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Sample records for newly independent estonia

  1. Resume Writing in Russia and the Newly Independent States

    ERIC Educational Resources Information Center

    Bowen, Betsy; Sapp, David Alan; Sargsyan, Nelly

    2006-01-01

    This article examines the teaching of resume writing at one university in Russia and several institutions in the Newly Independent States (NIS). The authors explore challenges including variable cultural norms for written versus oral communication, severe financial and material hardship in the educational sector, cultural discomfort with the norms…

  2. Resume Writing in Russia and the Newly Independent States

    ERIC Educational Resources Information Center

    Bowen, Betsy; Sapp, David Alan; Sargsyan, Nelly

    2006-01-01

    This article examines the teaching of resume writing at one university in Russia and several institutions in the Newly Independent States (NIS). The authors explore challenges including variable cultural norms for written versus oral communication, severe financial and material hardship in the educational sector, cultural discomfort with the norms…

  3. 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.

  4. Program Evaluation Development in the Newly Independent States

    ERIC Educational Resources Information Center

    Karimov, Afar; Borovykh, Alexander; Kuzmin, Alexey; Abdykadyrova, Asel; Efendiev, Djahangir; Greshnova, Ekaterina; Konovalova, Elena; Frants, Inessa; Palivoda, Liubov; Usifli, Seymour; Balakirev, Vladimir

    2007-01-01

    This paper provides a general overview of the development of program evaluation in CIS (Commonwealth of Independent States) countries. We start by telling a story that describes how evaluation appeared in the scene, how it developed and who the key players were in its development. We discuss the issue of demand for and supply of evaluation…

  5. Transition to independent practice: a national enquiry into the educational support for newly qualified GPs.

    PubMed

    Griffin, Ann; Abouharb, Tareq; Etherington, Clare; Bandura, Induja

    2010-09-01

    The nature of the work that NQGPs are undertaking in their transition to independent practice is changing; current training may not fully prepare them for this new peripatetic role, as indicated by rising numbers of reports of poor performance in this group. Educational support at the time of transition from general practitioner (GP) training to independent practice had previously demonstrated benefits, but many formal schemes have finished. This study aimed to map out the current provision of educational support provided by the UK deaneries for NQGPs and to explore NQGPs' perceptions of the present transition from registrar to independent practitioner. Questionnaire surveys of deanery provision and semi-structured telephone interviews of a purposeful sample of newly qualified GPs across the UK. Interviews were thematically analysed. Deanery provision of educational support to NQGPs varies across the UK. Telephone interviews highlighted the transformation as problematic; NQGPs perceived that independent practice was substantially different from being in a training post - locum work, isolation and accessing educational opportunities were concerns. NQGPs frequently expressed a desire for more formalised relationships with mentors, senior colleagues or peer groups, to support their shift. As NQGPs increasingly find themselves working as locums, lacking the opportunity for stable work-based relationships, and with an increase in medical errors being reported in this group of doctors, it is suggested that there is a need to reconsider the educational support required to facilitate the transition in the early years of independent general practice.

  6. Lizards on newly created islands independently and rapidly adapt in morphology and diet

    PubMed Central

    Eloy de Amorim, Mariana; Schoener, Thomas W.; Santoro, Guilherme Ramalho Chagas Cataldi; Lins, Anna Carolina Ramalho; Piovia-Scott, Jonah; Brandão, Reuber Albuquerque

    2017-01-01

    Rapid adaptive changes can result from the drastic alterations humans impose on ecosystems. For example, flooding large areas for hydroelectric dams converts mountaintops into islands and leaves surviving populations in a new environment. We report differences in morphology and diet of the termite-eating gecko Gymnodactylus amarali between five such newly created islands and five nearby mainland sites located in the Brazilian Cerrado, a biodiversity hotspot. Mean prey size and dietary prey-size breadth were larger on islands than mainlands, expected because four larger lizard species that also consume termites, but presumably prefer larger prey, went extinct on the islands. In addition, island populations had larger heads relative to their body length than mainland populations; larger heads are more suited to the larger prey taken, and disproportionately larger heads allow that functional advantage without an increase in energetic requirements resulting from larger body size. Parallel morphological evolution is strongly suggested, because there are indications that, before flooding, relative head size did not differ between future island and future mainland sites. Females and males showed the same trend of relatively larger heads on islands, so the difference between island and mainland sites is unlikely to be due to greater male–male competition for mates on islands. We thus discovered a very fast (at most 15 y) case of independent parallel adaptive change in response to catastrophic human disturbance. PMID:28760959

  7. Power and uneven globalization: Coalitions and energy trade dependence in the newly independent states of Europe

    NASA Astrophysics Data System (ADS)

    Linden, Corina Herron

    2000-10-01

    The economies of the European former Soviet Union were dependent upon energy subsidies in the form of virtually free oil and natural gas imports from Russia, the loss of which implied dramatic shocks to domestic production structures, and the maintenance of which implied continued policy concessions to Russia. Yet some of these states actively pursued integration into the global economy while others sought to maintain the shelter of domestic markets and Russian energy subsidies. While the economic costs of openness and restructuring would be high in all cases in the short term, it is the political costs of openness and restructuring that determine the policy of the state. Where the high costs of restructuring are borne by a politically disenfranchised group, a consensus coalition can emerge in favor of rapid restructuring and energy reorientation. Where the benefits of the status quo accrue to a well-organized coalition closely allied with the state, a consensus coalition emerges in favor of maintenance of energy subsidies from and political relationship with Russia. Where the costs of restructuring are borne broadly or by a well-organized minority group, power oscillation and fragmentation will lead to inconsistent policy and slow progress toward energy reorientation and reform. Integrating a state-in-society approach to coalition formation within the field of international political economy, the author argues that states dominated by globalist-liberalizing-nationalist coalitions were able to implement energy trade reorientation by politically disenfranchising the ethnic minorities who populated the sector most vulnerable to energy contraction, heavy industry. These "globalizers," Estonia and Latvia, bore the high costs of restructuring industries and importing energy at world prices. Belarus, dominated by pro-Moscow-statist-leftist coalitions, sought to preserve energy subsidies through political and economic reintegration with Russia. States ruled by divided

  8. Biobanking in Estonia.

    PubMed

    Keis, Aime

    2016-03-01

    Estonia is a democratic, parliamentary republic with a health care system that is built on the principle of compulsory, solidarity-based insurance and the all-round availability of services of private service providers. Estonia has specific biobank legislation as well as oversight via data protection laws. Its population-based biobank, the Estonian Genome Center (EGCUT), established in 2001, is one of the largest biobanks in Europe, and its database may be used only for scientific research, public health research, and statistics. The EGCUT can issue data to a third party, but only in coded form. This comprehensive database of genotypic, phenotypic, health, and genealogical information represents about 5% of Estonia's adult population, and is the largest cohort ever gathered in Estonia. Government approval is required for international data sharing, and sharing can be further limited by the requirement of ethics approval and permission from Estonian government.

  9. Materials and process engineering projects for the Sandia National Laboratories/Newly Independent States Industrial Partnering Program. Volume 1

    SciTech Connect

    Zanner, F.J.; Moffatt, W.C.

    1995-07-01

    In July, 1994, a team of materials specialists from Sandia and U S Industry traveled to Russia and the Ukraine to select and fund projects in materials and process technology in support of the Newly Independent States/Industrial Partnering Program (NIS/IPP). All of the projects are collaborations with scientists and Engineers at NIS Institutes. Each project is scheduled to last one year, and the deliverables are formatted to supply US Industry with information which will enable rational decisions to be made regarding the commercial value of these technologies. This work is an unedited interim compilation of the deliverables received to date.

  10. Materials and process engineering projects for the Sandia National Laboratories/Newly Independent States Industrial Partnering Program. Volume 2

    SciTech Connect

    Zanner, F.J.; Moffatt, W.C.

    1995-07-01

    In July, 1994, a team of materials specialists from Sandia and US. Industry traveled to Russia and the Ukraine to select and fund projects in materials and process technology in support of the Newly Independent States/Industrial Partnering Program (NIS/IPP). All of the projects are collaborations with scientists and Engineers at NIS Institutes. Each project is scheduled to last one year, and the deliverables are formatted to supply US. Industry with information which will enable rational decisions to be made regarding the commercial value of these technologies. This work is an unedited interim compilation of the deliverables received to date.

  11. Drumlins of Estonia

    NASA Astrophysics Data System (ADS)

    Rõuk, Aarend-Mihkel; Raukas, Anto

    1989-05-01

    Drumlins, megaflutings and other subglacial streamlined forms, highly variable in shape and size, are widely distributed in Estonia as well as on the bottom of the Gulf of Finland, which was also affected by continental ice. Their total number amounts to 1000. The main drumlin fields are most common in Central Estonia on lateral slopes of bedrock uplands and/or in depressions between them, and they serve as a transitional landscape type between predominantly erosional (in northern Estonia) and depositional zones (in southern Estonia) of the Scandinavian ice sheet. Nevertheless, the local details of bedrock topography and glacial and deglacial history have led to some deviations (e.g. the unique Saadjärv field of big drumlins and megaflutings is situated in a "glacier shadow", on the lee side of a bedrock upland). Being of varied composition and age, drumlins and related streamlined forms represent complex interactions between erosional, transporting and depositional processes, although the dynamics of their formation are still somewhat enigmatic. It seems that in Estonia drumlins were formed both during ice advances and retreats. In some cases there are moraine hillocks, kames and eskers and other ice disintegration features superimposed on drumlins.

  12. Mitigation analysis for Estonia

    SciTech Connect

    Martins, A.; Roos, J.; Pesur, A.

    1996-09-01

    The present report provides data on the mitigation analysis of Estonia. The results for energy, forest and agricultural sectors and macro-economic analysis are given. The Government of Estonia has identified the development of energy production as the main strategical means in the movement towards market economy. Now 99% of electricity generation and about 25% of heat production in Estonia is based on oil shale combustion. To increase the efficiency of oil shale-fired power plants and decrease CO{sub 2} emissions, the State Enterprise (SE) Eesti Energia (Estonian Energy) is planning to reconstruct these power plants and introduce the Circulating Fluidized Bed (CFB) combustion technology for oil shale burning to replace the Pulverized Combustion (PC). According to the Estonian Forest Policy, two general objectives are of importance: sustainability in forestry and efficiency in forest management. For the reduction of greenhouse gases (GHG) emissions from agriculture, it is necessary to increase the efficiency of production resource usage. The growth of the GDP in 1995 was 2.9% as a result of large-scale privatization activities in Estonia and re-introduction of the available, but unused production capacities with the help of foreign and domestic investments. It is assumed that the medium growth rate of GDP reaches 6% in 1998.

  13. 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

  14. Eliminating rabies in Estonia.

    PubMed

    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.

  15. 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…

  16. National Testing of Pupils in Europe: Objectives, Organisation and Use of Results. Estonia 2009

    ERIC Educational Resources Information Center

    Mere, Kristi

    2009-01-01

    Estonia restored its independence in 1991. The creation of legislation and reorganisation of the educational system was one of the first tasks of the restored Republic of Estonia. The development of the national curriculum for basic and upper secondary schools that provided a framework substituting the previous study modules, and the creation of…

  17. 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…

  18. Monokine induced by interferon gamma (MIG/CXCL9) is an independent prognostic factor in newly diagnosed myeloma.

    PubMed

    Bolomsky, Arnold; Schreder, Martin; Hübl, Wolfgang; Zojer, Niklas; Hilbe, Wolfgang; Ludwig, Heinz

    2016-11-01

    Immune suppression is a hallmark of multiple myeloma (MM), but data on soluble factors involved in the fate of immune effector cells are limited. The CXCR3-binding chemokine monokine induced by interferon-gamma (MIG/CXCL9) has been associated with tumor progression, immune escape, and angiogenesis in several malignancies. We here aimed to evaluate the prognostic relevance of MIG in MM. MIG serum levels were significantly elevated in newly diagnosed MM patients (n = 105) compared to patients with monoclonal gammopathy of undetermined significance (MGUS; n = 17) and healthy controls (n = 37). MIG expression in stromal compartments but not purified MM cells correlated with serum levels. High MIG serum levels were significantly associated with established prognostic markers (international staging system: R = 0.25, p = 0.001; age: R = 0.47, p < 0.0001; lactate-dehydrogenase: R = 0.34, p = 0.0005) and poor overall survival (OS) (median OS 17.0 months vs. not reached, p < 0.001). A similar association was found for CXCL10 and CXCL11. Multivariate regression analysis indicated MIG as an independent prognostic factor of OS.

  19. Serum Chemerin Levels are Associated with Visceral Adiposity, Independent of Waist Circumference, in Newly Diagnosed Type 2 Diabetic Subjects.

    PubMed

    Cheon, Dae Young; Kang, Jun Goo; Lee, Seong Jin; Ihm, Sung Hee; Lee, Eun Jig; Choi, Moon Gi; Yoo, Hyung Joon; Kim, Chul Sik

    2017-03-01

    Chemerin has been suggested to be linked to insulin resistance and type 2 diabetes mellitus (T2DM). However, the relationship between visceral adiposity and chemerin levels remains unclear in subjects with T2DM. In this study, we investigated the relationship between serum chemerin levels and visceral adiposity. This study included 102 subjects newly diagnosed with T2DM. The relationships between serum chemerin levels and clinical and biochemical parameters were examined. Multiple linear regression analysis was performed to determine the predictable factors of serum chemerin levels. Serum chemerin levels showed significant positive correlations with body mass index (BMI), waist circumference (WC), visceral fat thickness (VFT), insulin levels, the homeostasis model assessment of insulin resistance, and levels of triglycerides (log-transformed) and high-sensitivity C-reactive protein, while showing significant negative correlations with high-density lipoprotein cholesterol. After adjusting for BMI and WC, VFT showed a significant relationship with serum chemerin levels (r=0.222, p=0.027). Moreover, VFT was an independent predictive factor of serum chemerin levels (β=0.242, p=0.041). We demonstrated that chemerin is linked to metabolic syndrome components. Moreover, serum chemerin levels were associated significantly with obesity, especially visceral adipose tissue, in subjects with T2DM.

  20. Noise and children's health: research in Central, Eastern and South-Eastern Europe and Newly Independent States.

    PubMed

    Paunovic, Katarina

    2013-01-01

    Many reviews have documented the adverse effects of noise on children's health, but the international scientific community was previously unfamiliar with noise research in Central and Eastern Europe (CEE), South-East Europe (SEE), and Newly Independent States (NIS). The aim of this review was to present studies on the effects of noise on children's health, conducted in aforementioned countries in the second half of the 20 th century, interpret their findings, and criticize their methodology and results wherever possible. This review focused on 30 papers published in national journals in the period from 1965 to 2000. By design, 22 studies were observational and cross-sectional, and eight studies were experimental. The outcomes under the study included auditory changes, stress reactions, sleep disturbances, school performance, upright posture, and vegetative functions. Researchers from CEE, SEE, and NIS were the pioneers in the assessment of noise-induced changes of vegetative functions and blood pressure of children in urban areas, as well as of infants exposed to noise in incubators. Future research should focus on intervention studies and follow-up of children's health in relation to noise exposure.

  1. Noise induced hearing loss: research in Central, Eastern and South-Eastern Europe and Newly Independent States.

    PubMed

    Pawlaczyk-Luszczynska, Malgorzata; Dudarewicz, Adam; Zaborowski, Kamil; Zamojska, Malgorzata; Sliwinska-Kowalska, Mariola

    2013-01-01

    The aim of this review was to summarize the studies on noise-induced hearing loss (NIHL) which were carried out in the countries of Central and Eastern Europe, South-East Europe, and former Soviet Union countries or Newly Independent States in the period from 1970 to 2012. The papers were identified by literature search of all accessible medical and other databases (Scopus, PubMed, Medline, etc.) using the terms "noise; hearing loss, NIHL" as key words and country denomination (in alphabetical order: Armenia, Azerbaijan, Belarus, Bulgaria, Bosnia and Herzegovina, Croatia, Czech Republic, Georgia, Hungary, Montenegro, Poland, Romania, Russian Federation, Serbia, Slovakia, Slovenia, former Yugoslavia, Ukraine). This review comprises both papers published in peer-reviewed international journals and articles from local sources. The main papers' topics included the assessment of the noise hazards in occupational, and very seldom in communal environment, and the prevalence of hearing impairment in employees. Simultaneously, attempts were undertaken to establish the relationship between the degree of hearing impairment and noise exposure. The effect of combined exposures to noise and vibration and/or otoxic chemicals was assessed as well. The influence of environmental, individual, and genetic risk factors on NIHL development was intensively examined. In addition, studies concerning the role of otoacoustic emissions for NIHL monitoring and clinical examinations were conducted. Some animal researches, including molecular genetics, had been also performed. The majority of papers concerned occupational exposures, whereas only a few were dedicated to community noise.

  2. Serum Chemerin Levels are Associated with Visceral Adiposity, Independent of Waist Circumference, in Newly Diagnosed Type 2 Diabetic Subjects

    PubMed Central

    Cheon, Dae Young; Kang, Jun Goo; Lee, Seong Jin; Ihm, Sung Hee; Lee, Eun Jig; Choi, Moon Gi; Yoo, Hyung Joon

    2017-01-01

    Purpose Chemerin has been suggested to be linked to insulin resistance and type 2 diabetes mellitus (T2DM). However, the relationship between visceral adiposity and chemerin levels remains unclear in subjects with T2DM. In this study, we investigated the relationship between serum chemerin levels and visceral adiposity. Materials and Methods This study included 102 subjects newly diagnosed with T2DM. The relationships between serum chemerin levels and clinical and biochemical parameters were examined. Multiple linear regression analysis was performed to determine the predictable factors of serum chemerin levels. Results Serum chemerin levels showed significant positive correlations with body mass index (BMI), waist circumference (WC), visceral fat thickness (VFT), insulin levels, the homeostasis model assessment of insulin resistance, and levels of triglycerides (log-transformed) and high-sensitivity C-reactive protein, while showing significant negative correlations with high-density lipoprotein cholesterol. After adjusting for BMI and WC, VFT showed a significant relationship with serum chemerin levels (r=0.222, p=0.027). Moreover, VFT was an independent predictive factor of serum chemerin levels (β=0.242, p=0.041). Conclusion We demonstrated that chemerin is linked to metabolic syndrome components. Moreover, serum chemerin levels were associated significantly with obesity, especially visceral adipose tissue, in subjects with T2DM. PMID:28120562

  3. 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.

  4. Toenail onychomycosis in Estonia.

    PubMed

    Järv, H; Naaber, P; Kaur, S; Eisen, M; Silm, H

    2004-02-01

    The aim of our study was to evaluate the clinical features, predisposing factors and pathogens of toenail onychomycosis in Estonia. During study period we interviewed and examined 436 dermatological patients with clinical signs of toenail onychomycosis in all counties of Estonia. In 69% of cases, the clinical diagnosis of onychomycosis was confirmed by the mycological analysis. The most common clinical symptoms of onychomycosis both in mycologically proven and non-proven cases were discolorization of nail plate, hyperkeratosis and brittle nails. The number of infected toenails positively correlated with patients' age. On average, patient had 5.4 infected nails. In 78% of culture-positive cases, a dermatophyte was isolated as the causative agent, in 10% yeasts and in 7% moulds. In 6% of culture-positive cases we reported mixed infections. Trichophyton rubrum was the most common pathogen. The high occurrence of mixed infections, clinical symptoms characteristic to long lasting or chronic infection and high number of infected toenails indicate that Estonian patients have more advanced stage of toenail onychomycosis compared with other western and central European countries.

  5. Individual and community level socioeconomic inequalities in contraceptive use in 10 Newly Independent States: a multilevel cross-sectional analysis

    PubMed Central

    2012-01-01

    Introduction Little is known regarding the association between socioeconomic factors and contraceptive use in the Newly Independent States (NIS), countries that have experienced profound changes in reproductive health services during the transition from socialism to a market economy. Methods Using 2005–2006 data from Demographic Health Surveys (Armenia, Azerbaijan, and Moldova) and Multiple Indicator Cluster Surveys (Belarus, Georgia, Kazakhstan, Kyrgyzstan, Tajikistan, Ukraine, and Uzbekistan), we examined associations between individual and community socioeconomic status with current modern contraceptive use (MCU) among N = 55,204 women aged 15–49 married or in a union. Individual socioeconomic status was measured using quintiles of wealth index and education level (higher than secondary school, secondary school or less). Community socioeconomic status was measured as the percentage of households in the poorest quintile of the nationals household wealth index (0%, 0–25%, or greater than 25%). We used multilevel logistic regression to estimate associations adjusted for age, number of children, urban/rural, and socioeconomic variables. Results MCU varied by country from 14% (in Azerbaijan) to 62% (in Belarus). Overall, women living in the poorest communities were less likely than those in the richest to use modern contraceptives (adjusted odds ratio (aOR) = 0.82, 95% Confidence Interval = 0.76, 0.89). Similarly, there was an increasing odds of MCU with increasing individual-level wealth. Women with a lower level of education also had lower odds of MCU than those with a higher level of education (aOR = .75, 95%CI = 0.71, 0.79). In country-specific analyses, community-level socioeconomic inequalities were apparent in 4 of 10 countries; in contrast, inequalities by individual-level wealth were apparent in 7 countries and by education in 8 countries. All countries in which community-level socioeconomic status was associated with MCU were in

  6. Individual and community level socioeconomic inequalities in contraceptive use in 10 Newly Independent States: a multilevel cross-sectional analysis.

    PubMed

    Janevic, Teresa; Sarah, Pallas W; Leyla, Ismayilova; Elizabeth, Bradley H

    2012-11-16

    Little is known regarding the association between socioeconomic factors and contraceptive use in the Newly Independent States (NIS), countries that have experienced profound changes in reproductive health services during the transition from socialism to a market economy. Using 2005-2006 data from Demographic Health Surveys (Armenia, Azerbaijan, and Moldova) and Multiple Indicator Cluster Surveys (Belarus, Georgia, Kazakhstan, Kyrgyzstan, Tajikistan, Ukraine, and Uzbekistan), we examined associations between individual and community socioeconomic status with current modern contraceptive use (MCU) among N = 55,204 women aged 15-49 married or in a union. Individual socioeconomic status was measured using quintiles of wealth index and education level (higher than secondary school, secondary school or less). Community socioeconomic status was measured as the percentage of households in the poorest quintile of the nationals household wealth index (0%, 0-25%, or greater than 25%). We used multilevel logistic regression to estimate associations adjusted for age, number of children, urban/rural, and socioeconomic variables. MCU varied by country from 14% (in Azerbaijan) to 62% (in Belarus). Overall, women living in the poorest communities were less likely than those in the richest to use modern contraceptives (adjusted odds ratio (aOR) = 0.82, 95% Confidence Interval = 0.76, 0.89). Similarly, there was an increasing odds of MCU with increasing individual-level wealth. Women with a lower level of education also had lower odds of MCU than those with a higher level of education (aOR = .75, 95%CI = 0.71, 0.79). In country-specific analyses, community-level socioeconomic inequalities were apparent in 4 of 10 countries; in contrast, inequalities by individual-level wealth were apparent in 7 countries and by education in 8 countries. All countries in which community-level socioeconomic status was associated with MCU were in Central Asia, whereas at the individual

  7. Smoking Cessation Carries a Short-Term Rising Risk for Newly Diagnosed Diabetes Mellitus Independently of Weight Gain: A 6-Year Retrospective Cohort Study.

    PubMed

    Sung, Yi-Ting; Hsiao, Cheng-Ting; Chang, I-Jen; Lin, Yu-Chih; Yueh, Chen-Yu

    2016-01-01

    Background. The effects of smoking on human metabolism are complex. Although smoking increases risk for diabetes mellitus, smoking cessation was also reported to be associated with weight gain and incident diabetes mellitus. We therefore conducted this study to clarify the association between smoking status and newly diagnosed diabetes mellitus. Methods. An analysis was done using the data of a mass health examination performed annually in an industrial park from 2007 to 2013. The association between smoking status and newly diagnosed diabetes mellitus was analyzed with adjustment for weight gain and other potential confounders. Results. Compared with never-smokers, not only current smokers but also ex-smokers in their first two years of abstinence had higher odds ratios (ORs) for newly diagnosed diabetes mellitus (never-smokers 3.6%, OR as 1; current smokers 5.5%, OR = 1.499, 95% CI = 1.147-1.960, and p = 0.003; ex-smokers in their first year of abstinence 7.5%, OR = 1.829, 95% CI = 0.906-3.694, and p = 0.092; and ex-smokers in their second year of abstinence 9.0%, OR = 2.020, 95% CI = 1.031-3.955, and p = 0.040). Conclusion. Smoking cessation generally decreased risk for newly diagnosed diabetes mellitus. However, increased odds were seen within the first 2 years of abstinence independently of weight gain.

  8. Smoking Cessation Carries a Short-Term Rising Risk for Newly Diagnosed Diabetes Mellitus Independently of Weight Gain: A 6-Year Retrospective Cohort Study

    PubMed Central

    Sung, Yi-Ting; Hsiao, Cheng-Ting; Chang, I-Jen; Lin, Yu-Chih

    2016-01-01

    Background. The effects of smoking on human metabolism are complex. Although smoking increases risk for diabetes mellitus, smoking cessation was also reported to be associated with weight gain and incident diabetes mellitus. We therefore conducted this study to clarify the association between smoking status and newly diagnosed diabetes mellitus. Methods. An analysis was done using the data of a mass health examination performed annually in an industrial park from 2007 to 2013. The association between smoking status and newly diagnosed diabetes mellitus was analyzed with adjustment for weight gain and other potential confounders. Results. Compared with never-smokers, not only current smokers but also ex-smokers in their first two years of abstinence had higher odds ratios (ORs) for newly diagnosed diabetes mellitus (never-smokers 3.6%, OR as 1; current smokers 5.5%, OR = 1.499, 95% CI = 1.147–1.960, and p = 0.003; ex-smokers in their first year of abstinence 7.5%, OR = 1.829, 95% CI = 0.906–3.694, and p = 0.092; and ex-smokers in their second year of abstinence 9.0%, OR = 2.020, 95% CI = 1.031–3.955, and p = 0.040). Conclusion. Smoking cessation generally decreased risk for newly diagnosed diabetes mellitus. However, increased odds were seen within the first 2 years of abstinence independently of weight gain. PMID:27478846

  9. 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.

  10. A Connecticut Yankee in Estonia.

    ERIC Educational Resources Information Center

    Scahill, Edward M.

    1998-01-01

    Compares the real incomes of U.S. and Estonian workers using a procedure from Mark Twain's "A Connecticut Yankee in King Arthur's Court." Argues that the application of Twain's logic to the recent economic development of Estonia provides a colorful approach to teaching economic issues. (DSK)

  11. Research into Multilingualism in Estonia

    ERIC Educational Resources Information Center

    Verschik, Anna

    2005-01-01

    The present paper concentrates on several issues relevant to research into multilingualism in Estonia. It is argued that a macrosociolinguistic approach is insufficient when not counterbalanced with microsociolinguistic studies (case studies of actual linguistic behaviour, linguistic creativity, mechanisms and practices of multilingual…

  12. Burden of stroke in Estonia.

    PubMed

    Kõrv, Janika; Vibo, Riina

    2013-07-01

    Estonia is the smallest of the three Baltic countries. The decline in incidence of first-ever stroke during the 1990s has left Tartu, Estonia with a relatively low stroke incidence. However, the incidence rates for younger age groups, and the 28-day case fatality rate are higher compared with several other studies. Developments in the national health care system in recent years have been positive: the decline of mortality rate of stroke in Estonia is greater than the European Union average. However, the mortality of cardiovascular diseases is higher compared with several European countries. The prevalence of most stroke risk factors is comparable with European Union countries, while atrial fibrillation is somewhat more frequent (30%) among the patients having suffered from ischemic stroke. The management of stroke in Estonia has been in accordance with European and national stroke guidelines. Stroke units are organized in regional and central hospitals in bigger cities. A well-developed and free ambulance service, and a high priority of stroke code, enable a quick transportation of patients to the nearest hospital providing thrombolytic therapy. The number of thrombolyzed stroke cases has increased since 2003. The Estonian Stroke Initiative was founded in 2008 to improve stroke care, promote regional networks, and increase stroke knowledge among the general population and medical professionals. Since then, several activities regarding stroke awareness have been organized.

  13. Independence.

    ERIC Educational Resources Information Center

    Stephenson, Margaret E.

    2000-01-01

    Discusses the four planes of development and the periods of creation and crystallization within each plane. Identifies the type of independence that should be achieved by the end of the first two planes of development. Maintains that it is through individual work on the environment that one achieves independence. (KB)

  14. Sarcopenia and inflammation are independent predictors of survival in male patients newly diagnosed with small cell lung cancer.

    PubMed

    Go, Se-Il; Park, Mi Jung; Song, Haa-Na; Kang, Myoung Hee; Park, Hee Jung; Jeon, Kyung Nyeo; Kim, Seok-Hyun; Kim, Moon Jin; Kang, Jung-Hun; Lee, Gyeong-Won

    2016-05-01

    Sarcopenia is suggested to be associated with cancer-related inflammation. We assessed the clinical outcome of small cell lung cancer (SCLC) patients according to sarcopenia and the neutrophil-to-lymphocyte ratio (NLR). A total of 117 male SCLC patients treated with first-line chemo- or chemoradiotherapy were assessed based on a retrospective chart review. The mass of the pectoralis muscle was measured by computed tomography and normalized to height. Patients with the lowest quartile of muscle mass were considered to have sarcopenia. Patients were classified into four groups according to their sarcopenia and NLR statuses: sarcopenia/high NLR, sarcopenia/low NLR, non-sarcopenia/high NLR, and non-sarcopenia/low NLR. Sarcopenic patients had lower progression-free survival (PFS) than did non-sarcopenic patients (median 6.0 vs. 7.5 months, p = 0.009), but the difference in overall survival (OS) was not statistically significant (median 10.5 vs. 13.5 months, p = 0.052). However, the OS of sarcopenic patients with high NLR was significantly lower than that in all other groups (median 3.2 vs. 16.0 vs. 12.5 vs. 13.7 months, respectively, p < 0.001), as was PFS (median 3.2 vs. 7.7 vs. 7.6 vs. 7.1 months, respectively, p < 0.001). On multivariate analysis, sarcopenia with high NLR was an independent prognostic factor for shorter PFS and OS. Early discontinuation of treatment (20.0 vs. 10.3 %) and treatment-related mortality (50.0 vs. 8.4 %) occurred more frequently in these patients than in the other groups (p < 0.001). In SCLC, sarcopenic male patients with high NLR have a poor prognosis and do not tolerate standard treatment. Intensive supportive care is needed in these patients.

  15. Pharmaceutical care in community pharmacies: practice and research in Estonia.

    PubMed

    Volmer, Daisy; Vendla, Kaidi; Vetka, Andre; Bell, J Simon; Hamilton, David

    2008-07-01

    To describe practice and research related to pharmaceutical care in Estonia following the country's restoration of independence from Russia in 1991. The transition from a Soviet to a free market economy has impacted the healthcare and pharmacy systems in Estonia. Following independence, ownership of community pharmacies was transferred from the State government to individual pharmacists. However, pharmacy ownership is no longer restricted to pharmacists and recent years have seen the emergence of large pharmacy chains. The number of community pharmacies in Estonia increased from 270 in 1992 to 523 in 2007. In addition to dispensing, Estonian pharmacies retain a focus on compounding of extemporaneous products and supply of herbal medications. Research into pharmaceutical care has addressed topics including pharmaceutical policy and the quality of pharmacy services provided at community pharmacies. There has been limited pressure to date from the governmental institutions and patient organizations to introduce extended pharmaceutical services. However, the trend toward providing health services in primary care will create greater responsibilities and new opportunities for community pharmacists. Recent inclusion of clinical pharmacy and interprofessional learning in the undergraduate pharmacy curriculum will help ensure ongoing development of the profession and high-quality pharmacy services in the future. Pharmaceutical care services in Estonian community pharmacies have become more patient-oriented over the past 17 years. However, community pharmacies continue to retain a focus on traditional roles.

  16. [Health telematics/telemedicine in the republic of Estonia].

    PubMed

    Köhler, F; Fotuhi, P; Schierbaum, C; Dietel, M; Baumann, G; Lange, M; Asser, T

    2004-04-30

    The people of Estonia, who until their independence had been systematically deprived of all forms of information, have shown a ready acceptance of the use of information technology in all areas of life. This environment and an excellent IT infrastructure have since the beginning of the new century provided favourable conditions for developing various individual projects in telemedicine. At the core of current telemedical applications in Estonia is the BITNET Project (in neurology, general medicine), built up with Swedish cooperation, and three German-Estonian projects (in telecardiology and telepathology). These projects are accompanied by studies of their cost-effectiveness. They constitute the basis for the plan that routine telemedical services be taken over by the Estonian health insurance. Differing from the situation in the Scandinavian countries, which have had an effective national telemedical service for over ten years, the special feature of telematrics in Estonia is its international networking with foreign centres of excellence. This has its origin in the aim of Estonian health policy to ensure medical services within its own country in all branches of medicine.

  17. Surrogate alcohol drinking in Estonia.

    PubMed

    Pärna, Kersti; Leon, David A

    2011-08-01

    Surrogate, nonbeverage alcohols, provide a cheap and concentrated source of ethanol for drinking that has been associated with premature mortality. The aim of this study was to provide the first estimate of the prevalence of surrogate alcohol consumption in a national population sample of Estonia. The Estonian Health Interview Survey conducted in 2006 to 2007 was a nationally representative sample of the population aged 15 to 84 years (N = 6,370). The age-standardized percentage prevalences of ever having drunk surrogates were estimated. The association of age, ethnicity, and education with the prevalence of surrogate drinking was estimated using logistic regression. Of all respondents who reported drinking at least once in their lifetime (N = 5,423), 65% had consumed alcohol during the previous 4 weeks. In this group (N = 3,525), the age-standardized prevalence rate of surrogate drinking was 1.4% (2.3% men, 0.3% women). Among men, surrogate drinking was rare under the age of 35 years (0.3%). Ethnicity and education were both related to surrogate drinking: relative to Estonian men, non-Estonians (mainly Russians) had an odds ratio (OR) for surrogate drinking (adjusted for age and education) of 2.58 (95% CI 1.41, 4.72), while relative to those with higher education those with secondary education had an OR (adjusted for age and ethnicity) of 2.28 (0.78, 6.67) and those with basic education an OR of 3.91 (1.29, 11.84). Surrogate alcohols are drunk in Estonia, particularly among men. This behavior shows pronounced variation in prevalence by ethnicity and education. Reducing consumption of these substances needs to be part of any strategy to reduce the burden of alcohol-related problems in Estonia today. Copyright © 2011 by the Research Society on Alcoholism.

  18. A steroid-independent regimen of bortezomib, liposomal doxorubicin and thalidomide demonstrate high response rates in newly diagnosed multiple myeloma patients

    PubMed Central

    Sher, Taimur; Ailawadhi, Sikander; Miller, Kena C.; Manfredi, Debbie; Wood, Margaret; Tan, Wei; Wilding, Gregory; Czuczman, Myron S.; Hernandez-Ilizaliturri, Francisco J.; Hong, Fredrick; Sood, Raman; Soniwala, Saif; Lawrence, William; Jamshed, Saad; Masood, Aisha; Iancu, Daniel; Lee, Kelvin; Chanan-Khan, Asher

    2014-01-01

    Novel agents have provided new a foundation for multiple myeloma therapies. When combined with other anti-myeloma agents, these compounds significantly enhance clinical efficacy. High-dose steroids are frequently used in anti-myeloma combination regimens; however, the doses employed are often poorly tolerated, especially in patients with concurrent comorbid conditions. We hypothesized that a steroid-independent combination regimen could be developed without significant compromise of efficacy. The availability of such a regimen will be important for patients whose concurrent ailments make them poor candidates for steroid containing anti-myeloma regimens. A phase II single institute, non-randomized clinical trial was conducted to investigate a novel steroid-free three-drug combination of bortezomib (V), pegylated liposomal doxorubicin (D), and thalidomide (T), the VDT regimen. Forty-three newly diagnosed multiple myeloma patients requiring treatment were enrolled on this study. The overall response rate and complete response (CR) + near complete response (nCR) rate was 78% and 35%, respectively. Median time to progression was 29.5 months. Fatigue, rash, neuropathy, constipation and infections were the most common side effects. We concluded that VDT is a tolerable and an effective regimen capable of inducing high response rates and can be employed in patients considered to be poor candidates for steroid-based treatment regimens. PMID:21554260

  19. When Language becomes Power: Russian-Speaking Teachers in the Bilingual General Education System in Estonia

    ERIC Educational Resources Information Center

    Kiilo, Tatjana; Kutsar, Dagmar

    2012-01-01

    After the re-establishment of independent Estonian statehood in 1991, Russian lost its privileges as the dominant and official language in Estonia, and Estonian continued as the only official language. This paper attempts to map the position of a Russian-speaking teacher within the sociological categories of power and language, based on the…

  20. Language Testing in the Context of Citizenship and Asylum: The Case of Estonia

    ERIC Educational Resources Information Center

    Zabrodskaja, Anastassia

    2009-01-01

    The focus of the current article is language testing in the context of citizenship and asylum in Estonia, a country that regained independence in 1991. Estonian as the single official language of the country (according to the new language legislation laws) and a new political system have caused changes in use of and attitudes toward Estonian among…

  1. When Language becomes Power: Russian-Speaking Teachers in the Bilingual General Education System in Estonia

    ERIC Educational Resources Information Center

    Kiilo, Tatjana; Kutsar, Dagmar

    2012-01-01

    After the re-establishment of independent Estonian statehood in 1991, Russian lost its privileges as the dominant and official language in Estonia, and Estonian continued as the only official language. This paper attempts to map the position of a Russian-speaking teacher within the sociological categories of power and language, based on the…

  2. Circulating angiopoietin-1 to angiopoietin-2 ratio is an independent prognostic factor for survival in newly diagnosed patients with multiple myeloma who received therapy with novel antimyeloma agents.

    PubMed

    Terpos, Evangelos; Anargyrou, Konstantinos; Katodritou, Eirini; Kastritis, Efstathios; Papatheodorou, Athanasios; Christoulas, Dimitrios; Pouli, Anastasia; Michalis, Eurydiki; Delimpasi, Sosana; Gkotzamanidou, Maria; Nikitas, Nikitas; Koumoustiotis, Vasilios; Margaritis, Dimitrios; Tsionos, Konstantinos; Stefanoudaki, Ekaterini; Meletis, John; Zervas, Konstantinos; Dimopoulos, Meletios A

    2012-02-01

    The circulating levels of several angiogenic cytokines [angiopoietin-1 (Ang-1), angiopoietin-2 (Ang-2), vascular endothelial growth factor (VEGF), angiogenin and basic fibroblast growth factor (bFGF)] were evaluated in 174 consecutive patients with newly diagnosed, symptomatic, multiple myeloma (MM). Circulating levels of Ang-1/Ang-2 were reduced in myeloma patients compared to controls, whereas VEGF and angiogenin levels were increased. Reduced angiopoietin-1/angiopoietin-2 ratio correlated with advanced disease features including international staging system (ISS)-3 stage, renal impairment and extensive bone disease. Based on immunohistochemical results in 20 patients (10 with the higher and 10 with the lower values of circulating angiopoietin-2) we found that angiopoietin-2 is expressed by myeloma cells and correlates with increased microvessel density in subsets of patients. Furthermore, Ang-1/Ang-2 ratio correlated with survival. Patients with circulating Ang-1/Ang-2 below or equal to the median value (6.03) had a median survival of 26.3 months compared to 53 months of all others (p = 0.002). Interestingly, this was mainly observed in patients who received first-line therapy with novel agent-based regimens (65% of our patients). Furthermore, a subset of ISS-3 patients with serum Ang-1/Ang-2 above the median value had favourable prognosis (median survival: 45 months versus 17 months of all others; p = 0.0001). The multivariate analysis revealed that low Ang-1/Ang-2 ratio could independently predict for inferior survival in our cohort of patients (relative risk (RR) 2.07, 95% CI 1.50-2.42; p < 0.001). These results highlight the role of angiopoietins pathway in the biology of MM and reveal novel targets for the development of antimyeloma agents. Copyright © 2011 UICC.

  3. People living with HIV in Estonia: engagement in HIV care in 2013

    PubMed Central

    Laisaar, Kaja-Triin; Raag, Mait; Lutsar, Irja; Uusküla, Anneli

    2016-01-01

    Estonia had the highest rate of newly diagnosed human immunodeficiency virus (HIV) cases in the European Union (24.6/100,000) and an estimated adult HIV prevalence of 1.3% in 2013. HIV medical care, including antiretroviral therapy (ART), is free of charge for people living with HIV (PLHIV). To maximise the health benefits of HIV treatment, universal access should be achieved. Using data from surveillance and administrative databases and the treatment cascade model, we assessed the number of people infected with HIV, diagnosed with HIV, linked to HIV care, retained in HIV care, on ART, and with suppressed viral load (HIV-RNA: < 200 copies/mL). We identified that about one quarter of the 8,628 HIV-positive people estimated to live in Estonia in 2013 had not been diagnosed with HIV, and another quarter, although aware of their HIV-positive serostatus, had not accessed HIV medical care. Although altogether only 12–15% of all PLHIV in Estonia had achieved viral suppression, the main gap in HIV care in Estonia were the 58% of PLHIV who had accessed HIV medical care at least once after diagnosis but were not retained in care in 2013. PMID:27813471

  4. People living with HIV in Estonia: engagement in HIV care in 2013.

    PubMed

    Laisaar, Kaja-Triin; Raag, Mait; Lutsar, Irja; Uusküla, Anneli

    2016-10-27

    Estonia had the highest rate of newly diagnosed human immunodeficiency virus (HIV) cases in the European Union (24.6/100,000) and an estimated adult HIV prevalence of 1.3% in 2013. HIV medical care, including antiretroviral therapy (ART), is free of charge for people living with HIV (PLHIV). To maximise the health benefits of HIV treatment, universal access should be achieved. Using data from surveillance and administrative databases and the treatment cascade model, we assessed the number of people infected with HIV, diagnosed with HIV, linked to HIV care, retained in HIV care, on ART, and with suppressed viral load (HIV-RNA: < 200 copies/mL). We identified that about one quarter of the 8,628 HIV-positive people estimated to live in Estonia in 2013 had not been diagnosed with HIV, and another quarter, although aware of their HIV-positive serostatus, had not accessed HIV medical care. Although altogether only 12-15% of all PLHIV in Estonia had achieved viral suppression, the main gap in HIV care in Estonia were the 58% of PLHIV who had accessed HIV medical care at least once after diagnosis but were not retained in care in 2013.

  5. Estonia`s oil shale industry - meeting environmental standards of the future

    SciTech Connect

    Tanner, T.; Bird, G.; Wallace, D.

    1995-12-31

    Oil shale is Estonia`s greatest mineral resource. In the 1930s, it was used as a source of gasoline and fuel oil, but now it is mined primarily for thermal generation of electricity. With the loss of its primary market for electricity in the early 1990s and in the absence of another domestic source of fuel Estonia once again is considering the use of a larger proportion of its shale for oil production. However, existing retorting operations in Estonia may not attain western European environmental standards and desired conversion efficiencies. As a reference point, the Estonian authorities have documented existing environmental impacts. It is evaluating technologies to reduce the impacts and is setting a direction for the industry that will serve domestic needs. This paper provides a description of the existing oil shale industry in Estonia and options for the future.

  6. Estonia--Going Home Again: Returning to the Roots.

    ERIC Educational Resources Information Center

    Pedak-Kari, Maria

    This paper provides background on The National Library of Estonia (NLE), discusses a fellowship project for developing the National Library, and presents the impressions of the author, an Estonian American, who traveled to Estonia. The NLE looks to the West for automation, information, and institutional modeling. The NLE is Estonia's equivalent of…

  7. Environmental impact assessment in Estonia and Norway

    SciTech Connect

    Holm-Hansen, J.

    1997-11-01

    Authorities in Eastern European countries are looking for best available policy tools from the West, and policy instruments tailored for a Western context are being introduced massively in the former state socialist countries of Europe. This study examines some of the contextual factors that hamper the introduction of modern, Western tools of environmental management within previously state socialist countries. These are highlighted through a comparison of how environmental impact assessment (EIA) is put into practice in Estonia and Norway. Estonia and Norway belong to the same European Baltic-Nordic region, but the two countries have a dramatically different history for most of this century.

  8. 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

  9. 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…

  10. 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,…

  11. 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…

  12. 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,…

  13. Fatigue is highly associated with poor health-related quality of life, disability and depression in newly-diagnosed patients with inflammatory bowel disease, independent of disease activity

    PubMed Central

    Cohen, B L; Zoëga, H; Shah, S A; LeLeiko, N; Lidofsky, S; Bright, R; Flowers, N; Law, M; Moniz, H; Merrick, M; Sands, B E

    2014-01-01

    Background Fatigue is common in Crohn's disease (CD) and ulcerative colitis (UC). Data on fatigue in newly diagnosed patients are unavailable. Aim To report prevalence of fatigue in newly diagnosed CD and UC patients and examine its association with health-related quality of life (HRQOL), depression and disability. Methods The Ocean State Crohn's and Colitis Area Registry (OSCCAR) is a statewide cohort of newly diagnosed inflammatory bowel disease patients in Rhode Island. Fatigue was assessed using the Functional Assessment of Chronic Illness Therapy-Fatigue Scale. Patients were administered instruments measuring HRQOL, overall disability and work impairment, and depression. Results Fatigue was prevalent in 26.4% of 220 subjects. Cohen's d effect sizes for fatigue were large: Short-Form 36 Health Survey mental health component (CD 1.5, UC 1.4) and physical health component (CD 1.4, UC 1.4), EuroQol-5D valuation of current health state (CD 1.2, UC 1.0), Inflammatory Bowel Disease Questionnaire (CD 1.9, UC 1.6) and Patient Health Questionnaire depression scale (CD 1.8, UC 1.7). Fatigued patients reported more work impairment (Score difference: CD 29.5%, UC 23.8%) and activity impairment (score difference: CD 32.3%, UC 25.7%) on the Work Productivity and Activity Impairment Questionnaire. Fatigue's association with all scores remained highly significant despite controlling for disease activity. Conclusions Fatigue is strongly associated with poor HRQOL, disability and depression similarly in CD and UC even when controlling for disease activity. Fatigue's association with a wide range of patient-reported outcome measures suggests that monitoring fatigue is a simple way to screen for overall disruption in patient life. PMID:24612278

  14. Fatigue is highly associated with poor health-related quality of life, disability and depression in newly-diagnosed patients with inflammatory bowel disease, independent of disease activity.

    PubMed

    Cohen, B L; Zoëga, H; Shah, S A; Leleiko, N; Lidofsky, S; Bright, R; Flowers, N; Law, M; Moniz, H; Merrick, M; Sands, B E

    2014-04-01

    Fatigue is common in Crohn's disease (CD) and ulcerative colitis (UC). Data on fatigue in newly diagnosed patients are unavailable. To report prevalence of fatigue in newly diagnosed CD and UC patients and examine its association with health-related quality of life (HRQOL), depression and disability. The Ocean State Crohn's and Colitis Area Registry (OSCCAR) is a statewide cohort of newly diagnosed inflammatory bowel disease patients in Rhode Island. Fatigue was assessed using the Functional Assessment of Chronic Illness Therapy-Fatigue Scale. Patients were administered instruments measuring HRQOL, overall disability and work impairment, and depression. Fatigue was prevalent in 26.4% of 220 subjects. Cohen's d effect sizes for fatigue were large: Short-Form 36 Health Survey mental health component (CD 1.5, UC 1.4) and physical health component (CD 1.4, UC 1.4), EuroQol-5D valuation of current health state (CD 1.2, UC 1.0), Inflammatory Bowel Disease Questionnaire (CD 1.9, UC 1.6) and Patient Health Questionnaire depression scale (CD 1.8, UC 1.7). Fatigued patients reported more work impairment (Score difference: CD 29.5%, UC 23.8%) and activity impairment (score difference: CD 32.3%, UC 25.7%) on the Work Productivity and Activity Impairment Questionnaire. Fatigue's association with all scores remained highly significant despite controlling for disease activity. Fatigue is strongly associated with poor HRQOL, disability and depression similarly in CD and UC even when controlling for disease activity. Fatigue's association with a wide range of patient-reported outcome measures suggests that monitoring fatigue is a simple way to screen for overall disruption in patient life. © 2014 John Wiley & Sons Ltd.

