-01

The purpose of this paper is to discuss the alternative environmental management options for the utilisation of municipal solid waste (MSW) incineration fly ash (FA), which is generated at Iru Power Plant where MSW is incinerated in Estonia. To determine sustainable and economically feasible environmental management options for MSW incineration FA in Estonia, CO 2 sequestration with a further carbonation process was examined. A partial Cost & Benefit Analysis has been conducted to compare the carbonation process to the current situation. Two carbonation options were developed. Option 1 is to use carbonated FA in any other processes based on the waste-to-product principle. Option 2 is to send carbonated FA to the non-hazardous landfill in Tallinn, Estonia. Important parameters, such as Net Present Value (NPV), Internal Rate of Return (IRR), Benefit-Cost Ratio (BCR) and Break Even Point (BEP), have been calculated for carbonation options and the current case. In addition, a sensitivity analysis has been conducted to examine its robustness. The results showed that the best option is carbonation Option 1 with NPV of 9,209,662 EUR, IRR of 43%, BCR of 2.63 and BEP between 2018 and 2019. Both Options 1 and 2 constitute more sustainable and environmentally friendly management options compared to the current situation. It can be concluded that this preliminary feasibility study showed that running a carbonation plant may be profitable and sustainable for Estonia. Currently, there is no treatment technology for MSW incineration FA in Estonia and FA is sent to a neighbouring country for further utilisation. This is the first study to demonstrate FA management options with economic and environmental benefits.

After the MV Estonia ferry disaster A Swedish nationwide survey of the relatives of the MV Estonia victims

PubMed Central

Brandänge, Kristina; Gustavsson, J. Petter

2000-01-01

Just after midnight on the 28th of September 1994, the Estonian-flagged ro-ro passenger ferry MV Estonia was shipwrecked on its route between Tallinn and Stockholm. Out of about 1000 persons on board only 137 survived. This paper describes the work that the Psychiatric Clinic at Ersta Hospital performed with the relatives of the MV Estonia victims after the disaster, in addition, we present data from seven consecutive Swedish nationwide surveys based on a questionnaire, which started as a correspondence between the hospital and the relatives of the Estonia victims. Findings concerning the care relatives received and issues regarding their collaboration with the decisionmaking authorities are presented. The importance of inviting the relatives to participate in discussions concerning the Estonia victims is stressed. PMID:22034392

Estonia Country Analysis Brief

EIA Publications

2015-01-01

Since restoring its independence in 1991, Estonia has fully liberalized its electricity and gas markets. The strengthening of the Baltic electricity market, integration with the Nordic market, and the establishment of a regional gas market are priorities for Estonia.

Bilingual Voicing: A Study of Code-Switching in the Reported Speech of Finnish Immigrants in Estonia

ERIC Educational Resources Information Center

Frick, Maria; Riionheimo, Helka

2013-01-01

Through a conversation analytic investigation of Finnish-Estonian bilingual (direct) reported speech (i.e., voicing) by Finns who live in Estonia, this study shows how code-switching is used as a double contextualization device. The code-switched voicings are shaped by the on-going interactional situation, serving its needs by opening up a context…

University Studies as a Side Job: Causes and Consequences of Massive Student Employment in Estonia

ERIC Educational Resources Information Center

Beerkens, Maarja; Magi, Eve; Lill, Liis

2011-01-01

Student employment is increasingly common in many countries. Compared to earlier decades, not only more students work but they also work longer hours. Among European countries Estonia is one of the clear "leaders" in student employment. This study uses survey data from 2,496 students in Estonian public and private universities to examine…

Wolves Recolonizing Islands: Genetic Consequences and Implications for Conservation and Management.

PubMed

Plumer, Liivi; Keis, Marju; Remm, Jaanus; Hindrikson, Maris; Jõgisalu, Inga; Männil, Peep; Kübarsepp, Marko; Saarma, Urmas

2016-01-01

After a long and deliberate persecution, the grey wolf (Canis lupus) is slowly recolonizing its former areas in Europe, and the genetic consequences of this process are of particular interest. Wolves, though present in mainland Estonia for a long time, have only recently started to recolonize the country's two largest islands, Saaremaa and Hiiumaa. The main objective of this study was to analyse wolf population structure and processes in Estonia, with particular attention to the recolonization of islands. Fifteen microsatellite loci were genotyped for 185 individuals across Estonia. As a methodological novelty, all putative wolf-dog hybrids were identified and removed (n = 17) from the dataset beforehand to avoid interference of dog alleles in wolf population analysis. After the preliminary filtering, our final dataset comprised of 168 "pure" wolves. We recommend using hybrid-removal step as a standard precautionary procedure not only for wolf population studies, but also for other taxa prone to hybridization. STRUCTURE indicated four genetic groups in Estonia. Spatially explicit DResD analysis identified two areas, one of them on Saaremaa island and the other in southwestern Estonia, where neighbouring individuals were genetically more similar than expected from an isolation-by-distance null model. Three blending areas and two contrasting transition zones were identified in central Estonia, where the sampled individuals exhibited strong local differentiation over relatively short distance. Wolves on the largest Estonian islands are part of human-wildlife conflict due to livestock depredation. Negative public attitude, especially on Saaremaa where sheep herding is widespread, poses a significant threat for island wolves. To maintain the long-term viability of the wolf population on Estonian islands, not only wolf hunting quota should be targeted with extreme care, but effective measures should be applied to avoid inbreeding and minimize conflicts with local communities and stakeholders.

Astronomy in the society and culture of Estonia

NASA Astrophysics Data System (ADS)

Leedjärv, Laurits

2011-06-01

History and present state of astronomy in a small North-Eastern European country are considered. There is a rather big number (about 35) of professional astronomers in Estonia, including 21 IAU members. Through some outstanding persons, astronomy in Estonia has significant relations with the society. The same can be said about the culture. Well-developed astronomy has contributed into the cooperation of Estonia with the European Space Agency, and thus, has an indirect effect to the country's economy.

Trends in self-rated health and association with socioeconomic position in Estonia: data from cross-sectional studies in 1996-2014.

PubMed

Põld, Mariliis; Pärna, Kersti; Ringmets, Inge

2016-12-08

Self-rated health (SRH) and socioeconomic position (SEP) as important determinants of health differences are associated with health and economic changes in society. The objectives of this paper were (1) to describe trends in SRH and (2) to analyze associations between SRH and SEP among adults in Estonia in 1996-2014. The study was based on a 25-64-year-old subsample (n = 18757) of postal cross-sectional surveys conducted every second year in Estonia during 1990-2014. SRH was measured using five-point scale and was dichotomized to good and less-than-good. Standardized prevalence of SRH was calculated for each study year. Poisson regression with likelihood ratio test was performed for testing trends of SRH over study years. Age, nationality, marital status, education, work status and income were used to determine SEP. Logistic regression analysis was used to assess association between SRH and SEP. The prevalence of dichotomized good self-rated health increased significantly over the whole study period with slight decrease in 2008-2010. Until 2002, good SRH was slightly more prevalent among men, but after that, among women. Good SRH was significantly associated with younger age, higher education and income and also with employment status among both, men and women. Good SRH was more prevalent among Estonian women and less prevalent among single men. There was a definite increase of good SRH over two decades in Estonia following economic downturn between 2008 and 2010. Good SRH was associated with higher SEP over the study period. Further research is required to study the possible reasons behind increase of good SRH, and it's association with SEP among adults in Estonia.

Explaining the Difference between PISA 2009 Reading Scores in Finland and Estonia

ERIC Educational Resources Information Center

Mikk, Jaan

2015-01-01

The aim of the study was to explain the difference between the Programme for International Student Assessment (PISA) 2009 reading results for Finland and Estonia using characteristics of teaching and learning, and characteristics of the overall development of these countries. PISA data were collected via a reading test and student questionnaires…

E-Learning as Innovation: Exploring Innovativeness of the VET Teachers' Community in Estonia

ERIC Educational Resources Information Center

Loogma, Krista; Kruusvall, Juri; Umarik, Meril

2012-01-01

In this article, the acceptance of e-learning by teachers of vocational secondary and professional higher education institutions (hereafter: VET teachers) in Estonia has been analysed. The analysis is based on questionnaire study, carried out in 2007. The theoretical framework of the article has been inspired by Everett Rogers' innovation…

Family- and Classroom-Related Factors and Mother-Kindergarten Teacher Trust in Estonia and Finland

ERIC Educational Resources Information Center

Kikas, Eve; Lerkkanen, Marja-Kristiina; Pakarinen, Eija; Poikonen, Pirjo-Liisa

2016-01-01

This study examined the role of family-related (mother's education, depressive symptoms and child's gender) and kindergarten-related (teacher's experience, teaching practices and class size) factors in mothers' and teachers' mutual trust in Estonia and Finland. Six hundred eighteen (206 Estonian and 412 Finnish) mothers of kindergarten children…

Mothers' Trust toward Teachers in Relation to Teaching Practices

ERIC Educational Resources Information Center

Lerkkanen, Marja-Kristiina; Kikas, Eve; Pakarinen, Eija; Poikonen, Pirjo-Liisa; Nurmi, Jari-Erik

2013-01-01

This study examined the extent to which mothers' trust toward the classroom teacher of their child in first grade is related to observed teaching practices in Finland and Estonia. Sixty-six teachers (32 in Finland, 34 in Estonia) were observed using the Early Childhood Classroom Observation Measure (ECCOM; Stipek & Byler, 2004). Mothers in…

Adoption of National Curricula by Vocational Teachers in Estonia

ERIC Educational Resources Information Center

Rekkor, Sirje; Ümarik, Meril; Loogma, Krista

2013-01-01

This article aims to study the adoption of national curricula by vocational teachers. In the paper, we review the process of vocational education and training curriculum reform in Estonia over the last 20 years, and, in particular, the introduction of national curricula. As teachers should be considered the key agents of curricular change, we look…

Why Do People Engage in Corruption? The Case of Estonia

ERIC Educational Resources Information Center

Tavits, Margit

2010-01-01

This study uses survey data for 2004 on the general public (N = 788) and public officials (N = 791) in the young post-communist democracy of Estonia to examine individual-level determinants of corruption. The results indicate that both public officials and citizens are more likely to engage in corruption when they do not define corruption as…

Educational inequalities in self-rated health: whether post-socialist Estonia and Russia are performing better than 'Scandinavian' Finland.

PubMed

Vöörmann, Rein; Helemäe, Jelena

2015-03-01

The aim of the study is to analyse relationship between self-rated health (SRH) and education in post-socialist countries (Estonia and Russia) and in Finland, a Scandinavian country. Data from the 5th wave of the European Social Survey (ESS) carried out in 2010 were used. In particular, we used a sub-sample of the 25-69 years old. Two-step analysis was carried out: descriptive overview of relationship between SRH and education to assess the knowledge-related impact of education on SRH in pooled model for all three countries; and logistic regression analysis to evaluate separate models in each country. The prevalence of at-least-good health was the highest in Finland, Estonia occupied the second position and Russia the third. Knowledge-related educational inequalities were lower in Russia compared to Finland, while they were of similar magnitude in Estonia and Finland. Our expectations that knowledge-based inequalities are lower in post-socialist countries compared to a Scandinavian country turn to be true in case of Russia, not Estonia. Possible reasons for the expectations might be a lack of attention paid to educational inequalities in terms of access to social resources, competitiveness in the labour market and to what extent education provide a tool against uncertainty (preventing work- and unemployment-related stress). Series of comparative studies revealing links between certain institutional packages and (socio-economic and knowledge-related) educational inequalities seem to be of special relevance.

DefenseLink.mil - Special Report - Travels With Gates

Science.gov Websites

of Estonia Estonia Defense Secretary Robert M. Gates holds a press conference after the Tallinn High . Sgt. Jerry Morrison Defense Secretary Robert M. Gates holds a press conference after the Tallinn High . Sgt. Jerry Morrison Defense Secretary Robert M. Gates walks with the Prime Minister of Estonia Andrus

Exploring the Role of Migrants in Transnational Occupational Learning Processes in Estonia-Finland Space

ERIC Educational Resources Information Center

Alenius, Pauliina

2016-01-01

The aim of the study was to examine the role of migrants in cross-border learning in occupational contexts. The research data included 78 semi-structured and 20 life-course interviews with people who had migrated from Estonia to Finland or who were transmigrating between these countries. The interview data were analysed qualitatively through a…

Does School Admission by Zoning Affect Educational Inequality? A Study of Family Background Effect in Estonia, Finland, and Sweden

ERIC Educational Resources Information Center

Põder, Kaire; Lauri, Triin; Veski, Andre

2017-01-01

We indicate the size of family background effects in Sweden, Finland, and Estonia--countries that differ in both the rhetoric and extensiveness of the system-level school choice policies. Family background effect is defined as the dependence of student achievement on family background characteristics, such as parental education, income, and social…

Restrictions to Pharmacy Ownership and Vertical Integration in Estonia—Perception of Different Stakeholders

PubMed Central

Gross, Marit; Volmer, Daisy

2016-01-01

Objectives: From 2020, the ownership of community pharmacies in Estonia will be limited to the pharmacy profession, and the vertical integration of wholesale companies and community pharmacies will not be allowed. The aim of this study was to evaluate the perception of different stakeholders in primary healthcare toward the new regulations of the community pharmacy sector in Estonia. Methods: A qualitative electronic survey was distributed to the main stakeholders in primary healthcare and higher education institutions providing pharmacy education (n = 40) in May 2015. For data analysis, the systematic text condensation method was used. Results: The study participants described two opposing positions regarding the development of community pharmacies in the future. Reform supporters emphasized increased professional independence and more healthcare-oriented operation of community pharmacies. Reform opponents argued against these ideas as community pharmacists do not have sufficient practical experience and finances to ensure sustainable development of the community pharmacy sector in Estonia. Conclusion: Based on the current perception of all respondents, the future operation of the community pharmacy sector in Estonia is unclear and there is urgent need for implementation criteria for the new regulations. PMID:28970391

Reducing exposure to high fluoride drinking water in Estonia-a countrywide study.

PubMed

Indermitte, Ene; Saava, Astrid; Karro, Enn

2014-03-14

Fluoride is a naturally occurring contaminant in groundwater in Estonia. There are several regions in Estonia with fluoride contents in public water supplies as high as 7 mg/L. Long-term exposure to high-fluoride drinking water may have several adverse health effects, primarily dental fluorosis. The opportunities for exposure reduction rely highly on water treatment technologies. Since 2004 public water suppliers in Estonia have made efforts to diminish fluoride content in drinking water systems. A follow-up study on a country level was carried out in 2004-2012 to analyze the changes in population exposure to excessive (over 1.5 mg/L) fluoride in drinking water and to get information about the reduction methods applied by public water supplies (PWS) to optimize the fluoride levels in public water system. The results showed that bigger PWS have been more effective in fluoride reduction measures than small PWS. The main methods used to lower the fluoride content were reverse osmosis technology and replacement of water sources with new ones (new drilled wells). As a result of all the measures taken the overall high-fluoride exposure has been reduced substantially (82%).

Wolves Recolonizing Islands: Genetic Consequences and Implications for Conservation and Management

PubMed Central

Remm, Jaanus; Hindrikson, Maris; Jõgisalu, Inga; Männil, Peep; Kübarsepp, Marko; Saarma, Urmas

2016-01-01

After a long and deliberate persecution, the grey wolf (Canis lupus) is slowly recolonizing its former areas in Europe, and the genetic consequences of this process are of particular interest. Wolves, though present in mainland Estonia for a long time, have only recently started to recolonize the country’s two largest islands, Saaremaa and Hiiumaa. The main objective of this study was to analyse wolf population structure and processes in Estonia, with particular attention to the recolonization of islands. Fifteen microsatellite loci were genotyped for 185 individuals across Estonia. As a methodological novelty, all putative wolf-dog hybrids were identified and removed (n = 17) from the dataset beforehand to avoid interference of dog alleles in wolf population analysis. After the preliminary filtering, our final dataset comprised of 168 “pure” wolves. We recommend using hybrid-removal step as a standard precautionary procedure not only for wolf population studies, but also for other taxa prone to hybridization. STRUCTURE indicated four genetic groups in Estonia. Spatially explicit DResD analysis identified two areas, one of them on Saaremaa island and the other in southwestern Estonia, where neighbouring individuals were genetically more similar than expected from an isolation-by-distance null model. Three blending areas and two contrasting transition zones were identified in central Estonia, where the sampled individuals exhibited strong local differentiation over relatively short distance. Wolves on the largest Estonian islands are part of human-wildlife conflict due to livestock depredation. Negative public attitude, especially on Saaremaa where sheep herding is widespread, poses a significant threat for island wolves. To maintain the long-term viability of the wolf population on Estonian islands, not only wolf hunting quota should be targeted with extreme care, but effective measures should be applied to avoid inbreeding and minimize conflicts with local communities and stakeholders. PMID:27384049

Revegetation processes and environmental conditions in abandoned peat production fields in Estonia

NASA Astrophysics Data System (ADS)

Orru, M.; Orru, H.

2009-04-01

As a result of peat extraction, peat production has been finished in Estonia at different times in 154 peat production areas and 9,500 ha (~1% of peatlands) are abandoned, although the peat reserves are not exhausted yet; besides, several areas are not properly recultivated. In addition 12,000 ha of fens (oligotrophic peat layers) are drained and used as grasslands. If the abandoned and non-recultivated peat production areas are not vegetated, their CO2 emission is considerable and peat mineralises in such areas. The aim of the study was to find out specific ecological and geological factors, which affect recovering of peatlands and influence the recultivation. During the revision the amount and quality of the remained reserves, as well as the state of water regime, drainage network and revegetation was assessed in all 154 abandoned peat production areas. The study showed that the state of them is very variable. Some of them are covered with forest, prevailingly with birches at former drainage ditches, later supplemented by pine trees. In the others predominate grasses among plants, and various species of moss (Cladonia rei, Bryum caespiticum, Sphagnum ripariuma, Sphagnum squarrosum) occur as well. Besides, some abandoned areas are completely overgrown with cotton grass. Open abandoned peat areas, which are not covered by vegetation, are much rarer. We found out, that water regime among the factors plays most important role. Moreover abandoned peat production fields, where the environmental conditions have changed - are appropriate for growth of several moss species, which cannot inhabit the areas already occupied by other species. The most interesting discovers were: second growing site of Polia elongata in West-Estonia and Ephemerum serratum, last found in Estonia in the middle of the 19th century, was identified in central Estonia. Also Campylopus introflexus, what was unknown in Estonia. However, the changes in environmental conditions influence the peat layers structure and technical characteristics of organic soils that affect the vegetation of peatlands.

The recent economic recession and self-rated health in Estonia, Lithuania and Finland: a comparative cross-sectional study in 2004-2010.

PubMed

Reile, Rainer; Helakorpi, Satu; Klumbiene, Jurate; Tekkel, Mare; Leinsalu, Mall

2014-11-01

The late-2000s financial crisis had a severe impact on the national economies on a global scale. In Europe, the Baltic countries were among those most affected with more than a 20% decrease in per capita gross domestic product in 2008-2009. In this study, we explored the effects of economic recession on self-rated health in Estonia and Lithuania using Finland, a neighbouring Nordic welfare state, as a point of reference. Nationally representative cross-sectional data for Estonia (n=10 966), Lithuania (n=7249) and Finland (n=11 602) for 2004-2010 were analysed for changes in age-standardised prevalence rates of less-than-good self-rated health and changes in health inequalities using logistic regression analysis. The prevalence of less-than-good self-rated health increased slightly (albeit not statistically significantly) in all countries during 2008-2010. This was in sharp contrast to the statistically significant decline in the prevalence of less-than-good health in 2004-2008 in Estonia and Lithuania. Health disparities were larger in Estonia and Lithuania when compared to Finland, but decreased in 2008-2010 (in men only). In Finland, both the prevalence of less-than-good health and health disparities remained fairly stable throughout the period. Despite the rapid economic downturn, the short-term health effects in Estonia and Lithuania did not differ from those in Finland, although the recession years marked the end of the previous positive trend in self-rated health. The reduction in health disparities during the recession indicates that different socioeconomic groups were affected disproportionately; however, the reasons for this require further research. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

The Affective Dimension of Religion and Personal Happiness among Students in Estonia

ERIC Educational Resources Information Center

Francis, Leslie J.; Elken, Ahto; Robbins, Mandy

2012-01-01

A sample of 150 students in Estonia (119 from a secular university and 31 from a Lutheran theological institute) completed the Oxford Happiness Measure and the Francis Scale of Attitude toward Christianity. The data show no significant correlation between these two variables; thus the findings challenge the generalizability to Estonia of the…

Europeanization in the "Other" Europe: Writing the Nation into "Europe" Education in Slovakia and Estonia

ERIC Educational Resources Information Center

Michaels, Deborah L.; Stevick, E. Doyle

2009-01-01

How is the tension between renewed nationalist and European narratives of belonging being unfolded in the curricula, discourse, and practice of civic education in Slovakia and Estonia. As two post-socialist territories that were "reborn" as independent nation-states in the 1990s, Slovakia and Estonia were confronted with pressure to…

How Do Preschool Children Engage Each Other in Dialogue in Finland, Estonia and Sweden?

ERIC Educational Resources Information Center

Tryggvason, Marja-Terttu; Tulviste, Tiia; De Geer, Boel

2008-01-01

The present study compares preschool children in Finland, Estonia and Sweden regarding linguistic structures with which children in dyads elicited talk from each other in a naturalistic play activity. Nineteen Finnish (mean age 5.1), 19 Estonian (mean age 5.4) and 17 Swedish (mean age 5.1) same-sex pairs were video-recorded by a native researcher.…

An Examination of the Flynn Effect in the National Intelligence Test in Estonia

ERIC Educational Resources Information Center

Shiu, William

2012-01-01

This study examined the Flynn Effect (FE; i.e., the rise in IQ scores over time) in Estonia from Scale B of the National Intelligence Test using both classical test theory (CTT) and item response theory (IRT) methods. Secondary data from two cohorts (1934, n = 890 and 2006, n = 913) of students were analyzed, using both classical test theory (CTT)…

Preschool Achievement in Finland and Estonia: Cross-Cultural Comparison between the Cities of Helsinki and Tallinn

ERIC Educational Resources Information Center

Ojala, Mikko; Talts, Leida

2007-01-01

Each child In Finland and in Estonia receives preschool training for a year before going to school, based on a new national framework curriculum of preschool education. The aim of the present study was to compare children's learning achievements in nine target areas, based on the teacher's evaluations at the end of the preschool year, in both…

Prevalence of macrolide and fluoroquinolone resistance-mediating mutations in Mycoplasma genitalium in five cities in Russia and Estonia

PubMed Central

Shipitsyna, Elena; Rumyantseva, Tatiana; Golparian, Daniel; Khayrullina, Guzel; Lagos, Amaya C.; Edelstein, Inna; Joers, Kai; Jensen, Jörgen S.; Savicheva, Alevtina; Rudneva, Natalia; Sukhanova, Larisa; Kozlov, Roman; Guschin, Alexander

2017-01-01

Background and objective Resistance in the sexually transmitted bacterium Mycoplasma genitalium to all recommended therapeutic antimicrobials have rapidly emerged. However, to date, internationally reported resistance surveillance data for M. genitalium strains circulating in Eastern Europe are entirely lacking. The aim of this study was to estimate the prevalence of macrolide and fluoroquinolone resistance-associated mutations in M. genitalium in four cities in Russia and one in Estonia, 2013–2016. Materials and methods Consecutive urogenital samples found positive for M. genitalium during diagnostic testing were retrospectively analyzed for resistance-associated mutations in the 23S rRNA and parC genes using pyrosequencing and conventional Sanger sequencing, respectively. Results In total, 867 M. genitalium positive samples from 2013–2016 were analyzed. Macrolide resistance-associated mutations were detected in 4.6% of the samples from Russia (0.7–6.8% in different cities) and in 10% of the samples from Estonia. The mutations A2059G and A2058G were highly predominating in both Russia and Estonia, accounting together for 90.9% of the cases positive for nucleotide substitutions in the 23S rRNA gene. The rates of possible fluoroquinolone resistance-associated mutations were 6.2% in Russia (2.5–7.6% in different cities) and 5% in Estonia. The mutations S83I and S83N were the most frequent ones in Russia (24.4% each), whereas D87N highly predominated in Estonia (83.3% of all fluoroquinolone resistance-associated mutations). Approximately 1% of the samples in both countries harbored both macrolide and possible fluoroquinolone resistance-associated mutations, with A2058G and S83I being the most frequent combination (37.5%). Conclusions The prevalence of macrolide and fluoroquinolone resistance-associated mutations in M. genitalium was 4.6% and 6.2%, respectively, in Russia, and 10% and 5%, respectively, in Estonia. Despite the relatively low rates of macrolide and fluoroquinolone resistance in these countries, antimicrobial resistance surveillance and testing for resistance-associated mutations in M. genitalium positive cases would be valuable. PMID:28407014

Prevalence of macrolide and fluoroquinolone resistance-mediating mutations in Mycoplasma genitalium in five cities in Russia and Estonia.

PubMed

Shipitsyna, Elena; Rumyantseva, Tatiana; Golparian, Daniel; Khayrullina, Guzel; Lagos, Amaya C; Edelstein, Inna; Joers, Kai; Jensen, Jörgen S; Savicheva, Alevtina; Rudneva, Natalia; Sukhanova, Larisa; Kozlov, Roman; Guschin, Alexander; Unemo, Magnus

2017-01-01

Resistance in the sexually transmitted bacterium Mycoplasma genitalium to all recommended therapeutic antimicrobials have rapidly emerged. However, to date, internationally reported resistance surveillance data for M. genitalium strains circulating in Eastern Europe are entirely lacking. The aim of this study was to estimate the prevalence of macrolide and fluoroquinolone resistance-associated mutations in M. genitalium in four cities in Russia and one in Estonia, 2013-2016. Consecutive urogenital samples found positive for M. genitalium during diagnostic testing were retrospectively analyzed for resistance-associated mutations in the 23S rRNA and parC genes using pyrosequencing and conventional Sanger sequencing, respectively. In total, 867 M. genitalium positive samples from 2013-2016 were analyzed. Macrolide resistance-associated mutations were detected in 4.6% of the samples from Russia (0.7-6.8% in different cities) and in 10% of the samples from Estonia. The mutations A2059G and A2058G were highly predominating in both Russia and Estonia, accounting together for 90.9% of the cases positive for nucleotide substitutions in the 23S rRNA gene. The rates of possible fluoroquinolone resistance-associated mutations were 6.2% in Russia (2.5-7.6% in different cities) and 5% in Estonia. The mutations S83I and S83N were the most frequent ones in Russia (24.4% each), whereas D87N highly predominated in Estonia (83.3% of all fluoroquinolone resistance-associated mutations). Approximately 1% of the samples in both countries harbored both macrolide and possible fluoroquinolone resistance-associated mutations, with A2058G and S83I being the most frequent combination (37.5%). The prevalence of macrolide and fluoroquinolone resistance-associated mutations in M. genitalium was 4.6% and 6.2%, respectively, in Russia, and 10% and 5%, respectively, in Estonia. Despite the relatively low rates of macrolide and fluoroquinolone resistance in these countries, antimicrobial resistance surveillance and testing for resistance-associated mutations in M. genitalium positive cases would be valuable.

HYPEST study: profile of hypertensive patients in Estonia

PubMed Central

2011-01-01

Background More than one third of adult population in Estonia has problems with elevated blood pressure (BP). The Hypertension in Estonia (HYPEST) study represents the country's first hypertension-targeted sample collection aiming to examine the epidemiological and genetic determinants for hypertension (HTN) and related cardiovascular diseases (CVD) in Estonian population. The HYPEST subjects (n = 1,966) were recruited across Estonia between 2004-2007 including clinically diagnosed HTN cases and population-based controls. The present report is focused on the clinical and epidemiological profile of HYPEST cases, and gender-specific effects on the pathophysiology of hypertension. Methods Current analysis was performed on 1,007 clinically diagnosed HTN patients (617 women and 390 men) aged 18-85 years. The hypertensives were recruited to the study by BP specialists at the North Estonia Medical Center, Centre of Cardiology, Tallinn or at the Cardiology Clinic, Tartu University Hospital, Estonia. Longitudinal BP data was extracted retrospectively from clinical records. Current and retrospective data of patient's medical history, medication intake and lifestyle habits were derived from self-administrated questionnaire and each variable was examined separately for men and women. Eleven biochemical parameters were measured from fasting serum samples of 756 patients. Results The distribution of recruited men and women was 39% and 61% respectively. Majority of Estonian HTN patients (85%) were overweight (BMI ≥ 25 kg/m2) and a total of 79% of patients had additional complications with cardiovascular system. In men, the hypertension started almost 5 years earlier than in women (40.5 ± 14.5 vs 46.1 ± 12.7 years), which led to earlier age of first myocardial infarction (MI) and overall higher incidence rate of MI among male patients (men 21.2%, women 8.9%, P < 0.0001). Heart arrhythmia, thyroid diseases, renal tubulo-intestinal diseases and hyperlipidemia were more prevalent in hypertensive women compared to men (P < 0.0001). An earlier age of HTN onset was significantly associated with smoking (P = 0.00007), obesity (BMI ≥ 30 kg/m2; P = 0.0003), increased stress (P = 0.0003) and alcohol consumption (P = 0.004). Conclusion Understanding the clinical profile of HTN patients contributes to CVD management. Estonian hypertension patients exhibited different disease and risk profiles of male and female patients. This well-characterized sample set provides a good resource for studying hypertension and other cardiovascular phenotypes. PMID:21880150

Do Treatment Policies for Proximal Humerus Fractures Differ among Three Nordic Countries and Estonia? Results of a Survey Study.

PubMed

Launonen, A P; Lepola, V; Laitinen, M; Mattila, V M

2016-09-01

Proximal humerus fractures are common fragility injuries. The incidence of these fractures has been estimated to be 82-105 per 105 person-years. Treatment of this fracture, especially in the elderly, is controversial. Our study group published a systematic review of the available literature and concluded that non-operative methods are favored over operative methods in three- and four-part fractures. The aim of this multinational study was to compare treatment policies for proximal humerus fractures among the Nordic countries and Estonia. The study was conducted as a questionnaire-based survey, using the Internet-based program, Webropol(®) (webropol.com). The questionnaire link was sent to the surgeons responsible for treating proximal humerus fractures in major public hospitals in Estonia, Finland, Norway, and Sweden. Questionnaire included questions regarding the responder's hospital, patient characteristics, and examinations taken before decision making. Clinical part included eight example patient cases with treatment options. Of the 77 recipients of the questionnaire, 59 responded; consequently, the response rate was 77%. Based on the eight presented displaced fracture examples, in both Estonia and Norway and in Finland, 41% and 38%, respectively, preferred surgical treatment with locking plate. In Sweden, the percentage was 28%. The pre- and post-operative protocols showed a similarity in all participant countries. Our survey revealed a remarkable uniformity in the current practice of operative treatments and rehabilitation for proximal humerus fractures in the participant countries. © The Finnish Surgical Society 2016.

The Security Concerns of the Baltic States as NATO Allies

DTIC Science & Technology

2013-08-01

Defence Col- lege in Tartu, Estonia, the military higher college of Estonia, Latvia, and Lithuania. Dr. Corum was a pro - fessor at the U.S. Army...Estonia, along with Finland , became the most modern, literate, and advanced regions of the Old Russian Empire. A cultural revival in the 19th...States were part of Europe designated as the Soviet sphere of influence, along with Eastern Poland and parts of Romania and Finland . The Soviet

Internet-based recruitment system for HIV and STI screening for men who have sex with men in Estonia, 2013: analysis of preliminary outcomes.

PubMed

Ruutel, K; Lohmus, L; Janes, J

2015-04-16

The aim of the current project was to develop an Internet-based recruitment system for HIV and sexually transmitted infection (STI) screening for men who have sex with men (MSM) in Estonia in order to collect biological samples during behavioural studies. In 2013, an Internet-based HIV risk-behaviour survey was conducted among MSM living in Estonia. After completing the questionnaire, all participants were offered anonymous and free-of-charge STI testing. They could either order a urine sample kit by post to screen for chlamydia infections (including lymphogranuloma venereum (LGV)), trichomoniasis, gonorrhoea and Mycoplasma genitalium infections, or visit a laboratory for HIV, hepatitis A virus, hepatitis B virus,hepatitis C virus and syphilis screening. Of 301 participants who completed the questionnaire, 265 (88%),reported that they were MSM. Of these 265 MSM,68 (26%) underwent various types of testing. In the multiple regression analysis, Russian as the first language,previous HIV testing and living in a city or town increased the odds of testing during the study. Linking Internet-based behavioural data collection with biological sample collection is a promising approach. As there are no specific STI services for MSM in Estonia,this system could also be used as an additional option for anonymous and free-of-charge STI screening.

Nutrient inputs into the Gulf of Finland: Trends and water protection targets

NASA Astrophysics Data System (ADS)

Knuuttila, Seppo; Räike, Antti; Ekholm, Petri; Kondratyev, Sergey

2017-07-01

The catchment area of the Gulf of Finland (GOF) is nearly 14 times larger than the sea area and is home to 12 million people. The GOF is thus heavily polluted by nutrients, and eutrophication is one of the major environmental concerns. The aim of this study was to estimate trends in the nutrient input and to evaluate whether current water protection targets (national, EU, HELCOM) will be achieved. We used both national and international (HELCOM) databases to evaluate nutrient inputs from the surrounding three countries (Estonia, Finland and Russia). The average nitrogen (N) input into the GOF was 112,000 t y- 1 for the period 2009-2013, with rivers responsible for 79%, direct point sources accounting for 10% and deposition for 11% of the input. Phosphorus (P) input was 4270 t y- 1, of which rivers were responsible for 88% and point sources for 12%. The largest proportions (61% for N and 73% for P) of the inputs came from Russia, despite the specific areal inputs (input divided by land area) being smaller than in Estonia and Finland. The changes in nutrient inputs into the GOF are largely due to the changes in Russian inputs, and in particular changes in the nutrient fluxes of the River Neva. The latest available flow-normalised data showed that N export decreased slightly from 1994 to 2010, while flow-normalised P export had clearly decreased by 2010. The P input ending up in the GOF as a whole has decreased significantly over the past 10 years as a result of the re-construction of wastewater treatment infrastructure in St Petersburg and following control of a P leak at the Phosphorit factory in 2012. This measure also explains the steep decrease in riverine P export during recent years. Further reduction of inputs to meet the ambitious nutrient reduction goals of HELCOM and of WFD seems to be a challenge for Finland and Estonia in particular. Russia appears to have already reached approximately 90% of the BSAP's reduction target, with fulfilment of the remainder of the P target appearing a fairly realistic aim as well.

The social costs of alcohol misuse in Estonia.

PubMed

Saar, Indrek

2009-01-01

The aim of this study was to estimate the social costs of alcohol misuse in Estonia in 2006. Using a prevalence-based cost-of-illness approach, both direct and indirect costs were considered, including tangible costs associated with health care, criminal justice, rescue services, damage to property, premature mortality, incarceration, incapability of working due to illnesses, and lower labor productivity. The results show that alcohol misuse cost Estonia more than EUR 200 million in 2006. The costs involved are estimated to represent 1.6% of the gross domestic product (GDP), which is relatively high in comparison with many other countries. In addition, the state receives less receipts from the alcohol excise tax than the costs that it incurs as a consequence of alcohol misuse, which points to the existence of economic inefficiency with respect to the alcohol market. The results of this study suggest that there is definitely a need for further cost-benefit analysis to reach a conclusion regarding the possible utility of government intervention. Copyright 2008 S. Karger AG, Basel.

2 CFR 176.90 - Non-application to acquisitions covered under international agreements.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., Bulgaria, Canada, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong..., Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg...

Attitudes of Major Soviet Nationalities. Volume II. The Baltics. Estonia, Latvia, Lithuania.

DTIC Science & Technology

1973-06-01

acquired wide popularity (and probably snob appeal ). Kafka, Ionesco and Dostoyevsky were available to Soviet Estonians earlier than to the Russian reading...Estonia . chided as snob appeal ). Of Estonia’s 757 general schools, 556 (i.e. 71) use Estonian, 90 use Russian and 60 are mixed. 2 The same applies to...novels whicr combine literary quality with national appeal ro 2 ’), collective farm realism at its best (M. Traatl), realisti> lezcription of city life

Energy and the environment in the Baltic Sea region: A study of cooperative action from the Estonian perspective

NASA Astrophysics Data System (ADS)

Brauer, Alex P.

Due to their geographic proximity and shared natural resources, cooperation on energy-related and environmental issues is particularly important for the nine countries surrounding the Baltic Sea. Currently, two projects are underway that have placed the level of cooperation within the region under the microscope: the environmental management work undertaken by the Helsinki Commission for the Convention on the Protection of the Marine Environment of the Baltic Sea Area (HELCOM) and the Nord Stream pipeline project, which, when completed, will provide the direct transportation of natural gas from Russia to Germany via the Baltic seafloor. Although both have been declared inclusive and decidedly Baltic ventures by some regional actors, reception of the cooperative efforts amongst the littoral Baltic countries has been markedly different. This study addresses these varying reactions by examining Estonia's participation in and subsequent perspectives on the HELCOM and Nord Stream projects. A theoretical framework grounded in the discipline of international relations is utilized to analyze Estonia's role in the projects and its position as a small state in a regional context. The primary areas of focus are how historical experiences and current levels of cooperation in the two endeavors have shaped Estonia's responses and, ultimately, its 'realist' perception of global politics. The study concludes that Estonia appears to have more substantive participation in HELCOM than in the Nord Stream project because of the tendency of states to securitize and, thus, prioritize the energy policy area over the environmental. Estonian foreign policy behavior, however, perpetuates the state-centric and power-centered policy processes that dominate the international political system.

Perceived effectiveness of antiretroviral therapy, self-rated health and treatment adherence among HIV-positive people who inject drugs in Estonia.

PubMed

Chan, Pui Y; Joseph, Michael A; Des Jarlais, Don C; Uusküla, Anneli

2018-01-01

The HIV epidemic in Estonia affects the population of people who inject drugs (PWID) the most, but factors associated with adherence to antiretroviral therapy (ART) among PWID have not been thoroughly examined in Estonia, with particularly limited data regarding beliefs and attitudes of PWID. The objective of this study was to explore the association between ART adherence and individual beliefs, perceived effectiveness of ART, and self-rated health in particular, in this specific population. The study used baseline survey data from a longitudinal intervention study of HIV prevention among PWID in Estonia, in which 107 HIV-infected participants reported current use of ART. Current adherence was measured through the use of a visual analog scale. Approximately half (49%) of the participants reported optimal (≥95%) adherence. The vast majority (81%) believed in the effectiveness of ART. Less than a quarter of the participants (22%) rated their health as good or very good, and a half (52%) reported average health. Individual beliefs and self-reported health were not associated with ART adherence in both bivariate and multivariable analyses. Participants with problem drinking reported significant suboptimal adherence to ART (adjusted odds ratio [AOR] 0.42, 95% CI 0.19-0.97). Daily injection drug use was also associated with suboptimal adherence (AOR 0.34, 95% CI 0.13-0.91). Problem drinking has not been commonly reported as a factor of suboptimal ART adherence among PWID; further research would be useful to identify the pathways that might be involved.

Development of the European Health Interview Survey - Physical Activity Questionnaire (EHIS-PAQ) to monitor physical activity in the European Union.

PubMed

Finger, Jonas D; Tafforeau, Jean; Gisle, Lydia; Oja, Leila; Ziese, Thomas; Thelen, Juergen; Mensink, Gert B M; Lange, Cornelia

2015-01-01

A domain-specific physical activity questionnaire (EHIS-PAQ) was developed in the framework of the second wave of the European Health Interview Survey (EHIS). This article presents the EHIS-PAQ and describes its development and evaluation processes. Research institutes from Belgium, Estonia and Germany participated in the Improvement of the EHIS (ImpEHIS) Grant project issued by Eurostat. The instrument development process comprised a non-systematic literature review and a systematic HIS/HES database search for physical activity survey questions. The developed EHIS-PAQ proposal was reviewed by survey experts. Cognitive testing of the EHIS-PAQ was conducted in Estonia and Germany. The EHIS-PAQ was further tested in a pilot survey in Belgium, Estonia and Germany in different modes of data collection, face-to-face paper and pencil interview (PAPI) and computer assisted telephone interview (CATI). The EHIS-PAQ is a rather pragmatic tool aiming to evaluate how far the population is physically active in specific public health relevant settings. It assesses work-related, transport-related and leisure-time physical activity in a typical week. Cognitive testing revealed that the EHIS-PAQ worked as intended. The pilot testing showed the feasibility of using the EHIS-PAQ in an international health interview survey setting in Europe. It will be implemented in all 28 European Union Member States via European Union implementing regulation in the period between 2013 and 2015. This will be a first opportunity to get comparable data on domain-specific physical activity in all 28 EU MS and to publish indicators at the EU level. The EHIS-PAQ is a short, domain-specific PA questionnaire based on PA questions which have been used in large-scale health interview surveys before. It was designed by considering the respondents' perspective in answering PA questions.

Rapid socio-economic changes, psychosocial factors and prevalence of hypertension among men and women aged 55 years at baseline in Estonia: a 13-year follow-up study.

PubMed

Sammul, Sirje; Viigimaa, Margus

2018-05-27

Hypertension is an important public health problem which causes premature morbidity and mortality. Cardiovascular diseases are responsible for about 55% of deaths in Estonia. was to assess, through a follow-up period, the prevalence of hypertension and to observe which risk factors of cardiovascular disease impact the occurrence of the disease. The second aim of the study was to evaluate the role of psychosocial factors and personality traits among individuals with a diagnosis of hypertension. The 330 subjects from Estonia, aged 55 years at baseline, from among whom 219 participated at follow-up. A cross-sectional study based on a self-reported questionnaire was conducted. Over 13 years, the prevalence of hypertension increased from 4% to 53%. Obese (body mass index ≥30 kg/m 2 ) individuals were four times more likely to belong to the hypertension group (p < .01). Among individuals with hypertension the depressed mood score was ≥4 points (max. 9 points) in 54.3% of participants. Depressed mood was linked with experiencing negative stressful life events (B = 0.047, 95% CI 0.016; 0.079; p < .01). Mastery had a protective impact on depressed mood. The self-rated quality of life score was lower among subjects with hypertension than among those who were not diagnosed with hypertension (p < .05). According to the 13-year follow-up study, rapid socio-economic changes in Estonia have affected psychosocial health factors among 55-year-old individuals with a diagnosis of hypertension. There is a significant relationship between obesity and the development of hypertension.

Diversity in mental fatigue and social profile of patients with myasthenia gravis in two different Northern European countries.

PubMed

Sabre, Liis; Westerberg, Elisabet; Liik, Maarika; Punga, Anna R

2017-04-01

Self-estimated health can be used for comparison of different diseases between countries. It is important to elaborate on whether disparities in self-estimated health are due to disease-specific parameters or socioeconomic differences. In this study, we aimed at evaluating clinical and social similarities and differences in myasthenia gravis (MG) patients between comparable regions in two Baltic Sea countries, Estonia and Sweden. This cross-sectional study included southern counties in Sweden and Estonia of comparable size. All patients with a confirmed MG diagnosis were asked to answer two questionnaires including demographic and disease-specific data, lifestyle issues, and mental fatigue (Fatigue Severity Scale [FSS]). Clinical fatigue was assessed objectively through the Quantitative Myasthenia Gravis Score (QMG). Thirty-six of 92 identified patients in Estonia and 40 of 70 identified MG patients in Sweden chose to participate in the study. The demographic characteristics and symptoms reported by the patients were similar. QMG score did not differ; however, the Estonian patients scored their current subjective disease severity significantly higher (5.6 ± 2.8) compared to the Swedish patients (3.4 ± 2.3, p  = .0005). Estonian patients also had significantly higher FSS scores (5.0 ± 1.7) than Swedish patients (3.5 ± 1.6; p  = .001). Swedish patients were more active and performed physical activity more regularly (29.1% in Estonia and 74.2% in Sweden, p  = .004). Although, the patients had comparable clinical fatigue, Estonian patients evaluated their health state as being more severe and reported more mental fatigue than Swedish patients. These data indicate large regional differences in disease perception of MG, which is important to consider in international studies.

Cross-Sectional Study of Anti-Trichinella Antibody Prevalence in Domestic Pigs and Hunted Wild Boars in Estonia.

PubMed

Kärssin, Age; Velström, Kaisa; Gómez-Morales, Maria Angeles; Saar, Tiiu; Jokelainen, Pikka; Lassen, Brian

2016-09-01

Trichinella spp. are relevant zoonotic pathogens in Estonia. The aim of this nationwide cross-sectional study was to estimate the seroprevalence of Trichinella spp. in domestic pigs (Sus scrofa domestica) and hunted wild boars (Sus scrofa). Serum samples from 374 pigs, originating from 14 farms, and meat juice samples from 470 wild boars were tested for immunoglobulin G antibodies against Trichinella excretory/secretory antigens using a commercial enzyme-linked immunosorbent assay (ELISA). Antibodies against Trichinella were not detected in the domestic pigs, indicating effective parasite control strategies in the farms. By contrast, 42.1% of the wild boars tested positive, indicating substantial infection pressure in the sylvatic cycle. Further analysis of a subset of the wild boar samples, using another ELISA and Western blot, yielded a confirmed seroprevalence estimate of 17.4%. A substantial proportion of wild boars in Estonia had evidence of exposure to Trichinella spp. and may have carried infective larvae. Undercooked Estonian wild boar meat is a potential source of Trichinella spp. infections to humans and other hosts.

Estonian greenhouse gas emissions inventory report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Punning, J.M.; Ilomets, M.; Karindi, A.

1996-07-01

It is widely accepted that the increase of greenhouse gas concentrations in the atmosphere due to human activities would result in warming of the Earth`s surface. To examine this effect and better understand how the GHG increase in the atmosphere might change the climate in the future, how ecosystems and societies in different regions of the World should adapt to these changes, what must policymakers do for the mitigation of that effect, the worldwide project within the Framework Convention on Climate Change was generated by the initiative of United Nations. Estonia is one of more than 150 countries, which signedmore » the Framework Convention on Climate Change at the United Nations Conference on Environment and Development held in Rio de Janeiro in June 1992. In 1994 a new project, Estonian Country Study was initiated within the US Country Studies Program. The project will help to compile the GHG inventory for Estonia, find contemporary trends to investigate the impact of climate change on the Estonian ecosystems and economy and to formulate national strategies for Estonia addressing to global climate change.« less

Knee replacement and Diagnosis-Related Groups (DRGs): patient classification and hospital reimbursement in 11 European countries.

PubMed

Tan, Siok Swan; Chiarello, Pietro; Quentin, Wilm

2013-11-01

Researchers from 11 countries (Austria, England, Estonia, Finland, France, Germany, Ireland, Netherlands, Poland, Spain, and Sweden) compared how their Diagnosis-Related Group (DRG) systems deal with knee replacement cases. The study aims to assist knee surgeons and national authorities to optimize the grouping algorithm of their DRG systems. National or regional databases were used to identify hospital cases treated with a procedure of knee replacement. DRG classification algorithms and indicators of resource consumption were compared for those DRGs that together comprised at least 97 % of cases. Five standardized case scenarios were defined and quasi-prices according to national DRG-based hospital payment systems ascertained. Grouping algorithms for knee replacement vary widely across countries: they classify cases according to different variables (between one and five classification variables) into diverging numbers of DRGs (between one and five DRGs). Even the most expensive DRGs generally have a cost index below 2.00, implying that grouping algorithms do not adequately account for cases that are more than twice as costly as the index DRG. Quasi-prices for the most complex case vary between euro 4,920 in Estonia and euro 14,081 in Spain. Most European DRG systems were observed to insufficiently consider the most important determinants of resource consumption. Several countries' DRG system might be improved through the introduction of classification variables for revision of knee replacement or for the presence of complications or comorbidities. Ultimately, this would contribute to assuring adequate performance comparisons and fair hospital reimbursement on the basis of DRGs.

Significance of action plans in the development of occupational well-being in the schools of Finland and Estonia.

PubMed

Laine, Sari; Saaranen, Terhi; Pertel, Tiia; Hansen, Siivi; Lepp, Kädi; Tossavainen, Kerttu

2016-02-01

This article is part of a long term project "Promoting the Occupational Well-Being of School Staff-Action Research Project in Finland and Estonia, 2009-2014." The purpose of this article is to describe the significance of action plans in the promotion of the occupational well-being of primary and upper secondary school staff in Finland and Estonia from 2010 to the turn of the year 2011-2012. An electronic open questionnaire was sent to occupational well-being groups in Finland (N=18) and in Estonia (N=39). In Finland, the questionnaire was responded to by 16 (n=16) occupational well-being groups, and in Estonia, by 38 (n=38) groups. The qualitative data were analyzed using the inductive-deductive method and content analysis. The obtained results indicate that the schools had named goals for action plans in all aspects of the promotion of occupational well-being in schools (worker and work, working conditions, professional competence, working community) and that these goals were mainly realized in the schools in a systematic way. Schools felt that the action plan for occupational well-being helped them to set goals for occupational well-being and that the planned actions were realized in a more systematic way than before. Copyright © 2015 Elsevier Ltd. All rights reserved.

Hyperspectral radiometer for automated measurement of global and diffuse sky irradiance

NASA Astrophysics Data System (ADS)

Kuusk, Joel; Kuusk, Andres

2018-01-01

An automated hyperspectral radiometer for the measurement of global and diffuse sky irradiance, SkySpec, has been designed for providing the SMEAR-Estonia research station with spectrally-resolved solar radiation data. The spectroradiometer has been carefully studied in the optical radiometry laboratory of Tartu Observatory, Estonia. Recorded signals are corrected for spectral stray light as well as for changes in dark signal and spectroradiometer spectral responsivity due to temperature effects. Comparisons with measurements of shortwave radiation fluxes made at the Baseline Surface Radiation Network (BSRN) station at Tõravere, Estonia, and with fluxes simulated using the atmospheric radiative transfer model 6S and Aerosol Robotic Network (AERONET) data showed that the spectroradiometer is a reliable instrument that provides accurate estimates of integrated fluxes and of their spectral distribution. The recorded spectra can be used to estimate the amount of atmospheric constituents such as aerosol and column water vapor, which are needed for the atmospheric correction of spectral satellite images.

The contribution of the Estonian Soil Sciences Society to the science, society and education

NASA Astrophysics Data System (ADS)

Rossner, Helis; Reintam, Endla; Astover, Alar; Shanskiy, Merrit

2015-04-01

Predecessor of todays Estonian Soil Science Society was Estonian Branch of All-Union Soil Society of Soil Scientist which acted from 1957 to 1991. In 1957-1964 Estonian Branch was leaded by prof. Osvald Hallik and in 1964-1991 by prof. Loit Reintam. After re-independence of Estonia in 1991 the society acted in informal way and was leaded by prof. L. Reintam. Non-profit organization "Estonian Soil Science Society" was officially (re)established in 10.23.2009. Estonian Soil Science Society (ESSS) is aimed to: • coordinate collaboration between institutions and individuals intrested of soil science, conservation and sustainable use of soils; • promoting soil science education and research, raising awareness of publicity on topics relating to soils in Estonia; • cooperation between local and foreign unions and associations. In recent years the ESSS had managed to reunite the number of soil scientist from different research institutions of Estonia and of related institutions. Also, the ESSS had provided numerous of materials based on later scientific findings. One of most important activity leaded by ESSS is the organizing Soil Day in Estonia with relevant seminar, where the speakers are sharing latest information with target group (researchers, teachers, policy makers, farmers, students etc.). In a frames of Soil Day the Soil of the Year is selected for Estonia. In 2015, the soil of the year is Leptosol. For current, International Year of the Soil ESSS had planned numerous activities to introduce the importance of soils to wider audience. In current presentation we would like to share the soil science researchers experience through- out the decades of soil science research in Estonia, show our latest findings and designed activities for the International Year of SOIL.

Eliminating Rabies in Estonia

PubMed Central

Cliquet, Florence; Robardet, Emmanuelle; Must, Kylli; Laine, Marjana; Peik, Katrin; Picard-Meyer, Evelyne; Guiot, Anne-Laure; Niin, Enel

2012-01-01

The compulsory vaccination of pets, the recommended vaccination of farm animals in grazing areas and the extermination of stray animals did not succeed in eliminating rabies in Estonia because the virus was maintained in two main wildlife reservoirs, foxes and raccoon dogs. These two species became a priority target therefore in order to control rabies. Supported by the European Community, successive oral vaccination (OV) campaigns were conducted twice a year using Rabigen® SAG2 baits, beginning in autumn 2005 in North Estonia. They were then extended to the whole territory from spring 2006. Following the vaccination campaigns, the incidence of rabies cases dramatically decreased, with 266 cases in 2005, 114 in 2006, four in 2007 and three in 2008. Since March 2008, no rabies cases have been detected in Estonia other than three cases reported in summer 2009 and one case in January 2011, all in areas close to the South-Eastern border with Russia. The bait uptake was satisfactory, with tetracycline positivity rates ranging from 85% to 93% in foxes and from 82% to 88% in raccoon dogs. Immunisation rates evaluated by ELISA ranged from 34% to 55% in foxes and from 38% to 55% in raccoon dogs. The rabies situation in Estonia was compared to that of the other two Baltic States, Latvia and Lithuania. Despite regular OV campaigns conducted throughout their territory since 2006, and an improvement in the epidemiological situation, rabies has still not been eradicated in these countries. An analysis of the number of baits distributed and the funding allocated by the European Commission showed that the strategy for rabies control is more cost-effective in Estonia than in Latvia and Lithuania. PMID:22393461

Education Policy Outlook: Estonia

ERIC Educational Resources Information Center

Fraccola, Sylvain; Field, Simon; Figueroa, Diana Toledo; Peterka, Judith; Jankova, Bojana; Golden, Gillian

2016-01-01

This policy profile on education in Estonia is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across OECD countries. Building on the OECD's substantial comparative and sectoral knowledge base, the series offers a comparative outlook on education policy by providing…

Educational differences in cigarette smoking among adult population in Estonia, 1990-2010: does the trend fit the model of tobacco epidemic?

PubMed

Pärna, Kersti; Pürjer, Mari-Liis; Ringmets, Inge; Tekkel, Mare

2014-07-10

In developed countries, smoking spreads through society like an epidemic in which adults from higher socioeconomic groups are the first to adopt and earlier to quit smoking, and in which exists a lag in adoption of smoking between men and women. The objective of this study was to describe trends in daily and occasional smoking, to investigate association between smoking status and education, and to examine if the associations in 1990-2010 in Estonia fit the pattern predicted by the model of tobacco epidemic. The study was based on a 20-64-year-old subsample (n = 18740) of nationally representative postal cross-sectional surveys conducted every second year in Estonia during 1990-2010. Cigarette smoking and education were examined. χ2 test for trend was used to determine daily and occasional smoking trends over study years. Multinomial logistic regression model was used to test educational differences in daily and occasional smoking for every study year. Adjusted relative risk ratios (RRRs) with 95% confidence intervals were calculated. In 1990-2010, daily smoking varied largely between genders showing decreasing trend among men, but not among women. In 2010, one third of men and one fifth of women were daily smokers. Daily smoking was not clearly associated with education among men in 1990-1994 and among women in 1990-2000. Men revealed inverse relationship between daily smoking and education since 1996, but women since 2002. In 2010, compared to men and women with higher education, relative risk ratio of daily smoking was 2.92 (95% CI = 2.01-4.25) among men and 2.29 (95% CI = 1.65-3.17) among women with secondary education, but 4.98 (95% CI 3.12-7.94) among men and 6.62 (95% CI = 4.07-10.76) among women with basic education.In 1990-2010, occasional smoking was stable and similar (varying between 7-10%) among men and women, no association with education was found. Daily smoking patterns in Estonia fit the model of tobacco epidemic in developed countries. Educational differences in daily smoking highlight the importance of addressing smoking behaviour in the general population by educational subgroups in Estonia.

Organizational Learning of Higher Education Institutions: The Case of Estonia

ERIC Educational Resources Information Center

Voolaid, Karen; Ehrlich, Üllas

2017-01-01

Purpose: This paper aims to measure the organizational learning in two of Estonia's Higher Education Institutions (HEI) and identify connections between the organizational learning and various characteristics of HEI, such as ownership form and market participation rate. Design/methodology/approach: Watkins and Marsick's learning organization…

Maternal and paternal genetic diversity of ancient sheep in Estonia from the Late Bronze Age to the post-medieval period and comparison with other regions in Eurasia.

PubMed

Rannamäe, E; Lõugas, L; Niemi, M; Kantanen, J; Maldre, L; Kadõrova, N; Saarma, U

2016-04-01

Sheep were among the first domesticated animals to appear in Estonia in the late Neolithic and became one of the most widespread livestock species in the region from the Late Bronze Age onwards. However, the origin and historical expansion of local sheep populations in Estonia remain poorly understood. Here, we analysed fragments of the hypervariable D-loop of mitochondrial DNA (mtDNA; 213 bp) and the Y-chromosome SRY gene (130 bp) extracted from 31 archaeological sheep bones dated from approximately 800 BC to 1700 AD. The ancient DNA data of sheep from Estonia were compared with ancient sheep from Finland as well as a set of contemporary sheep breeds from across Eurasia in order to place them in a wider phylogeographical context. The analysis shows that: (i) 24 successfully amplified and analysed mtDNA sequences of ancient sheep cluster into two haplogroups, A and B, of which B is predominant; (ii) four of the ancient mtDNA haplotypes are novel; (iii) higher mtDNA haplotype diversity occurred during the Middle Ages as compared to other periods, a fact concordant with the historical context of expanding international trade during the Middle Ages; (iv) the proportion of rarer haplotypes declined during the expansion of sheep from the Near Eastern domestication centre to the northern European region; (v) three male samples showed the presence of the characteristic northern European haplotype, SNP G-oY1 of the Y-chromosome, and represent the earliest occurrence of this haplotype. Our results provide the first insight into the genetic diversity and phylogeographical background of ancient sheep in Estonia and provide basis for further studies on the temporal fluctuations of ancient sheep populations. © 2016 Stichting International Foundation for Animal Genetics.

Efficacy of convenience sampling through the internet versus respondent driven sampling among males who have sex with males in Tallinn and Harju County, Estonia: challenges reaching a hidden population.

PubMed

Johnston, Lisa Grazina; Trummal, Aire; Lohmus, Liilia; Ravalepik, Ardi

2009-09-01

This paper examines challenges obtaining representative samples of males who have sex with males (MSM) in Estonia and provides descriptive HIV behavioral data gathered from four cross-sectional surveys; three using the internet, and one using respondent driven sampling (RDS) to recruit MSM in Tallinn and Harju County. Estonian MSM were sampled between March and May in 2004 (n=193), August and November in 2005 (n=146) and September and December in 2007 (n=238) using internet websites. MSM in Tallinn and Harju County were sampled between April and June in 2007 (n=59) using RDS. Recruitment of MSM using RDS did not acquire the calculated sample size. The RDS study reached a less diverse group of MSM than did the internet studies which recruited a larger proportion of MSM who were older, bisexual, having female sexual partners during the last six months, and unlikely to have been tested for HIV. The findings and observations presented in this paper could inform researchers in Estonia, and the region, about the efficacy of and socio-cultural challenges to sampling MSM to collect HIV biological and/or behavioral data.

Reducing Exposure to High Fluoride Drinking Water in Estonia—A Countrywide Study

PubMed Central

Indermitte, Ene; Saava, Astrid; Karro, Enn

2014-01-01

Fluoride is a naturally occurring contaminant in groundwater in Estonia. There are several regions in Estonia with fluoride contents in public water supplies as high as 7 mg/L. Long-term exposure to high-fluoride drinking water may have several adverse health effects, primarily dental fluorosis. The opportunities for exposure reduction rely highly on water treatment technologies. Since 2004 public water suppliers in Estonia have made efforts to diminish fluoride content in drinking water systems. A follow-up study on a country level was carried out in 2004–2012 to analyze the changes in population exposure to excessive (over 1.5 mg/L) fluoride in drinking water and to get information about the reduction methods applied by public water supplies (PWS) to optimize the fluoride levels in public water system. The results showed that bigger PWS have been more effective in fluoride reduction measures than small PWS. The main methods used to lower the fluoride content were reverse osmosis technology and replacement of water sources with new ones (new drilled wells). As a result of all the measures taken the overall high-fluoride exposure has been reduced substantially (82%). PMID:24637908

Differential Effects of Linguistic Imperialism on Second Language Learning: Americanisation in Puerto Rico Versus Russification in Estonia.

ERIC Educational Resources Information Center

Clachar, Arlene

1998-01-01

Explores how Americanization and Russification differed in terms of their imperialist language policies and how these policies led two colonialized societies, Puerto Rico and Estonia, to respond in dramatically different ways to the pressures to learn English and Russian respectively. (Author/VWL)

Technology and Culture in Modern Russia

DTIC Science & Technology

2007-12-01

the altered spelling of Estonia: “eSStonia” makes a reference to the Nazi Waffen SS units of World War II, effectively accusing Estonia of fascism...Russian-speaking population on their territory. Any discussion of honoring the Latvian Legion, a World War II Nazi Waffen SS unit in which tens of

Stakeholder Perspectives: CLIL Programme Management in Estonia

ERIC Educational Resources Information Center

Mehisto, Peeter; Asser, Hiie

2007-01-01

In 2000, Estonia launched a voluntary Estonian language CLIL programme for seven year-olds in four Russian-medium schools. The programme has expanded rapidly to a total of 48 kindergartens and schools. This paper reports on research into stakeholder perspectives on programme management. In addition to surveying parents, teachers, vice-principals…

International Business Education in Estonia--from Socialism to Capitalism.