  15. Mammography use and mode of detection among breast cancer patients in Estonia.

    PubMed

    Innos, Kaire; Valvere, Vahur; Padrik, Peeter; Eelma, Evelyn; Kütner, Riina; Lehtsaar, Jaak; Tekkel, Mare

    2016-01-01

    The aim of this study was to examine past mammography use and mode of detection among breast cancer (BC) patients in Estonia, a country that has low screening coverage and high BC mortality. Women newly diagnosed with primary BC in Estonia in 2008-2010 were interviewed. Determinants of past mammography use and the detection of BC by mammography were studied using multivariate logistic regression. Among 977 participants, almost half reported no mammograms prior to the detection of BC. Overall, 22% of the cases were detected by mammography (16% by screening mammography). Detection by mammography was strongly related to age, past mammography use, and obesity. Among cases detected by mammography, 10% were stage III/IV at diagnosis (32% among cases detected by other modes). This study showed low mammography utilization and high rate of self-detection of BC in Estonia. Increased detection by mammography would help diagnose the disease at an earlier stage and consequently avoid premature BC deaths. Efforts should be undertaken to increase participation in screening and improve the availability of mammography among older and high-risk women. The results are likely to be relevant for other countries and population groups with low screening coverage.

  16. 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.

  17. Childhood deaths from external causes in Estonia, 2001–2005

    PubMed Central

    Väli, Marika; Lang, Katrin; Soonets, Ruth; Talumäe, Marika; Grjibovski, Andrej M

    2007-01-01

    Background In 2000, the overall rate of injury deaths in children aged 0–14 was 28.7 per 100000 in Estonia, which is more than 5 times higher than the corresponding rate in neighbouring Finland. This paper describes childhood injury mortality in Estonia by cause and age groups, and validates registration of these deaths in the Statistical Office of Estonia against the autopsy data. Methods The data on causes of all child deaths in Estonia in 2001–2005 were abstracted from the autopsy protocols at the Estonian Bureau of Forensic Medicine. Average annual mortality rates per 100,000 were calculated. Coverage (proportion of the reported injury deaths from the total number of injury deaths) and accuracy (proportion of correctly classified injury deaths) of the registration of causes of death in Statistical Office of Estonia were assessed by comparing the Statistical Office of Estonia data with the data from Estonian Bureau of Forensic Medicine. Results Average annual mortality from external causes in 0–14 years-old children in Estonia was 19.1 per 100,000. Asphyxia and transport accidents were the major killers followed by poisoning and suicides. Relative contribution of these causes varied greatly between age groups. Intent of death was unknown for more than 10% of injury deaths. Coverage and accuracy of registration of injury deaths by Statistical Office of Estonia were 91.5% and 95.3%, respectively. Conclusion Childhood mortality from injuries in Estonia is among the highest in the EU. The number of injury deaths in Statistical Office of Estonia is slightly underestimated mostly due to misclassification for deaths from diseases. Accuracy of the Statistical Office of Estonia data was high with some underestimation of intentional deaths. Moreover, high proportion of death with unknown intent suggests underestimation of intentional deaths. Reduction of injury deaths should be given a high priority in Estonia. More information on circumstances around death is

  18. High Summer Temperatures and Mortality in Estonia

    PubMed Central

    Oudin Åström, Daniel; Åström, Christofer; Rekker, Kaidi; Indermitte, Ene; Orru, Hans

    2016-01-01

    Background On-going climate change is predicted to result in a growing number of extreme weather events—such as heat waves—throughout Europe. The effect of high temperatures and heat waves are already having an important impact on public health in terms of increased mortality, but studies from an Estonian setting are almost entirely missing. We investigated mortality in relation to high summer temperatures and the time course of mortality in a coastal and inland region of Estonia. Methods We collected daily mortality data and daily maximum temperature for a coastal and an inland region of Estonia. We applied a distributed lag non-linear model to investigate heat related mortality and the time course of mortality in Estonia. Results We found an immediate increase in mortality associated with temperatures exceeding the 75th percentile of summer maximum temperatures, corresponding to approximately 23°C. This increase lasted for a couple of days in both regions. The total effect of elevated temperatures was not lessened by significant mortality displacement. Discussion We observed significantly increased mortality in Estonia, both on a country level as well as for a coastal region and an inland region with a more continental climate. Heat related mortality was higher in the inland region as compared to the coastal region, however, no statistically significant differences were observed. The lower risks in coastal areas could be due to lower maximum temperatures and cooling effects of the sea, but also better socioeconomic condition. Our results suggest that region specific estimates of the impacts of temperature extremes on mortality are needed. PMID:27167851

  19. High Summer Temperatures and Mortality in Estonia.

    PubMed

    Oudin Åström, Daniel; Åström, Christofer; Rekker, Kaidi; Indermitte, Ene; Orru, Hans

    2016-01-01

    On-going climate change is predicted to result in a growing number of extreme weather events-such as heat waves-throughout Europe. The effect of high temperatures and heat waves are already having an important impact on public health in terms of increased mortality, but studies from an Estonian setting are almost entirely missing. We investigated mortality in relation to high summer temperatures and the time course of mortality in a coastal and inland region of Estonia. We collected daily mortality data and daily maximum temperature for a coastal and an inland region of Estonia. We applied a distributed lag non-linear model to investigate heat related mortality and the time course of mortality in Estonia. We found an immediate increase in mortality associated with temperatures exceeding the 75th percentile of summer maximum temperatures, corresponding to approximately 23°C. This increase lasted for a couple of days in both regions. The total effect of elevated temperatures was not lessened by significant mortality displacement. We observed significantly increased mortality in Estonia, both on a country level as well as for a coastal region and an inland region with a more continental climate. Heat related mortality was higher in the inland region as compared to the coastal region, however, no statistically significant differences were observed. The lower risks in coastal areas could be due to lower maximum temperatures and cooling effects of the sea, but also better socioeconomic condition. Our results suggest that region specific estimates of the impacts of temperature extremes on mortality are needed.

  20. AtOMA1 Affects the OXPHOS System and Plant Growth in Contrast to Other Newly Identified ATP-Independent Proteases in Arabidopsis Mitochondria.

    PubMed

    Migdal, Iwona; Skibior-Blaszczyk, Renata; Heidorn-Czarna, Malgorzata; Kolodziejczak, Marta; Garbiec, Arnold; Janska, Hanna

    2017-01-01

    Compared with yeast, our knowledge on members of the ATP-independent plant mitochondrial proteolytic machinery is rather poor. In the present study, using confocal microscopy and immunoblotting, we proved that homologs of yeast Oma1, Atp23, Imp1, Imp2, and Oct1 proteases are localized in Arabidopsis mitochondria. We characterized these components of the ATP-independent proteolytic system as well as the earlier identified protease, AtICP55, with an emphasis on their significance in plant growth and functionality in the OXPHOS system. A functional complementation assay demonstrated that out of all the analyzed proteases, only AtOMA1 and AtICP55 could substitute for a lack of their yeast counterparts. We did not observe any significant developmental or morphological changes in plants lacking the studied proteases, either under optimal growth conditions or after exposure to stress, with the only exception being retarded root growth in oma1-1, thus implying that the absence of a single mitochondrial ATP-independent protease is not critical for Arabidopsis growth and development. We did not find any evidence indicating a clear functional complementation of the missing protease by any other protease at the transcript or protein level. Studies on the impact of the analyzed proteases on mitochondrial bioenergetic function revealed that out of all the studied mutants, only oma1-1 showed differences in activities and amounts of OXPHOS proteins. Among all the OXPHOS disorders found in oma1-1, the complex V deficiency is distinctive because it is mainly associated with decreased catalytic activity and not correlated with complex abundance, which has been observed in the case of supercomplex I + III2 and complex I deficiencies. Altogether, our study indicates that despite the presence of highly conservative homologs, the mitochondrial ATP-independent proteolytic system is not functionally conserved in plants as compared with yeast. Our findings also highlight the importance of

  1. Background Study on Employment and Labour Market in Estonia.

    ERIC Educational Resources Information Center

    Eamets, Raul; Philips, Kaia; Annus, Tiina

    During the years 1989-1997 in Estonia, employment has decreased; unemployment and inactivity have increased. Females have tended to move to inactivity while males have become unemployed. The wage patterns are very flat relative to those in market economies. Estonia has opted for very low levels of unemployment benefits, pensions, and a low minimum…

  2. Distribution of enterobiasis among nursery school children in SE Estonia and of other helminthiases in Estonia.

    PubMed

    Remm, Mare

    2006-11-01

    The occurrence of helminthiases in Estonia was under extensive observation from 1956 until 1989. Enterobiasis had remained the most prevalent helminthiasis in Estonia in the 1990s. After 1990, the number of helminthological studies decreased. This study was conducted to investigate the occurrence and possible risk factors of enterobiasis among nursery school children in Southeast Estonia. A total of 954 nursery school children were examined from 22 nursery schools in Tartu and Põlva counties in Estonia. Enterobius vermicularis infection was detected using the anal swab technique. The parents of tested children were asked to complete questionnaires so as to ascertain the potential risk factors in children's homes and in their families. The overall rate of being positive for E. vermicularis egg was 24.4%. The occurrence of enterobiasis among the examined nursery schools ranged from 11.8 to 46.2% and from 0 to 61.1% in nursery school groups. All nursery schools were infected. Children 5-8 years of age showed a significantly higher rate of being positive for E. vermicularis egg than the younger children. The overall infection rate was higher among boys and among children from larger families. The infection rate was related to washing of hands after closet use. The socioeconomic status of the family was not associated with the frequency of enterobiasis.

  3. Midwifery at the crossroads in Estonia: attitudes of midwives and other key stakeholders.

    PubMed

    Lazarus, Jeffrey V; Rasch, Vibeke; Liljestrand, Jerker

    2005-04-01

    Since the initiation of health sector reforms in Estonia in 1992, the Baltic state has experienced a steep decline in the number of midwives and midwife graduates. At the same time, there has been a rapid increase, first in sexually transmitted infections and then in human immunodeficiency virus. The aim of this study was to draw on the perceptions of Estonia's midwives and other health care stakeholders to delineate the current situation of midwifery in the country, in the context of a sexually transmitted infection/human immunodeficiency virus epidemic. Data were obtained by sending a 32-question questionnaire, based on an agenda developed through semistructured interviews, to all midwives in Estonia. A nominal group technique was employed with key stakeholders to determine the extent of their agreement with the questionnaire's major findings. The response rate to the questionnaire was 75%. There was no significant association between work satisfaction and independent variables of age, ethnicity, work abroad, increased responsibility, and involvement in postpartum care and counseling. There was, however, a significant association between work satisfaction and salary. The group process revealed that although there is no agreement on the role of family doctors and midwives in antenatal care, there is a general agreement that midwives should be more involved in postpartum care and that their tasks need to be better defined. Almost half of the responding Estonian midwives are dissatisfied with their job, especially their salary. Increased responsibility for antenatal and postpartum counseling, with concurrent salary adjustments, may help stop the decline in the number of midwives, as could the opening up of new areas of work. A further reduction of the high abortion and sexually transmitted infection/human immunodeficiency virus rates is a critical challenge for Estonia, and midwives could be employed in services to do this, similar to their Nordic neighbors. Current

  4. Overlapping Democracies, Europe's Democratic Deficit, and National Education Policy: Estonia's School Leaders as Heirs to a Soviet Legacy or as Agents of Democracy?

    ERIC Educational Resources Information Center

    Stevick, Doyle

    2009-01-01

    Eleven years after Estonia regained independence, its government sought admission to the European Union and NATO, which pressured the country to act on issues related to the Holocaust and in particular to adopt a Holocaust education day in schools. The policy, though adopted, was deeply unpopular within the country, leading to the dilemma of…

  5. Nationwide study of childhood celiac disease incidence over a 35-year period in Estonia.

    PubMed

    Ress, Krista; Luts, Katrin; Rägo, Tiina; Pisarev, Heti; Uibo, Oivi

    2012-12-01

    The aims of the study were to analyze the trends and characteristics of the incidence and clinical presentation of childhood celiac disease (CD) from 1976 to 2010 in Estonia. The study included all children up to 19 years of age diagnosed with small bowel biopsy proven CD. During a 35-year period, CD was diagnosed in 152 children in Estonia (68 boys, median age 2.3 years). From 1976 to 1980, the age-standardized incidence rate of CD was 0.10 per 100,000 person-years. After the introduction of gliadin and endomysium antibody screening (in conjunction with activities directed to increase the physicians awareness), the incidence rate increased from 0.48 in 1986-1990 to 1.55 per 100,000 person-years in 1991-1995. After initiating screening with anti-tissue transglutaminase antibodies in 2003 and routine screening for CD among all children with newly diagnosed type 1 diabetes in 2005, the incidence rate increased from 1.59 in 2001-2005 to 3.14 per 100,000 person-years in 2006-2010 (median age 6.8 years). Our nationwide study demonstrates a more than 30-fold increase in the incidence of childhood CD over a 35-year period in Estonia, along with changing patterns in the presentation of pediatric CD. In addition to the impact of use of novel CD screening methods, active search and rising of the awareness among doctors may have strongest effect. Both environmental and social factors could be also involved in the increase in CD incidence.

  6. Bortezomib-based triplets are associated with a high probability of dialysis independence and rapid renal recovery in newly diagnosed myeloma patients with severe renal failure or those requiring dialysis.

    PubMed

    Dimopoulos, Meletios A; Roussou, Maria; Gavriatopoulou, Maria; Psimenou, Erasmia; Eleutherakis-Papaiakovou, Evangelos; Migkou, Magdalini; Matsouka, Charis; Mparmparousi, Despoina; Gika, Dimitra; Kafantari, Eftychia; Ziogas, Dimitrios; Fotiou, Despoina; Panagiotidis, Ioannis; Terpos, Evangelos; Kastritis, Efstathios

    2016-05-01

    Renal failure (RF) is a common and severe complication of symptomatic myeloma, associated with significant morbidity and mortality. Such patients are commonly excluded from clinical trials. Bortezomib/dexamethasone (VD)-based regimens are the backbone of the treatment of newly diagnosed MM patients who present with severe RF even those requiring dialysis. We analyzed the outcomes of 83 consecutive bortezomib-treated patients with severe RF (eGFR < 30 ml/min/1.73 m(2) ), of which 31 (37%) required dialysis. By IMWG renal response criteria, 54 (65%) patients achieved at least MRrenal, including CRrenal in 35% and PRrenal in 12%. Triplet combinations (i.e., VD plus a third agent) versus VD alone were associated with higher rates of renal responses (72 vs. 50%; P = 0.06). Fifteen of the 31 (48%) patients became dialysis independent within a median of 217 days (range 11-724). Triplets were associated with a higher probability of dialysis discontinuation (57 vs. 35%). Serum free light chain (sFLC) level ≥11,550 mg/L was associated with lower rates of major renal response, longer time to major renal response, lower probability, and longer time to dialysis discontinuation. Rapid myeloma response (≥PR within the first month) was also associated with higher rates of renal response. Patients who became dialysis-independent had longer survival than those remaining on dialysis. In conclusion, VD-based triplets are associated with a significant probability of renal response and dialysis discontinuation, improving the survival of patients who became dialysis independent. Rapid disease response is important for renal recovery and sFLCs are predictive of the probability and of the time required for renal response. © 2016 Wiley Periodicals, Inc.

  7. Abortion in the framework of family planning in Estonia.

    PubMed

    Karro, H

    1997-01-01

    A post-independence (1992-93) decree issued by the Estonian Ministry of Social Affairs permits abortion on request up to 12 weeks of gestation and, on medical grounds, up to 20 weeks. According to reports received by the Estonian Medical Statistical Bureau, the 1994 abortion rate was 53.8/1000 women of reproductive age. Among women under 20 years of age, the abortion rate declined from 55.5/1000 in 1992 to 41.5/1000 in 1994. Only mini-abortions and abortions performed for medical reasons are free of charge; women with health insurance pay 50% of the cost of most procedures. Funds from abortion fees are used to subsidize contraception for full-time students, women in the first postpartum year, and women who had an induced abortion in the past three months. All other women must pay the full price of contraception. In 1994, only 234 out of every 1000 fertile women were using effective forms of contraception (IUDs and hormonal methods). However, the birth rate has been declining rapidly since 1990 and the rate of natural increase became negative in 1993 (-4.0). The fact that abortion but not contraception is subsidized has facilitated reliance on abortion as a family planning method. Recommended, to reduce the abortion rate and improve the family planning situation in Estonia, are improved contraceptive counseling, including pre- and post-abortion services, and school-based sex education.

  8. Directional distribution of chilling winds in Estonia.

    PubMed

    Saue, Triin

    2016-08-01

    Wind chill equivalent temperature (WCET) is used to define thermal discomfort in winter months. Directional distributions of winds, which are associated with uncomfortable weather, were composed of three climatologically different Estonian locations: Vilsandi, Kuusiku, and Jõhvi. Cases with wind chill equivalent temperature <-10 °C, which could be classified as "uncomfortable or worse," were investigated. Additional thresholds were used to measure weather risk. The 25th percentile of daily minimum WCET was tested to measure classical prevalent wind directions in Estonia: W, SW, and NW bring warm air in winter from the North Atlantic, while winds from the East-European plain (NE, E, and SE) are associated with cold air. The eastern prevalence was stronger when a lower threshold was used. A directional approach may find several applications, such as building, agricultural, landscape, or settlement planning.

  9. Directional distribution of chilling winds in Estonia

    NASA Astrophysics Data System (ADS)

    Saue, Triin

    2016-08-01

    Wind chill equivalent temperature (WCET) is used to define thermal discomfort in winter months. Directional distributions of winds, which are associated with uncomfortable weather, were composed of three climatologically different Estonian locations: Vilsandi, Kuusiku, and Jõhvi. Cases with wind chill equivalent temperature <-10 °C, which could be classified as "uncomfortable or worse," were investigated. Additional thresholds were used to measure weather risk. The 25th percentile of daily minimum WCET was tested to measure classical prevalent wind directions in Estonia: W, SW, and NW bring warm air in winter from the North Atlantic, while winds from the East-European plain (NE, E, and SE) are associated with cold air. The eastern prevalence was stronger when a lower threshold was used. A directional approach may find several applications, such as building, agricultural, landscape, or settlement planning.

  10. 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

  11. Descriptive epidemiology of spinal muscular atrophy type I in Estonia.

    PubMed

    Vaidla, Eve; Talvik, Inga; Kulla, Andres; Kahre, Tiina; Hamarik, Malle; Napa, Aita; Metsvaht, Tuuli; Piirsoo, Andres; Talvik, Tiina

    2006-01-01

    Spinal muscular atrophy is the second most frequent autosomal-recessive disorder in Europeans. There are no published epidemiological data on SMA in Estonia and other Baltic countries. The aim of this study was to estimate the incidence of SMA I in Estonia. All patients with SMA I diagnosed between January 1994 and December 2003 were included in the study. The diagnosis was established on the basis of neurological evaluation, ENMG findings, molecular studies and muscle biopsy. PCR and restriction enzyme analysis was used to detect the homozygous deletion of the SMN1 gene. A total of 9 cases of SMA I were identified during this 10-year period. The incidence of SMA I in Estonia is 1 in 14,400 live births, which is similar to the result from Hungary but lower than average incidence in the world. Only one of the patients was female. Typical SMN1 gene deletion was found in all cases.

  12. New Investigations of the Alleged Meteorite from Igast, Estonia

    NASA Technical Reports Server (NTRS)

    OKeefe, John A.; Lowman, Paul D., Jr.

    1961-01-01

    This paper presents the results of a reinvestigation of the object which allegedly fell at Igast, Estonia, in 1855, and which may be the only example of a meteorite with the chemical composition of a tektite. R is concluded that generally quoted opinions of the artificial nature of this object are based on spurious samples, specifically melted brick and quartz basalt porphyry distributed by a Russian collector. Possibly genuine specimens from this observed fall are in the British Museum, the Paris Museum, and perhaps at the University of Dorpat, Estonia. It is recommended that these specimens be re-examined and that a search for similar objects be made.

  13. Infant mortality gap in the Baltic region - Latvia, Estonia, and Lithuania - in relation to macroeconomic factors in 1996-2010.

    PubMed

    Ebela, Inguna; Zile, Irisa; Ebela, Danute Razuka; Rozenfelde, Ingrida Rumba

    2013-01-01

    BACKGROUND AND OBJECTIVE. A constant gap has appeared in infant mortality among the 3 Baltic States - Latvia, Estonia, and Lithuania - since the restoration of independence in 1991. The aim of the study was to compare infant mortality rates in all the 3 Baltic countries and examine some of the macro- and socioeconomic factors associated with infant mortality. MATERIAL AND METHODS. The data were obtained from international databases, such as World Health Organization and EUROSTAT, and the national statistical databases of the Baltic States. The time series data sets (1996-2010) were used in the regression and correlation analysis. RESULTS. In all the 3 Baltic States, a strong and significant correlation was found: Latvia (r=-0.81, P<0.01), Lithuania (r=-0.93, P<0.01), and Estonia (r=-0.91, P<0.01). There was also a correlation between infant mortality and healthcare expenditure in local currency per capita: Latvia (r=-0.81, P<0.01); Lithuania (r=-0.90, P<0.01) and Estonia (r=-0.88, P<0.01). In Latvia (r=0.87, P<0.01) and Estonia (r=0.70; P<0.01), a significant correlation between infant mortality and unemployment levels was observed from 1996 to 2008, whereas the statistical significance disappeared in the period from 1996 to 2010. In Lithuania, the relationship was not significant. CONCLUSIONS. Higher infant mortality rates and a less stable decreasing tendency in Latvia are apparently explained by less successful adaptation to a new political and economic situation and limited skills in adjusting the healthcare system to the reality of life.

  14. 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

  15. 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…

  16. 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…

  17. The Russian Diaspora in Latvia and Estonia: Predicting Language Outcomes.

    ERIC Educational Resources Information Center

    Romanov, Artemi

    2000-01-01

    Focuses on the language situation in the Russian diaspora in Latvia and Estonia and analyzes these factors that are critical in determining language outcomes for a language community within one country that speaks a majority language of another. Examines the possibility of three outcomes: language maintenance, bilingualism, and language shift in a…

  18. 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…

  19. 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…

  20. [Hospital care in Estonia: thoughts on patient privacy].

    PubMed

    Schoenacker, Aline

    2017-03-01

    A student nurse is doing a work placement in a hospital in Estonia. The care techniques are identical to those with which she is familiar. However, the application of concepts of privacy and modesty is somewhat different. A reflexive analysis of the situation ensures no hasty judgements are made and enables her to think about the place of her own representations.

  1. The live-birth prevalence of mucopolysaccharidoses in Estonia.

    PubMed

    Krabbi, Külliki; Joost, Kairit; Zordania, Riina; Talvik, Inga; Rein, Reet; Huijmans, Jan G M; Verheijen, Frans V; Õunap, Katrin

    2012-08-01

    Previous studies on the prevalence of mucopolysaccharidoses (MPS) in different populations have shown considerable variations. There are, however, few data with regard to the prevalence of MPSs in Fenno-Ugric populations or in north-eastern Europe, except for a report about Scandinavian countries. A retrospective epidemiological study of MPSs in Estonia was undertaken, and live-birth prevalence of MPS patients born between 1985 and 2006 was estimated. The live-birth prevalence for all MPS subtypes was found to be 4.05 per 100,000 live births, which is consistent with most other European studies. MPS II had the highest calculated incidence, with 2.16 per 100,000 live births (4.2 per 100,000 male live births), forming 53% of all diagnosed MPS cases, and was twice as high as in other studied European populations. The second most common subtype was MPS IIIA, with a live-birth prevalence of 1.62 in 100,000 live births. With 0.27 out of 100,000 live births, MPS VI had the third-highest live-birth prevalence. No cases of MPS I were diagnosed in Estonia, making the prevalence of MPS I in Estonia much lower than in other European populations. MPSs are the third most frequent inborn error of metabolism in Estonia after phenylketonuria and galactosemia.

  2. 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…

  3. 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.

  4. Helminth fauna of Eurasian lynx (Lynx lynx) in Estonia.

    PubMed

    Valdmann, H; Moks, E; Talvik, H

    2004-04-01

    Thirty-seven carcasses of Eurasian lynx (Lynx lynx) collected and examined in Estonia during 1999-2001 had helminths. Parasites identified and their prevalence included Diphyllobothrium latum (5%), Taenia pisiformis (100%), Taenia laticollis (41%), Taenia hydatigena (3%), Taenia taeniaeformis (3%), Toxocara cati (68%), and Trichinella spp. (22%). The only significant relationships (P < or = 0.05) between occurrence of helminths and host age and sex were a greater number of T. pisiformis and T. laticollis in older than in youger male lynx, and older males had a greater number of species of helminth than did younger lynx. Sixty-one fecal samples collected during snow tracking of nine lynx were examined; eggs of T. cati were identified in 38 samples, and Capillaria spp were found in eight samples. This is the first systematic investigation of parasites of lynx in Estonia.

  5. Reproduction of the stone loach, Barbatula barbatula (L.) in Estonia.

    PubMed

    Saat, Toomas; Lauringson, Gustav; Lees, Janek

    2003-01-01

    Reproduction of the stone loach was investigated in two rivers of northwestern Estonia (Vääna and Maidla, 59 degrees N). Loaches in the Vääna River were slow growing and males prevailed among older fish; in the Maidla River loaches were fast growing and females dominated among older fish. Reproduction indices (age at maturation, duration of the spawning season, number of egg batches, fecundity, oocyte diameter, annual dynamics of gonadosomatic index and oocyte diameter) of comparably sized loach of Vääna and Maidla were similar and intermediate between more southern and more northern populations. Female investment in offspring (measured as the volume of spawned eggs) in Estonia was close to that in England; however, energy was invested in a smaller number of larger eggs (larvae). Our results confirm earlier data on the remarkable variation of life history patterns of the stone loach and indicate clinal variation of several reproduction indices along a north-south axis.

  6. The verification of GIA in Estonia using GNSS data

    NASA Astrophysics Data System (ADS)

    Kollo, Karin; Oja, Tõnis

    2014-05-01

    Estonia is situated at the South-East corner of the Fennoscandian post-glacial rebound (PGR) area, thus the impact of ongoing Glacial Isostatic Adjustment could be noticed on accurate geodetic measurements; e.g. in Estonia the uplift rates up to 4 mm/yr have been observed so far. In this contribution we use horizontal and vertical uplift rates derived from (1) the time series of several Estonian GNSS permanent reference stations (CORS), and (2) nation-wide GPS campaigns held in 1997 and 2008. Different methods and software were used to process and analyse GNSS data and time series. Slight discrepancies between the results helped to evaluate the effects of different approaches in data processing. To model the surface displacements and other geodetic quantities in response to the melting of ice sheets the open source software SELEN (Spada and Stocchi, 2007) with several ice models was used. The observed displacements of geodetic points as well as velocity estimates of CORS were compared with the predictions of latest PGR empirical models (e.g. NKG2005LU) and with the results from GIA modelling. In most cases good fit between the observations and models was found within study area. The higher discrepancies appeared in the East and South-East Estonia. Besides noise in aforementioned measurements the reason could be that almost no observed data from study area have been used in compilation of widespread (common, well-known) ice and GIA models. Keywords: GNSS measurements, postglacial rebound, glacial isostatic adjustment, Estonia. References Spada, G., Stocchi, P. (2007). SELEN: A Fortran 90 program for solving the "sea-level equation". Computers & Geosciences, 33:538-562, 2007.

  7. Dirofilaria repens Microfilaremia in Three Dogs in Estonia.

    PubMed

    Jokelainen, Pikka; Mõtsküla, Paul F; Heikkinen, Petra; Ülevaino, Epp; Oksanen, Antti; Lassen, Brian

    2016-02-01

    In Europe, the zoonotic parasite Dirofilaria repens continues to spread northward. We describe three likely autochthonous canine microfilaremic D. repens infections from Estonia, an European Union country located in the Baltic region of northern Europe. The parasite species was confirmed with sequencing. These are new northernmost D. repens findings in Europe and show that the zoonotic parasite has spread farther north. Infection with D. repens should be included in the list of differential diagnoses for human and animal hosts also in northern Europe.

  8. 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…

  9. 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…

  10. Children's Perspective on Learning: An International Study in Denmark, Estonia, Germany and Sweden

    ERIC Educational Resources Information Center

    Sandberg, Anette; Broström, Stig; Johansson, Inge; Frøkjaer, Thorleif; Kieferle, Christa; Seifert, Anja; Roth, Angela; Tuul, Maire; Ugaste, Aino; Laan, Meeli

    2017-01-01

    This article explores how some children in Denmark, Estonia, Germany and Sweden describe their perspective on learning. The aim of the international study is to gain knowledge of how preschool children in Sweden, Denmark, Estonia and Germany reflect and perceive their learning in preschool and other surrounding social contexts. The results are…

  11. Children's Perspective on Learning: An International Study in Denmark, Estonia, Germany and Sweden

    ERIC Educational Resources Information Center

    Sandberg, Anette; Broström, Stig; Johansson, Inge; Frøkjaer, Thorleif; Kieferle, Christa; Seifert, Anja; Roth, Angela; Tuul, Maire; Ugaste, Aino; Laan, Meeli

    2017-01-01

    This article explores how some children in Denmark, Estonia, Germany and Sweden describe their perspective on learning. The aim of the international study is to gain knowledge of how preschool children in Sweden, Denmark, Estonia and Germany reflect and perceive their learning in preschool and other surrounding social contexts. The results are…

  12. 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

  13. Temporal changes in nitrogen pollution in northeastern Estonia.

    PubMed

    Liblik, V

    2001-11-21

    During the last 5 decades the northeastern part of Estonia (the region where oil shale and the chemical industry are located) has been subjected to pollution with acidic compounds. In 1981-1988 the yearly mean nitrogen (N) deposition load was up to 11.1 kg ha(-1). This N pollution level combined with the deposition of sulphur (S) could have seriously endangered the environment, but the simultaneous emission of strongly alkaline fly ash restrained acidification processes. After 1989-1991 the situation changed, and in 1994-1996 the N deposition load in northeastern Estonia remained within the range of 2.6 to 6.6 kg ha(-1) year(-1) and that of S within 2 to 50 kg ha(-1) year(-1). Because the fly ash deposition is permanently decreasing, more sensitive lichens and mosses can be subjected to critical N+S loads in the future. The proportion of oil shale industry in total emission of NOx in Estonia from stationary sources equals approximately 65 to 75%. During 1996-2000 the yearly mean concentration of NO2 in the air of towns increased from 9 to 12 to 16 to 29 g m(-3). The emission of N compounds was mainly caused by N oxides in flue gases from power plants, as well as ammonia and carbamide discharges from chemical plants. In 1988-1990 the estimated yearly total emission of NOx (as NO2 equivalent) was about 18 to 18.6 thousand t and in 1994-2000, 9.9 to 11.8 thousand t.

  14. Thyroid nodularity and cancer among Chernobyl cleanup workers from Estonia

    SciTech Connect

    Inskip, P.D.; Boice, J.D. Jr.; Tekkel, M.

    1997-02-01

    Thyroid examinations, including palpation, ultrasound and, selectively, fine-needle aspiration biopsy, were conducted on nearly 2,000 Chernobyl cleanup workers from Estonia to evaluate the occurrence of thyroid cancer and nodular thyroid disease among men with protracted exposure to ionizing radiation. The examinations were conducted in four cities in Estonia during March-April 1995, 9 years after the reactor accident. The study population was selected from a predefined cohort of 4,833 cleanup workers from Estonia under surveillance for cancer incidence. These men had been sent to Chernobyl between 1986 and 1991 to entomb the damaged reactor, remove radioactive debris and perform related cleanup activities. A total of 2,997 men were invited for thyroid screening and 1,984 (66%) were examined. Estimates of radiation dose from external sources were obtained from military or other institutional records, and details about service dates and types of work performed while at Chernobyl were obtained from a self-administered questionnaire. Blood samples were collected for assay of chromosomal translocations in circulating lymphocytes and loss of expression of the glycophorin A (GPA) gene in erythrocytes. The primary outcome measure was the presence or absence of thyroid nodules as determined by the ultrasound examination. Of the screened workers, 1,247 (63%) were sent to Chernobyl in 1986, including 603 (30%) sent in April or May, soon after the accident. Workers served at Chernobyl for an average of 3 months. The average age was 32 years at the time of arrival at Chernobyl and 40 years at the time of thyroid examination. The mean documented radiation dose from external sources was 10.8 cGy. Biological indicators of exposure showed low correlations with documented dose, but did not indicate that the mean dose for the population was higher than the average documented dose. 47 refs., 1 fig., 9 tabs.

  15. 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.

  16. Chemical and isotopic properties of kukersites from Iowa and Estonia

    USGS Publications Warehouse

    Mastalerz, Maria; Schimmelmann, A.; Hower, J.C.; Lis, G.; Hatch, J.; Jacobson, S.R.

    2003-01-01

    Kukersite samples from Estonia and Iowa were analyzed for elemental composition, functional group distribution, and carbon and hydrogen stable isotope ratios. The elemental and hydrogen isotope values, together with other analytical data, suggest a higher thermal maturity for the Iowa kukersite. The wide carbon isotopic range of 9.3??? among kukersites, with unusually negative ??13C values reaching -33.2???, indicates isotopically variable carbon sources for production of biomass, and thus major paleoceanographic differences between the environments supporting biosynthesis. ?? 2003 Elsevier Ltd. All rights reserved.

  17. 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.

  18. Lactase non-persistence and milk consumption in Estonia

    PubMed Central

    Lember, Margus; Torniainen, Suvi; Kull, Mart; Kallikorm, Riina; Saadla, Peeter; Rajasalu, Tarvo; Komu, Hanna; Järvelä, Irma

    2006-01-01

    AIM: To define the frequency of the C/T-13910 variant associated with lactase persistence/non-persistence trait and to analyze the milk consumption of lactase non-persistent subjects in Estonia. METHODS: We genotyped 355 Estonians by polymerase chain reaction and direct sequencing. Milk consumption was analyzed by a questionnaire, specially developed to analyze milk consumption and abdominal complaints. RESULTS: The frequency of the genotype of the C/C-13910 (lactase non-persistence) was found to be 24.8% in native Estonians. No other single nucleotide polymorphisms covering the region of 400 bp adjacent to the C/T-13910 variant were found. Lactase non-persistence subjects were found to consume less milk than lactase persistence subjects. CONCLUSION: The frequency of lactase non-persistence defined by the C/C-13910 genotype confirms the results of the previous studies based on indirect methods of determining hypolactasia. Milk consumption of lactase non-persistence subjects is consistent with previously reported figures of adult-type hypolactasia in Estonia. However, lactase non-persistence does not prevent the intake of milk in many adults. PMID:17143950

  19. Technology experience and economics of oil shale mining in Estonia

    SciTech Connect

    Fraiman, J.; Kuzmiv, I.

    1995-11-01

    The exhaustion of fuel-energy resources became an evident problem of the European continent in the 1960s. Careful utilization of their own reserves of coal, oil, and gas (Germany, France, Spain) and assigned shares of imports of these resources make up the strategy of economic development of the European countries. The expansion of oil shale utilization is the most topical problem. The experience of mining oil shale deposits in Estonia and Russia, in terms of the practice and the economic results, is reviewed in this article. The room-and-pillar method of underground mining and the open-cut technology of clearing the ground ensure the fertility of a soil. The economics of underground and open pit oil shale mines is analyzed in terms of natural, organizational, and technical factors. These analyses are used in the planning and management of oil shale mining enterprises. The perspectives of the oil shale mining industry of Estonia and the economic expediency of multiproduction are examined. Recommendations and guidelines for future industrial utilization of oil shale are given in the summary.

  20. The Role of Universities in Education and Training for Adults in Estonia.

    ERIC Educational Resources Information Center

    Marja, Talvi; Jogi, Larissa

    1996-01-01

    Adult education and training are considered key instruments for rebuilding civil society in Estonia. Universities' involvement in professional continuing education, distance education, and adult educator training gives them an important role in the change process. (SK)

  1. Extermination of the Gypsies in Estonia during World War II- popular images and official policies.

    PubMed

    Weiss-Wendt, Anton

    2003-01-01

    A discussion of Nazi anti-Gypsy policy in Estonia needs to center on local interpretation and implementation of RSHA and RKO orders. Contradictions between various German instructions, which often discriminated among sedentary and itinerating Gypsies, created a state of confusion that increased chances for survival. Since in Estonia Sonderkommando 1a of the German Security Police exercised oversight rather than itself carrying out atrocities, the destruction of the Gypsy community in Estonia proceeded at a pace slower than elsewhere in Eastern Europe. Interested in exploiting slave labor, the German Security Police in Estonia did not consider liquidation of the Gypsies a priority. Acculturated to traditional anti-Gypsy prejudices and burdened by their own wartime travails, the majority of Estonians remained indifferent when Estonian police deported Gypsies.

  2. Improving the terrestial gravity dataset in South-Estonia

    NASA Astrophysics Data System (ADS)

    Oja, T.; Gruno, A.; Bloom, A.; Mäekivi, E.; Ellmann, A.; All, T.; Jürgenson, H.; Michelson, M.

    2009-04-01

    The only available gravity dataset covering the whole of Estonia has been observed from 1949 to 1958. This historic dataset has been used as a main input source for many applications including the geoid determination, the realization of the height system, the geological mapping. However, some recent studies have been indicated remarkable systematic biases in the dataset. For instance, a comparison of modern gravity control points with the historic data revealed unreasonable discrepancies in a large region in South-Estonia. However, the distribution of the gravity control was scarce, which did not allow to fully assess the quality of the historic data in the study area. In 2008 a pilot project was called out as a cooperation between Estonian Land Board, Geological Survey of Estonia, Tallinn University of Technology and Estonian University of Life Sciences to densify the detected problematic area (about 2000 km2) with new and reliable gravity data. Field work was carried out in October and November 2008, whereas GPS RTK and relative Scintrex gravimeter CG5 were used for precise positioning and gravity determinations, respectively. Altogether more than 140 new points were determined along the roads. Despite bad weather conditions and unstable observation base of the gravimeter (mostly on the bank of the road), uncertainty better than ±0.1 mGal (1 mGal = 10-5 m/s2) was estimated from the adjustment of gravimeter's readings. The separate gravity dataset of the Estonian Geological Survey were also incorporated into the gravity database of the project for further analysis. Those data were collected within several geological mapping projects in 1981-2007 and contain the data with uncertainty better than ±0.25 mGal. After the collection of new gravity data, a Kriging with proper variogram modeling was applied to form the Bouguer anomaly grids of the historic and the new datasets. The comparison of the resulting grids revealed biases up to -4 mGal at certain regions

  3. Recent changes in breast cancer incidence and mortality in Estonia: Transition to the west.

    PubMed

    Baburin, Aleksei; Aareleid, Tiiu; Rahu, Mati; Reedik, Lauri; Innos, Kaire

    2016-06-01

    Background The aim of this study was to examine breast cancer (BC) incidence and mortality trends in Estonia during recent decades and to compare the pattern of these trends with other selected European countries and regions. We attempt to explain the findings in relation to changes in Estonian society and healthcare system. Methods BC incidence (1985-2012) and mortality (1985-2013) data for Estonia were obtained from the Estonian Cancer Registry and Statistics Estonia. Data for selected European countries were obtained from the EUREG database. Joinpoint regression was used to analyze age-standardized rates in Estonia by age. For international comparison of incidence and mortality rates, we used scatterplot with 95% confidence ellipses and the mortality to incidence ratio. Results The overall BC incidence continues to increase in Estonia, while mortality has been in decline since 2000. Both incidence and mortality trends varied considerably across age groups. Among women aged 60 years and older, BC incidence increased at a rate of nearly 3% per year. Significant decrease in mortality was seen only among women aged 50-59 years. Comparison of scatterplots between countries and regions revealed two clusters in Europe separated along the incidence axis. The correlation between incidence and mortality in Estonia changed its direction in the mid-1990s. Conclusion In recent years, the dynamics of BC burden in Estonia has transitioned towards the high incidence-low mortality type model, which is characteristic to Western, Northern and Southern Europe. Although overall BC incidence is much lower in Estonia than in more affluent European countries, mortality from BC is still relatively high, particularly among elderly women.

  4. 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

  5. An Energy Overview of the Republic of Estonia

    SciTech Connect

    anon.

    2003-10-20

    The DOE Office of Fossil Energy is maintaining a web site that is meant to provide useful business- and energy-related information about countries and regions of the world for exporters, project developers, and researchers. The site consists of more than 130 country pages (organized into seven different world regions), with each country page having its own set of links to information sources about that country. There are also more than 30 Country Energy Overviews at the web site -- each of these is a comprehensive review of a specific country's entire energy situation, including sections on Energy Policy, Oil, Natural Gas, Coal, Hydroelectric/Renewables, Nuclear Power, Energy Transmission Infrastructure, Electricity, Electric Industry Overview, Environmental Activities, Privatization, Trade, and Economic Situation. The specific country highlighted in this Country Energy Overview is Estonia. The site is designed to be dynamic. Updates to the overviews will be made as need and resources permit.

  6. Characterization of tick-borne encephalitis virus from Estonia.

    PubMed

    Golovljova, Irina; Vene, Sirkka; Sjölander, Katarina Brus; Vasilenko, Veera; Plyusnin, Alexander; Lundkvist, Ake

    2004-12-01

    Tick-borne encephalitis virus (TBEV) is a severe problem in Estonia. In the present article the first genetic analysis of Estonian TBEV strains is described. In total, seven TBEV strains were isolated from ticks (Ixodes ricinus and I. persulcaus), rodents (Apodemus agrarius and Cletrionomys glareolus), and serum from a tick-borne encephalitis (TBE) patient. The nucleic acid sequences of the viral genome encoding almost the complete E protein (nt 41-1250) and the 3'-NCR-termini of the Estonian TBEV strains were determined by direct sequencing of RT-PCR products. The results showed that all three known TBEV subtypes, Western TBEV (W-TBEV), Far-Eastern TBEV (FE-TBEV), and Siberian TBEV (S-TBEV), co-circulate in Estonia. The Estonian TBEV strains of the S-TBEV and W-TBEV subtypes clustered with the previously reported strains from Latvia and Lithuania. Within the FE-TBEV subtype, however, the Estonian strain Est2546 clustered together with the strain Sofjin, originating from the Far-East of Russia, but not with the strain RK1424, isolated in the neighboring Latvia. This suggests a different evolutionary history for the Estonian and the Latvian strains in the FE-TBEV subtype. The Estonian TBEV strain (Est3535), which belonged to the S-TBEV subtype, had an organization of the 3'-NCR similar to that of strains from the Far-East of Russia (Irkutsk). The 3'-NCRs of Estonian strains of the W-TBEV subtype (Est3051, Est3053, Est3476, and Est3509) were very similar to those of the strain Ljubljana I from the Balkans. In the 3'-NCR sequence of the Estonian strain Est2546, which belonged to the FE-TBEV subtype, a deletion from position 10461 to 10810 extending approximately 10 nucleotides into the core element, was detected. 2004 Wiley-Liss, Inc.

  7. 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,…

  8. Aeolian Coastal Landscapes in changes (a study from Tahkuna, Estonia)

    NASA Astrophysics Data System (ADS)

    Anderson, A.

    2012-04-01

    The openness of the coast to the winds and storm waves has an important part in changing aeolian coastal landscapes as well as anthropogenic factor. The aeolian coastal landscapes are probably the most dynamic areas. Occurrence of aeolian coastal landscapes in Estonia is limited. They consist of sandy beaches, sandy beach ridges and dunes. The coastal ecosystems are strongly affected by their topography, based on the character of deposits and moisture conditions. The majority of their ecosystems are quite close to the specific natural habitat. These ecosystems are represented in the list of the European Union Habitats (Natura 2000). In recent decades human influence has changed the landscape over time in different activities (recreation, trampling, off-road driving) and their intensities, which has led to destruction or degradation of various habitats. Previously coastal landscapes were used for forestry and pasture. Nowadays one of the most serious threats to open landscape is afforestation. This study examines the relationships between landscape components during last decades. Trying to find out how much aeolian coastal landscapes are influenced by natural processes or human activities. The results are based on cartographic analysis, fieldwork data. The method of landscape complex profile was used. The profiles show a cross-sections of landforms and interrelationships between landscape components, most frequently describing the relations between soils and vegetation. In each sample point the mechanical composition of sediments, vegetation cover and soil is determined. Results show that changes in landscapes are induced by their own development as well as changes in environmental factors and human activities. Larger changes are due to increase of coastal processes activity. These processes can be observed in sandy beaches, which are easily transformed by waves. Higher sea levels during storm surges are reaching older beach formation, causing erosion and creating

  9. Antibiotic prescription preferences in paediatric outpatient setting in Estonia and Sweden.

    PubMed

    Lass, Jana; Odlind, Viveca; Irs, Alar; Lutsar, Irja

    2013-12-01

    Aims of the study were to compare the paediatric outpatient antibiotic use in two countries with low overall antibiotic consumption and antibacterial resistance levels - Sweden and Estonia - and to describe the adherence to Estonian treatment guideline. All prescriptions for systemic antibiotics for children less than 18 years during 2007 from the Swedish Prescribed Drug Register and Estonian Health Insurance Fund database were identified to conduct a descriptive drug utilisation study. The total paediatric antibiotic use was 616 and 353 per 1000 in Estonia and Sweden, respectively. The greatest between country differences occurred in the age group 2 to 6 years -Estonian children received 1184 and Swedish children 528 prescriptions per 1000. Extended spectrum penicillin amoxicillin (189 per 1000) or its combination with beta-lactamase inhibitor (81 per 1000) and a newer macrolide clarithromycin (127 per 1000) were prescribed most often in Estonia whereas narrow spectrum penicillin phenoxymethylpenicillin (169 per 1000) and older generation macrolide erythromycin (21 per 1000) predominated in Sweden. For acute bronchitis, 17 different antibiotics (most commonly clarithromycin) were prescribed in Estonia despite the guideline recommendation not to use antibiotics. The higher rate of antibiotic use especially of extended spectrum antibiotics in Estonia compared to Sweden emphasizes the need for national activities to promote appropriate use of antibiotics while treating children, even when the overall antibiotic consumption is low.

  10. Mutual Trust between Kindergarten Teachers and Mothers and Its Associations with Family Characteristics in Estonia and Finland

    ERIC Educational Resources Information Center

    Kikas, Eve; Poikonen, Pirjo-Liisa; Kontoniemi, Marita; Lyyra, Anna-Liisa; Lerkkanen, Marja-Kristiina; Niilo, Airi

    2011-01-01

    Mutual trust between mothers and kindergarten teachers along with its relation to mother's educational level and child's gender was studied in two neighboring countries--Estonia and Finland. From Estonia 543 ratings of mothers and 232 ratings of teachers were collected, and, from Finland, 712 ratings of mothers and 712 ratings of teachers. Trust…

  11. Moving the Field Forward: A Micro-Meso-Macro Model for Critical Language Planning. The Case of Estonia

    ERIC Educational Resources Information Center

    Skerrett, Delaney Michael

    2016-01-01

    This study investigates "de facto" language policy in Estonia. It investigates how language choices at the micro (or individual) level are negotiated within the macro (or social and historical) context: how official language policy and other features of the discursive environment surrounding language and its use in Estonia translate into…

  12. Mutual Trust between Kindergarten Teachers and Mothers and Its Associations with Family Characteristics in Estonia and Finland

    ERIC Educational Resources Information Center

    Kikas, Eve; Poikonen, Pirjo-Liisa; Kontoniemi, Marita; Lyyra, Anna-Liisa; Lerkkanen, Marja-Kristiina; Niilo, Airi

    2011-01-01

    Mutual trust between mothers and kindergarten teachers along with its relation to mother's educational level and child's gender was studied in two neighboring countries--Estonia and Finland. From Estonia 543 ratings of mothers and 232 ratings of teachers were collected, and, from Finland, 712 ratings of mothers and 712 ratings of teachers. Trust…

  13. Moving the Field Forward: A Micro-Meso-Macro Model for Critical Language Planning. The Case of Estonia

    ERIC Educational Resources Information Center

    Skerrett, Delaney Michael

    2016-01-01

    This study investigates "de facto" language policy in Estonia. It investigates how language choices at the micro (or individual) level are negotiated within the macro (or social and historical) context: how official language policy and other features of the discursive environment surrounding language and its use in Estonia translate into…

  14. Speech audiometry in Estonia: Estonian words in noise (EWIN) test.

    PubMed

    Veispak, Anneli; Jansen, Sofie; Ghesquière, Pol; Wouters, Jan

    2015-08-01

    Currently, there is no up-to-date speech perception test available in the Estonian language that may be used to diagnose hearing loss and quantify speech intelligibility. Therefore, based on the example of the Nederlandse Vereniging voor Audiologie (NVA)-lists ( Bosman, 1989 ; Wouters et al, 1994 ) an Estonian words in noise (EWIN) test has been developed. Two experimental steps were carried out: (1) selection and perceptual optimization of the monosyllables, and (2) construction of 14 lists and an evaluation in normal hearing (NH) subjects both in noise and in quiet. Thirty-six normal-hearing (NH) native speakers of Estonia (age range from 17 to 46 years). The reference psychometric curve for NH subjects was determined, with the slope and speech reception threshold being well in accordance with the respective values of the NVA lists. The 14 lists in noise yielded equivalent scores with high precision. The EWIN test is a reliable and valid speech intelligibility test, and is the first of its kind in the Estonian language.

  15. Risk Assessment in the Working Environment in Estonia.

    PubMed

    Tint, Piia

    1998-01-01

    The first step to chart hazards in the working environment in Estonia (labour force: 0.65 million) was taken by the National Board of Health Protection in the beginning of 1996. The existing chemical, physical, and biological agents in the working environment were investigated with the help of local health inspectors in all counties. An identification of hazards and workers at risk was carried out. The results of the analysis showed that 16% of Estonian industrial workers are exposed to different hazards: 20,000 persons are exposed to noise, 11,000 are working in the conditions of vibration, 10,000 are affected by unsatisfactory microclimate, 6,000 complain about long-lasting work in a compulsory posture, the overexertion of eyes is suffered by 5,500 persons, and physical overload by 3,500 workers. In the group of chemical hazards the greatest numbers of workers are exposed to organic dust (6,500) and welding aerosols (5,400), followed by petroleum products (2,700), and oil-shale dust (4,300). The measurements of working conditions showed that an average of 30.3% of the results are above the standards. Proposals for the improvement of the situation in occupational safety and health are presented.

  16. Hazardous substances in the aquatic environment of Estonia.

    PubMed

    Roots, Ott; Roose, Antti

    2013-09-01

    The Water Framework Directive (WFD) aims to regulate the management of European surface water bodies. Directive 2008/105/EC, which establishes the environmental quality standards of priority substances and certain other pollutants, the content of which in the surface water should be monitored, has been transposed by the Estonian Ministry of Environment 9 September 2010 Regulation No. 49. Sampled hazardous substances were selected primarily based on their toxicity, as well as their lifetime in environment and ability to accumulate in living organisms (bioaccumulation). The contents of hazardous substances and their groups determined from Estonian surface waters remained below the limits of quantifications of used analysis methods in most cases. However, the content of some heavy metals, mono- and dibasic phenols in the surface water/waste water and sewage sludge/bottom sediments can still reach the delicate levels in the Estonian oil shale region in particular. Among new substances analysed in Estonia historically first time in 2010, amounts of organotin compounds in sediments and some alkylphenols, their ethoxylates and phthalates were found in various sample matrices.

  17. Effectiveness of Environmental Impact Assessment system in Estonia

    SciTech Connect

    Heinma, Kaupo; Poder, Tonis

    2010-07-15

    To be effective, an Environmental Impact Assessment (EIA) system, first, has to minimize the probability that projects with significant environmental effects are implemented without EIA, and second, minimize the number of EIAs, which do not provide decision makers with essential information, so that the decision is improved as a result of EIA. The objective of this study was to find out how frequently in Estonia the projects implemented without EIA have caused significant environmental effects, and to measure the relative frequency of EIAs that have no influence on decision. An extensive survey with e-mail distributed questionnaires was carried out to reveal information from governmental agencies, local self-governments, and developers. There was no evidence that projects authorized without EIA have had environmental impacts, which could have been mitigated as a result of EIA. In contrast, about half of EIAs did not alter the decision of relevant authorities. This proportion was valid to both mandatory EIAs and those initiated on judgement basis. In our view, the proportion of no-influence EIAs was excessive and indicated the need to reconsider the provisions applying to the projects with a mandatory EIA requirement as well as judgements practice.

  18. 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.

  19. Prevalence of MS in south Estonia. Evidence of a new border of the Fennoscandian focus.

    PubMed

    Gross, K; Kokk, A; Kaasik, A E

    1993-10-01

    A population-based study of MS was carried out in South Estonia in 1988-1989. Cases were identified from the Tartu University Hospital archives where all MS cases in South Estonia are diagnosed, from all neurologists and nursing homes of the region, and from the local Multiple Sclerosis Society. The prevalence in South Estonia is 51 per 100,000, for native Estonians 55, for Russians 29, for other nationalities 42 per 100,000. The prevalence rate in different counties was demonstrated as low as 31 per 100,000 in the County of Tartu, to 72 per 100,000 in Pôlva County; 55% of patients have retired because of their handicap and only 2 patients (1%) were living in nursing homes.

  20. High genotypic diversity found among population of Phytophthora infestans collected in Estonia.

    PubMed

    Runno-Paurson, Eve; Kiiker, Riinu; Joutsjoki, Tiina; Hannukkala, Asko

    2016-03-01

    Potato late blight, caused by the oomycete pathogen Phytophthora infestans, is one of the most important diseases of potato worldwide. This is the first study characterising Estonian P. infestans population using the SSR marker genotyping method. 70 P. infestans isolates collected during the growing season in 2004 from eight potato fields in three different regions of Estonia were characterised with nine polymorphic SSR markers. A1 and A2 mating type isolates were detected from every studied field indicating the high potential for sexual reproduction, which raises the genotypic diversity in P. infestans population. Results revealed highly diverse P. infestans population in Estonia resembling the Northern European populations. Most of the multilocus genotypes were detected only once among the collected isolates. Subpopulations collected from different geographical regions of Estonia showed no differentiation from each other but instead formed one highly diverse group.

  1. Newly Deployed Sojourner Rover

    NASA Technical Reports Server (NTRS)

    1999-01-01

    This 8-image mosaic was acquired during the late afternoon (near 5pm LST, note the long shadows) on Sol 2 as part of the predeploy 'insurance panorama' and shows the newly deployed rover sitting on the Martian surface. This color image was generated from images acquired at 530,600, and 750 nm. The insurance panorama was designed as 'insurance' against camera failure upon deployment. Had the camera failed, the losslessly-compressed, multispectral insurance panorama would have been the main source of image data from the IMP.

    However, the camera deployment was successful, leaving the insurance panorama to be downlinked to Earth several weeks later. Ironically enough, the insurance panorama contains some of the best quality image data because of the lossless data compression and relatively dust-free state of the camera and associated lander/rover hardware on Sol 2.

    Mars Pathfinder is the second in NASA's Discovery program of low-cost spacecraft with highly focused science goals. The Jet Propulsion Laboratory, Pasadena, CA, developed and manages the Mars Pathfinder mission for NASA's Office of Space Science, Washington, D.C. JPL is an operating division of the California Institute of Technology (Caltech). The IMP was developed by the University of Arizona Lunar and Planetary Laboratory under contract to JPL. Peter Smith is the Principal investigator.

  2. Newly Deployed Sojourner Rover

    NASA Technical Reports Server (NTRS)

    1999-01-01

    This 8-image mosaic was acquired during the late afternoon (near 5pm LST, note the long shadows) on Sol 2 as part of the predeploy 'insurance panorama' and shows the newly deployed rover sitting on the Martian surface. This color image was generated from images acquired at 530,600, and 750 nm. The insurance panorama was designed as 'insurance' against camera failure upon deployment. Had the camera failed, the losslessly-compressed, multispectral insurance panorama would have been the main source of image data from the IMP.

    However, the camera deployment was successful, leaving the insurance panorama to be downlinked to Earth several weeks later. Ironically enough, the insurance panorama contains some of the best quality image data because of the lossless data compression and relatively dust-free state of the camera and associated lander/rover hardware on Sol 2.

    Mars Pathfinder is the second in NASA's Discovery program of low-cost spacecraft with highly focused science goals. The Jet Propulsion Laboratory, Pasadena, CA, developed and manages the Mars Pathfinder mission for NASA's Office of Space Science, Washington, D.C. JPL is an operating division of the California Institute of Technology (Caltech). The IMP was developed by the University of Arizona Lunar and Planetary Laboratory under contract to JPL. Peter Smith is the Principal investigator.

  3. 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

  4. 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…

  5. 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…

  6. Phytochemical analysis of the essential oil of Thymus serpyllum L. growing wild in Estonia.

    PubMed

    Paaver, Urve; Orav, Anne; Arak, Elmar; Mäeorg, Uno; Raal, Ain

    2008-01-20

    Variations in the essential oil composition of Thymus serpyllum L., growing wild in Estonia (33 samples) and in some other countries (Russia, Latvia and Armenia, seven samples) were determined. The oil were obtained from Estonia (46 samples) in yields 0.6-4.4 and 1.9-8.2 mL kg(-1) in other countries. The T. serpyllum herb grown in Estonia usually did not confirmed to the EP standard in the aspect of the essential oil contents (3.0 mL kg(-1)). Variations in the essential oil composition of wild thyme were studied using capillary gas chromatographic methods. A total of 94 components were identified. Thymol and carvacrol, mentioned in literature as principial components, are not the main components of the essential oil of wild thyme growing in Estonia. (E)-nerolidol, caryophyllene oxide, myrcene and borneol chemotypes of wild thyme drug are distinguishable. The chemical composition of samples from Russia, Latvia and Armenia is very variable.

  7. 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…

  8. 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…

  9. 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…

  10. 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)…

  11. 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…

  12. Economic, Educational and Cultural Predictors of Science Learning in Lithuania and Estonia

    ERIC Educational Resources Information Center

    Mikk, Jaan

    2007-01-01

    The aim of the research was to assess the economic, educational and cultural predictors of the TIMSS 2003 science test results in Lithuania and Estonia. The data for the research were received from the TIMSS 2003 User Guide for the International Database. The Spearman rank correlation coefficients, calculated on the students' level and the schools…

  13. 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)…

  14. 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…

  15. 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…

  16. 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…

  17. 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…

  18. 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"…

  19. 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…

  20. 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"…

  1. 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…

  2. 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…

  3. Alternative Civil Enculturation: Political Disenchantment and Civic Attitudes in Minority Schools in Estonia, Latvia, and Slovakia

    ERIC Educational Resources Information Center

    Golubeva, Maria; Austers, Ivars

    2011-01-01

    The article investigates the ways in which minority schools in Latvia, Estonia, and Slovakia resist the dominant narratives of nation and citizenship and provide an alternative model of civil enculturation for students. It provides evidence to support the hypothesis that differences between competing narratives of statehood and nationhood among…

  4. Seroprevalence of and Risk Factors for Toxoplasma gondii Infection in Cats in Estonia.

    PubMed

    Must, Kärt; Lassen, Brian; Jokelainen, Pikka

    2015-10-01

    In Estonia, northeastern Europe, Toxoplasma gondii seroprevalence in humans has not declined, in contrast to many other countries. The reasons for this are unknown. Domestic cats are important hosts in the epidemiology of the parasite, but information on local feline T. gondii infections has been lacking. An epidemiological cross-sectional study was conducted to estimate the seroprevalence of T. gondii and the risk factors associated with seropositivity in cats in Estonia. Surplus from blood samples that had been collected for unrelated diagnostic purposes from 306 pet cats and 184 shelter cats were analyzed for anti-T. gondii immunoglobulin G antibodies by using a direct agglutination test. Two questionnaires were designed to reveal relevant risk factors for seropositivity. The overall seroprevalence of T. gondii in cats in Estonia was 60.8%. Older age, outdoor access, hunting, living outside the city in the countryside, and not being a purebred cat were among the risk factors associated with seropositivity. T. gondii is highly prevalent in domestic cats in Estonia. This suggests that the environment has been contaminated with T. gondii. Seropositivity indicates previous oocyst shedding, and most of the cats had outdoor access. The increase in T. gondii seroprevalence with age indicates acquired infections, and most of the risk factors were lifestyle-related. Cat owners could diminish the risk of T. gondii infection and also limit the spread of the parasite by not allowing their cats to roam free.

  5. 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…

  6. 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…

  7. Cost and cost-effectiveness of multidrug-resistant tuberculosis treatment in Estonia and Russia.

    PubMed

    Floyd, Katherine; Hutubessy, Raymond; Kliiman, Kai; Centis, Rosella; Khurieva, Nina; Jakobowiak, Wieslaw; Danilovits, Manfred; Peremitin, Genadi; Keshavjee, Salmaan; Migliori, Giovanni Battista

    2012-07-01

    Evidence on the cost and cost-effectiveness of treatment of multidrug-resistant tuberculosis (MDR-TB) is limited, and no published data are available from former Soviet Union countries, where rates of MDR-TB are highest globally. We evaluated the cost and cost-effectiveness of MDR-TB treatment in Estonia and Russia (Tomsk Oblast), comparing cohorts enrolled on treatment according to World Health Organization (WHO) guidelines in 2001 and 2002 with cohorts treated in previous years. Costs were assessed from a health system perspective in 2003 US$; effects were measured as cures, deaths averted and disability-adjusted life-years (DALYs) averted. Cure rates when WHO guidelines were followed were 61% (90 out of 149) in Estonia and 76% (76 out of 100) in Tomsk Oblast, with a cost per patient treated of US$8,974 and US$10,088, respectively. Before WHO guidelines were followed, cure rates were 52% in Estonia and 15% in Tomsk Oblast; the cost per patient treated was US$4,729 and US$2,282, respectively. Drugs and hospitalisation accounted for 69-90% of total costs. The cost per DALY averted by treatment following WHO guidelines was US$579 (range US$297-US$902) in Estonia and US$429 (range US$302-US$546) in Tomsk Oblast. Treatment of patients with MDR-TB can be cost-effective, but requires substantial additional investment in tuberculosis control in priority countries.

  8. 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…

  9. 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.…

  10. 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…

  11. 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…

  12. 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…

  13. Monoclonal antibody characterization of rabies virus isolates from Russia, Finland and Estonia.

    PubMed

    Metlin, A E; Cox, J; Rybakov, S S; Huovilainen, A; Grouzdev, K N; Neuvonen, E

    2004-03-01

    Five different rabies virus variants were identified among rabies virus-positive samples from Russia, Finland and Estonia, using a panel of five anti-nucleocapsid monoclonal antibodies. Two rabies virus isolates showed a different reaction pattern, suggesting the presence of a new antigenic variant. The results were compared with the data obtained by other research groups.

  14. Newly democratic Mongolia offering exploration contracts

    SciTech Connect

    Penttila, W.C. )

    1992-12-07

    This paper reports that Mongolia, formerly the Mongolian People's Republic, is working to open its exploration prospects to international operators as it emerges as the world's 15th largest independent nation. The country, about the same size as Alaska with a population of 2 million, held its first free election in July 1990. The newly elected government drafted a constitution that took effect Feb. 12, 1992. The document modifies the previous government's structures to eliminate bureaucracy and allows for political pluralism. At the same time, the government is formulating energy policies, state oil company structure, and resource development philosophy.

  15. Climate change scenarios and the effect of sea-level rise for Estonia

    NASA Astrophysics Data System (ADS)

    Kont, Are; Jaagus, Jaak; Aunap, Raivo

    2003-03-01

    Climate warming due to the enhanced greenhouse effect is expected to have a significant impact on natural environment and human activity in high latitudes. Mostly, it should have a positive effect on human activity. The main threats in Estonia that could be connected with sea-level rise are the flooding of coastal areas, erosion of sandy beaches and the destruction of harbour constructions. Possible climate change and its negative impacts in the coastal regions of Estonia are estimated in this paper. Climate change scenarios for Estonia were generated using a Model for the Assessment of Greenhouse-gas Induced Climate Change (MAGICC) and a regional climate change database—SCENanario GENerator (SCENGEN). Three alternative emission scenarios were combined with data from 14 general circulation model experiments. Climate change scenarios for the year 2100 indicate a significant increase in air temperature (by 2.3-4.5 °C) and precipitation (by 5-30%) in Estonia. The highest increase is expected to take place during winter and the lowest increase in summer. Due to a long coastline (3794 km) and extensive low-lying coastal areas, global climate change through sea-level rise will strongly affect the territory of Estonia. A number of valuable natural ecosystems will be in danger. These include both marine and terrestrial systems containing rare plant communities and suitable breeding places for birds. Most sandy beaches high in recreational value will disappear. However, isostatic land uplift and the location of coastal settlements at a distance from the present coastline reduce the rate of risk. Seven case study areas characterising all the shore types of Estonia have been selected for sea-level rise vulnerability and adaptation assessment. Results and estimates of vulnerability to 1.0-m sea-level rise by 2100 are presented in this paper. This is the maximum scenario according to which the actually estimated relative sea-level rise would vary from 0.9 m (SW Estonia) to 0

  16. 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, CO2 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.

  17. 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

  18. Are Independent Probes Truly Independent?

    ERIC Educational Resources Information Center

    Camp, Gino; Pecher, Diane; Schmidt, Henk G.; Zeelenberg, Rene

    2009-01-01

    The independent cue technique has been developed to test traditional interference theories against inhibition theories of forgetting. In the present study, the authors tested the critical criterion for the independence of independent cues: Studied cues not presented during test (and unrelated to test cues) should not contribute to the retrieval…

  19. Are Independent Probes Truly Independent?

    ERIC Educational Resources Information Center

    Camp, Gino; Pecher, Diane; Schmidt, Henk G.; Zeelenberg, Rene

    2009-01-01

    The independent cue technique has been developed to test traditional interference theories against inhibition theories of forgetting. In the present study, the authors tested the critical criterion for the independence of independent cues: Studied cues not presented during test (and unrelated to test cues) should not contribute to the retrieval…

  20. Salam's independence

    NASA Astrophysics Data System (ADS)

    Fraser, Gordon

    2009-01-01

    In his kind review of my biography of the Nobel laureate Abdus Salam (December 2008 pp45-46), John W Moffat wrongly claims that Salam had "independently thought of the idea of parity violation in weak interactions".

  1. 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.

  2. The sinking of the Estonia: the effects of critical incident stress debriefing (CISD) on rescuers.

    PubMed

    Nurmi, L A

    1999-01-01

    On the morning of September 28, 1994 the ferry Estonia sank off the coast of Finland. The loss of life reached 852 persons, while 137 persons were rescued. This study investigated the effectiveness of Critical Incident Stress Debriefing (CISD) as a crisis intervention process. Results of this controlled investigation revealed that the CISD intervention proved effective in reducing symptoms of distress and psychological trauma as psychometrically assessed.

  3. Estonia at the Threshold of the Fourth Decade of the AIDS Era in Europe

    PubMed Central

    Avi, Radko; DeHovitz, Jack; Uusküla, Anneli

    2011-01-01

    Abstract This article describes the trends of HIV/AIDS and related conditions in Estonia during the past decade (2000–2009), with special focus on the potential for epidemic transition. Key transmission determinants and major risk groups are examined and problems and barriers to fighting HIV/AIDS with possible applications in prevention and control are described. Estonian routine data sources and published literature were reviewed, supplemented with information from personal communication with physicians and public health specialists. For comparative European data, international HIV/AIDS and drug addiction surveillance documents, administrative data, and published literature were reviewed. In Eastern Europe (including Estonia) the predominant HIV transmission mode is injection drug use (IDU), closely followed by heterosexual transmission, an increasing risk factor for new cases. Although the contribution of cases acquired by sexual contact with high-risk partners such as IDUs is not known, characteristics of the sexual networks of IDUs may be important in determining the evolution of the HIV/AIDS epidemics in the region. In Estonia, despite major gaps in available data, the HIV/AIDS epidemic is still presumably confined to IDUs (and probably, to their sexual partners). In Eastern Europe, young women in IDU–non-IDU partnerships engaging in unprotected sex potentially serve as a bridge to the general population, yet knowledge of and research into the population characteristics and potential magnitude of bridging are limited. In Estonia, as in other Eastern European countries, HIV prevention and harm reduction initiatives should be tailored not only to the predominantly male HIV-positive IDU population, but also to their noninfected non-IDU female sexual partners. PMID:21142588

  4. 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.…

  5. 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.…

  6. The earliest giant Osprioneides borings from the Sandbian (late ordovician) of Estonia.

    PubMed

    Vinn, Olev; Wilson, Mark A; Mõtus, Mari-Ann

    2014-01-01

    The earliest Osprioneides kampto borings were found in bryozoan colonies of Sandbian age from northern Estonia (Baltica). The Ordovician was a time of great increase in the quantities of hard substrate removed by single trace makers. Increased predation pressure was most likely the driving force behind the infaunalization of larger invertebrates such as the Osprioneides trace makers in the Ordovician. It is possible that the Osprioneides borer originated in Baltica or in other paleocontinents outside of North America.

  7. Onychomycosis caused by Onychocola canadensis: the first report in Estonia and lessons to learn.

    PubMed

    Järv, Helle

    2015-02-01

    We report the first case of onychomycosis caused by Onychocola canadensis in Estonia. We believe that the number of nail infections caused by this fungus is underestimated due to the current diagnostic algorithm of non-dermatophytic onychomycosis. The need to define categories and criteria for 'proven' and 'probable' non-dermatophyte mold infections to promote more extensive studies in the future is also discussed.

  8. Estonia at the threshold of the fourth decade of the AIDS era in Europe.

    PubMed

    Laisaar, Kaja-Triin; Avi, Radko; DeHovitz, Jack; Uusküla, Anneli

    2011-08-01

    This article describes the trends of HIV/AIDS and related conditions in Estonia during the past decade (2000-2009), with special focus on the potential for epidemic transition. Key transmission determinants and major risk groups are examined and problems and barriers to fighting HIV/AIDS with possible applications in prevention and control are described. Estonian routine data sources and published literature were reviewed, supplemented with information from personal communication with physicians and public health specialists. For comparative European data, international HIV/AIDS and drug addiction surveillance documents, administrative data, and published literature were reviewed. In Eastern Europe (including Estonia) the predominant HIV transmission mode is injection drug use (IDU), closely followed by heterosexual transmission, an increasing risk factor for new cases. Although the contribution of cases acquired by sexual contact with high-risk partners such as IDUs is not known, characteristics of the sexual networks of IDUs may be important in determining the evolution of the HIV/AIDS epidemics in the region. In Estonia, despite major gaps in available data, the HIV/AIDS epidemic is still presumably confined to IDUs (and probably, to their sexual partners). In Eastern Europe, young women in IDU-non-IDU partnerships engaging in unprotected sex potentially serve as a bridge to the general population, yet knowledge of and research into the population characteristics and potential magnitude of bridging are limited. In Estonia, as in other Eastern European countries, HIV prevention and harm reduction initiatives should be tailored not only to the predominantly male HIV-positive IDU population, but also to their noninfected non-IDU female sexual partners.

  9. Survey of the Presence of Toxocara spp. Eggs in Dog Feces in Tartu, Estonia.

    PubMed

    Lassen, Brian; Jokelainen, Pikka

    2016-03-01

    Several zoonotic pathogens are shed in the feces of infected animals. If they are allowed to contaminate the environment, they cause a public health concern. In this study, we investigated the presence of Toxocara spp. eggs in dog feces in the urban area of Tartu, Estonia. Samples were collected by veterinary students in 2014 and examined using a modified concentration-flotation technique. Toxocara spp. eggs were detected by microscopy in 4 (1.7%) out of 234 canine fecal samples.

  10. Exposure to High Fluoride Drinking Water and Risk of Dental Fluorosis in Estonia

    PubMed Central

    Indermitte, Ene; Saava, Astrid; Karro, Enn

    2009-01-01

    The purpose of this study was to assess exposure to drinking water fluoride and evaluate the risk of dental fluorosis among the Estonian population. The study covered all 15 counties in Estonia and 93.7% of population that has access to public water supplies. In Estonia groundwater is the main source for public water supply systems in most towns and rural settlements. The content of natural fluoride in water ranges from 0.01 to 7.20 mg/L. The exposure to different fluoride levels was assessed by linking data from previous studies on drinking water quality with databases of the Health Protection Inspectorate on water suppliers and the number of water consumers in water supply systems. Exposure assessment showed that 4% of the study population had excessive exposure to fluoride, mainly in small public water supplies in western and central Estonia, where the Silurian-Ordovician aquifer system is the only source of drinking water. There is a strong correlation between natural fluoride levels and the prevalence of dental fluorosis. Risk of dental fluorosis was calculated to different fluoride exposure levels over 1.5 mg/L. PMID:19440411

  11. Content and composition of the essential oil of Thymus serpyllum L. growing wild in Estonia.

    PubMed

    Raal, Ain; Paaver, Urve; Arak, Elmar; Orav, Anne

    2004-01-01

    The aim of this work was to analyze the essential oil content and its composition in the drug (Serpylli herba) of wild thyme (Thymus serpyllum L.) originating from 20 different natural places of growth in Estonia. The quantitative content of essential oil was determined according to the method of European Pharmacopoeia. Gas chromatographic analysis of essential oils was carried out using a gas chromatography with flame ionization detector on two fused silica capillary columns with bonded stationary phases NB-30 and SW-10. The identification of the oil components was accomplished by comparing their retention indices on two columns with the retention indices values of standard compounds, with our retention indices data bank and with literature data. The results obtained were confirmed by gas chromatography / mass spectrometry. The content of essential oil is between 0.6 and 4 ml/kg and usually is not in conformity with European Pharmacopoeia standard (3 ml/kg). There were 55 components identified in the essential oil of wild thyme of Estonian origin. Differently from the data in the literature of foreign countries, thymol and carvacrol are not the main components of the essential oil of wild thyme growing in Estonia. The main components here are (E)-nerolidol, caryophyllene oxide, myrcene, (E)-beta-caryophyllene and germacrene D. In Estonia, the (E)-nerolidol-caryophyllene oxide, (E)-nerolidol-myrcene and myrcene chemotypes of wild thyme drug are distinguishable.

  12. 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%).

  13. 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

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

    PubMed

    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.

  15. Socioeconomic differences in self-rated health among women: a comparison of St. Petersburg to Estonia and Finland.

    PubMed

    Dubikaytis, Tatiana; Härkänen, Tommi; Regushevskaya, Elena; Hemminki, Elina; Haavio-Mannila, Elina; Laanpere, Made; Kuznetsova, Olga; Koskinen, Seppo

    2014-05-17

    Social determinants of health have not been intensively studied in Russia, even though the health divide has been clearly demonstrated by an increased mortality rate among those with low education. A comparative analysis of social health determinants in countries with different historical and economic backgrounds may provide useful evidence for addressing health inequalities. We aimed to assess socioeconomic determinants of self-rated health in St. Petersburg as compared to Estonia and Finland. Data for women aged 18-44 were extracted from existing population-based surveys and analysed. In St. Petersburg the data were originally collected in 2003 (response rate 68%), in Estonia in 2004-2005 (54%), and in Finland in 2000-2001 (86%). The study samples comprised 865 women in St. Petersburg, 2141 in Estonia and 1897 in Finland. Self-rated health was much poorer in St. Petersburg than in Estonia or Finland. High education was negatively associated with poor self-rated health in all the studied populations; it was (partially) mediated via health behaviour and limiting long-term illness only in Estonia and Finland, but not in St. Petersburg. High personal income and employment did not associate with poor self-rated health among St. Petersburg women, as it did in Estonia and Finland. In St. Petersburg housewives rather than employed women had better self-rated health, unlike the two other areas. Women's self-rated health in St. Petersburg varied similarly by education but differently by income and employment as compared to Estonia and Finland. Education is likely the most meaningful dimension of women's socioeconomic position in St. Petersburg. More research is needed to further clarify the pathways between socioeconomic position and health in Russia.

  16. Gastrointestinal failure in intensive care: a retrospective clinical study in three different intensive care units in Germany and Estonia

    PubMed Central

    Reintam, Annika; Parm, Pille; Redlich, Uwe; Tooding, Liina-Mai; Starkopf, Joel; Köhler, Friedrich; Spies, Claudia; Kern, Hartmut

    2006-01-01

    Background While gastrointestinal problems are common in ICU patients with multiple organ failure, gastrointestinal failure has not been given the consideration other organ systems receive. The aim of this study was to evaluate the incidence of gastrointestinal failure (GIF), to identify its risk factors, and to determine its association with ICU mortality. Methods A retrospective analysis of adult patients (n = 2588) admitted to three different ICUs (two ICUs at the university hospital Charité-Universitätsmedizin Berlin, Germany and one at Tartu University Clinics, Estonia) during the year 2002 was performed. Data recorded in a computerized database were used in Berlin. In Tartu, the data documented in the patients' charts was retrospectively transferred into a similar database. GIF was defined as documented gastrointestinal problems (food intolerance, gastrointestinal haemorrhage, and/or ileus) in the patient data at any period of their ICU stay. ICU mortality, length of stay, and duration of mechanical ventilation were assessed as outcome parameters. Results GIF was identified in 252 patients (9.7% of all patients). Only 20% of GIF patients were identifiable at admission. GIF was related to significantly higher mortality (43.7% vs. 5.3% in patients without GIF), as well as prolonged length of ICU stay (10 vs. 2 days) and mechanical ventilation (8 vs. 1 day), p < 0.001, respectively. Patients' profile (emergency surgical or medical), APACHE II and SOFA scores and the use of catecholamines at admission were identified as independent risk factors for the development of GIF. Development of GIF during ICU stay was an independent predictor for death. Conclusion Gastrointestinal failure represents a relevant clinical problem accompanied by an increased mortality, longer ICU stay and mechanical ventilation. PMID:16792799

  17. Independent Living.

    ERIC Educational Resources Information Center

    Nathanson, Jeanne H., Ed.

    1994-01-01

    This issue of "OSERS" addresses the subject of independent living of individuals with disabilities. The issue includes a message from Judith E. Heumann, the Assistant Secretary of the Office of Special Education and Rehabilitative Services (OSERS), and 10 papers. Papers have the following titles and authors: "Changes in the…

  18. The updated clinical guideline development process in Estonia is an efficient method for developing evidence-based guidelines.

    PubMed

    Bero, Lisa A; Hill, Suzanne; Habicht, Jarno; Mathiesen, Mari; Starkopf, Joel

    2013-02-01

    Clinical practice guidelines are one of the tools available to improve the quality of health care. However, it may be difficult for countries to develop their own national guidelines "from scratch" because of limitations in time, expertise, and financial resources. The Estonian Health Insurance Fund (EHIF), in collaboration with other stakeholders, has launched a national effort to develop and implement evidence-based clinical practice guidelines aimed at improving the quality of care. Although the first EHIF handbook for preparing guidelines was published in 2004, there has been wide variation in the format and quality of guidelines prepared by medical specialty societies, EHIF, and other organizations in Estonia. An additional challenge to guideline development in Estonia is that it is a country with limited human resources. Therefore, revision of the Estonian guideline process was aimed at developing an efficient method for adapting current high-quality guidelines to the Estonian setting without compromising their quality. In 2010, a comprehensive assessment of guideline development in Estonia was made by the World Health Organization, EHIF, the Medical Faculty at the University of Tartu, and selected national and international experts in an effort to streamline and harmonize the principles and processes of guideline development in Estonia. This study summarizes the evaluation of and revisions to the process. Estonia has made substantial changes in its processes of clinical practice guideline development and implementation as part of an overall program aiming for systematic quality improvement in health care. This experience may be relevant to other small or resource-limited countries.

  19. Comparative Study: Impact of Family, School, and Students Factors on Students Achievements in Reading in Developed (Estonia) and Developing (Azerbaijan) Countries

    ERIC Educational Resources Information Center

    Shukakidze, Berika

    2013-01-01

    The work is based on PISA 2009 International Assessment Study. Two counties were selected: a developed country, Estonia and a developing country, Azerbaijan. The following Datum was used for statistical analysis: students average scores in reading (162 schools, 4 600 students from Azerbaijan; 17 schools, 4 923 students from Estonia). The work is…

  20. Understanding independence

    NASA Astrophysics Data System (ADS)

    Annan, James; Hargreaves, Julia

    2016-04-01

    In order to perform any Bayesian processing of a model ensemble, we need a prior over the ensemble members. In the case of multimodel ensembles such as CMIP, the historical approach of ``model democracy'' (i.e. equal weight for all models in the sample) is no longer credible (if it ever was) due to model duplication and inbreeding. The question of ``model independence'' is central to the question of prior weights. However, although this question has been repeatedly raised, it has not yet been satisfactorily addressed. Here I will discuss the issue of independence and present a theoretical foundation for understanding and analysing the ensemble in this context. I will also present some simple examples showing how these ideas may be applied and developed.

  1. Sequential population-based studies over 25 years on the incidence and survival of acute de novo leukemias in Estonia and in a well-defined region of western Sweden during 1982-2006: a survey of patients aged ≥65 years.

    PubMed

    Punab, Mari; Palk, Katrin; Varik, Mirja; Laane, Edward; Everaus, Hele; Holmberg, Erik; Hulegårdh, Erik; Wennström, Lovisa; Safai-Kutti, Soodabeh; Stockelberg, Dick; Kutti, Jack

    2013-03-01

    Estonia regained independence in 1991 after five decades of occupation by the Soviet Union. The present population-based survey was carried out over five consecutive 5-year study periods (1982-2006) on the incidence and survival of de novo acute leukemia patients aged ≥65 years at diagnosis in Estonia and in a well-defined area in western Sweden. During the study period of retrospective work (1982-1996), the first 10 years were carried out while Estonia was still under the mentorship of the Soviet Union. Over these years, Estonian hematologists did not have access to therapeutic measures readily available to Swedish hematologists, and the results for survival for western Swedish patients with acute myeloid leukemia (AML) far exceeded those of their Estonian counterparts. However, the results for acute lymphoblastic leukemia were equally dismal in the two countries. Subsequent prospective population-based studies were carried out during the years 1997-2006. A gradual improvement as to long-term relative survival of the Estonian AML patients was observed. When studying 2002-2006, no difference as regards relative survival at 5 years was anymore present between the two countries. Over the first 20 years of our population-based studies, it was repeatedly observed that the age-standardized incidence rate particularly for de novo AML was considerably higher for the western Swedish as compared to the Estonian cohorts. During the last 5-year study period (2002-2006), no such difference between the two countries was present, indicating that some true changes in the reporting procedure in Estonia had occurred.

  2. Adherence to osteoporosis medicines in Estonia-a comprehensive 15-year retrospective prescriptions database study.

    PubMed

    Laius, Ott; Pisarev, Heti; Maasalu, Katre; Kõks, Sulev; Märtson, Aare

    2017-12-01

    Some patients do not take medicines as they are supposed to. Our research showed that in Estonia, one fifth of patients did not start treatment with osteoporosis medicines and only 20% used the medicines for at least 3 years as they should. This induces unnecessary costs to the healthcare system. Medication non-adherence is the number one reason for not obtaining the expected clinical effect of medicines. With osteoporosis treatment, it has been shown that both implementation of treatment and persistence influence the risk of fractures significantly. Long-term adherence to medication in Estonia is to be determined with this study. A 15-year retrospective study was carried out in order to establish initiation, implementation, and persistence of Estonian patients. All new users of osteoporosis medicines were analyzed for all prescriptions they received during the study period. Sufficient adherence to treatment was defined as a patient being dispensed 80% or more prescribed doses for at least 1 year. The study period was from 2001 to 2015. Patients (24,652) were included in the study. Of the patients, 93.7% (n = 23,091) were women and 6.3% (n = 1564) were men. Eighteen percent (4636) were dispensed only one prescription. Of the patients, 44.2% included in the study had medication possession ratio (MPR) ≥80% over follow-up period; 8922 (36.2%) who were prescribed from 2001 to 2015 persisted for 1 year with MPR ≥80% and 19.8% persisted for 3 years. Forty percent of expenditure on osteoporosis medication was made for treatment courses with insufficient adherence. There is room for improvement in Estonia with medication adherence relating to all three aspects that determine adherence-initiation, implementation, and persistence. This means further efforts are to be made to educate patients and healthcare professionals on realizing the importance of good adherence.

  3. Hysterectomy types in Estonia are still different from the Nordic countries.

    PubMed

    Veerus, Piret; Lang, Katrin; Toompere, Karolin; Kirss, Fred

    2015-05-01

    To describe hysterectomy rates in different age groups, indications and proportion of surgery types over time. Nationwide register-based study. Estonia. Women who had hysterectomies for benign indications from 2004 to 2011. For each case, diagnosis according to ICD-10, type of surgery according to Nordic Medico-Statistical Committee, age, and time of operation were retrieved from the Estonian Health Insurance Fund database. Mid-year female population statistics were obtained from Statistics Estonia. Rate of hysterectomies per 100 000 women, proportions of different operation types, and main indications for hysterectomies. The total number of hysterectomies was 12 336, with a yearly mean of 1542. The rate of hysterectomies per 100 000 women/year decreased between 2004 and 2011 from 239.1 to 204.9. The proportion of abdominal hysterectomies decreased from 86.0 to 56.1% and the proportion of laparoscopic hysterectomies increased from 6.3 to 34.7%, while the proportion of vaginal hysterectomies remained more or less stable (7.8-9.1%). Most hysterectomies (74.4%) occurred in the age group 35-54 years. The main indications for hysterectomies were leiomyoma (61.5%), female genital prolapse (9.0%) and endometriosis (8.8%). Population rates and indications for hysterectomies in Estonia were similar to those in most Nordic countries, but the proportion of abdominal hysterectomies was higher and that of vaginal hysterectomy lower. The rates of laparoscopic and vaginal hysterectomies should be increased. © 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

  4. Hepatitis E Virus in Domestic Pigs, Wild Boars, Pig Farm Workers, and Hunters in Estonia.

    PubMed

    Ivanova, Anna; Tefanova, Valentina; Reshetnjak, Irina; Kuznetsova, Tatiana; Geller, Julia; Lundkvist, Åke; Janson, Marilin; Neare, Kädi; Velström, Kaisa; Jokelainen, Pikka; Lassen, Brian; Hütt, Pirje; Saar, Tiiu; Viltrop, Arvo; Golovljova, Irina

    2015-12-01

    While hepatitis E is a growing health concern in Europe, epidemiological data on hepatitis E virus (HEV) in Estonia are scarce. Along with imported HEV infections, autochthonous cases are reported from European countries. Both domestic and wild animals can be a source of human cases of this zoonosis. Here, we investigated the presence of anti-HEV antibodies and HEV RNA in domestic pigs and wild boars, as well as in pig farm workers and hunters in Estonia. Anti-HEV antibodies were detected in 234/380 (61.6%) of sera from domestic pigs and in all investigated herds, and in 81/471 (17.2%) of meat juice samples from wild boars. HEV RNA was detected by real-time PCR in 103/449 (22.9%) of fecal samples from younger domestic pigs and 13/81 (16.0%) of anti-HEV-positive wild boar samples. Analysis of sera from 67 pig farm workers and 144 hunters revealed the presence of HEV-specific IgG in 13.4 and 4.2% of the samples, respectively. No HEV RNA was detected in the human serum samples. Phylogenetic analyses of HEV sequences from domestic pigs and wild boars, based on a 245 bp fragment from the open reading frame 2 showed that all of them belonged to genotype 3. The present study demonstrates the presence of HEV in Estonian domestic pig and wild boar populations, as well as in humans who have direct regular contact with these animals. Our results suggest that HEV infections are present in Estonia and require attention.

  5. Amber bearing deposit in SW Saaremaa, Estonia - sedimentary environment and palaeogeography

    NASA Astrophysics Data System (ADS)

    Post, Triine; Ots, Mirja; Rosentau, Alar

    2015-04-01

    The paper describes a deposit of natural amber found form Estonia. Finds of natural amber are important in the context of the Bronze Age archaeology, because the amount of Bronze Age archaeological amber found in Estonia is very small. Most of the amber is from the Late Bronze Age and is mainly discovered from the fortified settlements in Saaremaa, some also from burials of the same time. Now, the discovery of the deposit of natural amber in the island of Saaremaa makes us reconsider the general opinion that all archaeological amber items found in Estonia have been imported. The aim of this study is to clarify the origin and age of the natural amber using scientific methods. A layer of buried organic matter (BOM) containing pieces of natural amber was discovered in Holocene coastal plain on Sõrve peninsula, island of Saaremaa. The BOM layer is buried under ca 90 cm-thick sandy coastal deposits and consists of remains of coastal plants and pieces of driftwood. Palaeogeographic reconstructions and sediment composition indicate that the layer was deposited in the coastal zone and buried quickly by sandy marine sediments. According to radiocarbon dating of the seeds of Polygonum lapathifolium the formation of the BOM layer remained in the Late Bronze Age (2480 ± 30 14C yr BP). Amber finds have been characterized using ATR-FTIR spectroscopy and isotope analysis of light elements (H and C) - both are referring to Baltic amber. Therefore it is probable that amber was transported to Saaremaa within organic matter from the Latvian-Lithuanian coastal zone where secondary Baltic amber deposits are widely known.

  6. Common-pool resources and population genomics in Iceland, Estonia, and Tonga.

    PubMed

    Barker, Jeffrey H

    2003-01-01

    This paper addresses the application of the ethical concept of trust and the legal and political concept of public trust to population genomics projects in Iceland, Estonia, and Tonga. Focusing on trust and public trust, the paper explores analogies between the genomics projects and the treatment of other common-pool resources, making use of the notion of trust as an ethical demand, derived from the works of Emmanuel Levinas and Knud Eljer Løgstrup. The paper discusses the degree to which the ethical demands for trust and public trust have been established and maintained in the three national population genomics projects.

  7. 'Independence' Panorama

    NASA Technical Reports Server (NTRS)

    2005-01-01

    [figure removed for brevity, see original site] Click on the image for 'Independence' Panorama (QTVR)

    This is the Spirit 'Independence' panorama, acquired on martian days, or sols, 536 to 543 (July 6 to 13, 2005), from a position in the 'Columbia Hills' near the summit of 'Husband Hill.' The summit of 'Husband Hill' is the peak near the right side of this panorama and is about 100 meters (328 feet) away from the rover and about 30 meters (98 feet) higher in elevation. The rocky outcrops downhill and on the left side of this mosaic include 'Larry's Lookout' and 'Cumberland Ridge,' which Spirit explored in April, May, and June of 2005.

    The panorama spans 360 degrees and consists of 108 individual images, each acquired with five filters of the rover's panoramic camera. The approximate true color of the mosaic was generated using the camera's 750-, 530-, and 480-nanometer filters. During the 8 martian days, or sols, that it took to acquire this image, the lighting varied considerably, partly because of imaging at different times of sol, and partly because of small sol-to-sol variations in the dustiness of the atmosphere. These slight changes produced some image seams and rock shadows. These seams have been eliminated from the sky portion of the mosaic to better simulate the vista a person standing on Mars would see. However, it is often not possible or practical to smooth out such seams for regions of rock, soil, rover tracks or solar panels. Such is the nature of acquiring and assembling large panoramas from the rovers.

  8. Bioerosion of Inorganic Hard Substrates in the Ordovician of Estonia (Baltica)

    PubMed Central

    Vinn, Olev; Wilson, Mark A.; Toom, Ursula

    2015-01-01

    The earliest bioeroded inorganic hard substrates in the Ordovician of Estonia appear in the Dapingian. Hardgrounds are also known from the Sandbian and Katian. Most of the bioerosion of inorganic hard substrates occurs as the boring Trypanites Mägdefrau, 1932 along with some possible Gastrochaenolites borings. North American hardground borings are more diverse than those in Baltica. In contrast to a worldwide trend of increasing boring intensity, the Estonian record seems to show no increase in boring intensities during the Middle and Late Ordovician. Hardgrounds seem to be more common during the temperate climate interval of the Ordovician calcite sea in Estonia (seven hardgrounds during 15 my) than in the part with a tropical climate (four hardgrounds during 12 my). Bioerosion is mostly associated with carbonate hardgrounds, but cobbles and pebbles broken from the hardgrounds are also often penetrated by Trypanites borings. The general diversity of boring ichnotaxa in Baltica increased from one ichnospecies in the Cambrian to seven by the end of Ordovician, showing the effect of the GOBE on bioeroding ichnotaxa. The diversity of inorganic hard substrate borers increased by only two times. This difference can be explained by the wider environmental distribution of organic as compared to inorganic substrates in the Ordovician seas of Baltica, and their more continuous temporal availability, which may have caused increased specialization of several borers. The inorganic substrates may have been bioreroded only by the generalists among boring organisms. PMID:26218582

  9. Distribution of sylvatic species of Trichinella in Estonia according to climate zones.

    PubMed

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

    1998-02-01

    A survey on trichinellosis among sylvatic and domestic animals from Estonia revealed the presence of Trichinella nativa (Tn), Trichinella britovi (Tb), and Trichinella spiralis (Ts). Muscle samples were collected from 776 sylvatic and 1,086 domestic animals. Muscle larvae from 52 of the 74 positive samples were identified, using random-amplified polymorphic DNA analysis; 19 samples showed Tn, 27 samples Tb, and 4 samples Ts. A raccoon dog (Nyctereutes procyonoides) and a red fox (Vulpes vulpes) were infected with both Tn and Tb. Of the 19 animals infected with Tn, 16 (84%) were collected from the central-eastern regions of the country, east of the isotherm -5 C in January. Of the 27 animals infected with Tb, 22 (81%) were collected from the western regions of the country, west of the isotherm -4 C in January. Trichinella spiralis seemed to be present only in a focus (a fur-bearing animal farm) on Hiiumaa Island. These results can be used to support the hypothesis of a relationship between the distribution of Tn and Tb and the environmental temperature; they are also indicative of the importance of long-term survival of muscle larvae in host carcasses in the life cycle of these 2 species. In Estonia, the isotherms -4 and -6 C in January could be considered a thermic barrier for the distribution of Tn and Tb, respectively.

  10. Changes in spring weather conditions and atmospheric circulation in Estonia (1955-95)

    NASA Astrophysics Data System (ADS)

    Keevallik, Sirje

    2003-03-01

    An analysis has been undertaken at Tiirikoja Meteorological Station to investigate changes in the main weather elements in late winter and spring during the period 1955-95. The relationship between these changes and the trends in the atmospheric circulation above Estonia have also been analysed. The latter was estimated from wind speed and direction data recorded at Tallinn Aerological Station at two isobaric levels (500 and 850 hPa). These data permitted the analysts to calculate zonal and meridional components of wind velocity at both levels. Linear trends were fitted to time series of monthly averages of all parameters under consideration. The results indicate that significant changes in meteorological parameters took place in March. These changes are statistically related to the changes in the average airflow in the free atmosphere above Estonia. In March the wind speed at the 500 and 850 hPa isobaric levels increased and the average airflow turned from WNW or NW to SW or WSW. Such changes in the atmospheric circulation can only partly be attributed to the intensification of the North Atlantic oscillation.

  11. 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.

  12. Pharmacology in Estonia, Latvia and Lithuania: From historical roots to nowadays achievements.

    PubMed

    Jansone, Baiba; Kuum, Malle; Maciulaitis, Romaldas

    2016-11-01

    This Info article offers an overview on the main historical facts and the current perspectives of the scientific and educational competence in field of pharmacology in three European countries on Baltic sea East coast: Estonia, Latvia and Lithuania. The research areas have changed constantly due to economical and political reasons during the last 200 years and today do cover quite different pharmacological areas in each of Baltic countries and are recognized internationally. Today the main topics of studies in Estonia are the pharmacology of neurodegenerative diseases, mood disorders and brain plasticity; the role of mitochondria in neurodegenerative diseases, and the epigenetics of drug dependence. In Latvia, the primary research areas include molecular, neuropharmacology, particularly search for novel medicines capable to halt neurodegenerative diseases as well as cardiovascular pharmacology. In Lithuania the main focus is on clinical pharmacology, rational use of drugs, pharmacoepidemiology and pharmacoeconomy, in experimental pharmacology on regenerative medicine and nephropharmacology. All three countries have their own active Societies of Pharmacology. Copyright © 2016 Elsevier Ltd. All rights reserved.

  13. 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.

  14. 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.

  15. Bioerosion of Inorganic Hard Substrates in the Ordovician of Estonia (Baltica).

    PubMed

    Vinn, Olev; Wilson, Mark A; Toom, Ursula

    2015-01-01

    The earliest bioeroded inorganic hard substrates in the Ordovician of Estonia appear in the Dapingian. Hardgrounds are also known from the Sandbian and Katian. Most of the bioerosion of inorganic hard substrates occurs as the boring Trypanites Mägdefrau, 1932 along with some possible Gastrochaenolites borings. North American hardground borings are more diverse than those in Baltica. In contrast to a worldwide trend of increasing boring intensity, the Estonian record seems to show no increase in boring intensities during the Middle and Late Ordovician. Hardgrounds seem to be more common during the temperate climate interval of the Ordovician calcite sea in Estonia (seven hardgrounds during 15 my) than in the part with a tropical climate (four hardgrounds during 12 my). Bioerosion is mostly associated with carbonate hardgrounds, but cobbles and pebbles broken from the hardgrounds are also often penetrated by Trypanites borings. The general diversity of boring ichnotaxa in Baltica increased from one ichnospecies in the Cambrian to seven by the end of Ordovician, showing the effect of the GOBE on bioeroding ichnotaxa. The diversity of inorganic hard substrate borers increased by only two times. This difference can be explained by the wider environmental distribution of organic as compared to inorganic substrates in the Ordovician seas of Baltica, and their more continuous temporal availability, which may have caused increased specialization of several borers. The inorganic substrates may have been bioreroded only by the generalists among boring organisms.