ERIC Educational Resources Information Center

Palm, Thomas

1995-01-01

Issues in reform of international business and economics education at Tartu University (Estonia) are discussed, including need for faculty development, faculty reallocation, and redistribution of resources within the country's new social and economic context. It is argued that reform depends on effective integration of foreign experts with more…

The cultural dimension of tightness-looseness: An analysis of situational constraint in Estonia and Greece.

PubMed

Realo, Anu; Linnamägi, Karmen; Gelfand, Michele J

2015-06-01

The importance of tightness-looseness as a dimension that explains a considerable amount of variance between cultures was demonstrated by Gelfand et al. (2011). Tight nations have many strong norms and a low tolerance of deviant behaviour, whereas loose nations have weak social norms and a high tolerance of deviant behaviour. The main aim of the current studies was to examine situational constraint in Estonia and Greece: that is, how the cultural dimension of tightness-looseness is manifested in everyday situations in those two countries. The findings of a questionnaire study (Study 1) suggested that, in general, there is higher constraint across everyday situations in Greece than in Estonia, but situational constraint in Greece is especially strong in school and organisational settings where people have hierarchically structured roles. The results of an observational study (Study 2) revealed a relatively high agreement between appropriateness of certain behaviours as judged by the respondents in Study 1 and the frequencies of observed behaviours in the two countries. Our findings suggest that the strength of situations may substantially vary both within and across cultures, and that the attitudes of the members about situational strength in their respective cultures are in concordance with observations of situations by neutral observers in how people in general behave in their culture. © 2014 International Union of Psychological Science.

Suicidal ideation, risk factors, and communication with parents. An HBSC study on school children in Estonia, Lithuania, and Luxembourg.

PubMed

Mark, Lauraliisa; Samm, Algi; Tooding, Liina-Mai; Sisask, Merike; Aasvee, Katrin; Zaborskis, Apolinaras; Zemaitiene, Nida; Värnik, Airi

2013-01-01

Suicide is a leading cause of death among youth. In the year 2002, Lithuania had the 2nd, Luxembourg the 5th, and Estonia the 9th highest suicide rates among 15- to 19-year-olds across 90 countries worldwide. Suicidal ideation is a significant precursor to suicide. To report on the prevalence of and associations between suicidal ideation, smoking, alcohol consumption, physical fighting, bullying, and communication with parents among 15-year-old schoolchildren. The survey analyzes data from the 2005/2006 HBSC study from Estonia, Lithuania, and Luxembourg (N = 4,954). The risk factors were calculated through multinomial logistic regression analyses. The overall prevalence of suicidal ideation in the preceding year was 17%. Suicidal thoughts were associated with communication difficulties with parents (OR from 2.0 to 4.6) and other risk factors, especially multiple risks (OR for 4-5 concurrent risk factors from 4.5 to 13.6). Parent-child communication had a significant mediating effect by decreasing the odds for suicidality and multiple risks. The prevalence estimates were obtained by self-reports. The causal relationships need further investigation. The risk factors studied, particularly multiple risks, were associated with higher odds for suicidal ideation. Good parent-child communication is a significant resource for decreasing suicidal ideation among adolescents.

A rapid situation assessment of the market for surrogate and illegal alcohols in Tallinn, Estonia.

PubMed

Pärna, Kersti; Lang, Katrin; Raju, Kadi; Väli, Marika; McKee, Martin

2007-01-01

To understand the phenomenon of consumption of surrogate and illegal alcohols in Tallinn, capital of Estonia. This study, conducted in Tallinn in May 2006, used rapid situation assessment. Interviews with key informants in relevant settings such as emergency departments of hospitals, accommodation for the homeless, police etc. (n = 22), with alcohol abusers (n = 33), natural observations of surrogate sale and consumption venues (n = 46), and tracking of trade data were carried out. Key informants confirmed that consumption of illegal and surrogate alcohols are widely used by alcohol abusers, a finding confirmed by the alcohol abusers. Availability of surrogates varied by area of the city, mainly sold from street kiosks. Illegally produced spirits were also easily available. Sales of surrogates appear to have increased in recent years. A range of alcohol-containing substances that appear to be easily available at low cost, and that have high concentration of ethanol or contaminants known to be toxic, were identified in Tallinn. Alcohol policies in Estonia should address the consumption and availability of these substances.

Proliferative kidney disease (PKD) agent Tetracapsuloides bryosalmonae in brown trout populations in Estonia.

PubMed

Dash, Megha; Vasemägi, Anti

2014-05-13

Proliferative kidney disease (PKD) caused by the myxozoan parasite Tetracapsuloides bryosalmonae is a serious parasitic disease threatening both farmed and wild salmonid populations, but very little is currently known about the distribution of the parasite in the Baltic Sea region. In this study we (1) report the development of a novel multiplex PCR method for fast and reliable screening of T. bryosalmonae; (2) use this multiplex PCR method to show that the PKD agent T. bryosalmonae is widespread in natural brown trout Salmo trutta L. populations in Estonia; (3) evaluate monthly and yearly variation of T. bryosalmonae prevalence in juvenile trout; (4) assess T. bryosalmonae prevalence in different age-classes of fish (0+ vs. 1+ and older) and report the presence of the PKD agent in the kidneys of returning sea trout spawners; and (5) suggest the freshwater bryozoan Plumatella fungosa as a putative invertebrate host of T. bryosalmonae in Estonia. Our results demonstrate a highly heterogeneous distribution of T. bryosalmonae at the micro-geographic scale, indicating that PKD could have an important negative effect on recruitment in Estonian brown trout populations.

Impact of Alleged Russian Cyber Attacks

DTIC Science & Technology

2009-05-01

security. 15. SUBJECT TERMS Cyber Security, Cyber Warfare , Estonia, Georgia, Russian Federation Cyber Strategy, Convention on Cybercrime, NATO Center...Federation ......................................................................................... 33  X.  The Future of Russian Cyber Warfare ................................................................... 39...Issue 15.09); Binoy Kampmark, Cyber Warfare Between Estonia And Russia, (Contemporary Review: Autumn, 2003), p 288-293; Jaak Aaviksoo, Address by the

Estonianization Efforts Post-Independence

ERIC Educational Resources Information Center

Rannut, Mart

2008-01-01

The purpose of this paper is to provide an overview of the sociolinguistic situation in Estonia. The paper opens with a historic overview, followed by an overview of the current demographic situation and of post-Soviet language and education policies and practices. It is argued that Estonia represents a success story in terms of language policy,…

The Professional Foreign Language Teacher in Estonia: Students' and Principals' Perceptions

ERIC Educational Resources Information Center

Oder, Tuuli

2008-01-01

The Republic of Estonia as a typical country in transition is going through major changes in educational thinking. Global and European educational trends, together with local changes, the most important being a new state system, have resulted in changes in the concept of professional foreign language (FL) teaching. Common ground among various…

Sociocultural Aspects of Russian-Speaking Parents' Choice of Language of Instruction for Their Children in Estonia

ERIC Educational Resources Information Center

Kemppainen, Raija Pini; Ferrin, Scott Ellis; Hite, Steven J.; Hilton, Sterling C.

2008-01-01

The present research was undertaken to identify sociocultural variables that influence whether Russian-speaking parents living in Estonia choose Russian, Estonian, or bilingual (Russian and Estonian) instruction for their children. To examine which sociocultural variables are related to parents' choice of language of instruction, 346…

Vocational Education and Training Reform in Estonia.

ERIC Educational Resources Information Center

European Training Foundation, Turin (Italy).

This report on vocational education and training (VET) reform in Estonia is one of a series of country reports by the European Training Foundation on the reform process in partner countries. Chapter 1 provides basic data on the country. Chapter 2 describes the present situation and recent developments in VET. It covers main features of the…

Beyond Linguistic Policy: The Soviet Union Versus Estonia.

ERIC Educational Resources Information Center

Rannut, Mart

1991-01-01

Discussion of the role of non-Russian languages in the Soviet Union (USSR) focuses on the history of ethnic group languages and language policy in Estonia since the collapse of totalitarianism. A historical overview of Soviet Union language policy is offered, with attention given to the ideological goals influencing policy, and their realization…

Development of Indicators for Educational Planning: Brazil, Cambodia, Estonia, Gambia, Lithuania, Thailand.

ERIC Educational Resources Information Center

United Nations Educational, Scientific, and Cultural Organization, Paris (France). International Inst. for Educational Planning.

This publication presents the outcomes of a distance education course on development and dissemination of indicators used for educational planning. The course took place from November 2000 to February 2001 and was attended by representatives from the ministries of education of Brazil, Cambodia, Estonia, Gambia, Lithuania, and Thailand. The overall…

Geography Olympiads in Estonia

ERIC Educational Resources Information Center

Liiber, Ulle; Roosaare, Juri

2007-01-01

The Olympiad movement has a long history in Estonia, and the national system developed several decades ago. The first Olympiad for gifted and talented students was held in mathematics in 1950. Now there are more than 20 different fields of competition for basic school and gymnasium students. In 2005/2006, Estonian teams participated in 18…

Rabies in Estonia: situation before and after the first campaigns of oral vaccination of wildlife with SAG2 vaccine bait.

PubMed

Niin, Enel; Laine, M; Guiot, A L; Demerson, J M; Cliquet, F

2008-07-04

Despite the extermination of stray animals and the compulsory vaccination of companion animals, rabies has been widely distributed over Estonia for more than 30 years. The red fox and the raccoon dog are the rabies virus reservoirs. Through a PHARE project, successive oral vaccination campaigns, using Rabidog SAG2 baits, were implemented in the autumn of 2005 in North Estonia, and in the spring and autumn 2006 throughout the whole territory. After the autumn 2005 campaign, 73.5% of the raccoon dogs and foxes were positive for the tetracycline biomarker. After the campaigns of 2006, the seroconversion rate for rabies virus was 64% in both species. After the vaccination campaigns of 2005 and 2006, the incidence of rabies cases dramatically decreased. Of the 97 cases diagnosed in the whole of Estonia until the end of May 2006, 16 cases (16.5%) occurred within the vaccinated area. Only 17 cases were diagnosed between 1 June and 31 December 2006. In 2007, by the end of May, only two rabies cases have been registered.

The incidence and survival of acute de novo leukaemias in Estonia and in a well-defined region of western Sweden during 1982-1996: a survey of patients aged > or =65 years.

PubMed

Luik, E; Palk, K; Everaus, H; Varik, M; Aareleid, T; Wennström, L; Juntikka, E-L; Safai-Kutti, S; Stockelberg, D; Holmberg, E; Kutti, J

2004-07-01

To compare the incidence and survival of acute de novo leukaemias with particular reference to political/socio-economic and environmental factors in two neighbouring countries over the three 5-year periods (1982-1996). The present report covers only patients diagnosed when aged > or =65 years. A well-defined area of Sweden, the so-called Western Swedish Health Care Region and Estonia. Population-wise, the western Swedish Region and Estonia are very similar; area-wise they are also well comparable. The number of acute de novo leukaemias was quite dissimilar in the two countries (Estonia, n = 137, Sweden, n = 354). The age standardized incidence rates regarding the total number of acute de novo leukaemias was 5.31 per 100,000 inhabitants/year for Estonia and 7.99 for Sweden, this difference being statistically significant. However, the difference was merely attributable to incidence rates as regards acute myeloblastic leukaemias (AML); on the contrary, differences as regards acute lymphoblastic leukaemias (ALL) and non-classifiable, undifferentiated or biphenotypic acute leukaemias (uAL) were negligible. The relative survival for the total material of patients was significantly higher for Swedish when compared with Estonian patients (P < 0.001). Thus, the relative survival for the total material of patients aged > or =65 years in Estonia at 1 year was 8.5% and at 3 years 3.5% respectively. The corresponding figures for the Swedish patients were considerably higher, 22.7 and 7.7% respectively. This difference, however, applied only for patients with AML (P < 0.001), whereas the results for patients with ALL and uAL were equally dismal. The results clearly reflect how political and socio-economic factors may influence the survival of acute leukemia patients in two neighbouring countries.

When Public Acts Like Private: The Failure of Estonia's School Choice Mechanism

ERIC Educational Resources Information Center

Poder, Kaire; Lauri, Triin

2014-01-01

This article aims to show the segregating effect of the market-like matching of students and schools at the basic school level. The natural experiment case is Tallinn, the capital of Estonia. The current school choice mechanism applied in this case is based on entrance tests. There are increasingly over-subscribed intra-catchment area public…

The National Status of the Preparation of School Psychologists in Estonia

ERIC Educational Resources Information Center

Kikas, Eve

2014-01-01

Estonia is a small republic that has undergone several big societal changes (from belonging to the Soviet Union to becoming a free republic, and the process of integrating into the European Union) during the last several decades. Psychology has been taught as a separate discipline starting from 1968, but its content has been changed from very…

Learning and Developing as a University Teacher: Narratives of Early Career Academics in Estonia

ERIC Educational Resources Information Center

Remmik, Marvi; Karm, Mari; Lepp, Liina

2013-01-01

In recent years the higher education context in Estonia, as in most European countries, has changed a lot. All changes have an impact on university teachers' practice and their work organisation, and are presenting new challenges. The current research aims at developing an understanding of Estonian early career academics' professional identity by…

Influences on Students' Views on Religions and Education in England and Estonia

ERIC Educational Resources Information Center

Neill, Sean; Schihalejev, Olga

2011-01-01

Structural modelling offers an overall pattern of relationships; this paper looks at differences in students' attitude structures between England and Estonia. Where different coherent sets of beliefs exist in a national sample, factor analysis, which focuses on sets of responses which differ between groups, should be able to separate them out.…

Will Choice Hurt? Compared to What? A School Choice Experiment in Estonia

ERIC Educational Resources Information Center

Põder, Kaire; Lauri, Triin

2014-01-01

This article presents the empirical analysis of the effects of a school choice policy in Estonia. The article shows that relying on markets and giving autonomy to the schools over student selection will produce admission tests, even at the elementary school level. This article's contribution is to show that a school choice policy experiment with…

Education Policy as Normative Discourse and Negotiated Meanings: Engaging the Holocaust in Estonia

ERIC Educational Resources Information Center

Stevick, E. Doyle

2010-01-01

This article uses a socio-cultural approach to analyze the formation and implementation of Estonia's Holocaust Day Policy, a day of both commemoration for victims of the Holocaust and other crimes against humanity, and education about the Holocaust. It investigates both the multi-level development of the policy in light of external pressure (from…

Multilayered Perspectives on Language Policy in Higher Education: Finland, Estonia, and Latvia in Comparison

ERIC Educational Resources Information Center

Soler-Carbonell, Josep; Saarinen, Taina; Kibbermann, Kerttu

2017-01-01

This article analyses language policies in higher education (HE) in Finland, Estonia, and Latvia, as well as the European Union (EU). We take a multilayered approach to language policies in order to illuminate the intertwined nature of local, national, and international language policies in HE. We are particularly interested in the construction of…

OECD Reviews of School Resources: Estonia

ERIC Educational Resources Information Center

Santiago, Paulo; Levitas, Anthony; Radó, Péter; Shewbridge, Claire

2016-01-01

This report for Estonia forms part of the OECD Review of Policies to Improve the Effectiveness of Resource Use in Schools. The purpose of the review is to explore how school resources can be governed, distributed, utilised and managed to improve the quality, equity and efficiency of school education. School resources are understood in a broad way,…

Estonian Language Competencies for Peace Corps Volunteers in the Republic of Estonia.

ERIC Educational Resources Information Center

Ets, Tiina K.

This guide is designed for Estonian language training of Peace Corps workers in Estonia, is intended for use in a competency-based language training program, and reflects daily communication needs in that context. It consists of 52 lessons, each addressing a specific language competency, organized in 14 topical units. An introductory section gives…

Hunting for valuables from landfills and assessing their market opportunities A case study with Kudjape landfill in Estonia.

PubMed

Bhatnagar, Amit; Kaczala, Fabio; Burlakovs, Juris; Kriipsalu, Mait; Hogland, Marika; Hogland, William

2017-06-01

Landfill mining is an alternative technology that merges the ideas of material recycling and sustainable waste management. This paper reports a case study to estimate the value of landfilled materials and their respective market opportunities, based on a full-scale landfill mining project in Estonia. During the project, a dump site (Kudjape, Estonia) was excavated with the main objectives of extracting soil-like final cover material with the function of methane degradation. In total, about 57,777 m 3 of waste was processed, particularly the uppermost 10-year layer of waste. Manual sorting was performed in four test pits to determine the detailed composition of wastes. 11,610 kg of waste was screened on site, resulting in fine (<40 mm) and coarse (>40 mm) fractions with the share of 54% and 46%, respectively. Some portion of the fine fraction was sieved further to obtain a very fine grained fraction of <10 mm and analyzed for its potential for metals recovery. The average chemical composition of the <10 mm soil-like fraction suggests that it offers opportunities for metal (Cr, Cu, Ni, Pb, and Zn) extraction and recovery. The findings from this study highlight the importance of implementing best available site-specific technologies for on-site separation up to 10 mm grain size, and the importance of developing and implementing innovative extraction methods for materials recovery from soil-like fractions.

Tuberculosis knowledge among injecting drug users visiting syringe exchange programme in Tallinn, Estonia.

PubMed

Rüütel, Kristi; Parker, R David; Sobolev, Igor; Loit, Helle-Mai

2012-12-01

The purpose of the current study was to describe tuberculosis (TB) knowledge, beliefs, and experience with TB services among injecting drug users. Participants for this anonymous, cross-sectional study were recruited from a community based syringe exchange programme in Tallinn, Estonia. A structured questionnaire was completed and included information on socio-demographics, health history, drug use, and knowledge about TB and HIV. The study included 407 people (79% male, mean age 27.9 years, mean injection drug use 9.4 years). 32.9% of participants reported HIV infection and 1.7% lifetime history of TB. 26.4% participants (n=106) reported symptoms suggestive of TB. 93% of participants recognized correctly that TB is air-borne infection and 91% that HIV is a risk factor for TB. Only 40% of the participants knew that TB diagnostics and treatment in Estonia are free of charge for everybody and 58% reported they knew where to get health care services in case they suspected that they had TB. TB transmission and treatment adherence knowledge was better among those in contact with either health care or harm reduction services, e.g the community based syringe exchange programme. Similar to HIV services, TB prevention and education should be integrated into harm reduction and drug treatment programmes to facilitate early diagnosis and treatment of TB among injecting drug users.

Narrating Surroundings and Suppression: The Role of School in Soviet Childhood Memories

ERIC Educational Resources Information Center

Nugin, Raili; Jõesalu, Kirsti

2016-01-01

The article explores how people born in Estonia in the 1970s contextualize their memories about their Soviet childhood in the context of school. Focusing on small group of people who grew up in the Soviet Estonia, we argue that in biographical narratives, school is treated as the representative of the Soviet regime. Nostalgic reminiscences from…

Beyond Words: Dance and Movement Sessions with Young People with Social, Emotional and Behavioural Difficulties in Estonia

ERIC Educational Resources Information Center

Goodgame, Jenna

2007-01-01

This article details an experimental project in Estonian schools, using therapeutic dance and movement as a basis to explore beyond the boundaries of language in supporting young people to develop their creative expression. The author visited three residential schools in different areas of Estonia in September 2006 to lead sessions with groups of…

The Science of Pedagogy in Soviet Estonia (1944-1991): Resilience in the Face of Adversity

ERIC Educational Resources Information Center

Rõuk, Vadim; van der Walt, Johannes L.; Wolhuter, Charl C.

2018-01-01

This article examines how education unfolded as a science in Estonia in the period 1944-1991, i.e. from the second Soviet occupation to the fall of the USSR. Historical analysis of the way prominent scholars and institutions succeeded in overcoming the adverse conditions of that period is conducted by viewing their respective contributions through…

77 FR 74555 - Importation of Live Swine, Swine Semen, Pork, and Pork Products; Estonia, Hungary, Slovakia, and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-17

...-0043] RIN 0579-AD20 Importation of Live Swine, Swine Semen, Pork, and Pork Products; Estonia, Hungary... semen by removing one of the conditions for the importation of swine semen from the APHIS-defined... fever. We have determined that the 40-day holding period for swine semen and donor boars after the...

The Unintended and Intended Academic Consequences of Educational Reforms: The Cases of Post-Soviet Estonia, Latvia and Russia

ERIC Educational Resources Information Center

Khavenson, Tatiana; Carnoy, Martin

2016-01-01

In this paper, we try to unravel some of the unintended and intended academic effects associated with post-Soviet educational reforms by focusing on three cases: Estonia, Latvia and Russia. We have chosen this comparison because a unique "natural experiment" in the three countries allows us to compare the changing academic performance on…

Russian in Estonia's Public Sector: "Playing on the Borderline" between Official Policy and Real-Life Needs

ERIC Educational Resources Information Center

Berezkina, Maimu

2017-01-01

This article examines the use of Russian in state communication in officially monolingual Estonia. Drawing on interviews with high-level public employees in four central state institutions and an analysis of these institutions' websites, the article shows that while Russian is not specifically mentioned in the laws, it is "de facto"…

Perspectives on Tolerance in Education Flowing from a Comparison of Religion Education in Estonia and South Africa

ERIC Educational Resources Information Center

van der Walt, Johannes L.

2013-01-01

The question that prompted this investigation into religion education (RE) in Estonia and in South Africa was whether two countries from such totally different parts of the world, with such vastly different populations and cultures though with somewhat parallel histories, had tackled the same or similar problems regarding the provision of RE in…

Helminthologic survey of the wolf (Canis lupus) in Estonia, with an emphasis on Echinococcus granulosus.

PubMed

Moks, E; Jõgisalu, I; Saarma, U; Talvik, H; Järvis, T; Valdmann, H

2006-04-01

Carcasses of 26 wolves were collected during the 2000/2001 and 2003/2004 hunting seasons and examined for helminths. Thirteen helminth species were recorded: one trematode (Alaria alata), seven cestodes (Diphyllobothrium latum, Mesocestoides lineatus, Taenia hydatigena, Taenia multiceps, Taenia ovis, Taenia pisiformis, and Echinococcus granulosus), and five nematode species (Uncinaria stenocephala, Toxascaris leonina, Toxocara canis, Trichinella nativa, and Trichinella britovi). The most common species were A. alata and U. stenocephala. Mature Echinococcus granulosus was found and described for the first time in Estonia, and its identity verified using PCR-RFLP analysis. Sequencing a fragment of the mitochondrial DNA NADH dehydrogenase 1 (mtND1) gene showed that the E. granulosus strain from Estonia was identical to strain G10, recently characterized in reindeer and moose in Finland.

RES-E Support Policies In The Baltic States: Development Aspect (Part I)

NASA Astrophysics Data System (ADS)

Bobinaite, V.; Priedite, I.

2015-02-01

Despite quite similar conditions (natural resources) for electricity production from renewable energy sources (RES-E) in three Baltic States (Estonia, Latvia and Lithuania), significant differences exist in these countries as to the RES-E production volume. In Latvia this volume is the highest, while in Estonia and Lithuania it is half as high. One of the factors that determine the RES-E production volumes is support policies, which in the Baltic States are different. The main objective of this work was to analyze and compare these support policies. The results have shown that for rapid RES-E development the most effective policy is to be market-oriented (as in Estonia), whereas for more stable development such policy should be producer-oriented (as in Lithuania).

Sexually transmitted infections in Estonia.

PubMed

Põder, A; Bingham, J S

1999-10-01

Estonia, one of the Baltic countries, regained its independence in 1991, after the collapse of the USSR. This process led to great changes in every sphere of life--in politics, in the economy and in medicine. The service providing care for sexually transmitted infections (STIs) was involved in the process of these changes, too. However, freedom was followed not only by great happiness, but also by social destabilization and transformation of the old moral norms, the most evident features of which were the dramatic rise in crime, a sexual revolution and public prostitution. These 2 great simultaneous transformations in the STI care system and public mores led to the rapid increase of STIs in Estonia in the first half of the 1990s. Now some stabilization, and even a fall in incidence has occurred.

Single and double sexual standards in Finland, Estonia, and St. Petersburg.

PubMed

Haavio-Mannila, Elina; Kontula, Osmo

2003-02-01

The sexual revolution and fight for gender equality began in the West during the 1960s but did not reach the Soviet Union until the late 1980s. Using survey data from nationally representative samples from Finland in 1971, 1992, and 1999 and from two former Soviet areas, Estonia in 2000 and St. Petersburg in 1996, we investigated the following: (a) differences across decades and countries in acceptance of the sexual double standard (SDS) in attitudes toward marital infidelity and women's initiating sex; and (b) the relationship between the SDS and sexual satisfaction. Results show that Finland in the 1990s was more egalitarian than Finland in 1971, St. Petersburg in 1996, or Estonia in 2000. Egalitarian sexual attitudes were positively related to sexual satisfaction.

The effects of climate change on the phenology of selected Estonian plant, bird and fish populations.

PubMed

Ahas, Rein; Aasa, Anto

2006-09-01

This paper summarises the trends of 943 phenological time-series of plants, fishes and birds gathered from 1948 to 1999 in Estonia. More than 80% of the studied phenological phases have advanced during springtime, whereas changes are smaller during summer and autumn. Significant values of plant and bird phases have advanced 5-20 days, and fish phases have advanced 10-30 days in the spring period. Estonia's average air temperature has become significantly warmer in spring, while at the same time a slight decrease in air temperature has been detected in autumn. The growing season has become significantly longer in the maritime climate area of Western Estonia. The investigated phenological and climate trends are related primarily to changes in the North Atlantic Oscillation Index (NAOI) during the winter months. Although the impact of the winter NAOI on the phases decreases towards summer, the trends of the investigated phases remain high. The trends of phenophases at the end of spring and the beginning of summer may be caused by the temperature inertia of the changing winter, changes in the radiation balance or the direct consequences of human impacts such as land use, heat islands or air pollution.

Toxoplasma gondii seroprevalence in breeding pigs in Estonia.

PubMed

Santoro, Azzurra; Tagel, Maarja; Must, Kärt; Laine, Miia; Lassen, Brian; Jokelainen, Pikka

2017-12-11

Toxoplasma gondii is a widespread occurring parasite infecting warm-blooded animals, including pigs and humans. The aims of this study were to estimate the prevalence of anti-T. gondii antibodies and to evaluate risk factors for T. gondii seropositivity in breeding pigs raised in Estonia. Sera from 382 pigs were tested with a commercial direct agglutination test, using a cut-off titer of 40 for seropositivity, for the presence of anti-T. gondii immunoglobulin G antibodies. Twenty-two (5.8%) of the 382 pigs tested seropositive for T. gondii, and 6 of the 14 herds had at least one seropositive pig. The proportion of seropositive pigs within the herds ranged between 0 and 43%. Gender appeared as a significant factor, with sows having 5.6 times higher odds to be seropositive to T. gondii than boars. Seroprevalence did not increase with age. Anti-T. gondii antibodies were present in a substantial proportion of breeding pig herds in Estonia. On the other hand, the presence of herds without seropositive pigs illustrates that porcine T. gondii infections can be avoided even in a country where the parasite is endemic and common in several other host species.

Risk factors for pulmonary tuberculosis in Estonia.

PubMed

Tekkel, M; Rahu, M; Loit, H M; Baburin, A

2002-10-01

To determine the risk factors for pulmonary tuberculosis incidence in Estonia. In a case-control study, the cases were 248 adult tuberculosis patients treated in a hospital in Tallinn between January 1999 and June 2000, and the controls were 248 persons sampled from the Population Registry and matched to cases by sex, year of birth and county of residence. A questionnaire was administered to collect information on potential risk factors. Logistic regression was used to calculate odds ratios and 95% confidence intervals. The main risk factors for tuberculosis were marital status other than married, educational level less than higher, low income, having been in prison, not having own place of residence, current unemployment, current smoking, alcohol consumption, shortage of food, and contact with tuberculosis patients. Place of birth was not a risk factor. Risk of tuberculosis decreased for overweight persons whose individual economic situation had improved during the last year. The pattern of risk factors for pulmonary tuberculosis in Estonia was somewhat different from that in Western European countries; a large percentage of the patients were men, but were not elderly, and immigration and drug abuse did not increase the risk. Major risk factors were related to poverty and low socio-economic status.

Updating the Theoretical Content of Teacher Preparation Pertaining to Educational Subjects: Some Recent Developments in Estonia. Reprints and Miniprints No. 754.

ERIC Educational Resources Information Center

Krull, Edgar

Fifty years of Soviet occupation in Estonia has damaged social and economic life. One issue for further development of Estonian society is the need to reform teacher education programs. This paper outlines some of the main problems concerning the content of theoretical preparation of future teachers in educational subjects at Tartu University…

University Language Policies and Language Choice among Ph.D. Graduates in Estonia: The (Unbalanced) Interplay between English and Estonian

ERIC Educational Resources Information Center

Soler-Carbonell, Josep

2014-01-01

The role of English as a global language and its consequences for the internationalization of higher education are matters that have increasingly drawn the attention of researchers from different fields of language and communication. In this paper, an overview of the situation in Estonia is presented. The Estonian context has not previously been…

Concurrent infection with sibling Trichinella species in a natural host.

PubMed

Pozio, E; Bandi, C; La Rosa, G; Järvis, T; Miller, I; Kapel, C M

1995-10-01

Random amplified polymorphic DNA (RAPD) analysis of individual Trichinella muscle larvae, collected from several sylvatic and domestic animals in Estonia, revealed concurrent infection of a racoon dog with Trichinella nativa and Trichinella britovi. This finding provides strong support for their taxonomic ranking as sibling species. These 2 species appear uniformly distributed among sylvatic animals through Estonia, while Trichinella spiralis appears restricted to the domestic habitat.

From Times of Transition to Adaptation: Background and Theoretical Approach to the Curriculum Reform in Estonia 1987-1996

ERIC Educational Resources Information Center

Rouk, Vadim

2013-01-01

The aim of the paper is to research the important process of the history of the educational development of Estonia, the reform of the national school curriculum which began after the teacher's congress in 1987 and ended in 1996 when government approved the document. That reform was carried out in the context of thoroughgoing and dramatic…

Incorporation of public hospitals: a "silver bullet" against overcapacity, managerial bottlenecks and resource constraints? Case studies from Austria and Estonia.

PubMed

Fidler, Armin H; Haslinger, Reinhard R; Hofmarcher, Maria M; Jesse, Maris; Palu, Toomas

2007-05-01

This paper presents a new approach for incorporating public hospitals by contrasting the experience from an "old" EU country (Austria) with a new EU member state (Estonia). In the EU (including the new member states) hospital overcapacity is a serious problem, from a technical, fiscal and political perspective. Few countries have succeeded in establishing an appropriate framework for resource management and for guaranteeing long-term financial viability of their hospital network. Many countries are in search of effective policies for improved hospital management and more cost-effective resource use in the health sector. Over the past decade, experiences in Austria and Estonia have emerged as innovative examples which may provide lessons for other EU countries and beyond. This paper describes the evolution of public hospitals from public budgetary units and public management to incorporated autonomous organizations under private corporate law, resulting in a contractual relationship between (public) owners and private hospital management. Outdated and inefficient public sector structures were replaced by more agile corporate management. The arrangement allows for investments, operating costs and budgeting according to strategic business goals as opposed to political "fiat". Shielding hospitals from local political influence is an important aspect of this concept. Horizontal integration through networking of public hospitals and introducing private management helps create a new corporate culture, allowing for more flexibility to achieve efficiencies through downsizing and economies of scale. Based on contracts the new balance between ownership and managerial functions create strong incentives for a more business-like, results-oriented and consumer-friendly management. This was achieved both in Austria and Estonia in a politically sensitive way, adopting a long-term vision and by protecting the interests of hospital owners and staff.

Seasonality of alcohol-related phenomena in Estonia.

PubMed

Silm, Siiri; Ahas, Rein

2005-03-01

We studied alcohol consumption and its consequences as a seasonal phenomenon in Estonia and analysed the social and environmental factors that may cause its seasonal rhythm. There are two important questions when researching the seasonality of human activities: (1) whether it is caused by natural or social factors, and (2) whether the impact of the factors is direct or indirect. Often the seasonality of social phenomena is caused by social factors, but the triggering mechanisms are related to environmental factors like temperature, precipitation, and radiation via the circannual calendar. The indicators of alcohol consumption in the current paper are grouped as: (1) pre-consumption phenomena, i.e. production, tax and excise, sales (beer, wine and vodka are analysed separately), and (2) post-consumption phenomena, i.e. alcohol-related crime and traffic accidents and the number of people detained in lockups and admitted to alcohol treatment clinics. In addition, seasonal variability in the amount of alcohol advertising has been studied, and a survey has been carried out among 87 students of Tartu University. The analysis shows that different phenomena related to alcohol have a clear seasonal rhythm in Estonia. The peak period of phenomena related to beer is in the summer, from June to August and the low point is during the first months of the year. Beer consumption correlates well with air temperature. The consumption of vodka increases sharply at the end of the year and in June; the production of vodka does not have a significant correlation with negative temperatures. The consumption of wine increases during summer and in December. The consequences of alcohol consumption, expressed as the rate of traffic accidents or the frequency of medical treatment, also show seasonal variability. Seasonal variability of alcohol consumption in Estonia is influenced by natural factors (temperature, humidity, etc.) and by social factors (celebrations, vacations, etc.). However, distinguishing between impacts of direct and indirect relationships is complicated, as they are interlinked.

Seasonality of alcohol-related phenomena in Estonia

NASA Astrophysics Data System (ADS)

Silm, Siiri; Ahas, Rein

2005-03-01

We studied alcohol consumption and its consequences as a seasonal phenomenon in Estonia and analysed the social and environmental factors that may cause its seasonal rhythm. There are two important questions when researching the seasonality of human activities: (1) whether it is caused by natural or social factors, and (2) whether the impact of the factors is direct or indirect. Often the seasonality of social phenomena is caused by social factors, but the triggering mechanisms are related to environmental factors like temperature, precipitation, and radiation via the circannual calendar. The indicators of alcohol consumption in the current paper are grouped as: (1) pre-consumption phenomena, i.e. production, tax and excise, sales (beer, wine and vodka are analysed separately), and (2) post-consumption phenomena, i.e. alcohol-related crime and traffic accidents and the number of people detained in lockups and admitted to alcohol treatment clinics. In addition, seasonal variability in the amount of alcohol advertising has been studied, and a survey has been carried out among 87 students of Tartu University. The analysis shows that different phenomena related to alcohol have a clear seasonal rhythm in Estonia. The peak period of phenomena related to beer is in the summer, from June to August and the low point is during the first months of the year. Beer consumption correlates well with air temperature. The consumption of vodka increases sharply at the end of the year and in June; the production of vodka does not have a significant correlation with negative temperatures. The consumption of wine increases during summer and in December. The consequences of alcohol consumption, expressed as the rate of traffic accidents or the frequency of medical treatment, also show seasonal variability. Seasonal variability of alcohol consumption in Estonia is influenced by natural factors (temperature, humidity, etc.) and by social factors (celebrations, vacations, etc.). However, distinguishing between impacts of direct and indirect relationships is complicated, as they are interlinked.

Access to care in the Baltic States: did crisis have an impact?

PubMed

Karanikolos, Marina; Gordeev, Vladimir S; Mackenbach, Johan P; McKee, Martin

2016-04-01

In 2009, brief but deep economic crisis profoundly affected the three Baltic States: Estonia, Latvia and Lithuania. In response, all three countries adopted severe austerity measures with the shared goal of containing rising deficits, but employing different methods. In this article, we analyze the impact of the economic crisis and post-crisis austerity measures on health systems and access to medical services in the three countries. We use the EU-SILC data to analyze trends in unmet medical need in 2005-2012, and apply log-binomial regression to calculate the risk of unmet medical need in the pre- and post- crisis period. Between 2009 and 2012 unmet need has increased significantly in Latvia (OR: 1.24, 95% confidence interval (CI): 1.15-1.34) and Estonia (OR: 1.98, 95% CI: 1.72-2.27), but not Lithuania (OR: 0.84. 95% CI: 0.69-1.04). The main drivers of increased unmet need were inability to afford care in Latvia and long waiting lists in Estonia. The impact of the crisis on access to care in the three countries varied, as did the austerity measures affecting their health systems. Estonia and Latvia experienced worsening access to care, largely exacerbating already existing barriers. The example of Lithuania suggests that deterioration in access is not inevitable, once health policies prioritise maintenance and availability of existing services, or if there is room for reducing existing inefficiencies. Moreover, better financial preparedness of health systems in Estonia and Lithuania achieved some protection of the population from increasing unmet need due to the rising cost of medical care. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Spectral reflectance patterns and temporal dynamics of common understory types in hemi-boreal forests in Järvselja, Estonia

NASA Astrophysics Data System (ADS)

Nikopensius, Maris; Raabe, Kairi; Pisek, Jan

2014-05-01

The knowledge about spectral properties and seasonal dynamics of understory layers in boreal forests currently holds several gaps. This introduces severe uncertainties while modelling the carbon balance of this ecosystem, which is expected to be prone to major shifts with climate change in the future. In this work the seasonal reflectance dynamics in European hemi-boreal forests are studied. The data for this study was collected at Järvselja Training and Experimental Forestry District (Estonia, 27.26°E 58.30°N). Measurements were taken in three different stands. The silver birch (Betula Pendula Roth) stand grows on typical brown gley-soil and its understory vegetation is dominated by a mixture of several grass species. The Scots pine (Pinus sylvestris) stand grows on a bog with understory vegetation composed of sparse labrador tea, cotton grass, and a continuous Sphagnum moss layer. The third stand, Norway spruce (Picea abies), grows on a Gleyi Ferric Podzol site with understory vegetation either partially missing or consisting of mosses such as Hylocomium splendens or Pleurozium schreberi [1]. The sampling design was similar to the study by Rautiainen et al. [3] in northern European boreal forests. At each study site, a 100 m long permanent transect was marked with flags. In addition, four intensive study plots (1 m × 1 m) were marked next to the transects at 20 m intervals. The field campaign lasted from May to September 2013. For each site the fractional cover of understory and understory spectra were estimated ten times i.e. every 2 to 3 weeks. Results from Järvselja forest were compared with the seasonal profiles from boreal forests in Hyytiälä, Finland [2]. References [1] A. Kuusk, M. Lang, J. Kuusk, T. Lükk, T. Nilson, M. Mõttus, M. Rautiainen, and A. Eenmäe, "Database of optical and structural data for validation of radiative transfer models", Technical Report, September 2009 [2] M. Rautiainen, M. Mõttus, J. Heiskanen, A. Akujärvi, T. Majasalmi, P. Stenberg, "Seasonal reflectance dynamics of common understory types in a northern Europe boreal forest," Remote Sensing of Environment, vol. 115, pp. 3020-3028, July 2011

Hybrid Warfare in the Baltics: Threats and Potential Responses

DTIC Science & Technology

2017-02-23

9 Martin Hurt, Lessons Identified in Crimea: Does Estonia’s National Defence Model Meet Our Needs? Tallinn, Estonia: International...Monuments’ in Estonia,” Nationalities Papers, Vol. 36, No. 3, July 2008, p. 436; Martin Ehala, “The Bronze Soldier: Identity Threat and Maintenance in...Ukraine Petro Poroshenko,” July 1, 2014. As of June 20, 2016: http://www.president.gov.ua/en/news/zvernennya-prezidenta-ukrayini- petra -poroshenka

Meeting the Objectives of the Curriculum at the First Stage of Basic School by the Child Having Left the Language Immersion Kindergarten

ERIC Educational Resources Information Center

Kukk, Airi; Õun, Tiia

2014-01-01

Year after year, the interest in early learning of the state language by non-Estonian children has increased. In Estonia, the course has been directed that non-Estonian learners have to reach functional bilingualism by the time they leave basic school and thus to become competitive in labour and education markets in Estonia. The objective of the…

"It's Good to Live in Jarva-Jaani but We Can't Stay Here": Youth and Belonging in Rural Estonia

ERIC Educational Resources Information Center

Trell, Elen-Maarja; van Hoven, Bettina; Huigen, Paulus

2012-01-01

In the broader context of post-socialist transition and rural decline, we examine the everyday lives of young people in rural Estonia. We focus in particular on key places of belonging for youths and the practices and experiences through which rural young people develop a sense of belonging to their local places. Our aim is to identify links…

A Tale of Two Cities: Stigma and Health Outcomes Among People with HIV who Inject Drugs in St. Petersburg, Russia and Kohtla-Järve, Estonia

PubMed Central

Burke, Sara E.; Calabrese, Sarah K.; Dovidio, John F.; Levina, Olga S.; Uusküla, Anneli; Niccolai, Linda M.; Abel-Ollo, Katri; Heimer, Robert

2015-01-01

Experiences of stigma are often associated with negative mental and physical health outcomes. The present work tested the associations between stigma and health-related outcomes among people with HIV who inject drugs in Kohtla-Järve, Estonia and St. Petersburg, Russia. These two cities share some of the highest rates of HIV outside of sub-Saharan Africa, largely driven by injection drug use, but Estonia has implemented harm reduction services more comprehensively. People who inject drugs were recruited using respondent-driven sampling; those who indicated being HIV-positive were included in the present sample (n=381 in St. Petersburg; n=288 in Kohtla-Järve). Participants reported their health information and completed measures of internalized HIV stigma, anticipated HIV stigma, internalized drug stigma, and anticipated drug stigma. Participants in both locations indicated similarly high levels of all four forms of stigma. However, stigma variables were more strongly associated with health outcomes in Russia than in Estonia. The St. Petersburg results were consistent with prior work linking stigma and health. Lower barriers to care in Kohtla-Järve may help explain why social stigma was not closely tied to negative health outcomes there. Implications for interventions and health policy are discussed. PMID:25703668

Perception of emotional nonsense sentences in China, Egypt, Estonia, Finland, Russia, Sweden, and the USA.

PubMed

Waaramaa, Teija

2015-10-01

The present study focused on the identification of emotions in cross-cultural conditions on different continents and among subjects with divergent language backgrounds. The aim was to investigate whether the perception of the basic emotions from nonsense vocal samples was universal, dependent on voice quality, musicality, and/or gender. Listening tests for 350 participants were conducted on location in a variety of cultures: China, Egypt, Estonia, Finland, Russia, Sweden, and the USA. The results suggested that the voice quality parameters played a role in the identification of emotions without the linguistic content. Cultural background may affect the interpretation of the emotions more than the presumed universality. Musical interest tended to facilitate emotion identification. No gender differences were found.

Cyber Warfare as a Form of Conflict: Evaluation of Models of Cyber Conflict as a Prototype to Conceptual Analysis

ERIC Educational Resources Information Center

Liles, Samuel P.

2012-01-01

In April 2007, what has been incorrectly called the first cyber war and since then referred more correctly as a cyber riot, an attack on the domain name systems and the various servers of Estonia occurred. It was perpetrated by ethnic Russians living in Estonia who were incensed by the movement of a bronze war memorial for Russian soldiers to a…

Engaging the Nation’s Critical Infrastructure Sector to Deter Cyber Threats

DTIC Science & Technology

2013-03-01

is the component of CyberOps that extends cyber power beyond the defensive boundaries of the GIG to detect, deter, deny, and defeat adversaries... economy .16 DDOS attacks are based on multiple, malware infected personal computers, organized into networks called botnets, and are directed by...not condemn the actions of those involved. Of the two attacks on Estonia and Georgia, it was Estonia that had the greatest damage to its economy

The Occupational Well-Being of School Staff and Maintenance of Their Ability to Work in Finland and Estonia--Focus on the School Community and Professional Competence

ERIC Educational Resources Information Center

Saaranen, Terhi; Sormunen, Marjorita; Pertel, Tiia; Streimann, Karin; Hansen, Siivi; Varava, Liana; Lepp, Kadi; Turunen, Hannele; Tossavainen, Kerttu

2012-01-01

Purpose: This paper aims to present the baseline results of a research and development project targeted to improve the occupational well-being of school staff and maintain their ability to work, in Finland and Estonia. It reveals the most problematic factors in the various aspects of the school community and professional competence and outlines…

The Implementation of Pharmacy Competence Teaching in Estonia

PubMed Central

Volmer, Daisy; Sepp, Kristiina; Veski, Peep; Raal, Ain

2017-01-01

Background: The PHAR-QA, “Quality Assurance in European Pharmacy Education and Training”, project has produced the European Pharmacy Competence Framework (EPCF). The aim of this study was to evaluate the existing pharmacy programme at the University of Tartu, using the EPCF. Methods: A qualitative assessment of the pharmacy programme by a convenience sample (n = 14) representing different pharmacy stakeholders in Estonia. EPCF competency levels were determined by using a five-point scale tool adopted from the Dutch competency standards framework. Mean scores of competency levels given by academia and other pharmacy stakeholders were compared. Results: Medical and social sciences, pharmaceutical technology, and pharmacy internship were more frequent subject areas contributing to EPCF competencies. In almost all domains, the competency level was seen higher by academia than by other pharmacy stakeholders. Despite on-board theoretical knowledge, the competency level at graduation could be insufficient for independent professional practice. Other pharmacy stakeholders would improve practical implementation of theoretical knowledge, especially to increase patient care competencies. Conclusions: The EPCF was utilized to evaluate professional competencies of entry-level pharmacists who have completed a traditional pharmacy curriculum. More efficient training methods and involvement of practicing specialists were suggested to reduce the gaps of the existing pharmacy programme. Applicability of competence teaching in Estonia requires more research and collaborative communication within the pharmacy sector. PMID:28970430

A tale of two cities: stigma and health outcomes among people with HIV who inject drugs in St. Petersburg, Russia and Kohtla-Järve, Estonia.

PubMed

Burke, Sara E; Calabrese, Sarah K; Dovidio, John F; Levina, Olga S; Uusküla, Anneli; Niccolai, Linda M; Abel-Ollo, Katri; Heimer, Robert

2015-04-01

Experiences of stigma are often associated with negative mental and physical health outcomes. The present work tested the associations between stigma and health-related outcomes among people with HIV who inject drugs in Kohtla-Järve, Estonia and St. Petersburg, Russia. These two cities share some of the highest rates of HIV outside of sub-Saharan Africa, largely driven by injection drug use, but Estonia has implemented harm reduction services more comprehensively. People who inject drugs were recruited using respondent-driven sampling; those who indicated being HIV-positive were included in the present sample (n = 381 in St. Petersburg; n = 288 in Kohtla-Järve). Participants reported their health information and completed measures of internalized HIV stigma, anticipated HIV stigma, internalized drug stigma, and anticipated drug stigma. Participants in both locations indicated similarly high levels of all four forms of stigma. However, stigma variables were more strongly associated with health outcomes in Russia than in Estonia. The St. Petersburg results were consistent with prior work linking stigma and health. Lower barriers to care in Kohtla-Järve may help explain why social stigma was not closely tied to negative health outcomes there. Implications for interventions and health policy are discussed. Copyright © 2015 Elsevier Ltd. All rights reserved.

Content of total carotenoids in Calendula officinalis L. from different countries cultivated in Estonia.

PubMed

Raal, Ain; Kirsipuu, Kadri; Must, Reelika; Tenno, Silvi

2009-01-01

The aim of the present study was to investigate the content of total carotenoids in different collections of pot marigold (Calendula officinalis L.) inflorescences. Commercial seeds (42 samples) of C. officinalis were obtained from nine countries and cultivated in private gardens in three different counties of Estonia. The content of total carotenoids, determined spectrophotometrically (lambda=455 nm) varied in the investigated collections from 0.20 to 3.51%. The amount of pigments may depend on the type of plants, the importing company, the color of the ligulate and tubular florets, and the place and time of cultivation. For medicinal purposes, C. officinalis with brownish-yellow ligulate and tubular florets should be preferred. The best was found to be 'Golden Emperor' from Finland.

Cryptosporidiosis - an occupational risk and a disregarded disease in Estonia.

PubMed

Lassen, Brian; Ståhl, Marie; Enemark, Heidi L

2014-06-05

Cases of cryptosporidiosis have not been officially reported in Estonia after the year 2000, and the disease appears to be either under-diagnosed or under-reported. Based on a human case of cryptosporidiosis contracted during faecal sampling in dairy farms, cattle considered to be sources of infection were analysed for Cryptosporidium spp. by a modified Ziehl Neelsen technique and molecular typing. C. parvum subtype IIaA16G1R1 was detected from the human case and from calves from one of nine farms enrolled in the study providing strong circumstantial evidence of zoonotic transmission from calves to humans. Cryptosporidiosis presents an occupational risk to people with cattle contact, and may also be a risk to the human population in general. Thus increased public and medical awareness is warranted.

Toxoplasma gondii seroprevalence in dairy and beef cattle: Large-scale epidemiological study in Estonia.

PubMed

Jokelainen, Pikka; Tagel, Maarja; Mõtus, Kerli; Viltrop, Arvo; Lassen, Brian

2017-03-15

Toxoplasma gondii is a zoonotic protozoan parasite that thrives in Estonia. In this nationwide cross-sectional study, we tested sera from 3991 cattle, collected from 228 farms in 2012-2013, for anti-T. gondii immunoglobulin G antibodies using a commercial direct agglutination test. Titer of 100 was set as cut-off: samples that tested positive at the dilution 1:100 were defined as positive. The apparent animal-level seroprevalence was 18.62%. At least one seropositive animal was found on 68.86% of the farms, and seropositive cattle were detected in all counties. The seroprevalence appeared to increase with age until five years (60-71 months) of age, but had no obvious pattern in the older animals. Animals of the local Estonian Red breed had higher odds to test seropositive than did animals of the Estonian Holstein breed. Whether the farm focused on dairy or beef cattle was not associated with an animal testing T. gondii seropositive nor with finding at least one T. gondii seropositive animal on the farm. The odds of finding at least one T. gondii seropositive animal on the farm were higher if the herd size was above median (105 in dairy and mixed dairy farms; 35 in beef and mixed beef farms). The results indicate that T. gondii is endemic within the agricultural setting in Estonia and present on the majority of cattle farms. Copyright © 2017 Elsevier B.V. All rights reserved.

Identification of the Criteria for Decision Making of Cut-Away Peatland Reuse

NASA Astrophysics Data System (ADS)

Padur, Kadi; Ilomets, Mati; Põder, Tõnis

2017-03-01

The total area of abandoned milled peatlands which need to be rehabilitated for sustainable land-use is nearly 10,000 ha in Estonia. According to the agreement between Estonia and the European Union, Estonia has to create suitable conditions for restoration of 2000 ha of abandoned cut-away peatlands by 2023. The decisions on rehabilitation of abandoned milled peatlands have so far relied on a limited knowledgebase with unestablished methodologies, thus the decision making process needs a significant improvement. This study aims to improve the methodology by identifying the criteria for optimal decision making to ensure sustainable land use planning after peat extraction. Therefore relevant environmental, social and economic restrictive and weighted comparison criteria, which assess reuse alternatives suitability for achieving the goal, is developed in cooperation with stakeholders. Restrictive criteria are arranged into a decision tree to help to determine the implementable reuse alternatives in various situations. Weighted comparison criteria are developed in cooperation with stakeholders to rank the reuse alternatives. The comparison criteria are organised hierarchically into a value tree. In the situation, where the selection of a suitable rehabilitation alternative for a specific milled peatland is going to be made, the weighted comparison criteria values need to be identified and the presented approach supports the optimal and transparent decision making. In addition to Estonian context the general results of the study could also be applied to a cut-away peatlands in other regions with need-based site-dependent modifications of criteria values and weights.

Identification of the Criteria for Decision Making of Cut-Away Peatland Reuse.

PubMed

Padur, Kadi; Ilomets, Mati; Põder, Tõnis

2017-03-01

The total area of abandoned milled peatlands which need to be rehabilitated for sustainable land-use is nearly 10,000 ha in Estonia. According to the agreement between Estonia and the European Union, Estonia has to create suitable conditions for restoration of 2000 ha of abandoned cut-away peatlands by 2023. The decisions on rehabilitation of abandoned milled peatlands have so far relied on a limited knowledgebase with unestablished methodologies, thus the decision making process needs a significant improvement. This study aims to improve the methodology by identifying the criteria for optimal decision making to ensure sustainable land use planning after peat extraction. Therefore relevant environmental, social and economic restrictive and weighted comparison criteria, which assess reuse alternatives suitability for achieving the goal, is developed in cooperation with stakeholders. Restrictive criteria are arranged into a decision tree to help to determine the implementable reuse alternatives in various situations. Weighted comparison criteria are developed in cooperation with stakeholders to rank the reuse alternatives. The comparison criteria are organised hierarchically into a value tree. In the situation, where the selection of a suitable rehabilitation alternative for a specific milled peatland is going to be made, the weighted comparison criteria values need to be identified and the presented approach supports the optimal and transparent decision making. In addition to Estonian context the general results of the study could also be applied to a cut-away peatlands in other regions with need-based site-dependent modifications of criteria values and weights.

Work-related psychosocial risk factors and mental health problems amongst nurses at a university hospital in Estonia: a cross-sectional study.

PubMed

Freimann, Tiina; Merisalu, Eda

2015-07-01

Rapid changes in the Estonian health care system have placed extra pressure on the nursing profession, but the potential impacts of psychosocial changes have not been investigated. We aimed to explore the work-related psychosocial risk factors and their relationships with mental health problems (MHPs) amongst nurses at the university hospital in Estonia. A cross-sectional survey was undertaken amongst registered nurses at Tartu University Hospital (TUH). Psychosocial work factors and MHPs (stress, somatic symptoms, depressive symptoms and burnout) were measured using version two of the Copenhagen Psychosocial Questionnaire (COPSOQ II). Descriptive statistics and Pearson's r correlation with sequential Bonferroni correction were used to analyse the data. The analysis was based on 404 nurses (45% of the full-time working population of nurses). The highest mean scores recorded for the positive work-related psychosocial factors studied were meaning of work, role clarity, social relationships and mutual trust between employees. The highest scores for the negative factors studied were the demands for hiding emotions, work pace, cognitive and emotional demands. Stress and burnout showed the highest mean scores amongst the MHPs. Quantitative and emotional demands were positively related to all of the studied MHPs, while work pace and role conflicts had a positive correlation with stress and burnout. All of the studied negative psychosocial factors were significantly correlated with burnout. work-related psychosocial risk factors such as quantitative demands work load, emotional demands, work pace and role conflicts, had significant positive relationships with MHPS in nurses in Estonia, and may contribute to high levels of stress as well as burnout amongst nurses: . © 2015 the Nordic Societies of Public Health.

Toward a comparative retrospective analysis of rat and rabbit developmental toxicity studies for pharmaceutical compounds.

PubMed

Theunissen, P T; Beken, S; Cappon, G D; Chen, C; Hoberman, A M; van der Laan, J W; Stewart, J; Piersma, A H

2014-08-01

Based on a proposal made at the ICH Workshop in Tallinn, Estonia (2010), the value of the rabbit embryo-fetal development (EFD) versus the rodent EFD was examined by the HESI DART group. A cross-industry data survey provided anonymised EFD and toxicokinetic data from EFD studies on over 400 marketed and unmarketed drugs (over 800 studies) that were entered by experts at RIVM into US EPA’s ToxRefDB style database. The nature and severity of findings at the lowest observed adverse effect level (LOAEL) are being reviewed to quantitate the frequency with which lesser signs of embryo-fetal effects (e.g., delays in ossification, minor changes in frequency of variants) are driving the LOAELs. Interpretation was based on exposure rather than administered dose. This paper provides an update of this ongoing project as discussed during a workshop of the European Teratology Society in Ispra, Italy (2013). This was the first presentation of the initial data set, allowing debate on future directions, to provide a better understanding of the implications of either delaying a rabbit EFD or waiving the need in particular circumstances.

The Futures of Adult Educator(s): Agency, Identity and Ethos. Joint Conference Proceedings of the 2nd ESREA/ReNAdET Meeting and the 4th TQF Seminar (Tallinn, Estonia, November 9-11, 2011)

ERIC Educational Resources Information Center

Heikkinen, Anja, Ed.; Jogi, Larissa, Ed.; Jutte, Wolfgang, Ed.; Zarifis, Georgios K., Ed.

2012-01-01

This edited volume contains the papers presented in the 2nd ESREA|ReNAdet meeting that was jointly organised with the VET & CULTURE Network in the University of Tallinn (Estonia), 9-11 November 2011. The papers that appear in the volume discuss the future (or the futures) of adult educators in respect to issues of developing their identities…

Country report: Estonia

NASA Astrophysics Data System (ADS)

Kaasik, Helle

2015-12-01

The situation of women in education, work, and research in Estonia is relatively good. Nevertheless, science (especially engineering) remains a male-dominated field. The total number of female scientists and engineers in the workforce is about two-thirds that of males. Moreover, the gender imbalance in the researcher population increases with age. Significant pay-gap and power imbalances between the genders remain both in Estonian society in general and in the fields of science and technology. In many practical situations, behavior of both men and women is still guided by gender stereotypes.

Sexually Transmitted Infections - Prevalence, Knowledge and Behaviours among Professional Defence Forces in Estonia: a Pilot Study.

PubMed

Parker, R. David; Rüütel, Kristi

2017-03-01

Our study assessed sexually transmitted infections (STI) occurrence and risk behaviours from a sample of the defence forces of Estonia. Previous research on military personnel yields various results on the prevalence of STIs and high risk behaviours. The increasing recognition of high risk behaviours among military personnel is evident given increased programmes that focus on education of drug use and risky sexual behaviours. Many militaries conduct routine, periodic screening for diseases such as HIV and viral hepatitis at entry and pre-foreign deployment. Protecting deployed forces from secondary infections is important as persons with chronic viral infections are living longer, healthier lives and are more frequently serving in military forces. A cross sectional study used convenient sampling among professional defence forces. Participation was both voluntary and anonymous. Of 186 participants accounting for 7.3% of all forces (86.6% male, mean age 30 years) at selected bases, there were four cases of chlamydia. No cases of gonorrhea, trichomoniasis, hepatitis C, hepatitis B, or HIV were found. One person reported ever injecting drugs. These findings indicate a lower STI occurrence among professional defence forces in Estonia compared with the non-military population. While these rates were lower than expected, as a voluntary study, people suspicious of having an STI might opt not to participate, limiting generalizability to the remainder of the military. Militaries without regular screening programmes could consider regular scheduled testing for STIs, HIV and blood borne pathogens, even if voluntary, especially prior to foreign deployment. Consistent testing would align across many militaries who deploy international peace keepers. Copyright© by the National Institute of Public Health, Prague 2017

‘Contexts of Exit in the Migration of Russian Speakers from the Baltic Countries to Ireland’

PubMed Central

Aptekar, Sofya

2013-01-01

Recently, Ireland has become a major destination for migrants from Estonia, Latvia, and Lithuania. Many of these migrants are members of Russian-speaking minorities leaving a context of restrictive citizenship and language laws and varying degrees of ethnic tension. This paper draws on interviews collected in Ireland to examine the role played by the contexts of exit in decisions to migrate among Russian-speaking minorities from the Baltics. The results suggest that Russian speakers from Estonia migrate because of their experiences as minorities, while those from Latvia and Lithuania migrate to escape low wages and irregular employment. This is so despite equally restrictive language and citizenship laws in Estonia and Latvia. I argue that the effect of state policy as a push factor for minority emigration is mediated by other contextual aspects, such as levels of contact, timbre of ethnic relations, and the degree of intersection between economic stratification and ethnicity. PMID:24363609

Application of strengths, weaknesses, opportunities and threats analysis in the development of a health technology assessment program.

PubMed

Gibis, B; Artiles, J; Corabian, P; Meiesaar, K; Koppel, A; Jacobs, P; Serrano, P; Menon, D

2001-10-01

There has been recent interest in developing a health technology assessment (HTA) function in Estonia. A group of individuals knowledgeable about HTA in Canada, Germany, Romania and Spain, along with representatives of the University of Tartu, Estonia, was convened by the Institute of Health Economics in Edmonton, Canada, to consider options for such a function. In a one-day workshop strengths, weaknesses, opportunities and threats (SWOT) analyses of HTA were conducted, first at a 'global' level, and then of the Estonian situation. The 'global' SWOT analysis yielded a large number of items that pertain to institutionalized HTA in a generic sense, i.e. not based on any individual HTA agency. The 'Estonian' SWOT yielded a subset of items, which pertain to development of HTA in that country. Ten actionable steps were then developed on the basis of this subset, which could be used to initiate the creation of an HTA body in Estonia.

The ethics of Soviet medical practice: behaviours and attitudes of physicians in Soviet Estonia.

PubMed

Barr, D A

1996-02-01

To study and report the attitudes and practices of physicians in a former Soviet republic regarding issues pertaining to patients' rights, physician negligence and the acceptance of gratuities from patients. Survey questionnaire administered to physicians in 1991 at the time of the Soviet breakup. Estonia, formerly a Soviet republic, now an independent state. A stratified, random sample of 1,000 physicians, representing approximately 20 per cent of practicing physicians under the age of 65. Most physicians shared information with patients about treatment risks and alternatives, with the exception of cancer patients: only a third of physicians tell the patient when cancer is suspected. Current practice at the time of the survey left patients few options when physician negligence occurred; most physicians feel that under a reformed system physician negligence should be handled within the local facility rather than by the government. It was common practice for physicians to receive gifts, tips, or preferential access to scarce consumer goods from their patients. Responses varied somewhat by facility and physician nationality. The ethics of Soviet medical practice were different in a number of ways from generally accepted norms in Western countries. Physicians' attitudes about the need for ethical reform suggest that there will be movement in Estonia towards a system of medical ethics that more closely approximates those in the West.

Why is a "Good Abortion Law" Not Enough? The Case of Estonia.

PubMed

Oja, Liiri

2017-06-01

There are various ways to critically discuss abortion. Constructing or finding the most suitable analytical framework-whether rooted in legal formalism, socio-legal considerations, or comparativism-always depends on the country of subject and whether the analysis is for litigation, advocacy, or more theoretical purposes. This paper offers a model for analyzing abortion in Estonia in order to connect it as a thought-provoking case study to the ongoing transnational abortion discussions. I set out by describing the Estonian Abortion Act as a "good abortion law": a regulation that guarantees in practice women's legal access to safe abortion. Despite this functioning law, I carve a space for criticism by expanding the conversation to the broader power relations and gender dynamics present in Estonian society. Accordingly, I explain the state of the Estonian feminist movement and gender research, the local legal community's minimal engagement with the reproductive rights discourse, and the lingering Soviet-era narratives of reproduction and health, which were not fully extinguished by the combination of human rights commitments and neoliberalism upon restoration of independence in the early 1990s. I consequently show that Estonia's liberal abortion regulation is not grounded in a sufficiently deep understanding of human rights-based approaches to reproductive health, therefore leaving the door open for micro-aggressions toward women and for conservative political winds to gain ground.

The ethics of Soviet medical practice: behaviours and attitudes of physicians in Soviet Estonia.

PubMed Central

Barr, D A

1996-01-01

OBJECTIVES: To study and report the attitudes and practices of physicians in a former Soviet republic regarding issues pertaining to patients' rights, physician negligence and the acceptance of gratuities from patients. DESIGN: Survey questionnaire administered to physicians in 1991 at the time of the Soviet breakup. SETTING: Estonia, formerly a Soviet republic, now an independent state. SURVEY SAMPLE: A stratified, random sample of 1,000 physicians, representing approximately 20 per cent of practicing physicians under the age of 65. RESULTS: Most physicians shared information with patients about treatment risks and alternatives, with the exception of cancer patients: only a third of physicians tell the patient when cancer is suspected. Current practice at the time of the survey left patients few options when physician negligence occurred; most physicians feel that under a reformed system physician negligence should be handled within the local facility rather than by the government. It was common practice for physicians to receive gifts, tips, or preferential access to scarce consumer goods from their patients. Responses varied somewhat by facility and physician nationality. CONCLUSION: The ethics of Soviet medical practice were different in a number of ways from generally accepted norms in Western countries. Physicians' attitudes about the need for ethical reform suggest that there will be movement in Estonia towards a system of medical ethics that more closely approximates those in the West. PMID:8932723

Three Thousand Years of Continuity in the Maternal Lineages of Ancient Sheep (Ovis aries) in Estonia

PubMed Central

Rannamäe, Eve; Lõugas, Lembi; Speller, Camilla F.; Valk, Heiki; Maldre, Liina; Wilczyński, Jarosław; Mikhailov, Aleksandr; Saarma, Urmas

2016-01-01

Although sheep (Ovis aries) have been one of the most exploited domestic animals in Estonia since the Late Bronze Age, relatively little is known about their genetic history. Here, we explore temporal changes in Estonian sheep populations and their mitochondrial genetic diversity over the last 3000 years. We target a 558 base pair fragment of the mitochondrial hypervariable region in 115 ancient sheep from 71 sites in Estonia (c. 1200 BC–AD 1900s), 19 ancient samples from Latvia, Russia, Poland and Greece (6800 BC–AD 1700), as well as 44 samples of modern Kihnu native sheep breed. Our analyses revealed: (1) 49 mitochondrial haplotypes, associated with sheep haplogroups A and B; (2) high haplotype diversity in Estonian ancient sheep; (3) continuity in mtDNA haplotypes through time; (4) possible population expansion during the first centuries of the Middle Ages (associated with the establishment of the new power regime related to 13th century crusades); (5) significant difference in genetic diversity between ancient populations and modern native sheep, in agreement with the beginning of large-scale breeding in the 19th century and population decline in local sheep. Overall, our results suggest that in spite of the observed fluctuations in ancient sheep populations, and changes in the natural and historical conditions, the utilisation of local sheep has been constant in the territory of Estonia, displaying matrilineal continuity from the Middle Bronze Age through the Modern Period, and into modern native sheep. PMID:27732668

Decline in alcohol consumption in Estonia: combined effects of strengthened alcohol policy and economic downturn.

PubMed

Lai, Taavi; Habicht, Jarno

2011-01-01

To describe alcohol policy changes in parallel to consumption changes in 2005-2010 in Estonia, where alcohol consumption is among the highest in Europe. Review of pertinent legislation and literature. Alcohol consumption decreased since 2008, while alcohol excise tax, sales time restrictions and ad bans have increased since 2005. An economic downturn started in 2008. The precise roles of policy changes and the economic downturn in the decline of alcohol consumption, and whether the decrease will be sustained, are still unclear.

Financing Estonia's unemployment insurance system: problems and prospects.

PubMed

Paas, T; Scannell, N J

2000-01-01

In recent years, favorable media coverage of the glowing employment situation in the United States has been the norm. History, for one, won't permit us, however, to become complacent with what appears on the books to be a rosy economic picture for the nation. Moreover, the mounting recognition that the U.S. economy is inextricably tied to those of other nations--large and small--serves to keep us vigilant. This paper allows us a comparative exploration of the employment conditions in Estonia and the problems and prospects of financing its unemployment insurance program.

Mortality and causes of death after traumatic spinal cord injury in Estonia

PubMed Central

Sabre, Liis; Rekand, Tiina; Asser, Toomas; Kõrv, Janika

2013-01-01

Study design Retrospective population-based study with mortality follow-up. Objective To study mortality, causes and risk factors for death in Estonian patients with traumatic spinal cord injury (TSCI). Setting All Estonian hospitals. Methods Medical records of patients with TSCI from all regional, central, general, and rehabilitation hospitals in Estonia from 1997 to 2007, were retrospectively reviewed. Mortality status was ascertained as of 31 December 2011. Causes of death were collected from the Estonian Causes of Death Registry. Standardized mortality ratios (SMRs) were calculated for the entire sample and for causes of death. A Cox proportional hazards modeling was used to identify the risk indicators for death. Results During the observation period (1997–2011) 162 patients of 595 died. Nearly half of the patients (n = 76) died during the first year after TSCI. The main causes of death were external causes (30%), cardiovascular disease (29%). and suicide (8%). The overall SMR was 2.81 (95% confidence interval 2.40–3.28) and SMR was higher for women than for men (3.80 vs. 2.70). Cause-specific SMRs were markedly elevated for sepsis and suicide. Mortality was significantly affected by the age at the time of injury, neurological level, and extent of the injury as well as the year of TSCI and complications. Conclusion Life expectancy is significantly decreased in patients with TSCI in Estonia compared with the general population. Deaths during the first year after the injury have an important impact on statistics. Treatment of cardiovascular diseases, infections, and prevention of suicide are useful for reducing mortality in patients with TSCI. PMID:24090049

The occurrence and hydrochemistry of fluoride and boron in carbonate aquifer system, central and western Estonia.

PubMed

Karro, Enn; Uppin, Marge

2013-05-01

Silurian-Ordovician (S-O) aquifer system is an important drinking water source of central and western Estonia. The fluoride and boron contents of groundwater in aquifer system vary considerably. The fluoride concentration in 60 collected groundwater samples ranged from 0.1 to 6.1 mg/l with a mean of 1.95 mg/l in the study area. Boron content in groundwater varied from 0.05 mg/l to 2.1 mg/l with a mean value of 0.66 mg/l. Considering the requirements of EU Directive 98/83/EC and the Estonian requirements for drinking water quality, the limit value for fluoride (1.5 mg/l) and for boron (1.0 mg/l) is exceeded in 47 and 28 % of wells, respectively. Groundwater with high fluoride and boron concentrations is found mainly in western Estonia and deeper portion of aquifer system, where groundwater chemical type is HCO3-Cl-Na-Mg-Ca, water is alkaline, and its Ca(2+) content is low. Groundwater of the study area is undersaturated with respect to fluorite and near to equilibrium phase with respect to calcite. The comparison of TDS versus Na/(Na + Ca) and Cl/(Cl + HCO3) points to the dominance of rock weathering as the main process, which promotes the availability of fluoride and boron in the groundwater. The geological sources of B in S-O aquifer system have not been studied so far, but the dissolution of fluorides from carbonate rocks (F = 100-400 mg/kg) and K-bentonites (F = 2,800-4,500 mg/kg) contributes to the formation of F-rich groundwater.

Initial Air Traffic Control Training at Tartu Aviation College.

ERIC Educational Resources Information Center

Kulbas, Tanel

1997-01-01

Development of an air traffic control (ATC) training course at Tartu Aviation College in Estonia had to start at ground zero, creating new rules and regulations for ATC, writing special study materials, building simulators, and finding enough applicants with sufficient English skills. (SK)

Engineering Students' Conceptions of Entrepreneurial Learning as Part of Their Education

ERIC Educational Resources Information Center

Täks, Marge; Tynjälä, Päivi; Kukemelk, Hasso

2016-01-01

The purpose of this study was to examine what kinds of conceptions of entrepreneurial learning engineering students expressed in an entrepreneurship course integrated in their study programme. The data were collected during an entrepreneurship course in Estonia that was organised for fourth-year engineering students, using video-recorded group…

Language Policy and the Internationalization of Higher Education in the Baltic Countries

ERIC Educational Resources Information Center

Kaša, Rita; Mhamed, Ali Ait Si

2013-01-01

In the framework of the internationalization and globalization of higher education and competition for international students, the paper examines how language policy in higher education shapes the provision of study programs in Estonia, Latvia, and Lithuania. It concludes that study programs in the Baltic states mostly follow the convention of a…

Relationships between Teachers' Metacognitive Knowledge and Students' Metacognitive Knowledge and Reading Achievement

ERIC Educational Resources Information Center

Soodla, Piret; Jõgi, Anna-Liisa; Kikas, Eve

2017-01-01

The study examined the relationships between teachers' metacognitive knowledge of reading strategies and their students' metacognitive knowledge and reading comprehension. The study was carried out among language art teachers (N = 34) and their students (N = 534) in the last year of primary school (ninth grade) in Estonia. Multilevel modeling was…

CO2 flux studies of different hemiboreal forest ecosystems

NASA Astrophysics Data System (ADS)

Krasnova, Alisa; Krasnov, Dmitrii; Noe, Steffen M.; Uri, Veiko; Mander, Ülo; Niinemets, Ülo; Soosaar, Kaido

2017-04-01

Hemiboreal zone is a transition between boreal and temperate zones characterized by the combination of climatic and edaphic conditions inherent in both zones. Hemiboreal forests are typically presented by mixed forests types with different ratios of deciduous and conifer tree species. Dominating tree species composition affects the functioning of forest ecosystem and its influence on biogeochemical cycles. We present the result of ecosystem scale CO2 eddy-covariance fluxes research conducted in 4 ecosystems (3 forests sites and 1 clear-cut area) of hemiboreal zone in Estonia. All 4 sites were developing under similar climatic conditions, but different forest management practices resulted in different composition of dominating tree species: pine forest with spruce trees as a second layer (Soontaga site); spruce/birch forest with single alder trees (Liispõllu site); forest presented by sectors of pine, spruce, birch and clearcut areas (SMEAR Estonia site); 5-years old clearcut area (Kõnnu site).

Uninvited Guests: Traditional Insect Repellents in Estonia used Against the Clothes Moth Tineola bisselliella, Human Flea Pulex irritons and Bedbug Cimex lectularius

PubMed Central

Sõukand, Renata; Kalle, Raivo; Svanberg, Ingvar

2010-01-01

Extensive folklore records from pre-modern Estonia give us an excellent opportunity to study a variety of local plant knowledge and plant use among the peasantry in various parts of the country. One important biocultural domain where plant knowledge has been crucial was in the various methods of combating different ectoparasites that cohabited and coexisted with humans and their domestic animals. Some of these methods were widely known (world-wide, Eurasia, Europe, Baltic Rim), while others were more local. Here we discuss ways of reducing clothes moths Tineola bisselliella (Hummel) (Lepidoptera: Tineidae), human fleas Pulex irritons L. (Siphonaptera: Pulicidae) and bedbugs Cimex lectularius L. (Hemiptera: Cimicidae) with the help of plants. Various taxa used as traditional repellents have been identified. The use of plants as repellents and their toxic principles are also discussed from a comparative perspective. PMID:21070174

Uninvited guests: traditional insect repellents in Estonia used against the clothes moth Tineola bisselliella, human flea Pulex irritons and bedbug Cimex lectularius.

PubMed

Sõukand, Renata; Kalle, Raivo; Svanberg, Ingvar

2010-01-01

Extensive folklore records from pre-modern Estonia give us an excellent opportunity to study a variety of local plant knowledge and plant use among the peasantry in various parts of the country. One important biocultural domain where plant knowledge has been crucial was in the various methods of combating different ectoparasites that cohabited and coexisted with humans and their domestic animals. Some of these methods were widely known (world-wide, Eurasia, Europe, Baltic Rim), while others were more local. Here we discuss ways of reducing clothes moths Tineola bisselliella (Hummel) (Lepidoptera: Tineidae), human fleas Pulex irritons L. (Siphonaptera: Pulicidae) and bedbugs Cimex lectularius L. (Hemiptera: Cimicidae) with the help of plants. Various taxa used as traditional repellents have been identified. The use of plants as repellents and their toxic principles are also discussed from a comparative perspective.

Monitoring anonymous HIV testing in Estonia from 2005 to 2015.

PubMed

Rüütel, K; Kallavus, K; Tomera, I

2018-02-01

In Estonia, a network of anonymous and free of charge HIV testing sites has been operating since 1988. Services are provided by health care organizations and financed by the National Institute for Health Development from the state budget. The objective of this analysis was to assess anonymous HIV testing in Estonia from 2005 to 2015. We used data collected from the National Institute for Health Development's annual reports, Health Board and Estonian Health Insurance Fund. In Estonia, more than 200 000 HIV-tests are performed annually, and of these approximately 5-6% are within anonymous HIV testing sites. The percentage tested with rapid tests in anonymous testing sites has increased from 15% in 2010 to 53% in 2015. Furthermore, up to 65% of all newly diagnosed HIV-cases have been detected in these sites. The proportion of HIV-positive tests has decreased from 3.8% to 0.5% in anonymous testing sites and from 0.3% to 0.1% in general health care. Simultaneously, the cost of detecting one new HIV case has increased almost six times. This analysis reveals that anonymous HIV testing services are well accepted by the general population as well as vulnerable populations. The positivity rate among those tested in anonymous testing sites remains higher than among all people tested, showing that the sites reach more of those who are at higher risk of HIV. In the light of decreasing positivity rate, more attention should be paid to people with higher HIV risk and increasing access to testing in community based settings. © 2018 British HIV Association.

Challenges of audit of care on clinical quality indicators for hypertension and type 2 diabetes across four European countries.

PubMed

Suija, Kadri; Kivisto, Katrin; Sarria-Santamera, Antonio; Kokko, Simo; Liseckiene, Ida; Bredehorst, Maren; Jaruseviciene, Lina; Papp, Renata; Oona, Marje; Kalda, Ruth

2015-02-01

The purpose of the study was to measure clinical quality by doing an audit of clinical records and to compare the performance based on clinical quality indicators (CQI) for hypertension and type 2 diabetes across seven European countries: Estonia, Finland, Germany, Hungary, Italy, Lithuania and Spain. Two common chronic conditions in primary care (PC), hypertension and type 2 diabetes, were selected for audit. The assessment of CQI started with a literature review of different databases: Organization for Economic Co-operation and Development, World Health Organization, European Commission European Community Health Indicators, US National Library of Medicine. Data were collected from clinical records. Although it was agreed to obtain the clinical indicators in a similar way from each country, the specific data collection process in every country varied greatly, due to different traditions in collecting and keeping the patients' data, as well as differences in regulation regarding access to clinical information. Also, there was a huge variability across countries in the level of compliance with the indicators. Measurement of clinical performance in PC by audit is methodologically challenging: different databases provide different information, indicators of quality of care have insufficient scientific proof and there are country-specific regulations. There are large differences not only in quality of health care across Europe but also in how it is measured. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Disparities in suicide mortality trends between United States of America and 25 European countries: retrospective analysis of WHO mortality database

PubMed Central

Fond, Guillaume; Llorca, Pierre-Michel; Boucekine, Mohamed; Zendjidjian, Xavier; Brunel, Lore; Lancon, Christophe; Auquier, Pascal; Boyer, Laurent

2016-01-01

The objective was to examine changes in temporal trends in suicide mortality in 26 Western countries by retrospective trend analysis of the WHO mortality database on causes of deaths. From 1990 to 2010, there was a median reduction in suicide mortality of 22.7%, ranging from a 46% reduction in Estonia to a 26.2% increase in Romania. Suicide mortality decreased by ≥20% in 15 countries, and the reduction tended to be greater in countries with higher mortality in 1990. In most of the central European countries mortality strongly declined. The median changes in the age groups were −25.3% (range −62.9% to 72.6%) in people aged 15–24 years, −36.9% (−60.5% to 32.4%) in 25–34 years, −3.6% (−57.1% to 92%) in 35–54 years, −12.2% (−37% to 65,7%) in 55–74 years and −16.1% (−54.5% to 166.7%) in ≥75 years. Suicide prevention programs in youths and in the elderly seem to be effective (at least in females for the elderly) and efforts should be pursued in this way. However, suicide mortality of the people aged 35–54 years has increased in half of the studied countries between 1990 and 2010. Public policies should further orientate their efforts toward this population. PMID:26883796

Preschool Teachers' Views on Children's Learning: An International Perspective

ERIC Educational Resources Information Center

Broström, Stig; Sandberg, Anette; Johansson, Inge; Margetts, Kay; Nyland, Berenice; Frøkjaer, Thorleif; Kieferle, Christa; Seifert, Anja; Roth, Angela; Ugaste, Aino; Vrinioti, Kalliope

2015-01-01

This comparative study investigated the perspectives of preschool teachers in Australia, Denmark, Estonia, German, Greece and Sweden about learning and participation in preschool. A structured survey questionnaire investigated four main questions: What situations can be characterised as learning? What activities are important for learning? What…

Qualities to Be Developed in Estonian Children at Home and at School

ERIC Educational Resources Information Center

Tulviste, Tiia; Kikas, Eve

2010-01-01

The study examined the views of 580 mothers, 333 fathers and 43 primary school teachers about qualities to be developed at home and at school in Estonia--a country in transition with reforms towards child-centered democratic education. The study found that mothers, fathers and teachers shared the dominant family socialization values. Mothers,…

The Impact of External Quality Assessment on Universities: The Estonian Experience

ERIC Educational Resources Information Center

Vilgats, Birgit; Heidmets, Mati

2011-01-01

This article seeks to establish what impact external quality assessment had on universities in Estonia between 1997 and 2009. It is based on a study of the analysis of experts' reports of curricula accreditation and interviews with university and programme managers, undertaken between 2007 and 2009. The study included an analysis of 12 curricula…

Tiger in Focus--A National Survey of ICT in Estonian Schools

ERIC Educational Resources Information Center

Toots, Anu; Laanpere, Mart

2004-01-01

Estonia has not participated in international studies of ICT in education, nor have there been any similar studies at the national level up until the year 2000. The first survey of ICT in Estonian schools was conducted after completion of the national school computerization programme called Tiger Leap. This paper focuses on the targeted responses…

Acculturation and Communicative Mobility Among Former Soviet Nationalities.

ERIC Educational Resources Information Center

Haarmann, Harald; Holman, Eugene

1997-01-01

Discusses the strategies that the former Soviet states are evolving to balance the interests of dominant ethnic groups with those of linguistic minorities while constructing a national identity, highlighting language policy in action and focusing on acculturation processes and geographic mobility among groups. A case study of Estonia is also…

The Information Culture of Higher Education Institutions: The Estonian Case

ERIC Educational Resources Information Center

Lauri, Liia; Heidmets, Mati; Virkus, Sirje

2016-01-01

Introduction: This paper focuses on the information culture of higher education institutions in Estonia. The aim of the study is to explore the relationship between information culture, information management and job satisfaction, leadership style, and self-reported individual performance. Method: A total of 160 faculty members from twelve…

Professionalism of Preschool Teachers in Estonia, Finland, Sweden and Hungary

ERIC Educational Resources Information Center

Peterson, Tiina; Veisson, Marika; Hujala, Eeva; Härkönen, Ulla; Sandberg, Anette; Johansson, Inge; Bakosi, Eva Kovacsne

2016-01-01

The current study investigated the ratings of Estonian, Finnish, Swedish and Hungarian preschool teachers and principals regarding the professionalism of preschool teachers within a cross-cultural context. According to reports commissioned by the European Commission and OECD, the professionalism of preschool teachers is a key factor in ensuring…

The effects of the lower ignition propensity cigarettes standard in Estonia: time-series analysis.

PubMed

Saar, Indrek

2018-02-01

In 2011, the lower ignition propensity (LIP) standard for cigarettes was implemented in the European Union. Evidence about the impact of that safety measure is scarce. The aim of this paper is to examine the effects of the LIP standard on fire safety in Estonia. The absolute level of smoking-related fire incidents and related deaths was modelled using dynamic time-series regression analysis. The data about house fire incidents for the 2007-2013 period were obtained from the Estonian Rescue Board. Implementation of the LIP standard has reduced the monthly level of smoking-related fires by 6.2 (p<0.01, SE=1.95) incidents and by 26% (p<0.01, SE=9%) when estimated on the log scale. Slightly weaker evidence was found about the fatality reduction effects of the LIP regulation. All results were confirmed through counterfactual models for non-smoking-related fire incidents and deaths. This paper indicates that implementation of the LIP cigarettes standard has improved fire safety in Estonia. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Relationships between In-Service Teacher Achievement Motivation and Use of Educational Technology: Case Study with Latvian and Estonian Teachers

ERIC Educational Resources Information Center

Karaseva, Agnese; Pruulmann-Vengerfeldt, Pille; Siibak, Andra

2018-01-01

This study explored the relationship of in-service teacher achievement goal orientation and practices of educational technology use. Semi-structured individual interviews with secondary school teachers in Latvia (N = 16) and Estonia (N = 10) revealed that the use of information and communication technology (ICT) in pedagogical work and the ways in…

Evaluation of afforestation development and natural colonization on a reclaimed mine site

Treesearch

Diana Laarmann; Henn Korjus; Allan Sims; Ahto Kangur; Andres Kiviste; John Stanturf

2015-01-01

Post-mining restoration sites often develop novel ecosystems as soil conditions are completely new and ecosystem assemblage can be spontaneous even on afforested sites. This study presents results from long-term monitoring and evaluation of an afforested oil-shale quarry in Estonia. The study is based on chronosequence data of soil and vegetation and comparisons are...

Understanding Teachers' Pedagogical Knowledge: Report on an International Pilot Study. OECD Education Working Papers, No. 159

ERIC Educational Resources Information Center

Sonmark, Kristina; Révai, Nóra; Gottschalk, Francesca; Deligiannidi, Karolina; Burns, Tracey

2017-01-01

What is the nature of teachers' pedagogical knowledge? The Innovative Teaching for Effective Learning Teacher Knowledge Survey (ITEL TKS) set out to answer this question in a pilot study that ran in five countries: Estonia, Greece, Hungary Israel, and the Slovak Republic. Using convenience samples, the pilot assessed the pedagogical knowledge base…

Dynamics of Inequalities in Access to Higher Education: Bulgaria in a Comparative Perspective

ERIC Educational Resources Information Center

Ilieva-Trichkova, Petya; Boyadjieva, Pepka

2014-01-01

This paper aims at studying the dynamics of inequalities in access to higher education (HE) both in a historical and a comparative perspective. It uses Bulgaria as a case study and places it among five other countries such as Estonia, Hungary, Poland, Slovakia and Slovenia. The adopted approach differentiates between equity in HE and inequalities…

A decline in the prevalence of injecting drug users in Estonia, 2005–2009

PubMed Central

Uusküla, A; Rajaleid, K; Talu, A; Abel-Ollo, K; Des Jarlais, DC

2013-01-01

Aims and setting Descriptions of behavioural epidemics have received little attention compared with infectious disease epidemics in Eastern Europe. Here we report a study aimed at estimating trends in the prevalence of injection drug use between 2005 and 2009 in Estonia. Design and methods The number of injection drug users (IDUs) aged 15–44 each year between 2005 and 2009 was estimated using capture-recapture methodology based on 4 data sources (2 treatment data bases: drug abuse and non-fatal overdose treatment; criminal justice (drug related offences) and mortality (injection drug use related deaths) data). Poisson log-linear regression models were applied to the matched data, with interactions between data sources fitted to replicate the dependencies between the data sources. Linear regression was used to estimate average change over time. Findings there were 24305, 12292, 238, 545 records and 8100, 1655, 155, 545 individual IDUs identified in the four capture sources (Police, drug treatment, overdose, and death registry, accordingly) over the period 2005 – 2009. The estimated prevalence of IDUs among the population aged 15–44 declined from 2.7% (1.8–7.9%) in 2005 to 2.0% (1.4–5.0%) in 2008, and 0.9% (0.7–1.7%) in 2009. Regression analysis indicated an average reduction of over 1700 injectors per year. Conclusion While the capture-recapture method has known limitations, the results are consistent with other data from Estonia. Identifying the drivers of change in the prevalence of injection drug use warrants further research. PMID:23290632

Student Teachers' Knowledge about Children with ADHD and Depression and Its Relations to Emotions

ERIC Educational Resources Information Center

Kikas, Eve; Timoštšuk, Inge

2016-01-01

Student teachers' knowledge about children with attention deficit hyperactivity disorder (ADHD) and depression and its relations to reporting experiencing emotions during teaching practice were studied. The participants were 186 teacher education students in Estonia. Student teachers' general knowledge and confidence in knowledge varied a lot.…

Qualifications at Level 5: Progressing in a Career or to Higher Education. Working Paper No 23

ERIC Educational Resources Information Center

Grm, Slava Pevec; Bjørnåvold, Jens

2014-01-01

This study addresses qualifications at level 5 of the European qualifications framework (EQF) in 15 countries (Belgium (Flanders), the Czech Republic, Denmark, Estonia, Ireland, France, Croatia, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Austria, Portugal, the United Kingdom (EWNI and Scotland) that had linked their national…

Examining Trends in Parent-Child Communication in Europe over 12 Years

ERIC Educational Resources Information Center

Tabak, Izabela; Mazur, Joanna; Granado Alcon, Maria del Carmen; Orkenyi, Agota; Zaborskis, Apolinaras; Aasvee, Katrin; Moreno, Carmen

2012-01-01

The aim of this study was to analyze changes in communication with parents about matters of concern to 11- and 13-year olds. Health Behaviour in School-aged Children (HBSC) surveys conducted in Austria, the Czech Republic, Denmark, Estonia, Finland, France, Germany, Hungary, Lithuania, Latvia, Norway, Poland, Russia, Slovakia, Sweden, and…

Managing Multilingualism on State Websites: How Institutional Employees Explain Language Choice

ERIC Educational Resources Information Center

Berezkina, Maimu

2018-01-01

The purpose of this study is to understand how institutional language managers make and legitimize decisions about language choice on state websites. The focus lies on state institutions in two technologically advanced European nation-states: Estonia and Norway. The analysis is empirically based on interviews with employees at the institutions who…

Spiritual Needs and Quality of Life in Estonia

ERIC Educational Resources Information Center

Teichmann, Mare; Murdvee, Mart; Saks, Kai

2006-01-01

This paper reports on three field studies using the WHOQOL-100 and WHOQOL-BREF instruments that utilized three different samples (N = 1,801) to get a better understanding of how important the person's spiritual needs are for quality of life. The most striking negative difference between the Estonian and World Health Organization samples was in…

Family Factors and NEET Status: An Estonian Case Study

ERIC Educational Resources Information Center

Leino, Mare; Hintsanen, Mirka; Hintsa, Taina; Merjonen, Paivi; Keltikangas-Jarvinen, Liisa

2013-01-01

For young people, not being in education, employment or training (NEET) may be detrimental to self-esteem and limit possibilities for achieving financial security and a respectable position in society. One major educational problem in Estonia is low academic achievement at the upper level of basic education (Grades 7-9), reflected in a large…

Nationality Politics in the Soviet Union: At Last, a Subject of Serious Scholarship in the US

DTIC Science & Technology

1991-01-01

Arens, Olavi, Book review: Rei , August, The Drama of the Baltic Peoples (Stockholm: Kirjastus Vaba Eesti, 1970), 384pp, Bulletin of Baltic Studies, Vol...1940-1980 (Berkeley: University of California Press, 1983) EE. Nodel, Emanuel, Estonia: Nation on the Anvil (New York: Bookman Astor , Inc, 1963) FF

Cyclic sedimentation pattern in Lake Veetka, southeast Estonia: a case study

NASA Astrophysics Data System (ADS)

Saarse, Leili

2015-03-01

A sediment core from Lake Veetka, southeast Estonia, 1077 cm in length and covering 10,500 calibrated years, was examined using loss-on-ignition, grain-size distribution and AMS 14C dating to reconstruct depositional dynamics. The studied core, recovered from the northern part of the lake, shows a cyclic pattern of organic and mineral matter concentration with cycle durations of 100-400 years. Cyclicity is displayed better in sediments laid down between 9,200 and 5,600 cal BP. Within two time windows (5,600-5,100 cal BP and from 1,200 cal BP to the present), sediment composition changed drastically on account of a high and fluctuating mineral matter content, obviously driven by different factors. Little Ice Age cooling is characterised by the highest proportion of mineral matter, and the Medieval Warm Period is typified by high organic matter content. The cyclic change of organic and mineral matter has been related to climate dynamics, most likely an alternation of wet and dry conditions, changes in the water level of the lake and differences in bioproduction

Smoking habits and attitudes towards smoking among Estonian physicians.

PubMed

Pärna, K; Rahu, K; Rahu, M

2005-05-01

This study examined the smoking habits and attitudes towards smoking among Estonian physicians. Cross-sectional data for 2668 physicians were gathered by a self-administered postal survey. The current smoking prevalence was 24.9% for male physicians and 10.8% for female physicians. The percentages of ex-smokers were 32.9 and 16.8%, respectively. Smoking prevalence among physicians was below the levels reported for the highest educational bracket of the total population in Estonia. Non-smoking physicians had more unfavourable views towards smoking than those who smoked. The majority of physicians were aware of the association between smoking and various diseases, with significant differences between smokers and non-smokers. Non-smoking physicians were more active in asking patients about smoking habits than those who smoked. Most Estonian physicians, especially those who smoked, failed to perceive themselves as positive role models. This study found a lower prevalence of smoking among physicians compared with the general population, and demonstrated the impact of personal smoking on physicians' attitudes towards smoking. The results provide an important challenge to medical education in Estonia.

Past, present and future formation of groundwater resources in northern part of Baltic Artesian Basin

NASA Astrophysics Data System (ADS)

Marandi, A.; Vallner, L.; Vaikmae, R.; Raidla, V.

2012-04-01

Cambrian-Vendian Aquifer System (CVAS) is the deepest confined aquifer system used for water consumption in northern part of Baltic Artesian Basin (BAB). A regional groundwater flow and transport model (Visual Modflow) was used to investigate the paleohydrogeological scientific and contemporary management problems of CVAS. The model covers the territory of Estonia and its close surrounding, all together 88,000 km2 and includes all main aquifers and aquitards from ground surface to as low as the impermeable part of the crystalline basement. Three-dimensional distribution of groundwater heads, flow directions, velocities, and rates as well as transport and budget characteristics were simulated by the model. Water composition was changed significantly during the last glaciations.Strongly depleted O and H stable isotope composition, absence of 3H and low radiocarbon concentration are the main indicators of glacial origin of groundwater in the Cambrian-Vendian aquifer in northern Estonia. The noble gas analyses allowed concluding, that palaeorecharge took place at temperatures around the freezing point. While in North Estonia, most of water was changed by glacial melt water, high salinity water is till preserved in Southern part of Estonia.First results of modeling suggest that during the intrusion period lasting 7.3-9.3 ka the front of glacial thaw water movement had southeast direction and reachedto 180-220 kmfrom CVAS outcrop in Baltic Sea. Confining layer of CVAS is cut through by deep buried valleys in several places in North Estonia making possible for modern precipitation to infiltrate into aquifer system in present day. In case of natural conditions, the water pressure of CVAS is few meters above sea level and most of valleys act as discharge areas for aquifers system. Two regional depression ones have formed in North Estonia as a result of groundwater use from CVAS. Water consumption changes the natural groundwater gradient, flow direction and thereforerecharge through buried valleys has intensified as a result of decrease of groundwater pressure in CVAS and the changes in chemical composition can take place in the future. CVAS rocks outcrop in the bottom of Finnish gulf which is considered as discharge area during the natural conditions. Therefore the water intakes close to shoreline are the most sensible areas where hydrodynamics can the direction of flow and seawater can start to intrude into CVAS. The glacial water has δ18O value from -18.4 ‰ to -21.3 ‰, and the groundwater residence time measured by 14C method is from 22000 to 23000 years. Any change by seawater intrusion or leakage from buried valleys can be detected by isotopes. Radiocarbon and tritium are the isotopes which can be used with high confidence for detecting modern seawater intrusion. Future challenges include merging of current scientific results into regional groundwater model of BAB created by the University of Latvia.

Hindcast experiments of the derecho in Estonia on 08 August, 2010: Modelling derecho with NWP model HARMONIE

NASA Astrophysics Data System (ADS)

Toll, Velle; Männik, Aarne; Luhamaa, Andres; Rõõm, Rein

2015-05-01

On August 8, 2010, a derecho swept over Northern Europe, causing widespread wind damage and more than 2 million Euros in economic loss in Estonia during its most destructive stage. This paper presents a modelling study of the derecho-producing storm utilising the Hirlam Aladin Research for Mesoscale Operational Numerical Weather Prediction in Europe (HARMONIE) model. The model setup is chosen to mimic near-future, nearly kilometre-scale, operational environments in European national weather services. The model simulations are compared to remote sensing and in situ observations. The HARMONIE model is capable of reproducing the wind gust severity and precipitation intensity. Moreover, 2.5-km grid spacing is shown to be sufficient for producing a reliable signal of the severe convective storm. Storm dynamics are well simulated, including the rear inflow jet. Although the model performance is promising, a strong dependence on the initial data, a weak trailing stratiform precipitation region and an incorrect timing of the storm are identified.

Childbirth and Diagnosis Related Groups (DRGs): patient classification and hospital reimbursement in 11 European countries.

PubMed

Bellanger, Martine M; Quentin, Wilm; Tan, Siok Swan

2013-05-01

The study compares how Diagnosis-Related Group (DRG) based hospital payment systems in eleven European countries (Austria, England, Estonia, Finland, France, Germany, Ireland, Netherlands, Poland, Spain, and Sweden) deal with women giving birth in hospitals. It aims to assist gynaecologists and national authorities in optimizing their DRG systems. National or regional databases were used to identify childbirth cases. DRG grouping algorithms and indicators of resource consumption were compared for those DRGs which account for at least 1% of all childbirth cases in the respective database. Five standardized case vignettes were defined and quasi prices (i.e. administrative prices or tariffs) of hospital deliveries according to national DRG-based hospital payment systems were ascertained. European DRG systems classify childbirth cases according to different sets of variables (between one and eight variables) into diverging numbers of DRGs (between three and eight DRGs). The most complex DRG is valued 3.5 times more resource intensive than an index case in Ireland but only 1.1 times more resource intensive than an index case in The Netherlands. Comparisons of quasi prices for the vignettes show that hypothetical payments for the most complex case amount to only € 479 in Poland but to € 5532 in Ireland. Differences in the classification of hospital childbirth cases into DRGs raise concerns whether European systems rely on the most appropriate classification variables. Physicians, hospitals and national DRG authorities should consider how other countries' DRG systems classify cases to optimize their system and to ensure fair and appropriate reimbursement. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Mortality After Elective and Ruptured Abdominal Aortic Aneurysm Surgical Repair: 12-Year Single-Center Experience of Estonia.

PubMed

Lieberg, J; Pruks, L-L; Kals, M; Paapstel, K; Aavik, A; Kals, J

2018-06-01

Abdominal aortic aneurysm is a degenerative vascular pathology with high mortality due to its rupture, which is why timely treatment is crucial. The current single-center retrospective study was undertaken to analyze short- and long-term all-cause mortality after operative treatment of abdominal aortic aneurysm and to examine the factors that influence outcome. The data of all abdominal aortic aneurysm patients treated with open repair or endovascular aneurysm repair in 2004-2015 were retrospectively retrieved from the clinical database of Tartu University Hospital. The primary endpoint was 30-day, 90-day, and 5-year all-cause mortality. The secondary endpoint was determination of the risk factors for mortality. Elective abdominal aortic aneurysm repair was performed on 228 patients (mean age 71.8 years), of whom 178 (78%) were treated with open repair and 50 (22%) with endovascular aneurysm repair. A total of 48 patients with ruptured abdominal aortic aneurysm were treated with open repair (mean age 73.8 years) at the Department of Vascular Surgery, Tartu University Hospital, Estonia. Mean follow-up period was 4.2 ± 3.3 years. In patients with elective abdominal aortic aneurysm, 30-day, 90-day, and 5-year all-cause mortality rates were 0.9%, 2.6%, and 32%, respectively. In multivariate analysis, the main predictors for 5-year mortality were preoperative creatinine value and age (p < 0.05). In patients with ruptured abdominal aortic aneurysm, 30-day, 90-day, and 5-year all-cause mortality rates were 22.9%, 33.3%, and 55.1%, respectively. In multivariate analysis, the risk factors for 30-day mortality in ruptured abdominal aortic aneurysm were perioperative hemoglobin and lactate levels (p < 0.05). According to this study, the all-cause mortality rates of elective abdominal aortic aneurysm and ruptured abdominal aortic aneurysm at our hospital were comparable to those at other centers worldwide. Even though some variables were identified as potential predictors of survival, the mortality rates after ruptured abdominal aortic aneurysm remain high. Early diagnosis, timely treatment, and detection of the risk factors for abdominal aortic aneurysm progression would improve survival in patients with abdominal aortic aneurysm.

THE USE OF PANAX GINSENG AND ITS ANALOGUES AMONG PHARMACY CUSTOMERS IN ESTONIA: A CROSS-SECTIONAL STUDY.

PubMed

Volmer, Dasy; Raal, Ain; Kalle, Raivo; Sõukand, Renata

2016-01-01

The aim of the cross-sectional study was to evaluate the pattern of complementary self-treatment with P. ginseng and its analogues amongst pharmacy customers in Estonia. The study instrument consisted of multiple-choice items related to personal knowledge about and experience with the use of P. ginseng and its analogues. In total, 1233 customers participated in the study. Of study participants, 18.1% reported the use of P. ginseng and its analogues in their lives. P. ginseng preparations were used mostly according to the well- known indications (tiredness, weakness and decreased mental and physical capacity). Of P. ginseng users 44.3% reported positive treatment effects and 12.0% had experienced different side effects. With increase of age (p < 0.01) and at lower levels of education (p = 0.04), the use of ginseng or its analogues decreased. The better the users evaluated their health, the better they perceived the effect of P. ginseng preparations (p < 0.01). This study reported rather frequent use of P. ginseng and its analogues. P. ginseng could be seen in the treatment of conditions, where the use of local medicinal plants has not been established. Further research is needed to learn more about public knowledge and experiences about efficacy and safety of P. ginseng and its analogues.

Do Girls and Boys Perceive Themselves as Equally Engaged in School? The Results of an International Study from 12 Countries

ERIC Educational Resources Information Center

Lam, Shui-fong; Jimerson, Shane; Kikas, Eve; Cefai, Carmel; Veiga, Feliciano H.; Nelson, Brett; Hatzichristou, Chryse; Polychroni, Fotini; Basnett, Julie; Duck, Robert; Farrell, Peter; Liu, Yi; Negovan, Valeria; Shin, Hyeonsook; Stanculescu, Elena; Wong, Bernard P. H.; Yang, Hongfei; Zollneritsch, Josef

2012-01-01

This study examined gender differences in student engagement and academic performance in school. Participants included 3420 students (7th, 8th, and 9th graders) from Austria, Canada, China, Cyprus, Estonia, Greece, Malta, Portugal, Romania, South Korea, the United Kingdom, and the United States. The results indicated that, compared to boys, girls…

Understanding and Measuring Student Engagement in School: The Results of an International Study from 12 Countries

ERIC Educational Resources Information Center

Lam, Shui-fong; Jimerson, Shane; Wong, Bernard P. H.; Kikas, Eve; Shin, Hyeonsook; Veiga, Feliciano H.; Hatzichristou, Chryse; Polychroni, Fotini; Cefai, Carmel; Negovan, Valeria; Stanculescu, Elena; Yang, Hongfei; Liu, Yi; Basnett, Julie; Duck, Robert; Farrell, Peter; Nelson, Brett; Zollneritsch, Josef

2014-01-01

The objective of the present study was to develop a scale that is appropriate for use internationally to measure affective, behavioral, and cognitive dimensions of student engagement. Psychometric properties of this scale were examined with data of 3,420 students (7th, 8th, and 9th grade) from 12 countries (Austria, Canada, China, Cyprus, Estonia,…

The Reasons for the Interruption of Vocational Training in Estonian Vocational Schools

ERIC Educational Resources Information Center

Beilmann, Mai; Espenberg, Kerly

2016-01-01

Dropping out of school before achieving any qualification is a serious problem both at an individual and societal level. This study provides an insight into the lives of young people who have dropped out or are at a risk of dropping out of vocational schools in Estonia and gives an overview of the reasons behind the interruption of their studies.…

Inclusive educational practices as perceived by prospective special education teachers in Estonia, Finland, and the United States.

PubMed

Moberg, S

1997-03-01

A survey of 125 prospective special education teachers assessed perceptions and beliefs about inclusive education in Estonia, Finland, and the United States (Michigan). The attitudes toward inclusion were rather critical. The Estonians were the most critical group, the Finns the least critical. The meanings attached to a student with severe mental retardation were related to the educational setting assessed as the best for this student. The findings suggest that special educators perceptions about inclusion are related to the prevailing implementation of inclusive education. The results support also the idea that the meanings attached to a person with a disability are connected with behavioural intentions toward this person.

Teachers as Language-Policy Actors: Contending with the Erasure of Lesser-Used Languages in Schools

ERIC Educational Resources Information Center

Brown, Kara

2010-01-01

On the basis of an ethnographic study of the Voro-language revitalization in Estonia, this article explores the way teachers function as policy actors in the broader context of the school. As policy actors, the language teachers' appropriation of regional-language policy helps simultaneously to reproduce and challenge existing ideologies in the…

Instructional Practices and Science Performance of 10 Top-Performing Regions in PISA 2015

ERIC Educational Resources Information Center

Lau, Kwok-chi; Lam, Terence Yuk-ping

2017-01-01

This study analysed 10 top-performing regions in PISA 2015 on their science performances and instructional practices. The regions include Singapore, Japan, Estonia, Taipei, Finland, Macao, Canada, Hong Kong, China and Korea. The science performances of the 10 regions and their teaching practices are described and compared. The construct of…

Autonomy, Educational Plans, and Self-Esteem in Institution-Reared and Home-Reared Teenagers in Estonia

ERIC Educational Resources Information Center

Tulviste, Tiia

2011-01-01

The study examines autonomy, self-esteem, and educational plans for the future of 109 institution-reared and 106 home-reared teenagers (15-19 years). Teenagers were asked to complete the Teen Timetable Scale (Feldman & Rosenthal), two Emotional Autonomy Scales (Steinberg & Silverberg), the Rosenberg Self-Esteem Scale, and answer questions…

Enlargement Project: Insight into ICT Professional Skills and Jobs in the Candidate Countries. Enlargement Futures Series.

ERIC Educational Resources Information Center

Gourova, Elissaveta

A study examined information and communication technologies (ICT) job trends and the prospects for preservation and supply of high skilled professionals in the medium and longer term in candidate countries (CCs), for admission into the European Union, focusing on Bulgaria, Estonia, Hungary, and Poland. Rapidly changing technology and growth of…

Implementation of Different Teaching Approaches in Early Childhood Education Practices in Estonia

ERIC Educational Resources Information Center

Kimer, Merilin; Tuul, Maire; Õun, Tiia

2016-01-01

The aim of this study was to describe the activities of Estonian preschool teachers in the context of different teaching approaches and to compare the assessments of teachers of their own teaching with the assessments of observers of their teaching. For the data collection, the Early Childhood Classroom Observation Measure (ECCOM) and a structured…

Building a Norm of Internationalization: The Case of Estonia's Higher Education System

ERIC Educational Resources Information Center

Tamtik, Merli; Kirss, Laura

2016-01-01

The aim of this article is to explain how internationalization that is so widespread today has developed into an accepted standard in local contexts. This study demonstrates that internationalization of higher education can be regarded as a norm-building process that is facilitated through the active behavior of institutional agents. By using the…

University-Enterprise Seminars as Tools for Preparing Students for the World of Work. A Case Study from Estonia.

ERIC Educational Resources Information Center

Normak, Peter

2003-01-01

Presents an Estonian model for university-enterprise joint seminars consisting of preparation of students, a seminar and tour in the company, and a report from students on various aspects of the company. The process is intended to give students in-depth knowledge of companies in an industry. (JOW)

Comparison of French and Estonian Students' Conceptions in Genetic Determinism of Human Behaviours

ERIC Educational Resources Information Center

Castera, Jeremy; Sarapuu, Tago; Clement, Pierre

2013-01-01

Innatism is the belief that most of the human personality can be determined by genes. This ideology is dangerous, especially when it claims to be scientific. The present study investigates conceptions of 1060 students from Estonia and France related to genetic determinism of some human behaviours. Factors taken into account included students'…

Initial effects of restoring natural forest structures in Estonia

Treesearch

D. Laarmann; H. Korjus; A. Sims; A. Kangur; J.A. Stanturf

2013-01-01

The legacy of structural homogenization due to forest management for commercial products is a loss of biodiversity. A common policy in many European countries is to increase forest diversity by converting managed forests to more natural conditions. The aim of this study was to provide an early evaluation of the effectiveness of different restoration treatments to...

Active Learning Methods in Programming for Non-IT Students

ERIC Educational Resources Information Center

Mironova, Olga; Amitan, Irina; Vilipõld, Jüri; Saar, Merike

2016-01-01

The purpose of this study is to demonstrate a teaching approach and some teaching strategies in an Informatics course for the first-year non-IT students at the Department of Informatics of Tallinn University of Technology, Estonia. The authors suggest some solutions for making the course, which is usually complicated, more dynamic and attractive,…

Perceptions of Technological, Pedagogical and Content Knowledge (TPACK) among Pre-Service Teachers in Estonia

ERIC Educational Resources Information Center

Luik, Piret; Taimalu, Mere; Suviste, Reelika

2018-01-01

Most countries stress that preparing quality teachers for twenty-first century students is an essential task for teacher training institutions. Besides the skills for how to teach subjects effectively, teachers should also know how to integrate digital technology into their teaching. Several studies have been done based on the TPACK framework.…

Product environmental footprint of strawberries: Case studies in Estonia and Germany.

PubMed

Soode-Schimonsky, Eveli; Richter, Klaus; Weber-Blaschke, Gabriele

2017-12-01

The environmental impacts of strawberries have been assessed in several studies. However, these studies either present dissimilar results or only focus on single impact categories without offering a comprehensive overview of environmental impacts. We applied the product environmental footprint (PEF) methodology to broadly indicate the environmental impacts of various strawberry production systems in Germany and Estonia by 15 impact categories. Data for the 7 case studies were gathered from two farms with organic and two farms with conventional open field production systems in Estonia and from one farm with conventional open field and one farm with a polytunnel and greenhouse production system in Germany. The greenhouse production system had the highest environmental impact with a PEF of 0.0040. In the field organic production systems, the PEF was 0.0029 and 0.0028. The field conventional production systems resulted in a PEF of 0.0008, 0.0009 and 0.0002. Polytunnel PEF was 0.0006. Human toxicity cancer effects, particulate matter and human toxicity non-cancer effects resulted in the highest impact across all analysed production systems. The main contributors were electricity for cooling, heating the greenhouse and the use of agricultural machinery including fuel burning. While production stage contributed 85% of the total impact in the greenhouse, also other life cycle stages were important contributors: pre-chain resulted in 71% and 90% of impact in conventional and polytunnels, respectively, and cooling was 47% in one organic system. Environmental impact from strawberry cooling can be reduced by more efficient use of the cooling room, increasing the strawberry yield or switching from oil shale electricity to other energy sources. Greenhouse heating is the overall impact hotspot even if it based on renewable resources. A ranking of production systems based on the environmental impact is possible only if all relevant impacts are included. Future studies should aim for detailed results across a variety of impact categories and follow product category rules in defining the life cycle stages. Copyright © 2017 Elsevier Ltd. All rights reserved.

Eye healthcare services in eastern Europe: Part 1. Cataract surgery.

PubMed

Kocur, I; Resnikoff, S; Foster, A

2002-08-01

To describe cataract surgical services in 1998 in 12 eastern European countries and to identify their needs to reduce cataract blindness. All inpatient eye departments in the 12 countries received a standardised questionnaire; the data obtained were further processed at the coordinating centre in Prague. All 458 eye departments in the region were involved. The response rate was 100%, except for Bulgaria (93%) and Romania (93%). The total number of cataract surgeries per one million inhabitants in 1998 was calculated: Belarus (800), Federation of Bosnia and Herzegovina (1275), Bulgaria (1730), the Czech Republic (4210), Estonia (2530), Hungary (3530), Latvia (1860), Lithuania (1550), Trans-Dniester Moldova (1300), Poland (1475), Romania (1260), and Slovakia (2430). Cataracts were mostly operated on by the extracapsular technique. Intracapsular extractions were frequently performed in Federation of Bosnia and Herzegovina (47%), Belarus (46%), Bulgaria (18%), and Romania (14.3%). Phacoemulsification was uncommonly used in 1998, except for the Czech Republic (86%), Estonia (50%), Slovakia (38%), and Hungary (16%). An IOL was implanted in more than 90% of patients in the Czech Republic, Estonia, Hungary, Latvia, Lithuania, and Slovakia. Conditions for cataract surgery in the eastern European region differ. The main barriers to cataract surgery were state budget limitations, insufficient supply of consumables, underutilisation of operating theatres, and poor detection of patients requiring surgery.

Comparison of knowledge, attitudes and behaviour regarding smoking among Estonian and Finnish physicians.

PubMed

Pärna, Kersti; Rahu, Kaja; Barengo, Noël C; Rahu, Mati; Sandström, Patrick H; Jormanainen, Vesa J; Myllykangas, Markku T

2005-01-01

To compare smoking behaviour, attitudes and opinions towards smoking and smoking cessation among Estonian and Finnish physicians. A cross-sectional postal survey using a self-administered questionnaire was carried out among 2,480 Estonian and 2,075 Finnish physicians. Daily smoking prevalence was higher among Estonian physicians than among their Finnish counterparts in both male (18.6% and 6.7%) and female (6.6% and 3.6%). Compared to Estonia, physicians in Finland more often agreed that smoking is very harmful to their health, that trying to convince people to stop smoking is their responsibility and that smoking prevention should be part of the normal and special training of health professionals. In both countries, non-smoking physicians held more unfavourable attitudes towards smoking than those who were smoking. Physicians' own smoking patterns and quitting behaviour are important because physicians serve as models for their patients and play a key role in the reinforcement of smoke-free health facilities. These results remain a challenge to medical educators, especially in Estonia. Estonia needs to improve medical education in terms of motivating physicians to ask about the smoking patterns of their patients and of training medical students and resident physicians to counsel their patients to stop smoking.

Transmitted drug resistance is still low in newly diagnosed human immunodeficiency virus type 1 CRF06_cpx-infected patients in Estonia in 2010.

PubMed

Avi, Radko; Huik, Kristi; Pauskar, Merit; Ustina, Valentina; Karki, Tõnis; Kallas, Eveli; Jõgeda, Ene-Ly; Krispin, Tõnu; Lutsar, Irja

2014-03-01

The presence of transmitted drug resistance (TDR) in treatment-naive HIV-1-positive subjects is of concern, especially in the countries of the former Soviet Union in which the number of subjects exposed to antiretrovirals (ARV) has exponentially increased during the past decade. We assessed the rate of TDR among newly diagnosed subjects in Estonia in 2010 and compared it to that in 2008. The study included 325 subjects (87% of all subjects tested HIV positive from January 1 to December 31, 2010). Of the 244 sequenced viral genomic RNA in the reverse transcriptase (RT) region 214 were CRF06_cpx, nine were subtype A1, three (one each) were subtype B and subtype C, CRF02_AG, and CRF03_AB; 15 viruses remained unclassified as putative recombinant forms between CRF06_cpx and subtype A1. HIV-1 TDR mutations in 2010 and 2008 (n=145) occurred at similar frequency in 4.5% (95% CI 2.45; 7.98) and 5.5% (95% CI 1.8; 9.24) of the patients, respectively. In 2010, 2.5% (6/244) of the sequences harbored nonnucleoside reverse transcriptase inhibitor (NNRTI) (K103N and K101E), 1.6% (4/244) nucleoside reverse transcriptase inhibitor (NRTI) (M41L, M184I, and K219E), and 0.4% (1/244) protease inhibitor (PI) (V82A) mutations. Our findings indicate that in spite of the increased consumption of ARVs the rate of TDR in Estonia has remained unchanged over the past 3 years. Similar stabilizing or even decreasing trends have been described in Western Europe and North America albeit at higher levels and in different socioeconomic backgrounds.

8 CFR 217.2 - Eligibility.

Code of Federal Regulations, 2014 CFR

2014-01-01

..., Brunei, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland..., Norway, Portugal, Republic of Korea, San Marino, Singapore, Slovak Republic, Slovenia, Spain, Sweden...

8 CFR 217.2 - Eligibility.

Code of Federal Regulations, 2011 CFR

2011-01-01

..., Brunei, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland..., Norway, Portugal, Republic of Korea, San Marino, Singapore, Slovak Republic, Slovenia, Spain, Sweden...

8 CFR 217.2 - Eligibility.

Code of Federal Regulations, 2012 CFR

2012-01-01

..., Brunei, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland..., Norway, Portugal, Republic of Korea, San Marino, Singapore, Slovak Republic, Slovenia, Spain, Sweden...

8 CFR 217.2 - Eligibility.

Code of Federal Regulations, 2013 CFR

2013-01-01

..., Brunei, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland..., Norway, Portugal, Republic of Korea, San Marino, Singapore, Slovak Republic, Slovenia, Spain, Sweden...

Effect of the economic recession on pharmaceutical policy and medicine sales in eight European countries.

PubMed

Leopold, Christine; Mantel-Teeuwisse, Aukje K; Vogler, Sabine; Valkova, Silvia; de Joncheere, Kees; Leufkens, Hubert G M; Wagner, Anita K; Ross-Degnan, Dennis; Laing, Richard

2014-09-01

To identify pharmaceutical policy changes during the economic recession in eight European countries and to determine whether policy measures resulted in lower sales of, and less expenditure on, pharmaceuticals. Information on pharmaceutical policy changes between 2008 and 2011 in eight European countries was obtained from publications and pharmaceutical policy databases. Data on the volume and value of the quarterly sales of products between 2006 and 2011 in the 10 highest-selling therapeutic classes in each country were obtained from a pharmaceutical market research database. We compared these indicators in economically stable countries; Austria, Estonia and Finland, to those in economically less stable countries, Greece, Ireland, Portugal, Slovakia and Spain. Economically stable countries implemented two to seven policy changes each, whereas less stable countries implemented 10 to 22 each. Of the 88 policy changes identified, 33 occurred in 2010 and 40 in 2011. They involved changing out-of-pocket payments for patients in 16 cases, price mark-up schemes in 13 and price cuts in 11. Sales volumes increased moderately in all countries except Greece and Portugal, which experienced slight declines after 2009. Sales values decreased in both groups of countries, but fell more in less stable countries. Less economically stable countries implemented more pharmaceutical policy changes during the recession than economically stable countries. Unexpectedly, pharmaceutical sales volumes increased in almost all countries, whereas sales values declined, especially in less stable countries.

Abortion trends from 1996 to 2011 in Estonia: special emphasis on repeat abortion

PubMed Central

2014-01-01

Background The study aimed to describe the overall and age-specific trends of induced abortions from 1996 to 2011 with an emphasis on socio-demographic characteristics and contraceptive use of women having had repeat abortions in Estonia. Methods Data were retrieved from the Estonian Medical Birth and Abortion Registry and Statistics Estonia. Total induced abortion numbers, rates, ratios and age-specific rates are presented for 1996–2011. The percentage change in the number of repeat abortions within selected socio-demographic subgroups, contraception use and distribution of induced abortions among Estonians and non-Estonians for the first, second, third, fourth and subsequent abortions were calculated for the periods 1996–2003 and 2004–2011. Results Observed trends over the 16-year study period indicated a considerable decline in induced abortions with a reduction in abortion rate of 57.1%, which was mainly attributed to younger cohorts. The percentage of women undergoing repeat abortions fell steadily from 63.8% during 1996–2003 to 58.0% during 2004–2011. The percentage of women undergoing repeat abortions significantly decreased over the 16 years within all selected socio-demographic subgroups except among women with low educational attainment and students. Within each time period, a greater percentage of non-Estonians than Estonians underwent repeat abortions and obtained third and subsequent abortions. Most women did not use any contraceptive method prior to their first or subsequent abortion. Conclusion A high percentage of women obtaining repeat abortions reflects a high historical abortion rate. If current trends continue, a rapid decline in repeat abortions may be predicted. To decrease the burden of sexual ill health, routine contraceptive counselling, as standard care in the abortion process, should be seriously addressed with an emphasis on those groups - non-Estonians, women with lower educational attainment, students and women with children - vulnerable with respect to repeat abortion. PMID:25005363

Status and Developments of eLearning in the EU10 Member States: The Cases of Estonia, Hungary and Slovenia

ERIC Educational Resources Information Center

Ala-Mutka, Kirsti; Gaspar, Pal; Kismihok, Gabor; Suurna, Margit; Vehovar, Vasja

2010-01-01

This article summarises research carried out between 2006 and 2008 by IPTS (Institution for Prospective Technological Studies) in collaboration with a consortium of experts from 10 member states, led by ICEGEC. The project gathered information on eLearning developments to assess drivers and barriers and to suggest implications for policy and…

Implicit Theories of Creativity of Secondary School Students from Estonia and Russia: Effects of Collectivism, Individualism, and a Bilingual Educational Environment

ERIC Educational Resources Information Center

Nemeržitski, Stanislav

2017-01-01

Implicit theories of creativity provide an understanding of attitude towards among different populations, including students. Insights on how students see and define creativity might help to adjust educational settings and thus make it possible to provide students with better conditions to support their creativity. Although many studies have been…

Cultural Differences and Similarities in Responses to the Silver Drawing Test in the USA, Brazil, Russia, Estonia, Thailand, and Australia.

ERIC Educational Resources Information Center

Silver, Rawley

2003-01-01

Summarizes cross-cultural studies of cognitive skills, emotions, and self-images found in responses to drawing tasks by children, adolescents, and adults. Its aim is to find out whether cultural differences in scores on the Silver Drawing Test can illuminate cultural preferences and contribute to cultural practices. (Contains 21 references.) (GCP)

Teacher Education Curricula after the Bologna Process--A Comparative Analysis of Written Curricula in Finland and Estonia

ERIC Educational Resources Information Center

Jakku-Sihvonen, Ritva; Tissari, Varpu; Ots, Aivar; Uusiautti, Satu

2012-01-01

During the Bologna process, from 2003 to 2006, degree programmes, including teacher education curricula, were developed in line with the two-tier system--the European Credit Transfer and Accumulation System (ECTS) and modularization. The purpose of the present study is to contribute to the development of teacher education profiling measures by…

Decentralisation and Language Policy: Local Municipalities' Role in Language Education Policies. Insights from Denmark and Estonia

ERIC Educational Resources Information Center

Siiner, Maarja

2014-01-01

The present article contributes to attempts to re-conceptualise the top-down perspective on language policy, by analysing the role of local and city governments' agency in language education policy making. Only few studies analyse the role of lower administrative levels in language policy, other than in implementation of governmental policies, why…

Impact of postfire management on forest regeneration in a managed hemiboreal forest, Estonia

Treesearch

Kristi Parro; Marek Metslaid; Getter Renel; Allan Sims; John Stanturf; Kalev Jogiste; Kajar Koster

2015-01-01

Fire is a significant agent for the development of boreal and hemiboreal forests, altering soil and light conditions, affecting seedbanks, and removing seed trees. Burned areas should be managed with care, as inappropriate techniques prolong the regeneration period and reduce the diversity and resilience of stands to disturbances. To study the effects of fire and...

Use of Web 2.0 Technologies in LIS Education: Experiences at Tallinn University, Estonia

ERIC Educational Resources Information Center

Virkus, Sirje

2008-01-01

Purpose: The purpose of this paper is to describe the experiences of the Institute of Information Studies of Tallinn University in introducing ICT, including Web 2.0 technologies, in library and information science education, and to explore the role that these can play in new models of learning and teaching. Design/methodology/approach: Web 2.0…

Self-Identity as a Component of the Theory of Planned Behaviour in Predicting Physical Activity

ERIC Educational Resources Information Center

Ries, Francis; Hein, Vello; Pihu, Maret; Armenta, Jose Manuel Sevillano

2012-01-01

This study aimed to investigate the role of self-identity, defined as salient and enduring aspects of one's self-perception (Sparks, 2000), in relation to adolescent physical activity (PA) intentions within the Theory of Planned Behaviour (TPB). School students aged 12 to 18 from two cultural groups (Estonia and Spain) completed measures of…

Pathological gambling in Estonia: relationships with personality, self-esteem, emotional States and cognitive ability.