  16. 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.

  17. Composition of the essential oil of the Rhododendron tomentosum Harmaja from Estonia.

    PubMed

    Raal, Ain; Orav, Anne; Gretchushnikova, Tatjana

    2014-01-01

    Wild Rhododendron tomentosum Harmaja shoots were collected from four localities of Estonia. Essential oils, isolated from dried samples by simultaneous distillation and extraction, were analysed using GC-FID and Gas chromatography-mass spectrometry methods. The yields of oils were in the range 0.14-0.87%. A total of 72 constituents, accounting for over 95% of the total oil yield, were identified. The major components in the all four oils studied were palustrol (15.9-53.5%), ledol (11.8-18.3%), γ-terpineol (0-31.2%), p-cymene (0.1-13.9%), lepalone (0.7-6.5%), lepalol (1.0-6.5%) and cyclocolorenone (1.0-6.4%). Two different chemotypes of R. tomentosum were found in Estonia and one of them was rich in palustrol (41.0-53.5%) and ledol (14.6-18.3%). The second chemotype, for the first time, was rich in γ-terpineol (24.7-31.2%) and contained less of palustrol (15.9-16.7%) and ledol (11.8-12.8%), but more p-cymene (12.5-13.9%). Also, γ-terpineol was identified for the first time in the oils of R. tomentosum.

  18. Stable isotope record of Holocene precipitation changes from Lake Nuudsaku in southern Estonia

    NASA Astrophysics Data System (ADS)

    Fortney, Carolyn; Stansell, Nathan; Klein, Eric; Terasmaa, Jaanus; Dodd, Justin

    2015-04-01

    Radiocarbon dated, finely laminated lake sediments record Holocene precipitation changes from southern Estonia. Modern water isotope data suggest that Lake Nuudsaku is a mostly open system that is primarily fed by winter precipitation and groundwater, and summer precipitation plays only a secondary role in the overall hydrologic balance. Initial results indicate that changes in insolation likely drove the overall Holocene pattern with relatively wet conditions during the early Holocene, followed by arid conditions during the middle Holocene and a return to wetter conditions during the late Holocene. However, there is pronounced millennial and centennial-scale variability that cannot be explained by insolation forcing alone. Notably, there is a trend toward wetter conditions from ~4.0 to 2.0 ka, followed by a trend toward drier conditions during the last 2 millennia. This late Holocene pattern diverges from the pattern observed in records from north-central Estonia that suggest an overall trend of wetter conditions for the last ~4 ka. These initial results thus indicate that the Lake Nuudsaku sediments have the potential to yield a unique near-annual to decade-scale record of past precipitation changes from the southern Baltic region.

  19. 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…

  20. 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…

  1. 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"…

  2. 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.

  3. Motivation for Obtaining the Doctor of Philosophy Degree in the Post-Soviet Era: The Case of Estonia

    ERIC Educational Resources Information Center

    Karner, Anita; Kukemelk, Hasso; Herdlein, Richard J.

    2005-01-01

    This is essentially a qualitative study, a fact-finding activity to gather, analyze, and interpret evidence of student motivation in completing the terminal degree in Estonia. It uses a variety of interpretive research methodologies appropriate for a phenomenological approach. Thirteen doctoral candidates who defended their doctoral thesis…

  4. 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…

  5. 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

    ... / Monday, December 17, 2012 / Rules and Regulations#0;#0; ] DEPARTMENT OF AGRICULTURE Animal and Plant... Pork Products; Estonia, Hungary, Slovakia, and Slovenia AGENCY: Animal and Plant Health Inspection... certain animal embryos and animal semen by removing one of the conditions for the importation of swine...

  6. 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…

  7. 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…

  8. 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.

  9. 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…

  10. Between East and West Is North: The Loyalties and Allegiances of Russian Authors and Painters Living in EU Estonia

    ERIC Educational Resources Information Center

    Rouillard, Remy

    2005-01-01

    The development of the Russian intelligentsia is closely related to discourses concerning Russia's position vis-a-vis Europe and the Western world, such as those of Slavophiles and Westernisers. This paper is about Russian authors and painters who are now becoming part of Europe, as the country in which they live, Estonia, has recently entered the…

  11. 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…

  12. 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…

  13. 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…

  14. 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…

  15. 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)

  16. Independent Test

    NASA Astrophysics Data System (ADS)

    Nomoto, Hideki; Katahira, Masafumi; Fukatsu, Tsutomu; Okabe, Hideki; Yamanaka, Kohji

    2005-12-01

    This paper describes IV&V (Independent Verification & Validation) methodology applied for the Rendezvous Flight Software (RVFS) of the H-IIA Transfer Vehicle (HTV).HTV is a cargo transportation vehicle to the International Space Station (ISS). RVFS not only controls the HTV's flight sequence autonomously, but also is deployed with two-fault tolerant FDIR (Fault Detection Isolation Recovery) functionality. Since software such as RVFS is very critical for safe and successful HTV operations, exhaustive IV&V is being conducted.RVFS is required to function to avoid HTV's collision to the ISS. The biggest challenge is thoroughness of the verification. Due to its complicated software algorithm to accomplish fully autonomous rendezvous to the ISS, required numbers of test cases can easily go beyond realistic for conventional verification methodologies.IV&V team developed a verification environment on which 1) formal specification model was made from the detailed software design specification and 2) C source code and test sequence were generated/executed from the model automatically.One of the main efforts of this activity was to increase fidelity of the model and the quality of the generated code sufficiently. This will be discussed in the modeling, the model checking and code generation technology sections. The other issue that had to be resolved was the methodology to generate exhaustive test cases for the developed model that takes continuous input values (so called hybrid model). Conventional random test case generation or boundary condition generation does not assure the sufficiency/validity of the test cases because combinations of inputs becomes theoretically infinite for this kind of model [1]. To resolve this problem, IV&V team developed a unique algorithm to generate finite number test cases that satisfies full-scale test requirement. This will be discussed in the testing section.The generated code was put through 550 billion full-path test cases. We succeeded to

  17. Export of newly formed LSW

    NASA Astrophysics Data System (ADS)

    Müller, Katharina; Klein, Birgit; Karstensen, Johannes; Fischer, Jürgen; Baumann, Till; Kanzow, Torsten

    2015-04-01

    The Atlantic meridional overturning circulation represents the strongest mechanism for oceanic northward heat transport. This is accomplished by moving warm water northward in the upper ocean compensated by a deep return flow of cold and dense North Atlantic Deep Water (NADW). Labrador Sea Water (LSW) constitutes the shallowest component of NADW. Since LSW is also supposed to be the most sensitive NADW component to climate change it is of particular interest. LSW is formed by deep convection not only in the centre of the Labrador Sea but also near its western boundary. Recent studies have suggested that LSW formed in the boundary region enters its export route from the Labrador Sea, the Deep Western Boundary Current, faster than LSW originating from the central Labrador Sea. In this study the spatial and temporal evolution of the export of newly formed LSW is investigated. For this purpose hydrographic mooring data from an array located at the western bounndary at 53°N starting in the late 1990s until 2014 and data from the Argo float network is used. The averaged seasonal salinity cycle at the array, particularly at the moorings further onshore, shows a pronounced freshwater signal in May indicating the arrival of newly formed LSW in the boundary current. In order to learn more about its preceding pathway and the corresponding export timescale the mooring data is complemented by data from Argo floats. Besides the annual cycles of LSW formation and export, their interannual variations are important aspects affecting the large-scale circulation. For instance, in years of relatively strong convection, as in 2008 and 2012, LSW is observed to pass the boundary current array at 53°N earlier, i.e. in February and March, respectively, than in years with weak convection, as in 2007 or 2010. Besides seasonal variations in the boundary current, a possible explanation for the earlier freshwater signal in years of enhanced convection might be a shift in convection sites

  18. Newly Installed S-1 Truss

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Launched October 7, 2002 aboard the Space Shuttle Orbiter Atlantis, the STS-112 mission lasted 11 days and performed three sessions of Extra Vehicular Activity (EVA). Its primary mission was to install the Starboard (S1) Integrated Truss Structure and Equipment Translation Aid (CETA) Cart to the International Space Station (ISS). The S1 truss provides structural support for the orbiting research facility's radiator panels, which use ammonia to cool the Station's complex power system. The S1 truss, attached to the S0 (S Zero) truss installed by the previous STS-110 mission, flows 637 pounds of anhydrous ammonia through three heat rejection radiators. The truss is 45-feet long, 15-feet wide, 10-feet tall, and weighs approximately 32,000 pounds. The CETA is the first of two human-powered carts that will ride along the International Space Station's railway providing a mobile work platform for future extravehicular activities by astronauts. This is a view of the newly installed S1 Truss as photographed during the mission's first scheduled EVA. The Station's Canadarm2 is in the foreground. Visible are astronauts Piers J. Sellers (lower left) and David A. Wolf (upper right), both STS-112 mission specialists.

  19. Newly Installed S-1 Truss

    NASA Technical Reports Server (NTRS)

    2002-01-01

    Launched October 7, 2002 aboard the Space Shuttle Orbiter Atlantis, the STS-112 mission lasted 11 days and performed three sessions of Extra Vehicular Activity (EVA). Its primary mission was to install the Starboard (S1) Integrated Truss Structure and Equipment Translation Aid (CETA) Cart to the International Space Station (ISS). The S1 truss provides structural support for the orbiting research facility's radiator panels, which use ammonia to cool the Station's complex power system. The S1 truss, attached to the S0 (S Zero) truss installed by the previous STS-110 mission, flows 637 pounds of anhydrous ammonia through three heat rejection radiators. The truss is 45-feet long, 15-feet wide, 10-feet tall, and weighs approximately 32,000 pounds. The CETA is the first of two human-powered carts that will ride along the International Space Station's railway providing a mobile work platform for future extravehicular activities by astronauts. This is a view of the newly installed S1 Truss as photographed during the mission's first scheduled EVA. The Station's Canadarm2 is in the foreground. Visible are astronauts Piers J. Sellers (lower left) and David A. Wolf (upper right), both STS-112 mission specialists.

  20. Developing an adherence support intervention for patients on antiretroviral therapy in the context of the recent IDU-driven HIV/AIDS epidemic in Estonia.

    PubMed

    Laisaar, Kaja-Triin; Uusküla, Anneli; Sharma, Anjali; DeHovitz, Jack A; Amico, K Rivet

    2013-01-01

    There is limited data on and experience with interventions for antiretroviral therapy (ART) adherence support for patients on ART in Eastern Europe. We sought to identify a feasible adherence support intervention for delivery amongst HIV-positive adults receiving care in Estonia, where the HIV/AIDS epidemic has been mainly concentrated among injection drug users (IDUs). Our application of intervention mapping (IM) strategies used existing literature, formative research and multidisciplinary team input to produce a brief clinic-based intervention entitled the Situated Optimal Adherence Intervention Estonia (sOAI Estonia) which uses both Next-Step Counseling (NSC) and Information-Motivation-Behavioral Skills (IMB) Model approach to facilitate integration of ART into the context and demands of daily life. We present the intervention development process, the resulting sOAI Estonia approach, and describe a randomized controlled trial (RCT) which is under way to evaluate the intervention (results due in spring 2013).

  1. Scale-Independent Relational Query Processing

    ERIC Educational Resources Information Center

    Armbrust, Michael Paul

    2013-01-01

    An increasingly common pattern is for newly-released web applications to succumb to a "Success Disaster". In this scenario, overloaded database machines and resultant high response times destroy a previously good user experience, just as a site is becoming popular. Unfortunately, the data independence provided by a traditional relational…

  2. Scale-Independent Relational Query Processing

    ERIC Educational Resources Information Center

    Armbrust, Michael Paul

    2013-01-01

    An increasingly common pattern is for newly-released web applications to succumb to a "Success Disaster". In this scenario, overloaded database machines and resultant high response times destroy a previously good user experience, just as a site is becoming popular. Unfortunately, the data independence provided by a traditional relational…

  3. Newly Diagnosed Acute Promyelocytic Leukemia

    PubMed Central

    Avvisati, Giuseppe

    2011-01-01

    Acute promyelocytic leukemia (APL) represents a medical emergency with a high rate of early mortality. As a consequence, as soon as the diagnosis is suspected based upon cytologic criteria, it is necessary to start all- trans retinoic acid (ATRA) treatment without delay. For patients with newly diagnosed APL, induction therapy with ATRA plus anthracycline based chemotherapy is recommended. At present the combination of arsenic trioxide plus ATRA should be considered for patients who are not candidates for anthracycline-based therapy. For pediatric and adult patients with APL aged < 60 years who achieve a CR with induction, I recommend 3 intensive courses of consolidation chemotherapy associated to ATRA, targeted on the basis of the risk group at diagnosis. In patients treated with a very intensive consolidation chemotherapy maintenance treatment can be omitted. However If a maintenance treatment has to be adopted I suggest the use of intermittent ATRA for 15 days every 3 months for a period of 2 years, rather than ATRA associated to chemotherapy. Moreover, taking into account the medical literature, a reduced dosage of ATRA ( 25 mg/m2) in pediatric patients and a consolidation chemotherapy of reduced intensity in elderly patients is recommended. Furthermore, in order to maximize survival, careful attention should be reserved to the coagulopathy and to the appearance of the differentiation syndrome. Finally, PCR for the PML/RARA fusion gene on a bone marrow specimen every three months for two years, and then every six months for additional three years are needed during the follow-up. PMID:22220261

  4. Eastern Europe and Community of Independent States.

    PubMed

    Axmann, A

    1998-01-01

    This article reviews the literature on migration, HIV/AIDS, and sexually transmitted diseases in Eastern Europe and the Community of Independent States (CIS): Bulgaria, Czechoslovakia, Hungary, Poland, Romania, and the former Yugoslavian countries; and Armenia, Azerbaijan, Belarus, Estonia, Georgia, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Moldova, Russian Federation, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan. There is little in-depth research on the prevalence of HIV/AIDS. After the collapse of the USSR, the opening up of borders presented greater options for the spread of HIV. During 1991-1996, HIV-infected persons increased from 0.3/100,000 to 7.8/100,000. Syphilis and gonorrhea also spread in the 1990s. The increased prevalence is attributed to changes in sexual behavior due to increased travel and migration, disruption among families, and changes in sexual mores; and changes in the structure, availability, and effectiveness of health services. Many migrants in the CIS are young people. Mobile populations in the CIS include labor migrants, refugees, persons displaced by armed conflicts, repatriates, forced migrants, resettlement of formerly deported persons, and ecological migrants. It is general knowledge that migrants are poorly informed about HIV/AIDS. Condoms are not readily available in the CIS. Eastern Europe has high rates of HIV among migrant sex workers.

  5. Optimisation strategies introduced for CR at health care centres in Estonia.

    PubMed

    Kepler, Kalle; Vladimirov, Anatoli

    2008-01-01

    In recent years, starting from 2001, conventional film-screen radiography has been rapidly replaced by digital (mostly by computed radiography, CR) techniques in Estonia. New strategies for optimisation and quality assurance for digital radiography have been introduced by the DIMOND III and SENTINEL partners recently. It includes consideration to diagnostic requirements of a given clinical situation, but also objectivation and standardisation of image quality, e.g. using CDRAD test phantom, and constancy testing. The aim of this work is to evaluate the performance of an automatic exposure control (AEC) at different sensitivities when used with the Fujifilm CR system. Image quality, using threshold contrast-detail detectability (TCDD) and signal-to-noise ratio squared related to dose (SNR2/D), was also investigated for different sensitivities and tube potential values for this combination. Based on the image evaluation data, optimum speed modes for the organ programme settings have been proposed.

  6. 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.

  7. 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.

  8. Geochemistry of Telichian (Silurian) K-bentonites in Estonia and Latvia

    NASA Astrophysics Data System (ADS)

    Kiipli, T.; Soesoo, A.; Kallaste, T.; Kiipli, E.

    2008-03-01

    In the Telychian section of Estonia and Latvia K-bentonites from 45 volcanic eruptions were discovered. The thickness of K-bentonite interbeds varies from a few millimetres to 20 cm. The sodium component concentration in sanidine phenocrysts measured by XRD ranges from 20 to 48 mol% and was used for establishing correlations. The Ti, Zr, Nb, Th and Sr concentrations and ratios show temporal trends indicating fractional crystallization in magma chambers. The analysis of biotite phenocrysts revealed magnesium and iron rich biotites in bentonites. Synthesis of these geochemical data enabled a classification of bentonites into seven geochemical types, which probably originate from seven different volcanic sources. Isopach schemes indicate ash transport from the west and north-west directions.

  9. Thermal performance of prefabricated multistory house in Tallinn, Estonia, based on IR survey

    NASA Astrophysics Data System (ADS)

    Kauppinen, Timo T.; Hyartt, Jarmo; Sasi, Lennart

    1997-04-01

    The paper deals with how to improve the thermal performance of prefabricated multistory houses in Tallinn, Estonia, built in the 1960s and 1970s based on the results of thermal scanning during 1995 - 1996. The thermal scanning was performed by VTT Building Technology and reported by Helsinki Univ. of Technology. Based on the results of the first tests, some light renovation works were made, and the second tests showed how the repair work had succeeded. The aim of the project was to develop and test less-expensive and easy repair methods for large prefabricated multi-story house areas. The houses have been planned based on uniform design, when the existing problems can be generalized.

  10. Payment systems and incentives in primary care: implications of recent reforms in Estonia and Romania.

    PubMed

    Dan, Sorin; Savi, Riin

    2015-01-01

    Since the early 1990s, major reform in healthcare has been adopted in former communist countries in Central and Eastern Europe. More than 20 years after, reform in healthcare still draws much interest from policy makers and academics alike. One of the dynamic components of reform has been the reform of payment systems in primary care. This article looks at recent developments in payment systems and financial incentives in Estonia and Romania. We conclude that finding the appropriate mix in paying and incentivizing primary care providers in a transitional context is no easy solution for healthcare policy makers who need to carefully weigh in the advantages and inherent problems of various payment arrangements. In a transitional, rapidly changing healthcare system and society, and a context of financial stringency, the theoretical effects of payment mechanisms may be more difficult to predict and manage than it is expected.

  11. On Connections Between Weather Types and the Arrival of Migratory Birds in Estonia

    NASA Astrophysics Data System (ADS)

    Sepp, M.; Päädam, K.; Palm, V.; Leito, A.

    2010-09-01

    Migration is one of the most energy-consuming activities in the lives of birds. The timing must be such that flying would not be overly strenuous and that there would be favourable conditions for feeding and nesting available at arrival. The wide year-to-year variation in the arrival dates of migratory birds suggests that birds are able to both accelerate and delay their migration according to the weather conditions in the destination area. Often, the arrival date cannot be explained by the average daily temperature or any other single meteorological parameter. Relatively simple tools for exploring the links between climate and wildlife are weather types that combine most of the meteorological variables. The aim of the present work is to study the connections between the arrival of migratory birds in Estonia and the weather types. We examine the weather types that most frequently occurred on those days when birds arrived in Tartu (located in the Eastern part of Estonian mainland) and in Kuressaare (West-Estonian archipelago). For this purpose, the arrival dates of 42 species of migratory birds were analysed and compared to the weather types of 73 classifications generated by COST 733 action (COST 733 catalogue 1.2). Since the weather type classifications were generated using ERA40 air pressure datasets, the period available for analysis is 1958-2002. We selected weather types that occurred on the arrival dates of each migratory bird species. Also, the data on two days prior to the arrival were analysed. We assume that birds "took the decision" to fly to Estonia due to the weather conditions on those two days. Frequency of the selected weather types was analysed and compared to the long term frequency of these types during the spring season (MAM). We assume that birds "prefer" those weather types whose frequency on migration days exceeds their long-term frequency. Similarly, we studied the weather types that birds seem to avoid. The results show that despite the

  12. 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

  13. 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.

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

    PubMed

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

    2017-04-05

    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

  15. 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

  16. 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

  17. 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

  18. Extensive Farming in Estonia Started through a Sex-Biased Migration from the Steppe.

    PubMed

    Saag, Lehti; Varul, Liivi; Scheib, Christiana Lyn; Stenderup, Jesper; Allentoft, Morten E; Saag, Lauri; Pagani, Luca; Reidla, Maere; Tambets, Kristiina; Metspalu, Ene; Kriiska, Aivar; Willerslev, Eske; Kivisild, Toomas; Metspalu, Mait

    2017-07-24

    The transition from hunting and gathering to farming in Europe was brought upon by arrival of new people carrying novel material culture and genetic ancestry. The exact nature and scale of the transition-both material and genetic-varied in different parts of Europe [1-7]. Farming-based economies appear relatively late in Northeast Europe, and the extent to which they involve change in genetic ancestry is not fully understood due to the lack of relevant ancient DNA data. Here we present the results from new low-coverage whole-genome shotgun sequence data from five hunter-gatherers and five first farmers of Estonia whose remains date to 4,500 to 6,300 years before present. We find evidence of significant differences between the two groups in the composition of autosomal as well as mtDNA, X chromosome, and Y chromosome ancestries. We find that Estonian hunter-gatherers of Comb Ceramic culture are closest to Eastern hunter-gatherers, which is in contrast to earlier hunter-gatherers from the Baltics, who are close to Western hunter-gatherers [8, 9]. The Estonian first farmers of Corded Ware culture show high similarity in their autosomes with European hunter-gatherers, Steppe Eneolithic and Bronze Age populations, and European Late Neolithic/Bronze Age populations, while their X chromosomes are in addition equally closely related to European and Anatolian and Levantine early farmers. These findings suggest that the shift to intensive cultivation and animal husbandry in Estonia was triggered by the arrival of new people with predominantly Steppe ancestry but whose ancestors had undergone sex-specific admixture with early farmers with Anatolian ancestry. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Tick-Borne Pathogens in Ticks Feeding on Migratory Passerines in Western Part of Estonia

    PubMed Central

    Geller, Julia; Nazarova, Lidia; Katargina, Olga; Leivits, Agu; Järvekülg, Lilian

    2013-01-01

    Abstract During southward migration in the years 2006–2009, 178 migratory passerines of 24 bird species infested with ticks were captured at bird stations in Western Estonia. In total, 249 nymphal ticks were removed and analyzed individually for the presence of Borrelia burgdorferi sensu lato (s.l.), tick-borne encephalitis virus (TBEV), and Anaplasma phagocytophilum. The majority of ticks were collected from Acrocephalus (58%), Turdus (13%), Sylvia (8%), and Parus (6%) bird species. Tick-borne pathogens were detected in nymphs removed from Acrocephalus, Turdus, and Parus bird species. TBEV of the European subtype was detected in 1 I. ricinus nymph removed from A. palustris. B. burgdorferi s.l. DNA was found in 11 ticks (4.4%) collected from Turdus and Parus species. Bird-associated B. garinii and B. valaisiana were detected in I. ricinus nymphs removed from T. merula. Rodent-associated B. afzelii was detected in 3 I. ricinus nymphs from 2 P. major birds. One of the B. afzelii-positive nymphs was infected with a mix of 2 B. afzelii strains, whereas 1 of these strains was also detected in another nymph feeding on the same great tit. The sharing of the same B. afzelii strain by 2 nymphs indicates a possible transmission of B. afzelii by co-feeding on a bird. A. phagocytophilum DNA was detected in 1 I. ricinus nymph feeding on a T. iliacus. The results of the study confirm the possible role of migratory birds in the dispersal of ticks infected with tick-borne pathogens along the southward migration route via Estonia. PMID:23590318

  20. Assessment of potential hazards during the process of house building in Estonia.

    PubMed

    Bogovski, Sergei; Lang, Iina; Rjazanov, Vladislav; Muzyka, Vladimir; Tuulik, Viiu; Vitak, Anu

    2007-04-01

    The aim of this study was to evaluate new working conditions in the construction industry in Estonia. Three construction sites were investigated: a dwelling house at the stage of renovation, a warehouse at the stage of excavation and preparation work, and a hotel, where we examined the working conditions of the finishers. Microclimate: air temperature, relative humidity and air velocity were determined at every workplace. Full-shift personal exposure measurements of dust and gas exposure were performed among 97 construction workers in breathing zone air. The concentration of lead in the air was analysed by AAS. Vapours of benzene, styrene and toluene concentrations were determined by gas chromatography. The noise level was measured with the help of the sound-level meter at every workplace. All microclimatic indices were sometimes below or above exposure standards for indoor work. High levels of airborne dust and increased concentrations of lead were observed during repair work. Low concentrations of organic solvents in the air were determined when using paints and some synthetic substances. The noise level exceeded the permitted limit when an excavator and powerful electric appliances were used. A questionnaire determined the prevalence of subjectively experienced musculoskeletal strain in 30% of workers. The working conditions in the construction industry in Estonia are approaching European level. However, it is necessary to improve working conditions permanently by the use of new harmless materials, personal protective equipment, and through influencing worker health by permanent education and medical watch. We consider that questionnaires are very important in the control of the work environment, in subjective health assessments, and as a source of useful proposals to improve working conditions.

  1. Risk factors for musculoskeletal pain amongst nurses in Estonia: a cross-sectional study.

    PubMed

    Freimann, Tiina; Coggon, David; Merisalu, Eda; Animägi, Liina; Pääsuke, Mati

    2013-12-01

    Routine statistics indicate a high frequency of work-related musculoskeletal disorders in Estonia. We aimed to describe the prevalence of musculoskeletal pain (MSP) amongst Estonian nurses, and to explore associations with personal characteristics and occupational risk factors. As a part of an international investigation (the Cultural and Psychosocial Influences on Disability (CUPID) study), a cross-sectional survey was carried out amongst registered nurses at Tartu University Hospital, focusing on pain at six anatomical sites (low back, neck, shoulder, elbow, wrist/hand and knee) lasting for more than a day during the past year and past month. Associations with regional and multi-site (≥2 anatomical sites) pain were analysed by logistic regression. Analysis was based on 221 female nurses (response rate 57%). The overall prevalence of MSP was 84% in the past year and 69% in the past month. The prevalence of multi-site pain was 60% in the past year and 40% in the past month. Low back, neck and knee were the sites most commonly painful. Pain in the past year tended to be more frequent at older ages, and with higher emotional exhaustion, and at most sites, with poor self-rated health, and reported distress from somatic symptoms. Multi-site pain was also significantly associated with older age and tendency to somatise. The prevalence of MSP among Estonian nurses is high. Psychological risk factors such as somatising tendency have an important impact. However, none of the risk factors examined seems likely to explain the high frequency of work-related musculoskeletal disorders in Estonia.

  2. 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.

  3. The prevalence of rheumatoid arthritis in Estonia: an estimate based on rheumatology patients' database.

    PubMed

    Otsa, K; Tammaru, M; Vorobjov, S; Esko, M; Pärsik, E; Lang, K

    2013-04-01

    Sound epidemiological data are a basic requirement for decision making on the allocation of health care resources. Unfortunately, this is not the case in Estonia, where the paucity of epidemiological data has impeded health care planning for rheumatic conditions. The current paper presents the first effort to explore the epidemiology of rheumatoid arthritis (RA) in Estonia. Electronic databases of all rheumatology units of Harju County, three national and one private, were searched for the records of RA (ICD-10 diagnoses M05 and M06.0) patients who had visited a rheumatologist during 2006 or 2007. Prevalence of RA was calculated for the age 20 years and older and for subsets according to age and gender, using the numbers from the patients' database in the numerator and the corresponding population numbers in the denominator. The total number of prevalent RA cases was 1,897, of which 85 % (n = 1,605) were women. The overall crude period prevalence 2006-2007 of RA in Harju County for the age group 20 years and older was 0.46 %. RA prevalence for both sexes increased with age until the age of 70-79 years and decreased subsequently. Prevalence of RA was significantly higher for women compared with men in all age groups. The prevalence of RA among women and men 20 years and older was 0.70 % (6.68-7.37) and 0.16 % (1.42, 1.79), respectively. Age-standardized (European population) prevalence rate was 0.44 %. The results are concordant with epidemiological data on RA prevalence derived recently in other European countries.

  4. Tick-borne pathogens in ticks feeding on migratory passerines in Western part of Estonia.

    PubMed

    Geller, Julia; Nazarova, Lidia; Katargina, Olga; Leivits, Agu; Järvekülg, Lilian; Golovljova, Irina

    2013-07-01

    During southward migration in the years 2006-2009, 178 migratory passerines of 24 bird species infested with ticks were captured at bird stations in Western Estonia. In total, 249 nymphal ticks were removed and analyzed individually for the presence of Borrelia burgdorferi sensu lato (s.l.), tick-borne encephalitis virus (TBEV), and Anaplasma phagocytophilum. The majority of ticks were collected from Acrocephalus (58%), Turdus (13%), Sylvia (8%), and Parus (6%) bird species. Tick-borne pathogens were detected in nymphs removed from Acrocephalus, Turdus, and Parus bird species. TBEV of the European subtype was detected in 1 I. ricinus nymph removed from A. palustris. B. burgdorferi s.l. DNA was found in 11 ticks (4.4%) collected from Turdus and Parus species. Bird-associated B. garinii and B. valaisiana were detected in I. ricinus nymphs removed from T. merula. Rodent-associated B. afzelii was detected in 3 I. ricinus nymphs from 2 P. major birds. One of the B. afzelii-positive nymphs was infected with a mix of 2 B. afzelii strains, whereas 1 of these strains was also detected in another nymph feeding on the same great tit. The sharing of the same B. afzelii strain by 2 nymphs indicates a possible transmission of B. afzelii by co-feeding on a bird. A. phagocytophilum DNA was detected in 1 I. ricinus nymph feeding on a T. iliacus. The results of the study confirm the possible role of migratory birds in the dispersal of ticks infected with tick-borne pathogens along the southward migration route via Estonia.

  5. Newly Identified Pathogens Associated with Periodontitis

    PubMed Central

    Pérez-Chaparro, P.J.; Gonçalves, C.; Figueiredo, L.C.; Faveri, M.; Lobão, E.; Tamashiro, N.; Duarte, P.; Feres, M.

    2014-01-01

    There is substantial evidence supporting the role of certain oral bacteria species in the onset and progression of periodontitis. Nevertheless, results of independent-culture diagnostic methods introduced about a decade ago have pointed to the existence of new periodontal pathogens. However, the data of these studies have not been evaluated together, which may generate some misunderstanding on the actual role of these microorganisms in the etiology of periodontitis. The aim of this systematic review was to determine the current weight of evidence for newly identified periodontal pathogens based on the results of “association” studies. This review was conducted and reported in accordance with the PRISMA statement. The MEDLINE, EMBASE, and Cochrane databases were searched up to September 2013 for studies (1) comparing microbial data of subgingival plaque samples collected from subjects with periodontitis and periodontal health and (2) evaluating at least 1 microorganism other than the already-known periodontal pathogens. From 1,450 papers identified, 41 studies were eligible. The data were extracted and registered in predefined piloted forms. The results suggested that there is moderate evidence in the literature to support the association of 17 species or phylotypes from the phyla Bacteroidetes, Candidatus Saccharibacteria, Firmicutes, Proteobacteria, Spirochaetes, and Synergistetes. The phylum Candidatus Saccharibacteria and the Archaea domain also seem to have an association with disease. These data point out the importance of previously unidentified species in the etiology of periodontitis and might guide future investigations on the actual role of these suspected new pathogens in the onset and progression of this infection. PMID:25074492

  6. [The self-perception of their professional role of the primary care physicians of Estonia and Finland].

    PubMed

    Virjo, I O; Mattila, K J; Lember, M; Kermes, R; Pikk, A; Isokoski, M K

    1997-05-15

    To find out how experienced primary care physicians working in different societies see themselves as doctors. A cross-sectional study. Primary health care in Estonia and Finland. Estonian district doctors (n = 110) and Finnish specialists of general practice (n = 211). In a postal questionnaire the respondents were asked to evaluate how well 18 different expressions described them as doctors on a 5-step scale from "1 = very poorly" to "5 = very well". Four of the five expressions that were thought most accurate and telling--"Listener", "Vocational doctor", "Helper", and "Family physician"--were the same in Estonia and Finland. Even though there are differences in health care systems, the self-images of primary care doctors in both countries were more or less consistent with the international definitions of the general practitioner's job and role.

  7. Self-reported activity limitations among the population aged 20–79 in Estonia: a cross-sectional study

    PubMed Central

    Puur, Allan; Uusküla, Anneli; Saava, Astrid; Sakkeus, Luule; Katus, Kalev

    2011-01-01

    Background: Along with population ageing, limitations in activities of daily living constitute a rising health-related burden in demographically advanced countries. The present study aims to assess the prevalence of self-reported activity limitations derived from chronic conditions and social variation of limitations in the subgroups of the population aged 20–79 years in Estonia. Methods: A cross-sectional study employs data from the second round of the Estonian Family and Fertility Survey, a national project in the framework of Gender and Generation Programme. The target population covers age groups of 20–79 years. A nationally representative probability sample was drawn from the 2000 population census. Face-to-face interviews (n = 7855) were conducted in 2004–05. Results: The estimated prevalence of activity limitations with chronic conditions is 18.5% (95% CI 17.6–19.4) and the prevalence of severe limitations is 10.6% (95% CI 9.9–11.3) among the population. The logistic regression model shows significant differences in activity limitations associated with age, educational attainment and marital status. Conclusions: Judging from our results and the EU structural indicators on health, the prevalence of activity limitations derived from chronic conditions is comparatively high in Estonia. The measures to prevent activity limitations and disability should receive a higher priority in Estonia. PMID:20129929

  8. 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.

  9. 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.

  10. Risk for Heterosexual HIV Transmission Among Non-Injecting Female Partners of Injection Drug Users in Estonia.

    PubMed

    Uusküla, A; McMahon, J M; Kals, M; Talu, A; Abel-Ollo, K; Rüütel, K; Des Jarlais, D C

    2013-03-01

    The HIV epidemic in Estonia, as with other eastern European countries, is currently concentrated among injection drug users (IDUs). Non-IDUs who have IDU sex partners could serve as a potential bridge in an expanding epidemic. We applied HIV transmission modelling to data collected from non-IDU/IDU heterosexual couples in Kohtla-Järve, Estonia to estimate HIV risk from IDUs to their sex partners based on self-reported sexual behaviors shared by the couple. IDUs and their current main non-injecting sex partners were recruited for an interviewer-administered survey and HIV testing. Bernoulli modelling techniques were applied to estimate the risk of HIV transmission (incidence) among HIV negative non-injecting female partners of male IDUs. The estimated HIV incidence in this population of non-injecting women with only main sexual partners in the last 6 months ranged from 3.24 to 4.94 HIV seroconversions per 100 person years depending on the value used in the models for the per act transmission rate during acute stage infection. Non-IDUs who have IDU sex partners are at high risk for HIV and could serve as a potential bridge to a more generalized epidemic. Whether this might lead to an expansion of the HIV epidemic beyond core groups in Estonia or other Eastern European countries warrants closer study.

  11. A Newly Licensed Nurse Orientation Program Evaluation: Focus on Outcomes.

    PubMed

    Phoenix Bittner, Nancy; Gravlin, Gayle; MacDonald, Claire; Bourgeois, Darlene

    2017-01-01

    The aim of this project was to evaluate the effectiveness and outcomes of a redesigned newly licensed nurse orientation program. A unique aspect of this program was an end-of-orientation simulated four-patient assignment that was designed to assess five categories of critical thinking: prioritization and delegation, problem recognition, clinical decision making, clinical implementation, and reflection. Newly licensed nurses' critical thinking was measured by the Advisory Board's Critical Thinking Diagnostic tool at 10 weeks, 6 months, and 12 months. Findings showed that in all five categories of critical thinking, a significant increase was found between the 10-week and 6-month evaluation. Two of the categories-prioritization and delegation, and problem recognition-were found to have a significant increase from the 6-month evaluation to the 12-month evaluation. In addition, newly licensed nurses reported improvement in their confidence and in their preparation to work independently. J Contin Educ Nurs. 2017;48(1):22-28. Copyright 2017, SLACK Incorporated.

  12. Coping strategies among patients with newly diagnosed amyotrophic lateral sclerosis.

    PubMed

    Jakobsson Larsson, Birgitta; Nordin, Karin; Askmark, Håkan; Nygren, Ingela

    2014-11-01

    To prospectively identify different coping strategies among newly diagnosed amyotrophic lateral sclerosis patients and whether they change over time and to determine whether physical function, psychological well-being, age and gender correlated with the use of different coping strategies. Amyotrophic lateral sclerosis is a fatal disease with impact on both physical function and psychological well-being. Different coping strategies are used to manage symptoms and disease progression, but knowledge about coping in newly diagnosed amyotrophic lateral sclerosis patients is scarce. This was a prospective study with a longitudinal and descriptive design. A total of 33 patients were included and evaluation was made at two time points, one to three months and six months after diagnosis. Patients were asked to complete the Motor Neuron Disease Coping Scale and the Hospital Anxiety and Depression Scale. Physical function was estimated using the revised Amyotrophic Lateral Sclerosis Functional Rating Scale. The most commonly used strategies were support and independence. Avoidance/venting and information seeking were seldom used at both time points. The use of information seeking decreased between the two time points. Men did not differ from women, but patients ≤64 years used positive action more often than older patients. Amyotrophic Lateral Sclerosis Functional Rating Scale was positively correlated with positive action at time point 1, but not at time point 2. Patients' psychological well-being was correlated with the use of different coping strategies. Support and independence were the most used coping strategies, and the use of different strategies changed over time. Psychological well-being was correlated with different coping strategies in newly diagnosed amyotrophic lateral sclerosis patients. The knowledge about coping strategies in early stage of the disease may help the nurses to improve and develop the care and support for these patients. © 2014 John Wiley

  13. 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.

  14. Mental disorders among Chernobyl cleanup workers from Estonia: A clinical assessment.

    PubMed

    Laidra, Kaia; Rahu, Kaja; Kalaus, Katri-Evelin; Tekkel, Mare; Leinsalu, Mall

    2016-09-26

    Objective: To assess, at a clinical level, the mental health of former Chernobyl cleanup workers from Estonia by comparing them with same-age controls. Method: The Mini International Neuropsychiatric Interview (MINI) was administered during 2011-2012 to 99 cleanup workers and 100 population-based controls previously screened for mental health symptoms. Results: Logistic regression analysis showed that cleanup workers had higher odds of current depressive disorder (odds ratio [OR] = 3.07, 95% confidence interval [CI: 1.34, 7.01]), alcohol dependence (OR = 3.47, 95% CI [1.29, 9.34]), and suicide ideation (OR = 3.44, 95% CI [1.28, 9.21]) than did controls. Except for suicide ideation, associations with Chernobyl exposure became statistically nonsignificant when adjusted for education and ethnicity. Conclusion: A quarter of a century after the Chernobyl accident, Estonian cleanup workers were still at increased risk of mental disorders, which was partly attributable to sociodemographic factors. (PsycINFO Database Record

  15. 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

  16. Comparison of dust sampling methods in Estonia and Sweden--a field study.

    PubMed

    Berg, P; Jaakmees, V; Bodin, L

    1999-09-01

    The purpose of this field study was to compare an Estonian dust sampling method, a method also used in other former East Block countries, with a Swedish method and to estimate inter-method agreement with statistical analyses. The Estonian standard method (ESM), used to assess exposure in Estonia since the early 1950s, is based on a strategy where air samples are collected for 10 minutes every hour over a full shift. This method was compared to a Swedish standard method (SSM), a modified NIOSH method, comparable to international standards, where one air sample is collected during a full shift. The study was carried out at a cement plant that in the beginning of the 1990s was subjected to an epidemiological study, including collection of exposure data. The results of the analysis from 31 clusters of parallel samples of the two methods, when dust consisting of Portland cement was collected, showed a relatively weak correlation between the SSM and the ESM, ri = 0.81 (Pearson's intra-class correlation coefficient). A conversion factor between the two methods was estimated, where SSM is 0.69 times ESM and the limits of agreement are 0.25 and 1.84, respectively. These results indicate a substantial inter-method difference. We therefore recommend that measurements obtained from the two methods should not be used interchangeably. Because the present study is of limited extent, our findings are confined to the operations studied and further studies covering other exposure situations will be needed.

  17. Posttraumatic Stress among Not-Exposed Traumatically Bereaved Relatives after the MS Estonia Disaster

    PubMed Central

    Pohlkamp, Lilian; Öhlén, Joakim; Sandberg, Jonas; Brandänge, Kristina; Gustavsson, Petter

    2016-01-01

    Background Little is known about posttraumatic stress (PTS) reactions in bereaved individuals following loss in disaster who were not directly exposed to disaster. The aim of the present study was to examine the course of PTS up to three years after losing relatives in the MS Estonia ferry disaster, one of the worst maritime disasters in modern times. Methods Seven postal surveys were sent out over three years post-disaster. The respondents were invited and added consecutively during the three years and 938 relatives participated in one or more of the surveys, representing 89% of the MS Estonia’s Swedish victims. The survey included the Impact of Event Scale (IES) to measure PTS. Latent growth curve modeling was used to analyze PTS over time. Results The majority of bereaved individuals had high levels of PTS. At three years post-loss, 62% of the respondents scored above the recommended cut-off value on the IES. Over time, PTS symptoms declined, but initially high symptoms of PTS were associated with a slower recovery rate. Conclusion The present finding suggests that being an indirectly-exposed disaster-bereaved close-relative can lead to very high levels of PTS which are sustained for several years. PMID:27893756

  18. Ordovician eunicid polychaetes of Estonia and surrounding areas: review of their distribution and diversification.

    PubMed

    Hints, O

    2000-12-01

    Scolecodonts, the jaws of polychaete worms, are common and diverse palynomorphs in the Ordovician rocks of Estonia and surrounding areas. Some 120 apparatus-based species representing about 40 genera have been recorded thus far. Relatively long stratigraphical ranges of the majority of species reflect a low rate of evolution of jawed polychaetes. However, some individual species, as well as structural changes in the assemblages, appear to be useful for stratigraphical purposes. Environmental events like those in the middle Caradoc and late Ashgill had some impact on polychaete faunas, but less than on several other groups. In order to study the spatial distribution of eunicids, faunas of particular intervals of the Ordovician were investigated. Quantitative analysis revealed that polychaete assemblages with a very consistent qualitative and quantitative composition were widespread over long distances within the belts of similar facies conditions in the Baltoscandian Palaeobasin. On the other hand, it appears that species of Ordovician jawed polychaetes were strongly influenced by particular facies, and accordingly well differentiated along the palaeobasin gradient. The decrease in diversity and abundance towards the deeper-water part of the palaeobasin indicates that the majority of Ordovician eunicids preferred relatively shallow-water conditions. The increase in differentiation of environments is accompanied by an increase in differentiation of polychaete assemblages.

  19. On-line field measurements of VOC emissions from a spruce tree at SMEAR Estonia

    NASA Astrophysics Data System (ADS)

    Bourtsoukidis, Efstratios; Bonn, Boris; Noe, Steffen

    2013-04-01

    We have investigated VOC emissions from a Norway spruce tree (Picea abies) in a hemi-boreal mixed forest in September and October 2012, using Proton Transfer Reaction Mass Spectrometry and Gas Chromatography - Mass Spectrometry techniques, applied in a dynamic branch enclosure system that was automatically operated with an electrical compressor. Parallel to BVOC measurements a vast amount of atmospheric (CO2, CH4, H2O, CO, particles) and meteorological (temperature, relative humidity, photosynthetic active radiation, wind speed and direction, precipitation) parameters were measured in the ambient atmosphere and inside the cuvette enclosure (temperature, relative humidity, O3). Prior to the measuring period, an innovatory experimental setup was built at Järvselja forest station, in order to accomplish the detection of BVOC and minimize sampling losses. Therefore, a new inlet line, consisting of 19.4m of heated and isolated glass tube was constructed. The new inlet system applied, allowed the on-line detection and calculation of sesquiterpene (SQT) emission rates for the first time in a hemi-boreal forest site. It total, 12 atmospheric relevant BVOCs were continuously monitored for a three week period and the emission rates were derived. Along with diurnal profiles and continuous timeless, some interesting observations showed the possibility of ozone effect on SQT emissions, the possibility of radiation effect on MT emissions, the higher induced emissions due to mechanical stress and the possibility for a valid intercomparison between different spruce trees located in mountain Kleiner Feldberg (Germany) and in Järvseja forest station (Estonia).

  20. 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.

  1. 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.

  2. 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.

  3. Road traffic mortality in Estonia: alcohol as the main contributing factor.

    PubMed

    Kaasik, Taie; Väli, Marika; Saar, Indrek

    2007-09-01

    Traffic fatalities are the leading cause of death among the young and middle-aged population in Estonia. The objective of this study was to reveal the pattern of traffic fatalities among the population aged 15 - 64 years and to determine the role of alcohol in their fatalities. The data were collected from post-mortem reports at the Estonian Bureau of Forensic Medicine from 2000 to 2002. Alcohol-related deaths were those with a blood alcohol concentration (BAC) equal or above 0.05 g/100 ml. Out of 512 victims, 401 were males and 111 were females. The greatest group were car occupants (58%) followed by pedestrians (31%). The portion of alcohol-related deaths was 70% among men and 44% among women. The mean BAC and percentage of alcohol-related deaths was significantly higher in pedestrian than in driver fatalities. Alcohol intoxication was identified as the most powerful contributing factor to traffic fatalities. The results provide more evidence for politicians to tackle alcohol abuse and unsafe traffic environments.

  4. 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.

  5. Association between health behaviour and self-reported health in Estonia, Finland, Latvia and Lithuania.

    PubMed

    Kasmel, Anu; Helasoja, Ville; Lipand, Andrus; Prättälä, Ritva; Klumbiene, Jurate; Pudule, Iveta

    2004-03-01

    The aim of the present study is to examine the associations of the selected health behaviours (daily smoking, frequent strong alcohol use, consumption of fresh vegetables less than 3 days a week and leisure time physical activity less than two/three times a week) to the self-assessed health after adjustment to the age and education in Estonia, Finland, Latvia and Lithuania. Data from cross-sectional surveys carried out in all the above-mentioned countries were used. The methodology and questionnaires of the surveys were standardized between the participating countries within the Finbalt Health Monitor System. Logistic regression was used to assess the effect of self-perceived health status on prevalence of health behaviours. In Finland both women and men rated their health better than both genders in all the Baltic countries. In Finland self-assessment of health is significantly associated with most health behaviours, but in the Baltic counties the associations are weak or unstable. The results suggest that in Finland as in many other stable countries self-assessed health status was related to health behaviours and can be used as an indicator of health behaviours. In the Baltic countries, factors other than health behaviours may be more relevant to the self assessment of health status.

  6. 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.

  7. 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

  8. Palaeomagnetism of Middle Ordovician Carbonate Sequence, Vaivara Sinimäed Area, Northeast Estonia, Baltica

    NASA Astrophysics Data System (ADS)

    Plado, Jüri; Preeden, Ulla; JÕeleht, Argo; Pesonen, Lauri J.; Mertanen, Satu

    2016-10-01

    The hill range of Vaivara Sinimäed in northeast Estonia consists of several narrow east- to northeast-trending glaciotectonic fold structures. The folds include tilted (dips 4-75°) Middle Ordovician (early Darriwilian) layered carbonate strata that were studied by mineralogical, palaeomagnetic, and rock magnetic methods in order to specify the postsedimentational history of the area and to obtain a better control over the palaeogeographic position of Baltica during the Ordovician. Mineralogical studies revealed that (titano)magnetite, hematite, and goethite are carriers of magnetization. Based on data from 5 sites that positively passed a DC tilt test, a south-easterly downward directed component A ( D ref = 154.6°± 15.3°, I ref = 60.9°± 9.7°) was identified. The component is carried by (titano)magnetite, dates to the Middle Ordovician ( Plat = 17.9°, Plon = 47.3°, K = 46.7, A95 = 11.3°), and places Baltica at mid-southerly latitudes. Observations suggest that in sites that do not pass the tilt test, the glaciotectonic event has caused some rotation of blocks around their vertical axis.

  9. 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.

  10. 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.

  11. Biomonitoring of aquatic sediments from Estonia with a fish liver cell line (PLHC-1)

    SciTech Connect

    Huuskonen, S.; Ritola, O.; Koponen, K.; Lindstroem-Seppae, P.; Tuvikene, A.