PubMed

Kaare, Pille-Riin; Mõttus, René; Konstabel, Kenn

2009-09-01

Due to changes in gambling accessibility during the last decade gambling has become more widespread in Estonia and the prevalence of pathological gambling has sharply increased. The present study attempts to identify psychological characteristics of Estonian pathological gamblers. It has been shown that a wide range of social, economic, and individual factors (e.g. personality traits and emotional states) predict the likelihood of becoming a pathological gambler. In the present study, pathological gamblers' (N = 33) personality traits, self-esteem, self-reported emotional states and cognitive ability were compared to the respective characteristics in a non-gambling control group (N = 42) matched for age, gender and educational level. It was found that compared to controls, pathological gamblers had higher scores on Neuroticism (especially on its immoderation facet) and lower scores on Conscientiousness (especially on its dutifulness and cautiousness facets) and on self-esteem scale. They reported more negative emotional states during the previous month (especially depression and anxiety). Finally, pathological gamblers had lower general cognitive ability. In a logistic regression model, the likelihood of being a pathological gambler was best predicted by high immoderation score and low cognitive ability.

Measurement of community empowerment in three community programs in Rapla (Estonia).

PubMed

Kasmel, Anu; Andersen, Pernille Tanggaard

2011-03-01

Community empowerment approaches have been proven to be powerful tools for solving local health problems. However, the methods for measuring empowerment in the community remain unclear and open to dispute. This study aims to describe how a context-specific community empowerment measurement tool was developed and changes made to three health promotion programs in Rapla, Estonia. An empowerment expansion model was compiled and applied to three existing programs: Safe Community, Drug/HIV Prevention and Elderly Quality of Life. The consensus workshop method was used to create the measurement tool and collect data on the Organizational Domains of Community Empowerment (ODCE). The study demonstrated considerable increases in the ODCE among the community workgroup, which was initiated by community members and the municipality's decision-makers. The increase was within the workgroup, which had strong political and financial support on a national level but was not the community's priority. The program was initiated and implemented by the local community members, and continuous development still occurred, though at a reduced pace. The use of the empowerment expansion model has proven to be an applicable, relevant, simple and inexpensive tool for the evaluation of community empowerment.

The Lower Silurian Osmundsberg K-bentonite. Part I: Stratigraphic position, distribution, and palaeogeographic significance

USGS Publications Warehouse

Bergstrom, Stig M.; Huff, W.D.; Kolata, Dennis R.

1998-01-01

A large number of Lower Silurian (Llandovery) K-bentonite beds have been recorded from northwestern Europe, particularly in Baltoscandia and the British Isles, but previous attempts to trace single beds regionally have yielded inconclusive results. The present study suggests that based on its unusual thickness, stratigraphic position and trace element geochemistry, one Telychian ash bed, the Osmundsberg K-bentonite, can be recognized at many localities in Estonia, Sweden and Norway and probably also in Scotland and Northern Ireland. This bed, which is up to 115 cm thick, is in the lower-middle turriculatus Zone. The stratigraphic position, thickness variation and geographic distribution of the Osmundsberg K-bentonite are illustrated by means of 12 selected Llandovery successions in Sweden, Estonia, Norway, Denmark, Scotland and Northern Ireland. In Baltoscandia, the Osmundsberg K-bentonite shows a trend of general thickness increase in a western direction suggesting that its source area was located in the northern Iapetus region between Baltica and Laurentia. Because large-magnitude ash falls like the one that produced the Osmundsberg K-bentonite last at most a few weeks, such an ash bed may be used as a unique time-plane for a variety of regional geological and palaeontological studies.

Fatal poisoning in Estonia 2000-2009. Trends in illegal drug-related deaths.

PubMed

Tuusov, J; Vals, K; Tõnisson, M; Riikoja, A; Denissov, G; Väli, M

2013-01-01

The aim of this study is to provide an overview of deaths caused by poisoning (especially illicit drugs) in Estonia from 2000 to 2009. The data on poisoning deaths (N = 4132) were collected from the autopsy reports of the Estonian Forensic Science Institute. Ethanol poisoning was the most frequent cause of death (N = 1449, 35.1%), followed by carbon monoxide (N = 1151, 27.9%) and poisoning from illicit drugs (N = 888, 21.5%). The study included 3267 male (79.1%) and 865 female fatalities, with the prevalent age group being 35-64 years. Since 2002, deaths from fentanyles have increased sharply and remained at a high level - from 63 cases in 2002 to 138 cases in 2009. This high number indicates that in spite of the state's drug policies, illegal drugs remain easily available and that this area requires more attention. Alcohol abuse prevention policies - restrictions on alcohol advertisements in the media, limitations on sale times and anti-alcohol campaigns concerning traffic - have not brought about a significant decrease in ethanol poisoning. Copyright © 2012 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Measurement of Community Empowerment in Three Community Programs in Rapla (Estonia)

PubMed Central

Kasmel, Anu; Andersen, Pernille Tanggaard

2011-01-01

Community empowerment approaches have been proven to be powerful tools for solving local health problems. However, the methods for measuring empowerment in the community remain unclear and open to dispute. This study aims to describe how a context-specific community empowerment measurement tool was developed and changes made to three health promotion programs in Rapla, Estonia. An empowerment expansion model was compiled and applied to three existing programs: Safe Community, Drug/HIV Prevention and Elderly Quality of Life. The consensus workshop method was used to create the measurement tool and collect data on the Organizational Domains of Community Empowerment (ODCE). The study demonstrated considerable increases in the ODCE among the community workgroup, which was initiated by community members and the municipality’s decision-makers. The increase was within the workgroup, which had strong political and financial support on a national level but was not the community’s priority. The program was initiated and implemented by the local community members, and continuous development still occurred, though at a reduced pace. The use of the empowerment expansion model has proven to be an applicable, relevant, simple and inexpensive tool for the evaluation of community empowerment. PMID:21556179

Radon in the soil air of Estonia.

PubMed

Petersell, Valter; Täht-Kok, Krista; Karimov, Mark; Milvek, Heli; Nirgi, Siim; Raha, Margus; Saarik, Krista

2017-01-01

Several investigations in Estonia during 1996¬-1999 have shown that permissible level (200 Bq/m 3 ) of radon (222Rn) in indoor air is exceeded in 33% of the inspected dwellings. This makes Estonia one of the five countries with highest radon risk in Europe (Fig 1). Due to correlation between the soil radon risk level and radon concentration in houses, small scale radon risk mapping of soil air was carried out (one study point per 70-100 km 2 ). It turned out that one-third of Estonian mainland has high radon risk potential, where radon concentration in soil air exceeds safe limit of 50 kBq/m 3 . In order to estimate radon content in soil air, two different methods developed in Sweden were used simultaneously. Besides measuring radon content from soil air at the depth of 80 cm with an emanometer (RnM), maximum potential content of radon in soil (RnG) was estimated based on the rate of eU (226Ra) concentration in soil, which was acquired by using gamma-ray spectrometer. Mapping and following studies revealed that simultaneously measured RnG and RnM in study points may often differ. To inspect the cause, several monitoring points were set up in places with different geological conditions. It appeared that unlike the RnG content, which remains close to average level in repeated measurements, the RnM content may differ more than three times periodically. After continuous observations it turned out that concentration of directly measured radon depended on various factors being mostly controlled by mineral composition of soil, properties of topsoil as well as different factors influencing aeration of soil. The results of Rn monitoring show that reliable level of radon risk in Estonian soils can only be acquired by using calculated Rn-concentration in soil air based on eU content and directly measured radon content of soil air in combination with interpreting specific geological and geochemical situations in the study points. Copyright © 2016 Elsevier Ltd. All rights reserved.

Structured education can improve primary-care management of headache: the first empirical evidence, from a controlled interventional study.

PubMed

Braschinsky, Mark; Haldre, Sulev; Kals, Mart; Iofik, Anna; Kivisild, Ave; Korjas, Jaanus; Koljal, Silvia; Katsarava, Zaza; Steiner, Timothy J

2016-01-01

Headache disorders are under-recognized and under-diagnosed. A principal factor in their suboptimal management is lack of headache-related training among health-care providers, especially in primary care. In Estonia, general practitioners (GPs) refer many headache patients to neurological specialist services, mostly unnecessarily. GPs request "diagnostic" investigations, which are usually unhelpful and therefore wasteful. GP-made headache diagnoses are often arcane and non-specific, and treatments based on these are inappropriate. The aim of this study was to develop, implement and test an educational model intended to improve headache-related primary health care in Estonia. This was a controlled study consisting of baseline observation, intervention and follow-up observation using the same measures of effect. It involved six GPs in Põlva and the surrounding region in Southern Estonia, together with their future patients presenting consecutively with headache as their main complaint, all with their consent. The primary outcome measure was referral rate (RR) to neurological specialist services. Secondary measures included number of GP-requested investigations, GP-made headache diagnoses and how these conformed to standard terminology (ICD-10), and GP-recommended or initiated treatments. RR at baseline (n = 490) was 39.5 %, falling to 34.7 % in the post-intervention group (n = 295) (overall reduction 4.8 %; p = 0.21). In the large subgroup of patients (88 %) for whom GPs made clearly headache-related ICD-10 diagnoses, RR fell by one fifth (from 40 to 32 %; p = 0.08), but the only diagnosis-related RR that showed a statistically significant reduction was (pericranial) myalgia (19 to 3 %; p = 0.03). There was a significant increase towards use of more specific diagnoses. Use of investigations in diagnosing headache reduced from 26 to 4 % (p < 0.0001). Initiation of treatment by GPs increased from 58 to 81 % (p < 0.0001). These were modest changes in GPs' entrenched behaviour. Nevertheless they were empirical evidence that GPs' practice in the field of headache could be improved by structured education. Furthermore, the changes were likely to be cost-saving. To our knowledge this study is the first to produce such evidence.

The Impact of Pollution Charges, Ash Handling and Carbon Dioxide on the Cost Competitiveness of the Fuel Sources Used for Energy Production in Estonia

NASA Astrophysics Data System (ADS)

Latisov, Eduard; Kleesmaa, Juri; Siirde, Andres

2010-01-01

The goal of this paper is to estimate the effects of pollution charges, ash handling and of the carbon dioxide quota trade on the competitiveness of natural gas, oil shale, peat and wood chips in Estonia for 2010 and 2015. The pollution charges and levels are calculated based on the Environmental Charges Act, and Regulations No 99/2004 and No 94/2004 of the Estonian Minister of the Environment. The calculations show a considerable change in the cost competitiveness of fuels. Fuel related costs of the fossil fuels with high CO2 emission factors and other environmental impacts may be doubled.

Disparities in food habits in Europe: systematic review of educational and occupational differences in the intake of fat.

PubMed

López-Azpiazu, I; Sánchez-Villegas, A; Johansson, L; Petkeviciene, J; Prättälä, R; Martínez-González, M A

2003-10-01

A higher socio-economic level is associated with healthier dietary habits. Nevertheless, socio-economic differences in the intake of fat have not consistently been reported in Europe. The objective of our study was to systematically assess differences in total fat (TF) intake and saturated fat (SF) intake across social groups. Representative samples from nine European countries were used to perform a meta-analysis of surveys between 1985-1999, including both published and nonpublished results. Because important heterogeneity was found and the estimates for TF from Spain and Estonia were different from all others, we calculated the differences in intake excluding these two countries. We found a lower TF intake in the highest (versus the lowest) occupational level both for men (difference: -1.1% of total energy intake; 95% CI: -1.3 to -0.8%) and women (difference: -0.9%; 95% CI: -1.2 to -0.6%) when Estonia and Spain were excluded. European surveys indicate that people in the lowest category of occupation consume more fat and SF than people in the highest category.

Environmental hazard of oil shale combustion fly ash.

PubMed

Blinova, Irina; Bityukova, Liidia; Kasemets, Kaja; Ivask, Angela; Käkinen, Aleksandr; Kurvet, Imbi; Bondarenko, Olesja; Kanarbik, Liina; Sihtmäe, Mariliis; Aruoja, Villem; Schvede, Hedi; Kahru, Anne

2012-08-30

The combined chemical and ecotoxicological characterization of oil shale combustion fly ash was performed. Ash was sampled from the most distant point of the ash-separation systems of the Balti and Eesti Thermal Power Plants in North-Eastern Estonia. The fly ash proved potentially hazardous for tested aquatic organisms and high alkalinity of the leachates (pH>10) is apparently the key factor determining its toxicity. The leachates were not genotoxic in the Ames assay. Also, the analysis showed that despite long-term intensive oil-shale combustion accompanied by considerable fly ash emissions has not led to significant soil contamination by hazardous trace elements in North-Eastern Estonia. Comparative study of the fly ash originating from the 'new' circulating fluidized bed (CFB) combustion technology and the 'old' pulverized-fired (PF) one showed that CFB fly ash was less toxic than PF fly ash. Thus, complete transfer to the 'new' technology will reduce (i) atmospheric emission of hazardous trace elements and (ii) fly ash toxicity to aquatic organisms as compared with the 'old' technology. Copyright © 2012 Elsevier B.V. All rights reserved.

Growth, aboveground biomass, and nutrient concentration of young Scots pine and lodgepole pine in oil shale post-mining landscapes in Estonia.

PubMed

Kuznetsova, Tatjana; Tilk, Mari; Pärn, Henn; Lukjanova, Aljona; Mandre, Malle

2011-12-01

The investigation was carried out in 8-year-old Scots pine (Pinus sylvestris L.) and lodgepole pine (Pinus contorta var. latifolia Engelm.) plantations on post-mining area, Northeast Estonia. The aim of the study was to assess the suitability of lodgepole pine for restoration of degraded lands by comparing the growth, biomass, and nutrient concentration of studied species. The height growth of trees was greater in the Scots pine stand, but the tree aboveground biomass was slightly larger in the lodgepole pine stand. The aboveground biomass allocation to the compartments did not differ significantly between species. The vertical distribution of compartments showed that 43.2% of the Scots pine needles were located in the middle layer of the crown, while 58.5% of the lodgepole pine needles were in the lowest layer of the crown. The largest share of the shoots and stem of both species was allocated to the lowest layer of the crown. For both species, the highest NPK concentrations were found in the needles and the lowest in the stems. On the basis of the present study results, it can be concluded that the early growth of Scots pine and lodgepole pine on oil shale post-mining landscapes is similar.

One-year outcome after first-ever stroke according to stroke subtype, severity, risk factors and pre-stroke treatment. A population-based study from Tartu, Estonia.

PubMed

Vibo, R; Kõrv, J; Roose, M

2007-04-01

The aim of the current study was to evaluate the outcome at 1 year following a first-ever stroke based on a population-based registry from 2001 to 2003 in Tartu, Estonia. The outcome of first-ever stroke was assessed in 433 patients by stroke risk factors, demographic data and stroke severity at onset using the Barthel Index (BI) score and the modified Rankin Score (mRS) at seventh day, 6 months and 1 year. Female sex, older age, blood glucose value >10 mmol/l on admission and more severe stroke on admission were the best predictors of dependency 1 year following the first-ever stroke. At 1 year, the percentage of functionally dependent patients was 20% and the survival rate was 56%. The use of antihypertensive/antithrombotic medication prior to stroke did not significantly affect the outcome. The survival rate of stroke patients in Tartu is lower compared with other studied populations. The outcome of stroke was mainly determined by the initial severity of stroke and by elevated blood glucose value on admission. Patients with untreated hypertension had more severe stroke and trend for unfavourable outcome compared with those who were on treatment.

An inter-country comparison of unofficial payments: results of a health sector social audit in the Baltic States

PubMed Central

Cockcroft, Anne; Andersson, Neil; Paredes-Solís, Sergio; Caldwell, Dawn; Mitchell, Steve; Milne, Deborah; Merhi, Serge; Roche, Melissa; Konceviciute, Elena; Ledogar, Robert J

2008-01-01

Background Cross-country comparisons of unofficial payments in the health sector are sparse. In 2002 we conducted a social audit of the health sector of the three Baltic States. Methods Some 10,320 household interviews from a stratified, last-stage-random, sample of 30 clusters per country, together with institutional reviews, produced preliminary results. Separate focus groups of service users, nurses and doctors interpreted these findings. Stakeholder workshops in each country discussed the survey and focus group results. Results Nearly one half of the respondents did not consider unofficial payments to health workers to be corruption, yet one half (Estonia 43%, Latvia 45%, Lithuania 64%) thought the level of corruption in government health services was high. Very few (Estonia 1%, Latvia 3%, Lithuania 8%) admitted to making unofficial payments in their last contact with the services. Around 14% of household members across the three countries gave gifts in their last contact with government services. Conclusion This social audit allowed comparison of perceptions, attitudes and experience regarding unofficial payments in the health services of the three Baltic States. Estonia showed least corruption. Latvia was in the middle. Lithuania evidenced the most unofficial payments, the greatest mistrust towards the system. These findings can serve as a baseline for interventions, and to compare each country's approach to health service reform in relation to unofficial payments. PMID:18208604

Eye healthcare services in eastern Europe: Part 1 Cataract surgery

PubMed Central

Kocur, I; Resnikoff, S; Foster, A

2002-01-01

Aim: To describe cataract surgical services in 1998 in 12 eastern European countries and to identify their needs to reduce cataract blindness. Methods: All inpatient eye departments in the 12 countries received a standardised questionnaire; the data obtained were further processed at the coordinating centre in Prague. Results: All 458 eye departments in the region were involved. The response rate was 100%, except for Bulgaria (93%) and Romania (93%). The total number of cataract surgeries per one million inhabitants in 1998 was calculated: Belarus (800), Federation of Bosnia and Herzegovina (1275), Bulgaria (1730), the Czech Republic (4210), Estonia (2530), Hungary (3530), Latvia (1860), Lithuania (1550), Trans-Dniester Moldova (1300), Poland (1475), Romania (1260), and Slovakia (2430). Cataracts were mostly operated on by the extracapsular technique. Intracapsular extractions were frequently performed in Federation of Bosnia and Herzegovina (47%), Belarus (46%), Bulgaria (18%), and Romania (14.3%). Phacoemulsification was uncommonly used in 1998, except for the Czech Republic (86%), Estonia (50%), Slovakia (38%), and Hungary (16%). An IOL was implanted in more than 90% of patients in the Czech Republic, Estonia, Hungary, Latvia, Lithuania, and Slovakia. Conclusions: Conditions for cataract surgery in the eastern European region differ. The main barriers to cataract surgery were state budget limitations, insufficient supply of consumables, underutilisation of operating theatres, and poor detection of patients requiring surgery. PMID:12140200

An inter-country comparison of unofficial payments: results of a health sector social audit in the Baltic States.

PubMed

Cockcroft, Anne; Andersson, Neil; Paredes-Solís, Sergio; Caldwell, Dawn; Mitchell, Steve; Milne, Deborah; Merhi, Serge; Roche, Melissa; Konceviciute, Elena; Ledogar, Robert J

2008-01-21

Cross-country comparisons of unofficial payments in the health sector are sparse. In 2002 we conducted a social audit of the health sector of the three Baltic States. Some 10,320 household interviews from a stratified, last-stage-random, sample of 30 clusters per country, together with institutional reviews, produced preliminary results. Separate focus groups of service users, nurses and doctors interpreted these findings. Stakeholder workshops in each country discussed the survey and focus group results. Nearly one half of the respondents did not consider unofficial payments to health workers to be corruption, yet one half (Estonia 43%, Latvia 45%, Lithuania 64%) thought the level of corruption in government health services was high. Very few (Estonia 1%, Latvia 3%, Lithuania 8%) admitted to making unofficial payments in their last contact with the services. Around 14% of household members across the three countries gave gifts in their last contact with government services. This social audit allowed comparison of perceptions, attitudes and experience regarding unofficial payments in the health services of the three Baltic States. Estonia showed least corruption. Latvia was in the middle. Lithuania evidenced the most unofficial payments, the greatest mistrust towards the system. These findings can serve as a baseline for interventions, and to compare each country's approach to health service reform in relation to unofficial payments.

48 CFR 52.222-19 - Child Labor-Cooperation with Authorities and Remedies.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece..., Malta, Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia, Spain...

48 CFR 52.222-19 - Child Labor-Cooperation with Authorities and Remedies.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany..., Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia...

48 CFR 52.222-19 - Child Labor-Cooperation with Authorities and Remedies.

Code of Federal Regulations, 2012 CFR

2012-10-01

..., Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece..., Malta, Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia, Spain...

What Is the Role of Education in the Recruitment Process? Employers' Practices and Experiences of Graduates from Tertiary Educational Institutions in Estonia

ERIC Educational Resources Information Center

Saar, Ellu; Unt, Marge; Helemäe, Jelena; Oras, Kaja; Täht, Kadri

2014-01-01

Since the 1980s, growing globalisation and economic restructuring coupled with expansion of tertiary education contributed to tremendous change in the labour market entry process in Europe. Most previous studies have been quantitative, concentrated on the supply aspect and analysed the role of education as the explanatory variable of youth labour…

Proceedings of the Annual Meeting of the Association for Education in Journalism and Mass Communication (84th, Washington, DC, August 5-8, 2001). International Communication Division.

ERIC Educational Resources Information Center

Association for Education in Journalism and Mass Communication.

The International Communication section of the proceedings contains the following 15 selected papers: "'News Aid', the New Aid: A Case Study of Cambodia" (J. L. Clarke); "Development of Public and Private Broadcasting in Post-Communist Estonia: 1991-1996" (Max V. Grubb); "Revealing and Repenting South Korea's Vietnam…

Impact of wind-induced microsites and disturbance severity on tree regeneration patterns: Results from the first post-storm decade

Treesearch

Floor Vodde; Kalev Jogiste; Jeroen Engelhart; Lee E. Frelich; W. Keith Moser; Alan Sims; Marek Metslaid

2015-01-01

In two hemiboreal mixed spruce-hardwood forests in north-east Estonia, we studied (1) which factors affect tree regeneration survival and development during the first post-storm decade and (2) how these effects change in time. Regeneration height and mortality of the tree species black alder (Alnus glutinosa (L.) J. Gaertn.), birch (Betula pendula Roth., Betula...

The success factors of scaling-up Estonian sexual and reproductive health youth clinic network--from a grassroots initiative to a national programme 1991-2013.

PubMed

Kempers, Jari; Ketting, Evert; Chandra-Mouli, Venkatraman; Raudsepp, Triin

2015-01-08

A growing number of middle-income countries are scaling up youth-friendly sexual and reproductive health pilot projects to national level programmes. Yet, there are few case studies on successful national level scale-up of such programmes. Estonia is an excellent example of scale-up of a small grassroots adolescent sexual and reproductive health initiative to a national programme, which most likely contributed to improved adolescent sexual and reproductive health outcomes. This study; (1) documents the scale-up process of the Estonian youth clinic network 1991-2013, and (2) analyses factors that contributed to the successful scale-up. This research provides policy makers and programme managers with new insights to success factors of the scale-up, that can be used to support planning, implementation and scale-up of adolescent sexual and reproductive health programmes in other countries. Information on the scale-up process and success factors were collected by conducting a literature review and interviewing key stakeholders. The findings were analysed using the WHO-ExpandNet framework, which provides a step-by-step process approach for design, implementation and assessment of the results of scaling-up health innovations. The scale-up was divided into two main phases: (1) planning the scale-up strategy 1991-1995 and (2) managing the scaling-up 1996-2013. The planning phase analysed innovation, user organizations (youth clinics), environment and resource team (a national NGO and international assistance). The managing phase examines strategic choices, advocacy, organization, resource mobilization, monitoring and evaluation, strategic planning and management of the scale-up. The main factors that contributed to the successful scale-up in Estonia were: (1) favourable social and political climate, (2) clear demonstrated need for the adolescent services, (3) a national professional organization that advocated, coordinated and represented the youth clinics, (4) enthusiasm and dedication of personnel, (5) acceptance by user organizations and (6) sustainable funding through the national health insurance system. Finally, the measurement and recognition of the remarkable improvement of adolescent SRH outcomes in Estonia would not have been possible without development of good reporting and monitoring systems, and many studies and international publications.

European perspectives on regional estimates of standing water bodies and the relevance of man-made ponds

NASA Astrophysics Data System (ADS)

Terasmaa, Jaanus; Bartout, Pascal; Marzecova, Agata; Touchart, Laurent; Koff, Tiiu; Choffel, Quentin; Kapanen, Galina; Maleval, Véronique; Millot, Camille; Qsair, Zoubida; Vandel, Egert

2015-04-01

Until recently, the small water bodies have been disregarded in the environmental management and protection policies. For example, the European Water Framework Directive 2000/60/EC proposes the threshold surface area of water bodies for typology and reporting as 50 ha. The inventories on state level or scientific studies took into account smaller water bodies (e.g. <10 ha for Meybeck, 1995, <1 ha for Rjanžin, 2005, or <0.05 ha for Kuusisto and Raatikainen, 1988) but these methods of estimations has been region-specific and not suitable for global estimates. The increasing awareness about the important roles that terrestrial standing water bodies play in the biodiversity or hydrological and biogeochemical cycles has facilitated new global and regional inventories of lakes and water bodies. Although with differences in the total counts and in the statistical estimates of abundance-size relationship, these recent global estimates reveal the quantitative importance of the terrestrial standing water bodies in the global hydrology (Downing et al., 2006; Verpoorter et al., 2014). Yet, our analysis of the abundance and distribution EU water bodies suggest that these global counts underrepresents the hydrologically complex terrain of the European territory. One of the main limits is the high cutoff limit that excludes small water bodies below ~0.2 ha. For example, in France, Bartout and Touchart (2013) report that including water bodies below 0.01 ha in the estimates resulted in 16 times higher number of water bodies with the surface area one-third higher than officially registered inventories. Also, in Estonia, the water bodies with a surface area below 1 ha are almost 50 times more abundant than those above 1 ha and 92% of all standing water bodies are smaller than 0.2 ha. Using the OpenStreetMap database we will discuss the differences between global inventories and EU-level analysis. We will show the alternative regional estimates of water bodies with the surface size threshold limit 0.01 ha which will illustrate the quantitative importance of very small often man-made ponds, which are however, abundant cultural heritage in many parts of Europe. Secondly, by comparing detailed national inventories compiled for France and Estonia, we will introduce usefulness of the the 'local to global' approach in which the local databases may significantly strengthen the precision of the regional (EU) level analysis. Overall, we will disss that all standing water bodies - including small and man-made ponds - play an important role in ecosystem services and require careful management to avoid hydrological and environmental deterioration. References: Verpoorter et al. (2014) Geophysical Research Letters, 41. Bartout & Touchart,(2013) Annales de Géographie, 691. Downing et al., (2006) Limnology and Oceanography, 51(5). Kuusisto & Raatikainen, (1988) Terra, 102. Meybeck, (1995) in Lerman et al., Physics and chemistry of lakes. Rjanžin, (2005) Priroda, 4.

48 CFR 52.222-19 - Child Labor-Cooperation with Authorities and Remedies.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong..., Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia, Spain, Sweden...

The beliefs in the inheritance of risk factors for suicide scale (BIRFSS): cross-cultural validation in Estonia, Malaysia, Romania, the United Kingdom, and the United States.

PubMed

Voracek, Martin; Loibl, Lisa Mariella; Swami, Viren; Vintilă, Mona; Kõlves, Kairi; Sinniah, Dhachayani; Pillai, Subash Kumar; Ponnusamy, Subramaniam; Sonneck, Gernot; Furnham, Adrian; Lester, David

2008-12-01

The genetics of suicide is increasingly recognized and relevant for mental health literacy, but actual beliefs may lag behind current knowledge. We examined such beliefs in student samples (total N = 686) from Estonia, Malaysia, Romania, the United Kingdom, and the United States with the Beliefs in the Inheritance of Risk Factors for Suicide Scale. Cultural effects were small, those of key demographics nil. Several facets of construct validity were demonstrated. Marked differences in perceived plausibility of evidence about the genetics of suicide according to research design, observed in all samples, may be of general interest for investigating lay theories of abnormal behavior and communicating behavioral and psychiatric genetic research findings.

Prevalence and associated factors of fear of childbirth in six European countries.

PubMed

Lukasse, Mirjam; Schei, Berit; Ryding, Elsa Lena

2014-10-01

This study set out to compare the prevalence, content and associated factors of fear of childbirth in six European countries. A cross-sectional study of 6870 pregnant women attending routine antenatal care in Belgium, Iceland, Denmark, Estonia, Norway and Sweden (Bidens). Severe fear of childbirth, defined as a Wijma Delivery Expectancy Questionnaire score of ≥85. Eleven percent of all women reported severe fear of childbirth, 11.4% among primiparous and 11.0% among multiparous women. There were significant differences between the countries for prevalence of severe fear of childbirth, varying from 4.5% in Belgium to 15.6% in Estonia for primiparous women and from 7.6% in Iceland to 15.2% in Sweden for multiparous women. After adjusting for age, education and gestational age, only primiparous women from Belgium had significantly less fear of childbirth, AOR 0.35 (0.19-0.52) compared to Norway (largest participating group). Exploratory factor analyses revealed significant differences between the countries for the six factors extracted. FOC appears to be an international phenomenon, existing with similar proportions in the participating European countries, except for primiparous women in Belgium who in our study reported significantly less severe fear of childbirth. Our study suggests that the content of fear of childbirth may differ between countries. Copyright © 2014 Elsevier B.V. All rights reserved.

Review of Cryptosporidium and Giardia in the eastern part of Europe, 2016

PubMed Central

Plutzer, Judit; Lassen, Brian; Jokelainen, Pikka; Djurković-Djaković, Olgica; Kucsera, István; Dorbek-Kolin, Elisabeth; Šoba, Barbara; Sréter, Tamás; Imre, Kálmán; Omeragić, Jasmin; Nikolić, Aleksandra; Bobić, Branko; Živičnjak, Tatjana; Lučinger, Snježana; Stefanović, Lorena Lazarić; Kučinar, Jasmina; Sroka, Jacek; Deksne, Gunita; Keidāne, Dace; Kváč, Martin; Hůzová, Zuzana; Karanis, Panagiotis

2018-01-01

Introduction This paper reviews the current knowledge and understanding of Cryptosporidium spp. and Giardia spp. in humans, animals and the environment in 10 countries in the eastern part of Europe: Bosnia and Herzegovina, Croatia, Czech Republic, Estonia, Hungary, Latvia, Poland, Romania, Serbia and Slovenia. Methods: Published scientific papers and conference proceedings from the international and local literature, official national health service reports, national databases and doctoral theses in local languages were reviewed to provide an extensive overview on the epidemiology, diagnostics and research on these pathogens, as well as analyse knowledge gaps and areas for further research. Results: Cryptosporidium spp. and Giardia spp. were found to be common in eastern Europe, but the results from different countries are difficult to compare because of variations in reporting practices and detection methodologies used. Conclusion: Upgrading and making the diagnosis/detection procedures more uniform is recommended throughout the region. Public health authorities should actively work towards increasing reporting and standardising reporting practices as these prerequisites for the reported data to be valid and therefore necessary for appropriate control plans. PMID:29382412

15 CFR 743.3 - Thermal imaging camera reporting.

Code of Federal Regulations, 2014 CFR

2014-01-01

... controlled by ECCN 6A003.b.4.b to Albania, Australia, Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan...

Cyber warfare: Armageddon in a Teacup?

DTIC Science & Technology

2009-12-11

Security concerns over the growing capability of Cyber Warfare are in the forefront of national policy and security discussions. In order to enable a...realistic discussion of the topic this thesis seeks to analyze demonstrated Cyber Warfare capability and its ability to achieve strategic political...objectives. This study examines Cyber Warfare conducted against Estonia in 2007, Georgia in 2008, and Israel in 2008. In all three cases Cyber Warfare did

Youth sexual health improvement in Estonia, 1990-2009: the role of sexuality education and youth-friendly services.

PubMed

Haldre, Kai; Part, Kai; Ketting, Evert

2012-10-01

A new school curriculum was introduced in Estonia in 1996 comprising for the first time sexuality education (SE) topics. The first youth counselling centres (YCCs) addressing sexual health matters were set up in 1991-1992. This study describes the development of school-based SE and YCCs in 1992 - 2009, and explores the concurrent changes in sexuality-related knowledge, behaviour, and sexual health indicators. The analyses are based on 12 population-based surveys. Data on births, abortions and sexually transmitted infections, including HIV, are taken from national registers. By the middle of the past decade SE was well established. There has been a trend towards younger age at first sexual intercourse, and increased usage of condoms and reliable contraceptive methods. The abortion rate among 15-19-year-olds declined by 61% and their fertility rate by 59%. The annual number of registered new HIV cases among 15-19-year-olds dropped from 560 in 2001 to 25 in 2009, new syphilis cases from 116 in 1998 to two in 2009, and gonorrhoea cases from 263 in 1998 to 20 in 2009. This study documents considerable improvements in sexual health indicators of youths, and indicates that these run parallel to the development of school-based SE and YCCs.

Effect of the economic recession on pharmaceutical policy and medicine sales in eight European countries

PubMed Central

Mantel-Teeuwisse, Aukje K; Vogler, Sabine; Valkova, Silvia; de Joncheere, Kees; Leufkens, Hubert GM; Wagner, Anita K; Ross-Degnan, Dennis; Laing, Richard

2014-01-01

Abstract Objective To identify pharmaceutical policy changes during the economic recession in eight European countries and to determine whether policy measures resulted in lower sales of, and less expenditure on, pharmaceuticals. Methods Information on pharmaceutical policy changes between 2008 and 2011 in eight European countries was obtained from publications and pharmaceutical policy databases. Data on the volume and value of the quarterly sales of products between 2006 and 2011 in the 10 highest-selling therapeutic classes in each country were obtained from a pharmaceutical market research database. We compared these indicators in economically stable countries; Austria, Estonia and Finland, to those in economically less stable countries, Greece, Ireland, Portugal, Slovakia and Spain. Findings Economically stable countries implemented two to seven policy changes each, whereas less stable countries implemented 10 to 22 each. Of the 88 policy changes identified, 33 occurred in 2010 and 40 in 2011. They involved changing out-of-pocket payments for patients in 16 cases, price mark-up schemes in 13 and price cuts in 11. Sales volumes increased moderately in all countries except Greece and Portugal, which experienced slight declines after 2009. Sales values decreased in both groups of countries, but fell more in less stable countries. Conclusion Less economically stable countries implemented more pharmaceutical policy changes during the recession than economically stable countries. Unexpectedly, pharmaceutical sales volumes increased in almost all countries, whereas sales values declined, especially in less stable countries. PMID:25378754

Magnetic history of Early and Middle Ordovician sedimentary sequence, northern Estonia

NASA Astrophysics Data System (ADS)

Plado, J.; Preeden, U.; Pesonen, L. J.; Mertanen, S.; Puura, V.

2010-01-01

Alternating field and thermal demagnetization of lime- and dolostones from the Lower and Middle Ordovician (Floian to Darriwilian stages) subhorizontally bedded sequences in NW and NE Estonia reveal two characteristic magnetization components (named P and S). The intermediate-coercivity (demagnetized at 30-60 mT, up to 300-350°C) reversed polarity component P (mean of Floian Stage: Dref = 147.8 +/- 10.8°, Iref = 65.8 +/- 5.4° combined mean of Dapingian and Darriwilian stages: Dref = 166.0 +/- 8.4°, Iref = 56.1 +/- 6.5°) is regarded as the primary remanence of early diagenetic (chemical) origin. On the Baltica's apparent polar wander path (APWP), the palaeopoles (Floian: Plat = 25.0°N, Plon = 50.8°E, K = 52.7, A95 = 7.2° Dapingian and Darriwilian: Plat = 11.4°N, Plon = 39.1°E, K = 33.8, A95 = 6.7°) are placed on the Lower and Middle Ordovician segment. The poles indicate that Estonia was located at southerly latitudes, decreasing with time (Floian: ~48°S Dapingian and Darriwilian: ~37°S), when the remanence was acquired. A high-coercivity and high-unblocking-temperature component S (mean of samples: Dref = 33.7 +/- 6.3°, Iref = 51.9 +/- 5.7°) that is regarded as a secondary remanence has both normal and reversed polarities. On the European APWP, its palaeopole (Plat = 52.5°N, Plon = 157.9°E, K = 38.9, A95 = 5.3°) gives middle to late Permian age. According to mineralogical (SEM and optical microscopy) and rock magnetic (three-component induced remnant magnetization) studies, component P is carried by magnetite (coexisting with glauconite) and component S by haematite. Magnetite is of chemical origin, formed in the course of early diagenesis and/or dolomitization. During the Permian continental period haematite, the carrier of component S, was likely precipitated from oxidizing meteoric fluids in the already existing or simultaneously formed pore space between the dolomite crystals.

Hospital nurses' working conditions in relation to motivation and patient safety.

PubMed

Toode, Kristi; Routasalo, Pirkko; Helminen, Mika; Suominen, Tarja

2015-03-01

There is a lack of empirical knowledge about nurses' perceptions of their workplace characteristics and conditions, such as level of autonomy and decision authority, work climate, teamwork, skill exploitation and learning opportunities, and their work motivation in relation to practice outputs such as patient safety. Such knowledge is needed particularly in countries, such as Estonia, where hospital systems for preventing errors and improving patient safety are in the early stages of development. This article reports the findings from a cross-sectional survey of hospital nurses in Estonia that was aimed at determining their perceptions of workplace characteristics, working conditions, work motivation and patient safety, and at exploring the relationship between these. Results suggest that perceptions of personal control over their work can affect nurses' motivation, and that perceptions of work satisfaction might be relevant to patient safety improvement work.

Complementary treatment of the common cold and flu with medicinal plants--results from two samples of pharmacy customers in Estonia.

PubMed

Raal, Ain; Volmer, Daisy; Sõukand, Renata; Hratkevitš, Sofia; Kalle, Raivo

2013-01-01

The aim of the current survey was to investigate the complementary self-treatment of the common cold and flu with medicinal plants among pharmacy customers in Estonia. A multiple-choice questionnaire listing 10 plants and posing questions on the perceived characteristics of cold and flu, the effectiveness of plants, help-seeking behaviour, self-treatment and sources of information, was distributed to a sample of participants in two medium size pharmacies. The participants were pharmacy customers: 150 in Tallinn (mostly Russian speaking) and 150 in Kuressaare (mostly Estonian speaking). The mean number of plants used by participants was 4.1. Of the respondents, 69% self-treated the common cold and flu and 28% consulted with a general practitioner. In general, medicinal plants were considered effective in the treatment of the above-mentioned illnesses and 56% of the respondents had used exclusively medicinal plants or their combination with OTC medicines and other means of folk medicine for treatment. The use of medicinal plants increased with age and was more frequent among female than male respondents. Among Estonian-speaking customers lime flowers, blackcurrant and camomile were more frequently used, and among Russian speaking customers raspberry and lemon fruits. Regardless of some statistically significant differences in preferred species among different age, education, sex and nationality groups, the general attitude towards medicinal plants for self-treatment of the common cold and flu in Estonia was very favourable.

Do alcohol excise taxes affect traffic accidents? Evidence from Estonia.

PubMed

Saar, Indrek

2015-01-01

This article examines the association between alcohol excise tax rates and alcohol-related traffic accidents in Estonia. Monthly time series of traffic accidents involving drunken motor vehicle drivers from 1998 through 2013 were regressed on real average alcohol excise tax rates while controlling for changes in economic conditions and the traffic environment. Specifically, regression models with autoregressive integrated moving average (ARIMA) errors were estimated in order to deal with serial correlation in residuals. Counterfactual models were also estimated in order to check the robustness of the results, using the level of non-alcohol-related traffic accidents as a dependent variable. A statistically significant (P <.01) strong negative relationship between the real average alcohol excise tax rate and alcohol-related traffic accidents was disclosed under alternative model specifications. For instance, the regression model with ARIMA (0, 1, 1)(0, 1, 1) errors revealed that a 1-unit increase in the tax rate is associated with a 1.6% decrease in the level of accidents per 100,000 population involving drunk motor vehicle drivers. No similar association was found in the cases of counterfactual models for non-alcohol-related traffic accidents. This article indicates that the level of alcohol-related traffic accidents in Estonia has been affected by changes in real average alcohol excise taxes during the period 1998-2013. Therefore, in addition to other measures, the use of alcohol taxation is warranted as a policy instrument in tackling alcohol-related traffic accidents.

Efficiency Assessment of Support Mechanisms for Wood-Fired Cogeneration Development in Estonia

NASA Astrophysics Data System (ADS)

Volkova, Anna; Siirde, Andres

2010-01-01

There are various support mechanisms for wood-fired cogeneration plants, which include both support for cogeneration development and stimulation for increasing consumption of renewable energy sources. The efficiency of these mechanisms is analysed in the paper. Overview of cogeneration development in Estonia is given with the focus on wood-fired cogeneration. Legislation acts and amendments, related to cogeneration support schemes, were described. For evaluating the efficiency of support mechanisms an indicator - fuel cost factor was defined. This indicator includes the costs related to the chosen fuel influence on the final electricity generation costs without any support mechanisms. The wood fuel cost factors were compared with the fuel cost factors for peat and oil shale. For calculating the fuel cost factors, various data sources were used. The fuel prices data were based on the average cost of fuels in Estonia for the period from 2000 till 2008. The data about operating and maintenance costs, related to the fuel type in the case of comparing wood fuel and oil shale fuel were taken from the CHP Balti and Eesti reports. The data about operating and maintenance costs used for peat and wood fuel comparison were taken from the Tallinn Elektrijaam reports. As a result, the diagrams were built for comparing wood and its competitive fuels. The decision boundary lines were constructed on the diagram for the situation, when no support was provided for wood fuels and for the situations, when various support mechanisms were provided during the last 12 years.

Indicators of residential traffic exposure: Modelled NOX, traffic proximity, and self-reported exposure in RHINE III

NASA Astrophysics Data System (ADS)

Carlsen, Hanne Krage; Bäck, Erik; Eneroth, Kristina; Gislason, Thorarinn; Holm, Mathias; Janson, Christer; Jensen, Steen Solvang; Johannessen, Ane; Kaasik, Marko; Modig, Lars; Segersson, David; Sigsgaard, Torben; Forsberg, Bertil; Olsson, David; Orru, Hans

2017-10-01

Few studies have investigated associations between self-reported and modelled exposure to traffic pollution. The objective of this study was to examine correlations between self-reported traffic exposure and modelled (a) NOX and (b) traffic proximity in seven different northern European cities; Aarhus (Denmark), Bergen (Norway), Gothenburg, Umeå, and Uppsala (Sweden), Reykjavik (Iceland), and Tartu (Estonia). We analysed data from the RHINE III (Respiratory Health in Northern Europe, http://www.rhine.nu)

Studies in Intelligence. Volume 50, Number 2, 2006

DTIC Science & Technology

2006-01-01

states, Estonia and Latvia, were full and free members of the United Nations. ©Pascal Le Segretain/CORBIS C EN TR AL INT ELLIGENCE AG EN C Y UNITED...Druszcz/Staff/AFP/Getty Images) Seizing Opportunity 8 Studies in Intelligence Vol. 50, No. 2 days of laptop computers and e- mail, my only communication...area to offer significant resistance to the land- ing or to the recapture of Seoul.26 With a full understanding of what he faced, MacArthur told the

Life-time risk of mortality due to different levels of alcohol consumption in seven European countries: implications for low-risk drinking guidelines.

PubMed

Shield, Kevin D; Gmel, Gerrit; Gmel, Gerhard; Mäkelä, Pia; Probst, Charlotte; Room, Robin; Rehm, Jürgen

2017-09-01

Low-risk alcohol drinking guidelines require a scientific basis that extends beyond individual or group judgements of risk. Life-time mortality risks, judged against established thresholds for acceptable risk, may provide such a basis for guidelines. Therefore, the aim of this study was to estimate alcohol mortality risks for seven European countries based on different average daily alcohol consumption amounts. The maximum acceptable voluntary premature mortality risk was determined to be one in 1000, with sensitivity analyses of one in 100. Life-time mortality risks for different alcohol consumption levels were estimated by combining disease-specific relative risk and mortality data for seven European countries with different drinking patterns (Estonia, Finland, Germany, Hungary, Ireland, Italy and Poland). Alcohol consumption data were obtained from the Global Information System on Alcohol and Health, relative risk data from meta-analyses and mortality information from the World Health Organization. The variation in the life-time mortality risk at drinking levels relevant for setting guidelines was less than that observed at high drinking levels. In Europe, the percentage of adults consuming above a risk threshold of one in 1000 ranged from 20.6 to 32.9% for women and from 35.4 to 54.0% for men. Life-time risk of premature mortality under current guideline maximums ranged from 2.5 to 44.8 deaths per 1000 women in Finland and Estonia, respectively, and from 2.9 to 35.8 deaths per 1000 men in Finland and Estonia, respectively. If based upon an acceptable risk of one in 1000, guideline maximums for Europe should be 8-10 g/day for women and 15-20 g/day for men. If low-risk alcohol guidelines were based on an acceptable risk of one in 1000 premature deaths, then maximums for Europe should be 8-10 g/day for women and 15-20 g/day for men, and some of the current European guidelines would require downward revision. © 2017 Society for the Study of Addiction.

The Role of Internalized Stigma in the Disclosure of Injecting Drug Use Among People Who Inject Drugs and Self-Report as HIV-Positive in Kohtla-Järve, Estonia.

PubMed

Johannson, Annika; Vorobjov, Sigrid; Heimer, Robert; Dovidio, John F; Uusküla, Anneli

2017-04-01

Disclosure of injecting drug use and its associations with stigma have received very little research attention. This cross-sectional study examined the role of internalized HIV and drug stigma (i.e., self-stigmatization) in the disclosure of injecting drug use among people who inject drugs (PWID) self-reporting as HIV-positive (n = 312) in Kohtla-Järve, Estonia. The internalization of both stigmas was relatively high. On average, PWID disclosed to three disclosure targets out of seven. Disclosure was highest to close friends and health care workers and lowest to employers and casual sex partners. Internalized drug stigma was negatively associated with disclosure to other family members (AOR = 0.48; 95% CI 0.30-0.77) and health care workers (AOR = 0.46; 95% CI 0.25-0.87). Internalized HIV stigma was positively associated with disclosure to health care workers (AOR = 2.26; 95% CI 1.27-4.00). No interaction effect of internalized stigmas on disclosures emerged. We concluded that effects of internalized stigmas on disclosures are few and not uniform.

Women in Physics in Estonia: Many Duties, One Life

NASA Astrophysics Data System (ADS)

Kaasik, Helle

2009-04-01

In Estonia, women and men have equal legal rights. Women are expected to earn their living like men—and unlike men, to be the main (often the only) caregiver for the children. In the family women do most of the unpaid work, spending twice the amount of time on household duties as men. Laws about public preschool child care and child support obligations for noncustodial parents exist, but these laws are not always realized in practice. A generous policy of benefits for children under 1.5 years provides some relief for mothers. It is a challenge to balance a woman's traditional load of unpaid duties with the high demands of a science career. As in many other countries, with every step up the academic ladder the underrepresentation of women in science becomes more evident. Physics and engineering are perceived as male areas and women active in these areas are often treated as exceptions. Most obstacles met by women in science are difficult to recognize and neutralize because they are deeply informal. Activities for "gender and science" that exceed the limits of sociological study have no long tradition here and are yet finding their place in Estonian society.

Remediation of an oily leachate pond in Estonia.

PubMed

Kriipsalu, Mait; Marques, Marcia; Hogland, William

2005-12-01

Until recent years, waste oil and oil-contaminated waters commonly ended up in landfills. At some dump sites, ponds of oily liquids and leachate were formed. To remediate such ponds, an interdisciplinary approach is now required, keeping costs at an affordable level, particularly in countries with changing economies. From 1974 to 1993, liquid oily wastes taken to the Laguja landfill, in Estonia, were disposed of in a pond with a surface area of 9800 m2. It was estimated that the pond contained 4500-6000 m3 of oily water and 3500 m3 of oil-containing bottom sediments. This study aimed at developing an environmentally sound and cost-effective method for remediation of the oily liquids, leachate and contaminated underlying sediment material, to meet the existing legal demands. It was concluded that treatment of contaminated water is well established and the procedures carried out to meet the regulatory demands achieved satisfactory results. However, regarding treatment of sediments it was concluded that legal and technological aspects, as well as monitoring procedures are not fully established and are usually underestimated. Laboratory investigations can provide valuable information in decision-making, and contribute to effective full-scale remediation planning.

Factors affecting re-vegetation dynamics of experimentally restored extracted peatland in Estonia.

PubMed

Karofeld, Edgar; Müür, Mari; Vellak, Kai

2016-07-01

Increasing human activity continues to threaten peatlands, and as the area of natural mires declines, our obligation is to restore their ecosystem functions. Several restoration strategies have been developed for restoration of extracted peatlands, including "The moss layer transfer method", which was initiated on the Tässi extracted peatland in central Estonia in May 2012. Three-year study shows that despite the fluctuating water table, rainfall events can compensate for the insufficient moisture for mosses. Total plant cover on the restoration area attained 70 %, of which ~60 % is comprised of target species-Sphagnum mosses. From restoration treatments, spreading of plant fragments had a significant positive effect on the cover of bryophyte and vascular plants. Higher water table combined with higher plant fragments spreading density and stripping of oxidised peat layer affected positively the cover of targeted Sphagnum species. The species composition in the restoration area became similar to that in the donor site in a natural bog. Based on results, it was concluded that the method approved for restoration in North America gives good results also in the restoration of extracted peatland towards re-establishment of bog vegetation under northern European conditions.

Retrogressive slope failure in glaciolacustrine clays: Sauga landslide, western Estonia

NASA Astrophysics Data System (ADS)

Kohv, Marko; Talviste, Peeter; Hang, Tiit; Kalm, Volli

2010-12-01

The largest recent landslide in Estonia (ca 60 000 m 3), which occurred on 19 December 2005, has been investigated, modelled and monitored. Eight boreholes, geotechnical sampling and nine vane shear tests provided data on the geological setting, soil strength parameters and location of the rupture zones. Topographic surveys were carried out twice a year from April 2006 to April 2009 to monitor the evolution of the slope. Limit equilibrium modelling displayed a complex of six separate retrogressive failures, beginning near to the Sauga River and ending 75 m from the former river channel. Modelling results are in agreement with the actual morphology of the multiple landslides. Monitoring records the enlargement of the landslide as the Sauga River downcuts through the slide and erodes its toe. Strength loss in the varved clays underlying the slope is a key factor in failure development.

Cholecystectomy and Diagnosis-Related Groups (DRGs): patient classification and hospital reimbursement in 11 European countries.

PubMed

Paat-Ahi, Gerli; Aaviksoo, Ain; Swiderek, Maria

2014-12-01

As part of the EuroDRG project, researchers from eleven countries (i.e. Austria, England, Estonia, Finland, France, Germany, Ireland, Netherlands, Poland, Sweden, and Spain) compared how their Diagnosis-Related Groups (DRG) systems deal with cholecystectomy patients. The study aims to assist surgeons and national authorities to optimize their DRG systems. National or regional databases were used to identify hospital cases with a procedure of cholecystectomy. DRG classification algorithms and indicators of resource consumption were compared for those DRGs that individually contained at least 1% of cases. Six standardised case vignettes were defined, and quasi prices according to national DRG-based hospital payment systems were ascertained and compared to an index case. European DRG systems vary widely: they classify cholecystectomy patients according to different sets of variables into diverging numbers of DRGs (between two DRGs in Austria and Poland to nine DRGs in England). The most complex DRG is valued at four times more resource intensive than the index case in Ireland but only 1.3 times more resource intensive than the index case in Austria. Large variations in the classification of cholecystectomy patients raise concerns whether all systems rely on the most appropriate classification variables. Surgeons, hospital managers and national DRG authorities should consider how other countries' DRG systems classify cholecystectomy patients in order to optimize their DRG systems and to ensure fair and appropriate reimbursement.

Rapid Urbanization of Red Foxes in Estonia: Distribution, Behaviour, Attacks on Domestic Animals, and Health-Risks Related to Zoonotic Diseases

PubMed Central

Plumer, Liivi; Davison, John; Saarma, Urmas

2014-01-01

Urban areas are becoming increasingly important for wildlife as diminishing natural habitats no longer represent a suitable environment for many species. Red foxes (Vulpes vulpes) are nowadays common in many cities worldwide, and in recent years they have colonized urban areas in Estonia. We used a public web-based questionnaire approach to evaluate the distribution and behaviour of Estonian urban foxes, to detect related problems and to assess health risks to humans and domestic animals. In total, 1205 responses were collected throughout the country. Foxes have colonized the majority of Estonian towns (33 out of 47) in a relatively short period of time, and have already established breeding dens in several towns. Despite their recent arrival, the behaviour of Estonian urban foxes is similar to that reported in longer-established urban fox populations: they are mostly active during night-time, often visit city centres and some also have dens in such locations. Certain characteristics of urban foxes serve as a basis for conflict with humans: foxes have entered houses and attacked domestic animals, killing cats and poultry. About 8% of reported foxes exhibited symptoms of sarcoptic mange, a disease that also infects domestic animals, especially dogs. The proportion of mange-infected foxes was higher in large urban areas. In addition to mange, a substantial fraction of red foxes in Estonia are known to be infected with the life-threatening tapeworm Echinococcus multilocularis, the causative agent of alveolar echinococcosis. Therefore, urban foxes may represent a source of serious infectious disease for pets and humans. PMID:25531399

Rapid urbanization of red foxes in Estonia: distribution, behaviour, attacks on domestic animals, and health-risks related to zoonotic diseases.

PubMed

Plumer, Liivi; Davison, John; Saarma, Urmas

2014-01-01

Urban areas are becoming increasingly important for wildlife as diminishing natural habitats no longer represent a suitable environment for many species. Red foxes (Vulpes vulpes) are nowadays common in many cities worldwide, and in recent years they have colonized urban areas in Estonia. We used a public web-based questionnaire approach to evaluate the distribution and behaviour of Estonian urban foxes, to detect related problems and to assess health risks to humans and domestic animals. In total, 1205 responses were collected throughout the country. Foxes have colonized the majority of Estonian towns (33 out of 47) in a relatively short period of time, and have already established breeding dens in several towns. Despite their recent arrival, the behaviour of Estonian urban foxes is similar to that reported in longer-established urban fox populations: they are mostly active during night-time, often visit city centres and some also have dens in such locations. Certain characteristics of urban foxes serve as a basis for conflict with humans: foxes have entered houses and attacked domestic animals, killing cats and poultry. About 8% of reported foxes exhibited symptoms of sarcoptic mange, a disease that also infects domestic animals, especially dogs. The proportion of mange-infected foxes was higher in large urban areas. In addition to mange, a substantial fraction of red foxes in Estonia are known to be infected with the life-threatening tapeworm Echinococcus multilocularis, the causative agent of alveolar echinococcosis. Therefore, urban foxes may represent a source of serious infectious disease for pets and humans.

Astro-Dynasty

NASA Astrophysics Data System (ADS)

Belkora, Leila

2001-05-01

Four generations of Struves directed eight observatories over two centuries. The first, Wilhelm Struve moved to Estonia from northern Germany to escape Napoleon's military conscription. He pursued university studies and ended up running an observatory for 20 years. Raising his family at the observatory in isolated conditions encouraged his offspring to follow his career path. The last, Otto Struve, was the first director of McDonald Observatory. The Struves were winners of several Gold Medals from Britain's Royal Astronomical Society for their research.

Initial Air Traffic Control Training at Tartu Aviation College

DOT National Transportation Integrated Search

1997-01-01

A well developed air traffic control training system is vitally important for guaranteeing flight safety and the efficient provision of air traffic control services. During the Soviet era, air traffic control services in Estonia were provided by Aero...

9 CFR 94.11 - Restrictions on importation of meat and other animal products from specified regions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Latvia... by adding the words, “Republic of Korea,” after the word “Japan,”, effective Jan. 12, 2010. ...

Attitudes towards war, killing, and punishment of children among young people in Estonia, Finland, Romania, the Russian Federation, and the USA.

PubMed Central

McAlister, A.; Sandström, P.; Puska, P.; Veijo, A.; Chereches, R.; Heidmets, L. T.

2001-01-01

OBJECTIVE: To study the cultural differences in moral disengagement, which lends support to attitudes used to justify violence. METHODS: We carried out classroom surveys of a total of 3122 students in the USA (Houston, TX, and Washington, DC) and in four European countries--Estonia (Tartu), Finland (Helsinki), Romania (Satu Mare) and the Russian Federation (St Petersburg). Data were also taken from a random sample telephone survey of 341 young adults (aged 18-35 years) in Texas, USA. Ten distinct groups were studied. Seven questions were common to all the surveys, using identical statements about the participants' agreement with attitudes relating to war, diplomacy, killing, and the punishment of children. FINDINGS: The US students were more likely than those in Europe to agree with the following statements: "War is necessary" (20% vs 9%), "A person has the right to kill to defend property" (54% vs 17%), and "Physical punishment is necessary for children" (27% vs 10%). Justification of war and killing was less common among females than males in all groups; other differences within the US groups and the European groups were smaller than the differences between the US and European groups. CONCLUSION: The results confirm the gap between the US and European groups in moral disengagement attitudes and tendencies that could lead to deadly violence. PMID:11417032

Suicidal Behavior Among People Living with HIV (PLHIV) in Medical Care in Estonia and Factors Associated with Receiving Psychological Treatment.

PubMed

Lemsalu, Liis; Rüütel, Kristi; Laisaar, Kaja-Triin; Lõhmus, Liilia; Raidvee, Aire; Uusküla, Anneli

2017-06-01

People living with HIV (PLHIV) have higher rates of suicidal behavior than the general population. This study assessed suicidal behavior (ideation and/or attempts, ever and in the past 12 months) among PLHIV receiving outpatient HIV medical care in Estonia and associations between suicidal behavior and psychological treatment. The cross-sectional study collected data from January to November 2013 using a self-report questionnaire. Eight hundred PLHIV participated, 39 % (n = 306) of whom had been suicidal. Lifetime prevalence was 36 % for suicidal ideation and 20 % for attempts. Younger age, incarceration, having ever abused alcohol and also injected drugs, having lived with HIV for more than 10 years, and being depressed were associated with lifetime suicidal behavior. Suicidal behavior within the past 12 months was reported by 20 % (n = 156) of respondents. Of these, 27 % received psychological treatment (counseling and/or psychotherapy), 20 % had taken antidepressants, and 49 % sedatives. Individuals perceiving a need for treatment were significantly more likely to receive psychological treatment when experiencing suicidal behavior (OR 25.65, 95 % CI 2.92-225.47). In conclusion, suicidal behavior is frequent among PLHIV but psychological treatment is not often received. One of the barriers to treatment is patients' lack of perceived need for help.

Two closely related species differ in their regional genetic differentiation despite admixing

PubMed Central

Fischer, Markus; Oja, Tatjana

2018-01-01

Abstract Regional genetic differentiation within species is often addressed in evolutionary ecology and conservation biology. Here, we address regional differentiation in two closely related hybridizing taxa, the perennial sedges Carex flava and C. viridula and their hybrid C. × subviridula in 37 populations in the north and centre of their distribution range in Europe (Estonia, Lowland (<1000 m a.s.l.) and Highland Switzerland) using 10 putative microsatellite loci. We ask whether regional differentiation was larger in the less common taxon C. viridula or whether, possibly due to hybridization, it was similar between taxa. Our results showed similar, low to moderate genetic diversity for the three studied taxa. In total, we found 12 regional species-specific alleles. Analysis of molecular variance (AMOVA), STRUCTURE and multidimensional scaling analysis showed regional structure in genetic variation, where intraspecific differentiation between regions was lower for C. flava (AMOVA: 6.84 %) than for C. viridula (20.77 %) or C. × subviridula (18.27 %) populations. Hybrids differed from the parental taxa in the two regions where they occurred, i.e. in Estonia and Lowland Switzerland. We conclude that C. flava and C. viridula clearly differ from each other genetically, that there is pronounced regional differentiation and that, despite hybridization, this regional differentiation is more pronounced in the less common taxon, C. viridula. We encourage future studies on hybridizing taxa to work with plant populations from more than one region. PMID:29479408

Outbreak of Salmonella enteritidis phage type 1B associated with frozen pre-cooked chicken cubes, Finland 2012.

PubMed

Huusko, S; Pihlajasaari, A; Salmenlinna, S; Sõgel, J; Dontšenko, I; DE Pinna, E; Lundström, H; Toikkanen, S; Rimhanen-Finne, R

2017-10-01

In August to October 2012, a nationwide outbreak of Salmonella enteritidis phase type (PT) 1B with 53 cases occurred in Finland. Hypothesis generating interviews pointed toward ready-to-eat chicken salad from a Finnish company and at the same time Estonian authorities informed of a S. enteritidis PT 1B outbreak linked to chicken wrap prepared at an Estonian restaurant. We found that chicken salad was associated with the infection (odds ratio (OR) 16·1, 95% confidence interval (CI) 1·7-148·7 for consumption and OR 17·5. 95% CI 4·0-76·0 for purchase). The frozen pre-cooked chicken cubes used in Finnish salad and in Estonian wraps were traced back to a production plant in China. Great Britain made two Rapid Alert Systems for Food and Feed notifications on chicken cubes imported to the UK from the same Chinese production plant. Microbiological investigation confirmed that the patient isolates in Estonia and in Finland were indistinguishable from the strains isolated from chicken cubes in Estonia and in the UK. We recommend that despite certificates for tested Salmonella, food items should be analyzed when Salmonella contamination in outbreak investigations is suspected. In outbreak investigations, electronically implemented case-case study saves time, effort, and money compared with case-control study.