    1995-12-31

    Sediments were collected from lake Vorstjaerv and River Narva, Estonia, and extracted with dichloromethane. PLHC-1 cells were exposed to the extracts of the dry sediments. Cytotoxicity (total protein content) and CYP1A inducibility (EROD activity) was detected in the exposed cells. The contents of selected PAHs in the R. Narva sediments were also analyzed. The sediments collected from R. Narva were more toxic and caused higher EROD induction in the cells than the sediments from L. Vortsjaerv. The sediments collected from the northern part of the L. Vortsjaerv showed cytotoxicity. The sediments collected from the southern part of L. Vortsjaerv showed slight induction in EROD activity. In R. Narva, the most toxic sediments were collected downstream from the city of Narva and the Baltic Thermal Power Plant. At sublethal level of the sediment concentrations, also the highest EROD activities were seen at these downstream sites. At the sites heavily polluted with PAHs, also the EROD activities were high. The correlation between the PAH contents and EROD activities was not so evident when the sediments contained less PAHs. The PLHC-1 cells could serve as a sensitive method for screening cytotoxic and enzyme-inducing effects of the sediment extracts. This helps in evaluating the potential hazard of the compounds bound in the sediments for aquatic life. Further, the PLHC-1 cells can be used in comparing the properties of the sediments collected from different lakes and rivers.

  12. Comparison of dust sampling methods in Estonia and Sweden -- A field study

    SciTech Connect

    Berg, P.; Jaakmees, V.; Bodin, L.

    1999-09-01

    The purpose of this field study was to compare an Estonian dust sampling method, a method also used in other former East Block countries, with a Swedish method and to estimate inter-method agreement with statistical analyses. The Estonian standard method (ESM), used to assess exposure in Estonia since the early 1950s, is based on a strategy where air samples are collected for 10 minutes every hour over a full shift. This method was compared to a Swedish standard method (SSM), a modified NIOSH method, comparable to international standards, where one air sample is collected during a full shift. The study was carried out at a cement plant that in the beginning of the 1990s was subjected to an epidemiological study, including collection of exposure data. The results of the analysis from 31 clusters of parallel samples of the two methods, when dust consisting of Portland cement was collected, showed a relatively weak correlation between the SSM and the ESM, r{sub i} = 0.91 (Pearson's intro-class correlation coefficient). A conversion factor between the two methods was estimated, where SSM is 0.69 times ESm and the limits of agreement are 0.25 and 1.84, respectively. These results indicate a substantial intermethod difference. The authors therefore recommend that measurements obtained from the two methods should not be used interchangeably. Because the present study is of limited extent, the findings are confined to the operations studied and further studies covering other exposure situation will be needed.

  13. Echinococcus multilocularis and other zoonotic parasites in red foxes in Estonia.

    PubMed

    Laurimaa, Leidi; Moks, Epp; Soe, Egle; Valdmann, Harri; Saarma, Urmas

    2016-09-01

    Red fox (Vulpes vulpes) is the most widely distributed canid in the world and an important source of multiple zoonotic pathogens capable of causing life-threatening diseases, such as rabies and alveolar echinococcosis. Informing general public of potential risks related to foxes is becoming more important since the fox densities have increased in many countries and the species is colonizing urban areas in Europe and around the world with increasing pace, bringing zoonotic pathogens to the immediate neighbourhood of humans and their companion animals. The aim of this study was to examine the parasite fauna of red foxes in Estonia. We found in Estonian foxes a total of 17 endoparasite taxa, including ten zoonotic species. All the analysed individuals were infected and the average parasite species richness was 6·37. However, the infection rates varied to a very large extent for different parasite species, ranging from 0·9 to 91·5%. Of zoonotic species, the highest infection rate was observed for Alaria alata (90·7%), Eucoleus aerophilus (87·6%) and Uncinaria stenocephala (84·3%). The prevalence of tapeworm Echinococcus multilocularis, a causative agent for alveolar echinococcosis, was also relatively high (31·5%), presenting a potential risk to human health.

  14. Reviving wood-pastures for biodiversity and people: A case study from western Estonia.

    PubMed

    Roellig, Marlene; Sutcliffe, Laura M E; Sammul, Marek; von Wehrden, Henrik; Newig, Jens; Fischer, Joern

    2016-03-01

    Wood-pastures are associated with high cultural and biodiversity values in Europe. However, due to their relatively low productivity, large areas of wood-pastures have been lost over the last century. In some areas, incentive schemes have been developed to revive wood-pastures. We investigated the effects of one such scheme in western Estonia. We compared the structure of grazed wood-pastures (old and restored) to those of abandoned wood-pastures and ungrazed forest stands to explore the effects of management, and conducted interviews with 24 farmers to investigate their motivations to carry out the management. We found a positive influence of active management on the semi-open structure of wood-pastures. Financial support was vital for management, but personal values related to tradition also played an important role. The interviewees differed widely in their range of motivations, suggesting that other strategies in addition to financial incentives would further improve the management of wood-pastures in the region.

  15. Independent Peer Reviews

    SciTech Connect

    2012-03-16

    Independent Assessments: DOE's Systems Integrator convenes independent technical reviews to gauge progress toward meeting specific technical targets and to provide technical information necessary for key decisions.

  16. The Newly Discovered Rembrandt Impact Basin

    NASA Image and Video Library

    2009-05-05

    This NAC mosaic of the newly discovered Rembrandt impact basin was presented last week during a NASA media teleconference. The number per area and size distribution of impact craters superposed on Rembrandt rim indicates that it is one of the younges

  17. Newly planted street tree growth and mortality

    Treesearch

    David J. Nowak; Joe R. McBride; Russell A. Beatty

    1990-01-01

    Two-year growth and mortality rates were analyzed for 254 black locust, 199 southern magnolia and 27 London plane trees planted along a major boulevard extending from southern Berkeley through western inner-city Oakland, California. After the first two years, 34% of these newly planted trees were either dead or removed. The average annual mortality rate was 19% with no...

  18. Anxiety and the Newly Returned Adult Student

    ERIC Educational Resources Information Center

    Cleary, Michelle Navarre

    2012-01-01

    Based on interviews with students who had recently returned to school, this essay demonstrates the need for, challenges of, and ways to respond to the writing anxiety many adults bring with them back to school. Jessica and Sam were two of twenty-five newly returned adult students whom the author spent over sixty hours interviewing in the fall of…

  19. The Florida Survey of Newly Legalized Persons.

    ERIC Educational Resources Information Center

    Schilit, Jeffrey; Nimnicht, Glen

    This study was conducted to gather more definitive information about aliens who were newly legalized under the Immigration Reform and Control Act of 1986. Two groups of eligible legal aliens were interviewed in Florida: those residing in the United States before 1982 (PRE-82s) and special agricultural workers (SAWs). The 1,300 subjects were asked…

  20. Butaclamol hydrochloride in newly admitted schizophrenics.

    PubMed

    Hollister, L E; Davis, K L; Berger, P A

    1975-01-01

    Butaclamol hydrochloride, a new type of antipsychotic drug, was evaluated by an uncontrolled study of 13 newly admitted schizophrenic patients. The drug had antipsychotic effects as well as a strong propensity for evoking extrapyramidal side effects. With the maximal daily doses of 30 mg used in this study, therapeutic results obtained were probably somewhat less than optimal.

  1. 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.

  2. First report of the zoonotic tapeworm Echinococcus multilocularis in raccoon dogs in Estonia, and comparisons with other countries in Europe.

    PubMed

    Laurimaa, Leidi; Süld, Karmen; Moks, Epp; Valdmann, Harri; Umhang, Gérald; Knapp, Jenny; Saarma, Urmas

    2015-09-15

    The raccoon dog (Nyctereutes procyonoides) is an alien species in Europe and an important vector of zoonotic diseases. However, compared to the red fox (Vulpes vulpes), less attention has been paid to the raccoon dog as a potentially important host for Echinococcus multilocularis, the infective agent of alveolar echinococcosis, which is an emerging infectious disease with a high mortality rate. We examined the small intestines of 249 Estonian raccoon dogs and found 1.6% of individuals to be infected with E. multilocularis. The relatively large difference between this prevalence and that found in sympatric red foxes (31.5%) sampled during the same time period might be due to differences in diet: red foxes consume significantly more arvicolid rodents - the main intermediate hosts of the parasite - especially during the coldest period of the year when raccoon dogs hibernate. Nonetheless, given the relatively high density of raccoon dogs, our results suggest that the species also represents an important definitive host species for E. multilocularis in Estonia. Compared with other countries in Europe where E. multilocularis-infected raccoon dogs have been recorded (Latvia, Lithuania, Poland, Germany, and Slovakia), the prevalence in Estonia is low. The longer hibernation period of raccoon dogs at higher latitudes may explain this pattern. Both mitochondrial and nuclear loci were analysed for Estonian isolates: based on EmsB microsatellite genotyping the Estonian isolates shared an identical genotype with E. multilocularis in northern Poland, suggesting a common history with this region. The data from more than a quarter of the mitochondrial genome (3558 bp) revealed two novel haplotypes specific to Estonia and placed them into the same haplogroup with isolates from other European regions. Considering that the raccoon dog is becoming increasingly widespread and is already relatively abundant in several countries in Europe, the role of the species must be taken into

  3. Deaths of infants subject to forensic autopsy in Estonia from 2001 to 2005: what can we learn from additional information?

    PubMed Central

    2010-01-01

    Background Deaths from childhood injury are a public health problem worldwide. A relatively high proportion of child deaths of undetermined manner in Estonia raises concerns about potential underestimation of intentional deaths, especially in infants. This suggests that more information on the circumstances surrounding death is needed to establish the manner of death correctly and, more importantly, to prevent these deaths. The objective of this study was to detect, describe, and analyze the circumstances around deaths of infants subject to forensic autopsy in Estonia to reveal hidden cases of child abuse and more accurately determine causes of death. Methods Study cases included all infant deaths in Estonia from 2001 to 2005 subject to forensic autopsy at the Estonian Bureau of Forensic Medicine. Additional information was obtained from a series of visits to general practitioners, including characteristics of infant health, family composition, parents' education and employment, living conditions, and circumstances around death as perceived by medical staff in charge of outpatient services for these families. Results The total number of infant deaths in Estonia between 2001 and 2005 subject to forensic autopsy was 98, with 40 (40.8%) deaths attributed to a disease and 58 deaths (59.2%) resulting from injury. Elements of child abuse were involved in as many as 57.7% (95% CI 46.9-68.1) of the deaths for which medical records were available (n = 90). At death, the majority of these cases were registered as diseases or deaths from unintentional injury. Average annual mortality from external causes in Estonian infants, 2001-2005, previously reported by us as 88.1 per 100,000 (95% CI 68.1-113.6) would decrease to 41.0 (95% CI 26.9-57.8). Many infants in the studied group had faced multiple threats and were living in poor hygienic conditions. In a number of cases, they were left alone or looked after by older siblings. Parents' alcohol abuse played an important role in a

  4. Long term effects of forest fires to soil C content and soil CO_{2} efflux in hemiboreal Scots pine forests of Estonia.

    NASA Astrophysics Data System (ADS)

    Köster, Kajar; Metslaid, Marek; Orumaa, Argo; Parro, Kristi; Jõgiste, Kalev; Berninger, Frank; Pumpanen, Jukka; Köster, Egle

    2016-04-01

    Fire is the primary process which organizes the physical and biological attributes of the boreal biome and influences energy flows and biogeochemical cycles, particularly the carbon (C) cycle. Especially the soil organic matter pool in boreal forests is an important C storage with a long C turnover time, but fire frequencies that are expected to increase with changing climate, can change that. We compared the initial recovery of C pools and CO2 efflux following fire disturbances in Scots pine (Pinus sylvesteris L.) stands with different time since fire. The study areas are located in hemiboreal vegetation zone, in northwestern Estonia, in Vihterpalu. Six areas (with extensive fires 200 ha and more) were chosen for study: fire in a year 1837, 1940, 1951, 1982, 1997, and 2008. In all areas we are dealing with stand replacing fires where all (or almost all) of the stand was destroyed by fire. On every area we established three permanent sample plots. Soil respiration was measured manually from all sample plots (measuring interval of two - three weeks). Manual chamber measurements are performed on 5 collars (north - south orientated and the distance between collars is 5 m) at each sample plot from May till November 2015. To characterize the soil C and N content and fine root biomass at the sites, 5 soil cores (0.5 m long and 0.05 m in diameter) were taken from each sample plot. Our results show that forest fire has a substantial effect on the C content in the top soil layer, but not in the humus layer and in mineral soil layers. Soil respiration showed similar chronological response to the time since the forest fire indicating that substantial proportion of the respiration was originating from the very top of the soil. Soil respiration values were lowest on the area where the fire was in a year 2008 and the respiration values followed also seasonal pattern being highest in August and lowest in May and November. The CO2 effluxes were lowest on newly burned area through

  5. Perceptions of Advertising in the Newly Independent States: Kazakstani Students' Beliefs about Advertising.

    ERIC Educational Resources Information Center

    Fullerton, Jami A.; Weir, Tom

    This study attempts to answer Andrews' (1991) question, "do perceptions of advertising in general vary cross-culturally?" Eighty-two undergraduate students from the former Soviet Union republic of Kazakstan were questioned about their beliefs about advertising. The analysis revealed predominantly negative feelings toward advertising in…

  6. Teaching the Violent Past in Secondary Schools in Newly Independent South Sudan

    ERIC Educational Resources Information Center

    Skårås, Merethe; Breidlid, Anders

    2016-01-01

    This article analyses the teaching and learning of South Sudan history from 1955--2005 in secondary schools in South Sudan with a specific focus on national unity. The article draws on two periods of focused ethnography, from September to December 2014 and July to September 2015, including classroom observation and interviews with teachers,…

  7. [Newly discovered hepatitis viruses--do they cause hepatitis indeed?].

    PubMed

    Takács, Mária; Lengyel, Anna; Dencs, Agnes; Berencsi, György

    2003-08-10

    The paper reviews the available information on the newly discovered viruses originally supposed to cause post-transfusion hepatitis. GBV-C/Hepatitis G virus belongs to the Flaviviridae family, and can be transmitted parenterally like Hepatitis C virus. Its role in causing hepatitis or other diseases has not been proved yet. The other newly discovered viruses contain single-stranded circular DNA, with a wide range of sequence divergence. These viruses can be transmitted not only with blood and blood products but via fecal-oral route as well. They are unique among enterally transmitted viruses in the sense that the virus persists for years in the human body, therefore their genomes may be detected in the blood of the healthy population in high percentage. One of the genotypes of TTV is suspected to cause hepatitis. High TT virus load was found as an independent factor associated with the occurrence of hepatocellular carcinoma among patients with hepatitis C virus-related chronic liver disease. It is not clear yet, whether TTV-like minivirus and SEN virus cause any illnesses.

  8. The member of the Academy H.P. Keres and the Relativity theory in Estonia

    NASA Astrophysics Data System (ADS)

    Kuusk, P.; Muursepp, P. V.; Piir, Ivar

    1987-10-01

    The first popular lecture on the Einstein theory of relativity was given in Estonia already in 1914 by Jaan Sarv (1877-1954)[1],afterwards a professor of mathematics at the Tartu University. The first student courses on special relativity were delivered by Professor of Mathematics Juri Nuut (1892-1952): non-Euclidean geometry (1930), the mathematical theory of relativity (1932/1933),the Lorenz transformations (1937). His own research work concerned the Lobachevsky geometry [7] and its application to cosmology [6]. Harald Keres qraguated from the Tartu University in 1936. He gave the first student course on general relativity (based on books [11-14]in 1940.In 1942,he got the dr.phil.nat degree form the Tartu University for his theses "Raum und Zeit in der allgemeinen Relativitatstheorie". The degree of the doctor of mathematical and physical sciences was confirmed by VAK (the All-Union Higher Attestation Commission) in 1949.In this period, he got aquainted with the leading Soviet scientists working on General Relativity, prof.V.A.Fock,Prof.D.D.Ivanenko,Prof.A.Z.Petrov,and Prof.M.F.Shirokov. After World War two all-union university courses were introduced in Tartu State University. According to the curriculum of the course the special theory of relativity is a part of electrodynamics obligatory for all students of the department of Physics. From 1947 till 1985 this course was delivered by Prof.PaulKard(1914-1985).He also published a number of text-books on the subject [15-19]. The general theory of relativity was read by Prof.H.Keres in 1951-1960 and later by his pupils R.Lias and A.Koppel [20-23] as a special course for students specializing in theoretical Physics. The first PHD-s in general relativity were made by R.Lias [27](1954) and I.Piir [28] (1955). In 1961, Prof.H.Keres was elected a member of the Academy of Sciences of the Estonian S.S.R. He left the TArtu State University and began to work in the Institute of Physics as the head of the Department of

  9. Analysis of the varved clay accumulation in the Pärnu Bay area, Estonia

    NASA Astrophysics Data System (ADS)

    Kalvans, Andis; Hang, Tiit

    2015-04-01

    Varved clays are commonly found glaciolacustrine sediments representing high-resolution environmental archives of the deglaciation events. We examine varve formation in the Baltic Ice Lake at the Pärnu Bay area, Estonia, during the deglaciation of the last Scandinavian glaciation from the region. The data set of Hang and Kohv (2013) spanning 584 years is used. Analysis of the spatial variation of the seasonal layer thickness distribution based on 26 sediment cores and sub-varve resolution grain size analysis from a single section was performed. The Baltic Ice Lake water level reconstruction indicates that the water depth at the study region was up to 80 m (Rosentau et al., 2009). It is found that during the first ~130 years after the ice retreat the summer sedimentation was dominated by sediment loaded underflows emanating form the ice margin: summer layer thickness is strongly positively correlated with water depth. The winter layer thickness during this period does not demonstrate significant correlation with water depth suggesting that the simple raining-out of the suspended material from a water column was complicated by water circulation. Ice retreat from the Pandivere-Neva line of the marginal formations just north from study area took place during the interval from 96 to 130 local varve years. During the transition marked shift from proglacial to distal sedimentary environment is observed: the summer layer thickens decreased dramatically and it's thickens is markedly higher in the area close to the ice margin. The winter layer thickens becomes strongly correlated to the water depth, suggesting that the simple sedimentation model with no water circulation and addition of no new sediments is valid. The grain size data is used to estimate the "terminal grain size" - the size of the larges particles sedimented at the top of the winter layer. Provided that no significant water circulation took place during the winter, the terminal grain size will be controlled

  10. 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.

  11. Molecular epidemiology of Aleutian mink disease virus (AMDV) in Estonia, and a global phylogeny of AMDV.

    PubMed

    Leimann, Aivi; Knuuttila, Anna; Maran, Tiit; Vapalahti, Olli; Saarma, Urmas

    2015-03-02

    Aleutian mink disease virus (AMDV) causes a severe disease called Aleutian disease (AD). AMDV infects primarily mustelids, but also other mammal species. Recent evidence suggests that AMDV may also affect humans. To examine AMDV in different wild animals and in farmed mink in Estonia, we collected 203 blood samples from eight mammal species in 2007-2010, of which 152 were from species living in the wild (American mink, European mink, pine marten, polecat, raccoon dog, badger, otter, and stone marten) and 51 were from farmed mink. AMDV was tested by PCR amplification of NS1 and VP2 gene fragments, and was only detected in 4 free-ranging (14.8%) and 11 farmed (21.6%) American mink. No other species was positive for AMDV. In addition, the VP2 gene fragment was sequenced for 14 farmed mink isolates from Finland for which NS1 sequences were already publicly available. None of the four Estonian AMDV isolates found in free-ranging mink had identical sequences with farmed mink. In fact, isolates from free-ranging and farmed mink belonged to different clades, suggesting that the analyzed virus isolates circulating in nature are not from escapees of current farms. Two global phylogenies were built: one based on NS1 (336 bp, 151 taxa from nine countries); the other based on a combined NS1-VP2 dataset (871 bp, 40 taxa from six countries). AMDV genotypes did not cluster according to their geographic origin, suggesting that transport of farm mink from multiple source farms has been intense. Nevertheless, one subclade in both phylogenies was comprised solely of isolates from farmed mink, while several subclades comprised isolates only from free-ranging mink, indicating that some isolates may circulate more in the wild and others among farm animals.

  12. 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.

  13. Preliminary tests of a newly developed superconducting gravity gradiometer

    SciTech Connect

    Moody, M.; Chan, H.; Paik, H.

    1983-05-01

    The authors have recently completed a series of tests on a newly developed superconducting gravity gradiometer consisting of two 400 g niobium proof masses separated by a distance of 15 cm. The resonance frequency of the proof mass suspension systems is 25 Hz. The sensitivity of this gradiometer obtained during these tests was 1 to 2 Eotvos Hz /SUP -1/2/ (1 Eotvos = 10/sup -9/ s/sup -2/ = 1 E) below 1 Hz, and 0.2 E Hz /SUP -1/2/ between 15 and 20 Hz. Using this gradiometer, a prototype experiment has been performed to demonstrate a new source-independent null test of the inverse square law of gravitation. Results are given.

  14. The role of community pharmacies in counseling of personal medical devices and drug-delivery products in Estonia.

    PubMed

    Volmer, Daisy; Ratassepp, Tagne; Shagandina, Alina; Turunen, Juha; Ahonen, Riitta; Heinämäki, Jyrki

    2015-07-01

    To evaluate the current situation on medical technology at community pharmacies in Estonia, looking into the availability, dispensing and counseling of personal medical devices/drug-delivery products (PMDs/DDPs) and related professional knowledge of community pharmacists. A descriptive cross-sectional questionnaire-based study using an internet-based eFormular study platform. In total, 137 community pharmacies responded to the study. Of the pharmacies, 51.8% dispensed and 32.1% counseled PMDs/DDPs several times a day. 55.4% of the respondents assessed their professional knowledge on PMDs/DDPs as good to medium and 44.6% as satisfactory to poor. Of the respondents, 79.6% reported a need for systematic education about named devices. Community pharmacies are a frequent source for the dispensing and counseling of PMDs/DDPs in Estonia. However, community pharmacists admitted a strong need for continuing education about general and practical aspects related to the use of PMDs/DDPs for the provision of more professional services in the future.

  15. 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.

  16. Lessons from European population genetic databases: comparing the law in Estonia, Iceland, Sweden and the United Kingdom.

    PubMed

    Gibbons, Susan M C; Helgason, Hördur Helgi; Kaye, Jane; Nõmper, Ants; Wendel, Lotta

    2005-06-01

    The advent of large-scale, population genetic databases (PGDs) in several countries around the world marks a significant development in human DNA banking and genetic research. The European countries that have led the way in the development of PGDs are Iceland, Sweden, Estonia and the U.K. In legal terms, the emergence of PGDs has been far from straightforward as such projects pose a range of difficult and complex issues for the law to address. This article canvasses the current law in Iceland, Estonia, Sweden and the U.K. on four fundamental issues of principle pertaining to PGDs, in order to illustrate the difficulties that have emerged around PGDs, highlight key areas of legal concern, and shed light on possible ways forward. It compares and contrasts the differing legal positions and lawmakers' responses to date in these four European countries that have established PGDs or are seeking to do so. The four fundamental issues examined are: (1) consent, especially for secondary research purposes; (2) ownership of biological samples, data and databases; (3) the rights of certain third parties to gain access to, and to use, PGD biological samples and data; and (4) benefit sharing, including the provision of feedback and genetic counselling to participants. This analysis may offer some guidance for policymakers in other jurisdictions where PGDs have been proposed or are being established.

  17. 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.

  18. Factors influencing purchase of and counselling about prescription and OTC medicines at community pharmacies in Tallinn, Estonia.

    PubMed

    Villako, Peeter; Volmer, Daisy; Raal, Ain

    2012-01-01

    The aims of the current survey were to evaluate factors influencing purchase of prescription and OTC medicines of pharmacy customers in Tallinn, Estonia and to identify the role of community pharmacists in counselling of prescription and OTC medicines. Structured questionnaire was used to interview pharmacy customers (n = 1820) in six community pharmacies of Tallinn, the capital city of Estonia. The survey instrument consisted of 15 multiple-choice items. According to the survey results, prescription and OTC medicines were bought from community pharmacies almost equally. The most popular OTC medicines were analgesics (38%), cold and cough medicines (21%). The older survey participants and these with lower income and with elementary school education bought more prescription medicines (p < 0.01). Survey participants with higher income were purchasing more OTC medicines and food supplements (p < 0.01). Before purchase of medicines recommendations were received mainly from physicians about prescription and from pharmacists about OTC medicines. However, the counselling provided by community pharmacists in selecting of both types of medicines was highly appreciated. Pharmacists as source for drug information were less trusted among the survey participants < 25 and 26-40 years (p < 0.01). Fast service and confidential counselling about medicines was less important for the respondents with elementary school education (p < 0.01).

  19. Re-vegetation processes in cutaway peat production fields in Estonia in relation to peat quality and water regime.

    PubMed

    Orru, Mall; Ots, Katri; Orru, Hans

    2016-12-01

    Eighty-one cutaway peat production fields with a total area of about 9000 ha exist and were studied in Estonia in 2005-2015. Only a very small number of the fields (seven) have been restored-either afforested or used for growing berries. The re-vegetation of Estonian cutaway peat production fields is mainly the result of natural processes, which are generally very slow due to an unfavourable water regime or a too thin remaining peat layer. The fields are mostly covered by cotton grass and birches. Often sparse vegetation covers 15-20% of a peat field, but some fields have turned into heaths or grasslands with plant coverage up to 60%. However, due to changes in environmental (mainly hydrological) conditions and peat characteristics (mainly peat type), these areas can also be new niches for several species. A number of moss species new to or rare in Estonia, e.g. Pohlia elongata, Ephemerum serratum, Campylopus introflexus and Bryum oblongum, were recorded.

  20. Countrywide Forest Biomass Estimates from PALSAR L-Band Backscatter to Improve Greenhouse Gas Inventory in Estonia

    NASA Astrophysics Data System (ADS)

    Olesk, A.; Voormansik, K.; Luud, Aarne; Renne, M.; Zalite, K.; Noorma, M.; Reinart, A.

    2013-08-01

    Accurately estimated forest biomass and its distribution is a key parameter for forest inventories, vegetation modeling and understanding the global carbon cycle. It is also required by the United Nations and Intergovernmental Panel on Climate Change (IPCC) to provide a comprehensive analysis on estimates of terrestrial carbon fluxes for climate change reports. To improve the understanding of the carbon balance in Estonia, where forests cover over half of the land, a methodology has been worked out to map the changes in the forest biomass in yearly basis using satellite and forest inventory data. To assess the above-ground biomass in temperate deciduous, coniferous and mixed forest of Estonia, measurements and imagery from dual polarimetric L-band SAR (Synthetic Aperature Radar) and optical remote sensing satellites were used. A country-specific model allows easily regenerating the forest biomass estimations with the newest satellite data and producing up-to-date biomass maps that can be used to assist the national inventory reporting under the Intergovernmental Negotiating Committee for a Framework Convention on Climate Change (UNFCCC) and the Kyoto Protocol.

  1. The practical skills of newly qualified nurses.

    PubMed

    Danbjørg, Dorthe Boe; Birkelund, Regner

    2011-02-01

    This paper reports the findings from a study of newly qualified nurses and which subjects the nurses regarded as the most important in order to be able to live up to the requirements of clinical practice, and how they experience their potential for developing practical and moral skills, after the decrease in practical training. A qualitative approach guided the research process and the analysis of the data. The data was collected by participant observation and qualitative interviews with four nurses as informants. The conclusions made in this study are based on the statements and the observations of the newly qualified nurses. Our findings are discussed in relation to the Aristotelian concept and other relevant literature. The main message is that the newly qualified nurses did not feel equipped when they finished their training. This could be interpreted as a direct consequence of the decrease in practical training. Our study also underlines that the way nursing theory is perceived and taught is problematic. The interviews revealed that the nurses think that nursing theories should be applied directly in practice. This misunderstanding is probably also applicable to the teachers of the theories.

  2. 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…

  3. "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…

  4. Independent Study in Iowa.

    ERIC Educational Resources Information Center

    Idaho Univ., Moscow.

    This guide to independent study in Idaho begins with introductory information on the following aspects of independent study: the Independent Study in Idaho consortium, student eligibility, special needs, starting dates, registration, costs, textbooks and instructional materials, e-mail and faxing, refunds, choosing a course, time limits, speed…

  5. 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.

  6. An Approach to Keeping Independent Colleges Independent.

    ERIC Educational Resources Information Center

    Northwest Area Foundation, St. Paul, Minn.

    As a result of the financial difficulties faced by independent colleges in the northwestern United States, the Northwest Area Foundation in 1972 surveyed the administrations of 80 private colleges to get a profile of the colleges, a list of their current problems, and some indication of how the problems might be approached. The three top problems…

  7. Native Nations of Quebec: Independence within Independence?

    ERIC Educational Resources Information Center

    Williams, Paul

    1995-01-01

    Aboriginal nations oppose the separation of Quebec from Canada because they favor confederations, multiple international boundaries present jurisdictional nightmares, federal programs might disappear, and Quebec's history of aggression against Aboriginal peoples plus the ethnic nature of its nationalism suggest an independent Quebec is a potential…

  8. CAMS newly detected meteor showers and the sporadic background

    NASA Astrophysics Data System (ADS)

    Jenniskens, P.; Nénon, Q.; Gural, P. S.; Albers, J.; Haberman, B.; Johnson, B.; Morales, R.; Grigsby, B. J.; Samuels, D.; Johannink, C.

    2016-03-01

    The Cameras for Allsky Meteor Surveillance (CAMS) video-based meteoroid orbit survey adds 60 newly identified showers to the IAU Working List of Meteor Showers (numbers 427, 445-446, 506-507, and part of 643-750). 28 of these are also detected in the independent SonotaCo survey. In total, 230 meteor showers and shower components are identified in CAMS data, 177 of which are detected in at least two independent surveys. From the power-law size frequency distribution of detected showers, we extrapolate that 36% of all CAMS-observed meteors originated from ∼700 showers above the N = 1 per 110,000 shower limit. 71% of mass falling to Earth from streams arrives on Jupiter-family type orbits. The transient Geminids account for another 15%. All meteoroids not assigned to streams form a sporadic background with highest detected numbers from the apex source, but with 98% of mass falling in from the antihelion source. Even at large ∼7-mm sizes, a Poynting-Robertson drag evolved population is detected, which implies that the Grün et al. collisional lifetimes at these sizes are underestimated by about a factor of 10. While these large grains survive collisions, many fade on a 104-y timescale, possibly because they disintegrate into smaller particles by processes other than collisions, leaving a more resilient population to evolve.

  9. Seroprevalence of IgG antibodies to pertussis toxin in children and adolescents in Estonia.

    PubMed

    Jõgi, Piia; Oona, Marje; Toompere, Karolin; Leedo, Sirje; Epstein, Jevgenia; Lutsar, Irja

    2014-09-15

    Despite high immunisation coverage and frequent booster doses, the national notification rates of pertussis in Estonia have been increasing. The peak of 97/100,000 was reached in 2010 which is the highest incidence rate since 1962 (210/100,000). We aimed to measure the prevalence of pertussis toxin (PT) IgG type antibodies in subjects of <18 years and to estimate the pertussis infection activity in a recently non-immunised cohort. In a cross-sectional serosurvey, all consecutive leftover sera were collected in the Tartu University Hospital during April-August 2012. Anti-PT IgG concentration was measured by commercial ELISA and analysed in yearly cohorts. The antibody concentrations ≥62.5 IU/mL was considered suggestive to pertussis in the last year among 9- to 14-year-olds. The GMC of the anti-PT-IgG was 7.4 IU/mL (95% CI 6.9-8.0). In the total of 1053 serum samples, the highest proportion of sera with high antibody titres ≥125 IU/mL and ≥62.5 IU/mL were at the ages when pertussis vaccine boosters were given: 7 years 10.9% (95% CI 4.1-22.3) and 2 years 36.9% (95% CI 25.3-49.8), respectively. Approximately half of all sera had undetectable anti-PT IgG levels. The estimated incidence of Bordetella pertussis infection among 9- to 14-year-olds in the year before serum sampling was 6.3% (95% CI 3.3-10.8), which is at least 60 times higher than the officially reported incidence of pertussis disease in respective years. The serologic method is not suitable for diagnosing pertussis in instances when the last pertussis immunisation was less than one year ago. The relatively high proportion of subjects with undetectable anti-PT IgG levels and the relatively low rate of officially reported pertussis cases suggest that low antibody levels do not necessarily indicate the absence of protection. The estimated incidence rate of pertussis is much higher than officially reported figures, which suggests that asymptomatic/mild B. pertussis infection remains unrecognised and

  10. Seasonal and diurnal dynamics of CO2 balance in two hemi-boreal forests in Estonia

    NASA Astrophysics Data System (ADS)

    Mander, Ülo

    2013-04-01

    Two eddy towers, one in the mixed Norway spruce - Silver birch forest in Liispõllu (58°16'N 27°16'E tower height 20 m) and another one in Scots pine forest in Soontaga (58°01'N 26°04'E; 36 m) both located in southern Estonia - were equipped with CO2/H2O analyzer for mixing ratio of CO2 (Licor 7200 Li-Cor Inc, Lincoln, NE, USA) and 3-D ultrasonic anemometer for wind measurements (Gill Windmaster Pro; Solent, Lymington, UK) and used for measurement of carbon dioxide balance and net ecosystem exchange (NEE). In Liispõllu, the studies were conducted in Auguat and September 2011 above the forest canopies and at 1.5 m above the soil surface.. In Soontaga, measurements lasted from April to October 2012. The data acquisition system consists of the LI-7550 Analyzer Interface Unit, 3G wireless router and analog-to-digital converter that were used to record turbulence and scalar signals. Signals from the sensor and anemometer were recorded 20 times sec-1. The eddy fluxes were averaged over 30 minute time intervals. The flux calculations and corrections of were done using EddyPro program. In addition, soil respiration was measured with automatic chambers in Liispõllu and with closed chambers in Soontaga twice a month from April to October 2011 and 2012. In both study areas around the towers, soil physical and chemical parameters in 3 depths, biomass of trees and understory species, C sequestration in biomass and litter decay has been measured. In Soontaga pine forest the average monthly CO2 flux varied from -59.2 to -388.8 mg m-2 h-1 showing a regular seasonal temperature-related variation. CO2 flux from lowered in spring and summer as plants consume the gas through photosynthesis and days are longer, and rise during the autumn and winter as plants go dormant, die and decay and when also the daytime is shorter. The average monthly flux over the analyzed period was -246.5 mg m-2 h-1. In consequence, the CO2 sequestration from the atmosphere was highest in June. In Liisp

  11. Critical thinking dispositions among newly graduated nurses

    PubMed Central

    Wangensteen, Sigrid; Johansson, Inger S; Björkström, Monica E; Nordström, Gun

    2010-01-01

    wangensteen s., johansson i.s., björkström m.e. & nordström g. (2010) Critical thinking dispositions among newly graduated nurses. Journal of Advanced Nursing66(10), 2170–2181. Aim The aim of the study was to describe critical thinking dispositions among newly graduated nurses in Norway, and to study whether background data had any impact on critical thinking dispositions. Background Competence in critical thinking is one of the expectations of nursing education. Critical thinkers are described as well-informed, inquisitive, open-minded and orderly in complex matters. Critical thinking competence has thus been designated as an outcome for judging the quality of nursing education programmes and for the development of clinical judgement. The ability to think critically is also described as reducing the research–practice gap and fostering evidence-based nursing. Methods A cross-sectional descriptive study was performed. The data were collected between October 2006 and April 2007 using the California Critical Thinking Disposition Inventory. The response rate was 33% (n= 618). Pearson’s chi-square tests were used to analyse the data. Results Nearly 80% of the respondents reported a positive disposition towards critical thinking. The highest mean score was on the Inquisitiveness subscale and the lowest on the Truth-seeking subscale. A statistically significant higher proportion of nurses with high critical thinking scores were found among those older than 30 years, those with university education prior to nursing education, and those working in community health care. Conclusion Nurse leaders and nurse teachers should encourage and nurture critical thinking among newly graduated nurses and nursing students. The low Truth-seeking scores found may be a result of traditional teaching strategies in nursing education and might indicate a need for more student-active learning models. PMID:20384637

  12. Identifying women at risk for delayed presentation of breast cancer: a cross-sectional study in Estonia

    PubMed Central

    2013-01-01

    Background Survival from breast cancer remains lower in Estonia than in most other European countries. More advanced stage and larger tumors that have impact on survival may be a result of delay in seeking help for breast cancer symptoms. The aim of this study was to identify determinants of delayed presentation among breast cancer patients in Estonia. Methods The study population included women with primary breast cancer diagnosed in Estonia in 2008–2010. All data were collected using structured personal interviews carried out by trained nurses in the hospital setting. Only patients with self-discovered symptoms were included in this analysis. Patient delay was measured as time elapsing from symptom self-discovery to first medical consultation. The effect of different factors on the likelihood of prolonged delay (>90 days) was evaluated using logistic regression. Results Among 703 eligible patients, median patient delay was 16 days (interquartile range 5–54 days). Seventeen percent of the patients had their first medical consultation more than three months after self-detection of symptoms. In multivariate analysis, the risk of prolonged delay was significantly associated with age 65 years and over (OR 2.27, 95% CI 1.23–4.20), current smoking (OR 2.09, 95% CI 1.21–3.61), symptoms other than painless breast lump or breast pain (OR 1.84, 95% CI 1.08–3.16), no history of mammograms (OR 1.83, 95% CI 1.13–2.95), having received no information on breast cancer during past year (OR 1.77, 95% CI 1.05–2.99), and previous benign breast problems (OR 1.65, 95% CI 1.01–2.67). Non-significant risk increase was seen with lower education. Conclusions This study provides evidence that factors associated with delayed presentation of breast cancer in Eastern Europe are similar to those observed in Western countries. The results suggest that educational messages to general population should aim at increasing awareness of “non-lump” symptoms of breast cancer and

  13. Women among newly hired physics faculty

    NASA Astrophysics Data System (ADS)

    White, Susan C.

    2014-09-01

    In May, we noted that the percentage of women among physics faculty members reached 14% in 2010. The 14% is a new high—the continuation of a trend seen since we began measuring these data in 1998 when it was 8%. This growth in women's representation is seen at all levels of the professoriate—from instructors through full professors. In terms of sheer numbers, though, it is the women hired as assistant professors driving the increase. In the table, we highlight the percentage of newly hired faculty members who are women. The percentage of women among newly hired full professors increased quite a bit in 2010; this is an artifact of the lower number of male full professors hired in 2010 (which was the first year we collected data after the recession of 2008). In October, we will look at the proportion of physics departments with women faculty members. If you have any questions or comments, please contact Susan White at the Statistical Research Center of the American Institute of Physics (swhite@aip.org).

  14. Value of a newly sequenced bacterial genome

    PubMed Central

    Barbosa, Eudes GV; Aburjaile, Flavia F; Ramos, Rommel TJ; Carneiro, Adriana R; Le Loir, Yves; Baumbach, Jan; Miyoshi, Anderson; Silva, Artur; Azevedo, Vasco

    2014-01-01

    Next-generation sequencing (NGS) technologies have made high-throughput sequencing available to medium- and small-size laboratories, culminating in a tidal wave of genomic information. The quantity of sequenced bacterial genomes has not only brought excitement to the field of genomics but also heightened expectations that NGS would boost antibacterial discovery and vaccine development. Although many possible drug and vaccine targets have been discovered, the success rate of genome-based analysis has remained below expectations. Furthermore, NGS has had consequences for genome quality, resulting in an exponential increase in draft (partial data) genome deposits in public databases. If no further interests are expressed for a particular bacterial genome, it is more likely that the sequencing of its genome will be limited to a draft stage, and the painstaking tasks of completing the sequencing of its genome and annotation will not be undertaken. It is important to know what is lost when we settle for a draft genome and to determine the “scientific value” of a newly sequenced genome. This review addresses the expected impact of newly sequenced genomes on antibacterial discovery and vaccinology. Also, it discusses the factors that could be leading to the increase in the number of draft deposits and the consequent loss of relevant biological information. PMID:24921006

  15. Subclassification of Newly Diagnosed Glioblastomas through an Immunohistochemical Approach

    PubMed Central

    Conroy, Siobhan; Kruyt, Frank A. E.; Joseph, Justin V.; Balasubramaniyan, Veerakumar; Bhat, Krishna P.; Wagemakers, Michiel; Enting, Roelien H.; Walenkamp, Annemiek M. E.; den Dunnen, Wilfred F. A.

    2014-01-01

    Molecular signatures in Glioblastoma (GBM) have been described that correlate with clinical outcome and response to therapy. The Proneural (PN) and Mesenchymal (MES) signatures have been identified most consistently, but others including Classical (CLAS) have also been reported. The molecular signatures have been detected by array techniques at RNA and DNA level, but these methods are costly and cannot take into account individual contributions of different cells within a tumor. Therefore, the aim of this study was to investigate whether subclasses of newly diagnosed GBMs could be assessed and assigned by application of standard pathology laboratory procedures. 123 newly diagnosed GBMs were analyzed for the tumor cell expression of 23 pre-identified proteins and EGFR amplification, together allowing for the subclassification of 65% of the tumors. Immunohistochemistry (IHC)-based profiling was found to be analogous to transcription-based profiling using a 9-gene transcriptional signature for PN and MES subclasses. Based on these data a novel, minimal IHC-based scheme for subclass assignment for GBMs is proposed. Positive staining for IDH1R132H can be used for PN subclass assignment, high EGFR expression for the CLAS subtype and a combined high expression of PTEN, VIM and/or YKL40 for the MES subclass. The application of the proposed scheme was evaluated in an independent tumor set, which resulted in similar subclass assignment rates as those observed in the training set. The IHC-based subclassification scheme proposed in this study therefore could provide very useful in future studies for stratification of individual patient samples. PMID:25546404

  16. American Independence. Fifth Grade.

    ERIC Educational Resources Information Center

    Crosby, Annette

    This fifth grade teaching unit covers early conflicts between the American colonies and Britain, battles of the American Revolutionary War, and the Declaration of Independence. Knowledge goals address the pre-revolutionary acts enforced by the British, the concepts of conflict and independence, and the major events and significant people from the…

  17. Independence of Internal Auditors.

    ERIC Educational Resources Information Center

    Montondon, Lucille; Meixner, Wilda F.

    1993-01-01

    A survey of 288 college and university auditors investigated patterns in their appointment, reporting, and supervisory practices as indicators of independence and objectivity. Results indicate a weakness in the positioning of internal auditing within institutions, possibly compromising auditor independence. Because the auditing function is…

  18. Fostering Musical Independence

    ERIC Educational Resources Information Center

    Shieh, Eric; Allsup, Randall Everett

    2016-01-01

    Musical independence has always been an essential aim of musical instruction. But this objective can refer to everything from high levels of musical expertise to more student choice in the classroom. While most conceptualizations of musical independence emphasize the demonstration of knowledge and skills within particular music traditions, this…

  19. American Independence. Fifth Grade.

    ERIC Educational Resources Information Center

    Crosby, Annette

    This fifth grade teaching unit covers early conflicts between the American colonies and Britain, battles of the American Revolutionary War, and the Declaration of Independence. Knowledge goals address the pre-revolutionary acts enforced by the British, the concepts of conflict and independence, and the major events and significant people from the…

  20. High prevalence of blood-borne virus infections and high-risk behaviour among injecting drug users in Tallinn, Estonia

    PubMed Central

    Uusküla, Anneli; McNutt, Louise Anne; Dehovitz, Jack; Fischer, Krista; Heimer, Robert

    2010-01-01

    Summary The HIV epidemic in Estonia is rapidly expanding, and injection drug users (IDUs) are the major risk group contributing to the expansion. A convenience sample of 159 IDUs visiting syringe-exchange programmes (SEPs) was selected to quantify the association of HIV-risk behaviours and blood-borne infections. A high prevalence of HIV, hepatitis B core antibody (HBVcore), hepatitis B surface antigen (HbsAg) and hepatitis C virus antibodies (56, 85.1, 21.3, and 96.2%, respectively) was associated with high-risk injections, unsafe sexual behaviour and alcohol abuse. These findings emphasize the importance of evidence-based secondary prevention among the HIV-infected, especially given the uncertain sustainability of antiretroviral and substance abuse treatments. PMID:17326862

  1. The impact of water supply and sanitation on infant mortality: Individual-level evidence from Tartu, Estonia, 1897-1900.

    PubMed

    Jaadla, Hannaliis; Puur, Allan

    2016-07-01

    Evidence from a number of historical studies has demonstrated a strong impact of the provision of clean water on mortality risks, while no clear effect has been reported in others. We investigated the relationship between water supply, sanitation, and infant survival in Tartu, a university town in Estonia, 1897-1900. Based on data from parish registers, which were linked to the first census of the Russian Empire, the analysis reveals a clear disadvantage for infants in households using surface water, compared with families that acquired water from groundwater or artesian wells. The impact is stronger in the later stages of infancy. Competing-risk analysis shows that the effect is more pronounced for deaths caused by diseases of the digestive system. Our findings suggest that it may have been possible to improve the water supply, and consequently reduce infant mortality, before the introduction of piped water and sewage systems.

  2. Dating a small impact crater: An age of Kaali crater (Estonia) based on charcoal emplaced within proximal ejecta

    NASA Astrophysics Data System (ADS)

    Losiak, A.; Wild, E. M.; Geppert, W. D.; Huber, M. S.; Jõeleht, A.; Kriiska, A.; Kulkov, A.; Paavel, K.; Pirkovic, I.; Plado, J.; Steier, P.; VäLja, R.; Wilk, J.; Wisniowski, T.; Zanetti, M.

    2016-04-01

    The estimates of the age of the Kaali impact structure (Saaremaa Island, Estonia) provided by different authors vary by as much as 6000 years, ranging from ~6400 to ~400 before current era (BCE). In this study, a new age is obtained based on 14C dating charred plant material within the proximal ejecta blanket, which makes it directly related to the impact structure, and not susceptible to potential reservoir effects. Our results show that the Kaali crater was most probably formed shortly after 1530-1450 BCE (3237 ± 10 14C yr BP). Saaremaa was already inhabited when the bolide hit the Earth, thus, the crater-forming event was probably witnessed by humans. There is, however, no evidence that this event caused significant change in the material culture (e.g., known archeological artifacts) or patterns of human habitation on Saaremaa.

  3. Respiratory symptoms increase health care consumption and affect everyday life – a cross-sectional population-based study from Finland, Estonia, and Sweden

    PubMed Central

    Axelsson, Malin; Lindberg, Anne; Kainu, Annette; Rönmark, Eva; Jansson, Sven-Arne

    2016-01-01

    Background Even though respiratory symptoms are common in the adult population, there is limited research describing their impact on everyday life and association with health care consumption. Aim The main objective of this population-based study was to estimate and compare the prevalence of respiratory symptoms among adults in Finland, Estonia, and Sweden in relation to health care consumption and to identify factors influencing health care consumption. A secondary aim was to assess to which extent the presence of respiratory symptoms affect everyday life. Method In the population-based FinEsS studies consisting of random samples of subjects aged 20 to 69 years from Finland (n=1,337), Estonia (n=1,346), and Sweden (n=1,953), data on demographics, respiratory health, and health care consumption were collected by structured interviews. Prevalence was compared and multiple logistic regression analyses were performed. Results Respiratory symptoms were significantly more common in Finland (66.0%) and Estonia (65.2%) than in Sweden (54.1%). Among subjects with respiratory symptoms, the proportion reporting outpatient care during the past year was fairly similar in the three countries, while specialist consultations were more common in Finland (19.1%), and hospitalisations more common in Estonia (15.0%). Finnish and Estonian residency, female sex, and BMI>25 increased the risk for outpatient care consumption. Wheeze and attacks of shortness of breath in the past 12 months, recurrent sputum production, and cough were associated with an increased risk for health care consumption. Increasing number of respiratory symptoms increased the risk for consuming health care. A larger proportion of subjects in Estonia and Sweden experienced their everyday life being affected by respiratory symptoms compared with subjects in Finland. Conclusion Respiratory symptoms are common in Finland, Estonia, and Sweden and contribute to a negative impact on everyday life as well as increased

  4. Trends in and relation between hip fracture incidence and osteoporosis medication utilization and prices in Estonia in 2004-2015.

    PubMed

    Laius, Ott; Pisarev, Heti; Maasalu, Katre; Kõks, Sulev; Märtson, Aare

    2017-12-01

    Osteoporosis medicines reduce osteoporotic fractures. There is a very strong negative correlation between the consumption of medicines and the price of an average daily dose indicating that affordability is a key factor that could increase consumption of antiosteoporotic medicines and, through that, reduce fractures. Osteoporosis is a major cause of morbidity and mortality in the modern world. Our study aims to describe the trends in incidence of hip fractures in relation to drug utilization patterns and the average price of antiosteoporotic medicines in Estonia. Data on hip fractures was obtained from the medical claims database of Estonian Health Insurance Fund (EHIF). Consumption and price data was obtained from the Estonian State Agency of Medicines (SAM).Consumption is presented using WHO defined daily doses methodology, and the prices reflect the average wholesale price of medicines. From 2004 to 2010 there was a non-significant increasing trend in standardized hip fracture incidence in Estonia, but from 2010 to 2015, the trend turned to a significant decrease of 4.5% per year. The consumption of osteoporosis medication increased significantly from 2004 to 2009 by yearly average of 41.2%. After 2009, the consumption levelled. On contrast, the average price of one daily dose of osteoporosis medication decreased significantly from 2004 to 2009 by 16.9% per year and the decrease also levelled after 2009. This gives a very strong negative correlation of -0.93 (p < 0.001) between the consumption of antiosteoporotic medication and the average price of a daily dose of medication during the study period. The statistically significant decline of standardized incidence of hip fractures from 2010 onward could at least in part be the result of the high increase in consumption of antiosteoporotic medicines which in turn is strongly negatively correlated with the average price of osteoporosis medicines.

  5. 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

    2017-01-24

    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

  6. Comparison of thunderstorm hours registered by the lightning detection network and human observers in Estonia, 2006-2011

    NASA Astrophysics Data System (ADS)

    Enno, S. E.

    2015-07-01

    Relationships between the lightning detection network data and human-reported thunderstorms were studied in Estonia during the period of 2006-2011. Estonia is located in northeastern Europe between 57.5° to 59.5° N and 21° to 28.5° E. Numbers of thunderstorm days (TD) and thunderstorm hours (TH) reported by 61 volunteer observers and six meteorological stations were compared to the data of the lightning detection network. Results indicated that the flash data within 9.0 km from the sites of volunteer observers should be used in order to derive TD numbers equal to human observations. Larger radius of 14.7 km was found on the basis of six meteorological stations with probably better quality of thunderstorm observations. Due to data quality issues, the daily and monthly numbers of THs reported by individual observers explained only 12-39 % of variations in the flash counts within 40 km of their observing sites. In contrast, the average TH data of all observers successfully explained 75-86 % of variations in daily and monthly flash counts within 40 km of the observation sites. The main advantage of using the average data of many human observers seems to be that in case of a dense network, the neighboring observers tend to compensate for each other's errors. In general, intense storms close to observing sites were found to be most successfully reported by human observers. The most important conclusion of the study is that although human observations of thunderstorms and automatic lightning observations are very different methods, they generally give similar results.

  7. The dismantling of end-of-life vehicles in Estonia before putting into effect the Directive 2000/53/EC.

    PubMed

    Aolaid, Aivi; Teder, Jüri

    2006-03-01

    When joining the European Union on 1st May 2004, Estonia had to conform its legislation to the European Union legislation. In relation with that, also the treatment requirements on end-of-life vehicles proceeding from Directive 2000/53/EC of the European Parliament and of the Council of 18 September 2000 were established in Estonia for the first time. Since this area was not regulated with law beforehand, there was not any information available about it. The aim of the current survey was to ascertain the condition of scrap yards in mid 2004. In addition to that, also to identify the number of scrap yards operating in Estonia, to classify these by the number of dismantled vehicles and the potential environmental hazard, and to map the locations of car dismantling companies and evaluate their compliance with the valid requirements. The companies that have been registered in the Commercial Registry under the activity code 503090-end-of-life vehicle dismantling were visited and visually reviewed. During the visits, the compliance of scrap yards with the existing requirements was evaluated and it was also attempted to identify how environmentally sound the dismantling technology of every scrap yard owner is. Altogether, 63 scrap yards operated in Estonia by mid 2004. Twelve of them dismantled more than 100 vehicles, 13 of them 51-99 vehicles and 38 up to 50 vehicles a year. The total annual market capacity on dismantling of vehicles in Estonia is considered to be approx. 10,000 units. There are very few companies dealing only with car dismantling as the main business. Most scrap-yard owners also offer side services, e.g. haulage, car repair and maintenance. The dismantlers are interested in the selling of second-hand spare parts and scrap metal. Only one company out of 63 complied with all the requirements enacted by the relevant decision of the Estonian Minister of Environment. The rest of the scrap yards did not meet the requirements on the site on storage and

  8. Michael Maier--nine newly discovered letters.

    PubMed

    Lenke, Nils; Roudet, Nicolas; Tilton, Hereward

    2014-02-01

    The authors provide a transcription, translation, and evaluation of nine newly discovered letters from the alchemist Michael Maier (1568-1622) to Gebhardt Johann von Alvensleben (1576-1631), a noble landholder in the vicinity of Magdeburg. Stemming from the final year of his life, this correspondence casts new light on Maier's biography, detailing his efforts to secure patronage amid the financial crisis of the early Thirty Years' War. While his ill-fated quest to perfect potable gold continued to form the central focus of his patronage suits, Maier also offered his services in several arts that he had condemned in his printed works, namely astrology and "supernatural" magic. Remarks concerning his previously unknown acquaintance with Heinrich Khunrath call for a re-evaluation of Maier's negotiation of the discursive boundaries between Lutheran orthodoxy and Paracelsianism. The letters also reveal Maier's substantial contribution to a work previously ascribed solely to the English alchemist Francis Anthony.

  9. What next for newly diagnosed glioblastoma?

    PubMed Central

    Domingo-Musibay, Evidio; Galanis, Evanthia

    2015-01-01

    Glioblastoma is the most common primary brain tumor in adults. Despite current multimodality treatment including surgical resection and temozolomide-based chemoradiotherapy, median survival is only 14–16 months. Characterization of molecular alterations in glioblastoma has identified prognostic subgroups and therapeutic opportunities for clinical trials across glioblastoma subsets. Following a number of negative Phase III trials testing temozolomide dose intensification and angiogenesis inhibition, recent interim analysis data indicate survival prolongation with use of a device (Optune™) delivering alternating electrical field therapy in newly diagnosed glioblastoma patients. In this review, we present an overview of the data supporting the current standard of care and discuss novel experimental therapies in early and late phase clinical testing including devices, small molecule drugs, angiogenesis inhibitors, oncolytic virotherapy and immunotherapy. PMID:26558493

  10. Newly discovered insect RNA viruses in China.

    PubMed

    Qiu, Yang; Wang, ZhaoWei; Liu, YongXiang; Qi, Nan; Si, Jie; Xiang, Xue; Xia, XiaoLing; Hu, YuanYang; Zhou, Xi

    2013-08-01

    Insects are a group of arthropods and the largest group of animals on Earth, with over one million species described to date. Like other life forms, insects suffer from viruses that cause disease and death. Viruses that are pathogenic to beneficial insects cause dramatic economic losses on agriculture. In contrast, viruses that are pathogenic to insect pests can be exploited as attractive biological control agents. All of these factors have led to an explosion in the amount of research into insect viruses in recent years, generating impressive quantities of information on the molecular and cellular biology of these viruses. Due to the wide variety of insect viruses, a better understanding of these viruses will expand our overall knowledge of their virology. Here, we review studies of several newly discovered RNA insect viruses in China.

  11. Dating Kaali Crater (Estonia) based on charcoal emplaced within proximal ejecta blanket

    NASA Astrophysics Data System (ADS)

    Losiak, Anna; Wild, Eva Maria; Huber, Matthew S.; Wisniowski, Tomasz; Paavel, Kristiina; Jõeleht, Argo; Välja, Rudolf; Plado, Jüri; Kriiska, Aivar; Wilk, Jakob; Zanetti, Michael; Geppert, Wolf D.; Kulkov, Alexander; Steier, Peter; Pirkovic, Irena

    2015-04-01

    The Kaali impact field consists of nine identified craters located on the Saaremaa Island in Estonia. The largest crater is 110 m in diameter (centered around 58°22'21.94"N, 22°40'09.91" E). It was formed by impact of an IAB iron meteoroid into Silurian dolomite target rocks covered by up to a few meters of glacial till (Veski et al. 2007). The age of the Kaali impact structure is still a matter of debate, and the estimates provided by different authors vary considerably between ~6400 BC (Raukas et al. 1995, Moora et al. 2012) and ~400 BC (Rasmussen et al. 2000, Veski et al. 2001). These ages were derived by 14C dating of marker horizons, characterized by a slightly elevated iridium content within the nearby Piila bog yielding a calibrated age of 800-400 BC (Rasmussen et al. 2000, Veski et al. 2001) and occurrences of glassy siliceous material in the Piila bog (~6400 BC: Raukas et al. 1995) or iron microspherules in an organic-rich layer of the Reo gravel pit (6400 BC: Moora et al. 2012). However, the source of the foreign material within those layers was never unequivocally connected with the Kaali crater. 14C dating of material from post-impact organic sediments within Kaali impact craters yielded ages between 1800-1500 BC (Saarse et al. 1991, Veski et al. 2004) and 1450-400 BC (Aaloe et al. 1963). These dates underestimate the age of impact as organic sediments within the crater started to form at unknown period after the impact. On the other hand, Veski et al. (2004) suggested a reservoir effect that might have caused artificially "aging" of the organic matter because the crater was emplaced within Silurian dolomite which is rich in old carbon. The aim of this study is to determine the age of the Kaali crater by 14C dating of organic material covered by the continuous layer of proximal ejecta. This research was conducted in conjunction with a new structural investigation of Kaali Main (Zanetti et al. 2015). Ten samples collected from different locations

  12. 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:

  13. Developing Independence in Decoding.

    ERIC Educational Resources Information Center

    Spiegel, Dixie Lee

    1985-01-01

    Proposes three guidelines to assist teachers in helping students become independent decoders: (1) teach the flexible use of a repertoire of strategies, (2) don't overnurture, and (3) provide a strong vocabulary development program. (FL)

  14. Media independent interface

    NASA Technical Reports Server (NTRS)

    1987-01-01

    The work done on the Media Independent Interface (MII) Interface Control Document (ICD) program is described and recommendations based on it were made. Explanations and rationale for the content of the ICD itself are presented.

  15. Variability and trends in daily minimum and maximum temperatures and in the diurnal temperature range in Lithuania, Latvia and Estonia in 1951-2010

    NASA Astrophysics Data System (ADS)

    Jaagus, Jaak; Briede, Agrita; Rimkus, Egidijus; Remm, Kalle

    2014-10-01

    Spatial distribution and trends in mean and absolute maximum and minimum temperatures and in the diurnal temperature range were analysed at 47 stations in the eastern Baltic region (Lithuania, Latvia and Estonia) during 1951-2010. Dependence of the studied variables on geographical factors (latitude, the Baltic Sea, land elevation) is discussed. Statistically significant increasing trends in maximum and minimum temperatures were detected for March, April, July, August and annual values. At the majority of stations, the increase was detected also in February and May in case of maximum temperature and in January and May in case of minimum temperature. Warming was slightly higher in the northern part of the study area, i.e. in Estonia. Trends in the diurnal temperature range differ seasonally. The highest increasing trend revealed in April and, at some stations, also in May, July and August. Negative and mostly insignificant changes have occurred in January, February, March and June. The annual temperature range has not changed.

  16. Historical biogeography and diversification of truffles in the Tuberaceae and their newly identified Southern hemisphere sister lineage

    Treesearch

    Gregory Bonito; Matthew E. Smith; Michael Nowak; Rosanne A. Healy; Gonzalo Guevara; Efren Cazares; Akihiko Kinoshita; Eduardo R. Nouhra; Laura S. Dominguez; Leho Tedersoo; Claude Murat; Yun Wang; Baldomero Arroyo Moreno; Donald H. Pfister; Kazuhide Nara; Alessandra Zambonelli; James M. Trappe; Rytas. Vilgalys

    2013-01-01

    In this study we reassessed the biogeography and origin of the Tuberaceae and their relatives using multiple loci and a global sampling of taxa. Multiple independent transitions from an aboveground to a belowground truffie fruiting body form have occurred in the Tuberaceae and in its newly recognized sister lineage...

  17. A wind tunnel test of newly developed personal bioaerosol samplers.

    PubMed

    Su, Wei-Chung; Tolchinsky, Alexander D; Sigaev, Vladimir I; Cheng, Yung Sung

    2012-07-01

    In this study the performance of two newly developed personal bioaerosol samplers was evaluated. The two test samplers are cyclone-based personal samplers that incorporate a recirculating liquid film. The performance evaluations focused on the physical efficiencies that a personal bioaerosol sampler could provide, including aspiration, collection, and capture efficiencies. The evaluation tests were carried out in a wind tunnel, and the test personal samplers were mounted on the chest of a full-size manikin placed in the test chamber of the wind tunnel. Monodisperse fluorescent aerosols ranging from 0.5 to 20 microm were used to challenge the samplers. Two wind speeds of 0.5 and 2.0 m/sec were employed as the test wind speeds in this study. The test results indicated that the aspiration efficiency of the two test samplers closely agreed with the ACGIH inhalable convention within the size range of the test aerosols. The aspiration efficiency was found to be independent of the sampling orientation. The collection efficiency acquired from these two samplers showed that the 50% cutoff diameters were both around 0.6 microm. However the wall loss of these two test samplers increased as the aerosol size increased, and the wall loss of PAS-4 was considerably higher than that of PAS-5, especially in the aerosol size larger than 5 microm, which resulted in PAS-4 having a relatively lower capture efficiency than PAS-5. Overall, the PAS-5 is considered a better personal bioaerosol sampler than the PAS-4.

  18. 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.

  19. 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.

  20. 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

  1. 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.

  2. 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.

  3. Impaired β cell function in Chinese newly diagnosed type 2 diabetes mellitus with hyperlipidemia.

    PubMed

    Ma, Yuhang; Wang, Yufan; Huang, Qianfang; Ren, Qian; Chen, Su; Zhang, Aifang; Zhao, Li; Zhen, Qin; Peng, Yongde

    2014-01-01

    The objective is to explore the effects of hyperlipidemia on β cell function in newly diagnosed type 2 diabetes mellitus (T2DM). 208 patients were enrolled in the study and were divided into newly diagnosed T2DM with hyperlipidemia (132 patients) and without hyperlipidemia (76 patients). Demographic data, glucose levels, insulin levels, lipid profiles, homeostasis model assessment for β cell function index (HOMA-β ), homeostasis model assessment for insulin resistance index (HOMA-IR), and quantitative insulin-sensitivity check index (QUICKI) were compared between the two groups. We found that comparing with those of normal lipid levels, the subjects of newly diagnosed T2DM with hyperlipidemia were younger, and had declined HOMA-β . However, the levels of HOMA-β were comparable regardless of different lipid profiles (combined hyperlipidemia, hypertriglyceridemia, and hypercholesterolemia). Multiple stepwise linear regression analysis showed that high fasting plasma glucose (FPG), decreased fasting insulin level (FINS), and high triglyceride (TG) were independent risk factors of β cell dysfunction in newly diagnosed T2DM. Therefore, the management of dyslipidemia, together with glucose control, may be beneficial for T2DM with hyperlipidemia.

  4. Arsenic behavior in newly drilled wells

    USGS Publications Warehouse

    Kim, M.-J.; Nriagu, J.; Haack, S.

    2003-01-01

    In the present paper, inorganic arsenic species and chemical parameters in groundwater were determined to investigate the factors related to the distribution of arsenic species and their dissolution from rock into groundwater. For the study, groundwater and core samples were taken at different depths of two newly drilled wells in Huron and Lapeer Counties, Michigan. Results show that total arsenic concentrations in the core samples varied, ranging from 0.8 to 70.7 mg/kg. Iron concentration in rock was about 1800 times higher than that of arsenic, and there was no correlation between arsenic and iron occurrences in the rock samples. Arsenic concentrations in groundwater ranged from <1 to 171 ??g/l. The arsenic concentration in groundwater depended on the amount of arsenic in aquifer rocks, and as well decreased with increasing depth. Over 90% of arsenic existed in the form of As(III), implying that the groundwater systems were in the reduced condition. The results such as high ferrous ion, low redox potential and low dissolved oxygen supported the observed arsenic species distribution. There was no noticeable difference in the total arsenic concentration and arsenic species ratio between unfiltered and filtered (0.45 ??m) waters, indicating that the particulate form of arsenic was negligible in the groundwater samples. There were correlations between water sampling depth and chemical parameters, and between arsenic concentration and chemical parameters, however, the trends were not always consistent in both wells. ?? 2003 Elsevier Science Ltd. All rights reserved.

  5. Changing trends in newly licensed RNs.

    PubMed

    Kovner, Christine T; Brewer, Carol S; Fatehi, Farida; Katigbak, Carina

    2014-02-01

    Recent changes in U.S. health care and economics may influence the demand for nurses and the work choices of newly licensed RNs (NLRNs). We sought to compare the work lives of two cohorts of NLRNs licensed six years apart. Data were collected from two groups of NLRNs in 14 states via mailed surveys. The first group consisted of a subset of NLRNs surveyed for a larger study in 2004-05; the second group was surveyed by similar methods in 2010-11. Responses were weighted to adjust for differences in response rates according to geographic area. Response rates were 58% and 47%, respectively, for the 2004-05 cohort (N = 774) and the 2010-11 cohort (N = 1,613). The NLRNs in the later cohort were less likely to work in hospitals, special-care units, and direct care and more likely to work as managers, be enrolled in formal education programs, and view their work environments positively, resulting in more commitment to the organization. Also, those in the later cohort reported fewer local job opportunities, and a greater number held a second job : These findings indicate a shift from the traditional work patterns of NLRNs, who often began their careers in hospitals. Employers' heightened awareness of such changing trends among NLRNs may help them in planning for RN recruitment and retention.

  6. Distribution pattern of PCBs, HCB and PeCB using passive air and soil sampling in Estonia.

    PubMed

    Roots, Ott; Roose, Antti; Kull, Ain; Holoubek, Ivan; Cupr, Pavel; Klanova, Jana

    2010-03-01

    Passive air sampling survey of the Central and Eastern Europe was initiated in 2006. This paper presents data on toxic organic compounds such as polychlorinated biphenyls (PCB 28, 52, 101, 118, 153, 138, and 180), hexachlorobenzene (HCB), pentachlorobenzene (PeCB), hexachlorocyclohexane compounds (alpha-HCH, beta-HCH,gamma-HCH, delta-HCH), and dichloro-diphenyl-trichloroethane (DDT) compounds (p,p'DDE, p,p'DDD, p,p'DDT, o,p'DDE, o,p'DDD, and o,p'DDT) determined in ambient air and soil samples collected at Estonian monitoring stations. Ambient air and soil samples were collected in five sites in northern Estonia. Passive air samplers were deployed four times over 4-week periods covering the period April-August 2006. Samples were analyzed using gas chromatography-electron capture detector (HP 5890) supplied with a Quadrex fused silica column 5% Ph for organochlorine pesticides (OCPs). Local ground-boundary wind field was modeled for each monitoring station and sampling period on the basis of observed wind data from the nearest meteorological station with a high quality of time series and compared with upper air (at 850- and 500-hPa level) data from Tallinn-Harku aerological station. Median levels of PCB at Estonian stations varied between 3 and 9 ng/filter, although the maximum in Kohtla-Järve reached as high as 28 ng/filter. Sampling rates about 3.5 m(3)/day were determined by empirical measurements, making approximately 100 m(3) for a 28-day sampling cycle. In general, OCP levels in soil were at the limit of detection, except Tallinn site and Muuga Port affected mainly by local sources. However, the atmospheric PCB concentrations are in agreement with the soil analyses where highest PCB levels were found in the soil sample for Tallinn (12.0 ng/g dry weight). For HCB, the atmospheric distribution was quite uniform, with the background levels sometimes higher than the urban ones. HCB and PeCB concentrations were very low in May and June when meridional airflow from

  7. Independent technical review, handbook

    SciTech Connect

    Not Available

    1994-02-01

    Purpose Provide an independent engineering review of the major projects being funded by the Department of Energy, Office of Environmental Restoration and Waste Management. The independent engineering review will address questions of whether the engineering practice is sufficiently developed to a point where a major project can be executed without significant technical problems. The independent review will focus on questions related to: (1) Adequacy of development of the technical base of understanding; (2) Status of development and availability of technology among the various alternatives; (3) Status and availability of the industrial infrastructure to support project design, equipment fabrication, facility construction, and process and program/project operation; (4) Adequacy of the design effort to provide a sound foundation to support execution of project; (5) Ability of the organization to fully integrate the system, and direct, manage, and control the execution of a complex major project.

  8. End-of-life experiential learning for newly licensed nurses.

    PubMed

    Warnke, Joellen; Thirlwell, Sarah

    2014-03-01

    Many newly licensed nurses begin their careers with limited knowledge and experience in end-of-life care. Findings from a literature review and a learning needs assessment of newly licensed nurses at a comprehensive cancer center guided the development of an 8-hour educational program on end-of-life care. An experiential learning approach was used to foster confidence and develop knowledge and skills in delivery of end-of-life care by newly licensed nurses. Copyright 2014, SLACK Incorporated.

  9. Homebirth and independent midwifery.

    PubMed

    Harris, G

    2000-07-01

    Why do women choose to give birth at home, and midwives to work independently, in a culture that does little to support this option? This article looks at the reasons childbearing women and midwives make these choices and the barriers to achieving them. The safety of the homebirth option is supported in reference to analysis of mortality and morbidity. Homebirth practices and level of success are compared in Australia and New Zealand (NZ), in particular, and The Netherlands, England and America. The success of popularity of homebirths is analysed in terms of socio-economic status. The current situation and challenges of independent midwifery in Darwin are described.

  10. Dynamics of newly established elk populations

    USGS Publications Warehouse

    Sargeant, G.A.; Oehler, M.W.

    2007-01-01

    The dynamics of newly established elk (Cervus elaphus) populations can provide insights about maximum sustainable rates of reproduction, survival, and increase. However, data used to estimate rates of increase typically have been limited to counts and rarely have included complementary estimates of vital rates. Complexities of population dynamics cannot be understood without considering population processes as well as population states. We estimated pregnancy rates, survival rates, age ratios, and sex ratios for reintroduced elk at Theodore Roosevelt National Park, North Dakota, USA; combined vital rates in a population projection model; and compared model projections with observed elk numbers and population ratios. Pregnancy rates in January (early in the second trimester of pregnancy) averaged 54.1% (SE = 5.4%) for subadults and 91.0% (SE = 1.7%) for adults, and 91.6% of pregnancies resulted in recruitment at 8 months. Annual survival rates of adult females averaged 0.96 (95% CI = 0.94-0.98) with hunting included and 0.99 (95% CI = 0.97-0.99) with hunting excluded from calculations. Our fitted model explained 99.8% of past variation in population estimates and represents a useful new tool for short-term management planning. Although we found no evidence of temporal variation in vital rates, variation in population composition caused substantial variation in projected rates of increase (??=1.20-1.36). Restoring documented hunter harvests and removals of elk by the National Park Service led to a potential rate of ?? = 1.26. Greater rates of increase substantiated elsewhere were within the expected range of chance variation, given our model and estimates of vital rates. Rates of increase realized by small elk populations are too variable to support inferences about habitat quality or density dependence.

  11. Molecular Outflows from Newly Formed Massive Stars

    NASA Astrophysics Data System (ADS)

    Kim, Kee-Tae; Kim, Won-Ju; Kim, Chang-Hee

    2015-12-01

    We map 6 massive young stellar objects (YSOs) in the CO J=2-1 line and survey 18 massive YSOs, including the six, in the hcopj, sioj, water 6_{16}-5_{23} maser, and methanol 7_{0}-6_{1} A^{+} maser lines. We detect CO bipolar outflows in all the six mapped sources. Four of them are newly discovered (ifive, ieight, inine, iten), while itwo is mapped in the CO J=2-1 line for the first time. The detected outflows are much more massive and energetic than outflows from low-mass YSOs with masses >20 M_⊙ and momenta >300 M_⊙ km/s. They have mass outflow rates (3-6)×10^{-4} M_⊙ yr^{-1}, which are at least one order of magnitude greater than those observed in low-mass YSOs. We detect hcop and SiO line emission in 18 (100%) and 4 (22%) sources, respectively. The hcop spectra show high-velocity wings in 11 (61%) sources. We detect water maser emission in 13 (72%) sources and 44 GHz methanol maser emission in 8 (44%) sources. Of the detected sources, 5 water and 6 methanol maser sources are new discoveries. iseven shows high-velocity (>30 kms) water maser lines. We find good correlations of the bolometric luminosity of the central (proto)star with the mechanical force, mechanical luminosity, and mass outflow rate of molecular outflow %L_{bol} with F_{m}, L_{m}, and dot{M}_{out} in the bolometric luminosity range of 10^{-1}-10^6 lsol, and identified 3 intermediate- or high-mass counterparts of Class O objects.

  12. Caring about Independent Lives

    ERIC Educational Resources Information Center

    Christensen, Karen

    2010-01-01

    With the rhetoric of independence, new cash for care systems were introduced in many developed welfare states at the end of the 20th century. These systems allow local authorities to pay people who are eligible for community care services directly, to enable them to employ their own careworkers. Despite the obvious importance of the careworker's…

  13. Postcard from Independence, Mo.

    ERIC Educational Resources Information Center

    Archer, Jeff

    2004-01-01

    This article reports results showing that the Independence, Missori school district failed to meet almost every one of its improvement goals under the No Child Left Behind Act. The state accreditation system stresses improvement over past scores, while the federal law demands specified amounts of annual progress toward the ultimate goal of 100…

  14. Independent Video in Britain.

    ERIC Educational Resources Information Center

    Stewart, David

    Maintaining the status quo as well as the attitude toward cultural funding and development that it imposes on video are detrimental to the formation of a thriving video network, and also out of key with the present social and political situation in Britain. Independent video has some quite specific advantages as a medium for cultural production…

  15. Independent Living Course

    ERIC Educational Resources Information Center

    Tipping, Joyce

    1978-01-01

    Designed to help handicapped persons who have been living a sheltered existence develop independent living skills, this course is divided into two parts. The first part consists of a five-day apartment live-in experience, and the second concentrates on developing the learners' awareness of community resources and consumer skills. (BM)

  16. Native American Independent Living.

    ERIC Educational Resources Information Center

    Clay, Julie Anna

    1992-01-01

    Examines features of independent living philosophy with regard to compatibility with Native American cultures, including definition or conceptualization of disability; self-advocacy; systems advocacy; peer counseling; and consumer control and involvement. Discusses an actualizing process as one method of resolving cultural conflicts and…

  17. Touchstones of Independence.

    ERIC Educational Resources Information Center

    Roha, Thomas Arden

    1999-01-01

    Foundations affiliated with public higher education institutions can avoid having to open records for public scrutiny, by having independent boards of directors, occupying leased office space or paying market value for university space, using only foundation personnel, retaining legal counsel, being forthcoming with information and use of public…

  18. Independence and Survival.

    ERIC Educational Resources Information Center

    James, H. Thomas

    Independent schools that are of viable size, well managed, and strategically located to meet competition will survive and prosper past the current financial crisis. We live in a complex technological society with insatiable demands for knowledgeable people to keep it running. The future will be marked by the orderly selection of qualified people,…

  19. Associations between self-rated health and health behaviour among older adults in Estonia: a cross-sectional analysis.

    PubMed

    Abuladze, Liili; Kunder, Nele; Lang, Katrin; Vaask, Sirje

    2017-06-09

    The population of Estonia has one of the lowest life expectancies and health statuses in Europe. This is reflected in a lower perception of health among older adults. This study focuses on the role of health behaviour (smoking, alcohol consumption, physical activity and nutrition) in self-rated health, accounting for sociodemographic characteristics, activity limitations and long-term illnesses as well as satisfaction with life of older Estonian men and women. We use representative cross-sectional data from Wave 4 of the Estonian Survey of Health, Ageing and Retirement in Europe, conducted mainly in 2011. Frequencies, χ(2) tests and logistic regression models include respondents aged 50 years and older, with no upper age limit (n=6660). Men have 20% higher odds (CI 1.02 to 1.43) of poor self-rated health. Being of foreign origin (OR 1.48; CI 1.24 to 1.77), having a basic (2.50; CI 2.06 to 3.00) or secondary (1.71; CI 1.43 to 2.04) education, being retired (2.00; CI 1.65 to 2.44) or staying at home (1.49; CI 1.16 to 1.93) and having activity limitations (3.25; CI 2.77 to 3.80) or long-term illnesses (4.78; CI 4.08 to 5.60) are related to poor self-rated health. Never being involved in vigorous (2.30; CI 1.90 to 2.79) or moderate physical activity (1.41; CI 1.02 to 1.94), and consuming legumes and eggs less frequently (1.25; CI 1.08 to 1.45) is associated with poorer self-rated health. Lower satisfaction with life accounts for some of the variation (2.28; CI 1.92 to 2.71). There is a strong cumulative effect of one's previous life course on the self-rated health of older adults in Estonia, suggesting that public health policies have long-term consequences rather than immediate consequences. Health services supporting health behaviours and targeting vulnerable population groups with specific sociodemographic characteristics and health problems may influence self-rated health for some. Public health services emphasising social activities or psychological aspects may

  20. Newly Developed Sarcopenia as a Prognostic Factor for Survival in Patients who Underwent Liver Transplantation

    PubMed Central

    Ock, So Young; Xu, Weiguang; Lee, Jung-Dong; Lee, Jei Hee; Kim, Hae Jin; Kim, Dae Jung; Lee, Kwan Woo; Han, Seung Jin

    2015-01-01

    Introduction The relationship between a perioperative change in sarcopenic status and clinical outcome of liver transplantation (LT) is unknown. We investigated whether post-LT sarcopenia and changes in sarcopenic status were associated with the survival of patients. Method This retrospective study was based on a cohort of 145 patients from a single transplant center who during a mean of 1 year after LT underwent computed tomography imaging evaluation. The cross-sectional area of the psoas muscle of LT patients was compared with that of age- and sex-matched healthy individuals. The Cox proportional hazards regression model was used to determine whether post-LT sarcopenia and changes in sarcopenic status affect post-LT survival. Results The mean age at LT of the 116 male and 29 female patients was 50.2 ± 7.9 years; the mean follow-up duration was 51.6 ± 32.9 months. All pre-LT patients with sarcopenia still had sarcopenia 1 year after LT; 14 (15%) patients had newly developed sarcopenia. The mean survival duration was 91.8 ± 4.2 months for non-sarcopenic patients and 80.0 ± 5.2 months for sarcopenic patients (log-rank test, p = 0.069). In subgroup analysis, newly developed sarcopenia was an independent negative predictor for post-LT survival (hazard ratio: 10.53, 95% confidence interval: 1.37–80.93, p = 0.024). Conclusion Sarcopenia in LT recipients did not improve in any of the previously sarcopenic patients and newly developed within 1 year in others. Newly developed sarcopenia was associated with increased mortality. Newly developed sarcopenia can be used to stratify patients with regard to the risk of post-LT mortality. PMID:26619224

  1. Concerns of Newly Arrived Immigrant Students: Implications for School Counselors.

    ERIC Educational Resources Information Center

    Williams, Franklyn C.; Butler, S. Kent

    2003-01-01

    This article highlights the issues that concern newly arrived immigrant students from the guidance and counseling perspective, how school systems have responded to these issues, and the implications for school counselors concerning what can be done to better serve newly arrived immigrant students. (Contains 16 references.) (GCP)

  2. Random Independence Systems

    DTIC Science & Technology

    1981-11-01

    Whitney provided a set of axioms for a structure commonly called i a matroid. Matroid theory (see ( Tutte , 19711, [Lawler, 19761) has applications to a wide...applicable in this case. On the other hand, there is no known efficient ( polynomial time) algorithm for constructing cliques of size 2 log n with...intersection. The problem of constructing a maximal independent set in the intersection of k matroids has a polynomial time (in tEl) algorithm [Lawler, 197

  3. Agent independent task planning

    NASA Technical Reports Server (NTRS)

    Davis, William S.

    1990-01-01

    Agent-Independent Planning is a technique that allows the construction of activity plans without regard to the agent that will perform them. Once generated, a plan is then validated and translated into instructions for a particular agent, whether a robot, crewmember, or software-based control system. Because Space Station Freedom (SSF) is planned for orbital operations for approximately thirty years, it will almost certainly experience numerous enhancements and upgrades, including upgrades in robotic manipulators. Agent-Independent Planning provides the capability to construct plans for SSF operations, independent of specific robotic systems, by combining techniques of object oriented modeling, nonlinear planning and temporal logic. Since a plan is validated using the physical and functional models of a particular agent, new robotic systems can be developed and integrated with existing operations in a robust manner. This technique also provides the capability to generate plans for crewmembers with varying skill levels, and later apply these same plans to more sophisticated robotic manipulators made available by evolutions in technology.

  4. International exploration by independent

    SciTech Connect

    Bertragne, R.G.

    1992-04-01

    Recent industry trends indicate that the smaller U.S. independents are looking at foreign exploration opportunities as one of the alternatives for growth in the new age of exploration. Foreign finding costs per barrel usually are accepted to be substantially lower than domestic costs because of the large reserve potential of international plays. To get involved in overseas exploration, however, requires the explorationist to adapt to different cultural, financial, legal, operational, and political conditions. Generally, foreign exploration proceeds at a slower pace than domestic exploration because concessions are granted by a country's government, or are explored in partnership with a national oil company. First, the explorationist must prepare a mid- to long-term strategy, tailored to the goals and the financial capabilities of the company; next, is an ongoing evaluation of quality prospects in various sedimentary basins, and careful planning and conduct of the operations. To successfully explore overseas also requires the presence of a minimum number of explorationists and engineers thoroughly familiar with the various exploratory and operational aspects of foreign work. Ideally, these team members will have had a considerable amount of on-site experience in various countries and climates. Independents best suited for foreign expansion are those who have been financially successful in domestic exploration. When properly approached, foreign exploration is well within the reach of smaller U.S. independents, and presents essentially no greater risk than domestic exploration; however, the reward can be much larger and can catapult the company into the 'big leagues.'

  5. International exploration by independents

    SciTech Connect

    Bertagne, R.G. )

    1991-03-01

    Recent industry trends indicate that the smaller US independents are looking at foreign exploration opportunities as one of the alternatives for growth in the new age of exploration. It is usually accepted that foreign finding costs per barrel are substantially lower than domestic because of the large reserve potential of international plays. To get involved overseas requires, however, an adaptation to different cultural, financial, legal, operational, and political conditions. Generally foreign exploration proceeds at a slower pace than domestic because concessions are granted by the government, or are explored in partnership with the national oil company. First, a mid- to long-term strategy, tailored to the goals and the financial capabilities of the company, must be prepared; it must be followed by an ongoing evaluation of quality prospects in various sedimentary basins, and a careful planning and conduct of the operations. To successfully explore overseas also requires the presence on the team of a minimum number of explorationists and engineers thoroughly familiar with the various exploratory and operational aspects of foreign work, having had a considerable amount of onsite experience in various geographical and climatic environments. Independents that are best suited for foreign expansion are those that have been financially successful domestically, and have a good discovery track record. When properly approached foreign exploration is well within the reach of smaller US independents and presents essentially no greater risk than domestic exploration; the reward, however, can be much larger and can catapult the company into the big leagues.

  6. Modulation of intrahepatic cholesterol trafficking: evidence by in vivo antisense treatment for the involvement of sterol carrier protein-2 in newly synthesized cholesterol transport into rat bile.

    PubMed Central

    Puglielli, L; Rigotti, A; Amigo, L; Nuñez, L; Greco, A V; Santos, M J; Nervi, F

    1996-01-01

    Biliary cholesterol represents one of the two major excretory pathways for sterol elimination from the body and plays a central role in cholesterol gallstone formation. Biliary cholesterol originates from a precursor pool of preformed and newly synthesized free cholesterol. Although it has been suggested that newly synthesized and preformed biliary cholesterol are secreted by independent pathways, the specific cellular and molecular mechanisms are unknown. We used male Wistar rats to study the time-course of the appearance of newly synthesized cholesterol, phosphatidylcholine and protein into bile. The specific role of sterol carrier protein-2 (SCP-2) in the transport of newly synthesized biliary cholesterol was evaluated by an in vivo antisense oligonucleotide approach. In contrast to [14C]phosphatidylcholine and [35S]proteins, the time-course of [14C]cholesterol appearance into bile was rapid, and microtubule- and Golgi-independent. In vivo SCP-2 antisense treatment reduced and delayed the appearance of biliary [14C]cholesterol. Furthermore, hepatic SCP-2 expression increased more than 3-fold over control values in rats that had been treated with diosgenin to increase biliary secretion of newly synthesized cholesterol. These results suggest that SCP-2 is necessary for the rapid transport of newly synthesized cholesterol into bile and that hepatocytes can induce SCP-2 expression according to the rate of biliary secretion of newly synthesized cholesterol. PMID:8760350

  7. Newly identified pathogens associated with periodontitis: a systematic review.

    PubMed

    Pérez-Chaparro, P J; Gonçalves, C; Figueiredo, L C; Faveri, M; Lobão, E; Tamashiro, N; Duarte, P; Feres, M

    2014-09-01

    There is substantial evidence supporting the role of certain oral bacteria species in the onset and progression of periodontitis. Nevertheless, results of independent-culture diagnostic methods introduced about a decade ago have pointed to the existence of new periodontal pathogens. However, the data of these studies have not been evaluated together, which may generate some misunderstanding on the actual role of these microorganisms in the etiology of periodontitis. The aim of this systematic review was to determine the current weight of evidence for newly identified periodontal pathogens based on the results of "association" studies. This review was conducted and reported in accordance with the PRISMA statement. The MEDLINE, EMBASE, and Cochrane databases were searched up to September 2013 for studies (1) comparing microbial data of subgingival plaque samples collected from subjects with periodontitis and periodontal health and (2) evaluating at least 1 microorganism other than the already-known periodontal pathogens. From 1,450 papers identified, 41 studies were eligible. The data were extracted and registered in predefined piloted forms. The results suggested that there is moderate evidence in the literature to support the association of 17 species or phylotypes from the phyla Bacteroidetes, Candidatus Saccharibacteria, Firmicutes, Proteobacteria, Spirochaetes, and Synergistetes. The phylum Candidatus Saccharibacteria and the Archaea domain also seem to have an association with disease. These data point out the importance of previously unidentified species in the etiology of periodontitis and might guide future investigations on the actual role of these suspected new pathogens in the onset and progression of this infection. © International & American Associations for Dental Research.

  8. Intervention to enhance communication about newly prescribed medications.

    PubMed

    Tarn, Derjung M; Paterniti, Debora A; Orosz, Deborah K; Tseng, Chi-Hong; Wenger, Neil S

    2013-01-01

    Physicians prescribing new medications often do not convey important medication-related information. This study tests an intervention to improve physician-patient communication about newly prescribed medications. We conducted a controlled clinical trial of patients in 3 primary care practices, combining data from patient surveys with audio-recorded physician-patient interactions. The intervention consisted of a 1-hour physician-targeted interactive educational session encouraging communication about 5 basic elements regarding a new prescription and a patient information handout listing the 5 basic elements. Main outcome measures were the Medication Communication Index (MCI), a 5-point index assessed by qualitative analysis of audio-recorded interactions (giving points for discussion of medication name, purpose, directions for use, duration of use, and side effects), and patient ratings of physician communication about new prescriptions. Twenty-seven physicians prescribed 113 new medications to 82 of 256 patients. The mean MCI for medications prescribed by physicians in the intervention group was 3.95 (SD = 1.02), significantly higher than that for medications prescribed by control group physicians (2.86, SD = 1.23, P <.001). This effect held regardless of medication type (chronic vs nonchronic medication). Counseling about 3 of the 5 MCI components was significantly higher for medications prescribed by physicians in the intervention group, as were patients' ratings of new medication information transfer (P = .02). Independent of intervention or control groups, higher MCI scores were associated with better patient ratings about information about new prescriptions (P = .003). A physician-targeted educational session improved the content of and enhanced patient ratings of physician communication about new medication prescriptions. Further work is required to assess whether improved communication stimulated by the intervention translates into better clinical outcomes.

  9. Kärdla (Hiiumaa Island, Estonia)—the buried and well-preserved Ordovician marine impact structure

    NASA Astrophysics Data System (ADS)

    Suuroja, Kalle; Suuroja, Sten; All, Tarmo; Floden, Tom

    The Kärdla marine impact structure (Estonia, 58°58'N, 22°46'E) was formed at 455 Ma (Upper Ordovician), in a shallow epicontinental sea some tens of kilometres from the land and erosion area. The iron-rich projectile about 200 m in diameter approached from the west at an angle of 30-45°. The impactor penetrated about 50-m-thick water layer and the sedimentary cover and exploded in the uppermost part of the crystalline basement. A complex crater, 4 km wide and about 500 m deep, with a central uplift rising 130 m from the crater floor, was formed. The highest point of the rimwall is 110 m above the target level. The rimwall is cut by at least two resurge-excavated gullies. The variable height of the rimwall obviously results from the obliqueness of the impact. Outside the crater an elliptical area was revealed, 12-15 km in diameter, with deformed sedimentary rocks below the target level. The elliptical shape of this area may also be due to the oblique impact. Because the crater and its surroundings were buried directly after the impact, the whole complex of impact-related sediments is preserved there. They are recovered by 160 wells, six of which penetrate the entire complex of impact breccias inside the crater.

  10. Total flavonoid content in varieties of Calendula officinalis L. originating from different countries and cultivated in Estonia.

    PubMed

    Raal, Ain; Kirsipuu, Kadri

    2011-03-01

    Total flavonoid contents in the inflorescences of different varieties of Calendula officinalis L. were investigated. The commercial seeds (20 samples) of varieties of C. officinalis originating from eight European countries were cultivated in home gardens in two different counties of Estonia. Total flavonoid contents, determined spectrophotometrically (λ = 370 nm), varied from each other by more than three times (0.21-0.68%) in the investigated varieties. The variety with the highest flavonoid content was 'Kablouna', produced by the Finnish company Siemen (0.68%). Other varieties with high flavonoid content, such as 'Touch of Red' produced by the Latvian company Kurzemes Seklas (0.55%), 'Golden Emperor' produced by the Finnish company Suvipiha (0.50%), 'Pomyk' from Poland (0.50%), etc., may also be preferred for cultivation as natural sources, as they are also rich in flavonoids. The amount of total flavonoids depends on the variety and/or the place and time of cultivation. There appeared to be no conclusive relationship between the total flavonoid content and the colour of ligulate and tubular florets of C. officinalis.

  11. Ecosystem-scale biosphere-atmosphere interactions of a hemiboreal mixed forest stand at Järvselja, Estonia.

    PubMed

    Noe, Steffen M; Kimmel, Veljo; Hüve, Katja; Copolovici, Lucian; Portillo-Estrada, Miguel; Püttsepp, Ulle; Jõgiste, Kalev; Niinemets, Ulo; Hörtnagl, Lukas; Wohlfahrt, Georg

    2011-07-15

    During two measurement campaigns, from August to September 2008 and 2009, we quantified the major ecosystem fluxes in a hemiboreal forest ecosystem in Järvselja, Estonia. The main aim of this study was to separate the ecosystem flux components and gain insight into the performance of a multi-species multi-layered tree stand. Carbon dioxide and water vapor fluxes were measured using the eddy covariance method above and below the canopy in conjunction with the microclimate. Leaf and soil contributions were quantified separately by cuvette and chamber measurements, including fluxes of carbon dioxide, water vapor, nitrogen oxides, nitrous oxide, methane, ozone, sulfur dioxide, and biogenic volatile organic compounds (isoprene and monoterpenes). The latter have been as well characterized for monoterpenes in detail. Based on measured atmospheric trace gas concentrations, the flux tower site can be characterized as remote and rural with low anthropogenic disturbances. Our results presented here encourage future experimental efforts to be directed towards year round integrated biosphere-atmosphere measurements and development of process-oriented models of forest-atmosphere exchange taking the special case of a multi-layered and multi-species tree stand into account. As climate change likely leads to spatial extension of hemiboreal forest ecosystems a deep understanding of the processes and interactions therein is needed to foster management and mitigation strategies.

  12. 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

    2016-09-24

    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.

  13. On the topologic structure of economic complex networks: Empirical evidence from large scale payment network of Estonia

    NASA Astrophysics Data System (ADS)

    Rendón de la Torre, Stephanie; Kalda, Jaan; Kitt, Robert; Engelbrecht, Jüri

    2016-09-01

    This paper presents the first topological analysis of the economic structure of an entire country based on payments data obtained from Swedbank. This data set is exclusive in its kind because around 80% of Estonia's bank transactions are done through Swedbank, hence, the economic structure of the country can be reconstructed. Scale-free networks are commonly observed in a wide array of different contexts such as nature and society. In this paper, the nodes are comprised by customers of the bank (legal entities) and the links are established by payments between these nodes. We study the scaling-free and structural properties of this network. We also describe its topology, components and behaviors. We show that this network shares typical structural characteristics known in other complex networks: degree distributions follow a power law, low clustering coefficient and low average shortest path length. We identify the key nodes of the network and perform simulations of resiliency against random and targeted attacks of the nodes with two different approaches. With this, we find that by identifying and studying the links between the nodes is possible to perform vulnerability analysis of the Estonian economy with respect to economic shocks.

  14. 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.

  15. Decommissioning and Dismantling of Liquid Waste Storage and Liquid Waste Treatment Facility from Paldiski Nuclear Site, Estonia

    SciTech Connect

    Varvas, M.; Putnik, H.; Johnsson, B.

    2006-07-01

    The Paldiski Nuclear Facility in Estonia, with two nuclear reactors was owned by the Soviet Navy and was used for training the navy personnel to operate submarine nuclear reactors. After collapse of Soviet Union the Facility was shut down and handed over to the Estonian government in 1995. In co-operation with the Paldiski International Expert Reference Group (PIERG) decommission strategy was worked out and started to implement. Conditioning of solid and liquid operational waste and dismantling of contaminated installations and buildings were among the key issues of the Strategy. Most of the liquid waste volume, remained at the Facility, was processed in the frames of an Estonian-Finnish co-operation project using a mobile wastewater purification unit NURES (IVO International OY) and water was discharged prior to the site take-over. In 1999-2002 ca 120 m{sup 3} of semi-liquid tank sediments (a mixture of ion exchange resins, sand filters, evaporator and flocculation slurry), remained after treatment of liquid waste were solidified in steel containers and stored into interim storage. The project was carried out under the Swedish - Estonian co-operation program on radiation protection and nuclear safety. Contaminated installations in buildings, used for treatment and storage of liquid waste (Liquid Waste Treatment Facility and Liquid Waste Storage) were then dismantled and the buildings demolished in 2001-2004. (authors)

  16. 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.

  17. Combined prevention for persons who inject drugs in the HIV epidemic in a transitional country: the case of Tallinn, Estonia.

    PubMed

    Uusküla, Anneli; Des Jarlais, Don C; Raag, Mait; Pinkerton, Steven D; Feelemyer, Jonathan

    2015-01-01

    The study was undertaken to assess the potential effectiveness of combined HIV prevention on the very high seroprevalence epidemic among persons who inject drugs (PWID) in Tallinn, Estonia, a transitional country. Data from community-based cross-sectional (respondent-driven sampling) surveys of PWID in 2005, 2007, 2009, and 2011 were used together with mathematical modeling of injection-associated HIV acquisition to estimate changes in injection-related HIV incidence during these periods. Utilization of one, two, or three of the interventions available in the community (needle and syringes exchange program, antiretroviral treatment [ART], HIV testing, opioid substitution treatment) was reported by 42.5%, 30.5%, and 11.5% of HIV+ and 34.7%, 36.4%, and 5.7% of HIV- PWIDs, respectively, in 2011. The modeling results suggest that the combination of needle/syringe programs and provision of ART to PWID in Tallinn substantially reduced the incidence of HIV infection in this population, from an estimated 20.7/100 person-years in 2005 to 7.5/100 person-years in 2011. In conclusion, combined prevention targeting HIV acquisition and transmission-related risks among PWID in Tallinn has paralleled the downturn of the HIV epidemic in this population.

  18. Carbon balance of an old hemi-boreal pine forest in Southern Estonia determined by different methods

    NASA Astrophysics Data System (ADS)

    Soosaar, Kaido; Repp, Kalev; Lõhmus, Krista; Uri, Veiko; Rannik, Kaire; Krasnova, Alisa; Ostonen, Ivika; Kukumägi, Mai; Maddison, Martin; Mander, Ülo

    2016-04-01

    The Soontaga Forest Station is located in hemi-boreal 200-years old pine forest (South Estonia; 58o01'N 26o04'E) with a second layer of spruce. The station has the instrumentation to assess the exchange of carbon dioxide (net ecosystem exchange, NEE), soil respiration, tree biomass (above and below ground biomass) and different environmental and meteorological parameters. In this study we quantified carbon balance by analyzing eddy-covariance CO2 flux data (carbon exchange) vs chamber-based measurements (ecosystem respiration) and CO2assimilation (soil and biomass). The annual NEE in this mature coniferous forest was -2.3 t C ha yr-1, showing a clear diurnal and seasonal trend. During the daytime in summer the forest sequestered CO2, while during the night and late night CO2 emitted from the ecosystem to the atmosphere. Within the growing period, the sequestration of CO2 by plants was greater than soil respiration. Thus, the ecosystem sequestered carbon. Most of the carbon is bound in tree biomass (above and below ground biomass) but as well into soil, while the sequestration in soil increases with stand age. In addition, the biomass of understory, especially belowground litter, is playing essential part in carbon input. A modelling approach of long-term C budget in the Soontaga pine forest is presented.