History of experimental psychology from an Estonian perspective.

PubMed

Allik, Jüri

2007-11-01

A short review of the development of experimental psychology from an Estonian perspective is presented. The first rector after the reopening of the University of Dorpat (Tartu) in 1802, Georg Friedrich Parrot (1767-1852) was interested in optical phenomena which he attempted to explain by introducing the concept of unconscious inferences, anticipating a similar theory proposed by Herman von Helmholtz 20 years later. One of the next rectors, Alfred Wilhelm Volkmann (1800-1878) was regarded by Edwin Boring as one of the founding fathers of the experimental psychology. Georg Wilhelm Struve (1793-1864) played an essential part in solving the problem of personal equations. Arthur Joachim von Oettingen (1836-1920) developed a theory of music harmony, which stimulated his student Wilhelm Friedrich Ostwald (1853-1932) to study colour harmony. Emil Kraepelin (1856-1926), the founder of modern psychiatry, is by far the most important experimental psychologist who has worked in Estonia. His successor Wladimir von Tchisch (1855-1922), another student of Wilhelm Wundt, continued Kraepelin's work in experimental psychology. The lives of Wolfgang Köhler (1887-1967), who was born in Reval (Tallinn), and Oswald Külpe (1862-1915), who graduated from the University of Dorpat, extended the link between the history of experimental psychology and Estonia. Karl Gustav Girgensohn (1875-1925), the founder of the Dorpat School of the psychology of religion, stretched the use of experimental methods to the study of religious experience.

22 CFR 228.03 - Identification of principal geographic code numbers.

Code of Federal Regulations, 2011 CFR

2011-04-01

..., Belarus, Canada, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Gabon, Georgia...*, Netherlands, New Zealand, Norway, People's Republic of China, Poland, Portugal, Qatar, Romania, Russia, San Marino, Saudi Arabia, Serbia*, Singapore, Slovak Republic, Slovenia, South Africa, Spain, Sweden...

Outcomes associated with anxiety and depression among men who have sex with men in Estonia.

PubMed

Parker, R David; Lõhmus, Liilia; Valk, Anti; Mangine, Cara; Rüütel, Kristi

2015-09-01

Evidence supports that gay, lesbian, and transgender populations are at increased risk for mental health problems. The current study was conducted to estimate the prevalence of anxiety and depressive symptoms and related factors among men who have sex with men (MSM) in Estonia. This is the only known study of its type in the Eastern European region. In 2013, an Internet-based survey was conducted among men who have sex with men, collecting data on socio-demographics, sexuality, drug and alcohol use, mental health, suicidality, and internalized homonegativity. 265 MSM completed the questionnaire (median age 31 years, 90% Estonian, 71% from the capital; 73% employed full-time, 42% with at least college education; 44% in a steady relationship; 72% gay, 23% bisexual; 23% reported illegal drug use in the last 12 months). One third met criteria for problem drinking and depressive symptoms with one quarter for anxiety symptoms. Suicidality was 44% reported lifetime suicidal thoughts and 11% with at least one suicide attempt. The study instruments, EST-Q and CAGE, only measure symptoms and are not diagnostic tests. A non-random sample which could possibly include persons with easier internet access. Self-reported data and cross-sectional study design are prone to issues with recall bias and temporality. With demonstrated high rates of anxiety, depression, drinking, and drug use among MSM which is consistent with similar studies in Western countries, further research could help determine effective MSM focused interventions to address the broad spectrum of issues among MSM. Copyright © 2015 Elsevier B.V. All rights reserved.

Genebanks: a comparison of eight proposed international genetic databases.

PubMed

Austin, Melissa A; Harding, Sarah; McElroy, Courtney

2003-01-01

To identify and compare population-based genetic databases, or "genebanks", that have been proposed in eight international locations between 1998 and 2002. A genebank can be defined as a stored collection of genetic samples in the form of blood or tissue, that can be linked with medical and genealogical or lifestyle information from a specific population, gathered using a process of generalized consent. Genebanks were identified by searching Medline and internet search engines with key words such as "genetic database" and "biobank" and by reviewing literature on previously identified databases such as the deCode project. Collection of genebank characteristics was by an electronic and literature search, augmented by correspondence with informed individuals. The proposed genebanks are located in Iceland, the United Kingdom, Estonia, Latvia, Sweden, Singapore, the Kingdom of Tonga, and Quebec, Canada. Comparisons of the genebanks were based on the following criteria: genebank location and description of purpose, role of government, commercial involvement, consent and confidentiality procedures, opposition to the genebank, and current progress. All of the groups proposing the genebanks plan to search for susceptibility genes for complex diseases while attempting to improve public health and medical care in the region and, in some cases, stimulating the local economy through expansion of the biotechnology sector. While all of the identified plans share these purposes, they differ in many aspects, including funding, subject participation, and organization. The balance of government and commercial involvement in the development of each project varies. Genetic samples and health information will be collected from participants and coded in all of the genebanks, but consent procedures range from presumed consent of the entire eligible population to recruitment of volunteers with informed consent. Issues regarding confidentiality and consent have resulted in opposition to some of the more publicized projects. None of the proposed databases are currently operational and at least one project was terminated due to opposition. Ambitious genebank projects have been proposed in numerous countries and provinces. The characteristics of the projects vary, but all intend to map genes for common diseases and hope to improve the health of the populations involved. The impact of these projects on understanding genetic susceptibility to disease will be increasingly apparent if the projects become operational. The ethical, legal, and social implications of the projects should be carefully considered during their development. Copyright 2003 S. Karger AG, Basel

Non-cancer morbidity among Estonian Chernobyl cleanup workers: a register-based cohort study

PubMed Central

Rahu, Kaja; Bromet, Evelyn J; Hakulinen, Timo; Auvinen, Anssi; Uusküla, Anneli; Rahu, Mati

2014-01-01

Objective To examine non-cancer morbidity in the Estonian Chernobyl cleanup workers cohort compared with the population sample with special attention to radiation-related diseases and mental health disorders. Design Register-based cohort study. Setting Estonia. Participants An exposed cohort of 3680 men (cleanup workers) and an unexposed cohort of 7631 men (population sample) were followed from 2004 to 2012 through the Population Registry and Health Insurance Fund database. Methods Morbidity in the exposed cohort compared with the unexposed controls was estimated in terms of rate ratio (RR) with 95% CIs using Poisson regression models. Results Elevated morbidity in the exposed cohort was found for diseases of the nervous system, digestive system, musculoskeletal system, ischaemic heart disease and for external causes. The most salient excess risk was observed for thyroid diseases (RR=1.69; 95% CI 1.38 to 2.07), intentional self-harm (RR=1.47; 95% CI 1.04 to 2.09) and selected alcohol-related diagnoses (RR=1.25; 95% CI 1.12 to 1.39). No increase in morbidity for stress reactions, depression, headaches or sleep disorders was detected. Conclusions No obvious excess morbidity consistent with biological effects of radiation was seen in the exposed cohort, with the possible exception of benign thyroid diseases. Increased alcohol-induced morbidity may reflect alcohol abuse, and could underlie some of the higher morbidity rates. Mental disorders in the exposed cohort were probably under-reported. The future challenge will be to study mental and physical comorbidities in the Chernobyl cleanup workers cohort. PMID:24833681

HIV testing and counselling in Estonian prisons, 2012 to 2013: aims, processes and impacts.

PubMed

Kivimets, K; Uuskula, A

2014-11-27

We present data from an observational cohort study on human immunodeficiency virus (HIV) prevention and control measures in prisons in Estonia to assess the potential for HIV transmission in this setting. HIV testing and retesting data from the Estonian prison health department were used to estimate HIV prevalence and incidence in prison. Since 2002, voluntary HIV counselling and testing has routinely been offered to all prisoners and has been part of the new prisoners health check. At the end of 2012, there were 3,289 prisoners in Estonia, including 170 women: 28.5% were drug users and 15.6% were infected with HIV. Of the HIV-positive inmates, 8.3% were newly diagnosed on prison entry. In 2012, 4,387 HIV tests (including retests) were performed in Estonian prisons. Among 1,756 initially HIV-negative prisoners who were in prison for more than one year and therefore tested for HIV twice within 12 months (at entry and annual testing), one new HIV infection was detected, an incidence of 0.067 per 100 person-years (95% confidence interval (CI): 0.025–5.572). This analysis indicates low risk of HIV transmission in Estonian prisons. Implementation of HIV management interventions could impact positively on the health of prisoners and the communities to which they return.

CO2 mineral sequestration in oil-shale wastes from Estonian power production.

PubMed

Uibu, Mai; Uus, Mati; Kuusik, Rein

2009-02-01

In the Republic of Estonia, local low-grade carbonaceous fossil fuel--Estonian oil-shale--is used as a primary energy source. Combustion of oil-shale is characterized by a high specific carbon emission factor (CEF). In Estonia, the power sector is the largest CO(2) emitter and is also a source of huge amounts of waste ash. Oil-shale has been burned by pulverized firing (PF) since 1959 and in circulating fluidized-bed combustors (CFBCs) since 2004-2005. Depending on the combustion technology, the ash contains a total of up to 30% free Ca-Mg oxides. In consequence, some amount of emitted CO(2) is bound by alkaline transportation water and by the ash during hydraulic transportation and open-air deposition. The goal of this study was to investigate the possibility of improving the extent of CO(2) capture using additional chemical and technological means, in particular the treatment of aqueous ash suspensions with model flue gases containing 10-15% CO(2). The results indicated that both types of ash (PF and CFBC) could be used as sorbents for CO(2) mineral sequestration. The amount of CO(2) captured averaged 60-65% of the carbonaceous CO(2) and 10-11% of the total CO(2) emissions.

Analysis of river pollution data from low-flow period by means of multivariate techniques: a case study from the oil-shale industry region, northeastern Estonia.

PubMed

Truu, Jaak; Heinaru, Eeva; Talpsep, Ene; Heinaru, Ain

2002-01-01

The oil-shale industry has created serious pollution problems in northeastern Estonia. Untreated, phenol-rich leachate from semi-coke mounds formed as a by-product of oil-shale processing is discharged into the Baltic Sea via channels and rivers. An exploratory analysis of water chemical and microbiological data sets from the low-flow period was carried out using different multivariate analysis techniques. Principal component analysis allowed us to distinguish different locations in the river system. The riverine microbial community response to water chemical parameters was assessed by co-inertia analysis. Water pH, COD and total nitrogen were negatively related to the number of biodegradative bacteria, while oxygen concentration promoted the abundance of these bacteria. The results demonstrate the utility of multivariate statistical techniques as tools for estimating the magnitude and extent of pollution based on river water chemical and microbiological parameters. An evaluation of river chemical and microbiological data suggests that the ambient natural attenuation mechanisms only partly eliminate pollutants from river water, and that a sufficient reduction of more recalcitrant compounds could be achieved through the reduction of wastewater discharge from the oil-shale chemical industry into the rivers.

The Estonian study of Chernobyl cleanup workers: II. Incidence of cancer and mortality

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rahu, M.; Tekkel, M.; Veidebaum, T.

A cohort of 4,472 men from Estonia who had participated in the cleanup activities in the Chernobyl area sometime between 1986 and 1991 and were followed through 1993 was analyzed with respect to the incidence of cancer and mortality. Incidence and mortality in the cleanup workers were assessed relative to national rates. No increases were found in all cancers (25 incident cases compared to 26.5 expected) or in leukemia (no cases observed, 1.0 expected). Incidence did not differ statistically significantly from expectation for any individual cancer site or type, though lung cancer and non-Hodgkin`s lymphoma both occurred slightly more oftenmore » than expected. A total of 144 deaths were observed [standardized mortality ratio (SMR) = 0.98; 95% confidence interval (CI) = 0.82-1.14] during an average of 6.5 years of follow-up. Twenty-eight deaths (19.4%) were suicides (SMR = 1.52; 95% CI = 1.01-2.19). Exposure to ionizing radiation while at Chernobyl has not caused a detectable increase in the incidence of cancer among cleanup workers from Estonia. At least for the short follow-up period, diseases directly attributable to radiation appear to be of relatively minor importance when compared with the substantial excess of deaths due to suicide. 28 refs., 3 tabs.« less

Simulation of the hydrogeologic effects of oil-shale mining on the neighbouring wetland water balance: case study in north-eastern Estonia

NASA Astrophysics Data System (ADS)

Marandi, Andres; Karro, Enn; Polikarpus, Maile; Jõeleht, Argo; Kohv, Marko; Hang, Tiit; Hiiemaa, Helen

2013-11-01

The water balance of wetlands plays an integral role in their function. Developments adjacent to wetlands can affect their water balance through impacts on groundwater flow and increased discharge in the area, and they can cause lowering of the wetland water table. A 430 km2 area was selected for groundwater modelling to asses the effect of underground mining on the water balance of wetlands in north-eastern Estonia. A nature conservation area (encompassing Selisoo bog) is within 3 km of an underground oil-shale mine. Two future mining scenarios with different areal extents of mining were modeled and compared to the present situation. Results show that the vertical hydraulic conductivity of the subsurface is of critical importance to potential wetland dewatering as a result of mining. Significant impact on the Selisoo bog water balance will be caused by the approaching mine but there will be only minor additional impacts from mining directly below the bog. The major impact will arise before that stage, when the underground mine extension reaches the border of the nature conservation area; since the restriction of activities in this area relates to the ground surface, the conservation area’s border is not sufficiently protective in relation to underground development.

Looking West: Russian Perspectives of the Baltics Through the Lens of the Great Patriotic War

DTIC Science & Technology

2017-04-13

legacy of the Great Patriotic War is still potent in the minds of Russian officials. 15. SUBJECT TERMS Russia; Baltics; Great Patriotic War; Estonia...thinking towards the Baltic region, and they indicate that the legacy of the Great Patriotic War is still potent in the minds of Russian officials...real in the minds of Russian citizens. The war also represents the preeminent subject of study by the Russian military. The military and political

Turbine generator evaluation for the Eesti-Energia Estonia and Baltic power plants. Export trade information

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1995-12-01

The report evaluates the feasibility of 200 MW turbines and generators modernization in two Estonian power plants in order to improve performance and/or availability. This is Volume 1 and it includes the following: (1) scope; (2) evaluation approach; (3) summary of major recommendations; (4) performance tests descriptions; (5) current technology -- component description; (6) recommended studies; (7) recommendations; (8) district heating; (9) description of turbine K-200-130; (10) turbine evaluation results; (11) generator; (12) estimation of modernization costs.

Regional geographic variations in kidney cancer incidence rates in European countries.

PubMed

Li, Peng; Znaor, Ariana; Holcatova, Ivana; Fabianova, Eleonora; Mates, Dana; Wozniak, Magdalena B; Ferlay, Jacques; Scelo, Ghislaine

2015-06-01

Marked unexplained national variations in incidence rates of kidney cancer have been observed for decades in Europe. To investigate geographic variations at the regional level and identify European regions with high incidence rates of kidney cancer. Regional- and national-level incidence data were extracted from the Cancer Incidence in Five Continents databases, local cancer registry databases, and local published reports. World population age-standardised rates (ASRs) were calculated for the periods 2003-2007 and 1988-1992. Rates by period and sex were compared using map visualisation. During 2003-2007, the highest ASR was found in the Plzen region, Czech Republic (31.4/100,000 person-years in men). Other regions of the Czech Republic had ASRs of 18.6-27.5/100,000 in men, with a tendency for higher rates in regions south of Prague. Surrounding regions, including eastern Germany and regions of Slovakia and Austria, had medium-to-high incidence rates (13.0-16.8/100,000 in men). Three other areas in Europe showed higher incidence rates in men compared with the rest of the continent: Lithuania, Estonia, Latvia, and Belarus (15.0-17.6/100,000); Iceland (13.5/100,000), and northern Italy (up to 16.0/100,000). Similar regional differences were observed among women, with rates approximately half of those observed in men in the same region. In general, these regional geographic variations remained stable over the periods 1988-1992 and 2003-2007, although higher incidence rates were detected in the Baltic countries in 2003-2007. Several European regions show particularly high rates of kidney cancer incidence. Large variations were observed within countries covered by national health-care systems, implying that overdetection is not the major factor. We present regional geographic variations in kidney cancer incidence rates in Europe. We highlight several regions with high incidence rates where further studies should be conducted for cancer control and prevention. Copyright © 2014 European Association of Urology. Published by Elsevier B.V. All rights reserved.

Modelling derecho dynamics and the direct radiative effect of wildfire smoke upon it with NWP model HARMONIE

NASA Astrophysics Data System (ADS)

Toll, Velle; Männik, Aarne

2014-05-01

Convection permitting numerical weather prediction model HARMONIE was used to simulate the dynamics of the derecho that swept over Eastern Europe on August 8, 2010. The storm moved over Belarus, Lithuania, Latvia, Estonia and Finland and the strongest wind gusts (up to 36.5 m/s) were measured in Estonia. The storm path is recorded on the radar images where characteristic bow echo was observed. The model setup was similar to near-future operational, nearly kilometre-scale environments in European national weather services. Hindcast experiments show the ability of the HARMONIE model to predict the severe convective storm and forecast concurrent strong wind gusts. Wind gusts with very similar intensity to observed ones were simulated by the HARMONIE model and 2.5-km horizontal resolution appears sufficient for reliable forecast of the derecho event. The timing of the modelled storm was in good agreement with the observations. The simulated average storm propagation speed was 25 m/s, similar to the radar observations. Hindcast experiments suggest that more precise warning for the storm could have been issued if the HARMONIE model would have been utilised. The derecho event was accompanied by the remarkable smoke aerosol concentrations (maximum total aerosol optical depth more than 4 at 550 nm) originating from the wildfires from Russia. Smoke plume travelled clockwise around Moscow from August 5 to 9. On August 8, 2010, smoke plume was situated on the Eastern border of Estonia. The derecho occurred on the western side of the smoke plume path. HARMONIE experiments were performed to study the direct radiative effect of wildfire smoke on a severe convective storm. The impact of smoke aerosol on the derecho dynamics was investigated. Reduction in the shortwave radiation flux at the surface resulting from aerosol influence simulated by the HARMONIE model is up to 200 W/m2 in the area with the highest aerosol concentrations. This causes near surface cooling of up to 3 ºC. The direct radiative effect of aerosol increases the stability of the atmospheric boundary layer and this had influence on the simulated derecho dynamics.

Introducing a complex health innovation--primary health care reforms in Estonia (multimethods evaluation).

PubMed

Atun, Rifat Ali; Menabde, Nata; Saluvere, Katrin; Jesse, Maris; Habicht, Jarno

2006-11-01

All post-Soviet countries are trying to reform their primary health care (PHC) systems. The success to date has been uneven. We evaluated PHC reforms in Estonia, using multimethods evaluation: comprising retrospective analysis of routine health service data from Estonian Health Insurance Fund and health-related surveys; documentary analysis of policy reports, laws and regulations; key informant interviews. We analysed changes in organisational structure, regulations, financing and service provision in Estonian PHC system as well as key informant perceptions on factors influencing introduction of reforms. Estonia has successfully implemented and scaled-up multifaceted PHC reforms, including new organisational structures, user choice of family physicians (FPs), new payment methods, specialist training for family medicine, service contracts for FPs, broadened scope of services and evidence-based guidelines. These changes have been institutionalised. PHC effectiveness has been enhanced, as evidenced by improved management of key chronic conditions by FPs in PHC setting and reduced hospital admissions for these conditions. Introduction of PHC reforms - a complex innovation - was enhanced by strong leadership, good co-ordination between policy and operational level, practical approach to implementation emphasizing simplicity of interventions to be easily understood by potential adopters, an encircling strategy to roll-out which avoided direct confrontations with narrow specialists and opposing stakeholders in capital Tallinn, careful change-management strategy to avoid health reforms being politicized too early in the process, and early investment in training to establish a critical mass of health professionals to enable rapid operationalisation of policies. Most importantly, a multifaceted and coordinated approach to reform - with changes in laws; organisational restructuring; modifications to financing and provider payment systems; creation of incentives to enhance service innovations; investment in human resource development - was critical to the reform success.

Health status of Russian minorities in former Soviet Republics.

PubMed

Groenewold, W G F; van Ginneken, J K

2011-08-01

To examine if, and to what extent, disparities in health status exist between ethnic Russians and the native majority populations of four former Soviet Republics; and to determine to what extent indicators of socio-economic status and lifestyle behaviours explain variations in health status. Data from the World Health Organization's World Health Surveys of former Soviet Republics that include information on ethnicity (i.e. Estonia, Latvia, Ukraine, Kazakhstan and Russia) were used. Russia was included as the benchmark population as it is the country of origin of ethnic Russians. Data were collected from respondents aged ≥25 years in 2001-2003. Principal component analysis was used to derive the Health Status Index and Household Wealth Index. Multiple classification analysis was applied to examine the effects of the determinants on health status, including ethnic group membership. In Estonia and Kazakhstan, ethnic Russians have, on average, a lower health status than members of the majority population, while their health status is higher in Ukraine. Higher levels of material wealth, educational attainment and physical activity were associated with a higher health status. The association of these variables with health status was often stronger than the association between ethnic group membership and health status. Differences in health status between Russian ethnic minorities and the majority populations were found in Estonia and Kazakhstan, but were non-existent in Latvia and were the opposite of what was expected in Ukraine. Use of the Health Status Index in combination with multiple classification analysis proved to be a useful approach to examine health status differentials, and to identify and profile vulnerable groups in a society. Copyright © 2011 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

A policy of introducing a new contract and funding system of general practice in Estonia.

PubMed

Lember, Margus

2002-01-01

The socialist bloc of post-war Europe was obliged to follow the Soviet example with a hierarchical, centrally controlled health care system based on polyclinics and other facilities providing extensive specialist services at the first level of contact. All the countries of Central and Eastern Europe have now expressed their wish to totally change their health care systems. Changes in these countries include: the introduction of market economy mechanisms in health care, an increased focus on population health needs in guiding health care systems, and the possibility of introducing a more general type of care at primary level. Patient expectations of access, choice and convenience are factors in shaping new models of health care delivery. Appropriate timing is the key determinant of the success of reforms. In Estonia the beginning of the 1990s was the time when several interest groups in society supported changes in the health care system. The first step after regaining independence was the reintroduction of a Bismarck-type insurance system. In the late 1990s the primary care reforms have changed the initial plans and elements of a National Health Service were introduced, especially general practitioners' lists, capitation payment and gate-keeping principles. The family medicine reform in Estonia has two main objectives: introduction of general practice as a specialty into Estonian health care and changing the remuneration system of primary care doctors. The specific tasks are: to provide practising primary care doctors with opportunities for retraining to gain the specialty status of a general practitioner, to create a list system for the population to register with a primary care doctor, to introduce a partial gate-keeping system and to give the status of the independent contractor to primary care doctors.

Headaches after traumatic spinal cord injury in Estonia.

PubMed

Sabre, Liis; Rugo, Mariann; Asser, Toomas; Kõrv, Janika; Braschinsky, Mark

2016-04-01

Patients with traumatic spinal cord injury (TSCI) often suffer from different types of pain. However, headaches after TSCI have not been studied. The aim of this article is to examine the occurrence of headache among patients with TSCI. This cross-sectional study included individuals with TSCI from 1997 to 2012 in Estonia. Patients with TSCI were interviewed via telephone. The interview was based on a questionnaire specifically designed to identify headache type using the International Classification of Headache Disorders, third edition (beta version). There were 73 patients with a mean age 37.1 ± 10.6 years. The mean time since TSCI was 7.5 ± 4.0 years. The most frequently mentioned pain was headache (71%), followed by back pain (60%) and pain in neck (44%).Headaches were more frequent after the trauma compared with the headaches before TSCI (71% vs 51%, ITALIC! p = 0.02). Headaches that arose after TSCI were not related to the concomitant brain injury ( ITALIC! p = 0.15). The occurrence of headache did not depend on the severity or the level of the TSCI.Eighty-five percent of patients had not contacted any physician and headache was not diagnosed. This is the first study that evidentially shows that headache is the most prevalent pain condition after TSCI. Despite this, the majority of patients never consult a physician, nor is their headache diagnosed or appropriately managed. This indicates that further studies are needed to provide evidence regarding the prevalence and causes of headache and its impact on quality of life. © International Headache Society 2015.

Detection and identification of Rickettsia species in Ixodes tick populations from Estonia.

PubMed

Katargina, Olga; Geller, Julia; Ivanova, Anna; Värv, Kairi; Tefanova, Valentina; Vene, Sirkka; Lundkvist, Åke; Golovljova, Irina

2015-09-01

A total of 1640 ticks collected in different geographical parts of Estonia were screened for the presence of Rickettsia species DNA by real-time PCR. DNA of Rickettsia was detected in 83 out of 1640 questing ticks with an overall prevalence of 5.1%. The majority of the ticks infected by rickettsiae were Ixodes ricinus (74 of 83), while 9 of the 83 positive ticks were Ixodes persulcatus. For rickettsial species identification, a part of the citrate synthase gltA gene was sequenced. The majority of the positive samples were identified as Rickettsia helvetica (81 out of 83) and two of the samples were identified as Rickettsia monacensis and Candidatus R. tarasevichiae, respectively. Genetic characterization based on the partial gltA gene showed that the Estonian sequences within the R. helvetica, R. monacensis and Candidatus R. tarasevichiae species demonstrated 100% similarity with sequences deposited in GenBank, originating from Rickettsia species distributed over large territories from Europe to Asia. Copyright © 2015 Elsevier GmbH. All rights reserved.

Health-behaviour inequalities among Russian and ethnic majority school-aged children in the Baltic countries.

PubMed

Sumskas, Linas; Zaborskis, Apolinaras; Aasvee, Katrin; Gobina, Inese; Pudule, Iveta

2012-08-01

The main aim of this paper was to investigate whether ethnic heath inequalities exist in self-rated health and risk-taking behaviours (smoking, drunkenness, use of cannabis) between ethnic majority (Estonian, Latvian, Lithuanian) and minority (Russian) population groups of school-aged children in three Baltic countries. Investigation was carried out in the framework of Health Behaviour in School-aged Children (HBSC) study. Randomly selected students aged 11, 13, and 15 years answered questionnaires in the classroom in 2006. In total, 14,354 questionnaire forms were selected for analysis. Russian boys were more likely (p<0.05) to evaluate their self-rated health positively in schools with Russian teaching language. Odd ratios for current smoking and drunkenness were significantly lower among Russian boys in the schools with Russian language of instruction (p<0.05) in comparison with the reference group. Russian girls did not differ significantly (the exceptions were smoking in Estonia and cannabis use in Latvia) from the majority population girls by self-rated health as well as by the risk of smoking, drunkenness, and use of cannabis. The study found some differences in self-rated health and in risk-taking behaviours between Russian minority and ethnic majority students as well as between students of schools with different language of instruction (majority language vs. Russian) in Estonia, Latvia, and Lithuania. Being a member of minority group was not related with poor self-rated health or involvement in risk-taking behaviours in school-aged children in the Baltic countries.

Bucking the Trend in Wolf-Dog Hybridization: First Evidence from Europe of Hybridization between Female Dogs and Male Wolves

PubMed Central

Hindrikson, Maris; Männil, Peep; Ozolins, Janis; Krzywinski, Andrzej; Saarma, Urmas

2012-01-01

Studies on hybridization have proved critical for understanding key evolutionary processes such as speciation and adaptation. However, from the perspective of conservation, hybridization poses a concern, as it can threaten the integrity and fitness of many wild species, including canids. As a result of habitat fragmentation and extensive hunting pressure, gray wolf (Canis lupus) populations have declined dramatically in Europe and elsewhere during recent centuries. Small and fragmented populations have persisted, but often only in the presence of large numbers of dogs, which increase the potential for hybridization and introgression to deleteriously affect wolf populations. Here, we demonstrate hybridization between wolf and dog populations in Estonia and Latvia, and the role of both genders in the hybridization process, using combined analysis of maternal, paternal and biparental genetic markers. Eight animals exhibiting unusual external characteristics for wolves - six from Estonia and two from Latvia - proved to be wolf-dog hybrids. However, one of the hybridization events was extraordinary. Previous field observations and genetic studies have indicated that mating between wolves and dogs is sexually asymmetrical, occurring predominantly between female wolves and male dogs. While this was also the case among the Estonian hybrids, our data revealed the existence of dog mitochondrial genomes in the Latvian hybrids and, together with Y chromosome and autosomal microsatellite data, thus provided the first evidence from Europe of mating between male wolves and female dogs. We discuss patterns of sexual asymmetry in wolf-dog hybridization. PMID:23056315

Bucking the trend in wolf-dog hybridization: first evidence from europe of hybridization between female dogs and male wolves.

PubMed

Hindrikson, Maris; Männil, Peep; Ozolins, Janis; Krzywinski, Andrzej; Saarma, Urmas

2012-01-01

Studies on hybridization have proved critical for understanding key evolutionary processes such as speciation and adaptation. However, from the perspective of conservation, hybridization poses a concern, as it can threaten the integrity and fitness of many wild species, including canids. As a result of habitat fragmentation and extensive hunting pressure, gray wolf (Canis lupus) populations have declined dramatically in Europe and elsewhere during recent centuries. Small and fragmented populations have persisted, but often only in the presence of large numbers of dogs, which increase the potential for hybridization and introgression to deleteriously affect wolf populations. Here, we demonstrate hybridization between wolf and dog populations in Estonia and Latvia, and the role of both genders in the hybridization process, using combined analysis of maternal, paternal and biparental genetic markers. Eight animals exhibiting unusual external characteristics for wolves - six from Estonia and two from Latvia - proved to be wolf-dog hybrids. However, one of the hybridization events was extraordinary. Previous field observations and genetic studies have indicated that mating between wolves and dogs is sexually asymmetrical, occurring predominantly between female wolves and male dogs. While this was also the case among the Estonian hybrids, our data revealed the existence of dog mitochondrial genomes in the Latvian hybrids and, together with Y chromosome and autosomal microsatellite data, thus provided the first evidence from Europe of mating between male wolves and female dogs. We discuss patterns of sexual asymmetry in wolf-dog hybridization.

Telecollaboration, Challenges and Oppportunities

ERIC Educational Resources Information Center

Abruquah, Emmanuel; Dosa, Ildiko; Duda, Grazyna

2016-01-01

This article discusses some practical ideas associated with a pilot intercultural telecollaboration project. The aim of the project was to connect students from five countries: Estonia, Finland, Hungary, Poland and Spain, and to make them interact using social media, such as Facebook, Skype, Google Hangouts, etc. There were success stories…

48 CFR 52.225-5 - Trade Agreements.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 2 2010-10-01 2010-10-01 false Trade Agreements. 52.225-5... Agreements. As prescribed in 25.1101(c)(1), insert the following clause: Trade Agreements (AUG 2009) (a... Agreement country (Aruba, Austria, Belgium, Bulgaria, Canada, Cyprus, Czech Republic, Denmark, Estonia...

48 CFR 52.225-5 - Trade Agreements.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 2 2011-10-01 2011-10-01 false Trade Agreements. 52.225-5... Agreements. As prescribed in 25.1101(c)(1), insert the following clause: Trade Agreements (AUG 2009) (a... Agreement country (Aruba, Austria, Belgium, Bulgaria, Canada, Cyprus, Czech Republic, Denmark, Estonia...

Defense Horizons. Number 79, April 2015

DTIC Science & Technology

2015-04-01

constantly cycling several destroyers or frigates to patrol the Black Sea, such rotations and U.S. presence would surely draw a severely caustic response...this money has been, or will be, spent on reinforcing U.S. garrisons in Poland, Estonia, and Latvia and conducting military exercises with Eastern

The strength of primary care in Europe: an international comparative study.

PubMed

Kringos, Dionne; Boerma, Wienke; Bourgueil, Yann; Cartier, Thomas; Dedeu, Toni; Hasvold, Toralf; Hutchinson, Allen; Lember, Margus; Oleszczyk, Marek; Rotar Pavlic, Danica; Svab, Igor; Tedeschi, Paolo; Wilm, Stefan; Wilson, Andrew; Windak, Adam; Van der Zee, Jouke; Groenewegen, Peter

2013-11-01

A suitable definition of primary care to capture the variety of prevailing international organisation and service-delivery models is lacking. Evaluation of strength of primary care in Europe. International comparative cross-sectional study performed in 2009-2010, involving 27 EU member states, plus Iceland, Norway, Switzerland, and Turkey. Outcome measures covered three dimensions of primary care structure: primary care governance, economic conditions of primary care, and primary care workforce development; and four dimensions of primary care service-delivery process: accessibility, comprehensiveness, continuity, and coordination of primary care. The primary care dimensions were operationalised by a total of 77 indicators for which data were collected in 31 countries. Data sources included national and international literature, governmental publications, statistical databases, and experts' consultations. Countries with relatively strong primary care are Belgium, Denmark, Estonia, Finland, Lithuania, the Netherlands, Portugal, Slovenia, Spain, and the UK. Countries either have many primary care policies and regulations in place, combined with good financial coverage and resources, and adequate primary care workforce conditions, or have consistently only few of these primary care structures in place. There is no correlation between the access, continuity, coordination, and comprehensiveness of primary care of countries. Variation is shown in the strength of primary care across Europe, indicating a discrepancy in the responsibility given to primary care in national and international policy initiatives and the needed investments in primary care to solve, for example, future shortages of workforce. Countries are consistent in their primary care focus on all important structure dimensions. Countries need to improve their primary care information infrastructure to facilitate primary care performance management.

Smoking prevalence and attitudes towards smoking among Estonian physicians: results from cross-sectional studies in 2002 and 2014

PubMed Central

Pärna, Kersti

2017-01-01

Objectives To explore smoking prevalence and attitudes towards smoking among Estonian physicians in 2002 and 2014. Design Two self-administered cross-sectional postal surveys were conducted among practising physicians in Estonia. Participants Initial sample consisted of all practising physicians in Estonia. The corrected response rate was 67.8% in 2002 and 53.1% in 2014. Present study sample was restricted to physicians younger than 65 years (n=2549 in 2002, n=2339 in 2014). Methods Age-standardised prevalence of smoking and prevalence of agreement with seven statements concerning attitudes towards smoking was determined. To analyse association of physicians’ attitudes towards smoking with study year and smoking status, logistic regression analysis was used. Adjusted ORs of agreement with the seven statements were determined. Corresponding 95% CIs were calculated. Results The age-standardised prevalence of current smoking among men was 26.8% in 2002 and 15.3% in 2014, among women 10.4% and 5.8%, respectively. Compared with the year 2002, in 2014, prevalence of agreement with statements declaring harmfulness of smoking was higher and prevalence of agreement with statements approving smoking was lower. Adjusted ORs showed that compared with 2002, physicians’ attitudes towards smoking were less favourable in 2014, and physicians’ attitudes towards smoking were associated with their smoking status. Conclusions Compared with 2002, the age-standardised smoking prevalence among male and female physicians was lower, and attitudes towards smoking were less approving in 2014. The smoking physicians had more approving attitudes towards smoking than their non-smoking colleagues. PMID:29175883

A distinct group of north European Aedes vexans as determined by mitochondrial and nuclear markers.

PubMed

Lilja, T; Troell, K; Kirik, H; Lindström, A

2018-01-16

The floodwater mosquito Aedes (Aedimorphus) vexans (Meigen, 1830) (Diptera: Culicidae) is common in several areas of Sweden and is predicted to become more abundant in the wake of expected changes in precipitation and temperature caused by climate change. As well as being a nuisance, Ae. vexans can act as a vector of over 30 viruses. In the event of an outbreak of disease caused by a vector-borne virus, knowledge of the distribution, population structure and intermixing of populations from different locations will help direct resources to target locations to prevent spread of the pathogen. The present study analysed individual Ae. vexans from eight locations throughout Sweden. Based on the mitochondrial cytochrome oxidase I (COI) marker, a subset of the analysed mosquitoes cluster apart from the other samples. Similarly, two nuclear loci were sequenced and the same phylogenetic structure observed. These results indicate that this group represents a reproductively isolated population among Ae. vexans. Comparisons with COI sequences held in the Barcode of Life Database (BoLD) for Ae. vexans from around the world show that specimens collected in Belgium and Estonia group together with the Swedish group, suggesting that this genotype is present throughout northern Europe. These results suggest there is a cryptic taxonomic unit related to Ae. vexans in northern Europe. © 2018 The Authors. Medical and Veterinary Entomology published by John Wiley & Sons Ltd on behalf of Royal Entomological Society.

Cholecystectomy and Diagnosis-Related Groups (DRGs): patient classification and hospital reimbursement in 11 European countries

PubMed Central

Paat-Ahi, Gerli; Aaviksoo, Ain; Świderek, Maria

2014-01-01

Background: As part of the EuroDRG project, researchers from eleven countries (i.e. Austria, England, Estonia, Finland, France, Germany, Ireland, Netherlands, Poland, Sweden, and Spain) compared how their Diagnosis-Related Groups (DRG) systems deal with cholecystectomy patients. The study aims to assist surgeons and national authorities to optimize their DRG systems. Methods: National or regional databases were used to identify hospital cases with a procedure of cholecystectomy. DRG classification algorithms and indicators of resource consumption were compared for those DRGs that individually contained at least 1% of cases. Six standardised case vignettes were defined, and quasi prices according to national DRG-based hospital payment systems were ascertained and compared to an index case. Results: European DRG systems vary widely: they classify cholecystectomy patients according to different sets of variables into diverging numbers of DRGs (between two DRGs in Austria and Poland to nine DRGs in England). The most complex DRG is valued at four times more resource intensive than the index case in Ireland but only 1.3 times more resource intensive than the index case in Austria. Conclusion: Large variations in the classification of cholecystectomy patients raise concerns whether all systems rely on the most appropriate classification variables. Surgeons, hospital managers and national DRG authorities should consider how other countries’ DRG systems classify cholecystectomy patients in order to optimize their DRG systems and to ensure fair and appropriate reimbursement. PMID:25489596

Ethnic Identification and School Language of Russian-Speaking Students in Estonia

ERIC Educational Resources Information Center

Kemppainen, Raija P.; Hilton, Sterling C.; Rannut, Ülle

2015-01-01

Ethnic identification is closely tied to language. Society's appreciation of one's first language and the opportunity to use it may help strengthen ethnic identification. This research examined the relationship between ethnic identifications and school language and investigated other factors that potentially impact language-minority students'…

Adapting Unconventional Warfare Doctrine to Cyberspace Operations: An Examination of Hacktivist Based Insurgencies

DTIC Science & Technology

2015-06-12

Unconventional Warfare, Cyberspace Operations, Cyber Warfare , Hacktivism, China, Russia, Georgia, Estonia, Umbrella Revolution, UW, Cyber, Guerilla, Hacktivist...6 Cyber Warfare ............................................................................................................. 7...Internet, and cyber warfare , the nature of the human element in cyberspace exhibits only a scientific advancement in the evolution of warfare, not a

Professional Preparation in School Psychology: A Summary of Information from Programs in Seven Countries

ERIC Educational Resources Information Center

Oakland, Thomas; Hatzichristou, Chryse

2014-01-01

This article summarizes prominent themes found in descriptions of school psychology programs in Estonia (Kikas, 2014), Greece (Hatzichristou & Polychroni, 2014), Hong Kong (Lam, 2014), Romania (Negovan & Dinca, 2014), Sweden (Schad, 2014), United Kingdom (Wood, 2014), and United States (Joyce & Rossen, 2014). This paper summarizes…

English Language Teachers' Perceptions of Professional Teaching

ERIC Educational Resources Information Center

Oder, Tuuli

2014-01-01

During the most recent educational reform in Estonia, a new National Curriculum was introduced in 2010 providing new guidelines for education generally and foreign languages specifically. To investigate the understanding that an EFL (English as a Foreign Language) teacher has about professional teaching and whether it matches the principles of the…

Operation Atlantic Resolve

Science.gov Websites

Ukraine, Defense Secretary Ash Carter told service members aboard the USS San Antonio in Estonia. Story . Story U.S. Soldiers, Airmen Train With Latvian Service Members U.S. and Latvian troops conducted airborne training in Latvia while supporting Operation Atlantic Resolve, which focuses on joint training

Value Education in Estonian Preschool Child Care Institutions

ERIC Educational Resources Information Center

Ülavere, Pärje; Tammik, Anu

2017-01-01

For systematic implementation of value education in educational institutions, the national programme "Values Development in Estonian Society 2009-2013" (Ministry of Education and Research 2009) was prepared in Estonia. However, it was launched only in 2010, and the authors intended to ascertain the values of the heads of preschool child…

Teachers' Views of Curriculum Policy: The Case of Estonia

ERIC Educational Resources Information Center

Erss, Maria; Mikser, Rain; Löfström, Erika; Ugaste, Aino; Rõuk, Vadim; Jaani, Juta

2014-01-01

Unlike in England, since the late 1980s the rhetoric of curriculum reforms has been overwhelmingly decentralist in many countries. However, decentralisation has often involved the delegation of centrally appointed tasks, rather than a real shift in power. The Estonian case demonstrates how a decentralised curriculum policy with centralised control…

48 CFR 22.1503 - Procedures for acquiring end products on the List of Products Requiring Contractor Certification...

Code of Federal Regulations, 2014 CFR

2014-10-01

... more (see subpart 25.4); or (4) Armenia, Aruba, Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Italy..., Romania, Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Taiwan, or the United Kingdom...

Authoritative and Authoritarian-Inconsistent Teachers' Preferences for Teaching Methods and Instructional Goals

ERIC Educational Resources Information Center

Uibu, Krista; Kikas, Eve

2014-01-01

Preferences for teaching methods are influenced by several factors, including instructional goals, teacher's management style, experience and education. To discover in which ways primary school teachers with different management styles vary in their preferences for students' cognitive and social development, 128 teachers of Estonia were…

75 FR 18848 - Preparation for International Conference on Harmonisation Steering Committee and Expert Working...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-13

...] Preparation for International Conference on Harmonisation Steering Committee and Expert Working Group Meetings... entitled ``Preparation for ICH Steering Committee and Expert Working Group Meetings in Tallinn, Estonia... by April 30, 2010. Interested persons may present data, information, or views orally or in writing...

Tracing Assessment Policy Discourses in Neoliberalised Higher Education Settings

ERIC Educational Resources Information Center

Raaper, Rille

2017-01-01

This article explores assessment policy in two European universities with different political, historical and social backgrounds: the University of Glasgow and Tallinn University. The University of Glasgow is a well-established Russell Group university in the UK; Tallinn University is a relatively new university in post-Soviet Estonia, shaped by…

Why is a “Good Abortion Law” Not Enough? The Case of Estonia

PubMed Central

2017-01-01

Abstract There are various ways to critically discuss abortion. Constructing or finding the most suitable analytical framework—whether rooted in legal formalism, socio-legal considerations, or comparativism—always depends on the country of subject and whether the analysis is for litigation, advocacy, or more theoretical purposes. This paper offers a model for analyzing abortion in Estonia in order to connect it as a thought-provoking case study to the ongoing transnational abortion discussions. I set out by describing the Estonian Abortion Act as a “good abortion law”: a regulation that guarantees in practice women’s legal access to safe abortion. Despite this functioning law, I carve a space for criticism by expanding the conversation to the broader power relations and gender dynamics present in Estonian society. Accordingly, I explain the state of the Estonian feminist movement and gender research, the local legal community’s minimal engagement with the reproductive rights discourse, and the lingering Soviet-era narratives of reproduction and health, which were not fully extinguished by the combination of human rights commitments and neoliberalism upon restoration of independence in the early 1990s. I consequently show that Estonia’s liberal abortion regulation is not grounded in a sufficiently deep understanding of human rights-based approaches to reproductive health, therefore leaving the door open for micro-aggressions toward women and for conservative political winds to gain ground. PMID:28630549

Acrylamide in commercial foods and intake by infants in Estonia.

PubMed

Elias, Andres; Roasto, Mati; Reinik, Mari; Nelis, Keiu; Nurk, Eha; Elias, Terje

2017-11-01

Acrylamide is formed when certain foods with low moisture are prepared at above 120 ºC, especially those foods containing asparagine and reducing sugars such as glucose and fructose. Acrylamide is a probable carcinogen, and from animal evidence the margins of exposure indicate a concern for neoplastic effects. On a body weight basis infants´ acrylamide intakes are often higher than those of adults. The aim of the study was to determine acrylamide levels in different commercially-available foods and to assess dietary acrylamide intakes by infants. The acrylamide content in samples ranged widely, from

Eye healthcare services in eastern Europe: Part 2. Vitreoretinal surgical services.

PubMed

Kocur, I; Resnikoff, S; Foster, A

2002-08-01

To describe vitreoretinal surgical services in 1998 in 12 eastern European countries and to identify ways for their further improvement. All inpatient eye departments in the 12 countries received a standardised questionnaire; the data obtained were processed at the international study coordinating centre in Prague. All 458 eye departments in the region were involved. The number of retinal detachments treated by extraocular surgery, or pars plana vitrectomy, per one million inhabitants respectively, were as follows: Belarus (52; 6), Federation of Bosnia and Herzegovina (21; 2), Bulgaria (39; 19), the Czech Republic (78; 40), Estonia (60; 17), Hungary (81; 88), Latvia (82; 36), Lithuania (68; 6), Trans-Dniester Region of Moldova (6; -), Poland (70; data not available), Romania (24; 25), and Slovakia (67; 55). The number of people per one retinal laser was assessed (in millions): Belarus (1.26), Federation of Bosnia and Herzegovina (2.23), Bulgaria (0.59), the Czech Republic (0.22), Estonia (0.24), Hungary (0.23), Latvia (0.41), Lithuania (0.62), Poland (0.36), Romania (2.25), and Slovakia (0.14). Conditions for posterior eye segment surgery in the central and eastern European region vary substantially. Underserved regions require (1) more eye doctors trained in surgical and laser retinal treatment; (2) improvement in screening for diabetic eye complications and retinopathy of prematurity; (3) technical equipment for places in need.

Eye healthcare services in eastern Europe: Part 2 Vitreoretinal surgical services

PubMed Central

Kocur, I; Resnikoff, S; Foster, A

2002-01-01

Aim: To describe vitreoretinal surgical services in 1998 in 12 eastern European countries and to identify ways for their further improvement. Methods: All inpatient eye departments in the 12 countries received a standardised questionnaire; the data obtained were processed at the international study coordinating centre in Prague. Results: All 458 eye departments in the region were involved. The number of retinal detachments treated by extraocular surgery, or pars plana vitrectomy, per one million inhabitants respectively, were as follows: Belarus (52; 6), Federation of Bosnia and Herzegovina (21; 2), Bulgaria (39; 19), the Czech Republic (78; 40), Estonia (60; 17), Hungary (81; 88), Latvia (82; 36), Lithuania (68; 6), Trans-Dniester Region of Moldova (6; –), Poland (70; data not available), Romania (24; 25), and Slovakia (67; 55). The number of people per one retinal laser was assessed (in millions): Belarus (1.26), Federation of Bosnia and Herzegovina (2.23), Bulgaria (0.59), the Czech Republic (0.22), Estonia (0.24), Hungary (0.23), Latvia (0.41), Lithuania (0.62), Poland (0.36), Romania (2.25), and Slovakia (0.14). Conclusions: Conditions for posterior eye segment surgery in the central and eastern European region vary substantially. Underserved regions require (1) more eye doctors trained in surgical and laser retinal treatment; (2) improvement in screening for diabetic eye complications and retinopathy of prematurity; (3) technical equipment for places in need. PMID:12140201

Atmospheric mixing ratios of methyl ethyl ketone (2-butanone) in tropical, boreal, temperate and marine environments

NASA Astrophysics Data System (ADS)

Yáñez-Serrano, A. M.; Nölscher, A. C.; Bourtsoukidis, E.; Derstroff, B.; Zannoni, N.; Gros, V.; Lanza, M.; Brito, J.; Noe, S. M.; House, E.; Hewitt, C. N.; Langford, B.; Nemitz, E.; Behrendt, T.; Williams, J.; Artaxo, P.; Andreae, M. O.; Kesselmeier, J.

2016-09-01

Methyl ethyl ketone (MEK) enters the atmosphere following direct emission from vegetation and anthropogenic activities, as well as being produced by the gas-phase oxidation of volatile organic compounds (VOCs) such as n-butane. This study presents the first overview of ambient MEK measurements at six different locations, characteristic of forested, urban and marine environments. In order to understand better the occurrence and behaviour of MEK in the atmosphere, we analyse diel cycles of MEK mixing ratios, vertical profiles, ecosystem flux data, and HYSPLIT back trajectories, and compare with co-measured VOCs. MEK measurements were primarily conducted with proton-transfer-reaction mass spectrometer (PTR-MS) instruments. Results from the sites under biogenic influence demonstrate that vegetation is an important source of MEK. The diel cycle of MEK follows that of ambient temperature and the forest structure plays an important role in air mixing. At such sites, a high correlation of MEK with acetone was observed (e.g. r2 = 0.96 for the SMEAR Estonia site in a remote hemiboreal forest in Tartumaa, Estonia, and r2 = 0.89 at the ATTO pristine tropical rainforest site in central Amazonia). Under polluted conditions, we observed strongly enhanced MEK mixing ratios. Overall, the MEK mixing ratios and flux data presented here indicate that both biogenic and anthropogenic sources contribute to its occurrence in the global atmosphere.

Atmospheric mixing ratios of methyl ethyl ketone (2-butanone) in tropical, boreal, temperate and marine environments

NASA Astrophysics Data System (ADS)

Yáñez-Serrano, A. M.; Nöslcher, A.; Bourtsoukidis, E.; Derstroff, B.; Zannoni, N.; Gros, V.; Matteo, L.; Brito, J.; Noe, S.; House, E. R.; Hewitt, C. N.; Langford, B.; Nemitz, E.; Behrendt, T.; Williams, J.; Artaxo, P.; Andreae, M. O.; Kesselmeier, J.

2016-12-01

Methyl ethyl ketone (MEK) enters the atmosphere following direct emission from vegetation and anthropogenic activities, as well as being produced by the gas-phase oxidation of volatile organic compounds (VOCs) such as n-butane. This study presents the first overview of ambient MEK measurements at six different locations, characteristic of forested, urban and marine environments. In order to understand better the occurrence and behaviour of MEK in the atmosphere, we analyse diel cycles of MEK mixing ratios, vertical profiles, ecosystem flux data, and HYSPLIT back trajectories, and compare with co-measured VOCs. MEK measurements were primarily conducted with proton transfer reaction - mass spectrometer (PTR-MS) instruments. Results from the sites under biogenic influence demonstrate that vegetation is an important source of MEK. The diel cycle of MEK follows that of ambient temperature and the forest structure plays an important role in air mixing. At such sites a high correlation of MEK with acetone was observed (e.g. r2 = 0.96 for the SMEAR-Estonia site in a remote hemi-boreal forest in Tartumaa, Estonia, and r2 = 0.89 at the ATTO pristine tropical rainforest site in central Amazonia). Under polluted conditions, we observed strongly enhanced MEK mixing ratios. Overall, the MEK mixing ratios and flux data presented here indicate that both biogenic and anthropogenic sources contribute to its occurrence in the global atmosphere.

Non-cancer morbidity among Estonian Chernobyl cleanup workers: a register-based cohort study.

PubMed

Rahu, Kaja; Bromet, Evelyn J; Hakulinen, Timo; Auvinen, Anssi; Uusküla, Anneli; Rahu, Mati

2014-05-14

To examine non-cancer morbidity in the Estonian Chernobyl cleanup workers cohort compared with the population sample with special attention to radiation-related diseases and mental health disorders. Register-based cohort study. Estonia. An exposed cohort of 3680 men (cleanup workers) and an unexposed cohort of 7631 men (population sample) were followed from 2004 to 2012 through the Population Registry and Health Insurance Fund database. Morbidity in the exposed cohort compared with the unexposed controls was estimated in terms of rate ratio (RR) with 95% CIs using Poisson regression models. Elevated morbidity in the exposed cohort was found for diseases of the nervous system, digestive system, musculoskeletal system, ischaemic heart disease and for external causes. The most salient excess risk was observed for thyroid diseases (RR=1.69; 95% CI 1.38 to 2.07), intentional self-harm (RR=1.47; 95% CI 1.04 to 2.09) and selected alcohol-related diagnoses (RR=1.25; 95% CI 1.12 to 1.39). No increase in morbidity for stress reactions, depression, headaches or sleep disorders was detected. No obvious excess morbidity consistent with biological effects of radiation was seen in the exposed cohort, with the possible exception of benign thyroid diseases. Increased alcohol-induced morbidity may reflect alcohol abuse, and could underlie some of the higher morbidity rates. Mental disorders in the exposed cohort were probably under-reported. The future challenge will be to study mental and physical comorbidities in the Chernobyl cleanup workers cohort. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Tracing the phylogeography of human populations in Britain based on 4th-11th century mtDNA genotypes.

PubMed

Töpf, A L; Gilbert, M T P; Dumbacher, J P; Hoelzel, A R

2006-01-01

Some of the transitional periods of Britain during the first millennium A.D. are traditionally associated with the movement of people from continental Europe, composed largely of invading armies (e.g., the Roman, Saxon, and Viking invasions). However, the extent to which these were migrations (as opposed to cultural exchange) remains controversial. We investigated the history of migration by women by amplifying mitochondrial DNA (mtDNA) from ancient Britons who lived between approximately A.D. 300-1,000 and compared these with 3,549 modern mtDNA database genotypes from England, Europe, and the Middle East. The objective was to assess the dynamics of the historical population composition by comparing genotypes in a temporal context. Towards this objective we test and calibrate the use of rho statistics to identify relationships between founder and source populations. We find evidence for shared ancestry between the earliest sites (predating Viking invasions) with modern populations across the north of Europe from Norway to Estonia, possibly reflecting common ancestors dating back to the last glacial epoch. This is in contrast with a late Saxon site in Norwich, where the genetic signature is consistent with more recent immigrations from the south, possibly as part of the Saxon invasions.

76 FR 2346 - Quarterly Update to Annual Listing of Foreign Government Subsidies on Articles of Cheese Subject...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-13

... DUTY Gross \\1\\ Subsidy Net \\2\\ Subsidy Country Program(s) ($/lb) ($/lb) 27 European Union Member States \\3\\........ European Union Restitution... $0.00 $0.00 Payments Canada Export Assistance on......... 0... states of the European Union are: Austria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia...

Digital Channels in Teacher-Parent Communication: The Case of Estonia

ERIC Educational Resources Information Center

Palts, Karmen; Kalmus, Veronika

2015-01-01

The aim of this paper is to analyse the attitudes of Estonian primary school teachers and parents regarding the role of mutual digital communication in socialising the child and in the child's academic progress, their communication channel preferences, and related experiences and opinions. The main starting points are Bronfenbrenner's (1979)…

Analysis of forest naturalness and tree mortality patterns in Estonia

Treesearch

J.A. Stanturf

2009-01-01

New methods for evaluating structural properties of stands and individual tree mortality within forests are needed to enhance biodiversity assessment in forest inventories. One approach is to assess the degree of naturalness in a forest. We assessed forest naturalness by examining patterns and causes of mortality and deadwood amount and...

Languages and Lives through a Critical Eye: The Case of Estonia

ERIC Educational Resources Information Center

Skerrett, Delaney Michael

2011-01-01

This article seeks to situate Estonian language use and policy within the emerging field of critical language policy and planning (LPP). Critical LPP draws on poststructuralist theory to deconstruct normalized categories that maintain systems of inequality. It is akin to the queer theory project for gender and sexuality. Since the country regained…

Congratulating the Baltic nations of Estonia, Latvia, and Lithuania on the 20th anniversary of their declarations on the restoration of independence from the Soviet Union.

THOMAS, 111th Congress

Rep. Shimkus, John [R-IL-19

2010-04-26

Senate - 12/08/2010 Received in the Senate and referred to the Committee on Foreign Relations. (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

Aesthetic Literacy: Observable Phenomena and Pedagogical Applications for Mobile Lifelong Learning (mLLL)

ERIC Educational Resources Information Center

Sean, Michael; Ihanainen, Pekka

2015-01-01

This paper proposed a method for developing capacity for lifelong learning in open spaces, defined here as places without predefined learning structures or objectives, through the cultivation of aesthetic literacy. This discussion will be situated within fieldwork performed by the authors in Helsinki, Finland, and Tallinn, Estonia, in 2013. Based…

Exploring Constructivist Social Learning Practices in Aiding Russian-Speaking Teachers to Learn Estonian: An Action Research Approach

ERIC Educational Resources Information Center

Kiilo, Tatjana; Kutsar, Dagmar

2012-01-01

Based on appreciative inquiry and threshold concepts from an intercultural learning perspective, the article makes insights into the constructivist social learning practice of Estonian language learning amongst Russian-speaking teachers in Estonia. The application of educational action research methodology, more specifically that of Bridget…

Central and Eastern Europe: Vocational Education and Training in Transition.

ERIC Educational Resources Information Center

Bertrand, Olivier

1995-01-01

Analysis of recent developments in vocational education and training in the countries of Central and Eastern Europe brings out certain common problems. On the economic level, Hungary, Poland, Estonia, and Lithuania are undergoing a profound crisis. Consequences for training have included the closing of many company schools or workshops, absence of…

The Induction Program--Teachers' Experience after Five Years of Practice

ERIC Educational Resources Information Center

Eisenschmidt, Eve; Oder, Tuuli; Reiska, Epp

2013-01-01

The induction program to provide support for novice teachers was introduced into teacher education in Estonia in 2004. The teachers who participated in the first program have now been working for several years. To evaluate the effectiveness of induction activities, we explored how mentoring and an induction program influence teachers' opinions…

Impact of SES on Estonian Students' Science Achievement across Different Cognitive Domains

ERIC Educational Resources Information Center

Mere, Kristi; Reiska, Priit; Smith, Thomas M.

2006-01-01

As Estonia has moved from a centrally planned towards a market-based economy, there has been a broad-based push to create an "egalitarian but innovative, "future-oriented" system of education, which would help to develop flexible, lifelong learning citizens open to new ideas." A national research and development strategy,…

2012 National Guard Bureau Posture Statement

DTIC Science & Technology

2012-01-01

Illinois / Poland Indiana / Slovakia Kansas / Armenia Maine/ Montenegro Maryland / Estonia Maryland / Bosnia Michigan / Latvia Minnesota / Croatia New Jersey...alternative methods of planting to help increase crop production in the area. 2012 Posture Statement 19 Global Engagement State Partnership...horticulture ( plant cultivation), pest control, veterinary/animal husbandry techniques, civil engineering, and energy management. As a result of the

Students' Perception of the "Others" in Ethnic Separated School Systems: Implications for Education

ERIC Educational Resources Information Center

Nedelcu, Anca; Iucu, Romita; Ciolan, Lucian

2011-01-01

This article analyzes qualitative data obtained from focus groups with students learning in schools with a majority and minority language of instruction from Estonia, Latvia, Romania, and Slovakia. The focus groups were developed within the framework of the project "Divided Education, Divided Citizens?" conducted by the Network of…

Smoking differences between university faculties in Tartu, Estonia, and Oulu, Finland, after the disruption of communism.

PubMed

Heikkinen, Rauno; Kivastik, Jana; Kingisepp, Peet-Henn; Hirvonen, Leo; Näyhä, Simo

2006-01-01

To provide information on smoking differences between university faculties. Data from smoking surveys performed on 1,441 staff members and 2,308 students at the University of Tartu, Estonia, soon after the fall of communism, were analysed by faculties, using similar data from the University of Oulu, Finland (1,830 staff members, 5,947 students) for reference. Wide variations in smoking were found between faculties in Tartu, the prevalence being high among male students of theology (54%) and low among staff and students in the faculties of exercise & sports sciences (< 5%) and mathematics (< 15%). Less variation was seen in Oulu. The medical faculty showed low smoking rates in Oulu but not in Tartu. High percentages of smokers were typical of Tartu faculties representing disciplines closely connected with the country's transition (e.g. theology), and low percentages in faculties emphasising physical and mental performance (e.g. sports). The relatively high percentage of smokers in the Tartu medical faculty compared with that in Oulu can be interpreted as delayed diffusion of medical information beyond the former Iron Curtain.

Analysis of the systems of ventilation of residential houses of Ukraine and Estonia

NASA Astrophysics Data System (ADS)

Savchenko, Olena; Zhelykh, Vasyl; Voll, Hendrik

2017-12-01

The most common ventilation system in residential buildings in Ukraine is natural ventilation. In recent years, due to increased tightness of structures, an increase in the content of synthetic finishing materials in them, the quality of microclimate parameters deteriorated. One of the measures to improve the parameters of indoor air in residential buildings is the use of mechanical inflow and exhaust ventilation system. In this article the regulatory documents concerning the design of ventilation systems in Ukraine and Estonia and the requirements for air exchange in residential buildings are considered. It is established that the existing normative documents in Ukraine are analogous to European norms, which allow design the system of ventilation of residential buildings according to European standards. However, the basis for the design of ventilation systems in Ukraine is the national standards, in which mechanical ventilation, unfortunately, is provided only for the design of high-rise buildings. To maintain acceptable microclimate parameters in residential buildings, it is advisable for designers to apply the requirements for designing ventilation systems in accordance with European standards.

Eating traits questionnaires as a continuum of a single concept. Uncontrolled eating.

PubMed

Vainik, Uku; Neseliler, Selin; Konstabel, Kenn; Fellows, Lesley K; Dagher, Alain

2015-07-01

Research on eating behaviour has identified several potentially relevant eating-related traits captured by different questionnaires. Often, these questionnaires predict Body Mass Index (BMI), but the relationship between them has not been explicitly studied. We studied the unity and diversity of questionnaires capturing five common eating-related traits: Power of Food, Eating Impulsivity, emotional eating, Disinhibition, and binge eating in women from Estonia (n = 740) and Canada (n = 456). Using bifactor analysis, we showed that a) these questionnaires are largely explained by a single factor, and b) relative to this shared factor, only some questionnaires offered additional variance in predicting BMI. Hence, these questionnaires seemed to characterise a common factor, which we label Uncontrolled Eating. Item Response Theory techniques were then applied to demonstrate that c) within this common factor, the questionnaires could be placed on a continuum of Uncontrolled Eating. That is, Eating Impulsivity focused on the milder degree, Power of Food Scale, emotional eating scales, and Disinhibition on intermediate degrees, and the Binge Eating Scale on the most severe degrees of Uncontrolled Eating. In sum, evidence from two samples showed that questionnaires capturing five common BMI-related traits largely reflected the same underlying latent trait - Uncontrolled Eating. In Estonia, some questionnaires focused on different severities of this common construct, supporting a continuum model of Uncontrolled Eating. These findings provide a starting point for developing better questionnaires of the neurobehavioural correlates of obesity, and provide a unifying perspective from which to view the existing literature. R scripts and data used for the analysis are provided. Copyright © 2015 Elsevier Ltd. All rights reserved.

Two viral strains and a possible novel recombinant are responsible for the explosive injecting drug use-associated HIV type 1 epidemic in Estonia.

PubMed

Zetterberg, Veera; Ustina, Valentina; Liitsola, Kirsi; Zilmer, Kai; Kalikova, Nelli; Sevastianova, Ksenia; Brummer-Korvenkontio, Henrikki; Leinikki, Pauli; Salminen, Mika O

2004-11-01

HIV-1 infection has been rare in Estonia. In 2000, an explosive epidemic among injecting drug users was detected in the Eastern border region, resulting in 3603 newly reported cases by the end of 2003. The molecular epidemiology of the outbreak was studied to establish whether the Estonian epidemic is linked to the epidemics in Eastern Europe. Over 200 newly infected individuals were prospectively sampled from June 2000 to March 2002 in a geographically representative way, with known dates of diagnosis and information of probable route of transmission. Viral regions coding for two viral gene regions were directly sequenced from plasma viral RNA and phylogenetically analyzed. In addition, a larger region coding for the entire env gene was sequenced from one sample and studied for indications of possible recombinant structure. The Estonian HIV outbreak was found to be caused by simultaneous introduction of two strains: a minor subtype A strain very similar to the Eastern European subtype A strain (approximately 8% of cases), and a second major strain (77%) found to be most closely related to the CRF06-cpx strain, previously described only from African countries. The variability in the two clusters was very low, suggesting point source introductions. Ten percent of cases seemed to be newly generated recombinants of the A and CRF06-cpx strains. Analysis of viral diversification over time revealed a rate of change within the V3 region of 0.83%/year for the CRF06-cpx strain, consistent with findings from other subtypes. Due to the relatively frequently found novel recombinant forms, the Estonian HIV-1 epidemic may allow studies of coinfection and intersubtype recombination in detail.

Eutrophication History of Small Shallow Lakes in Estonia: Evidence from Multiproxy Analysis of Lake Sediments

NASA Astrophysics Data System (ADS)

Koff, T.; Marzecova, A.; Vandel, E.; Mikomägi, A.; Avi, E.

2015-12-01

Human activities have impacted aquatic systems through the release of contaminants and the regulation of surface and groundwater. Although environmental monitoring has been essential in detecting eutrophication, biodiversity loss or water quality deterioration, monitoring activities are limited in time and are thus not sufficient in their scope to identify causality and thresholds. Paleolimnological studies increasingly show that the response of lakes to climatic and human influences is complex, multidimensional, and often indirectly mediated through watershed processes. In this study we examine the history of eutrophication processes in small lakes in Estonia using the multi-proxy analysis of sediment. Study sites represent lakes with different anthropogenic stressors: urbanisation and recreational use, run-off from an oil shale mine, and fish-kills and liming measures. We have used diverse analytical methods, such as elemental analysis, stable isotopes, fossil pigments, diatoms and Cladocera remains. The information derived from sedimentary indicators broadly agrees with the historical evidence of eutrophication and pollution. Moreover, the sediment records are indispensable for identifying additional issues such as: 1) earlier onset of cultural eutrophication; 2) the significant impact of catchment erosion on the deterioration of lake quality, particularly cyanobacterial blooms; and 3) changes in sedimentation processes with significance for internal biogeochemical cycling of nutrients. Importantly, the integration of several methods has significantly improved interpretation of sedimentary data and elucidated the different strengths of various indicator types. The project findings prove to be highly relevant for both the prediction of the ecological responses of lakes to different anthropogenic impacts and the establishment of reasonable reference target conditions in restoration schemes, as well as for methodological improvements of the sediment analysis.

Smoking prevalence and attitudes towards smoking among Estonian physicians: results from cross-sectional studies in 2002 and 2014.

PubMed

Põld, Mariliis; Pärna, Kersti

2017-11-25

To explore smoking prevalence and attitudes towards smoking among Estonian physicians in 2002 and 2014. Two self-administered cross-sectional postal surveys were conducted among practising physicians in Estonia. Initial sample consisted of all practising physicians in Estonia. The corrected response rate was 67.8% in 2002 and 53.1% in 2014. Present study sample was restricted to physicians younger than 65 years (n=2549 in 2002, n=2339 in 2014). Age-standardised prevalence of smoking and prevalence of agreement with seven statements concerning attitudes towards smoking was determined. To analyse association of physicians' attitudes towards smoking with study year and smoking status, logistic regression analysis was used. Adjusted ORs of agreement with the seven statements were determined. Corresponding 95% CIs were calculated. The age-standardised prevalence of current smoking among men was 26.8% in 2002 and 15.3% in 2014, among women 10.4% and 5.8%, respectively. Compared with the year 2002, in 2014, prevalence of agreement with statements declaring harmfulness of smoking was higher and prevalence of agreement with statements approving smoking was lower. Adjusted ORs showed that compared with 2002, physicians' attitudes towards smoking were less favourable in 2014, and physicians' attitudes towards smoking were associated with their smoking status. Compared with 2002, the age-standardised smoking prevalence among male and female physicians was lower, and attitudes towards smoking were less approving in 2014. The smoking physicians had more approving attitudes towards smoking than their non-smoking colleagues. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Occlusal traits and orthodontic treatment need in 7‐ to 10‐year‐olds in Estonia

PubMed Central

Saag, Mare; Svedström‐Oristo, Anna‐Liisa; Peltomäki, Timo; Vinkka‐Puhakka, Heli

2017-01-01

Abstract The aim of this study was to evaluate the distribution of occlusal traits and orthodontic treatment need and complexity in Estonian 7‐ to 10‐year‐old children. This data provides solid information for planning of orthodontic care. Data of 392 Estonian children (198 girls and 194 boys, mean age 9.0 years, range 7.1–10.4 years) was analysed in this cross‐sectional study. Assessed traits included first molar and canine sagittal relationship, overjet, overbite, crowding, midline diastema, crossbite, and scissor bite. Orthodontic treatment need and complexity were assessed using the Index of Complexity, Outcome, and Need. Parents' opinion regarding their child's teeth was determined using a questionnaire. The most prevalent occlusal traits were canine class I sagittal relationship (73.7%), midline diastema (73.0%), molar class I sagittal relationship (57.4%), and overbite ≥3.5 mm (51.8%). According to the Index of Complexity, Outcome, and Need, 64.3% of Estonian elementary school children were in need of orthodontic treatment. Treatment complexity was simple in 12.5%, mild in 38.8%, moderate in 22.7%, difficult in 14.0%, and very difficult in 12.0% of the children. Approximately 66.4% of the parents felt that their child needed orthodontic treatment. This study confirms earlier findings indicating that the most frequent sagittal relationship is class I in the first molars and class I in the canines. However, the sagittal relationship was asymmetric in more than half of the children. Correlation between objectively defined treatment need and parents' desire for treatment was high in Estonia. PMID:29744185

Biological characterization of African swine fever virus genotype II strains from north-eastern Estonia in European wild boar.

PubMed

Nurmoja, I; Petrov, A; Breidenstein, C; Zani, L; Forth, J H; Beer, M; Kristian, M; Viltrop, A; Blome, S

2017-12-01

Due to its impact on animal health and pig industry, African swine fever (ASF) is regarded as one of the most important viral diseases of pigs. Following the ongoing epidemic in the Transcaucasian countries and the Russian Federation, African swine fever virus was introduced into the Estonian wild boar population in 2014. Epidemiological investigations suggested two different introductions into the southern and the north-eastern part of Estonia. Interestingly, outbreak characteristics varied considerably between the affected regions. While high mortality and mainly virus-positive animals were observed in the southern region, mortality was low in the north-eastern area. In the latter, clinically healthy, antibody-positive animals were found in the hunting bag and detection of virus was rare. Two hypotheses could explain the different behaviour in the north-east: (i) the frequency of antibody detections combined with the low mortality is the tail of an older, so far undetected epidemic wave coming from the east, or (ii) the virus in this region is attenuated and leads to a less severe clinical outcome. To explore the possibility of virus attenuation, a re-isolated ASFV strain from the north-eastern Ida-Viru region was biologically characterized in European wild boar. Oronasal inoculation led to an acute and severe disease course in all animals with typical pathomorphological lesions. However, one animal recovered completely and was subsequently commingled with three sentinels of the same age class to assess disease transmission. By the end of the trial at 96 days post-initial inoculation, all animals were completely healthy and neither virus nor viral genomes were detected in the sentinels or the survivor. The survivor, however, showed high antibody levels. In conclusion, the ASFV strain from north-eastern Estonia was still highly virulent but nevertheless, one animal recovered completely. Under the experimental conditions, no transmission occurred from the survivor to susceptible sentinel pigs. © 2017 Blackwell Verlag GmbH.

The Baltic Klint beneath the central Baltic Sea and its comparison with the North Estonian Klint

NASA Astrophysics Data System (ADS)

Tuuling, Igor; Flodén, Tom

2016-06-01

Along its contact with the Baltic Shield, the margin of the East European Platform reveals a well-developed, flooded terraced relief. The most striking and consistent set of escarpments at the contact of the Lower Palaeozoic calcareous and terrigenous rocks, known as the Baltic Klint (BK), extends from northwest of Russia to the Swedish island of Öland. Marine seismic reflection profiling in 1990-2004 revealed the central Baltic Sea Klint (BSK) section in detail and enabled comparison of its geology/geomorphology with a classical klint-section onshore, namely the North Estonian Klint (NEK). The conception of the BK onshore, which is based on the land-sea separating terraced relief in northern Estonia, is not fully applicable beneath the sea. Therefore, we consider that the BSK includes the entire terraced Cambrian outcrop. We suggest the term "Baltic Klint Complex" to include the well-terraced margin of the Ordovician limestone outcrop, which is weakly developed in Estonia. Because of a steady lithological framework of the bedrock layers across the southern slope of the Fennoscandian Shield, the central BSK in the western and the NEK in the eastern part of the Baltic Homocline have largely identical morphologies. The North Estonian Ordovician limestone plateau with the calcareous crest of the BK extends across the central Baltic Sea, whereas morphological changes/variations along the Klint base occur due to the east-westerly lithostratigraphic/thickness changes in the siliciclastic Cambrian sequence. The verge of the NEK, located some 30-50 m above sea level, starts to drop in altitude as its east-westerly course turns to northeast-southwest in western Estonia. Further westwards, the BK shifts gradually into southerly deepening (0.1-0.2°) layers as its crest drops to c. 150 m below sea level (b.s.l.) near Gotska Sandön. This course change is accompanied by a considerable decrease in thickness of the platform sedimentary cover, as below the central Baltic Sea the stratal sequence is 150-250 m thinner than in northern Estonia. This has facilitated a deviation of the terraced relief-forming Cenozoic rivers traversing east-westerly across the southern slope of the Fennoscandian Shield and forming different morphostructures in its eastern and western parts. Thus, a low-lying central Baltic Sea depression with well-developed asymmetrical cuesta valleys and terraces occur in the western half of the Baltic Homocline. In its eastern part, however, the only explicitly shaped cuesta valley along the shield-platform boundary forms a narrow east-westerly branch/gulf of the Baltic Sea (Gulf of Finland). The well-terraced southern margin of this gulf runs along the contact of the outcropping terrigenous and calcareous rocks, rises above the sea and forms a complex landform known as the NEK.

An action research study; cultural differences impact how manufacturing organizations receive continuous improvement

NASA Astrophysics Data System (ADS)

Kattman, Braden R.

National culture and organizational culture impact how continuous improvement methods are received, implemented and deployed by suppliers. Previous research emphasized the dominance of national culture over organizational culture. The countries studied included Poland, Mexico, China, Taiwan, South Korea, Estonia, India, Canada, the United States, the United Kingdom, and Japan. The research found that Canada was most receptive to continuous improvement, with China being the least receptive. The study found that organizational culture was more influential than national culture. Isomorphism and benchmarking is driving continuous-improvement language and methods to be more universally known within business. Business and management practices are taking precedence in driving change within organizations.

Pay for performance of Estonian family doctors and impact of different practice- and patient-related characteristics on a good outcome: A quantitative assessment.

PubMed

Merilind, Eero; Salupere, Rauno; Västra, Katrin; Kalda, Ruth

2016-01-01

Several practice- and patient-related characteristics are reported to have an influence on a good quality outcome. Estonia started the pay-for-performance (P4P) system for family doctors (FDs) in 2006. Every year the number of FDs participating in P4P has increased, but only half of the FDs achieved good outcome. The aim of this study was to find out which practice- and patient-related characteristics could have an impact on a good outcome. The study was conducted using the database from the Estonian Health Insurance Fund. All working FDs were divided into two groups (with "good" and "poor" outcomes) according their achievements in P4P. We chose characteristics which described structure (practice list size, number of doctors, composition of FDs list: age, number of chronically ill patients) during the observation period 2006-2012. During the observation period 2006-2012, the number of FDs with a good outcome in P4P increased from 6% (2006) to 53% (2012). The high number of FDs in primary care teams, longer experience of participation in P4P and the smaller number of patients on FDs' lists all have an impact on a good outcome. The number of chronically ill patients in FDs lists has no significant effect on an outcome, but P4P increases the number of disease-diagnosed patients. Different practice and patient-related characteristics have an impact on a good outcome. As workload increases, smaller lists of FDs patients or increased staff levels are needed in order to maintain a good outcome. Copyright © 2016 The Lithuanian University of Health Sciences. Production and hosting by Elsevier Urban & Partner Sp. z o.o. All rights reserved.

Shifting chronic disease management from hospitals to primary care in Estonian health system: analysis of national panel data.

PubMed

Atun, Rifat; Gurol-Urganci, Ipek; Hone, Thomas; Pell, Lisa; Stokes, Jonathan; Habicht, Triin; Lukka, Kaija; Raaper, Elin; Habicht, Jarno

2016-12-01

Following independence from the Soviet Union in 1991, Estonia introduced a national insurance system, consolidated the number of health care providers, and introduced family medicine centred primary health care (PHC) to strengthen the health system. Using routinely collected health billing records for 2005-2012, we examine health system utilisation for seven ambulatory care sensitive conditions (ACSCs) (asthma, chronic obstructive pulmonary disease [COPD], depression, Type 2 diabetes, heart failure, hypertension, and ischemic heart disease [IHD]), and by patient characteristics (gender, age, and number of co-morbidities). The data set contained 552 822 individuals. We use patient level data to test the significance of trends, and employ multivariate regression analysis to evaluate the probability of inpatient admission while controlling for patient characteristics, health system supply-side variables, and PHC use. Over the study period, utilisation of PHC increased, whilst inpatient admissions fell. Service mix in PHC changed with increases in phone, email, nurse, and follow-up (vs initial) consultations. Healthcare utilisation for diabetes, depression, IHD and hypertension shifted to PHC, whilst for COPD, heart failure and asthma utilisation in outpatient and inpatient settings increased. Multivariate regression indicates higher probability of inpatient admission for males, older patient and especially those with multimorbidity, but protective effect for PHC, with significantly lower hospital admission for those utilising PHC services. Our findings suggest health system reforms in Estonia have influenced the shift of ACSCs from secondary to primary care, with PHC having a protective effect in reducing hospital admissions.

Child-Initiated Pedagogies in Finland, Estonia and England: Exploring Young Children's Views on Decisions

ERIC Educational Resources Information Center

Robertson, Leena Helavaara; Kinos, Jarmo; Barbour, Nancy; Pukk, Maarika; Rosqvist, Leif

2015-01-01

This paper focuses on child-initiated pedagogy that is based on the process of co-construction of learning experiences between children, adults and the environment, being part of longitudinal research project that analyses child-initiated pedagogies in formal early years settings with 3-6-year-old children. Drawing on an ethnographic approach this…

Shaping Estonian Primary School Pupils' Values by Using Bullying-Prevention Methods

ERIC Educational Resources Information Center

Piht, Sirje; Talts, Leida; Nigulas, Sigrit

2016-01-01

The purpose of this article is to identify to what extent using the methodology of the programme "Bullying-free school", initiated in the Kingdom of Denmark in 2007 and implemented in schools in Estonia since 2013, has supported the development of ethical values in primary school pupils. The methodology focuses on four value attitudes:…

Impact and Cost-Effectiveness Analysis of the National School-Based Sexuality Education Programme in Estonia

ERIC Educational Resources Information Center

Kivela, Jari; Haldre, Kai; Part, Kai; Ketting, Evert; Baltussen, Rob

2014-01-01

Policy-makers making decisions on the implementation of school-based sexuality education (SE) programmes face two important questions: (1) what are the costs of implementing and scaling up SE programmes, and (2) what are the impacts? This paper responds to these questions by retrospectively assessing costs, impact and cost-effectiveness of the…

Teachers' Perceptions of School Climate as an Indicator of Their Beliefs of Effective Teaching

ERIC Educational Resources Information Center

Oder, Tuuli; Eisenschmidt, Eve

2018-01-01

The ability to express oneself clearly in both a mother tongue and a foreign language is a foundation principle of the new national curriculum in Estonia. Therefore, research was conducted to determine whether there was a possible relationship between English as a foreign language (EFL) teachers' perceptions of effective teaching and the…

15 CFR 742.4 - National security.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Requirements” section except those cameras in ECCN 6A003.b.4.b that have a focal plane array with 111,000 or... Albania, Australia, Austria, Belgium, Bulgaria, Canada, Croatia, Cyprus, Czech Republic, Denmark, Estonia....b.4.b that have a focal plane array with 111,000 or fewer elements and a frame rate of 60 Hz or less...

"Walking a Fine Line": Teachers' Perception of Curricular Autonomy in Estonia, Finland and Germany

ERIC Educational Resources Information Center

Erss, Maria; Kalmus, Veronika; Autio, Tero Henrik

2016-01-01

The purpose of this paper is to comparatively investigate the professional autonomy of upper secondary school teachers in three European countries in interpreting and implementing curricula. The paper focuses on teachers' experiences, and their perceptions of their autonomy and the control exercised over them in the global era of neoliberal…

Scenarios of Mentor Education in Romania--Towards Improving Teacher Induction

ERIC Educational Resources Information Center

Stîngu, Mihaela; Eisenschmidt, Eve; Iucu, Romi?a

2016-01-01

The aim of this paper is to examine the induction programme for newly qualified teachers and mentor education in Estonia, providing a comparative analysis of existing Estonian and possible Romanian models of mentoring. While the Estonian induction programme has been in place for more than ten years, induction in Romania is a relatively new and has…

A Sociolinguistic Comparison between Quebec's Charter of the French Language and the 1989 Language Laws of Five Soviet Republics.

ERIC Educational Resources Information Center

Maurais, Jacques

1991-01-01

Compares the language laws of five Soviet Republics (Estonia, Latvia, Lithuania, Moldavia, and Kazakhstan) with Quebec's Charter of the French Language along the following lines: proclamation of an official language; the common language in question; language of communication with customers and citizens; language of education; and linguistic…

Transnational Analysis of Vocational Education and Training in the Countries of Central and Eastern Europe. Report.

ERIC Educational Resources Information Center

European Training Foundation, Turin (Italy).

Vocational education and training (VET) in 10 Central and Eastern European countries--Bulgaria, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Slovak Republic, and Slovenia--was examined. The analysis focused on the following issues: socioeconomic context of VET reforms; VET at the start of reforms; the European Union Phare…

Curriculum Change in Teachers' Experience: The Social Innovation Perspective

ERIC Educational Resources Information Center

Keskula, Eeva; Loogma, Krista; Kolka, Piibe; Sau-Ek, Kristiina

2012-01-01

This article analyses teachers' experience in the period of educational change in Estonia from 1989 to 2010. We review the introduction of the new national curricula and national exams. We show how, in the teachers' experience, the period of change can be divided into two distinct periods. Firstly, the period of freedom and chaos in the early…

The Relationship between Quality of Pre-School Child Care Institutions and Teachers' Teaching Approach

ERIC Educational Resources Information Center

Õun, Tiia; Tuul, Maire; Tera, Signe; Sagen, Kelli; Mägi, Helena

2018-01-01

Various factors of the quality of preschool child care institutions influence the development of children and their future success in school. The activities of preschool child care institutions in Estonia are based on the national curriculum. Several indicators of structural quality have been determined on the national level. The aim of the…

Defense.gov Press Articles

Science.gov Websites

departs Joint Base Andrews, Md., June 21, 2015, for a trip to Germany, Estonia and Belgium. During the , civic leaders and elected officials inside a Marine Corps hangar on Joint Base McGuire-Dix-Lakehurst , N.J., Dec. 15, 2014. The president visited the base to thank troops for their service. U.S. Army photo

Students Opinions and Attitudes toward LGBT Persons and Rights: Results of a Transnational European Project

ERIC Educational Resources Information Center

Passani, Antonella; Debicki, Marie

2016-01-01

This article presents the research results of the European co-funded project NISO: Fighting Homophobia Through Active Citizenship and Media Education. The project combined research and non-formal education activities in four European countries: Belgium, Estonia, Italy and the Netherlands. The research intended to identify and analyze high school…

How Do Engineering Attitudes Vary by Gender and Motivation? Attractiveness of Outreach Science Exhibitions in Four Countries

ERIC Educational Resources Information Center

Salmi, Hannu; Thuneberg, Helena; Vainikainen, Mari-Pauliina

2016-01-01

Outreach activities, like mobile science exhibitions, give opportunities to hands-on experiences in an attractive learning environment. We analysed attitudes, motivation and learning during a science exhibition visit, their relations to gender and future educational plans in Finland, Estonia, Latvia and Belgium (N = 1210 sixth-graders). Pupils'…

Trade Remedies: A Primer

DTIC Science & Technology

2007-05-01

Turkmenistan Turkey Trinidad Tajikistan Pakistan Philippines Malaysia Lithuania Latvia Estonia Ecuador Czechoslovakia Bangladesh Poland Norway Moldova Iran...while continuing domestic production of more high-end items. Many furniture retailers reportedly became furious with furniture industry petitioners...because they feared that the higher prices caused by possible AD duties would depress sales and result in the layoffs of retail employees. Furniture

Understanding Lifelong Learning and Adult Education Policy in Estonia: Tendencies and Contradictions

ERIC Educational Resources Information Center

Jogi, Larissa

2012-01-01

There have been many theoretical and empirical analyses of lifelong learning policies and how to implement, develop, measure and facilitate lifelong learning and lifelong learning policy in order to cater for the needs and requirements of individuals as well as society in general. The particular slant on lifelong learning in different countries…

Consumer Socialisation and Value Orientations among Estonian and Chinese Young People

ERIC Educational Resources Information Center

Waerdahl, Randi; Kalmus, Veronika; Keller, Margit

2011-01-01

This paper asks if Estonian and Chinese tweens' access to pocket money influences their brand valuation, as well as value orientations in the context of perceived peer popularity and personal well-being. Surveys conducted in autumns 2006 (China n = 188) and 2007 (Estonia n = 111) show an inherent cultural resistance among tweens in both countries…

76 FR 7721 - Importation of Live Swine, Swine Semen, Pork, and Pork Products; Estonia, Hungary, Slovakia, and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-11

... Plant Health Inspection Service, USDA. ACTION: Proposed rule. SUMMARY: We are proposing to amend the... list of regions considered free of foot-and-mouth disease (FMD) and rinderpest. These proposed actions... action and implements decisions of the EU Parliament and Council. Prior to joining the EU in 2004, the...

The sustainable management of ameliorated peatlands on changed land use conditions; scenarios of constrains and possibilities

NASA Astrophysics Data System (ADS)

Shanskiy, , Merrit; Vollmer, Elis; Penu, Priit

2015-04-01

The utilization of organic soils for forestry or agriculture requires the land amelioration that could result on the peat losses from 15 to 20 t ha-1 in a year on following five years. After five years, the peat losses will be 5 - 15 t ha-1 in a year. The agricultural land resource on different types of organic soils (including ameliorated bogs) in Estonia is 360 000 ha that comprises 41% of total agricultural land area. The landscape iself is a valuable resource that considered to be a set of characteristics that satisfy needs of people using the landscape: economical or non-economical value; ecological, social, recreational, aesthetical, educational, scientific or even protective value. More diverse landscapes have higher biodiversity and yield more services to public, they are also seen as more sustainable and resilient to short-term changes. In order to maintain landscape diversity, sustainable maintenance is important. The purpose of current study was to estimate the land use potential on three different ameliorated peat areas and to develop the methodology for the futher sustainable utilization in order to secure the best ecological functioning of soil while taking into account maintaining and increasing landscape value. Therefore, site specific soil sampling (n=77) was carried out on predetermined eight study sites. Soil samples were analyzed for main agrochemical parameters (n=17; pHKCl, P, K, C%, N%, S%, ash, main anions and cations). This enables determing site-specific best suitable crops and land use scenarios. For the land resource description (soils type, topology) the digital soil map (1: 10,000) and field sudy based database were used for describing the model areas. For more specific identification of the field layers the Agricultural Registers and Information Board (ARIB) and databases of the Common Agricultural Policy (CAP) payments were used for subsidy schemes chekout. Estonian Nature Information System map tool was used to specify the restrictions on study sites by nature conversation on the maps data about nature protected objects and buffer zones or forming restricted areas around those objects. The results will indicate the utilization possibility and most sustainable scenarios for different land use cases. Moreover, the possible changes in soil functioning accordingly to site specific soil conditions will be discussed and presented.

Appendectomy and diagnosis-related groups (DRGs): patient classification and hospital reimbursement in 11 European countries.

PubMed

Quentin, Wilm; Scheller-Kreinsen, David; Geissler, Alexander; Busse, Reinhard

2012-02-01

As part of the EuroDRG project, researchers from 11 countries (i.e., Austria, England, Estonia, Finland, France, Germany, Ireland, Netherlands, Poland, Sweden, and Spain) compared how their diagnosis-related groups (DRG) systems deal with appendectomy patients. The study aims to assist surgeons and national authorities to optimize their DRG systems. National or regional databases were used to identify hospital cases with a diagnosis of appendicitis treated with a procedure of appendectomy. DRG classification algorithms and indicators of resource consumption were compared for those DRGs that together comprised at least 97% of cases. Six standardized case vignettes were defined, and quasi prices according to national DRG-based hospital payment systems were ascertained. European DRG systems vary widely: they classify appendectomy patients according to different sets of variables (between two and six classification variables) into diverging numbers of DRGs (between two and 11 DRGs). The most complex DRG is valued 5.1 times more resource intensive than an index case in France but only 1.1 times more resource intensive than an index case in Finland. Comparisons of quasi prices for the case vignettes show that hypothetical payments for the most complex case vignette amount to only 1,005 in Poland but to 12,304 in France. Large variations in the classification of appendectomy patients raise concerns whether all systems rely on the most appropriate classification variables. Surgeons and national DRG authorities should consider how other countries' DRG systems classify appendectomy patients in order to optimize their DRG system and to ensure fair and appropriate reimbursement.

Prevalence of alcohol-related pathologies at autopsy: Estonian Forensic Study of Alcohol and Premature Death

PubMed Central

Tuusov, Jana; Lang, Katrin; Väli, Marika; Pärna, Kersti; Tõnisson, Mailis; Ringmets, Inge; McKee, Martin; Helander, Anders; Leon, David A

2014-01-01

Aims Alcohol can induce diverse serious pathologies, yet this complexity may be obscured when alcohol-related deaths are classified according to a single underlying cause. We sought to quantify this issue and its implications for analysing mortality data. Design, Setting and Participants Cross-sectional study included 554 men aged 25–54 in Estonia undergoing forensic autopsy in 2008–09. Measurements Potentially alcohol-related pathologies were identified following macroscopic and histological examination. Alcohol biomarkers levels were determined. For a subset (26%), drinking behaviour was provided by next-of-kin. The Estonian Statistics Office provided underlying cause of death. Findings Most deaths (75%) showed evidence of potentially alcohol-related pathologies, and 32% had pathologies in two or more organs. The liver was most commonly affected [60.5%, 95% confidence interval (CI) = 56.3–64.6] followed by the lungs (18.6%, 95% CI = 15.4–22.1), stomach (17.5%, 95% CI = 14.4–20.9), pancreas (14.1%, 95% CI = 11.3–17.3), heart (4.9%, 95% CI = 3.2–7.0) and oesophagus (1.4%, 95% CI = 0.6–2.8). Only a minority with liver pathology had a second pathology. The number of pathologies correlated with alcohol biomarkers (phosphatidylethanol, gamma-glytamyl transpeptidase in blood, ethylglucuronide, ethylsulphate in urine). Despite the high prevalence of liver pathology, few deaths had alcoholic liver disease specified as the underlying cause. Conclusion The majority of 554 men aged 25–54 undergoing forensic autopsy in Estonia in 2008–09 showed evidence of alcohol-related pathology. However, the recording of deaths by underlying cause failed to capture the scale and nature of alcohol-induced pathologies found. PMID:25066373

Individual and work-related risk factors for musculoskeletal pain: a cross-sectional study among Estonian computer users.

PubMed

Oha, Kristel; Animägi, Liina; Pääsuke, Mati; Coggon, David; Merisalu, Eda

2014-05-28

Occupational use of computers has increased rapidly over recent decades, and has been linked with various musculoskeletal disorders, which are now the most commonly diagnosed occupational diseases in Estonia. The aim of this study was to assess the prevalence of musculoskeletal pain (MSP) by anatomical region during the past 12 months and to investigate its association with personal characteristics and work-related risk factors among Estonian office workers using computers. In a cross-sectional survey, the questionnaires were sent to the 415 computer users. Data were collected by self-administered questionnaire from 202 computer users at two universities in Estonia. The questionnaire asked about MSP at different anatomical sites, and potential individual and work related risk factors. Associations with risk factors were assessed by logistic regression. Most respondents (77%) reported MSP in at least one anatomical region during the past 12 months. Most prevalent was pain in the neck (51%), followed by low back pain (42%), wrist/hand pain (35%) and shoulder pain (30%). Older age, right-handedness, not currently smoking, emotional exhaustion, belief that musculoskeletal problems are commonly caused by work, and low job security were the statistically significant risk factors for MSP in different anatomical sites. A high prevalence of MSP in the neck, low back, wrist/arm and shoulder was observed among Estonian computer users. Psychosocial risk factors were broadly consistent with those reported from elsewhere. While computer users should be aware of ergonomic techniques that can make their work easier and more comfortable, presenting computer use as a serious health hazard may modify health beliefs in a way that is unhelpful.

Carbon allocation patterns in boreal and hemiboreal forest ecosystems along the gradient of soil fertility

NASA Astrophysics Data System (ADS)

Kriiska, Kaie; Uri, Veiko; Frey, Jane; Napa, Ülle; Kabral, Naima; Soosaar, Kaido; Rannik, Kaire; Ostonen, Ivika

2017-04-01

Carbon (C) allocation plays a critical role in forest ecosystem carbon cycling. Changes in C allocation alter ecosystems carbon sequestration and plant-soil-atmosphere gas exchange, hence having an impact on the climate. Currently, there is lack of reliable indicators that show the direction of C accumulation patterns in forest ecosystems on regional scale. The first objective of our study was to determine the variability of carbon allocation in hemiboreal coniferous forests along the gradient of soil fertility in Estonia. We measured C stocks and fluxes, such as litter, fine root biomass and production, soil respiration etc. in 8 stands of different site types - Scots pine (Cladonia, Vaccinium, Myrtillus, Fragaria) and Norway spruce (Polytrichum, Myrtillus, Oxalis, Calamagrostis alvar). The suitability of above- and belowground litter production (AG/BG) ratio was analysed as a carbon allocation indicator. The second aim of the study was to analyse forest C allocation patterns along the north-south gradient from northern boreal Finland to hemiboreal Estonia. Finally, C sequestration in silver birch and grey alder stands were compared with coniferous stands in order to determine the impact of tree species on carbon allocation. Preliminary results indicate that estimated AG/BG ratio (0.5 ... 3.0) tends to decrease with increasing soil organic horizon C/N ratio, indicating that in less fertile sites more carbon is allocated into belowground through fine root growth and in consequence the soil organic carbon stock increases. Similar trends were found on the north-south forest gradient. However, there was a significant difference between coniferous and broadleaf stands in C allocation patterns. Net ecosystem exchange in Estonian coniferous stands varied from -1.64 ... 3.95 t C ha-1 yr-1, whereas older stands tended to be net carbon sources.

The 2011 Estonian High School Language Reform in the Context of Critical Language Policy and Planning

ERIC Educational Resources Information Center

Skerrett, Delaney Michael

2014-01-01

This paper seeks to situate Estonian language use and policy within the emerging field of critical language policy and planning (CLPP) by investigating the discourses that frame linguistic behaviour. This done by way of an analysis of a series of interviews carried out with key actors in language policy in Estonia. The discourses framing language…

Reforms and Innovations in Estonian Education. Baltische Studien zur Erziehungs- und Sozialwissenschaft. Volume 16

ERIC Educational Resources Information Center

Mikk, Jaan, Ed.; Veisson, Marika, Ed.; Luik, Piret, Ed.

2008-01-01

This collection of papers provides a small overview of educational research in Estonia. The papers in the collection treat school reforms since the renewal of independence in 1991, new approaches to teacher training, the implementation of a child-centred approach in school, the achieving of educational aims and other actual topics in education.…

University Language Policies in Estonia and Sweden: Exploring the Interplay between English and National Languages in Higher Education

ERIC Educational Resources Information Center

Soler, Josep; Björkman, Beyza; Kuteeva, Maria

2018-01-01

As universities seek to become more international, their need to engage with a wider range of languages, particularly English, seems more prominent. At the same time, universities are also regarded by many stakeholders as key institutions to preserve a given national language and culture. This apparent tension makes universities a fruitful ground…

Potential Teaching Model for Applying Novel Approaches of Renewed Estonian National Curriculum into Visual Art Classes in Primary School

ERIC Educational Resources Information Center

Vahter, Edna

2015-01-01

In 2010, the renewed national curriculum was legislated in Estonia. Major changes include a new list of cross-curricular topics, increased importance of integration and specification of the components of the art learning process. In this situation, the question arises--how to fully implement the challenges of the renewed curriculum in primary…

In Which Countries and Schools Do Disadvantaged Students Succeed? PISA in Focus No. 80

ERIC Educational Resources Information Center

OECD Publishing, 2018

2018-01-01

PISA 2015 data show that, on average across OECD countries, as many as three out of four students from the lowest quarter of socio-economic status reach, at best, only the baseline level of proficiency (Level 2) in reading, mathematics or science. While in Canada, Denmark, Estonia, Finland, Germany, Hong Kong (China), Ireland, Japan, Korea, the…

Minority Language Rights before and after the 2004 EU Enlargement: The Copenhagen Criteria in the Baltic States

ERIC Educational Resources Information Center

Adrey, Jean-Bernard

2005-01-01

This paper examines the effect of the recent European Union (EU) enlargement on minority language policies in the Baltic states, and in particular in Latvia and Estonia. I first look at the so-called Copenhagen political criteria conditioning EU accession and at the European Commission's monitoring system for assessing applicant countries'…

Cumulative Small Effect Genetic Markers and the Risk of Colorectal Cancer in Poland, Estonia, Lithuania, and Latvia

PubMed Central

Serrano-Fernandez, Pablo; Dymerska, Dagmara; Kurzawski, Grzegorz; Derkacz, Róża; Sobieszczańska, Tatiana; Banaszkiewicz, Zbigniew; Roomere, Hanno; Oitmaa, Eneli; Metspalu, Andres; Janavičius, Ramūnas; Elsakov, Pavel; Razumas, Mindaugas; Petrulis, Kestutis; Irmejs, Arvīds; Miklaševičs, Edvīns; Scott, Rodney J.; Lubiński, Jan

2015-01-01

The continued identification of new low-penetrance genetic variants for colorectal cancer (CRC) raises the question of their potential cumulative effect among compound carriers. We focused on 6 SNPs (rs380284, rs4464148, rs4779584, rs4939827, rs6983267, and rs10795668), already described as risk markers, and tested their possible independent and combined contribution to CRC predisposition. Material and Methods. DNA was collected and genotyped from 2330 unselected consecutive CRC cases and controls from Estonia (166 cases and controls), Latvia (81 cases and controls), Lithuania (123 cases and controls), and Poland (795 cases and controls). Results. Beyond individual effects, the analysis revealed statistically significant linear cumulative effects for these 6 markers for all samples except of the Latvian one (corrected P value = 0.018 for the Estonian, corrected P value = 0.0034 for the Lithuanian, and corrected P value = 0.0076 for the Polish sample). Conclusions. The significant linear cumulative effects demonstrated here support the idea of using sets of low-risk markers for delimiting new groups with high-risk of CRC in clinical practice that are not carriers of the usual CRC high-risk markers. PMID:26101521

Cumulative Small Effect Genetic Markers and the Risk of Colorectal Cancer in Poland, Estonia, Lithuania, and Latvia.

PubMed

Serrano-Fernandez, Pablo; Dymerska, Dagmara; Kurzawski, Grzegorz; Derkacz, Róża; Sobieszczańska, Tatiana; Banaszkiewicz, Zbigniew; Roomere, Hanno; Oitmaa, Eneli; Metspalu, Andres; Janavičius, Ramūnas; Elsakov, Pavel; Razumas, Mindaugas; Petrulis, Kestutis; Irmejs, Arvīds; Miklaševičs, Edvīns; Scott, Rodney J; Lubiński, Jan

2015-01-01

The continued identification of new low-penetrance genetic variants for colorectal cancer (CRC) raises the question of their potential cumulative effect among compound carriers. We focused on 6 SNPs (rs380284, rs4464148, rs4779584, rs4939827, rs6983267, and rs10795668), already described as risk markers, and tested their possible independent and combined contribution to CRC predisposition. Material and Methods. DNA was collected and genotyped from 2330 unselected consecutive CRC cases and controls from Estonia (166 cases and controls), Latvia (81 cases and controls), Lithuania (123 cases and controls), and Poland (795 cases and controls). Results. Beyond individual effects, the analysis revealed statistically significant linear cumulative effects for these 6 markers for all samples except of the Latvian one (corrected P value = 0.018 for the Estonian, corrected P value = 0.0034 for the Lithuanian, and corrected P value = 0.0076 for the Polish sample). Conclusions. The significant linear cumulative effects demonstrated here support the idea of using sets of low-risk markers for delimiting new groups with high-risk of CRC in clinical practice that are not carriers of the usual CRC high-risk markers.

CDKL5 Gene-Related Epileptic Encephalopathy in Estonia: Four Cases, One Novel Mutation Causing Severe Phenotype in a Boy, and Overview of the Literature.

PubMed

Lilles, Stella; Talvik, Inga; Noormets, Klari; Vaher, Ulvi; Õunap, Katrin; Reimand, Tiia; Sander, Valentin; Ilves, Pilvi; Talvik, Tiina

2016-12-01

Cyclin-dependent kinase-like 5 ( CDKL5 ) gene mutations have mainly been found in females with early infantile epileptic encephalopathy (EIEE), severe intellectual disability, and Rett-like features. To date, only 22 boys have been reported, presenting with far more severe phenotypic features. We report the first cases of CDKL5 gene-related EIEE in Estonia diagnosed using panels of epilepsy-associated genes and describe the phenotype-genotype correlations in three male and one female patient. One of the mutations, identified in a male patient, was a novel de novo hemizygous frameshift mutation (NM_003159.2:c.2225_2228del (p.Glu742Afs*41)) in exon 15 of CDKL5. All boys have a more severe phenotype than the female patient. In boys with early onset of seizures and poor development with absent or poor eye contact, CDKL5 gene-related EIEE can be suspected and epilepsy-associated genes should be analyzed for early etiological diagnosis. Early genetic diagnosis would be the cornerstone in personalized treatment in the future. Georg Thieme Verlag KG Stuttgart · New York.

Modelling nutrient fluxes from diffuse and point emissions to river loads: the Estonian part of the transboundary Lake Peipsi/Chudskoe drainage basin (Russia/Estonia/Latvia).

PubMed

Mourad, D; van der Perk, M

2004-01-01

First results are presented of a large-scale GIS-based nutrient transport modelling for the 1985-1999 period in the Estonian part of the transboundary drainage basin of Lake Peipsi (Estonian)/Chudskoe (Russian), one of the largest lakes in Europe, shared by Russia and Estonia. Although the lake is relatively undisturbed by human pollution, it is vulnerable for eutrophication by increased river loads, as shown in the past, when the north-eastern part of the former Soviet Union suffered from intensive agriculture. The collapse of the Soviet Union caused a dramatic decline in fertilizer application rates and widespread abandonment of agricultural land. Although concentration measurements and modelling results indicate a general decrease in nutrient loads, modelling is complicated by the transfer of nutrients from diffuse emissions, which is strongly governed by retention and assumed periodic release from storages within the river basin, like the root zone, tile drains, ditches, channels, bed sediments, floodplains and lakes. Modelling diffuse emission contribution to river loads can be improved by better knowledge about the spatial and temporal distribution of this retention and release within the drainage basin.

Results From Estonia's 2016 Report Card on Physical Activity for Children and Youth.

PubMed

Kruusamäe, Helena; Kull, Merike; Mooses, Kerli; Riso, Eva-Maria; Jürimäe, Jaak

2016-11-01

The 2016 Report Card on Physical Activity for Children and Youth, the first of its kind, aims to set baseline physical activity (PA) indicators using the Active Healthy Kids Global Alliance grading system. A research work group analyzed and selected data for the grade assignment meeting (GAM). During the GAM, 17 leading researchers and policy experts from Estonia assessed the data and assigned grades for each of the 9 PA indicators. In addition, recommendations were provided for further actions to improve the grades. Grades from A (highest) to F (lowest) were assigned as follows: 1) Overall PA (F); 2) Organized Sport (C); 3) Active Play [incomplete data (INC)]; 4) Active Transportation (INC); 5) Sedentary Behaviors (F); 6) Family and Peers (C); 7) School (C); 8) Community and the Built Environment (B); and 9) Government (C). An indicator was marked as incomplete (INC) when there was a lack of representative quality data. Evidence suggests that PA levels of Estonian children remain very low, despite moderately supportive social, environmental, and regulatory factors. There are many challenges to overcome in supporting and promoting PA of children and youth (eg, cross-sectional cooperation, implementing interventions, changing social norms, empowerment of parents and educational institutions).

Oceanic Impact: Mechanisms and Environmental Perturbations

NASA Technical Reports Server (NTRS)

Gersonde, Rainer (Editor); Deutsch, Alex (Editor); Ivanov, Boris A. (Editor); Kyte, Frank T. (Editor)

2002-01-01

The contents include the following: Oceanic impacts-a growing field of fundamental geoscience. Shock metamorphism on the ocean floor (numerical simulations). Numerical modeling of impact-induced modifications of the deep-sea floor. Computer modelling of the water resurge at a marine impact: the Lockne crater, Sweden. Experimental investigation of the role of water in impact vaporization chemistry. Calcareous plankton stratigraphy around the Pliocene Eltanin asteroid impact area (SE Pacific): documentation and application for geological and paleoceanographic reconstruction. Composition of impact melt debris from the Eltanin impact strewn field, Bellingshausen Sea. Iridium concentrations and abundances of meteoritic ejecta from the Eltanin impact in sediment cores from Polarstern expedition ANT XII/4. Unmelted meteoritic debris collected from Eltanin ejecta in Polarstern cores from expedition ANT XII/4. Impact tsunami-Eltanin. Ancient impact structures on modern continental shelves: The Chesapeake Bay, Montagnais, and Toms Canyon craters, Atlantic margin of North America. The Mjolnir marine impact crater porosity anomaly. Kardla (Hiiu-maa Island, Estonia) - the buried and well-preserved Ordovician marine impact structure. Long-term effect of the Kardla crater (Hiiu-maa, Estonia) on Late Ordovician carbonate sedimentation. The middle Devonian Kaluga impact crater (Russia): new interpretation of marine setting.

Hospitalised neonates in Estonia commonly receive potentially harmful excipients

PubMed Central

2012-01-01

Background Information on the neonatal exposure to excipients is limited. Our aim was to describe the extent of excipient intake by Estonian neonates; to classify the excipients according to potential neonatal toxicity and thereby to measure the extent of exposure of neonates to potentially harmful excipients. Methods A prospective cohort study that recorded all medicines prescribed to patients aged below 28 days admitted to Tartu University Hospital from 01.02-01.08 2008 and to Tallinn Children’s Hospital from 01.02- 01.08 2009 was conducted. Excipients were identified from Summaries of Product Characteristics and classified according to toxicity following a literature review. Results 1961 prescriptions comprising 107 medicines were written for 348/490 neonates admitted. A total of 123 excipients were found in 1620 (83%) prescriptions and 93 (87%) medicines. 47 (38%) of these excipients were classified as potentially or known to be harmful to neonates. Most neonates (97%) received at least one medicine (median number 2) with potentially or known to be harmful excipient. Parabens were the most commonly used known to be harmful excipients and sodium metabisulphite the most commonly used potentially harmful excipient, received by 343 (99%) and 297 (85%) of treated neonates, respectively. Conclusions Hospitalised neonates in Estonia are commonly receiving a wide range of excipients with their medication. Quantitative information about excipients should be made available to pharmacists and neonatologists helping them to take into account excipient issues when selecting medicines and to monitor for adverse effects if administration of medicines containing excipients is unavoidable. PMID:22931304

Quality management and job related factors predicting satisfaction of dental clinic staff in Estonia.

PubMed

Merisalu, Eda; Männik, Georg; Põlluste, Kaja

2014-01-01

The aim of the study was to explore the role of managerial style, work environment factors and burnout in determining job satisfaction during the implementation of quality improvement activities in a dental clinic. Quantitative research was carried out using a prestructured anonymous questionnaire to survey 302 respondents in Kaarli Dental Clinic, Estonia. Dental clinic staff assessed job satisfaction, managerial style, work stress and burnout levels through the implementation period of ISO 9000 quality management system in 2003 and annually during 2006-2009. Binary logistic regression was used to explain the impact of satisfaction with management and work organisation, knowledge about managerial activities, work environment and psychosocial stress and burnout on job satisfaction. The response rate limits were between 60% and 89.6%. Job satisfaction increased significantly from 2003 to 2006 and the percentage of very satisfied staff increased from 17 to 38 (p<0.01) over this period. In 2007, the proportion of very satisfied people dropped to 21% before increasing again in 2008-2009 (from 24% to 35%). Binary logistic regression analysis resulted in a model that included five groups of factors: managerial support, information about results achieved and progress to goals, work organisation and working environment, as well as factors related to career, security and planning. The average scores of emotional exhaustion showed significant decrease, correlating negatively with job satisfaction (p<0.05). The implementation of quality improvement activities in the Kaarli Dental Clinic has improved the work environment by decreasing burnout symptoms and increased job satisfaction in staff.

Petroleum source rock evaluation of the Alum and Dictyonema Shales (Upper Cambrian-Lower Ordovician) in the Baltic Basin and Podlasie Depression (eastern Poland)

NASA Astrophysics Data System (ADS)

Kosakowski, Paweł; Kotarba, Maciej J.; Piestrzyński, Adam; Shogenova, Alla; Więcław, Dariusz

2017-03-01

We present geochemical characteristics of the Lower Palaeozoic shales deposited in the Baltic Basin and Podlasie Depression. In the study area, this strata are represented by the Upper Cambrian-Lower Ordovician Alum Shale recognized in southern Scandinavia and Polish offshore and a equivalent the Lower Tremadocian Dictyonema Shale from the northern Estonia and the Podlasie Depression in Poland. Geochemical analyses reveal that the Alum Shale and Dictyonema Shale present high contents of organic carbon. These deposits have the best source quality among the Lower Palaeozoic strata, and they are the best source rocks in the Baltic region. The bituminous shales complex has TOC contents up to ca. 22 wt%. The analysed rocks contain low-sulphur, oil-prone Type-II kerogen deposited in anoxic or sub-oxic conditions. The maturity of the Alum and Dictyonema Shales changes gradually, from the east and north-east to the west and south-west, i.e. in the direction of the Tornquist-Teisseyre Zone. Samples, located in the seashore of Estonia and in the Podlasie region, are immature and in the initial phase of "oil window". The mature shales were found in the central offshore part of the Polish Baltic Basin, and the late mature and overmature are located in the western part of the Baltic Basin. The Alum and Dictyonema Shales are characterized by a high grade of radioactive elements, especially uranium. The enrichment has a syngenetic or early diagenetic origin. The measured content of uranium reached up to 750 ppm and thorium up to 37 ppm.

Increases in external cause mortality due to high and low temperatures: evidence from northeastern Europe

NASA Astrophysics Data System (ADS)

Orru, Hans; Åström, Daniel Oudin

2017-05-01

The relationship between temperature and mortality is well established but has seldom been investigated in terms of external causes. In some Eastern European countries, external cause mortality is substantial. Deaths owing to external causes are the third largest cause of mortality in Estonia, after cardiovascular disease and cancer. Death rates owing to external causes may reflect behavioural changes among a population. The aim for the current study was to investigate if there is any association between temperature and external cause mortality, in Estonia. We collected daily information on deaths from external causes (ICD-10 diagnosis codes V00-Y99) and maximum temperatures over the period 1997-2013. The relationship between daily maximum temperature and mortality was investigated using Poisson regression, combined with a distributed lag non-linear model considering lag times of up to 10 days. We found significantly higher mortality owing to external causes on hot (the same and previous day) and cold days (with a lag of 1-3 days). The cumulative relative risks for heat (an increase in temperature from the 75th to 99th percentile) were 1.24 (95% confidence interval, 1.14-1.34) and for cold (a decrease from the 25th to 1st percentile) 1.19 (1.03-1.38). Deaths due to external causes might reflect changes in behaviour among a population during periods of extreme hot and cold temperatures and should therefore be investigated further, because such deaths have a severe impact on public health, especially in Eastern Europe where external mortality rates are high.

Shifting chronic disease management from hospitals to primary care in Estonian health system: analysis of national panel data

PubMed Central

Atun, Rifat; Gurol–Urganci, Ipek; Hone, Thomas; Pell, Lisa; Stokes, Jonathan; Habicht, Triin; Lukka, Kaija; Raaper, Elin; Habicht, Jarno

2016-01-01

Background Following independence from the Soviet Union in 1991, Estonia introduced a national insurance system, consolidated the number of health care providers, and introduced family medicine centred primary health care (PHC) to strengthen the health system. Methods Using routinely collected health billing records for 2005–2012, we examine health system utilisation for seven ambulatory care sensitive conditions (ACSCs) (asthma, chronic obstructive pulmonary disease [COPD], depression, Type 2 diabetes, heart failure, hypertension, and ischemic heart disease [IHD]), and by patient characteristics (gender, age, and number of co–morbidities). The data set contained 552 822 individuals. We use patient level data to test the significance of trends, and employ multivariate regression analysis to evaluate the probability of inpatient admission while controlling for patient characteristics, health system supply–side variables, and PHC use. Findings Over the study period, utilisation of PHC increased, whilst inpatient admissions fell. Service mix in PHC changed with increases in phone, email, nurse, and follow–up (vs initial) consultations. Healthcare utilisation for diabetes, depression, IHD and hypertension shifted to PHC, whilst for COPD, heart failure and asthma utilisation in outpatient and inpatient settings increased. Multivariate regression indicates higher probability of inpatient admission for males, older patient and especially those with multimorbidity, but protective effect for PHC, with significantly lower hospital admission for those utilising PHC services. Interpretation Our findings suggest health system reforms in Estonia have influenced the shift of ACSCs from secondary to primary care, with PHC having a protective effect in reducing hospital admissions. PMID:27648258

Forming a Cyber Coalition

DTIC Science & Technology

2012-04-06

Estonia 6 :  98% of Estonian‟s territory was covered with Internet access: fixed line, broadband, WiMax, WiFi , and CDMA21 mobile wireless Internet...The hacked homepage displayed a prominent image of Bashar al-Assad, the President of Syria, with a text proclaiming “Syrian Electronic Army Were...update and harmonize their criminal laws against hacking , infringements on copyrights, computer facilitated fraud, child pornography, and other illicit

Survey of Hylobius abietis (L.) and associated species in reforestation areas using baited pitfall traps

Treesearch

Kaljo Voolma

2003-01-01

Intensive logging of pine and spruce forests in Estonia has led to a rapid increase in the populations of some insect species. A survey using ground traps baited with a blend of turpentine and ethanol resulted in the recovery of large numbers of the large pine weevil, Hylobius abietis, as well as bark beetles of the genus Hylastes...

Estonia’s Strategic Future

DTIC Science & Technology

2015-04-01

produced exports. However, the dairy and fisheries sectors have been adversely impacted by Russian counter-sanctions. Tourism , which comprises...However, the tourism , agricultural and logistics sectors remain more closely tied to the Russian market and were predicted to see sharp declines in...materials, sporting goods, toys, etc., have already reported a loss in 2014. Companies, who operate in Russia for the Russian market and operate in rubles

The Road to the European Union: Macroeconomic Policy Challenges for Hungary and Poland. Fulbright-Hayes Summer Seminars Abroad Program, 2002 (Hungary and Poland).

ERIC Educational Resources Information Center

Ramirez, Teresita R.

Prospects for the enlargement of the European Union (EU) became imminent when the EU Commission agreed in 1997 to open formal negotiations with five of the Central and Eastern European countries: (1) the Czech Republic; (2) Hungary; (3) Poland; (4) Slovenia; and (5) Estonia. This research project discusses macroeconomic policy challenges that…

Regeneration in windthrow areas in hemiboreal forests: the influence of microsite on the height growths of different tree species

Treesearch

F. Vodde; K. Jõgiste; L. Gruson; T. Ilisson; K. Köster; J.A. Stanturf

2010-01-01

Natural regeneration of windthrow areas is an important issue when planning forestry measures after forest disturbances. Seedling recruitment was investigated in storm-damaged hemiboreal mixed forests in eastern Estonia. The establishment and growth of seedlings from natural regeneration was registered for tree species in soil pits and in mounds of uprooted trees in...

Schmidt, Bernhard Voldemar (1879-1935)

NASA Astrophysics Data System (ADS)

Murdin, P.

2000-11-01

Optical designer, born on the island of Naissar, off the coast of Tallin, Estonia. In spite of an accident at the age of 15, in which he lost his right hand and forearm, he successfully made fine optics for amateur astronomers. He started an optical workshop in Mittweida, Germany, and his reputation spread. He worked at the observatory in Bergedorf (near Hamburg) as an optician and made observati...

Changing Discourses and Changing Institutional Child Substitute Care: New Terms and Processes toward Family-Like and Family-Based Care

ERIC Educational Resources Information Center

Sindi, Ingrid

2016-01-01

This article is an attempt to analyse and describe the process of change in child substitute care that has taken place since the re-independence of Estonia in 1991. These changes started with adopting new terms and ideas. However, while international terminology and concepts have been accepted, local conditions affect this acceptance of concepts…

Child-Initiated Pedagogies: Moving toward Democratically Appropriate Practices in Finland, England, Estonia, and the United States

ERIC Educational Resources Information Center

Kinos, Jarmo; Robertson, Leena; Barbour, Nancy; Pukk, Maarika

2016-01-01

The Convention on the Rights of the Child calls for children to be treated as human beings with a distinct set of rights, instead of as passive objects of care. They can and should be agents in their own lives. Child-initiated pedagogy recognizes this by respecting children's individual and collective views, interests, and motivations.…

Perception of emotionally loaded vocal expressions and its connection to responses to music. A cross-cultural investigation: Estonia, Finland, Sweden, Russia, and the USA

PubMed Central

Waaramaa, Teija; Leisiö, Timo

2013-01-01

The present study focused on voice quality and the perception of the basic emotions from speech samples in cross-cultural conditions. It was examined whether voice quality, cultural, or language background, age, or gender were related to the identification of the emotions. Professional actors (n2) and actresses (n2) produced non-sense sentences (n32) and protracted vowels (n8) expressing the six basic emotions, interest, and a neutral emotional state. The impact of musical interests on the ability to distinguish between emotions or valence (on an axis positivity – neutrality – negativity) from voice samples was studied. Listening tests were conducted on location in five countries: Estonia, Finland, Russia, Sweden, and the USA with 50 randomly chosen participants (25 males and 25 females) in each country. The participants (total N = 250) completed a questionnaire eliciting their background information and musical interests. The responses in the listening test and the questionnaires were statistically analyzed. Voice quality parameters and the share of the emotions and valence identified correlated significantly with each other for both genders. The percentage of emotions and valence identified was clearly above the chance level in each of the five countries studied, however, the countries differed significantly from each other for the identified emotions and the gender of the speaker. The samples produced by females were identified significantly better than those produced by males. Listener's age was a significant variable. Only minor gender differences were found for the identification. Perceptual confusion in the listening test between emotions seemed to be dependent on their similar voice production types. Musical interests tended to have a positive effect on the identification of the emotions. The results also suggest that identifying emotions from speech samples may be easier for those listeners who share a similar language or cultural background with the speaker. PMID:23801972

Recommended aerobic fitness level for metabolic health in children and adolescents: a study of diagnostic accuracy.

PubMed

Adegboye, Amanda R A; Anderssen, Sigmund A; Froberg, Karsten; Sardinha, Luis B; Heitmann, Berit L; Steene-Johannessen, Jostein; Kolle, Elin; Andersen, Lars B

2011-07-01

To define the optimal cut-off for low aerobic fitness and to evaluate its accuracy to predict clustering of risk factors for cardiovascular disease in children and adolescents. Study of diagnostic accuracy using a cross-sectional database. European Youth Heart Study including Denmark, Portugal, Estonia and Norway. 4500 schoolchildren aged 9 or 15 years. Aerobic fitness was expressed as peak oxygen consumption relative to bodyweight (mlO(2)/min/kg). Risk factors included in the composite risk score (mean of z-scores) were systolic blood pressure, triglyceride, total cholesterol/HDL-cholesterol ratio, insulin resistance and sum of four skinfolds. 14.5% of the sample, with a risk score above one SD, were defined as being at risk. Receiver operating characteristic analysis was used to define the optimal cut-off for sex and age-specific distribution. In girls, the optimal cut-offs for identifying individuals at risk were: 37.4 mlO(2)/min/kg (9-year-old) and 33.0 mlO(2)/min/kg (15-year-old). In boys, the optimal cut-offs were 43.6 mlO(2)/min/kg (9-year-old) and 46.0 mlO(2)/min/kg (15-year-old). Specificity (range 79.3-86.4%) was markedly higher than sensitivity (range 29.7-55.6%) for all cut-offs. Positive predictive values ranged from 19% to 41% and negative predictive values ranged from 88% to 90%. The diagnostic accuracy for identifying children at risk, measured by the area under the curve (AUC), was significantly higher than what would be expected by chance (AUC >0.5) for all cut-offs. Aerobic fitness is easy to measure, and is an accurate tool for screening children with clustering of cardiovascular risk factors. Promoting physical activity in children with aerobic fitness level lower than the suggested cut-points might improve their health.

Estonian National Security Strategy: Current and Future Challenges

DTIC Science & Technology

2013-03-01

its offensive capabilities. In the 11 following chapter the Russian military reform and its impacts on Estonia are discussed. ‘The report...recently were called “Serdjukov’s military reforms”, are: 1) Russian military reform shows that the main concerns for Russia are still US (NATO...borders of peaceful Northern-Europe. Russian officials rushed to claim that the Russian military reform will go on even without recently fired

A State Partnership Program (SPP) for Afghanistan

DTIC Science & Technology

2009-03-01

former eastern bloc countries (Estonia, Latvia, Lithuania ) that emerged from the Cold War independent, but potentially precarious following the fall of the...asserts the necessity to “engage and involve the private sector in reconstruction” and also “to secure and protect the natural resources, energy production ...military working dogs , and combat lifesaver training amongst many38 15 An increasingly important country in terms of CENTCOM’s security cooperation

Threat Assessment of the US Intelligence Community for the Senate Select Committee on Intelligence

DTIC Science & Technology

2010-02-02

repressive measures, continued high crime, rising inflation, water and power shortages, and a major currency devaluation , raising questions about his...private investment flows are recovering, and the IMF has the resources to intervene when necessary. Nonetheless, the economies of several countries...will face economic setbacks, particularly if they lose support from the IMF and other sources of finance. Bulgaria, Estonia, Greece, Hungary, Iceland

Controlled Drawing Observation for Assessing a Child's Readiness for School and Predicting Academic Achievement at the End of the First Grade

ERIC Educational Resources Information Center

Haidkind, Pille; Kikas, Eve; Henno, Helen; Peets, Terje

2011-01-01

Controlled Drawing Observation (CDO) was developed by Tove Krogh and it has been used in Denmark, Finland and Estonia for assessing a child's readiness for school. CDO is a group test, it gives information about a child's functioning in an educational setting and it serves as a starting point for later individual assessment. The goal of the study…

Enhancing the Role of Social Partner Organisations in the Area of Vocational Education and Training in the Candidate Countries of Central and Eastern Europe. Institutional Arrangements. Report.