  19. Biodosimetry of Chernobyl cleanup workers from Estonia and Latvia using the glycophorin A in vivo somatic cell mutation assay

    SciTech Connect

    Bigbee, W.L.; Jensen, R.H.; Veidebaum, T.

    1997-02-01

    The reactor accident at Chernobyl in 1986 necessitated a massive environmental cleanup that involved over 600,000 workers from all 15 Republics of the former Soviet Union. To determine whether the whole-body radiation received by workers in the course of these decontamination activities resulted in a detectable biological response, over 1,500 blood samples were obtained from cleanup workers sent from two Baltic countries, Estonia and Latvia. Here we report the results of studies of biodosimetry using the glycophorin A (GPA) locus in vivo somatic cell mutation assay applied to 734 blood samples from these workers, to 51 control samples from unexposed Baltic populations and to 94 samples from historical U.S. controls. The data reveal inconsistent evidence that the protracted radiation exposures received by these workers resulted in a significant dose-associated increase in GPA locus mutations compared with the controls. Taken together, these data suggest that the average radiation exposure to these workers does not greatly exceed 10 cGy, the minimum levels at which radiation effects might be detectable by the assay. Although the protracted nature of the exposure may have reduced the efficiency of induction of GPA locus mutations, it is likely that the estimated physical doses for these cleanup worker populations (median reported dose 9.5 cGy) were too low to result in radiation damage to erythroid stem cells that can be detected reliably by this method. 25 refs., 2 figs., 3 tabs.

  20. Ecosystem-scale biosphere-atmosphere interactions of a hemiboreal mixed forest stand at Järvselja, Estonia

    PubMed Central

    Noe, Steffen M.; Kimmel, Veljo; Hüve, Katja; Copolovici, Lucian; Portillo-Estrada, Miguel; Püttsepp, Ülle; Jõgiste, Kalev; Niinemets, Ülo; Hörtnagl, Lukas; Wohlfahrt, Georg

    2013-01-01

    During two measurement campaigns, from August to September 2008 and 2009, we quantified the major ecosystem fluxes in a hemiboreal forest ecosystem in Järvselja, Estonia. The main aim of this study was to separate the ecosystem flux components and gain insight into the performance of a multi-species multi-layered tree stand. Carbon dioxide and water vapor fluxes were measured using the eddy covariance method above and below the canopy in conjunction with the microclimate. Leaf and soil contributions were quantified separately by cuvette and chamber measurements, including fluxes of carbon dioxide, water vapor, nitrogen oxides, nitrous oxide, methane, ozone, sulfur dioxide, and biogenic volatile organic compounds (isoprene and monoterpenes). The latter have been as well characterized for monoterpenes in detail. Based on measured atmospheric trace gas concentrations, the flux tower site can be characterized as remote and rural with low anthropogenic disturbances. Our results presented here encourage future experimental efforts to be directed towards year round integrated biosphere-atmosphere measurements and development of process-oriented models of forest-atmosphere exchange taking the special case of a multi-layered and multi-species tree stand into account. As climate change likely leads to spatial extension of hemiboreal forest ecosystems a deep understanding of the processes and interactions therein is needed to foster management and mitigation strategies. PMID:24347809

  1. Molecular components of dissolved organic matter distinguished by optical properties and HPLC in the sediments of Lake Tõugjärv, Southern Estonia

    NASA Astrophysics Data System (ADS)

    Lepane, V.; Makarõtševa, N.; Alliksaar, T.

    2009-04-01

    Sedimentary organic matter (OM) plays an important role in many geochemical and biochemical processes in aquatic environments. Sedimentary OM is an extremely complex and heterogenous mixture of humic substances (HS), proteins, lipids, carbohydrates, and other biomolecules. OM is formed during the degradation process of higher plant detritus and the composition of microbial cellular material. It is distributed in both particulate and dissolved phases. The investigation of aquatic OM gives an overview of the processes going on in the studied media (polymerization, degradation, etc). The types and amounts of OM in lake sediments present a paleolimnological record of past conditions in the lake and its catchment area. Thus, there is a genuine interest in investigation and characterization of sedimentary OM from lakes as it allows to predict and evaluate temporal changes in the studied ecosystem. Since OM is a very complex mixture, it is impossible to identify its exact chemical composition. As a result, only detailed chemical characterization using various analytical methods could be provided. A fraction of dissolved organic matter (DOM) is optically active and, thus, methods based on UV absorption properties could be used for the characterization of DOM types. Another means of DOM analysis is the measurement of molecular weight distribution. Humic substances compose the main part of DOM. HS are formed by the association of components of the humification process. The source of aquatic HS is thought to be the formation from phytoplankton in the water or they might be washed into waters from terrestrial and soil deposits. Lake Rőuge Tőugjärv (Estonia) is a startified hard-water eutrophic lake. It is a small (4.2 ha) and 17 m deep lake with annually laminated lake sediments (8.3 m) situated in a dense prehistoric setting. Annually laminated (varved) lake sediments possess continuous and independent records with calendar year chronology and will deliver changes in lake

  2. Cary Potter on Independent Education

    ERIC Educational Resources Information Center

    Potter, Cary

    1978-01-01

    Cary Potter was President of the National Association of Independent Schools from 1964-1978. As he leaves NAIS he gives his views on education, on independence, on the independent school, on public responsibility, on choice in a free society, on educational change, and on the need for collective action by independent schools. (Author/RK)

  3. Sensation Seeking and Field Independence.

    ERIC Educational Resources Information Center

    Baker, A. Harvey

    1988-01-01

    Examined relationship between sensation seeking and field independence using three indices of field independence and combining the data in an Overall Index. The three field independence instruments and the Sensation Seeking Scale were administered to 103 college students. Positive relationship between sensation seeking and field independence was…

  4. Cary Potter on Independent Education

    ERIC Educational Resources Information Center

    Potter, Cary

    1978-01-01

    Cary Potter was President of the National Association of Independent Schools from 1964-1978. As he leaves NAIS he gives his views on education, on independence, on the independent school, on public responsibility, on choice in a free society, on educational change, and on the need for collective action by independent schools. (Author/RK)

  5. Myth or Truth: Independence Day.

    ERIC Educational Resources Information Center

    Gardner, Traci

    Most Americans think of the Fourth of July as Independence Day, but is it really the day the U.S. declared and celebrated independence? By exploring myths and truths surrounding Independence Day, this lesson asks students to think critically about commonly believed stories regarding the beginning of the Revolutionary War and the Independence Day…

  6. Climatic changes in Estonia during the second half of the 20th century in relationship with changes in large-scale atmospheric circulation

    NASA Astrophysics Data System (ADS)

    Jaagus, J.

    2006-01-01

    Trends in the time series of air temperature, precipitation, snow cover duration and onset of climatic seasons at ten stations in Estonia during 1951-2000 are analysed. Using the conditional Mann-Kendall test, these trends are compared with trends in the characteristics of large-scale atmospheric circulation: the NAO and AO indices, frequency of circulation forms according to the Vangengeim-Girs’ classification, and the northern hemisphere teleconnection indices. The objective of the study is to estimate the influence of trends in circulation on climate changes in Estonia. Statistically significant increasing trends in air temperature are detected in January, February, March, April and May, in winter (DJF), spring (MAM) and in the cold period (NDJFM). The trends in precipitation, as a rule, differ from station to station. Increasing trends are present during the cold half-year - from October until March - and also in June. Snow cover duration has decreased in Estonia by 17-20 days inland and by 21-36 days on the coast. The onsets of early spring and spring have shifted to an earlier date. Some important changes have occurred in the parameters of atmospheric circulation during 1951-2000. Intensity of zonal circulation, i.e. westerlies, has increased during the cold period, especially in February and March. Results of the conditional Mann-Kendall test indicate that the intensification of westerlies in winter is significantly related to climate changes in winter and also in spring. A negative trend in the East Atlantic Jet (EJ) index, i.e. the weakening of the westerlies in May has caused warming during that month. Decrease in northerly circulation, i.e. in frequency of circulation form C and in East Atlantic/West Russia teleconnection index (EW) is related to an increase in precipitation in October.

  7. Determinants of Newly Detected Human Papillomavirus Infection in HIV-Infected and HIV-Uninfected Injection Drug Using Women

    PubMed Central

    Phelan, Darcy F.; Gange, Stephen J.; Ahdieh-Grant, Linda; Mehta, Shruti H.; Kirk, Gregory D.; Shah, Keerti; Gravitt, Patti

    2009-01-01

    Background We sought to identify factors associated with newly detected human papillomavirus (HPV) infection in a high-risk cohort of injection drug using women in Baltimore, MD. Methods We studied 146 HIV-infected and 73 HIV-uninfected female participants in a 5-year prospective HIV natural history study. We examined the association of sexual and nonsexual risk factors and newly detected type-specific HPV infection as determined by consensus PCR between consecutive visits. Results Newly detected HPV was more common among HIV-infected versus HIV-uninfected women (30% and 6%, respectively; P <0.01). Among the entire cohort, recent crack use (OR, 1.7; 95% CI, 1.1−2.6) and HIV infection/CD4 cell count were independent predictors for new HPV detection (HIV-uninfected as reference, OR, 4.6; 95% CI, 2.3−8.9, OR, 5.4; 95% CI, 2.8−10.3, and OR, 10.9; 95% CI, 5.5−21.7 for HIV-infected CD4 >500, 200−500, and <200, respectively). Among HIV-uninfected women, recent marijuana use was an independent predictor of newly detected HPV infection (OR, 3.5; 95% CI, 1.3−9.5). Conclusions Newly detected HPV clearly increased with greater immunosuppression in HIV-infected injection drug users. Larger studies of HIV-uninfected and infected high-risk individuals are needed to clarify the independent associations of crack and marijuana use with new (or reactivated) HPV infection. PMID:19174735

  8. 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.

  9. Plasmid with Colistin Resistance Gene mcr-1 in Extended-Spectrum-β-Lactamase-Producing Escherichia coli Strains Isolated from Pig Slurry in Estonia

    PubMed Central

    Brauer, Age; Telling, Kaidi; Laht, Mailis; Kalmus, Piret; Lutsar, Irja; Remm, Maido; Kisand, Veljo

    2016-01-01

    A plasmid carrying the colistin resistance gene mcr-1 was isolated from a pig slurry sample in Estonia. The gene was present on a 33,311-bp plasmid of the IncX4 group. mcr-1 is the only antibiotic resistance gene on the plasmid, with the other genes mainly coding for proteins involved in conjugative DNA transfer (taxA, taxB, taxC, trbM, and the pilX operon). The plasmid pESTMCR was present in three phylogenetically very different Escherichia coli strains, suggesting that it has high potential for horizontal transfer. PMID:27572412

  10. 35. Photocopy of photograph. Photographer unknown, 1904 NEWLY COMPLETED OFFICE, ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    35. Photocopy of photograph. Photographer unknown, 1904 NEWLY COMPLETED OFFICE, SUBSTATION, CAR BARN. VIEW TO NORTHEAST. - Milwaukee Light, Heat & Traction Company, 8336 West Lapham Street, West Allis, Milwaukee County, WI

  11. Diffusional spread and confinement of newly exocytosed synaptic vesicle proteins

    PubMed Central

    Gimber, Niclas; Tadeus, Georgi; Maritzen, Tanja; Schmoranzer, Jan; Haucke, Volker

    2015-01-01

    Neurotransmission relies on the calcium-triggered exocytic fusion of non-peptide neurotransmitter-containing small synaptic vesicles (SVs) with the presynaptic membrane at active zones (AZs) followed by compensatory endocytic retrieval of SV membranes. Here, we study the diffusional fate of newly exocytosed SV proteins in hippocampal neurons by high-resolution time-lapse imaging. Newly exocytosed SV proteins rapidly disperse within the first seconds post fusion until confined within the presynaptic bouton. Rapid diffusional spread and confinement is followed by slow reclustering of SV proteins at the periactive endocytic zone. Confinement within the presynaptic bouton is mediated in part by SV protein association with the clathrin-based endocytic machinery to limit diffusional spread of newly exocytosed SV proteins. These data suggest that diffusion, and axonal escape of newly exocytosed vesicle proteins, are counteracted by the clathrin-based endocytic machinery together with a presynaptic diffusion barrier. PMID:26399746

  12. Direct visualization of identified and newly synthesized proteins in situ

    PubMed Central

    Dieck, Susanne tom; Kochen, Lisa; Hanus, Cyril; Bartnik, Ina; Nassim-Assir, Belquis; Merk, Katrin; Mosler, Thorsten; Garg, Sakshi; Bunse, Stefanie; Tirrell, David A.; Schuman, Erin M.

    2015-01-01

    Protein synthesis is a dynamic process to tune the cellular proteome to internal and external demands. Metabolic labeling approaches identify the general proteomic response but missing is a tool to visualize within cells specific newly synthesized proteins. Here we describe a technique that couples non-canonical amino acid tagging or puromycylation with the proximity-ligation assay to visualize identified newly synthesized proteins and monitor their origin, redistribution and turnover in situ. PMID:25775042

  13. Lessons Learned: Newly Hired Nurses' Perspectives on Transition Into Practice.

    PubMed

    Ziebert, Carolyn; Klingbeil, Carol; Schmitt, Catherine A; Stonek, Alice V; Totka, Joan P; Stelter, Ashley; Schiffman, Rachel F

    2016-01-01

    This descriptive qualitative study explored data from debriefs of all newly hired nurses at 3, 6, and 12 months posthire during a newly designed transition-to-practice program at a pediatric hospital. Four major themes emerged: preceptors, education process, adaptation to the organization, and role transition. Supportive factors included staged orientation, limited preceptors, mentors, regular communication with leaders, and a culture of teamwork. Stressors included too many preceptors, mentorship needs, floating, communication challenges, and organizational changes.

  14. Association Analysis Suggests SOD2 as a Newly Identified Candidate Gene Associated With Leprosy Susceptibility.

    PubMed

    Ramos, Geovana Brotto; Salomão, Heloisa; Francio, Angela Schneider; Fava, Vinícius Medeiros; Werneck, Renata Iani; Mira, Marcelo Távora

    2016-08-01

    Genetic studies have identified several genes and genomic regions contributing to the control of host susceptibility to leprosy. Here, we test variants of the positional and functional candidate gene SOD2 for association with leprosy in 2 independent population samples. Family-based analysis revealed an association between leprosy and allele G of marker rs295340 (P = .042) and borderline evidence of an association between leprosy and alleles C and A of markers rs4880 (P = .077) and rs5746136 (P = .071), respectively. Findings were validated in an independent case-control sample for markers rs295340 (P = .049) and rs4880 (P = .038). These results suggest SOD2 as a newly identified gene conferring susceptibility to leprosy. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

  15. 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

    2017-08-01

    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

  16. The impact of under-reporting of cases on the estimates of childhood cancer incidence and survival in Estonia.

    PubMed

    Paapsi, Keiu; Mägi, Margit; Mikkel, Sirje; Saks, Kadri; Aareleid, Tiiu; Innos, Kaire

    2017-06-09

    About 35 new childhood cancer cases are diagnosed in Estonia (population 1.3 million in 2011) every year. Despite continuous improvements in the healthcare system and available cancer treatment options, the survival rates for childhood cancers have appeared to remain lower than the European average. These observations and the accompanying decrease in incidence led us to hypothesize that some nonfatal cases might be missing from the Estonian Cancer Registry (ECR). The aim of this study was to evaluate the completeness of reporting of childhood cancer cases to the ECR and its impact on the estimates of cancer incidence and survival. All cases of benign and malignant tumours, diagnosed in 2000-2011 among children aged 0-17 years and eligible for registration in the ECR, were included in the study. Completeness of reporting was evaluated for cases aged 0-17 years, and incidence and survival were analysed for cases aged 0-14 for international comparisons. The total number of new cancer cases increased from 459 to 515. Overall completeness of case ascertainment was estimated to be 89.5%. After adding the missing cases, the overall incidence rate increased from 12.9 to 14.9/100 000 (from 3.4 to 4.7 for leukaemias). The 2010-2014 period estimate of the 5-year survival increased from 70 to 76% for all sites combined and from 71 to 82% for leukaemias. In conclusion, the under-reporting of nonfatal childhood cancer cases to the ECR had an important impact on incidence and survival rates, causing a considerable underestimation of both.

  17. Chandra Independently Determines Hubble Constant

    NASA Astrophysics Data System (ADS)

    2006-08-01

    light years from Earth. These results do not rely on the traditional distance ladder. Bonamente and his colleagues find the Hubble constant to be 77 kilometers per second per megaparsec (a megaparsec is equal to 3.26 million light years), with an uncertainty of about 15%. This result agrees with the values determined using other techniques. The Hubble constant had previously been found to be 72, give or take 8, kilometers per second per megaparsec based on Hubble Space Telescope observations. The new Chandra result is important because it offers the independent confirmation that scientists have been seeking and fixes the age of the Universe between 12 and 14 billion years. Chandra X-ray Image of CL J1226.9+3332 Chandra X-ray Image of CL J1226.9+3332 "These new results are entirely independent of all previous methods of measuring the Hubble constant," said team member Marshall Joy also of MSFC. The astronomers used a phenomenon known as the Sunyaev-Zeldovich effect, where photons in the cosmic microwave background (CMB) interact with electrons in the hot gas that pervades the enormous galaxy clusters. The photons acquire energy from this interaction, which distorts the signal from the microwave background in the direction of the clusters. The magnitude of this distortion depends on the density and temperature of the hot electrons and the physical size of the cluster. Using radio telescopes to measure the distortion of the microwave background and Chandra to measure the properties of the hot gas, the physical size of the cluster can be determined. From this physical size and a simple measurement of the angle subtended by the cluster, the rules of geometry can be used to derive its distance. The Hubble constant is determined by dividing previously measured cluster speeds by these newly derived distances. Chandra X-ray Image of Abell 1689 Chandra X-ray Image of Abell 1689 This project was championed by Chandra's telescope mirror designer, Leon Van Speybroeck, who passed

  18. International conference on Functional Materials and Nanotechnologies (FM&NT-2013), 21-24 April 2013, Tartu, Estonia

    NASA Astrophysics Data System (ADS)

    Nõmmiste, Ergo; Kirm, Marco; Plank, Toomas

    2014-04-01

    The annual international conference Functional Materials and Nanotechnologies (FM&NT) was started in 2006 by scientists from the Institute of Solid State Physics, University of Latvia. The warm welcome and open atmosphere of this scientific conference has turned it into an event where people from different countries and different fields come and meet under the shared umbrella of functional materials and nanotechnology. It is particularly important for early stage scientists who are looking for new knowledge and contacts with people from various fields to build their own network. Our Latvian colleagues, with their success in internationalization, made us neighbouring Estonians so jealous that we could not help but propose organising the conference every second year in Estonia. In a way, this conference is a continuation of the idea of the famous Baltic seminars which took place over several decades in the last century. Due to political constraints, these seminars were only open to scientists of former Eastern Europe countries, but had a great popularity and attendance from over the whole Soviet Union. Many collaborations started from the initial personal contact between scientists at these twice yearly seminars, held alternately in Latvia and Estonia. At the FM&NT 2012 conference, the decision was made that Institute of Physics, University of Tartu would organise the next event in Tartu in 2013. FM&NT-2013 was hence held in Tartu (Estonia) from 21-24 April 2013 at the Dorpat Conference Centre. The main selected topics of the conference were: (i) multifunctional materials, (ii) nanomaterials, (iii) materials for sustainable energy applications and (vi) theory. Additionally, the focus in this conference was on studies with the help of synchrotron radiation and other novel light sources such as free electron lasers. The conference provided an opportunity for 300 scientists from 21 countries to meet, establish contacts, exchange knowledge and discuss their research

  19. Morning blood pressure surge and arterial stiffness in newly diagnosed hypertensive patients.

    PubMed

    Kıvrak, Ali; Özbiçer, Süleyman; Kalkan, Gülhan Yüksel; Gür, Mustafa

    2017-06-01

    We aimed to investigate the relationship between the morning blood pressure (BP) surge and arterial stiffness in patients with newly diagnosed hypertension. Three hundred and twenty four (mean age 51.7 ± 11.4 years) patients who had newly diagnosed hypertension with 24 h ambulatory BP monitoring were enrolled. Parameters of arterial stiffness, pulse wave velocity and augmentation index (Aix) were measured by applanation tonometry and aortic distensibility was calculated by echocardiography. Compared with the other groups, pulse wave velocity, day-night systolic BP (SBP) difference (p < 0.001, for all) and hs-CRP (p = 0.005) were higher in morning BP surge high group. Aortic distensibility values were significantly lower in morning BP surge high group compared to the other groups (p < 0.05, for all). Morning BP surge was found to be independently associated with pulse wave velocity (β = 0.286, p < 0.001), aortic distensibility (β= -0.384, p < 0.001) and day-night SBP difference (β = 0.229, p < 0.001) in multivariate linear regression analysis. We found independent relationship between morning BP surge and arterial stiffness which is a surrogate endpoint for cardiovascular diseases. The inverse relationship between morning BP surge and aortic distensibility and direct relation found in our study is new to the literature.

  20. Satisfaction with antiepileptic drugs in children and adolescents with newly diagnosed and chronic epilepsy.

    PubMed

    Beghi, Ettore; Messina, Paolo; Pupillo, Elisabetta; Crichiutti, Giovanni; Baglietto, Maria Giuseppina; Veggiotti, Pierangelo; Zamponi, Nelia; Casellato, Susanna; Margari, Lucia; Cianchetti, Carlo

    2012-06-01

    To assess incidence, indicators and outcome of satisfaction with antiepileptic drugs in children. Multicenter, observational, open, prospective survey of children and adolescents with epilepsy with three-month follow-up. Included were patients aged 3-17 years with newly diagnosed ("new diagnosis") or chronic epilepsy ("old diagnosis") requiring treatment start or change. Satisfaction was assessed with the Hedonic Visual Scale or direct questions, depending on patient's age. Quality of life of adolescents (QOLIE-48) and of caregivers (SF-36) and predictors of (dis)satisfaction were also assessed. 293 patients completed the study. Most had generalized idiopathic epilepsy, and a disease lasting <12 months. Newly diagnosed patients were 60.8%. Patients declaring satisfaction were 70.6% at one month and 75.8% at three months. Compared to old diagnosis, new diagnosis carried a higher satisfaction rate and improved satisfaction at end of follow-up. Independent predictors of dissatisfaction were an old diagnosis, adverse events and SF-36 score. The latter remained the only independent predictor of persisting dissatisfaction when adjusting for the presence of and the interaction with adverse events. About one-fourth of children and adolescents with epilepsy are dissatisfied with treatment. Chronic epilepsy, adverse events, and parents/caregivers with poor quality of life predict dissatisfaction. Copyright © 2012 Elsevier B.V. All rights reserved.

  1. 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.

  2. Climate parameters of Estonia and the Baltic Sea region derived from the high-resolution reanalysis database BaltAn65+

    NASA Astrophysics Data System (ADS)

    Männik, Aarne; Zirk, Marko; Rõõm, Rein; Luhamaa, Andres

    2015-10-01

    The high-resolution reanalysis data-base BaltAn65+ covers the period of 1965-2005. Here, this dataset is used to derive essential climate parameters for the Baltic Sea region and Estonia. In particular, monthly mean temperature and total precipitation are calculated and a trend analysis is performed to analyze the temporal evolution of these climatological parameters during the reanalysis period. Monthly, seasonal, and annual maps of the climate characteristics, including trend maps, are created for the Baltic Sea region. Time series of monthly and annually averaged temperature and precipitation sum are presented over the Baltic Sea and Estonian domains together with fitted linear trends and trend significance analysis. Then, comparison with an observational database is performed to assess the quality of the reanalysis database. Additionally, the time series are compared with official climate normals for the period of 1971-2000, as calculated by the Estonian Environment Agency (EtEA). Findings of other publications in the scientific literature dealing with the climate of similar time period for Estonia and the Baltic Sea region are discussed. The quality of the BaltAn65+ reanalysis is found to be generally good for temperature but weak for precipitation.

  3. Acute de novo Leukemia in Estonia and Western Sweden 1982-2006: Positive Trend in the Survival of Acute Leukemia over 25 Years.

    PubMed

    Hulegårdh, Erik; Punab, Mari; Holmberg, Erik; Palk, Katrin; Laane, Edward; Everaus, Hele; Wennström, Lovisa; Stockelberg, Dick

    2016-01-01

    This study focuses on the incidence, treatment, and survival of de novo acute leukemia in a 25-year perspective in western Sweden and Estonia. At the beginning of our study, Estonia was a part of the Eastern bloc with planned economy, but since 1991 it is a member of the European Union and transforming into a market economy. Survival rates have steadily increased in both countries. However, a gap between their survival curves remains. Based on our data, it is difficult to explain the big difference in the 5-year relative survival in favor of western Sweden (55 vs. 22%). In Germany, there was a big difference in overall cancer survival between East and West Germany after the fall of the iron curtain, but today no difference is seen. Differences in survival are probably due to a higher proportion of intense chemotherapy regimens and a higher rate of hematopoietic stem cell transplantations in Sweden. Other important factors might be better supportive care and diagnostics as well as better adjuvant therapy. Better staff training and conditions in wards are also factors that might play an essential role.

  4. 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…

  5. An analysis of delegation styles among newly qualified nurses.

    PubMed

    Magnusson, Carin; Allan, Helen; Horton, Khim; Johnson, Martin; Evans, Karen; Ball, Elaine

    2017-02-15

    Aim The aim of this research was to explore how newly qualified nurses learn to organise, delegate and supervise care in hospital wards when working with and supervising healthcare assistants. It was part of a wider UK research project to explore how newly qualified nurses recontextualise the knowledge they have gained during their pre-registration nurse education programmes for use in clinical practice. Method Ethnographic case studies were conducted in three hospital sites in England. Data collection methods included participant observations and semi-structured interviews with newly qualified nurses, healthcare assistants and ward managers. A thematic analysis was used to examine the data collected. Findings Five styles of how newly qualified nurses delegated care to healthcare assistants were identified: the do-it-all nurse, who completes most of the work themselves; the justifier, who over-explains the reasons for decisions and is sometimes defensive; the buddy, who wants to be everybody's friend and avoids assuming authority; the role model, who hopes that others will copy their best practice but has no way of ensuring how; and the inspector, who is acutely aware of their accountability and constantly checks the work of others. Conclusion Newly qualified nurses require educational and organisational support to develop safe and effective delegation skills, because suboptimal or no delegation can have negative effects on patient safety and care.

  6. Evaluation of symptom presentation in dyspeptic patients referred for upper gastrointestinal endoscopy in Estonia.

    PubMed

    Kolk, Helgi

    2004-10-01

    To investigate the structure of dyspeptic symptoms and determine the association between dyspeptic symptoms and endoscopic findings in patients referred for upper gastrointestinal endoscopy by family physicians in a country with a high prevalence of Helicobacter pylori infection. Consecutive outpatients (n=172; median 36 years, range 18-75; 85 male; 87 female) were referred to upper gastrointestinal endoscopy. Patient history was recorded prior to upper gastrointestinal endoscopy using the computer-aided Glasgow Diagnostic System for Dyspepsia (GLADYS). Family physicians used open access endoscopy with a short waiting list. Two biopsies, both from the antrum and the corpus, were taken for histological assessment. Out of the 172 patients studied, 81% (n=139) were H. pylori positive, 65% (n=112) were younger than 45 years. The incidence of peptic ulcer was 44% (n=75). Upper abdominal pain was the predominant complaint in 73% (n=126) of the patients, as well as the most frequent overall complaint. Hunger pain, night pain, periodical nature of symptoms, and history over 2 years were of independent value in differentiating between peptic ulcer and functional dyspepsia. The symptoms of gastroesophageal reflux disease and irritable bowel syndrome predominated in the minority of patients (11% and 5% respectively) but accompanied other complaints in almost 2/3 of the patients. In 32 out of 75 patients with peptic ulcer, the symptoms of irritable bowel syndrome and in 29 cases the presence of frequent heartburn and regurgitation were noted. Classical symptoms are valuable in predicting the diagnosis of peptic ulcer. Heartburn and acid regurgitation are present in both gastroesophageal reflux disease and peptic ulcer. Irritable bowel syndrome is common in patients with peptic ulcer.

  7. Determination of drug information needs of health care professionals in Estonia.

    PubMed

    Raal, Ain; Fischer, Krista; Irs, Alar

    2006-01-01

    To determine the current sources and perceived needs of drug information among Estonian physicians and pharmacists. METHODS. A survey was conducted among 2000 health care professionals subscribing to a drug information bulletin. The questionnaire addressed the most important areas of drug information for the respondent, the areas of drug information most difficult to access, the main sources of drug information currently used, the quality of information received from the representatives of drug manufacturers, and the need for an independent drug information center (DIC). A total of 457 (23%) questionnaires were returned. Of all the respondents, 82% were physicians and 18%--pharmacists. More than half of respondents (59%) had over 20 years, 30% had 10-20, and 11% up to 10 years of professional experience. The most important areas of information identified by the respondents were pharmacological action, indications, dosing, and contraindications. The same were considered to be the most difficult areas to find data about. The main sources of drug information were datasheet compendium Pharmaca Estica, specialty handbooks, medical journals, and drug manufacturers' representatives. Manufacturers' representatives provided mainly data about pharmacological action, indications, and dosing (respectively, 66, 64, and 58% of respondents always got this information). Most respondents (89%) considered the information from the manufacturers sufficient; 88% of respondents still considered a drug information center necessary. The most important areas of drug information (pharmacological action, indications, dosing, and contraindications), the areas difficult to access (medical questions of use in the elderly, drug interactions, use during pregnancy and lactation), the main sources of drug information (Pharmaca Estica, specialty handbooks, medical journals, etc.) and the most favored ways of getting information from the drug information center (by phone, by e-mail) were determined

  8. Business Plans in the Newly Independent States of the Former Soviet Union. Digest Number 97-7.

    ERIC Educational Resources Information Center

    Shipilov, Andrew

    The concept of business planning is new to business professionals in the states of the former Soviet Union. Although Russian publications on business and economics have responded to the increased demand for knowledge of business planning, Western ideas of business planning should be integrated into Russian business management concepts in order to…

  9. Health hazard evaluation report HETA 90-168-2248, Independence Police Department Indoor Range, Independence, Missouri

    SciTech Connect

    Rinehart, R.D.; Almaguer, D.; Klein, M.K.; Crouch, K.G.

    1992-08-01

    On February 14, 1990, the National Institute for Occupational Safety and Health (NIOSH) received a request from a management representative of the Independence, Missouri, Police Department Headquarters for a Health Hazard Evaluation. The Police Department requested NIOSH to evaluate the effectiveness of a newly redesigned air handling system installed inside their indoor firing range. On August 6, 1991, NIOSH investigators met with the firing range supervisor and toured the facility. On August 8, ten personal breathing-zone (PBZ) air samples and 3 area air samples were collected on filters inside the range and the filters were subsequently analyzed for lead by atomic absorption spectroscopy (AAS). Surface lead contamination inside the firing range was measured in two locations and hand (dermal) lead contamination was measured on two instructors and two field officers. These samples were also analyzed for lead by AAS.

  10. Characteristics of newly-formed cementum following Emdogain application.

    PubMed

    Al-Hezaimi, Khalid; Al-Askar, Mansour; Al-Rasheed, Abdulaziz

    2011-01-01

    Periodontal regenerative techniques have been proposed; however, the outcomes remain debatable. The present investigation assessed the regenerated cementum following enamel matrix derivative application in dehiscence-type defects. Buccal osseous dehiscences were surgically created on the maxillary cuspid, and the second and fourth premolars in five female beagle dogs. The treatment group (n = 15 sites) received the enamel matrix derived application, whereas the control groups (n = 15) did not. The dogs were sacrificed 4 months following treatment and the specimens were histologically and histometrically examined. The newly formed cementum was uneven in thickness and mineralization, overlapped the old cementum and exhibited functional orientation, cementocyte lacunae and collagen fibril bundles. Most of the histological specimens showed the presence of a gap between the newly formed cementum and the underlying dentin. Control sites did not exhibit any cementum formation. The present study concluded that newly formed cementum is of cellular type and exhibits multiple characteristics.

  11. Characteristics of newly-formed cementum following emdogain application

    PubMed Central

    Al-Hezaimi, Khalid; Al-Askar, Mansour; Al-Rasheed, Abdulaziz

    2011-01-01

    Periodontal regenerative techniques have been proposed; however, the outcomes remain debatable. The present investigation assessed the regenerated cementum following enamel matrix derivative application in dehiscence-type defects. Buccal osseous dehiscences were surgically created on the maxillary cuspid, and the second and fourth premolars in five female beagle dogs. The treatment group (n=15 sites) received the enamel matrix derived application, whereas the control groups (n=15) did not. The dogs were sacrificed 4 months following treatment and the specimens were histologically and histometrically examined. The newly formed cementum was uneven in thickness and mineralization, overlapped the old cementum and exhibited functional orientation, cementocyte lacunae and collagen fibril bundles. Most of the histological specimens showed the presence of a gap between the newly formed cementum and the underlying dentin. Control sites did not exhibit any cementum formation. The present study concluded that newly formed cementum is of cellular type and exhibits multiple characteristics. PMID:21449212

  12. People newly in love are more responsive to positive feedback.

    PubMed

    Brown, Cassandra L; Beninger, Richard J

    2012-06-01

    Passionate love is associated with increased activity in dopamine-rich regions of the brain. Increased dopamine in these regions is associated with a greater tendency to learn from reward in trial-and-error learning tasks. This study examined the prediction that individuals who were newly in love would be better at responding to reward (positive feedback). In test trials, people who were newly in love selected positive outcomes significantly more often than their single (not in love) counterparts but were no better at the task overall. This suggests that people who are newly in love show a bias toward responding to positive feedback, which may reflect a general bias towards reward-seeking.

  13. Multimorbidity and COPD Medication Receipt Among Medicaid Beneficiaries With Newly Diagnosed COPD.

    PubMed

    Ajmera, Mayank; Sambamoorthi, Usha; Metzger, Aaron; Dwibedi, Nilanjana; Rust, George; Tworek, Cindy

    2015-11-01

    Multimorbidity is highly prevalent among patients with COPD. The association between multimorbidity and COPD medication management is not well researched. The aim of this study was to examine the association between multimorbidity and COPD medication receipt among Medicaid beneficiaries with newly diagnosed COPD. A retrospective longitudinal dynamic cohort design was used, and data were extracted from Medicaid Analytic eXtract files from 2005 to 2008. Medicaid beneficiaries with newly diagnosed COPD (N = 19,060) were identified using the International Classification of Diseases, 9th Revision, Clinical Modification, for COPD. This code (for commonly co-occurring conditions with COPD) was used to create a multimorbidity variable. These conditions included anxiety, arthritis, bipolar disorder, cardiovascular diseases, depression, diabetes, hypertension, hyperlipidemia osteoporosis, and schizophrenia. Medicaid beneficiaries with newly diagnosed COPD were categorized as: (1) physical multimorbidity only, (2) psychiatric multimorbidity only, (3) both physical and psychiatric multimorbidity, and (4) no multimorbidity. Receipt of COPD medications (short- or long-acting bronchodilators, inhaled corticosteroids) was identified using National Drug Codes. Bivariate relationships between multimorbidity and COPD medication receipt were tested using the chi-square test of independence. The associations between multimorbidity and COPD medication receipt were analyzed with logistic and multinomial logistic regression analyses. Among Medicaid beneficiaries with newly diagnosed COPD, 81.9% had at least one co-occurring chronic condition. After controlling for subject characteristics, adults with multimorbidity were less likely to receive COPD medications compared with those without any inflammation-related multimorbidity. For example, those with physical multimorbidity were less likely to receive short-acting bronchodilators (adjusted odds ratio [OR] 0.76, 95% CI 0.69-0.83), long

  14. 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

  15. 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

  16. Prevalence of drug resistance mutations in HAART patients infected with HIV-1 CRF06_cpx in Estonia.

    PubMed

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

    2016-03-01

    HIV-1 drug resistance mutations (DRMs) and substitutions were assessed after the failure of the first line non-nucleoside reverse transcriptase inhibitors (NNRTIs) + 2 nucleoside/nucleotide reverse transcriptase inhibitors (NRTIs) treatment regimens (efavirenz [EFV] + lamivudine[3TC] + zidovudine [ZDV] vs. EFV + 3TC + ddI) among the HIV-1 CRF06_cpx infected subjects in Estonia. HIV-1 genomic RNA was sequenced; DRMs and amino acid substitutions were compared in 44 treatment naïve and 45 first-line NNRTI + 2 NRTI treatment failed patients consisting of EFV + 3TC + ZDV (n = 17) and EFV + 3TC + didanosine[ddI] (n = 21) therapy failed sub-populations. At least one DRM was found in 78% of treatment experienced patients. The most common NRTI mutations were M184V (80%), L74V (31%), L74I (17%), K219E (9%), and M184I (9%), NNRTI mutations were K103N (83%), P225H (14%), L100I (11%), and Y188L (11%), reflecting generally the similar pattern of DRMs to that seen in treatment failed subtype B viruses. Sub-population analysis revealed that EFV + 3TC + ddI failed patients had more DRMs compared to EFV + 3TC + ZDV failed patients, especially the ddI DRM L74IV and several additional NNRTI DRMs. Additionally, CRF06_cpx specific mutation E179V and substitutions R32K, K122E, and V200AE were also detected in treatment experienced population. After the failure of the first-line EFV + 3TC + ddI therapy HIV-1 CRF06_cpx viruses develop additional NRTI and NNRTI mutations compared to EFV + 3TC + ZDV regimen. Therefore the usage of EFV + 3TC + ddI in this subtype decreases the options for next regimens containing abacavir, and NNRTI class agents.

  17. 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

  18. A lower baseline glomerular filtration rate predicts high mortality and newly cerebrovascular accidents in acute ischemic stroke patients

    PubMed Central

    Dong, Kai; Huang, Xiaoqin; Zhang, Qian; Yu, Zhipeng; Ding, Jianping; Song, Haiqing

    2017-01-01

    Abstract Chronic kidney disease (CKD) is gradually recognized as an independent risk factor for cardiovascular and cardio-/cerebrovascular disease. This study aimed to examine the association of the estimated glomerular filtration rate (eGFR) and clinical outcomes at 3 months after the onset of ischemic stroke in a hospitalized Chinese population. Totally, 972 patients with acute ischemic stroke were enrolled into this study. Modified of Diet in Renal Disease (MDRD) equations were used to calculate eGFR and define CKD. The site and degree of the stenosis were examined. Patients were followed-up for 3 months. Endpoint events included all-cause death and newly ischemic events. The multivariate logistic model was used to determine the association between renal dysfunction and patients’ outcomes. Of all patients, 130 patients (13.4%) had reduced eGFR (<60 mL/min/1.73 m2), and 556 patients had a normal eGFR (≥90 mL/min/1.73 m2). A total of 694 patients suffered from cerebral artery stenosis, in which 293 patients only had intracranial artery stenosis (ICAS), 110 only with extracranial carotid atherosclerotic stenosis (ECAS), and 301 with both ICAS and ECAS. The patients with eGFR <60 mL/min/1.73m2 had a higher proportion of death and newly ischemic events compared with those with a relatively normal eGFR. Multivariate analysis revealed that a baseline eGFR <60 mL/min/1.73 m2 increased the risk of mortality by 3.089-fold and newly ischemic events by 4.067-fold. In further analysis, a reduced eGFR was associated with increased rates of mortality and newly events both in ICAS patients and ECAS patients. However, only an increased risk of newly events was found as the degree of renal function deteriorated in ICAS patients (odds ratio = 8.169, 95% confidence interval = 2.445–14.127). A low baseline eGFR predicted a high mortality and newly ischemic events at 3 months in ischemic stroke patients. A low baseline eGFR was also a strong independent

  19. A lower baseline glomerular filtration rate predicts high mortality and newly cerebrovascular accidents in acute ischemic stroke patients.

    PubMed

    Dong, Kai; Huang, Xiaoqin; Zhang, Qian; Yu, Zhipeng; Ding, Jianping; Song, Haiqing

    2017-02-01

    Chronic kidney disease (CKD) is gradually recognized as an independent risk factor for cardiovascular and cardio-/cerebrovascular disease. This study aimed to examine the association of the estimated glomerular filtration rate (eGFR) and clinical outcomes at 3 months after the onset of ischemic stroke in a hospitalized Chinese population.Totally, 972 patients with acute ischemic stroke were enrolled into this study. Modified of Diet in Renal Disease (MDRD) equations were used to calculate eGFR and define CKD. The site and degree of the stenosis were examined. Patients were followed-up for 3 months. Endpoint events included all-cause death and newly ischemic events. The multivariate logistic model was used to determine the association between renal dysfunction and patients' outcomes.Of all patients, 130 patients (13.4%) had reduced eGFR (<60 mL/min/1.73 m), and 556 patients had a normal eGFR (≥90 mL/min/1.73 m). A total of 694 patients suffered from cerebral artery stenosis, in which 293 patients only had intracranial artery stenosis (ICAS), 110 only with extracranial carotid atherosclerotic stenosis (ECAS), and 301 with both ICAS and ECAS. The patients with eGFR <60 mL/min/1.73m had a higher proportion of death and newly ischemic events compared with those with a relatively normal eGFR. Multivariate analysis revealed that a baseline eGFR <60 mL/min/1.73 m increased the risk of mortality by 3.089-fold and newly ischemic events by 4.067-fold. In further analysis, a reduced eGFR was associated with increased rates of mortality and newly events both in ICAS patients and ECAS patients. However, only an increased risk of newly events was found as the degree of renal function deteriorated in ICAS patients (odds ratio = 8.169, 95% confidence interval = 2.445-14.127).A low baseline eGFR predicted a high mortality and newly ischemic events at 3 months in ischemic stroke patients. A low baseline eGFR was also a strong independent predictor for newly

  20. Cross-Linking Mast Cell Specific Gangliosides Stimulates the Release of Newly Formed Lipid Mediators and Newly Synthesized Cytokines.

    PubMed

    Filho, Edismauro Garcia Freitas; da Silva, Elaine Zayas Marcelino; Zanotto, Camila Ziliotto; Oliver, Constance; Jamur, Maria Célia

    2016-01-01

    Mast cells are immunoregulatory cells that participate in inflammatory processes. Cross-linking mast cell specific GD1b derived gangliosides by mAbAA4 results in partial activation of mast cells without the release of preformed mediators. The present study examines the release of newly formed and newly synthesized mediators following ganglioside cross-linking. Cross-linking the gangliosides with mAbAA4 released the newly formed lipid mediators, prostaglandins D2 and E2, without release of leukotrienes B4 and C4. The effect of cross-linking these gangliosides on the activation of enzymes in the arachidonate cascade was then investigated. Ganglioside cross-linking resulted in phosphorylation of cytosolic phospholipase A2 and increased expression of cyclooxygenase-2. Translocation of 5-lipoxygenase from the cytosol to the nucleus was not induced by ganglioside cross-linking. Cross-linking of GD1b derived gangliosides also resulted in the release of the newly synthesized mediators, interleukin-4, interleukin-6, and TNF-α. The effect of cross-linking the gangliosides on the MAP kinase pathway was then investigated. Cross-linking the gangliosides induced the phosphorylation of ERK1/2, JNK1/2, and p38 as well as activating both NFκB and NFAT in a Syk-dependent manner. Therefore, cross-linking the mast cell specific GD1b derived gangliosides results in the activation of signaling pathways that culminate with the release of newly formed and newly synthesized mediators.

  1. Middle Leadership and Its Challenges: A Case Study in the Secondary Independent Sector

    ERIC Educational Resources Information Center

    Irvine, Paul; Brundrett, Mark

    2016-01-01

    This article presents initial findings from a case study of the challenges facing newly appointed middle leaders in an independent school in the North West of England. The research approach has included interviews with twenty-five staff from within the school. It was observed that the skills set needed for middle leadership is different to that of…

  2. Middle Leadership and Its Challenges: A Case Study in the Secondary Independent Sector

    ERIC Educational Resources Information Center

    Irvine, Paul; Brundrett, Mark

    2016-01-01

    This article presents initial findings from a case study of the challenges facing newly appointed middle leaders in an independent school in the North West of England. The research approach has included interviews with twenty-five staff from within the school. It was observed that the skills set needed for middle leadership is different to that of…

  3. Physicians' views on the role of smoking in smoking-related diseases: findings from cross-sectional studies from 1982-2014 in Estonia.

    PubMed

    Pärna, Kersti; Põld, Mariliis; Ringmets, Inge

    2017-01-01

    Previous reports have shown that physicians who smoke underestimate the effects of smoking on health and this influences their practice. This study was designed to investigate the views of Estonian physicians on the role of smoking in smoking-related diseases. Cross-sectional postal surveys were sent to all practising physicians in Estonia in 1982, 2002 and 2014 providing data from 3504, 2694, and 2865 physicians respectively. Data analysis involved calculation of the prevalence of smoking with 95% confidence intervals and calculation of the prevalence of agreement with a causal role of smoking in ischaemic heart disease (IHD), lung cancer and chronic bronchitis. Logistic regression was used to analyse associations between agreement with the statements that smoking is a cause of IHD, lung cancer, chronic bronchitis and study year, smoking status, age group and ethnicity. Fully adjusted odds ratios with 95% confidence intervals were calculated. The age-standardized prevalence of current smoking among men decreased from 39.6% in 1982 to 14.2% in 2014, and among women from 12.4 to 5.1%, respectively. Compared with 1982, the proportion of physicians agreeing with statements that smoking is a major cause or one of the causes of IHD, lung cancer, or chronic bronchitis was significantly higher in 2002 and 2014. Past and never smokers were more likely to admit a causal role of smoking in lung cancer than smokers. Agreement with a causal role of smoking in IHD and chronic bronchitis was significantly higher among never and past smoking women only. Compared with non-Estonians, the odds ratio indicating agreement with all three statements was significantly higher among Estonians. From 1982 to 2014, physicians' attitudes towards the health risks of smoking improved in Estonia. However, their assessment of a causal role of smoking in smoking-related diseases was related to their own smoking habits and ethnicity. A further decline in smoking among Estonian physicians would

  4. Nuclear reaction effects in use of newly recommended quality factor

    NASA Technical Reports Server (NTRS)

    Shinn, Judy L.; Wilson, John W.

    1991-01-01

    The biological risk for energetic ion exposure cannot be reliably estimated exclusive of the target nuclear reaction products produced within the local tissue. A theoretical basis is derived for evaluating target fragment contributions that are evaluated for the newly proposed quality factor.

  5. 30 CFR 46.6 - Newly hired experienced miner training.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Newly hired experienced miner training. 46.6 Section 46.6 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING TRAINING AND RETRAINING OF MINERS ENGAGED IN SHELL DREDGING OR EMPLOYED AT SAND, GRAVEL, SURFACE...

  6. 30 CFR 46.6 - Newly hired experienced miner training.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Newly hired experienced miner training. 46.6 Section 46.6 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING TRAINING AND RETRAINING OF MINERS ENGAGED IN SHELL DREDGING OR EMPLOYED AT SAND, GRAVEL, SURFACE...

  7. Triadic Interaction among Newly Acquainted 2-Year-Olds

    ERIC Educational Resources Information Center

    Ishikawa, Fumiko; Hay, Dale F.