ERIC Educational Resources Information Center

European Training Foundation, Turin (Italy).

The role of social partner organizations in vocational education and training (VET) has been compared for Bulgaria, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, the Slovak Republic, and Slovenia. In these countries, a system of industrial relations comparable to those existing in western Europe is emerging gradually.…

The European Union’s Reform Process: The Libson Treaty

DTIC Science & Technology

2010-02-22

group: Denmark, Ireland, and the United Kingdom joined in 1973; Greece in 1981; Portugal and Spain in 1986; and Austria, Finland , and Sweden in 1995...1 The member countries of the EU are Austria, Belgium, Bulgaria, Cyprus, the Czech Republic, Denmark, Estonia, Finland ... double majority” system is to be introduced in 2014 (instead of 2009-2010), gradually phased in over three years, and not fully implemented until

Report on Progress Toward Security and Stability in Afghanistan

DTIC Science & Technology

2014-10-01

65 Denmark 149 Portugal 57 El Salvador 0 Romania 317 Estonia 2 Slovakia 12 Finland 90 Slovenia 2 France 90 Spain 181 Georgia 755 Sweden 13...technologies and practices to increase productivity, create farm and off- farm employment, increase incomes, and strengthen Afghans’ confidence in their...campaign to promote a pro - Iranian and pro -Shia sentiment within Afghanistan through a $1 billion donor aid program to upgrade infrastructure

Sectoral network on occupational health and safety in agriculture to support enterprises and family farms in Estonia.

PubMed

Kurppa, Kari; Tammaru, Eva; Kempinen, Marina; Rünkla, Ester; Sõrra, Jaan; Lehtinen, Suvi

2006-01-01

A sectoral network on occupational health and safety in agriculture has been established in Estonia as part of a project that provided support for Estonian accession into European Union. Participating organizations represent farmers' unions at county level, agricultural enterprises, workers' representatives, universities and agricultural expert institutions, and government agencies. The purpose is to provide a shared infrastructure that combines information and other capacities of several organizations and provides a platform for dialogue and co-operation in order to make a greater impact with available resources. The network has a decentralized architecture and is technically managed by an institutionalized secretariat. The network's task forces have compiled a network directory, summarised the capacities and interests of member organizations, made an inventory of existing information and training materials, developed an overall strategy for information management, established an information repository on the Internet, prepared promotional materials, and devised a protocol for agricultural walk-though assessment. A profile on occupational health and safety in Estonian agriculture has been compiled with a rapid assessment approach that collected both quantitative and qualitative information from secondary sources (statistics, documents) and from focus group discussions. The profile is used as an instrument for taking occupational health and safety needs in agriculture into discussion on political arena.

Sex work in Tallinn, Estonia: the sociospatial penetration of sex work into society.

PubMed

Aral, S O; St Lawrence, J S; Uusküla, A

2006-10-01

It is important to describe and understand the underlying patterns and dynamics that govern sex work in societies undergoing rapid political and social changes, its heterogeneity across populations, and its evolution through time in order to inform future research, sound policy formation, and programme delivery. To describe the socioeconomic and cultural determinants, organisational structure, distinct categories, and spatial patterning of sex work in Tallinn, Estonia, and identify recent temporal changes in sex work patterns. In-depth interviews with key informants; naturalistic observations of sex work and drug use venues, geo-mapping of sex work sites, review of media, public policy, and commissioned reports, and analyses of existing data. Sex work takes place in a hierarchy of locations in Tallinn ranging from elite brothels and "love flats" to truck stops. These sites vary in terms of their public health importance and social organisation. There are full time, part time, and intermittent male and female sex workers. Among others, the taxi driver, madam and the bartender are central roles in the organisation of sex work in Tallinn. Cell phone and internet technology enable sex work to be highly dispersed and spatially mobile. Future research and programmatic service delivery or outreach efforts should respond to the changing profile of sex work in Tallinn and its implications for STD/HIV epidemiology.

Babesia canis and tick-borne encephalitis virus (TBEV) co-infection in a sled dog.

PubMed

Bajer, Anna; Rodo, Anna; Bednarska, Malgorzata; Mierzejewska, Ewa; Welc-Falęciak, Renata

2013-01-01

Sporting dogs, including sled dogs, are particularly prone to tick-borne infection either due to training/racing in forest areas or through visits to endemic areas. The aim was to present tick-borne infections in a 6-dog racing team after a race in Estonia. On the 4th day after return to Poland, the first dog presented with babesiosis symptoms and was diagnosed and treated accordingly. Next morning, the dog showed neurological symptoms and was diagnosed with tick-borne encephalitis (TBE). Diagnosis was confirmed by a high level of IgG antibodies (922 IU/ml), detected in serum 3 months later. The second dog presented with babesiosis symptoms on the 7th day after return. Babesia DNA was extracted from blood, amplified and sequenced to answer the question of whether the dogs became infected during the race in Estonia or in Poland. Sequencing of a fragment of Babesia 18S rDNA revealed that these two isolates were identical to one another and closely related to the B. canis sequence originally isolated from the dog and Dermacentor reticulatus ticks in Poland. Thus, this is the first confirmed case of B.canis and TBEV co-infection and first confirmed case of TBE in a dog in Poland.

Effects of land use on arbuscular mycorrhizal fungal communities in Estonia.

PubMed

Sepp, Siim-Kaarel; Jairus, Teele; Vasar, Martti; Zobel, Martin; Öpik, Maarja

2018-04-01

Arbuscular mycorrhizal (AM) fungal communities vary across habitat types, as well as across different land use types. Most relevant research, however, has focused on agricultural or other severely human-impacted ecosystems. Here, we compared AM fungal communities across six habitat types: calcareous grassland, overgrown ungrazed calcareous grassland, wooded meadow, farmyard lawn, boreonemoral forest, and boreonemoral forest clear-cut, exhibiting contrasting modes of land use. AM fungi in the roots of a single host plant species, Prunella vulgaris, and in its rhizosphere soil were identified using 454-sequencing from a total of 103 samples from 12 sites in Estonia. Mean AM fungal taxon richness per sample did not differ among habitats. AM fungal community composition, however, was significantly different among habitat types. Both abandonment and land use intensification (clearcutting; trampling combined with frequent mowing) changed AM fungal community composition. The AM fungal communities in different habitat types were most similar in the roots of the single host plant species and most distinct in soil samples, suggesting a non-random pattern in host-fungal taxon interactions. The results show that AM fungal taxon composition is driven by habitat type and land use intensity, while the plant host may act as an additional filter between the available and realized AM fungal species pool.

Reconstruction of precipitation variability in Estonia since the eighteenth century, inferred from oak and spruce tree rings

NASA Astrophysics Data System (ADS)

Helama, Samuli; Sohar, Kristina; Läänelaid, Alar; Bijak, Szymon; Jaagus, Jaak

2018-06-01

There is plenty of evidence for intensification of the global hydrological cycle. In Europe, the northern areas are predicted to receive more precipitation in the future and observational evidence suggests a parallel trend over the past decades. As a consequence, it would be essential to place the recent trend in precipitation in the context of proxy-based estimates of reconstructed precipitation variability over the past centuries. Tree rings are frequently used as proxy data for palaeoclimate reconstructions. Here we use deciduous ( Quercus robur) and coniferous ( Picea abies) tree-ring width chronologies from western Estonia to deduce past early-summer (June) precipitation variability since 1771. Statistical model transforming our tree-ring data into estimates of precipitation sums explains 42% of the variance in instrumental variability. Comparisons with products of gridded reconstructions of soil moisture and summer precipitation illustrate robust correlations with soil moisture (Palmer Drought Severity Index), but lowered correlation with summer precipitation estimates prior to mid-nineteenth century, these instabilities possibly reflecting the general uncertainties inherent to early meteorological and proxy data. Reconstructed precipitation variability was negatively correlated to the teleconnection indices of the North Atlantic Oscillation and the Scandinavia pattern, on annual to decadal and longer scales. These relationships demonstrate the positive precipitation anomalies to result from increase in zonal inflow and cyclonic activity, the negative anomalies being linked with the high pressure conditions enhanced during the atmospheric blocking episodes. Recently, the instrumental data have demonstrated a remarkable increase in summer (June) precipitation in the study region. Our tree-ring based reconstruction reproduces this trend in the context of precipitation history since eighteenth century and quantifies the unprecedented abundance of June precipitation over the recent years.

Inequalities in utilisation of general practitioner and specialist services in 9 European countries.

PubMed

Stirbu, Irina; Kunst, Anton E; Mielck, Andreas; Mackenbach, Johan P

2011-10-31

The aim of this study is to describe the magnitude of educational inequalities in utilisation of general practitioner (GP) and specialist services in 9 European countries. In addition to West European countries, we have included 3 Eastern European countries: Hungary, Estonia and Latvia. To cover the gap in knowledge we pay a special attention to the magnitude of inequalities among patients with chronic conditions. Data on the use of GP and specialist services were derived from national health surveys of Belgium, Estonia, France, Germany, Hungary, Ireland, Latvia, the Netherlands and Norway. For each country and education level we calculated the absolute prevalence and relative inequalities in utilisation of GP and specialist services. In order to account for the need for care, the results were adjusted by the measure of self-assessed health. People with lower education used GP services equally often in most countries (except Belgium and Germany) compared with those with a higher level of education. At the same time people with a higher education used specialist care services significantly more often in all countries, except in the Netherlands. The general pattern of educational inequalities in utilisation of specialist care was similar for both men and women. Inequalities in utilisation of specialist care were equally large in Eastern European and in Western European countries, except for Latvia where the inequalities were somewhat larger. Similarly, large inequalities were found in the utilisation of specialist care among patients with chronic diseases, diabetes, and hypertension. We found large inequalities in the utilisation of specialist care. These inequalities were not compensated by utilisation of GP services. Of particular concern is the presence of inequalities among patients with a high need for specialist care, such as those with chronic diseases. © 2011 Stirbu et al; licensee BioMed Central Ltd.

An invasive vector of zoonotic disease sustained by anthropogenic resources: the raccoon dog in northern Europe.

PubMed

Süld, Karmen; Valdmann, Harri; Laurimaa, Leidi; Soe, Egle; Davison, John; Saarma, Urmas

2014-01-01

The raccoon dog (Nyctereutes procyonoides) is an introduced species in Europe with a continually expanding range. Since the species is capable of affecting local ecosystems and is a vector for a number of severe zoonotic diseases, it is important to understand its food habits. Raccoon dog diet was studied in Estonia by examining the contents of 223 stomach samples collected during the coldest period of the year, August to March, in 2010-2012. The most frequently consumed food categories were anthropogenic plants (e.g. cereals, fruits; FO = 56.1%) and carrion (e.g. carcasses of artiodactyls and carnivores; FO = 48.4%). Carrion was also the only food category that was consumed significantly more frequently by raccoon dogs exhibiting symptoms of sarcoptic mange than by uninfected animals. Small mammals, which represent intermediate hosts for the zoonotic tapeworm Echinococcus multilocularis, were more commonly recorded in samples also containing anthropogenic plants than expected by chance. Comparison of raccoon dog and red fox (Vulpes vulpes) diet in Estonia revealed higher overlap than found elsewhere in Europe, with 'carrion' and 'anthropogenic plants' making up the bulk of both species' diet; however, raccoon dogs were more omnivorous than red foxes. Our results suggest that while the use of most food categories reflects the phenology of natural food sources, 'anthropogenic plants' and 'carrion' provide an essential resource for raccoon dogs during the coldest period of the year, with the latter resource especially important for individuals infected with sarcoptic mange. Since both of these food categories and small mammals are often found at supplementary feeding sites for wild boar (Sus scrofa), this game management practice may facilitate high densities of mesocarnivores and promote the spread of some severe zoonotic diseases, including alveolar echinococcosis, trichinellosis, rabies and sarcoptic mange.

Annual Threat Assessment of the US Intelligence Community for the House Permanent Select Committee on Intelligence

DTIC Science & Technology

2010-02-03

water and power shortages, and a major currency devaluation , raising questions about his longer term political future. On foreign policy, Chavez’s...have not disappeared. Most emerging market nations have weathered the crisis, international private investment flows are recovering, and the IMF has...lose support from the IMF and other sources of finance. Bulgaria, Estonia, Greece, Hungary, Iceland, Ireland, Latvia, Lithuania, and Romania remain

Analysis of Household Electricity Consumption Patterns and Economy of Water Heating Shifting and Saving Bulbs

NASA Astrophysics Data System (ADS)

Rosin, Argo; Moller, Taavi; Lehtla, Madis; Hoimoja, Hardi

2010-01-01

This article analyses household electricity consumption based on an object in Estonia. Energy consumption of workday and holiday by loads (including high and low tariff energy consumption) is discussed. The final part describes the evaluation of profitability of common investments of consumption shifting and replacing inefficient devices with more efficient ones. Additionally it describes shifting problems and shifting equipment profitability in real-time tariff system.

[Groups of female workers with lowered adaptation to the working conditions in footwear industry].

PubMed

Datsenko, M F; Poguda, A A; Nuromskaia, O A

1991-01-01

The Republican Centre for Occupational Diseases was set in Estonia in 1971. The Centre performs administrative and methodological guidance for the republican clinical institutions in diagnostics, prevention and treatment of occupational diseases. The Centre also runs an out-patient department and a 40-bed in-patient stationary. In the occupational diseases structure, communicable diseases are prevalent (particularly, erysipeloid), followed by occupational hypoacusis, vibration related and allergic diseases.

Rare earths, the lanthanides, yttrium and scandium

USGS Publications Warehouse

Bedinger, G.; Bleiwas, D.

2012-01-01

In 2011, rare earths were recovered from bastnasite concentrates at the Mountain Pass Mine in California. Consumption of refined rare-earth products decreased in 2011 from 2010. U.S. rare-earth imports originated primarily from China, with lesser amounts from Austria, Estonia, France and Japan. The United States imported all of its demand for yttrium metal and yttrium compounds, with most of it originating from China. Scandium was imported in various forms and processed domestically.

The Future of Transatlantic Security Relations. Colloquium Report

DTIC Science & Technology

2006-09-01

Black Sea region could be either active or reserve troops, and that Romania and Bulgaria were likely candidates for hosting the troops. The deployed...Bulgaria, Estonia, Latvia, Lithuania, Romania , Slovakia, and Slovenia. NATO now has 26 members. Nor is this all. Since the 1990s, the Alliance has...splendid isolation. • The World War I alliance that vanquished Imperial Germany in 1918 was defunct 1 year later, when the United States absconded

From Antiquity to Tommorrow's Classroom

NASA Astrophysics Data System (ADS)

Tauer, Pilvi; Vitsut, Ave; Mattisen, Malle; Sepp, Lii

2013-04-01

Explanation: We did our presentation on the basis of four ancient elements: fire (energy and climate change), air (measurements of soot), water and earth (soil and waterbodies as components of ecosystems). All these four projects make use of outdoor learning opportunities and group work; thus students' cooperation and presentation skills are developed and improved. * Climate Change Purpose - to examine the causes of climate change and its impact on the people and the economy of Estonia. The emphasis is on the fact that climate change can be slowed by changing the behaviour of an individual. Methods, activities, results - students will be divided into groups. As an example, one group conducts polls on parents' opinion of the climate changes and changes in their consumption habits during their lifetime, etc. Other groups will examine the climate changes within a bigger picture, track the ecological footprint and energy consumption in the schoolhouse. Another group will explore how each of us can reduce our personal impact on climate change. The results obtained by the groups will currently be displayed on school billboards in the form of figures, tables, comic strips etc. The research project will end with a conference where different groups of students present their work to the school audience using appropriate computer-based facilities. The project will be completed with a joint work by all groups who will make a sculpture from industrial waste. * Measurements of soot Students measured NO2, O3, NH3, SO2, black carbon and different elements. This gave them knowledge about the effects of intensive agriculture and wastewater management, big cities and highways, use of high - sulfur fuel oil, and biomass burning in households. All the gathered data can be compared with the results obtained by other schools who participatied in this project. This means that students can think about why their neighbourhood air pollution levels differ from the cities or villages from the other part of Estonia. * Soil and Waterbodies as Components of Ecosystems Both these projects - soil and waterbodies - involve meeting with scientists, practical investigation into these ecosystems and laboratory work at school, students' written studies and reports presented at a conference. The above mentioned projects were conducted under the supervision of young academics working at Estonian University of Life Sciences and the Museum of Soils in Tartu, as well as and the Limnology Centre at lake Võrtsjärv. Samples of soils were collected from Viljandi and some fields in the county to determine the texture , pH level, carbonates, content of organic matter, N-P-K level; conductivity and chemical absorption were studied also. In conclusion the soils in the town were in good condition, fertile, mostly sandy loam and lightly acid. As an outcome suggestions were given for garden projects. In the Limnology Centre at lake Võrtsjärv water samples were taken and conclusions drawn on the condition and hydrochemical characteristics and of the ecosystem of Estonia's second largest lake.

Engineering students' conceptions of entrepreneurial learning as part of their education

NASA Astrophysics Data System (ADS)

Täks, Marge; Tynjälä, Päivi; Kukemelk, Hasso

2016-01-01

The purpose of this study was to examine what kinds of conceptions of entrepreneurial learning engineering students expressed in an entrepreneurship course integrated in their study programme. The data were collected during an entrepreneurship course in Estonia that was organised for fourth-year engineering students, using video-recorded group interviews (N = 48) and individual in-depth interviews (N = 16). As a result of the phenomenographic analysis, four qualitatively distinctive conceptions of entrepreneurial learning were discerned. Entrepreneurial learning was seen to involve (1) applying entrepreneurial ideas to engineering, (2) understanding entrepreneurial issues in a new way, (3) action-oriented personal development, and (4) self-realising through collective effort. These qualitatively distinct categories differed from each other in four dimensions of variation: nature of learning, response to pedagogy, relation to teamwork, and learning outcomes.

Hazardous radioactivity levels and heavy mineral concentrations in beach sediments of Lake Peipsi, northeastern Estonia

NASA Astrophysics Data System (ADS)

Järvelill, Johanna-Iisebel; Koch, Rein; Raukas, Anto; Vaasma, Tiit

2018-03-01

The present study discusses results of heavy mineral analyses and radioactivity of beach sediments of Lake Peipsi. Such analyses are commonly done globally, but had not yet been conducted for the fourth largest lake in Europe. The average heavy mineral content in Lake Peipsi beach sediments along the northern and western coast is higher than usual for Estonian coastal and Quaternary sediments. Concomitantly, elevated radioactivity levels have been measured in several places, with the highest concentrations observed at Alajõe (1885.5 Bq/kg), which is over five times more than the recommended limit. The aim of the present study is to find sites with higher radioactivity levels, because the northern coast of Lake Peipsi is a well-known recreational area.

[The European countries confronting cancer: a set of indicators assessing public health status].

PubMed

Borella, Laurent

2008-11-01

We now know that efficient public policies for cancer control need to be global and take into account each and all the factors involved: economics and level of development, style of life and risk factors, access to screening, effectiveness of the care-providing system. A very simple scorecard is proposed, based on publicized public health indicators, which allows a comparison between European countries. We extracted 49 indicators from public databases and literature concerning 22 European countries. We made correlation calculations in order to identify relevant indicators from which a global score was extracted. Using a hierarchical clustering method we were then able to identify subsets of homogeneous countries. A 7 indicator scorecard was drawn up: national gross product, scientific production, smoking rate, breast screening participating rate, all cancer mortality rate (male population), 5 years relative survival for colorectal cancer and life expectancy at birth. A global score shows: 1) the better positioned countries: Switzerland, Sweden, Finland and France; 2) the countries where cancer control is less effective: Estonia, Hungary, Poland and Slovakia. Three subsets of countries with a fairly similar profile were identified: a high level of means and results group; a high level of means but a medium level of results group; and a low level of means and results group. This work emphasizes dramatically heterogeneous situations between countries. A follow-up, using a reduced but regularly updated set of public health indicators, would help induce an active European policy for cancer control.

Simplifying sampling for African swine fever surveillance: Assessment of antibody and pathogen detection from blood swabs.

PubMed

Carlson, J; Zani, L; Schwaiger, T; Nurmoja, I; Viltrop, A; Vilem, A; Beer, M; Blome, S

2018-02-01

African swine fever (ASF) is a notifiable disease with serious socio-economic consequences that has been present in wild boar in the Baltic States and Poland since 2014. An introduction of ASF is usually accompanied by increased mortality, making fallen wild boar and hunted animals with signs of disease the main target for early warning and passive surveillance. It is difficult, however, to encourage hunters and foresters to report and take samples from these cases. A pragmatic and easy sampling approach with quick-drying swabs could facilitate this. In this study, we further evaluated the use of dry blood swabs for the detection of ASFV antibody and genome with samples from animal trials and diagnostic submissions (blood, bone and organs) from Estonia. Compared to serum samples, dried blood swabs yielded 93.1% (95% confidence interval: [83.3, 98.1]) sensitivity and 100% [95.9, 100.0] specificity in a commercial ASFV antibody ELISA. Similarly, the swabs gave a sensitivity of 98.9% [93.4, 100.0] and a specificity of 98.1% [90.1, 100.0] for genome detection by a standard ASFV p72 qPCR when compared to EDTA blood. The same swabs were tested in a VP72-antibody lateral flow device, with a sensitivity of 94.7% [85.4, 98.9] and specificity of 96.1% [89.0, 99.2] compared to the serum ELISA. When GenoTube samples tested in ELISA and LFD were compared, the sensitivity was 96.3% [87.3, 99.5] and the specificity was 93.8% [86.0, 97.9]. This study demonstrates reliable detection of ASFV antibody and genome from swabs. A field test of the swabs with decomposed wild boar carcasses in an endemic area in Estonia also gave promising results. Thus, this technique is a practical approach for surveillance of ASF in both free and endemic areas. © 2017 Blackwell Verlag GmbH.

Health outcomes of bedaquiline in the treatment of multidrug-resistant tuberculosis in selected high burden countries.

PubMed

Lu, Xiaoyan; Smare, Caitlin; Kambili, Chrispin; El Khoury, Antoine C; Wolfson, Lara J

2017-01-26

Less than one-third of patients who are estimated to be infected with multidrug-resistant tuberculosis (MDR-TB) receive MDR-TB treatment regimens, and only 48% of those who received treatment have successful outcomes. Despite current regimens, newer, more effective and cost-effective approaches to treatment are needed. The aim of the study was to project health outcomes and impact on healthcare resources of adding bedaquiline to the treatment regimen of MDR-TB in selected high burden countries: Estonia, Russia, South Africa, Peru, China, the Philippines, and India. This study adapted an existing Markov model to estimate the health outcomes and impact on total healthcare costs of adding bedaquiline to current MDR-TB treatment regimens. A price threshold analysis was conducted to determine the price range at which bedaquiline would be cost-effective. Adding bedaquiline to the background regimen (BR) resulted in increased disability-adjusted life years (DALYs) averted, and reduced total healthcare costs (excluding treatment acquisition costs) compared with BR alone in all countries analyzed. Addition of bedaquiline to BR resulted in savings to healthcare costs compared with BR alone in all countries analyzed, with the highest impact expected in Russia (US$194 million) and South Africa (US$43 million). The price per regimen at which bedaquiline would be cost-effective ranged between US$23,904-US$203,492 in Estonia, Russia, Peru, South Africa, and China (high and upper middle-income countries) and between US$6,996-US$20,323 in the Philippines and India (lower middle-income countries); however, these cost-effective prices do not necessarily address concerns about affordability. Adding bedaquiline to BR provides improvements in health outcomes and reductions in healthcare costs in high MDR-TB burden countries. The range of prices per regimen for which bedaquiline would be cost-effective varied between countries.

Computation of Estonian CORS data using Bernese 5.2 and Gipsy 6.4 softwares

NASA Astrophysics Data System (ADS)

Kollo, Karin; Kall, Tarmo; Liibusk, Aive

2017-04-01

GNSS permanent station network in Estonia (ESTREF) was established already in 2007. In 2014-15 extensive reconstruction of ESTREF was carried out, including the establishment of 18 new stations, change of the hardware in CORS stations as well as establishing GNSS-RTK service for the whole Estonia. For GNSS-RTK service one needs precise coordinates in well-defined reference frame, i.e., ETRS89. For long time stability of stations and time-series analysis the re-processing of Estonian CORS data is ongoing. We re-process data from 2007 until 2015 with program Bernese GNSS 5.2 (Dach, 2015). For the set of ESTREF stations established in 2007, we perform as well computations with GIPSY 6.4 software (Ries et al., 2015). In the computations daily GPS-only solution was used. For precise orbits, final products from CODE (CODE analysis centre at the Astronomical Institute of the University of Bern) and JPL (Jet Propulsion Laboratory) for Bernese and GIPSY solutions were used, respectively. The cut-off angle was set to 10 degrees in order to avoid near-field multipath influence. In GIPSY, precise point positioning method with fixing ambiguities was used. Bernese calculations were performed based on double difference processing. Antenna phase centers were modelled based on igs08.atx and epnc_08.atx files. Vienna mapping function was used for mapping tropospheric delays. For the GIPSY solution, the higher order ionospheric term was modelled based on IRI-2012b model. For the Bernese solution higher order ionospheric term was neglected. FES2004 ocean tide loading model was used for the both computation strategies. As a result, two solutions using different scientific GNSS computation programs were obtained. The results from Bernese and GIPSY solutions were compared, using station repeatability values, RMS and coordinate differences. KEYWORDS: GNSS reference station network, Bernese GNSS 5.2, Gipsy 6.4, Estonia. References: Dach, R., S. Lutz, P. Walser, P. Fridez (Eds); 2015: Bernese GNSS Software Version 5.2. User manual, Astronomical Institute, Universtiy of Bern, Bern Open Publishing. DOI: 10.7892/boris.72297; ISBN: 978-3-906813-05-9. Paul Ries, Willy Bertiger, Shailen, Shailen Desai, & Kevin Miller. (2015). GIPSY 6.4 Release Notes. Jet Propulsion Laboratory, California Institute of Technology. Retrieved from https://gipsy-oasis.jpl.nasa.gov/docs/index.php

Chernobyl cleanup workers from Estonia: cohort description and related epidemiological research.

PubMed

Rahu, Kaja; Rahu, Mati; Tekkel, Mare; Veidebaum, Toomas; Hakulinen, Timo; Auvinen, Anssi; Bigbee, William L; Hartshorne, Michael F; Inskip, Peter D; Boice, John D

2015-12-01

The Estonian study of Chernobyl cleanup workers was one of the first investigations to evaluate the possible health consequences of working in the Chernobyl area (the 30 km exclusion zone and/or adjacent territories) after the 1986 reactor accident. The cohort consists of 4831 men who were dispatched in 1986-1991 for tasks involving decontamination, construction of buildings, transport, radiation measurement, guard duty or other activities. By 31 December 2012, the follow-up of the cohort yielded 102 158 person-years of observation. Exposure and health data were collected by postal questionnaires, biodosimetry evaluations, thyroid screenings, and record-linkages with cancer, causes of death and health insurance reimbursement registers and databases. These data cover socio-demographic factors, employment history, aspects of health behaviour, medical history, work and living conditions in the Chernobyl area, biomarkers of exposure, cancer and non-cancer disease occurrence and causes of death. Cancer incidence data were obtained for 1986-2008, mortality data for 1986-2011 and non-cancer morbidity data for 2004-2012. Although the cohort is relatively small, it has been extensively examined and benefited from comprehensive nationwide population and health registers. The major finding was an increased risk of suicide. Thyroid examinations did not reveal an association with thyroid nodular disease and radiation dose, but did indicate the importance of accounting for screening when making comparisons with unscreened populations. No risk of leukaemia was observed and risks higher than 2.5-fold could be excluded with 95% confidence. Biodosimetry included GPA analyses and chromosomal translocation analyses and indicated that the Estonian cleanup workers experienced a relatively low mean exposure of the order of 0.1 Gy. One value of the Estonian study is in the methodologic processes brought to bear in addressing possible health effects from the Chernobyl accident. Twenty-five years of research are summarised and opportunities for the future listed.

Barriers to access to opioid medicines for patients with opioid dependence: a review of legislation and regulations in eleven central and eastern European countries.

PubMed

Vranken, Marjolein J M; Mantel-Teeuwisse, Aukje K; Jünger, Saskia; Radbruch, Lukas; Scholten, Willem; Lisman, John A; Subataite, Marija; Schutjens, Marie-Hélène D B

2017-06-01

Barriers linked to drug control systems are considered to contribute to inequitable access to controlled medicines, leaving millions of people in pain and suffering. Most studies focus on access to opioids for the treatment of severe (cancer) pain. This study aims to identify specific access barriers for patients with opioid dependence in legislation and regulations of 11 central and eastern European countries. This study builds on a previous analysis of legislation and regulations as part of the EU 7th Framework Access To Opioid Medication in Europe (ATOME) project. An in-depth analysis was undertaken to determine specific barriers for patients with opioid dependence in need of opioid analgesics or opioid agonist therapy (OAT). For each country, the number and nature of specific potential barriers for these patients were assessed according to eight categories: prescribing; dispensing; manufacturing; usage; trade and distribution; affordability; penalties; and other. An additional keyword search was conducted to minimize the omission of barriers. Barriers in an additional category, language, were recorded qualitatively. Countries included Bulgaria, Cyprus, Estonia, Greece, Hungary, Latvia, Lithuania, Serbia, Slovakia, Slovenia and Turkey. Ten of the 11 countries (all except Estonia) showed specific potential barriers in their legislation and regulations. The total number of barriers varied from two (Slovenia) to 46 (Lithuania); the number of categories varied from one (Slovenia) to five (Lithuania). Most specific potential barriers were shown in the categories 'prescribing', 'usage' and 'other'. The total number in a single category varied from one to 18 (Lithuania, prescribing). Individual differences between countries in the same specific potential barrier were shown; for example, variation in minimum age criteria for admission to OAT ranging from 15 (Lithuania, in special cases) to 20 years (Greece). All countries had stigmatizing language in their legislation. Patients with opioid dependence are likely to experience specific barriers to accessing opioids in addition to those experienced by other non-dependent patients. © 2017 Society for the Study of Addiction.

Reconstructing the groundwater flow in the Baltic Basin during the Last glaciation

NASA Astrophysics Data System (ADS)

Saks, T.; Sennikovs, J.; Timuhins, A.; Kalvāns, A.

2012-04-01

In last decades it has been discussed that most large ice sheets tend to reside on warm beds even in harsh clima tic conditions and subglacial melting occurs due to geothermal heat flow and deformation heat of the ice flow. However the subglacial groundwater recharge and flow conditions have been addressed in only few studies. The aim of this study is to establish the groundwater flow pattern in the Baltic Basin below the Scandinavian ice sheet during the Late Weichselian glaciation. The calculation results are compared to the known distribution of the groundwater body of the glacial origin found in Cambrian - Vendian (Cm-V) aquifer in the Northern Estonia which is believed to have originated as a result of subglacial meltwater infiltration during the reoccurring glaciations. Steady state regional groundwater flow model of the Baltic Basin was used to simulate the groundwater flow beneath the ice sheet with its geometry adjusted to reflect the subglacial topography. Ice thickness modelling data (Argus&Peltier, 2010) was used for the setup of the boundary conditions: the meltwater pressure at the ice bed was assumed equal to the overlying ice mass. The modelling results suggest two main recharge areas of the Cm-V aquifer system, and reversed groundwater flow that persisted for at least 14 thousand years. Model results show that the groundwater flow velocities in the Cm-V aquifer in the recharge area in N-Estonia beneath the ice sheet exceeded the present velocities by a factor of 10 on average. The calculated meltwater volume recharged into the Cm-V aquifer system during the Late Weichselian corresponds roughly to the estimated, however, considering the fact, that the study area has been glaciated at least 4 times this is an overestimation. The modeling results attest the hypothesis of light dO18 groundwater glacial origin in the Cm-V aquifer system, however the volumes, timing and processes involved in the meltwater intrusion are yet to be explored. This study was financed by the European Social fund Nr. 2009/0212/1DP/1.1.1.2.0/09/APIA/VIAA/060

Annual Threat Assessment of the US Intelligence Community for the Senate Select Committee on Intelligence

DTIC Science & Technology

2010-02-02

flows are recovering, and the IMF has the resources to intervene when necessary. Nonetheless, the economies of several countries remain at risk...economic setbacks, particularly if they lose support from the IMF and other sources of finance. Bulgaria, Estonia, Greece, Hungary, Iceland, Ireland...export sector. China is likely to surpass Japan as the world’s second largest economy this year—a year earlier than the IMF had forecasted before the

Strategic Calculation in Estonia’s Decision to Enter the Coalition of the Willing for Operation Iraqi Freedom in 2003

DTIC Science & Technology

2015-05-21

bandwagon , that is, ally with the state that poses the major threat in order to protect their own security. If balancing, then states are more secure...because aggressors face combined opposition. If bandwagoning , then security is scarce because aggression is rewarded.4 Balance of power theorists...Transformed: Complexity Theory and European Security (Lanham, MD: Rowman and Littlefield Publishers, 2001), 6. 10 establish an effective Baltic

Reinforcing Deterrence on NATO’s Eastern Flank: Wargaming the Defense of the Baltics

DTIC Science & Technology

2016-01-01

RUSSIA RUSSIA FINLAND POLAND LITHUANIA LATVIA ESTONIA BELARUS Vilnius Riga Helsinki Tallinn Minsk 6 ritorial integrity of the two countries. Under the best...them under Moscow’s nuclear umbrella. By turning a NATO counterattack aimed at liberating the Baltic republics into an “invasion” of “Russia...fires systems, in territory that even NATO would agree constitutes “Russia.” Under Russian doctrine, it is unclear what kinds or magnitudes of

Democratic Peace Theory and Greek-Turkish Relations in the Context of the European Union

DTIC Science & Technology

2009-12-01

religion (the vast majority are Christian Orthodox ), the same national anthem, and even the same traditions. In addition, during the past Greek...Peace, 1918 –1988,” American Political Science Review 90, (1996): 512–33. 61 Maoz and Russett, “Normative and Structural Causes,” 636. 62 Chan, “In...states consisted of Cyprus, Estonia, Poland, Hungary, Slovenia and the Czech Republic; while the second one included Romania , Bulgaria, Latvia

United States Foreign Assistance Programs: The Requirement of Metrics for Security Assistance and Security Cooperation Programs

DTIC Science & Technology

2012-06-01

Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania , Slovakia, and Slovenia. 26 The seven PfP Eastern European countries, as...The Soviet experience has left an indelible mark in Ukrainian “identity, politics, economics and even religion ”127 and this experience looms large in...from Tsarist Russia to the Soviet Union from 1918 to 1921.186 The Russian and Soviet influences, along with previous Persian and Ottoman cultures

Nationwide citizen access to their health data: analysing and comparing experiences in Denmark, Estonia and Australia.

PubMed

Nøhr, Christian; Parv, Liisa; Kink, Pille; Cummings, Elizabeth; Almond, Helen; Nørgaard, Jens Rahbek; Turner, Paul

2017-08-07

Most countries face an ageing population, increasing chronic diseased, and constrictions on budget for providing health services. Involving patients in their own care by allowing them access to their patient data is a trend seen in many places. Data on the type and level of access citizens have to their own health data in three countries was gathered from public sources. Data from each individual country is presented and the experiences of Denmark, Estonia and Australia are examined whilst similarities and differences explored. The discussion adopts a citizen-centred perspective to consider how the different e-portal systems support, protect and structure citizen interactions with their own health data in three key areas: Security, privacy and data protection; User support; and Citizen adoption and use. The paper highlights the impact of opt-in/opt-out approaches on citizen access and the lack of a structured approach to addressing differences in citizen health and e-health literacy. This research also confirms while current data provides detail on the availability and use of personal health data by citizens, questions still remain over the ultimate impact on patient outcomes of these initiatives. It is anticipated the insights generated from the three countries experiences, supporting citizen access to their health data will be useful to improve these initiatives and guide other countries aspiring to support similar initiatives.

The timing of introduction of pharmaceutical innovations in seven European countries

PubMed Central

Westerling, Ragnar; Westin, Marcus; McKee, Martin; Hoffmann, Rasmus; Plug, Iris; Rey, Grégoire; Jougla, Eric; Lang, Katrin; Pärna, Kersti; Alfonso, José L; Mackenbach, Johan P

2014-01-01

Rationale, aims and objectives Differences in the performance of medical care may be due to variation in the introduction and diffusion of medical innovations. The objective of this paper is to compare seven European countries (United Kingdom, the Netherlands, West Germany, France, Spain, Estonia and Sweden) with regard to the year of introduction of six specific pharmaceutical innovations (antiretroviral drugs, cimetidine, tamoxifen, cisplatin, oxalaplatin and cyclosporin) that may have had important population health impacts. Methods We collected information on introduction and further diffusion of drugs using searches in the national and international literature, and questionnaires to national informants. We combined various sources of information, both official years of registration and other indicators of introduction (clinical trials, guidelines, evaluation reports, sales statistics). Results and conclusions The total length of the period between first and last introduction varied between 8 years for antiretroviral drugs and 22 years for cisplatin. Introduction in Estonia was generally delayed until the 1990s. The average time lags were smallest in France (2.2 years), United Kingdom (2.8 years) and the Netherlands (3.5 years). Similar rank orders were seen for year of registration suggesting that introduction lags are not only explained by differences in the process of registration. We discuss possible reasons for these between-country differences and implications for the evaluation of medical care. PMID:24750393

Sex work in Tallinn, Estonia: the sociospatial penetration of sex work into society

PubMed Central

Aral, S O; Lawrence, J S St; Uusküla, A

2006-01-01

Background It is important to describe and understand the underlying patterns and dynamics that govern sex work in societies undergoing rapid political and social changes, its heterogeneity across populations, and its evolution through time in order to inform future research, sound policy formation, and programme delivery. Objectives To describe the socioeconomic and cultural determinants, organisational structure, distinct categories, and spatial patterning of sex work in Tallinn, Estonia, and identify recent temporal changes in sex work patterns. Methods In‐depth interviews with key informants; naturalistic observations of sex work and drug use venues, geo‐mapping of sex work sites, review of media, public policy, and commissioned reports, and analyses of existing data. Results Sex work takes place in a hierarchy of locations in Tallinn ranging from elite brothels and “love flats” to truck stops. These sites vary in terms of their public health importance and social organisation. There are full time, part time, and intermittent male and female sex workers. Among others, the taxi driver, madam and the bartender are central roles in the organisation of sex work in Tallinn. Cell phone and internet technology enable sex work to be highly dispersed and spatially mobile. Conclusion Future research and programmatic service delivery or outreach efforts should respond to the changing profile of sex work in Tallinn and its implications for STD/HIV epidemiology. PMID:16807288

The timing of introduction of pharmaceutical innovations in seven European countries.

PubMed

Westerling, Ragnar; Westin, Marcus; McKee, Martin; Hoffmann, Rasmus; Plug, Iris; Rey, Grégoire; Jougla, Eric; Lang, Katrin; Pärna, Kersti; Alfonso, José L; Mackenbach, Johan P

2014-08-01

Differences in the performance of medical care may be due to variation in the introduction and diffusion of medical innovations. The objective of this paper is to compare seven European countries (United Kingdom, the Netherlands, West Germany, France, Spain, Estonia and Sweden) with regard to the year of introduction of six specific pharmaceutical innovations (antiretroviral drugs, cimetidine, tamoxifen, cisplatin, oxalaplatin and cyclosporin) that may have had important population health impacts. We collected information on introduction and further diffusion of drugs using searches in the national and international literature, and questionnaires to national informants. We combined various sources of information, both official years of registration and other indicators of introduction (clinical trials, guidelines, evaluation reports, sales statistics). The total length of the period between first and last introduction varied between 8 years for antiretroviral drugs and 22 years for cisplatin. Introduction in Estonia was generally delayed until the 1990s. The average time lags were smallest in France (2.2 years), United Kingdom (2.8 years) and the Netherlands (3.5 years). Similar rank orders were seen for year of registration suggesting that introduction lags are not only explained by differences in the process of registration. We discuss possible reasons for these between-country differences and implications for the evaluation of medical care. © 2014 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons, Ltd.

No evidence for mutations in NLRP7, NLRP2 or KHDC3L in women with unexplained recurrent pregnancy loss or infertility.

PubMed

Aghajanova, L; Mahadevan, S; Altmäe, S; Stavreus-Evers, A; Regan, L; Sebire, N; Dixon, P; Fisher, R A; Van den Veyver, I B

2015-01-01

Are mutations in NLRP2/7 (NACHT, LRR and PYD domains-containing protein 2/7) or KHDC3L (KH Domain Containing 3 Like) associated with recurrent pregnancy loss (RPL) or infertility? We found no evidence for mutations in NLRP2/7 or KHDC3L in unexplained RPL or infertility. Mutations in NLRP7 and KHDC3L are known to cause biparental hydatidiform moles (BiHMs), a rare form of pregnancy loss. NLRP2, while not associated with the BiHM pathology, is known to cause recurrent Beckwith Weidemann Syndrome (BWS). Ninety-four patients with well characterized, unexplained infertility were recruited over a 9-year period from three IVF clinics in Sweden. Blood samples from 24 patients with 3 or more consecutive miscarriages of unknown etiology were provided by the Recurrent Miscarriage Clinic at St Mary's Hospital, London, UK. Patients were recruited into both cohorts following extensive clinical studies. Genomic DNA was isolated from peripheral blood and subject to Sanger sequencing of NLRP2, NLRP7 and KHDC3L. Sequence electropherograms were analyzed by Sequencher v5.0 software and variants compared with those observed in the 1000 Genomes, single nucleotide polymorphism database (dbSNP) and HapMap databases. Functional effects of non-synonymous variants were predicted using Polyphen-2 and sorting intolerant from tolerant (SIFT). No disease-causing mutations were identified in NLRP2, NLRP7 and KHDC3L in our cohorts of unexplained infertility and RPL. Due to the limited patient size, it is difficult to conclude if the low frequency single nucleotide polymorphisms observed in the present study are causative of the phenotype. The design of the present study therefore is only capable of detecting highly penetrant mutations. The present study supports the hypothesis that mutations in NLRP7 and KHDC3L are specific for the BiHM phenotype and do not play a role in other adverse reproductive outcomes. Furthermore, to date, mutations in NLRP2 have only been associated with the imprinting disorder BWS in offspring and there is no evidence for a role in molar pregnancies, RPL or unexplained infertility. This study was funded by the following sources: Estonian Ministry of Education and Research (Grant SF0180044s09), Enterprise Estonia (Grant EU30020); Mentored Resident research project (Department of Obstetrics and Gynecology, Baylor College of Medicine); Imperial NIHR Biomedical Research Centre; Grant Number C06RR029965 from the National Center for Research Resources (NCCR; NIH). No competing interests declared. © The Author 2014. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Shale Oil Value Enhancement Research

DOE Office of Scientific and Technical Information (OSTI.GOV)

James W. Bunger

2006-11-30

Raw kerogen oil is rich in heteroatom-containing compounds. Heteroatoms, N, S & O, are undesirable as components of a refinery feedstock, but are the basis for product value in agrochemicals, pharmaceuticals, surfactants, solvents, polymers, and a host of industrial materials. An economically viable, technologically feasible process scheme was developed in this research that promises to enhance the economics of oil shale development, both in the US and elsewhere in the world, in particular Estonia. Products will compete in existing markets for products now manufactured by costly synthesis routes. A premium petroleum refinery feedstock is also produced. The technology is nowmore » ready for pilot plant engineering studies and is likely to play an important role in developing a US oil shale industry.« less

[Environmental protection techniques used in the federal state of Baden-Württemberg in Germany].

PubMed

Vasilić, Zelimira

2006-09-01

Within the framework of the programme "Partnership for Sustainable Development" The Ministry of Environment of the German Federal State of Baden-Württemberg has come up with a project "Study Visit--Environmental Protection Techniques". It was intended as a three-week study visit for environmental protection experts from Central and Eastern European Countries (CEEC) to learn about the environmental protection techniques used in this federal state. Visits were paid to companies producing, applying or installing plants based on the state-of-the-art environmental protection techniques. The project started in 2005 and will last five years. The first visit to Baden-Württemberg was scheduled for 25 September-14 October 2005 for 12 experts from 12 countries: Bulgaria, Croatia, Cyprus, Czech Republic, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Slovakia and Ukraine.

Effect of supplementation with organic selenium on mercury status as measured by mercury in pubic hair.

PubMed

Seppänen, K; Kantola, M; Laatikainen, R; Nyyssönen, K; Valkonen, V P; Kaarlöpp, V; Salonen, J T

2000-06-01

The purpose of this study was to evaluate the effect of four months of yeast-based selenium supplementation on selenium and mercury status in subjects with low serum selenium. The study was carried out in Rakvere, Estonia. Pubic hair mercury, serum selenium and blood selenium concentrations in 23 subjects (serum selenium < 90 micrograms/l) were investigated before and after selenium supplementation. Thirteen subjects were randomized into the selenium supplementation group and ten into the placebo group. The selenium supplementation group received daily 100 micrograms of selenomethionine. Selenium supplementation reduced pubic hair mercury level by 34% (p = 0.005) and elevated serum selenium by 73% and blood selenium by 59% in the supplemented group (p < 0.001 for both). The study indicates that mercury accumulation in pubic hair can be reduced by dietary supplementation with small daily amounts of organic selenium in a short range of time.

The Trust: The Classic Example of Soviet Manipulation.

DTIC Science & Technology

1985-09-01

Poland , returned to Paris. Visited Prague for awhile; received no help. Late summer, 1921 (T) Yavk’hev stops in Reval, Estonia and explains the...Paris since he was asked to leave Poland at the end of the Russo-Polish War in 1921. He was still trying to drum up support from Western ’The New York...Liod orge-and bav~ inov at Lloyd George s private home. When Savinkov entered Lloyd George aqd his family were singing. They continued to sing and

An Evaluation of the Anti-Soviet Guerrilla Warfare Potential in Soviet Estonia

DTIC Science & Technology

1974-10-15

der Waffen-S[., p. 95. 21 42. Arnold Purre, "Saksa-NÖuk. Liidu soja uldjooni," in Eestl Rllk ja Rahvas Telses Maallmasojas, Vol. 7, ed. by...Purre, "Saksa-Nouk. Liidu söja uldjooni," p. 35. 45. Hausser, pp. 95-96. 46. Purre, "Saksa-Nouk. Liidu soja uldjooni," p. 35. 47. Ibid. p. 36...of Estot.ia and life under the Soviet occupation.) 10. Maasing, Richard, et al. Ecsti Rilk Ja Rahvas Telses Maallma- sojas . Vol. 1

Expanding the Department of Defense’s Role in Cyber Civil Support

DTIC Science & Technology

2011-06-17

vulnerability of this very crucial domain. They include the Y2K problem, the Estonia cyber-attacks in 2007, and the role of cyber in the Russian-Georgia...cyber security vulnerabilities associated with critical infrastructure. The Year 2000 Challenge The Year 2000 ( Y2K ) problem was the result of...and microprocessors failed to make the correct transition from 1999 to 2000.19 One of the most critical concerns with Y2K was the potential cascading

The Role of Small States in the Post-Cold War Era: The Case of Belarus

DTIC Science & Technology

2012-05-01

immediately translated its displea- sure into economic sanctions. “The conflict included Russia’s ban on importing Belarusian milk , refusal to provide a...expected some support among the states in post-Soviet space. None of them supported Moscow in this. Absolutely isolated, Mos- cow was anxious to get...the most uncompromised views of Mos- cow . Following the demise of the USSR, resentment was so high in Estonia that it might have been the only state

Industry turns its attention south

DOE Office of Scientific and Technical Information (OSTI.GOV)

Marhefka, D.

1997-08-01

The paper discusses the outlook for the gas and oil industries in the Former Soviet Union and Eastern Europe. Significant foreign investment continues to elude Russia`s oil and gas industry, so the Caspian nations of Kazakhstan and Azerbaijan are picking up the slack, welcoming the flow of foreign capital to their energy projects. Separate evaluations are given for Russia, Azerbaijan, Kazakhstan, Turkmenistan, Ukraine, Armenia, Belarus, Georgia, Lithuania, Latvia, Estonia, Moldova, Tajikstan, Uzbekistan, Albania, Bulgaria, Croatia, Czech Republic, Hungary, Poland, Romania, Slovakia, Slovenia, and Serbia.

Soft-sediment deformation structures in Cambrian Series 2 tidal deposits (NW Estonia): implications for identifying endogenic triggering mechanisms in ancient sedimentary record

NASA Astrophysics Data System (ADS)

Põldsaar, Kairi

2015-04-01

Soft-sediment deformation structures (SSDS) are documented in several horizons within silt- and sandstones of the Cambrian Series 2 (Dominopolian Stage) Tiskre Formation, and some in the below-deposited argillaceous deposits of the Lükati Formation (northern part of the Baltoscandian Palaeobasin, NW Estonia). The aim of this study was to map, describe, and analyze these deformation features, discuss their deformation mechanism and possible triggers. Load structures (simple load casts, pillows, flame structures, convoluted lamination) with varying shapes and sizes occur in the Tiskre Fm in sedimentary interfaces within medium-bedded peritidal rhythmites (siltstone-argillaceous material) as well as within up to 3 m thick slightly seaward inclined stacked sandstone sequences. Homogenized beds, dish-and-pillar structures, and severely deformed bedding are also found within these stacked units and within a large tidal runoff channel infill. Autoclastic breccias and water-escape channels are rare and occur only in small-scale -- always related to thin, horizontal tidal laminae. Profound sedimentary dykes, sand volcanoes, and thrust faults, which are often related to earthquake triggered soft sediment deformation, were not observed within the studied intervals. Deformation horizon or horizons with large flat-topped pillows often with elongated morphologies occur at or near the boundary between the Tiskre and Lükati formations. Deformation mechanisms identified in this study for the various deformation types are gravitationally unstable reversed density gradient (especially in case of load features that are related to profound sedimentary interfaces) and lateral shear stress due to sediment current drag (in case of deformation structures that not related to loading at any apparent sedimentary interface). Synsedimentary liquefaction was identified as the primary driving force in most of the observed deformation horizons. Clay thixotropy may have contributed in the formation of large sandstone pillows within the Tiskre-Lükati boundary interval at some localities. It is discussed here that the formation of the observed SSDS is genetically related to the restless dynamics of the storm-influenced open marine tidal depositional environment. The most obvious causes of deformation were rapid-deposition, shear and slumping caused by tidal surges, and storm-wave loading.

Socioeconomic factors and childhood overweight in Europe: results from the multi-centre IDEFICS study.

PubMed

Bammann, K; Gwozdz, W; Lanfer, A; Barba, G; De Henauw, S; Eiben, G; Fernandez-Alvira, J M; Kovács, E; Lissner, L; Moreno, L A; Tornaritis, M; Veidebaum, T; Pigeot, I

2013-02-01

What is already known about this subject Overweight and obesity can be linked to different parental socioeconomic factors already in very young children. In Western developed countries, the association of childhood overweight and obesity and parental socioeconomic status shows a negative gradient. Ambiguous results have been obtained regarding the association between socioeconomic factors and childhood overweight and obesity in different countries and over time. What this study adds European regions show heterogeneous associations between socioeconomic factors and overweight and obesity in a multi-centre study with highly standardized study protocol. The strength of association between SES and overweight and obesity varies across European regions. In our study, the SES gradient is correlated with the regional mean income and the country-specific Human development index indicating a strong influence not only of the family but also of region and country on the overweight and obesity prevalence. To assess the association between different macro- and micro-level socioeconomic factors and childhood overweight. Data from the IDEFICS baseline survey is used to investigate the cross-sectional association between socioeconomic factors, like socioeconomic status (SES), and the prevalence of childhood overweight. Differences and similarities regarding this relationship in eight European regions (located in Belgium, Cyprus, Estonia, Germany, Hungary, Italy, Spain and Sweden) are explored. 11 994 children (50.9% boys, 49.1% girls) and their parents were included in the analyses. In five of the eight investigated regions (in Belgium, Estonia, Germany, Spain and Sweden), the prevalence of childhood overweight followed an inverse SES gradient. In the other three regions (in Cyprus, Hungary and Italy), no association between SES and childhood overweight was found. The SES-overweight association in a region was best explained by the country-specific human development index and the centre-specific mean income. For the investigated association between other socioeconomic factors and overweight, no clear pattern could be found in the different regions. The association between socioeconomic factors and childhood overweight was shown to be heterogeneous across different European regions. Further research on nationwide European data is needed to confirm the results and to identify target groups for prevention. © 2012 The Authors. Pediatric Obesity © 2012 International Association for the Study of Obesity.

Breast milk cytokine and IgA composition differ in Estonian and Swedish mothers-relationship to microbial pressure and infant allergy.

PubMed

Tomicić, Sara; Johansson, Git; Voor, Tiia; Björkstén, Bengt; Böttcher, Malin Fagerås; Jenmalm, Maria C

2010-10-01

The immune system of the neonate is influenced by maternal immunity during pregnancy and lactation. An altered microbial exposure, possibly underlying the increase of allergic diseases in affluent societies, may affect maternal breast milk immune composition. Secretory IgA (SIgA), IL-4, IL-10, IL-13, IFN-[gamma], TGF-[beta]1, and TGF-[beta]2 were analyzed with ELISA in colostrum and 1-mo mature milk from mothers from Estonia (n = 39) and Sweden (n = 60), the two geographically adjacent countries with different living conditions and allergy incidence. The IL-10 and IFN-[gamma] levels were higher in colostrum from Estonian than Swedish mothers, whereas the opposite was true for TGF-[beta]2. In mature milk, higher SIgA and IFN-[gamma] levels but lower TGF-[beta]1 and TGF-[beta]2 levels were observed in Estonian than Swedish mothers. Interestingly, in Sweden but not Estonia, the TGF-[beta]1 and TGF-[beta]2 levels correlated inversely with environmental endotoxin concentrations, whereas positive correlations to microbial load were observed for IL-4, IL-10, and IFN-[gamma]. High colostral IL-13 levels were associated with allergic sensitization during infancy in Sweden. In conclusion, Estonian mothers have lower breast milk levels of TGF-[beta], particularly TGF-[beta]2, but higher levels of SIgA, IL-10, and IFN-[gamma] than Swedish mothers, possibly because of differences in microbial load.

Is the destabilisation of lake peipsi ecosystem caused by increased phosphorus loading or decreased nitrogen loading?

PubMed

Nõges, T; Laugaste, R; Loigu, E; Nedogarko, I; Skakalski, B; Nõges, P

2005-01-01

Lake Peipsi (3555 km2, mean depth 7.1 m) located on the border of Estonia and Russia is the largest transboundary lake in Europe. L. Peipsi consists of three parts. The shared largest northern part L. Peipsi s.s. (2611 km2, 8.3 m) and the southern L. Pihkva (708 km2, 3.8 m) which belongs mainly to Russia are connected by the river-shaped L. Lämmijärv (236 km2, 2.5 m). The catchment area (44,245 km2 without lake area) is shared between Estonia (33.3%), Russia (58.6%) and Latvia (8%). Intensive eutrophication of L. Peipsi started in the 1970s. The biomass of N2-fixing cyanobacteria was low at heavy nutrient loading in the 1980s. After the collapse of soviet-type agriculture in the early 1990s, the loading of nitrogen sharply decreased. A certain improvement of L. Peipsi s.s. was noticed at the beginning of the 1990s together with the temporary reduction of phosphorus loading from Estonian catchment while in recent years a destabilisation of the ecosystem has been observed. This deterioration has been expressed mainly as intensive blue-green blooms and fish-kills in summer. Reappearance of blooms has been explained by the decrease in N/P loading ratio due to reduced N discharge while in some periods increased phosphorus loading could have supported this trend.

A survey of Estonian consumer expectations from the pharmacy service and a comparison with the opinions of pharmacists.

PubMed

Villako, Peeter; Raal, Ain

2007-10-01

To assess the preferences of pharmacy customers when choosing a pharmacy and their expectations of the service, and comparing these with the opinions of pharmacists. Opinion and satisfaction of community pharmacy clients in Estonia. A written survey was carried out among pharmacy customers (n=1979) in cities (in 3 community pharmacies), towns (in 2 community pharmacies), and in small towns (in 2 community pharmacies). The survey was also carried out among community pharmacists (n=135) in different regions of Estonia. When choosing a pharmacy, its location was considered most important, costs and wide choice are less important. The most important expectations of customers' included help choosing the right medicine, as well as professional consultation. Preferences and expectations of pharmacy customers depended on their age, gender and income. Parking space, quickness and pleasantness were considered important by men. Costs and wide choice were considered to be more important by women. Pharmacists wish to give patients more information, but they overestimate the importance of quick service. Customers favoured privacy, discretion and confidentiality more. These characteristics were especially important to younger well-paid people living in big cities. In contrast to the opinions offered by pharmacists', a rapid customer service is so not as important as the quality of service in pharmacy according to customers. They also emphasised that pharmacies should highlight the choice of products, quality of service, a professional consultation, as well as ensure privacy.

Where Do Ethno-Linguistic Groups Meet? How Copresence during Free-Time Is Related to Copresence at Home and at Work

PubMed Central

Toomet, Ott; Silm, Siiri; Saluveer, Erki; Ahas, Rein; Tammaru, Tiit

2015-01-01

This paper analyzes ethnic segregation across the whole activity space—at place of residence, place of work, and during free-time. We focus on interethnic meeting potential during free-time, measured as copresence, and its relationship to copresence at place of residence and work. The study is based on cellphone data for a medium-sized linguistically divided European city (Tallinn, Estonia), where the Estonian majority and mainly Russian-speaking minority populations are of roughly equal size. The results show that both places of residence and work are segregated, while other activities occur in a far more integrated environment. Copresence during free-time is positively associated with copresence at place of residence and work, however, the relationship is very weak. PMID:25996504

Where Do Ethno-Linguistic Groups Meet? How Copresence during Free-Time Is Related to Copresence at Home and at Work.

PubMed

Toomet, Ott; Silm, Siiri; Saluveer, Erki; Ahas, Rein; Tammaru, Tiit

2015-01-01

This paper analyzes ethnic segregation across the whole activity space-at place of residence, place of work, and during free-time. We focus on interethnic meeting potential during free-time, measured as copresence, and its relationship to copresence at place of residence and work. The study is based on cellphone data for a medium-sized linguistically divided European city (Tallinn, Estonia), where the Estonian majority and mainly Russian-speaking minority populations are of roughly equal size. The results show that both places of residence and work are segregated, while other activities occur in a far more integrated environment. Copresence during free-time is positively associated with copresence at place of residence and work, however, the relationship is very weak.

Spatial variability and sources of ammonia in three European cities

NASA Astrophysics Data System (ADS)

Prevot, Andre S. H.; Elser, Miriam; El Haddad, Imad; Maasikmets, Marek; Bozzetti, Carlo; Robert, Wolf; Richter, Rene; Slowik, Jay; Teinemaa, Erik; Hueglin, Christoph; Baltensperger, Urs

2017-04-01

For the assessment of ammonia (NH3) effects on ecosystems and climate, one would ideally know the emission sources and also the spatial distributions. Agriculture is the largest global source of NH3. However traffic, especially gasoline vehicles, biomass burning or waste management can be significant in urban areas. Ambient NH3 measurements using cavity ring-down spectroscopy were performed online at high time resolution on a moving vehicle in three cities: Zurich (Switzerland), Tartu (Estonia) and Tallinn (Estonia). Initial tests showed that a regular inlet cannot be used. A heated line including an auxiliary flow was finally deployed to minimize NH3 adsorption onto the inlet walls. We will present the characterization of the response and recovery times of the measurement system which was used to deconvolve the true NH3 signal from the remaining adsorption-induced hysteresis. Parallel measurements with an Aerodyne aerosol mass spectrometer were used to correct the observed NH3 for the contribution of ammonium nitrate (NH4NO3) which completely evaporated to NH3 and nitric acid (HNO3) in the heated line at the chosen temperature, in contrast to ammonium sulfate. Finally, quantitative measurements of ambient NH3 are possible with sufficient time resolution to enable measurement of NH3 point or line sources with a mobile sampling platform. The NH3 analyzer and the aerosol mass spectrometer were complemented by an aethalometer to measure black carbon and various gas-phase analyzers to enable a complete characterization of the sources of air pollution, including the spatial distributions and the regional background concentrations and urban increments of all measured components. Although at all three locations similar urban increment levels of organic aerosols were attributed to biomass burning and traffic, traffic emissions clearly dominated the city enhancements of NH3, equivalent black carbon (eBC) and carbon dioxide (CO2). Concentration gradients in areas strongly influenced by traffic emissions (including drives in and out various tunnels) were used to determine fleet average emission factors (EF) for the traffic-related pollutants. Significant differences were found between the EFs of certain components in the three cities, which were to some degree consistent with an older vehicle fleet in Estonia compared to Switzerland. Using the determined EFs we show that traffic can basically fully explain the NH3 increments in the three cities and also a non-negligible fraction of the background concentrations, which are known to be mostly related to agricultural activities. Comparisons to a European emission inventory will be discussed.

An Invasive Vector of Zoonotic Disease Sustained by Anthropogenic Resources: The Raccoon Dog in Northern Europe

PubMed Central

Süld, Karmen; Valdmann, Harri; Laurimaa, Leidi; Soe, Egle; Davison, John; Saarma, Urmas

2014-01-01

The raccoon dog (Nyctereutes procyonoides) is an introduced species in Europe with a continually expanding range. Since the species is capable of affecting local ecosystems and is a vector for a number of severe zoonotic diseases, it is important to understand its food habits. Raccoon dog diet was studied in Estonia by examining the contents of 223 stomach samples collected during the coldest period of the year, August to March, in 2010–2012. The most frequently consumed food categories were anthropogenic plants (e.g. cereals, fruits; FO = 56.1%) and carrion (e.g. carcasses of artiodactyls and carnivores; FO = 48.4%). Carrion was also the only food category that was consumed significantly more frequently by raccoon dogs exhibiting symptoms of sarcoptic mange than by uninfected animals. Small mammals, which represent intermediate hosts for the zoonotic tapeworm Echinococcus multilocularis, were more commonly recorded in samples also containing anthropogenic plants than expected by chance. Comparison of raccoon dog and red fox (Vulpes vulpes) diet in Estonia revealed higher overlap than found elsewhere in Europe, with ‘carrion’ and ‘anthropogenic plants’ making up the bulk of both species’ diet; however, raccoon dogs were more omnivorous than red foxes. Our results suggest that while the use of most food categories reflects the phenology of natural food sources, ‘anthropogenic plants’ and ‘carrion’ provide an essential resource for raccoon dogs during the coldest period of the year, with the latter resource especially important for individuals infected with sarcoptic mange. Since both of these food categories and small mammals are often found at supplementary feeding sites for wild boar (Sus scrofa), this game management practice may facilitate high densities of mesocarnivores and promote the spread of some severe zoonotic diseases, including alveolar echinococcosis, trichinellosis, rabies and sarcoptic mange. PMID:24852942

Smoking differences between employees in faculties of the University of Tartu, Estonia, and changes during the country's transition

PubMed Central

2011-01-01

Background A previous study found marked differences in smoking between employees in various university faculties in Tartu, Estonia, soon after the disruption of communism. The present study was conducted to see whether such differences still exist and how the patterns had changed during the country's first transitional decade. Methods All employees at the University of Tartu (UT) were surveyed for smoking habits by means of a questionnaire in 1992 and 2003. The present paper is based on respondents whose faculty or workplace was known (1390 people in 1992, 1790 in 2003). Smoking differences were assessed in terms of regression-based adjusted figures. Results While 20% of the male employees smoked daily in 1992, 13% did so in 2003, the figures for females being 10% and 7%, respectively. The prevalence of men's daily smoking varied between faculties and other workplaces in the range 4-30% in 1992, and 0-24% in 2003, with corresponding ranges of 3-21% and 0-10% among females. Men in the medical faculty in both surveys, and those in the faculty of philosophy in the second survey showed higher rates than men in most other faculties, as did women in the faculty of law in the first survey and those in the faculty of philosophy in the second. The figures were usually low in the faculties of sports & exercise, physics & chemistry and mathematics. The sex pattern was reversed in the faculty of law and also in that of economics, where the women smoked more than the men. Conclusions Even in this low-smoking academic community, wide smoking differences existed between the faculties and other workplaces. Faculties where physical or mental performance is of prime importance are leading the way towards a smoke-free community, while men in the faculty of philosophy and, paradoxically, men in the medical faculty are lagging behind. The reversed sex ratio in the faculties of law and economics may indicate women's intensified drive for equality in this transitional society. We assume that different professional cultures may introduce variations in smoking patterns, thereby modifying the course of the smoking epidemic. PMID:21385456

Testing the Visual Soil Assessment tool on Estonian farm fields

NASA Astrophysics Data System (ADS)

Reintam, Endla; Are, Mihkel; Selge, Are

2017-04-01

Soil quality estimation plays important role in decision making on farm as well on policy level. Sustaining the production ability and good health of the soil the chemical, physical and biological indicators should be taken into account. The system to use soil chemical parameters is usually quite well established in most European counties, including Estonia. However, measuring soil physical properties, such bulk density, porosity, penetration resistance, structural stability ect is time consuming, needs special tools and is highly weather dependent. In that reason these parameters are excluded from controllable quality parameters in policy in Estonia. Within the project "Interactive Soil Quality Assessment in Europe and China for Agricultural Productivity and Environmental Resilience" (iSQAPER) the visual soil assessment (VSA) tool was developed for easy detection of soil quality as well the different soil friendly agricultural management practices (AMP) were detected. The aim of current study was to test the VSA tool on Estonian farm fields under different management practices and compare the results with laboratory measurements. The main focus was set on soil physical parameters. Next to the VSA, the undisturbed soil samples were collected from the depth of 5-10 cm and 25-30 cm. The study revealed that results of a visually assessed soil physical parameters, such a soil structure, soil structural stability, soil porosity, presence of tillage pan, were confirmed by laboratory measurements in most cases. Soil water stable structure measurement on field (on 1 cm2 net in one 1 l box with 4-6 cm air dry clods for 5-10 min) underestimated very well structured soil on grassland and overestimated the structure aggregates stability of compacted soil. The slightly better soil quality was detected under no-tillage compared to ploughed soils. However, the ploughed soil got higher quality points compared with minimum tillage. The slurry application (organic manuring) had controversial impact - it increased the number of earthworms but decreased soil structural stability. Even the manuring with slurry increases organic matter amount in the soil, the compaction due to the use of heavy machinery during the application, especially on wet soil, reduces the positive effect of slurry.

Smoking differences between employees in faculties of the University of Tartu, Estonia, and changes during the country's transition.

PubMed

Näyhä, Simo; Kivastik, Jana; Kingisepp, Peet-Henn; Heikkinen, Rauno

2011-03-08

A previous study found marked differences in smoking between employees in various university faculties in Tartu, Estonia, soon after the disruption of communism. The present study was conducted to see whether such differences still exist and how the patterns had changed during the country's first transitional decade. All employees at the University of Tartu (UT) were surveyed for smoking habits by means of a questionnaire in 1992 and 2003. The present paper is based on respondents whose faculty or workplace was known (1390 people in 1992, 1790 in 2003). Smoking differences were assessed in terms of regression-based adjusted figures. While 20% of the male employees smoked daily in 1992, 13% did so in 2003, the figures for females being 10% and 7%, respectively. The prevalence of men's daily smoking varied between faculties and other workplaces in the range 4-30% in 1992, and 0-24% in 2003, with corresponding ranges of 3-21% and 0-10% among females. Men in the medical faculty in both surveys, and those in the faculty of philosophy in the second survey showed higher rates than men in most other faculties, as did women in the faculty of law in the first survey and those in the faculty of philosophy in the second. The figures were usually low in the faculties of sports & exercise, physics & chemistry and mathematics. The sex pattern was reversed in the faculty of law and also in that of economics, where the women smoked more than the men. Even in this low-smoking academic community, wide smoking differences existed between the faculties and other workplaces. Faculties where physical or mental performance is of prime importance are leading the way towards a smoke-free community, while men in the faculty of philosophy and, paradoxically, men in the medical faculty are lagging behind. The reversed sex ratio in the faculties of law and economics may indicate women's intensified drive for equality in this transitional society. We assume that different professional cultures may introduce variations in smoking patterns, thereby modifying the course of the smoking epidemic.

Alcohol and premature death in Estonian men: a study of forensic autopsies using novel biomarkers and proxy informants

PubMed Central

2012-01-01

Background Alcohol makes an important contribution to premature mortality in many countries in Eastern Europe, including Estonia. However, the full extent of its impact, and the mechanisms underlying it, are challenging issues to research. We describe the design and initial findings of a study aimed at investigating the association of alcohol with mortality in a large series of forensic autopsies of working-age men in Estonia. Methods 1299 male deaths aged 25-54 years were subject to forensic autopsy in 2008-2009. The routine autopsy protocol was augmented by a more systematic inspection of organs, drug testing, assay of liver enzymes and novel biomarkers of alcohol consumption (EtG, EtS and PEth), together with proxy interviews with next of kin for deaths among men who lived in or close to a major town. Results 595 augmented autopsies were performed. Of these, 66% were from external causes (26% suicide, 25% poisoning). 17% were attributed to circulatory system diseases and 7% to alcoholic liver disease. Blood alcohol concentrations (BAC) of ≥ 0.2 mg/g were found for 55% of deaths. Interviews were conducted with proxy informants for 61% of the subjects who had resided in towns. Of these, 28% were reported in the previous year to have been daily or almost daily drinkers and 10% had drunk non-beverage alcohols. Blood ethanol and the liver enzyme GGT were only associated with daily drinking. However, the novel biomarkers showed a more graded response with recent consumption. In contrast, the liver enzymes AST and ALT were largely uninformative because of post-mortem changes. The presence of extremely high PEth concentrations in some samples also suggested post-mortem formation. Conclusion We have shown the feasibility of deploying an extended research protocol within the setting of routine forensic autopsies that offer scope to deepen our understanding of the alcohol-related burden of premature mortality. The most unique feature of the study is the information on a wide range of informative alcohol biomarkers, several of which have not been used previously in this sort of post-mortem research study. We have demonstrated, for the first time, the epidemiological value and validity of these novel alcohol biomarkers in post-mortem samples. PMID:22369510

Social representations of HIV/AIDS in Central and Eastern Europe.

PubMed

Goodwin, Robin; Kozlova, Alexandra; Kwiatkowska, Anna; Anh Nguyen Luu, Lan; Nizharadze, George; Realo, Anu; Külvet, Ahto; Rämmer, Andu

2003-04-01

Although a relatively recent epidemic, HIV is now increasing in Eastern Europe faster than anywhere else in the world. In the study reported in this paper, we interviewed 511 business people and health professionals in five Central and Eastern European nations: Estonia, Georgia, Hungary, Poland and Russia, deriving our questions primarily from a Social Representations perspective. Respondents also freely completed their associations with the stimulus word 'AIDS'. Our findings indicate that, although there is considerable agreement about the threat posed by the epidemic, there are also notable cultural differences in attributions about the origin and spread of the virus and the nature of those groups at risk of infection. These findings are interpreted in the light of the historical legacies of the Communist era, as well as the real economic and social challenges faced by the population of this region.

Fentanyls: Are we missing the signs? Highly potent and on the rise in Europe.

PubMed

Mounteney, Jane; Giraudon, Isabelle; Denissov, Gleb; Griffiths, Paul

2015-07-01

Fentanyl is a synthetic opioid analgesic historically used as a pain reliever and an anaesthetic. Recent concerns have arisen around the illicit use of fentanyl and its analogues in a number of European countries, linked to their high potency and associated risk of fatal overdose. Evidence has been emerging from Estonia for over a decade of entrenched patterns of fentanyl use, including injection of the drug and hundreds of overdose deaths. More recently, reports indicate that both fentanyl and 3-methylfentanyl (TMF) have been marketed as a replacement for heroin in European countries (e.g. Bulgaria, Slovakia) affected by heroin shortages. In addition, Germany, Finland and the United Kingdom, reported new outbreaks of fentanyl-related deaths. This combination of increasing mortality data alongside law enforcement intelligence suggesting both diversion and illicit production of fentanyls, prompted wider investigation using a targeted multi-source data collection exercise and analysis. This identified that in the European context, fentanyls are 'low use but high risk/harm' substances. Evidence shows that Estonia stands out as having an endemic problem, while the use of fentanyls in other European countries appears to be geographically localised. Developments in illicit supply of fentanyls reflect the complexity of Europe's contemporary drug market: manifesting illicit production and use, the diversion and misuse of medicines, and the online sale of non-controlled new psychoactive substances. Likewise effective and integrated responses will need to address fentanyl production, diversion as well as ensuring the availability of harm reduction measures to users. Copyright © 2015 Elsevier B.V. All rights reserved.

Largely flat latitudinal life history clines in the dung fly Sepsis fulgens across Europe (Diptera: Sepsidae).

PubMed

Roy, Jeannine; Blanckenhorn, Wolf U; Rohner, Patrick T

2018-05-17

Clinal variation in body size and related life history traits is common and has stimulated the postulation of several eco-geographical rules. Whereas some clinal patterns are clearly adaptive, the causes of others remain obscure. We investigated intra-specific body size, development time and female fecundity (egg size and number) clines across 13 European populations of the dung fly Sepsis fulgens spanning 20° latitude from southern Italy to Estonia in a genetic common garden approach. Despite very short generation times (ca. 2 weeks at 24 °C), we found a converse Bergmann cline (smaller size at higher latitudes). As development time did not change with latitude (flat cline), integral growth rate thus likely declines towards the pole. At the same time, early fecundity, but not egg size, increased with latitude. Rather than being mediated by seasonal time constraints, the body size reduction in the northernmost flies from Estonia could suggest that these are marginal, edge populations, as when omitting them the body size cline became flat as well. Most of the other sepsid species investigated to date also show flat body size clines, a pattern that strikingly differs from Drosophila. We conclude that S. fulgens life history traits appear to be shaped by similar environmental pressures and selective mechanisms across Europe, be they adaptive or not. This reiterates the suggestion that body size clines can result as a secondary consequence of selection pressures shaping an entire life history syndrome, rendering them inconsistent and unpredictable in general.

Assessing predicted age-specific breast cancer mortality rates in 27 European countries by 2020.

PubMed

Clèries, R; Rooney, R M; Vilardell, M; Espinàs, J A; Dyba, T; Borras, J M

2018-03-01

We assessed differences in predicted breast cancer (BC) mortality rates, across Europe, by 2020, taking into account changes in the time trends of BC mortality rates during the period 2000-2010. BC mortality data, for 27 European Union (EU) countries, were extracted from the World Health Organization mortality database. First, we compared BC mortality data between time periods 2000-2004 and 2006-2010 through standardized mortality ratios (SMRs) and carrying out a graphical assessment of the age-specific rates. Second, making use of the base period 2006-2012, we predicted BC mortality rates by 2020. Finally, making use of the SMRs and the predicted data, we identified a clustering of countries, assessing differences in the time trends between the areas defined in this clustering. The clustering approach identified two clusters of countries: the first cluster were countries where BC predicted mortality rates, in 2020, might slightly increase among women aged 69 and older compared with 2010 [Greece (SMR 1.01), Croatia (SMR 1.02), Latvia (SMR 1.15), Poland (SMR 1.14), Estonia (SMR 1.16), Bulgaria (SMR 1.13), Lithuania (SMR 1.03), Romania (SMR 1.13) and Slovakia (SMR 1.06)]. The second cluster was those countries where BC mortality rates level off or decrease in all age groups (remaining countries). However, BC mortality rates between these clusters might diminish and converge to similar figures by 2020. For the year 2020, our predictions have shown a converging pattern of BC mortality rates between European regions. Reducing disparities, in access to screening and treatment, could have a substantial effect in countries where a non-decreasing trend in age-specific BC mortality rates has been predicted.

International comparison of AC-DC current transfer standards

NASA Astrophysics Data System (ADS)

Heine, G.; Garcocz, M.; Waldmann, W.

2017-01-01

The measurements of the international comparison of ac-dc current transfer standards identified as EURAMET.EM-K12 started in June 2012 and were completed in December 2014. Twenty NMIs in the EURAMET region and one NMI in the AFRIMET region took part: BEV (Austria), CMI (Czech Republic), PTB (Germany), METAS (Switzerland), JV (Norway), UME (Turkey), GUM (Poland), IPQ (Portugal), CEM (Spain), INRIM (Italy), SP (Sweden), DANIAmet-MI-Trescal (Denmark), BIM (Bulgaria), MKEH (Hungary), SIQ (Slovenia), LNE (France), NSAI NML (Ireland), VSL (The Netherlands), NPL (United Kingdom), Metrosert (Estonia), NIS (Egypt). The comparison was proposed to link the National Metrology Institutes organised in EURAMET to the key comparison CCEM-K12. The ac-dc current transfer difference of each travelling standard had been measured at its nominal current 10 mA and 5 A at the following frequencies: 10 Hz, 55 Hz, 1 kHz, 10 kHz, 20 kHz, 50 kHz, 100 kHz. The test points were selected to link the results with the equivalent CCEM Key Comparison (CCEM-K12), through five NMIs participating in both EURAMET and CCEM key comparisons (PTB, JV, NPL, SP and BEV). The report shows the degree of equivalence in the EURAMET region and also the degree of equivalence with the corresponding CCEM reference value. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCEM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

Earth observation taken by the Expedition 11 crew

NASA Image and Video Library

2005-08-31

ISS011-E-12415 (31 August 2005) --- Aurora Borealis and lights in Finland, Russia, Estonia and Latvia are featured in this digital still picture taken by the Expedition 11 crew aboard the international space station. If it were daylight parts of the Eastern Baltic Sea would be visible. The station was over a point on Earth located at 50.6 degrees north latitude and 15.1 degees east longitude at the time. The cluster of stars to the lower right of the thin crescent Moon is the Praesepe or Beehive Cluster in Cancer. Just to the right of that is the planet Saturn.

Peat soil composition as indicator of plants growth environment

NASA Astrophysics Data System (ADS)

Noormets, M.; Tonutare, T.; Kauer, K.; Szajdak, L.; Kolli, R.

2009-04-01

Exhausted milled peat areas have been left behind as a result of decades-lasting intensive peat production in Estonia and Europe. According to different data there in Estonia is 10 000 - 15 000 ha of exhausted milled peat areas that should be vegetated. Restoration using Sphagnum species is most advantageous, as it creates ecological conditions closest to the natural succession towards a natural bog area. It is also thought that the large scale translocation of vegetation from intact bogs, as used in some Canadian restoration trials, is not applicable in most of European sites due to limited availability of suitable donor areas. Another possibility to reduce the CO2 emission in these areas is their use for cultivation of species that requires minimum agrotechnical measures exploitation. It is found by experiments that it is possible to establish on Vaccinium species for revegetation of exhausted milled peat areas. Several physiological activity of the plant is regulated by the number of phytohormones. These substances in low quantities move within the plant from a site of production to a site of action. Phytohormone, indole-3-acetic acid (IAA) is formed in soils from tryptophane by enzymatic conversion. This compound seems to play an important function in nature as result to its influence in regulation of plant growth and development. A principal feature of IAA is its ability to affect growth, development and health of plants. This compound activates root morphology and metabolic changes in the host plant. The physiological impact of this substance is involved in cell elongation, apical dominance, root initiation, parthenocarpy, abscission, callus formation and the respiration. The investigation areas are located in the county of Tartu (58˚ 22' N, 26˚ 43' E), in the southern part of Estonia. The soil of the experimental fields belongs according to the WRB soil classification, to the soils subgroups of Fibri-Dystric Histosols. The investigation areas were chosen by following criteria: (1) plantcover age; (2) cultivated plant species; (3) utilized agrotechnology; (4) comparisons between different factors were created by using natural growth areas of Vaccinaceae (natural bog area, Vaccinaceae growth area on mineral soil). For the investigation is important to choose areas with different age of plant covers, because according to plants age the surface of exhausted peat land will be covered in relation to the width of plants. The purpose of current article is to investigate the biological and chemical parameters co-influences in peat soil. Thus, the major interest is on the plant growth hormone indole-3-acetic acid distribution and dynamics in peat soil and dependence of plant cover, also its influence to the plants growth. Moreover, its contribution to yield and new growth area invasion will be discussed.

High contributions of vehicular emissions to ammonia in three European cities derived from mobile measurements

NASA Astrophysics Data System (ADS)

Elser, Miriam; El-Haddad, Imad; Maasikmets, Marek; Bozzetti, Carlo; Wolf, Robert; Ciarelli, Giancarlo; Slowik, Jay G.; Richter, Rene; Teinemaa, Erik; Hüglin, Christoph; Baltensperger, Urs; Prévôt, André S. H.

2018-02-01

Ambient ammonia (NH3) measurements were performed with a mobile platform in three European cities: Zurich (Switzerland), Tartu (Estonia) and Tallinn (Estonia) deploying an NH3 analyzer based on cavity ring-down spectroscopy. A heated inlet line along with an auxiliary flow was used to minimize NH3 adsorption onto the inlet walls. In addition, a detailed characterization of the response and recovery times of the measurement system was used to deconvolve the true NH3 signal from the remaining adsorption-induced hysteresis. Parallel measurements with an aerosol mass spectrometer were used to correct the observed NH3 for the contribution of ammonium nitrate, which completely evaporated in the heated line at the chosen temperature, in contrast to ammonium sulfate. In this way a quantitative measurement of ambient gaseous NH3 was achieved with sufficient time resolution to enable measurement of NH3 point sources with a mobile sampling platform. The NH3 analyzer and the aerosol mass spectrometer were complemented by an aethalometer and various gas-phase analyzers to enable a complete characterization of the sources of air pollution, including the spatial distributions and the regional background concentrations and urban increments of all measured components. Although at all three locations similar increment levels of organic aerosols were attributed to biomass burning and traffic, traffic emissions clearly dominated the city enhancements of NH3, equivalent black carbon (eBC) and carbon dioxide (CO2). Urban increments of 3.4, 1.8 and 3.0 ppb of NH3 were measured in the traffic areas in Zurich, Tartu and Tallinn, respectively, representing an enhancement of 36.6, 38.3 and 93.8% over the average background concentrations. Measurements in areas strongly influenced by traffic emissions (including tunnel drives) were used to estimate emission factors (EF) for the traffic-related pollutants. The obtained median EFs range between 136.8-415.1 mg kg-1 fuel for NH3, 157.1-734.8 mg kg-1 fuel for eBC and 39.9-324.3 mg kg-1 fuel for HOA. Significant differences were found between the EFs of certain components in the three cities, which were partially linked to an older vehicle fleet in Estonia compared to Switzerland. Using the determined EFs we show that traffic can fully explain the NH3 enhancements in the three cities and also presents a non-negligible fraction of the background concentrations, which are mostly related to agricultural activities. Moreover, the estimated total contribution of traffic to NH3 at all three locations is in good agreement with the available emission inventories.

Saving and Empowering Young Lives in Europe (SEYLE): a randomized controlled trial

PubMed Central

2010-01-01

Background There have been only a few reports illustrating the moderate effectiveness of suicide-preventive interventions in reducing suicidal behavior, and, in most of those studies, the target populations were primarily adults, whereas few focused on adolescents. Essentially, there have been no randomized controlled studies comparing the efficacy, cost-effectiveness and cultural adaptability of suicide-prevention strategies in schools. There is also a lack of information on whether suicide-preventive interventions can, in addition to preventing suicide, reduce risk behaviors and promote healthier ones as well as improve young people's mental health. The aim of the SEYLE project, which is funded by the European Union under the Seventh Framework Health Program, is to address these issues by collecting baseline and follow-up data on health and well-being among European adolescents and compiling an epidemiological database; testing, in a randomized controlled trial, three different suicide-preventive interventions; evaluating the outcome of each intervention in comparison with a control group from a multidisciplinary perspective; as well as recommending culturally adjusted models for promoting mental health and preventing suicidal behaviors. Methods and design The study comprises 11,000 adolescents emitted from randomized schools in 11 European countries: Austria, Estonia, France, Germany, Hungary, Ireland, Israel, Italy, Romania, Slovenia and Spain, with Sweden serving as the scientific coordinating center. Each country performs three active interventions and one minimal intervention as a control group. The active interventions include gatekeeper training (QPR), awareness training on mental health promotion for adolescents, and screening for at-risk adolescents by health professionals. Structured questionnaires are utilized at baseline, 3- and 12-month follow-ups in order to assess changes. Discussion Although it has been reported that suicide-preventive interventions can be effective in decreasing suicidal behavior, well-documented and randomized studies are lacking. The effects of such interventions in terms of combating unhealthy lifestyles in young people, which often characterize suicidal individuals, have never been reported. We know that unhealthy and risk-taking behaviors are detrimental to individuals' current and future health. It is, therefore, crucial to test well-designed, longitudinal mental health-promoting and suicide-preventive interventions by evaluating the implications of such activities for reducing unhealthy and risk behaviors while concurrently promoting healthy ones. Trial registration The German Clinical Trials Register, DRKS00000214. PMID:20388196

Saving and empowering young lives in Europe (SEYLE): a randomized controlled trial.

PubMed

Wasserman, Danuta; Carli, Vladimir; Wasserman, Camilla; Apter, Alan; Balazs, Judit; Bobes, Julia; Bracale, Renata; Brunner, Romuald; Bursztein-Lipsicas, Cendrine; Corcoran, Paul; Cosman, Doina; Durkee, Tony; Feldman, Dana; Gadoros, Julia; Guillemin, Francis; Haring, Christian; Kahn, Jean-Pierre; Kaess, Michael; Keeley, Helen; Marusic, Dragan; Nemes, Bogdan; Postuvan, Vita; Reiter-Theil, Stella; Resch, Franz; Sáiz, Pilar; Sarchiapone, Marco; Sisask, Merike; Varnik, Airi; Hoven, Christina W

2010-04-13

There have been only a few reports illustrating the moderate effectiveness of suicide-preventive interventions in reducing suicidal behavior, and, in most of those studies, the target populations were primarily adults, whereas few focused on adolescents. Essentially, there have been no randomized controlled studies comparing the efficacy, cost-effectiveness and cultural adaptability of suicide-prevention strategies in schools. There is also a lack of information on whether suicide-preventive interventions can, in addition to preventing suicide, reduce risk behaviors and promote healthier ones as well as improve young people's mental health.The aim of the SEYLE project, which is funded by the European Union under the Seventh Framework Health Program, is to address these issues by collecting baseline and follow-up data on health and well-being among European adolescents and compiling an epidemiological database; testing, in a randomized controlled trial, three different suicide-preventive interventions; evaluating the outcome of each intervention in comparison with a control group from a multidisciplinary perspective; as well as recommending culturally adjusted models for promoting mental health and preventing suicidal behaviors. The study comprises 11,000 adolescents emitted from randomized schools in 11 European countries: Austria, Estonia, France, Germany, Hungary, Ireland, Israel, Italy, Romania, Slovenia and Spain, with Sweden serving as the scientific coordinating center. Each country performs three active interventions and one minimal intervention as a control group. The active interventions include gatekeeper training (QPR), awareness training on mental health promotion for adolescents, and screening for at-risk adolescents by health professionals. Structured questionnaires are utilized at baseline, 3- and 12-month follow-ups in order to assess changes. Although it has been reported that suicide-preventive interventions can be effective in decreasing suicidal behavior, well-documented and randomized studies are lacking. The effects of such interventions in terms of combating unhealthy lifestyles in young people, which often characterize suicidal individuals, have never been reported. We know that unhealthy and risk-taking behaviors are detrimental to individuals' current and future health. It is, therefore, crucial to test well-designed, longitudinal mental health-promoting and suicide-preventive interventions by evaluating the implications of such activities for reducing unhealthy and risk behaviors while concurrently promoting healthy ones. The German Clinical Trials Register, DRKS00000214.

Molecular epidemiology of HIV-1 subtype A in former Soviet Union countries.

PubMed

Aibekova, Lazzat; Foley, Brian; Hortelano, Gonzalo; Raees, Muhammad; Abdraimov, Sabit; Toichuev, Rakhmanbek; Ali, Syed

2018-01-01

While in other parts of the world it is on decline, incidence of HIV infection continues to rise in the former Soviet Union (FSU) countries. The present study was conducted to investigate the patterns and modes of HIV transmission in FSU countries. We performed phylogenetic analysis of publicly available 2705 HIV-1 subtype A pol sequences from thirteen FSU countries: Armenia, Azerbaijan, Belarus, Estonia, Georgia, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Moldova, Russia, Ukraine and Uzbekistan. Our analysis showed that the clusters from FSU countries were intermixed, indicating a possible role of transmigration in HIV transmission. Injection drug use was found to be the most frequent mode of transmission, while the clusters from PWID and heterosexual transmission were intermixed, indicating bridging of HIV infection across populations. To control the expanding HIV epidemic in this region, harm reduction strategies should be focused on three modes of transmission, namely, cross-border migration, injection drug use and heterosexual.

Methane potential of sterilized solid slaughterhouse wastes.

PubMed

Pitk, Peep; Kaparaju, Prasad; Vilu, Raivo

2012-07-01

The aim of the current study was to determine chemical composition and methane potential of Category 2 and 3 solid slaughterhouse wastes rendering products (SSHWRP) viz. melt, decanter sludge, meat and bone meal (MBM), technical fat and flotation sludge from wastewater treatment. Chemical analyses showed that SSHWRP were high in protein and lipids with total solids (TS) content of 96-99%. Methane yields of the SSHWRP were between 390 and 978 m(3) CH(4)/t volatile solids (VS)(added). Based on batch experiments, anaerobic digestion of SSHWRP from the dry rendering process could recover 4.6 times more primary energy than the energy required for the rendering process. Estonia has technological capacity to sterilize all the produced Category 2 and 3 solid slaughterhouse wastes (SSHW) and if separated from Category 1 animal by-products (ABP), it could be further utilized as energy rich input material for anaerobic digestion. Copyright © 2012 Elsevier Ltd. All rights reserved.

Toxicity of Water Accommodated Fractions of Estonian Shale Fuel Oils to Aquatic Organisms.

PubMed

Blinova, Irina; Kanarbik, Liina; Sihtmäe, Mariliis; Kahru, Anne

2016-02-01

Estonia is the worldwide leading producer of the fuel oils from the oil shale. We evaluated the ecotoxicity of water accommodated fraction (WAF) of two Estonian shale fuel oils ("VKG D" and "VKG sweet") to aquatic species belonging to different trophic levels (marine bacteria, freshwater crustaceans and aquatic plants). Artificial fresh water and natural lake water were used to prepare WAFs. "VKG sweet" (lower density) proved more toxic to aquatic species than "VKG D" (higher density). Our data indicate that though shale oils were very toxic to crustaceans, the short-term exposure of Daphnia magna to sub-lethal concentrations of shale fuel oils WAFs may increase the reproductive potential of survived organisms. The weak correlation between measured chemical parameters (C10-C40 hydrocarbons and sum of 16 PAHs) and WAF's toxicity to studied species indicates that such integrated chemical parameters are not very informative for prediction of shale fuel oils ecotoxicity.

Identification of ballast water discharge profiles of a port to enable effective ballast water management and environmental studies

NASA Astrophysics Data System (ADS)

David, Matej; Gollasch, Stephan; Penko, Ludvik

2018-03-01

Information about the profile of ballast water discharges in a port is one of the basic elements of the decision making process in ballast water risk assessment and management, and supports the evaluation of dimensions and processes of aquatic species invasions with vessels ballast water. In the lack of ballast water reporting, ballast water discharge assessments need to be conducted. In this study we have assessed and compared ballast water discharge profiles of two ports with different maritime traffic and cargo profiles, the Port of Hamburg (Germany) and the Muuga Harbour, Port of Tallinn (Estonia). This study shows methods and approaches which can be used to assess volumes and donor ports of ballast water discharges for a port at the level of each vessel call. These methods and approaches can be applied to any port to support the implementation of feasible and efficient ballast water management measures and to enable environmental studies including long-term accumulation risks of disinfection by-products from ballast water management systems making use of active substances, as well as for discharges of other chemical compounds.

Estonia: health system review.

PubMed

Lai, Taavi; Habicht, Triin; Kahur, Kristiina; Reinap, Marge; Kiivet, Raul; van Ginneken, Ewout

2013-01-01

This analysis of the Estonian health system reviews recent developments in organization and governance, health financing, health-care provision, health reforms and health system performance. Without doubt, the main issue has been the 2008 financial crisis. Although Estonia has managed the downturn quite successfully and overall satisfaction with the system remains high, it is hard to predict the longer-term effects of the austerity package. The latter included some cuts in benefits and prices, increased cost sharing for certain services, extended waiting times, and a reduction in specialized care. In terms of health outcomes, important progress was made in life expectancy, which is nearing the European Union (EU) average, and infant mortality. Improvements are necessary in smoking and alcohol consumption, which are linked to the majority of avoidable diseases. Although the health behaviour of the population is improving, large disparities between groups exist and obesity rates, particularly among young people, are increasing. In health care, the burden of out-of-pocket payments is still distributed towards vulnerable groups. Furthermore, the number of hospitals, hospital beds and average length of stay has decreased to the EU average level, yet bed occupancy rates are still below EU averages and efficiency advances could be made. Going forwards, a number of pre-crisis challenges remain. These include ensuring sustainability of health care financing, guaranteeing a sufficient level of human resources, prioritizing patient-centred health care, integrating health and social care services, implementing intersectoral action to promote healthy behaviour, safeguarding access to health care for lower socioeconomic groups, and, lastly, improving evaluation and monitoring tools across the health system. World Health Organization 2013 (acting as the host organization for, and secretariat of, the European Observatory on Health Systems and Policies).

Assessment of the risk of African swine fever introduction into Finland using NORA-a rapid tool for semiquantitative assessment of the risk.

PubMed

Kyyrö, J; Sahlström, L; Lyytikäinen, T

2017-12-01

The NORA rapid risk assessment tool was developed for situations where there is a change in the disease status of easily transmissible animal diseases in neighbouring countries or in countries with significant interactions with Finland. The goal was to develop a tool that is quick to use and will provide consistent results to support risk management decisions. The model contains 63 questions that define the potential for entry and exposure by nine different pathways. The magnitude of the consequences is defined by 23 statements. The weight of different pathways is defined according to the properties of the assessed disease. The model was built as an Excel spreadsheet and is intended for use by animal health control administrators. As an outcome, the model gives the possible pathways of disease entry into the country, an overall approximation for the probability of entry and the subsequent exposure, an overall estimate for the consequences and a combined overall risk estimate (probability multiplied by magnitude of consequences). Model validity was assessed by expert panels. Outside Africa, African swine fever is currently established in Russia and Sardinia. In addition, there have been cases in both wild boar and domestic pigs in Latvia, Lithuania, Poland and Estonia. Finland has frequent contacts with Russia and Estonia, especially through passengers. The risk of African swine fever (ASF) introduction into Finland was tested with NORA for the situation in December 2015, when ASF was endemic in many parts of Russia, Africa and Sardinia and was present in Baltic countries and in Poland. African swine fever was assessed to have a high probability of entry into Finland, with high consequences and therefore a high overall risk. © 2017 Blackwell Verlag GmbH.

Qualitative interviews with healthcare staff in four European countries to inform adaptation of an intervention to increase chlamydia testing

PubMed Central

McNulty, Cliodna; Ricketts, Ellie J; Fredlund, Hans; Uusküla, Anneli; Town, Katy; Rugman, Claire; Tisler-Sala, Anna; Mani, Alix; Dunais, Brigitte; Folkard, Kate; Allison, Rosalie; Touboul, Pia

2017-01-01

Objective To determine the needs of primary healthcare general practice (GP) staff, stakeholders and trainers to inform the adaptation of a locally successful complex intervention (Chlamydia Intervention Randomised Trial (CIRT)) aimed at increasing chlamydia testing within primary healthcare within South West England to three EU countries (Estonia, France and Sweden) and throughout England. Design Qualitative interviews. Setting European primary healthcare in England, France, Sweden and Estonia with a range of chlamydia screening provision in 2013. Participants 45 GP staff, 13 trainers and 18 stakeholders. Interviews The iterative interview schedule explored participants’ personal attitudes, subjective norms and perceived behavioural controls around provision of chlamydia testing, sexual health services and training in general practice. Researchers used a common thematic analysis. Results Findings were similar across all countries. Most participants agreed that chlamydia testing and sexual health services should be offered in general practice. There was no culture of GP staff routinely offering opportunistic chlamydia testing or sexual health advice, and due to other priorities, participants reported this would be challenging. All participants indicated that the CIRT workshop covering chlamydia testing and sexual health would be useful if practice based, included all practice staff and action planning, and was adequately resourced. Participants suggested minor adaptations to CIRT to suit their country’s health services. Conclusions A common complex intervention can be adapted for use across Europe, despite varied sexual health provision. The intervention (ChlamydiA Testing Training in Europe (CATTE)) should comprise: a staff workshop covering sexual health and chlamydia testing rates and procedures, action planning and patient materials and staff reminders via computer prompts, emails or newsletters, with testing feedback through practice champions. CATTE materials are available at: www.STItraining.eu. PMID:28951413

The enrichment of natural radionuclides in oil shale-fired power plants in Estonia--the impact of new circulating fluidized bed technology.

PubMed

Vaasma, Taavi; Kiisk, Madis; Meriste, Tõnis; Tkaczyk, Alan Henry

2014-03-01

Burning oil shale to produce electricity has a dominant position in Estonia's energy sector. Around 90% of the overall electric energy production originates from the Narva Power Plants. The technology in use has been significantly renovated - two older types of pulverized fuel burning (PF) energy production units were replaced with new circulating fluidized bed (CFB) technology. Additional filter systems have been added to PF boilers to reduce emissions. Oil shale contains various amounts of natural radionuclides. These radionuclides concentrate and become enriched in different boiler ash fractions. More volatile isotopes will be partially emitted to the atmosphere via flue gases and fly ash. To our knowledge, there has been no previous study for CFB boiler systems on natural radionuclide enrichment and their atmospheric emissions. Ash samples were collected from Eesti Power Plant's CFB boiler. These samples were processed and analyzed with gamma spectrometry. Activity concentrations (Bq/kg) and enrichment factors were calculated for the (238)U ((238)U, (226)Ra, (210)Pb) and (232)Th ((232)Th, (228)Ra) family radionuclides and for (40)K in different CFB boiler ash fractions. Results from the CFB boiler ash sample analysis showed an increase in the activity concentrations and enrichment factors (up to 4.5) from the furnace toward the electrostatic precipitator block. The volatile radionuclide ((210)Pb and (40)K) activity concentrations in CFB boilers were evenly distributed in finer ash fractions. Activity balance calculations showed discrepancies between input (via oil shale) and output (via ash fractions) activities for some radionuclides ((238)U, (226)Ra, (210)Pb). This refers to a situation where the missing part of the activity (around 20% for these radionuclides) is emitted to the atmosphere. Also different behavior patterns were detected for the two Ra isotopes, (226)Ra and (228)Ra. A part of (226)Ra input activity, unlike (228)Ra, was undetectable in the solid ash fractions of the boiler. Most probably it is released to the surrounding environment. Copyright © 2014 Elsevier Ltd. All rights reserved.

Height Connections and Land Uplift Rates in West-Estonian Archipelago

NASA Astrophysics Data System (ADS)

Jürgenson, H.; Liibusk, A.; Kall, T.

2012-04-01

Land uplift rates are largest in the western part of Estonia. The uplift is due to post-glacial rebound. In 2001-2011, the Estonian national high-precision levelling network was completely renewed and levelled. This was the third precise levelling campaign in the re-gion. The first one had taken place before the Second World War and the second one in the 1950s. The Estonian mainland was connected with the two largest islands (Saaremaa and Hiiumaa) in the west-Estonian archipelago using the water level monitoring (hydrody-namic levelling) method. Three pairs of automatic tide gauges were installed on opposite coasts of each waterway. The tide gauges were equipped with piezoresistive pressure sen-sors. This represented the first use of such kind of equipment in Estonia. The hydrodynamic levelling series span up to two calendar years. Nevertheless, the obtained hydrodynamic levelling results need to be additionally verified using alternative geodetic methods. The obtained results were compared with the previous high-precision levelling data from the 1960s and 1970s. As well, the new Estonian gravimetric geoid model and the GPS survey were used for GPS-levelling. All the three methods were analyzed, and the preliminary results coincided within a 1-2 cm margin. Additionally, the tide gauges on the mainland and on both islands were connected using high-precision levelling. In this manner, three hydrodynamic and three digital levelling height differences formed a closed loop with the length of 250 km. The closing error of the loop was less than 1 cm. Finally, the Fennoscandian post-glacial rebound was determined from repeated levelling as well as from repeated GPS survey. The time span between the two campaigns of the first-order GPS survey was almost 13 years. According to new calculations, the relative land uplift rates within the study area reached up to +2 mm/year. This is an area with a rela-tively small amount of input data for the Nordic models. In addition, a comparison with the Fennoscandian land uplift model NKG2005LU is presented. The results coincided with this model within a 1-mm range. Keywords: hydrodynamic levelling, post-glacial land uplift, GPS-levelling, West-Estonian archipelago.

Where does the border lie: locally grown plants used for making tea for recreation and/or healing, 1970s-1990s Estonia.

PubMed

Sõukand, Renata; Kalle, Raivo

2013-10-28

Traditional use of local wild and cultivated plants for making recreational tea in Estonia often borders with the medicinal use of the same plants. The aim of this paper is to map the perceptions of plants used for making tea and to define the domains of recreational and medicinal teas in specific cultural settings. Between November 2011 and March 2012 the authors distributed electronic questionnaires on the use of wild food plants in childhood. The questionnaire was answered by 250 respondents. 178 of them reported the use of plants for making recreational teas. The responses were analysed according to the taxonomy of the used plants, the most frequently used taxa and families were detected, the influence of respondents' demographic data on the number of use reports was assessed and the overlapping of medicinal and recreational uses was discussed. The study detected 69 vascular plant species, ten vascular taxa identified on the genera level only, and one lichen. The most popular families were Rosaceae, Asteraceae and Lamiacea, and 12 taxa were used by at least 10% of the respondents, while only one of them (Tilia) was used by more than 50% and one (Rubus idaeus) by over 33% of the respondents. The next ten most used taxa were: Rosa, Mentha, Primula veris, Matricaria, Achillea millefolium, Hypericum, Carum carvi, Urtica dioica, Thymus serpyllum and Fragaria. Of the 30 most used consolidated taxa mentioned in five or more use records, only four were used exclusively in one domain. The majority of the used plants were situated on the recreational-medicinal continuum, which could be divided into two domains: recreational, medicinal and the "grey" area that lies around the borderline. The predominance of the cold and cold-related diseases on the spectrum treated by plants used for making recreational tea reflects the climatic conditions of the region and suggests that they are the most commonly self-treated diseases in the region, seen from the child's perspective. © 2013 Elsevier Ireland Ltd. All rights reserved.

Trends in inequalities in premature mortality: a study of 3.2 million deaths in 13 European countries.

PubMed

Mackenbach, Johan P; Kulhánová, Ivana; Menvielle, Gwenn; Bopp, Matthias; Borrell, Carme; Costa, Giuseppe; Deboosere, Patrick; Esnaola, Santiago; Kalediene, Ramune; Kovacs, Katalin; Leinsalu, Mall; Martikainen, Pekka; Regidor, Enrique; Rodriguez-Sanz, Maica; Strand, Bjørn Heine; Hoffmann, Rasmus; Eikemo, Terje A; Östergren, Olof; Lundberg, Olle

2015-03-01

Over the last decades of the 20th century, a widening of the gap in death rates between upper and lower socioeconomic groups has been reported for many European countries. For most countries, it is unknown whether this widening has continued into the first decade of the 21st century. We collected and harmonised data on mortality by educational level among men and women aged 30-74 years in all countries with available data: Finland, Sweden, Norway, Denmark, England and Wales, Belgium, France, Switzerland, Spain, Italy, Hungary, Lithuania and Estonia. Relative inequalities in premature mortality increased in most populations in the North, West and East of Europe, but not in the South. This was mostly due to smaller proportional reductions in mortality among the lower than the higher educated, but in the case of Lithuania and Estonia, mortality rose among the lower and declined among the higher educated. Mortality among the lower educated rose in many countries for conditions linked to smoking (lung cancer, women only) and excessive alcohol consumption (liver cirrhosis and external causes). In absolute terms, however, reductions in premature mortality were larger among the lower educated in many countries, mainly due to larger absolute reductions in mortality from cardiovascular disease and cancer (men only). Despite rising levels of education, population-attributable fractions of lower education for mortality rose in many countries. Relative inequalities in premature mortality have continued to rise in most European countries, and since the 1990s, the contrast between the South (with smaller inequalities) and the East (with larger inequalities) has become stronger. While the population impact of these inequalities has further increased, there are also some encouraging signs of larger absolute reductions in mortality among the lower educated in many countries. Reducing inequalities in mortality critically depends upon speeding up mortality declines among the lower educated, and countering mortality increases from conditions linked to smoking and excessive alcohol consumption such as lung cancer, liver cirrhosis and external causes. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Residents’ Self-Reported Health Effects and Annoyance in Relation to Air Pollution Exposure in an Industrial Area in Eastern-Estonia

PubMed Central

Idavain, Jane; Pindus, Mihkel; Orru, Kati; Kesanurm, Kaisa; Lang, Aavo; Tomasova, Jelena

2018-01-01

Eastern Estonia has large oil shale mines and industrial facilities mainly focused on electricity generation from oil shale and shale oil extraction, which produce high air pollution emissions. The “Study of the health impact of the oil shale sector—SOHOS” was aimed at identifying the impacts on residents’ health and annoyance due to the industrial processing. First, a population-wide survey about health effects and annoyance was carried out. Second, the total and oil shale sectors’ emitted concentrations of benzene, phenol, and PM2.5 were modelled. Third, the differences between groups were tested and relationships between health effects and environmental pollution studied using multiple regression analysis. Compared to the control groups from non-industrial areas in Tartu or Lääne-Viru, residents of Ida-Viru more frequently (p < 0.05) reported wheezing, chest tightness, shortness of breath, asthma attacks, a long-term cough, hypertension, heart diseases, myocardial infarction, stroke, and diabetes. All health effects except asthma were reported more frequently among non-Estonians. People living in regions with higher levels of PM2.5, had significantly higher odds (p < 0.05) of experiencing chest tightness (OR = 1.13, 95% CI 1.02–1.26), shortness of breath (1.16, 1.03–1.31) or an asthma attack (1.22, 1.04–1.42) during the previous year. People living in regions with higher levels of benzene had higher odds of experiencing myocardial infarction (1.98, 1.11–3.53) and with higher levels of phenol chest tightness (1.44, 1.03–2.00), long-term cough (1.48, 1.06–2.07) and myocardial infarction (2.17, 1.23–3.83). The prevalence of adverse health effects was also higher among those who had been working in the oil shale sector. Next to direct health effects, up to a quarter of the residents of Ida-Viru County were highly annoyed about air pollution. Perceived health risk from air pollution increased the odds of being annoyed. Annoyed people in Ida-Viru had significantly higher odds of experiencing respiratory symptoms during the last 12 months, e.g., wheezing (2.30, 1.31–4.04), chest tightness (2.88, 1.91–4.33 or attack of coughing (1.99, 1.34–2.95). PMID:29393920

Combining in situ and laboratory measurements of soil-atmosphere carbonyl sulfide fluxes from four different biomes across Europe

NASA Astrophysics Data System (ADS)

Kitz, Florian; Gomez-Brandon, Maria; Hammerle, Albin; Spielmann, Felix M.; Insam, Heribert; Ibrom, Andreas; Migliavacca, Mirco; Moreno, Gerardo; Noe, Steffen M.; Wohlfahrt, Georg

2017-04-01

Flux partitioning, the quantification of photosynthesis and respiration, is a major uncertainty in modelling the carbon cycle and in times when robust models are needed to assess future global changes a persistent problem. A promising new approach is to derive gross primary production (GPP) from measurements of the carbonyl sulfide (COS) flux, the most abundant sulfur-containing trace gas in the atmosphere, with a mean concentration of about 500 pptv in the troposphere. This is possible because COS and CO2 enter the leaf via a similar pathway and are processed by the same enzyme (carbonic anhydrase). A prerequisite for using COS as a proxy for photosynthesis is a robust estimation of all non-leaf sources and sinks in an ecosystem. Past studies described soils either as a sink or source, depending on their properties like soil temperature and soil water content. In 2016 we conducted field campaigns in Austria (managed temperate mountain grassland), Spain (savannah), Denmark (temperate beech forest) and Estonia (hemiboreal forest) to estimate the soil-atmosphere COS fluxes under ambient conditions in different biomes. We used self-built fused silica soil chambers to avoid COS emissions from built-in materials and to assess the impact of radiation. At the grassland sites (Austria, Spain) vegetation was removed below the chambers, therefor more radiation reached the soil surface compared to natural conditions. The grassland sites were characterized by highly positive COS fluxes during daytime and COS fluxes around zero during nighttime. In contrast, the soils at the forest sites (Denmark, Estonia), characterized by less radiation on the soil surface, acted as a sink for COS. The impact of other abiotic factors, like soil water content and soil temperature, varied between the ecosystems. In addition to the field measurements soil and litter samples were taken at the study sites and used to measure COS fluxes under controlled conditions in the lab. Results from the temperate mountain grassland in Austria suggest high initial but rapidly decreasing COS emission from soil mixed with litter, but uptake by soil alone. Those lab measurements were followed up by genetical analyses to link the fluxes to the soil microbial communities present in the samples.

Residents' Self-Reported Health Effects and Annoyance in Relation to Air Pollution Exposure in an Industrial Area in Eastern-Estonia.

PubMed

Orru, Hans; Idavain, Jane; Pindus, Mihkel; Orru, Kati; Kesanurm, Kaisa; Lang, Aavo; Tomasova, Jelena

2018-02-02

Eastern Estonia has large oil shale mines and industrial facilities mainly focused on electricity generation from oil shale and shale oil extraction, which produce high air pollution emissions. The "Study of the health impact of the oil shale sector-SOHOS" was aimed at identifying the impacts on residents' health and annoyance due to the industrial processing. First, a population-wide survey about health effects and annoyance was carried out. Second, the total and oil shale sectors' emitted concentrations of benzene, phenol, and PM 2.5 were modelled. Third, the differences between groups were tested and relationships between health effects and environmental pollution studied using multiple regression analysis. Compared to the control groups from non-industrial areas in Tartu or Lääne-Viru, residents of Ida-Viru more frequently ( p < 0.05) reported wheezing, chest tightness, shortness of breath, asthma attacks, a long-term cough, hypertension, heart diseases, myocardial infarction, stroke, and diabetes. All health effects except asthma were reported more frequently among non-Estonians. People living in regions with higher levels of PM 2.5 , had significantly higher odds ( p < 0.05) of experiencing chest tightness (OR = 1.13, 95% CI 1.02-1.26), shortness of breath (1.16, 1.03-1.31) or an asthma attack (1.22, 1.04-1.42) during the previous year. People living in regions with higher levels of benzene had higher odds of experiencing myocardial infarction (1.98, 1.11-3.53) and with higher levels of phenol chest tightness (1.44, 1.03-2.00), long-term cough (1.48, 1.06-2.07) and myocardial infarction (2.17, 1.23-3.83). The prevalence of adverse health effects was also higher among those who had been working in the oil shale sector. Next to direct health effects, up to a quarter of the residents of Ida-Viru County were highly annoyed about air pollution. Perceived health risk from air pollution increased the odds of being annoyed. Annoyed people in Ida-Viru had significantly higher odds of experiencing respiratory symptoms during the last 12 months, e.g., wheezing (2.30, 1.31-4.04), chest tightness (2.88, 1.91-4.33 or attack of coughing (1.99, 1.34-2.95).

Formation (and dating) of small impact craters on Earth as an analogue for Mars (Ilumetsa Craters Estonia)

NASA Astrophysics Data System (ADS)

Losiak, Anna; Jõeleht, Argo; Plado, Juri; Szyszka, Mateusz; Wild, Eva Maria; Bronikowska, Malgorzata; Belcher, Claire; Kirsimäe, Kalle; Steier, Peter

2017-04-01

Crater-strewn-fields are present on planetary bodies with an atmosphere such as Earth and Mars, but the process of their formation is still not fully understood. For example, a recent discovery of small pieces of impact-produced-charcoal within the ejecta blanket of 100 m in diameter Kaali crater (Losiak et al. 2016) may suggest existence of very local ( 10 cm thick layer in the distance of 10 m from the rim), short lived ( hours) thermal anomalies ( 300°C) in the ejecta blanket of even small craters. Ilumetsa in SE Estonia is an atypical example of crater-strewn-field consisting of only two relatively large, rimmed structures with diameters of 75-80 m (Ilumetsa Large: IL) and 50 m (Ilumetsa Small: IS) with true depths of about 8 and 3.5 m, respectively (Plado 2012 MAPS). Structures were previously dated by the 14C analysis of gyttja from the bottom of IL (Liiva et al. 1979 Eesti Loodus) to be 7170-6660 cal. BP. About 600 years older age (7570-7320 cal. BC: Raukas et al. 2001, MAPS) was proposed based on dated layer of peat in which glassy spherules, interpreted as dissipated melt or condensed vapor (however their chemical composition was not reported). Ilumetsa is listed as a proven meteorite impact in the Earth Impact Database, but neither remnants of the projectile nor other identification criteria (e.g., PDFs) have been found up to this point. The aim of this study was to search for possible impact related charcoals in order to determine the size and extend of thermal anomalies around small impact craters, as well as to determine how this atypical strew field was formed. Additionally, we hoped to determine/confirm the age of those structures. We have found charcoal in a similar geological setting as in Kaali Main crater in both Ilumetsa structures. The calibrated (95,4% probability) time ranges of four dated samples from IL and one sample of IS span the time interval from 7670-6950 cal. BP (consistent with previous dating). One sample from IS is younger (4830-4580 cal. BP) - it was found less deep than other charcoals found within the same trench, and it may be interpreted as a remnant of a "recent" forest fire, later buried within the sediment derived from the erosion of the raised rim. The second sample is older (8540-8400 cal. BP). It was found on a greater depth than most of the samples and may represent an older plant material that was buried within the sediments before the impact happened. More 14C dating will be performed. Chemical analyses of sediments exposed in profiles did not reveal any specific enrichment with respect the host rocks in elements (Ni, Cr) that could be related to extraterrestrial material. INAA measurements will be performed. Field search for metal-containing meteorites was inconclusive (until now nothing was found), but preliminary studies on the atmospheric entry modeling of the Ilumetsa meteoroid shows that using standard value of strength (4.4e6 - 4.4e7 N/kg) for a stony meteoroid, cannot lead to reproduction of the Ilumetsa craters formation due to cascade fragmentation specific for such weak bodies. In conclusion: the Ilumetsa structures were formed around 7000 cal. BP, but a clear proof of their impact origin is still missing. More analysis is being currently performed. Understanding formation of small terrestrial impact craters will lead to better understanding formation of similar structures on other planetary bodies, and their influence on their environment.

Technologies for Decreasing Mining Losses

NASA Astrophysics Data System (ADS)

Valgma, Ingo; Väizene, Vivika; Kolats, Margit; Saarnak, Martin

2013-12-01

In case of stratified deposits like oil shale deposit in Estonia, mining losses depend on mining technologies. Current research focuses on extraction and separation possibilities of mineral resources. Selective mining, selective crushing and separation tests have been performed, showing possibilities of decreasing mining losses. Rock crushing and screening process simulations were used for optimizing rock fractions. In addition mine backfilling, fine separation, and optimized drilling and blasting have been analyzed. All tested methods show potential and depend on mineral usage. Usage in addition depends on the utilization technology. The questions like stability of the material flow and influences of the quality fluctuations to the final yield are raised.

[Leon Daraszkiewicz and his monograph on hebephrenia].

PubMed

Marcinowski, Filip

2012-01-01

Leon Daraszkiewicz (1866-1931) was a Polish psychiatrist, a pupil and co-worker of E. Kraepelin and V. Tsiz on the University of Dorpat (now Tartu, Estonia), the author of highly regarded monograph on hebephrenia (1891). In his work on the basis of over 20 case histories, he described a natural history of hebephrenia and his own views on its aetiology and prognosis. Hebephrenia as described by Daraszkiewicz, served as a clinical model for the Kraepelinian concept of dementia praecox. In the article, the life and career of Daraszkiewicz is covered, with particular emphasis on the role of his doctoral dissertation on hebephrenia in the history of the concept of schizophrenia.

Helminths of wild boar in the isolated population close to the northern border of its habitat area.

PubMed

Järvis, T; Kapel, Ch; Moks, E; Talvik, H; Mägi, E

2007-12-25

One hundred wild boars (Sus scrofa) from a geographically isolated population on the island Saaremaa of western Estonia were examined for visceral helminths. Seven helminth species, Metastrongylus pudendotectus, M. salmi, M. elongatus, Ascaris suum, Trichuris suis, Dicrocoelium dendriticum and Taenia hydatigena larva, were found. The predominant helminths discovered were lung nematodes (prevalence 82%, mean intensity 96.2 per animal). A significant negative correlation was observed between the weight of wild boars and the number of lungworms and helminth species. The number of helminth species found in the wild boar population on the island was lower compared to that of the adjacent mainland.

Burnout syndrome as an occupational disease in the European Union: an exploratory study.

PubMed

Lastovkova, Andrea; Carder, Melanie; Rasmussen, Hans Martin; Sjoberg, Lars; Groene, Gerda J de; Sauni, Riitta; Vevoda, Jiri; Vevodova, Sarka; Lasfargues, Gerard; Svartengren, Magnus; Varga, Marek; Colosio, Claudio; Pelclova, Daniela

2018-04-07

The risk of psychological disorders influencing the health of workers increases in accordance with growing requirements on employees across various professions. This study aimed to compare approaches to the burnout syndrome in European countries. A questionnaire focusing on stress-related occupational diseases was distributed to national experts of 28 European Union countries. A total of 23 countries responded. In 9 countries (Denmark, Estonia, France, Hungary, Latvia, Netherlands, Portugal, Slovakia and Sweden) burnout syndrome may be acknowledged as an occupational disease. Latvia has burnout syndrome explicitly included on the List of ODs. Compensation for burnout syndrome has been awarded in Denmark, France, Latvia, Portugal and Sweden. Only in 39% of the countries a possibility to acknowledge burnout syndrome as an occupational disease exists, with most of compensated cases only occurring in recent years. New systems to collect data on suspected cases have been developed reflecting the growing recognition of the impact of the psychosocial work environment. In agreement with the EU legislation, all EU countries in the study have an action plan to prevent stress at the workplace.

Fatal Babesia canis canis infection in a splenectomized Estonian dog.

PubMed

Tiškina, Valentina; Capligina, Valentina; Must, Külli; Berzina, Inese; Ranka, Renate; Jokelainen, Pikka

2016-01-25

A previously splenectomized dog from Estonia was presented with a sudden lack of appetite and discoloration of the urine. Despite supportive therapy, its condition deteriorated dramatically during 1 day. Severe thrombocytopenia and high numbers of protozoan hemoparasites were evident in blood smears, and the hematocrit dropped from 46 to 33 %. The dog was euthanized before specific antibabesial treatment was initiated. Blood samples from the dog and from two other dogs in the same household tested positive for Babesia using molecular methods, and the sequences of partial 18S rRNA gene confirmed the causative species as Babesia canis canis. The risk of severe, rapidly progressing babesiosis in splenectomized dogs merits awareness.

Fractality Evidence and Long-Range Dependence on Capital Markets: a Hurst Exponent Evaluation

NASA Astrophysics Data System (ADS)

Oprean, Camelia; Tănăsescu, Cristina

2014-07-01

Since the existence of market memory could implicate the rejection of the efficient market hypothesis, the aim of this paper is to find any evidence that selected emergent capital markets (eight European and BRIC markets, namely Hungary, Romania, Estonia, Czech Republic, Brazil, Russia, India and China) evince long-range dependence or the random walk hypothesis. In this paper, the Hurst exponent as calculated by R/S fractal analysis and Detrended Fluctuation Analysis is our measure of long-range dependence in the series. The results reinforce our previous findings and suggest that if stock returns present long-range dependence, the random walk hypothesis is not valid anymore and neither is the market efficiency hypothesis.

"The assistant's bedroom served as a laboratory": documentation in 1888 of within sleep periodicity by the psychiatrist Eduard Robert Michelson.

PubMed

Weber, Matthias M; Burgmair, Wolfgang

2009-03-01

In 1888, Eduard Robert Michelson (1861-1944), a student of the German psychiatrist Emil Kraepelin at the university clinic of Dorpat (Tartu, Estonia), established a sleep laboratory in which he conducted a fundamental and innovative study about the physiology of sleep regulation. Based on the then current theoretical concepts and methodological techniques of Wundtian experimental psychology, and Kraepelin's research strategy, Michelson, for the first time, was able to describe a "very strange phenomenon" of human sleep - a "remarkable periodicity" of the "sleep depth curve." Furthermore, Michelson postulated that this within sleep periodicity should not be explained as an effect of external stimuli but rather of "antagonistic" physiological processes. Unfortunately, Michelson's publication of 1891 fell almost into oblivion as contemporary theories of sleep could not offer an explanation for his findings. Nevertheless, Michelson's "Untersuchungen über die Tiefe des Schlafes" should be considered as one of the key studies in the development of sleep research in the 19th century and a pioneer description of within sleep periodicity.

Depressive symptomatology in severe dementia in a European sample: prevalence, associated factors and prescription rate of antidepressants.

PubMed

Giebel, Clarissa M; Sutcliffe, Caroline; Renom-Guiteras, Anna; Arve, Seija; Hallberg, Ingalill Rahm; Soto, Maria; Zabalegui, Adelaida; Hamers, Jan; Saks, Kai; Challis, David

2015-04-01

Depression is a common comorbid disorder of dementia. This study explores the prevalence of and factors associated with depressive symptomatology, and antidepressant prescription rates in severe dementia across eight European countries. In total, 414 people with severe dementia completed measures of cognition and quality of life (QoL), whilst carers completed proxy measures of activities of daily living (ADLs), depression, neuropsychiatric symptoms, QoL and comorbidity. Findings indicated that 30% of the sample had depression, whilst the highest and lowest prevalence of depression was reported in Germany and Finland, respectively. Lower QoL, the presence of pain and more frequent neuropsychiatric symptoms were associated with depressive symptomatology, whilst no significant relationship between impairment of ADLs, comorbidity, and depression emerged. Spain and Estonia had the highest and lowest rates of antidepressant prescribing, respectively, whilst Germany had the highest discrepancy between depressive symptomatology and prescription. The study highlights variations across countries in the prevalence of depressive symptomatology in severe dementia and prescription of antidepressants. Information about factors associated with depressive symptomatology may help to better identify and manage depression.