    2006-01-01

    Are children as young as 2 years old able to interact in groups of three? The study applied the family triad model first introduced by Parke, Power, and Gottman (1979) to the case of peer interaction. In Experiment 1, the model was refined for use in studies of peer interaction and applied to an existing dataset of 16 triads of newly acquainted…

  8. 21. Newly completed Lake Hodges Dam and Flume, 1919. Courtesy ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    21. Newly completed Lake Hodges Dam and Flume, 1919. Courtesy of the Mandeville Department of Special Collection, Central Library, University of California, San Diego. - Lake Hodges Flume, Along San Dieguito River between Lake Hodges & San Dieguito Reservoir, Rancho Santa Fe, San Diego County, CA

  9. 23. Cross section of newly completed concrete channel and trestle ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    23. Cross section of newly completed concrete channel and trestle supported steel flume, 1919. Courtesy of the Mandeville Department of Special Collections, Central Library, University of California, San Diego. - Lake Hodges Flume, Along San Dieguito River between Lake Hodges & San Dieguito Reservoir, Rancho Santa Fe, San Diego County, CA

  10. 26. View of fully flooded drydock with caisson opened. Newly ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    26. View of fully flooded drydock with caisson opened. Newly arrived submarine is being placed in position. Berthed submarine on right is same as that seen in photo WA-116-25. Camera is pointed S from bulkhead. - Puget Sound Naval Shipyard, Drydock No. 3, Farragut Avenue, Bremerton, Kitsap County, WA

  11. Superintendents' Perceptions of the Effectiveness of Newly Hired Principals

    ERIC Educational Resources Information Center

    Lehman, Lynn E.; Boyland, Lori G.; Sriver, Shawn K.

    2014-01-01

    This study investigates the frequency of research-based leadership strategies utilized by newly hired school principals in the workplace. Public school superintendents in Indiana were asked to respond to two open-ended research questions. Through the use of content analysis, their comments were coded for the occurrence of effective leadership…

  12. Expedient arrangement of newly constructed systems for centralized heat supply

    NASA Astrophysics Data System (ADS)

    Zeigarnik, Yu. A.; Rotinov, A. G.

    2008-11-01

    It is shown that for newly constructed combined-cycle cogeneration plants and nuclear cogeneration plants, the optimum arrangement of the centralized heat supply system is the combination of a cogeneration plant and a district heat-supply station (a boiler house).

  13. Health problems of newly arrived migrants and refugees in Europe.

    PubMed

    Pavli, Androula; Maltezou, Helena

    2017-07-01

    The number of migrants and refugees in Europe in the past few years has increased dramatically due to war, violence or prosecutions in their homeland. Migration may affect physical, mental and social health. The objective of this article is to assess migrants and refugees' health problems, and to recommend appropriate interventions. A PubMed search of published articles on health problems of newly arrived migrants and refugees was conducted from 2003 through 2016, focusing on the current refugee crisis in Europe. In addition to communicable diseases, such as respiratory, gastrointestinal and dermatologic infections, non-communicable diseases, including chronic conditions, mental and social problems, account for a significant morbidity burden in newly arrived migrants and refugees. Vaccine-preventable diseases are also of outmost importance. The appropriate management of newly arrived refugees and migrants' health problems is affected by barriers to access to health care including legal, communication, cultural and bureaucratic difficulties. There is diversity and lack of integration regarding health care provision across Europe due to policy differences between health care systems and social services. There is a notable burden of communicable and non-communicable diseases among newly arrived migrants and refugees. Provision of health care at reception and temporary centres should be integrated and provided by a multidisciplinary team Appropriate health care of migrants and refugees could greatly enhance their health and social status which will benefit also the host countries at large.

  14. Dilemmas of a Newly Recruited Academic Qualified Professor: A Case

    ERIC Educational Resources Information Center

    Agrawal, Anand

    2015-01-01

    This case describes the situation of a newly recruited academic professor who volunteered to teach a course on Research Methods to first-term MBA students in a practitioner-oriented case method Business School. Research Methods is a unique course due to its relevance not only in business but also across all graduate programs. Instructional and…

  15. Triadic Interaction among Newly Acquainted 2-Year-Olds

    ERIC Educational Resources Information Center

    Ishikawa, Fumiko; Hay, Dale F.

    2006-01-01

    Are children as young as 2 years old able to interact in groups of three? The study applied the family triad model first introduced by Parke, Power, and Gottman (1979) to the case of peer interaction. In Experiment 1, the model was refined for use in studies of peer interaction and applied to an existing dataset of 16 triads of newly acquainted…

  16. Costs of chronic disease management for newly insured adults.

    PubMed

    Gilmer, Todd

    2011-09-01

    Healthcare reform will result in substantial numbers of newly insured, low-income adults with chronic conditions. This paper examines the costs of a chronic disease management program among newly insured adults with diabetes and/or hypertension. Low-income adults with diabetes and/or hypertension were provided County-sponsored health insurance coverage and access to disease management. Health econometric methods were used to compare costs among participants in disease management to nonparticipants, both overall and in comparison between those who were newly insured versus previously insured under an alternative County-sponsored insurance product. Costs were also compared between those who qualified for County-sponsored coverage due to diabetes versus hypertension. Annual inpatient costs were $1260 lower, and outpatient costs were $723 greater, among participants in disease management (P<0.001 each). Participants in disease management without previous County-sponsored coverage had higher pharmacy costs ($154, P=0.002) than nonparticipants; whereas participants with diabetes had marginally significant lower overall costs compared with nonparticipants ($-685, P=0.070). Disease management was successful in increasing the use of outpatient services among participants. The offsetting costs of the program suggest that disease management should be considered for some newly insured populations, especially for adults with diabetes.

  17. Young Infants Encode Lexical Stress in Newly Encountered Words

    ERIC Educational Resources Information Center

    Curtin, Suzanne

    2010-01-01

    In this study, we examined the nature of infants' representations of newly encountered word forms. Using a word-object association task, we taught 14-month-olds novel three-syllable words differing in segments and stress patterns. At test, we manipulated the stress pattern of the word or the position of the stressed syllable in the word. Our…

  18. Disseminated mucormycosis in an adolescent with newly diagnosed diabetes mellitus.

    PubMed

    McCrory, Michael C; Moore, Blake A; Nakagawa, Thomas A; Givner, Laurence B; Jason, Donald R; Palavecino, Elizabeth L; Ajizian, Samuel J

    2014-10-01

    We report a 16-year-old, previously healthy female who presented with disseminated mucormycosis leading to multiorgan failure and death with newly diagnosed type 1 diabetes mellitus and ketoacidosis. We review previous reported cases of mucormycosis in children with diabetes to demonstrate that this uncommon invasive infection may cause significant morbidity and mortality in this population.

  19. Self-Regulation in Newly Arrived International Adoptees

    ERIC Educational Resources Information Center

    Tirella, Linda Grey; Miller, Laurie C.

    2011-01-01

    Many newly arrived international adoptees (IA) have difficulties with eating, sleeping, and self-soothing/self-stimulating (SS) behaviors. However, to date the prevalence of these problems and associated risk factors have not been clearly identified. Therefore, we proposed to evaluate 387 IA for the presence of these self-regulation and behavioral…

  20. Enhancing the Employability of Newly Qualified Nurses: A Pilot Study

    ERIC Educational Resources Information Center

    Dray, Beattie; Burke, Linda; Hurst, Heather M.; Ferguson, Anne; Marks-Maran, Diane

    2011-01-01

    Vocationally based higher education programmes are meant to prepare people for employment in their chosen fields of study. In nursing, historically, employment after qualifying has been almost assured, with sufficient vacancies available for newly qualified nurses. Recently, however, for a number of reasons, primarily related to economic…

  1. Dilemmas of a Newly Recruited Academic Qualified Professor: A Case

    ERIC Educational Resources Information Center

    Agrawal, Anand

    2015-01-01

    This case describes the situation of a newly recruited academic professor who volunteered to teach a course on Research Methods to first-term MBA students in a practitioner-oriented case method Business School. Research Methods is a unique course due to its relevance not only in business but also across all graduate programs. Instructional and…

  2. Field Performance of a Newly Developed Upflow Filtration Device

    EPA Science Inventory

    The objective of this research is to examine the removal capacities of a newly developed Upflow filtration device for treatment of stormwater. The device was developed by engineers at the University of Alabama through a Small Business Innovative Research (SBIR) grant from the U....

  3. Who Is Doing Well? A Typology of Newly Homeless Adolescents

    ERIC Educational Resources Information Center

    Milburn, Norweeta; Liang, Li-Jung; Lee, Sung-Jae; Rotheram-Borus, Mary Jane; Rosenthal, Doreen; Mallett, Shelley; Lightfoot, Marguerita; Lester, Patricia

    2009-01-01

    There is growing evidence to support developing new typologies for homeless adolescents. Current typologies focus on the risks associated with being homeless, with less consideration of the positive attributes of homeless adolescents. The authors examined both risk and protective factors in a sample of newly homeless adolescents. Using cluster…

  4. Oral Definitions of Newly Learned Words: An Error Analysis

    ERIC Educational Resources Information Center

    Steele, Sara C.

    2012-01-01

    This study examined and compared patterns of errors in the oral definitions of newly learned words. Fifteen 9- to 11-year-old children with language learning disability (LLD) and 15 typically developing age-matched peers inferred the meanings of 20 nonsense words from four novel reading passages. After reading, children provided oral definitions…

  5. Surface Erosion Control Techniques on Newly Constructed Forest Roads

    Treesearch

    Johnny M. Grace; John Wilhoit; Robert Rummer; Bryce Stokes

    1999-01-01

    A newly constructed forest road was treated with three erosion control treatments: wood excelsior erosion mat, native grass species, and exotic grass species. The study evaluates treatment methods on the basis of sediment reduction and runoff volume reduction compared to no treatment. The erosion mat treatment was most effective in mitigating erosion losses with a 98...

  6. Death Concerns among Individuals Newly Diagnosed with Lung Cancer

    ERIC Educational Resources Information Center

    Lehto, Rebecca; Therrien, Barbara

    2010-01-01

    Confronting the reality of death is an important challenge for individuals facing life-threatening illness such as lung cancer, the leading cause of cancer death. Few studies, however, document the nature of death-related concerns in individuals newly diagnosed with lung cancer. The aims of this exploratory study were to examine unsolicited…

  7. 30 CFR 46.6 - Newly hired experienced miner training.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Newly hired experienced miner training. 46.6 Section 46.6 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING TRAINING AND RETRAINING OF MINERS ENGAGED IN SHELL DREDGING OR EMPLOYED AT SAND, GRAVEL, SURFACE...

  8. 30 CFR 46.6 - Newly hired experienced miner training.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Newly hired experienced miner training. 46.6 Section 46.6 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING TRAINING AND RETRAINING OF MINERS ENGAGED IN SHELL DREDGING OR EMPLOYED AT SAND, GRAVEL, SURFACE...

  9. 30 CFR 46.6 - Newly hired experienced miner training.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Newly hired experienced miner training. 46.6 Section 46.6 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR EDUCATION AND TRAINING TRAINING AND RETRAINING OF MINERS ENGAGED IN SHELL DREDGING OR EMPLOYED AT SAND, GRAVEL, SURFACE...

  10. The newly filed patent applications for vaccines against staphylococcus aureus.

    PubMed

    Chang, Bao-Chi; Wang, Shyh-Jen

    2017-08-28

    Staphylococcus aureus (S. aureus) frequently causes life threatening disease. To release the threat, vaccine has been proposed as a preventive intervention against the cause. However, the development of the vaccines is still in early stages. Thus, highlighting the related newly filed patent applications would stimulate further developments.

  11. The Newly Qualified Teacher in the Working Community

    ERIC Educational Resources Information Center

    Nyman, Tarja

    2014-01-01

    Focusing on the working community, this article concentrates on the newly qualified foreign language teachers' (NQT) experiences and on factors that promoted or prevented the development of professional expertise at the outset of their working life. It draws on a qualitative longitudinal study conducted at the University of Jyväskylä, Finland,…

  12. Death Concerns among Individuals Newly Diagnosed with Lung Cancer

    ERIC Educational Resources Information Center

    Lehto, Rebecca; Therrien, Barbara

    2010-01-01

    Confronting the reality of death is an important challenge for individuals facing life-threatening illness such as lung cancer, the leading cause of cancer death. Few studies, however, document the nature of death-related concerns in individuals newly diagnosed with lung cancer. The aims of this exploratory study were to examine unsolicited…

  13. Information Centers for Newly Blind Persons in Israel.

    ERIC Educational Resources Information Center

    Dickstein, N.; Gozovsky, M.

    1994-01-01

    This article describes the development and implementation of an innovative program of information centers in Israel that is designed to identify newly blind persons and to give them first-hand information about available services, as well as to stimulate an awareness of rehabilitation services among medical personnel. (Author/DB)

  14. Young Infants Encode Lexical Stress in Newly Encountered Words

    ERIC Educational Resources Information Center

    Curtin, Suzanne

    2010-01-01

    In this study, we examined the nature of infants' representations of newly encountered word forms. Using a word-object association task, we taught 14-month-olds novel three-syllable words differing in segments and stress patterns. At test, we manipulated the stress pattern of the word or the position of the stressed syllable in the word. Our…

  15. Increased gluconeogenesis in youth with newly diagnosed type 2 diabetes

    USDA-ARS?s Scientific Manuscript database

    The role of increased gluconeogenesis as an important contributor to fasting hyperglycaemia at diabetes onset is not known. We evaluated the contribution of gluconeogenesis and glycogenolysis to fasting hyperglycaemia in newly diagnosed youths with type 2 diabetes following an overnight fast. Basal ...

  16. The Induction of Newly Qualified Teachers in Wales.

    ERIC Educational Resources Information Center

    Harper-Jones, Gillian

    1994-01-01

    Discusses the importance of sound induction programs for newly qualified teachers and reports on a survey of 61 primary and 36 secondary schools in Wales concerning their policies governing new teachers. The survey found that only 37% of the primary schools claimed to have an induction policy, compared with 83% of the secondary schools. (MDM)

  17. Response of Newly Established Slash Pine to Cultivation and Fertilization

    Treesearch

    A.E. Tiarks; J.D. Haywood

    1981-01-01

    Response of newly established slash pine to fertilization is increased if herbaceous plants are controlled. To find the amount of cultivation required in Louisiana, fertilized and unfertilized rows of planted pines were hand-hoed in a wedge-shaped pattern. By using this technique, the amount of cultivation was varied from none to complete. Slash pine growth was...

  18. Being a team leader: newly registered nurses relate their experiences.

    PubMed

    Ekström, Louise; Idvall, Ewa

    2015-01-01

    This paper presents a study that explores how newly qualified registered nurses experience their leadership role in the ward-based nursing care team. A nurse's clinical leadership affects the quality of care provided. Newly qualified nurses experience difficulties during the transition period from student to qualified professional and find it challenging to lead nursing care. Twelve nurses were interviewed and the transcribed texts analysed using qualitative content analysis to assess both manifest and latent content. Five themes were identified: feeling stranded; forming well-functioning teams; learning to lead; having the courage, strength, and desire to lead; and ensuring appropriate care. The findings indicate that many factors limit nurses' leadership but some circumstances are supportive. The leadership prerequisites for newly registered nurses need to improve, emphasizing different ways to create a supportive atmosphere that promotes professional development and job satisfaction. To increase nurse retention and promote quality of care, nurse managers need to clarify expectations and guide and support newly qualified nurses in a planned way. © 2013 John Wiley & Sons Ltd.

  19. Field Performance of a Newly Developed Upflow Filtration Device

    EPA Science Inventory

    The objective of this research is to examine the removal capacities of a newly developed Upflow filtration device for treatment of stormwater. The device was developed by engineers at the University of Alabama through a Small Business Innovative Research (SBIR) grant from the U....

  20. Oral Definitions of Newly Learned Words: An Error Analysis

    ERIC Educational Resources Information Center

    Steele, Sara C.

    2012-01-01

    This study examined and compared patterns of errors in the oral definitions of newly learned words. Fifteen 9- to 11-year-old children with language learning disability (LLD) and 15 typically developing age-matched peers inferred the meanings of 20 nonsense words from four novel reading passages. After reading, children provided oral definitions…

  1. Newly Generated Liquid Waste Processing Alternatives Study, Volume 1

    SciTech Connect

    Landman, William Henry; Bates, Steven Odum; Bonnema, Bruce Edward; Palmer, Stanley Leland; Podgorney, Anna Kristine; Walsh, Stephanie

    2002-09-01

    This report identifies and evaluates three options for treating newly generated liquid waste at the Idaho Nuclear Technology and Engineering Center of the Idaho National Engineering and Environmental Laboratory. The three options are: (a) treat the waste using processing facilities designed for treating sodium-bearing waste, (b) treat the waste using subcontractor-supplied mobile systems, or (c) treat the waste using a special facility designed and constructed for that purpose. In studying these options, engineers concluded that the best approach is to store the newly generated liquid waste until a sodium-bearing waste treatment facility is available and then to co-process the stored inventory of the newly generated waste with the sodium-bearing waste. After the sodium-bearing waste facility completes its mission, two paths are available. The newly generated liquid waste could be treated using the subcontractor-supplied system or the sodium-bearing waste facility or a portion of it. The final decision depends on the design of the sodium-bearing waste treatment facility, which will be completed in coming years.

  2. Genome Sequences of Newly Isolated Mycobacteriophages Forming Cluster S.

    PubMed

    Mills, Monique L; Bragg, Judd; Bruce, Asri; Dehn, Ari; Drouin, Jordan; Hefner, Morgan; Katon, Dylan; McHugh, Dustin; Zeba, Franck; Bowman, Charles A; Cresawn, Steven G; Jacobs-Sera, Deborah; Russell, Daniel A; Pope, Welkin H; Hatfull, Graham F; Dunbar, David A; Zegers, Gerard P; Page, Shallee T

    2016-09-29

    We describe the genomes of two mycobacteriophages, MosMoris and Gattaca, newly isolated on Mycobacterium smegmatis The two phages are very similar to each other, differing in 61 single nucleotide polymorphisms and six small insertion/deletions. Both have extensive nucleotide sequence similarity to mycobacteriophage Marvin and together form cluster S. Copyright © 2016 Mills et al.

  3. Genome Sequences of Newly Isolated Mycobacteriophages Forming Cluster S

    PubMed Central

    Mills, Monique L.; Bragg, Judd; Bruce, Asri; Dehn, Ari; Drouin, Jordan; Hefner, Morgan; Katon, Dylan; McHugh, Dustin; Zeba, Franck; Bowman, Charles A.; Cresawn, Steven G.; Jacobs-Sera, Deborah; Russell, Daniel A.; Pope, Welkin H.; Hatfull, Graham F.; Dunbar, David A.; Zegers, Gerard P.

    2016-01-01

    We describe the genomes of two mycobacteriophages, MosMoris and Gattaca, newly isolated on Mycobacterium smegmatis. The two phages are very similar to each other, differing in 61 single nucleotide polymorphisms and six small insertion/deletions. Both have extensive nucleotide sequence similarity to mycobacteriophage Marvin and together form cluster S. PMID:27688332

  4. Supporting Newly Hired Teachers of Science: Attaining Teacher Professional Standards

    ERIC Educational Resources Information Center

    Luft, Julie A.; Dubois, Shannon L.; Nixon, Ryan S.; Campbell, Benjamin K.

    2015-01-01

    National standards for teachers are becoming more common. For newly hired teachers of science (NHTS), these standards have implications for how they are prepared and supported in their early years. In order to guide educators who prepare and study teachers of science and support NHTS, this review examines 30 years of research pertaining to…

  5. Astronaut John Bull wears newly designed Apollo pressure suit

    NASA Technical Reports Server (NTRS)

    1968-01-01

    Astronaut John S. Bull checks mobility of the newly designed Apollo pressure suit which incorporates changes recommended by the Apollo 204 Review Board. The new suit has an outer layer of Beta Fabric, a non-flammable fiber glass cloth. This suit is scheduled for intra-vehicular wear.

  6. Stress, social support and negative affectivity in children with newly diagnosed cancer: a prospective transactional analysis.

    PubMed

    Varni, J W; Katz, E

    1997-12-01

    Conceptually-driven investigations on the potentially modifiable predictors of individual differences among children with newly-diagnosed cancer may facilitate the identification of pediatric cancer patients at risk for maladjustment during the profound adversity associated with this life-threatening disease and aversive biomedical treatment. Within a risk and resistance theoretical framework, perceived stress and social support were investigated concurrently and prospectively within an exploratory design as predictors of negative affectivity (anxiety and depressive symptoms composite construct) in newly-diagnosed pediatric cancer patients at Time 1 (within one month after diagnosis), Time 2 (6 months postdiagnosis), and Time 3 (9 months postdiagnosis). Hierarchical multiple regression analysis findings indicate that perceived stress and social support have direct and independent effects on negative affectivity principally at the 9-month time interval. These findings are discussed in terms of the cognitive-behavioral treatment implications for enhancing child adjustment during the transition from the initial cancer diagnosis and aversive biomedical treatment to subsequent school and social reintegration.

  7. In vitro cellular drug resistance and prognosis in newly diagnosed childhood acute lymphoblastic leukemia.

    PubMed

    Kaspers, G J; Veerman, A J; Pieters, R; Van Zantwijk, C H; Smets, L A; Van Wering, E R; Van Der Does-Van Den Berg, A

    1997-10-01

    As an important determinant of the response to chemotherapy, measurements of cellular drug resistance may provide prognostically significant information, which could be useful for optimal risk-group stratification. The objective of this report is to determine the relation between in vitro resistance to 12 drugs, measured with the colorimetric methyl-thiazol-tetrazolium (MTT) assay, and long-term clinical response to chemotherapy in 152 children with newly diagnosed acute lymphoblastic leukemia. At risk-group stratified analyses, in vitro resistance to prednisolone, L-asparaginase, and vincristine were each significantly (P < .01) related to the probability of disease-free survival (pDFS) after combination chemotherapy. The combination of data for prednisolone, L-asparaginase, and vincristine provided a drug-resistance profile with prognostic independent significance superior to that of any single drug or any other factor. The 3-years pDFS was 100% for the group with the most sensitive profile, 20% of all patients, 84% (SE 6%) for the group with an intermediately sensitive profile, 40% of all patients, and 43% (SE 8%) for the remaining group with the most resistant profile (P < .001). In conclusion, the extent of in vitro cellular resistance to prednisolone, L-asparaginase, and vincristine, measured using the MTT assay, was significantly related to the clinical response to combination chemotherapy. Treatment failure in newly diagnosed childhood ALL can be predicted based on cellular drug resistance data.

  8. Antipsychotic medications and dental caries in newly diagnosed schizophrenia: A nationwide cohort study.

    PubMed

    Hu, Kai-Fang; Chou, Yu-Hsiang; Wen, Yen-Hsia; Hsieh, Kun-Pin; Tsai, Jui-Hsiu; Yang, Pinchen; Yang, Yi-Hsin; Lin, Chun-Hung Richard

    2016-11-30

    We investigated the association between antipsychotic medications and the risk of dental caries in patients with schizophrenia. We enroled a nationwide cohort of patients with newly diagnosed schizophrenia within 1 year of dental caries development. Exposure to antipsychotics and other medications was categorised according to their type and duration, and the association between exposure and dental caries was assessed through logistic regressions. Of the 3610 patients with newly diagnosed schizophrenia, 2149 (59.5%) exhibited an incidence of treated dental caries. Logistic regression analysis identified a younger age, female sex, high income, a 2-year history of dental caries, and exposure to first-generation antipsychotics, and antihypertensives as independent risk factors for treated dental caries in patients with schizophrenia. Hyposalivation, the adverse effect of first-generation antipsychotics and antihypertensives, was associated with an increased risk of treated dental caries. However, hypersalivation from first-generation antipsychotics for dental caries was associated with a protective factor. These findings suggest that clinicians should pay attention to the aforementioned risk factors for dental caries in patients with schizophrenia, particularly while prescribing first-generation antipsychotics and antihypertensives to such patients.

  9. Chromosome 1 abnormalities in elderly patients with newly diagnosed multiple myeloma treated with novel therapies

    PubMed Central

    Caltagirone, Simona; Ruggeri, Marina; Aschero, Simona; Gilestro, Milena; Oddolo, Daniela; Gay, Francesca; Bringhen, Sara; Musolino, Caterina; Baldini, Luca; Musto, Pellegrino; Petrucci, Maria T.; Gaidano, Gianluca; Passera, Roberto; Bruno, Benedetto; Palumbo, Antonio; Boccadoro, Mario; Omedè, Paola

    2014-01-01

    Multiple myeloma is a plasma cell disorder characterized by malignant plasma cell infiltration in the bone marrow, serum and/or urine monoclonal protein and organ damage. The aim of this study was to investigate the impact of chromosome 1 abnormalities in a group of elderly patients (>65 years) with newly diagnosed multiple myeloma enrolled in the GIMEMA-MM-03-05 trial and treated with bortezomib, melphalan and prednisone or bortezomib, melphalan, prednisone and thalidomide followed by bortezomib and thalidomide maintenance. We also evaluated the link between chromosome 1 abnormalities and other clinical, genetic and immunophenotypic features by a multivariate logistic regression model. Interphase fluorescence in situ hybridization on immunomagnetically purified plasma cells and bone marrow multiparameter flow cytometry were employed. A multivariate Cox model showed that chromosome 1 abnormalities, age >75 years and a CD19+/CD117− immunophenotype of bone marrow plasma cells were independent risk factors for overall survival in elderly patients with newly diagnosed multiple myeloma. Moreover, a detrimental effect of thalidomide, even when administered in association with bortezomib, was observed in patients with abnormal chromosome 1 as well as in those with 17p deletion, while the benefit of adding thalidomide to the bortezomib-melphalan-prednisone regimen was noted in patients carrying an aggressive CD19+/CD117− bone marrow plasma cell immunophenotype. This trial was registered at www.clinicaltri-als.gov as #NCT01063179. PMID:25015938

  10. Speaker independent acoustic-to-articulatory inversion

    NASA Astrophysics Data System (ADS)

    Ji, An

    Acoustic-to-articulatory inversion, the determination of articulatory parameters from acoustic signals, is a difficult but important problem for many speech processing applications, such as automatic speech recognition (ASR) and computer aided pronunciation training (CAPT). In recent years, several approaches have been successfully implemented for speaker dependent models with parallel acoustic and kinematic training data. However, in many practical applications inversion is needed for new speakers for whom no articulatory data is available. In order to address this problem, this dissertation introduces a novel speaker adaptation approach called Parallel Reference Speaker Weighting (PRSW), based on parallel acoustic and articulatory Hidden Markov Models (HMM). This approach uses a robust normalized articulatory space and palate referenced articulatory features combined with speaker-weighted adaptation to form an inversion mapping for new speakers that can accurately estimate articulatory trajectories. The proposed PRSW method is evaluated on the newly collected Marquette electromagnetic articulography -- Mandarin Accented English (EMA-MAE) corpus using 20 native English speakers. Cross-speaker inversion results show that given a good selection of reference speakers with consistent acoustic and articulatory patterns, the PRSW approach gives good speaker independent inversion performance even without kinematic training data.

  11. Independent Learning Models: A Comparison.

    ERIC Educational Resources Information Center

    Wickett, R. E. Y.

    Five models of independent learning are suitable for use in adult education programs. The common factor is a facilitator who works in some way with the student in the learning process. They display different characteristics, including the extent of independence in relation to content and/or process. Nondirective tutorial instruction and learning…

  12. Marketing Handbook for Independent Schools.

    ERIC Educational Resources Information Center

    Boarding Schools, Boston, MA.

    This publication is a resource to help independent schools attract more familites to their institutions and to increase the voluntary support by the larger community surrounding the school. The first chapter attempts to dispel misconceptions, define pertinent marketing terms, and relate their importance to independent schools. The rest of the book…

  13. 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

  14. 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.

  15. 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.

  16. 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.

  17. 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

  18. A comparison of the growth of Scots pine (Pinus sylvestris L.) in a reclaimed oil shale post-mining area and in a Calluna site in Estonia.

    PubMed

    Kuznetsova, Tatjana; Mandre, Malle; Klõseiko, Jaan; Pärn, Henn

    2010-07-01

    The growth of Scots pine and its suitability for afforestation of post-mining landscapes in Northeast Estonia were assessed in comparative analytical studies by using morphological parameters and mineral nutrition characteristics. The growth and nutrient uptake of Scots pine growing on post-mining substrate were compared with the characteristics of pines of the same age (22-23 years) in a Calluna forest site type predominant in North Estonia in similar climatic zone. Results of the analyses of soil upper layers showed that the concentration of N and P in soil did not differ between the opencast spoil and Calluna site, but significantly higher pH of soil and concentrations of K, Ca, and Mg were found in mine spoil. The concentrations of K and Mg in needles were significantly higher in the post-mining area, but the concentrations of N, P, and Ca did not differ significantly. Comparison of the needle nutrient concentration with the standard for optimum concentrations revealed P deficit in the post-mining area and P and K deficit in the Calluna site. Scots pine formed longer and thinner needles and shoots in the post-mining substrate than in the Calluna site. It was assumed that in the post-mining area the growth of pines is predominantly dependent on K and Ca concentrations in their tissues as the biomass of needles was strongly correlated with the K/Ca ratio, whereas the biomass in the Calluna site was correlated with the N/P ratio. The height and diameter of trees were significantly larger in the post-mining area.

  19. 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

  20. Past storminess recorded in the internal architecture of coastal formations of Estonia in the NE Baltic Sea region

    NASA Astrophysics Data System (ADS)

    Tõnisson, Hannes; Vilumaa, Kadri; Kont, Are; Sugita, Shinya; Rosentau, Alar; Muru, Merle; Anderson, Agnes

    2016-04-01

    Over the past 50 years, storminess has increased in northern Europe because of the changes in cyclonic activity. The cyclone season in the Baltic Sea area has shifted from autumn to winter; this has led to intensification of shore processes (erosion, sediment transport and accumulation) and has increased pressure to the economy (land use, coastal protection measures) of the coastal regions in the Baltic states. Therefore, studing the effects of such changes on shore processes in the past is critical for prediction of the future changes along the Baltic coasts. Beach ridge plains are found worldwide, where cyclones and storm surges affect accumulation forms. These sandy shores are highly susceptible to erosion. Due to the isostatic uplift on the NE coast of the Baltic Sea, the signs of major past events are well-preserved in the internal architecture of old coastal formations (dune ridge-swale complexes). Wave-eroded scarps in beach deposits are visible in subsurface ground-penetrating radar (GPR) records, indicating the past high-energy events. Several study areas and transects were selected on the NW coast of Estonia, using high-resolution topographic maps (LiDAR). Shore-normal subsurface surveys have been conducted with a digital GSSI SIR-3000 georadar with a 270 MHz antenna at each transect. Interpretation of GPR facies was based on hand auger and window sampler coring, which provided accurate depths of key stratigraphic boundaries and bounding surfaces. Several samples for luminescence and 14C dating were collected to determine the approximate chronology of the coastal formations along the Estonian coast. We have found that changes in storminess, including the periods of high and low intensity of storms in late Holocene, are clearly reflected in the internal patterns of ancient coastal formations. The sections with small ridges with short seaward-dipped layers (interface between wave-built and aeolian deposits) in deeper horizons are probably formed during

  1. Characterization of newly isolated lytic bacteriophages active against Acinetobacter baumannii.

    PubMed

    Merabishvili, Maia; Vandenheuvel, Dieter; Kropinski, Andrew M; Mast, Jan; De Vos, Daniel; Verbeken, Gilbert; Noben, Jean-Paul; Lavigne, Rob; Vaneechoutte, Mario; Pirnay, Jean-Paul

    2014-01-01

    Based on genotyping and host range, two newly isolated lytic bacteriophages, myovirus vB_AbaM_Acibel004 and podovirus vB_AbaP_Acibel007, active against Acinetobacter baumannii clinical strains, were selected from a new phage library for further characterization. The complete genomes of the two phages were analyzed. Both phages are characterized by broad host range and essential features of potential therapeutic phages, such as short latent period (27 and 21 min, respectively), high burst size (125 and 145, respectively), stability of activity in liquid culture and low frequency of occurrence of phage-resistant mutant bacterial cells. Genomic analysis showed that while Acibel004 represents a novel bacteriophage with resemblance to some unclassified Pseudomonas aeruginosa phages, Acibel007 belongs to the well-characterized genus of the Phikmvlikevirus. The newly isolated phages can serve as potential candidates for phage cocktails to control A. baumannii infections.

  2. Reduced parasympathetic tone in newly diagnosed essential hypertension

    PubMed Central

    Goit, Rajesh Kumar; Ansari, Abdul Haque

    2016-01-01

    Aim The aim of the study was to compare heart rate variability (HRV) of newly diagnosed essential hypertensive subjects with controls. Methods The study was conducted on 120 hypertensive subjects and 120 controls. Results The time-domain measures, standard deviation of all RR intervals (SDNN), the square root of the mean of the sum of the squares of differences between adjacent RR intervals (RMSSD), and percentage of consecutive RR intervals that differ by more than 50 ms (pNN50) which reflect parasympathetic activity were significantly less in hypertensive subjects. In frequency-domain measures, high frequency [HF (ms2)] and [HF (nu)], which reflects parasympathetic activity, was significantly less in hypertensive subjects while LF (nu) and LF/HF (%), which reflect sympathetic activity, were comparable between the groups. Conclusion These findings suggest that HRV is reduced in subjects with newly diagnosed essential hypertension and the parasympathetic dysregulation is present in the early stage of essential hypertension. PMID:27133323

  3. Assessment of metal retention in newly constructed highway embankments.

    PubMed

    Werkenthin, Moritz; Kluge, Björn; Wessolek, Gerd

    2016-12-01

    Newly constructed embankments should provide both a specific bearing capacity to enable trafficability in emergency cases and a sufficient pollutant retention capacity to protect the groundwater. A number of lysimeters were installed along the A115 highway to determine total and dissolved metal concentrations in road runoff and in the soil solution of newly constructed embankments. Dissolved concentrations in soil solution of the embankments did not exceed the trigger values of the German legislation. Depending on the metal, total concentrations in soil solution were more than twice as high as dissolved concentrations. The high infiltration rates lead to increased groundwater recharge beneath the embankments (up to 4100 mm a(-1)). Although metal concentrations were not problematic from the legislators' point of view, the elevated infiltration rates beside the road facilitated the transfer of high metal loads into deeper soil layers and potentially into the groundwater as well.

  4. Flagellation of Pseudomonas aeruginosa in newly divided cells

    NASA Astrophysics Data System (ADS)

    Zhao, Kun; Lee, Calvin; Anda, Jaime; Wong, Gerard

    2015-03-01

    For monotrichous bacteria, Pseudomonas aeruginosa, after cell division, one daughter cell inherits the old flagellum from its mother cell, and the other grows a new flagellum during or after cell division. It had been shown that the new flagellum grows at the distal pole of the dividing cell when the two daughter cells haven't completely separated. However, for those daughter cells who grow new flagella after division, it still remains unknown at which pole the new flagellum will grow. Here, by combining our newly developed bacteria family tree tracking techniques with genetic manipulation method, we showed that for the daughter cell who did not inherit the old flagellum, a new flagellum has about 90% chances to grow at the newly formed pole. We proposed a model for flagellation of P. aeruginosa.

  5. Intermittent individual housing increases survival of newly proliferated cells.

    PubMed

    Aberg, Elin; Pham, Therese M; Zwart, Mieke; Baumans, Vera; Brené, Stefan

    2005-09-08

    In this study, we analyzed how intermittent individual housing with or without a running wheel influenced corticosterone levels and survival of newly proliferated cells in the dentate gyrus of the hippocampus. Female Balb/c mice, in standard or enhanced housing, were divided into groups that were individually housed with or without running wheels on every second day. Intermittent individual housing without, but not with, running wheels increased survival of proliferated cells in the dentate gyrus as compared with continuous group housing in standard or enhanced conditions. Thus, changes in housing conditions on every second day can, under certain circumstances, have an impact on the survival of newly proliferated cells in the dentate gyrus.

  6. Insulin Oedema in Newly Diagnosed Type 1 Diabetes Mellitus

    PubMed Central

    Çetinkaya, Semra; Yılmaz Ağladıoğlu, Sebahat; Peltek Kendirici, Havva Nur; Bilgili, Hatice; Yıldırım, Nurdan; Aycan, Zehra

    2010-01-01

    Despite the essential role of insulin in the management of patients with insulin deficiency, insulin use can lead to adverse effects such as hypoglycaemia and weight gain. Rarely, crucial fluid retention can occur with insulin therapy, resulting in an oedematous condition. Peripheral or generalised oedema is an extremely rare complication of insulin therapy in the absence of heart, liver or renal involvement. It has been reported in newly diagnosed type 1 diabetes, in poorly controlled type 2 diabetes following the initiation of insulin therapy, and in underweight patients on large doses of insulin. The oedema occurs shortly after the initiation of intensive insulin therapy. We describe two adolescent girls with newly diagnosed type 1 diabetes, who presented with oedema of the lower extremities approximately one week after the initiation of insulin treatment; other causes of oedema were excluded. Spontaneous recovery was observed in both patients. Conflict of interest:None declared. PMID:21274337

  7. Sequence independent amplification of DNA

    DOEpatents

    Bohlander, Stefan K.

    1998-01-01

    The present invention is a rapid sequence-independent amplification procedure (SIA). Even minute amounts of DNA from various sources can be amplified independent of any sequence requirements of the DNA or any a priori knowledge of any sequence characteristics of the DNA to be amplified. This method allows, for example the sequence independent amplification of microdissected chromosomal material and the reliable construction of high quality fluorescent in situ hybridization (FISH) probes from YACs or from other sources. These probes can be used to localize YACs on metaphase chromosomes but also--with high efficiency--in interphase nuclei.

  8. Sequence independent amplification of DNA

    DOEpatents

    Bohlander, S.K.

    1998-03-24

    The present invention is a rapid sequence-independent amplification procedure (SIA). Even minute amounts of DNA from various sources can be amplified independent of any sequence requirements of the DNA or any a priori knowledge of any sequence characteristics of the DNA to be amplified. This method allows, for example, the sequence independent amplification of microdissected chromosomal material and the reliable construction of high quality fluorescent in situ hybridization (FISH) probes from YACs or from other sources. These probes can be used to localize YACs on metaphase chromosomes but also--with high efficiency--in interphase nuclei. 25 figs.

  9. Testing the newly installed PCE (Proximity Communications Equipment) hardware

    NASA Image and Video Library

    2005-06-29

    ISS011-E-09816 (28 June 2005) --- Cosmonaut Sergei K. Krikalev, Expedition 11 commander representing Russia's Federal Space Agency, tests the newly installed Proximity Communications Equipment (PCE) hardware of the ASN-M satellite navigation system for the European Automated Transfer Vehicle (ATV) “Jules Verne” in the Zvezda Service Module of the International Space Station. The ATV is scheduled to arrive at the Station next year.

  10. Testing the newly installed PCE (Proximity Communications Equipment) hardware

    NASA Image and Video Library

    2005-06-28

    ISS011-E-09812 (28 June 2005) --- Cosmonaut Sergei K. Krikalev, Expedition 11 commander representing Russia's Federal Space Agency, tests the newly installed Proximity Communications Equipment (PCE) hardware of the ASN-M satellite navigation system for the European Automated Transfer Vehicle (ATV) “Jules Verne” in the Zvezda Service Module of the international space station. The ATV is scheduled to arrive at the station next year.

  11. The Circulation of Newly Formed Deep Water in the Atlantic

    NASA Astrophysics Data System (ADS)

    Rhein, M.; Kieke, D.; Steinfeldt, R.

    2012-04-01

    The circulation of newly formed deep water masses (Labrador Sea Water, LSW, and Denmark Strait Overflow Water, DSOW) is examined by discussing the distribution of two parameters (age τ and fraction F of young water) calculated from the chlorofluorocarbon data measured between 1980 and 2005 in the Atlantic. Compared to previous studies, a much larger data set was used with an improved gridding procedure, allowing to resolve the distributions in more detail.

  12. "Car seat dermatitis": a newly described form of contact dermatitis.

    PubMed

    Ghali, Fred E

    2011-01-01

    Over the last several years, our clinic has documented an increasing trend of contact dermatitis presenting in areas that are in direct contact with certain types of car seats composed of a shiny, nylon-like material. Our practice has encountered these cases in both atopic and nonatopic infants, with a seasonal predilection for the warmer months. This brief report highlights some of the key features of this condition and alerts the clinician to this newly described form of contact dermatitis.

  13. The probability of preservation of a newly arisen gene duplicate.

    PubMed

    Lynch, M; O'Hely, M; Walsh, B; Force, A

    2001-12-01

    Newly emerging data from genome sequencing projects suggest that gene duplication, often accompanied by genetic map changes, is a common and ongoing feature of all genomes. This raises the possibility that differential expansion/contraction of various genomic sequences may be just as important a mechanism of phenotypic evolution as changes at the nucleotide level. However, the population-genetic mechanisms responsible for the success vs. failure of newly arisen gene duplicates are poorly understood. We examine the influence of various aspects of gene structure, mutation rates, degree of linkage, and population size (N) on the joint fate of a newly arisen duplicate gene and its ancestral locus. Unless there is active selection against duplicate genes, the probability of permanent establishment of such genes is usually no less than 1/(4N) (half of the neutral expectation), and it can be orders of magnitude greater if neofunctionalizing mutations are common. The probability of a map change (reassignment of a key function of an ancestral locus to a new chromosomal location) induced by a newly arisen duplicate is also generally >1/(4N) for unlinked duplicates, suggesting that recurrent gene duplication and alternative silencing may be a common mechanism for generating microchromosomal rearrangements responsible for postreproductive isolating barriers among species. Relative to subfunctionalization, neofunctionalization is expected to become a progressively more important mechanism of duplicate-gene preservation in populations with increasing size. However, even in large populations, the probability of neofunctionalization scales only with the square of the selective advantage. Tight linkage also influences the probability of duplicate-gene preservation, increasing the probability of subfunctionalization but decreasing the probability of neofunctionalization.

  14. 35. LOW OBLIQUE AERIAL VIEW LOOKING EAST OVER THE NEWLY ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    35. LOW OBLIQUE AERIAL VIEW LOOKING EAST OVER THE NEWLY CONSTRUCTED NAVAL SUPPLY CENTER. NORTH TRAINING WALL AND FEDERAL CHANNEL ARE AT FAR RIGHT. Dated 23 April 1942. U.S. Navy photograph from the Fleet Industrial Supply Center archive (FISCO; Naval Supply Center, Oakland). Original print on file at the Port of Oakland, California. - Oakland Harbor Training Walls, Mouth of Federal Channel to Inner Harbor, Oakland, Alameda County, CA

  15. The probability of preservation of a newly arisen gene duplicate.

    PubMed Central

    Lynch, M; O'Hely, M; Walsh, B; Force, A

    2001-01-01

    Newly emerging data from genome sequencing projects suggest that gene duplication, often accompanied by genetic map changes, is a common and ongoing feature of all genomes. This raises the possibility that differential expansion/contraction of various genomic sequences may be just as important a mechanism of phenotypic evolution as changes at the nucleotide level. However, the population-genetic mechanisms responsible for the success vs. failure of newly arisen gene duplicates are poorly understood. We examine the influence of various aspects of gene structure, mutation rates, degree of linkage, and population size (N) on the joint fate of a newly arisen duplicate gene and its ancestral locus. Unless there is active selection against duplicate genes, the probability of permanent establishment of such genes is usually no less than 1/(4N) (half of the neutral expectation), and it can be orders of magnitude greater if neofunctionalizing mutations are common. The probability of a map change (reassignment of a key function of an ancestral locus to a new chromosomal location) induced by a newly arisen duplicate is also generally >1/(4N) for unlinked duplicates, suggesting that recurrent gene duplication and alternative silencing may be a common mechanism for generating microchromosomal rearrangements responsible for postreproductive isolating barriers among species. Relative to subfunctionalization, neofunctionalization is expected to become a progressively more important mechanism of duplicate-gene preservation in populations with increasing size. However, even in large populations, the probability of neofunctionalization scales only with the square of the selective advantage. Tight linkage also influences the probability of duplicate-gene preservation, increasing the probability of subfunctionalization but decreasing the probability of neofunctionalization. PMID:11779815

  16. Newly-graduated midwives transcending barriers: a grounded theory study.

    PubMed

    Barry, Michele J; Hauck, Yvonne L; O'Donoghue, Thomas; Clarke, Simon

    2013-12-01

    Midwifery has developed its own philosophy to formalise its unique identity as a profession. Newly-graduated midwives are taught, and ideally embrace, this philosophy during their education. However, embarking in their career within a predominantly institutionalised and the medically focused health-care model may challenge this application. The research question guiding this study was as follows: 'How do newly graduated midwives deal with applying the philosophy of midwifery in their first six months of practice?' The aim was to generate a grounded theory around this social process. This Western Australian grounded theory study is conceptualised within the social theory of symbolic interactionism. Data were collected by means of in-depth, semi-structured interviews with 11 recent midwifery graduates. Participant and interviewer's journals provided supplementary data. The 'constant comparison' approach was used for data analysis. The substantive theory of transcending barriers was generated. Three stages in transcending barriers were identified: Addressing personal attributes, Understanding the 'bigger picture', and finally, 'Evaluating, planning and acting' to provide woman-centred care. An overview of these three stages provides the focus of this article. The theory of transcending barriers provides a new perspective on how newly-graduated midwives deal with applying the philosophy of midwifery in their first six months of practice. A number of implications for pre and post registration midwifery education and policy development are suggested, as well as recommendations for future research. Copyright © 2013 Elsevier Ltd. All rights reserved.

  17. Accelerated Adaptive Evolution on a Newly Formed X Chromosome

    PubMed Central

    Bachtrog, Doris; Jensen, Jeffrey D; Zhang, Zhi

    2009-01-01

    Sex chromosomes originated from ordinary autosomes, and their evolution is characterized by continuous gene loss from the ancestral Y chromosome. Here, we document a new feature of sex chromosome evolution: bursts of adaptive fixations on a newly formed X chromosome. Taking advantage of the recently formed neo-X chromosome of Drosophila miranda, we compare patterns of DNA sequence variation at genes located on the neo-X to genes on the ancestral X chromosome. This contrast allows us to draw inferences of selection on a newly formed X chromosome relative to background levels of adaptation in the genome while controlling for demographic effects. Chromosome-wide synonymous diversity on the neo-X is reduced 2-fold relative to the ancestral X, as expected under recent and recurrent directional selection. Several statistical tests employing various features of the data consistently identify 10%–15% of neo-X genes as targets of recent adaptive evolution but only 1%–3% of genes on the ancestral X. In addition, both the rate of adaptation and the fitness effects of adaptive substitutions are estimated to be roughly an order of magnitude higher for neo-X genes relative to genes on the ancestral X. Thus, newly formed X chromosomes are not passive players in the evolutionary process of sex chromosome differentiation, but respond adaptively to both their sex-biased transmission and to Y chromosome degeneration, possibly through demasculinization of their gene content and the evolution of dosage compensation. PMID:19402745

  18. Falls in Newly Admitted Nursing Home Residents: A National Study

    PubMed Central

    Leland, Natalie E.; Gozalo, Pedro; Teno, Joan; Mor, Vince

    2013-01-01

    OBJECTIVES To examine the relationship between nursing home (NH) organizational characteristics and falls in newly admitted NH residents. DESIGN Observational cross-sectional study from January 1, 2006, to December 31, 2006. SETTING NHs in the United States in 2006. PARTICIPANTS Individuals (n = 230,730) admitted to a NH in 2006 without a prior NH stay and with a follow-up Minimum Data Set (MDS) assessment completed 30 days or more after admission. MEASUREMENTS The relationship between experiencing a fall noted on the MDS assessment and NH characteristics (e.g., staffing, profit and chain status, religious affiliation, hospital-based facility status, number of beds, presence of a special care unit, funding) was examined, adjusting for NH resident characteristics. RESULTS Twenty-one percent of this cohort (n = 47,750) had experienced at least one fall in the NH at the time of the MDS assessment, which was completed for newly admitted NH residents who had at least a 30-day stay. NHs with higher certified nursing assistant (CNA) staffing had lower rates of falls (adjusted odds ratio = 0.97, 95% confidence interval = 0.95–0.99). CONCLUSION For newly admitted NH residents, NHs with higher CNA staffing had a lower fall rate. In an effort to maximize fall prevention efforts, further research is needed to understand the relationship between CNA staffing and falls in this NH population. PMID:22587857

  19. Hope as experienced in women newly diagnosed with gynaecological cancer.

    PubMed

    Hammer, Kristianna; Mogensen, Ole; Hall, Elisabeth O C

    2009-09-01

    This article presents findings from a hermeneutic-phenomenological study with the aim to investigate the meaning of the lived experience of hope in women newly diagnosed with gynaecological cancer. Fifteen women were interviewed the day they were receiving the diagnosis at a gynaecological department of a Danish university hospital. The women, aged 24-87 (median 52 yrs), were diagnosed with ovarian, endometrial, cervical and vulvar cancer. Hope was found to be connected to both diagnosis, cure, family life and life itself and closely tied to hopelessness. The newly received cancer diagnosis made the women oscillate between hope and hopelessness, between positive expectations of getting cured and frightening feelings of the disease taking over. Five major interrelated themes of hope were identified: hope of being cured, cared for and getting back to normal, hope as being active and feeling well, hope as an internal power to maintain integration, hope as significant relationships and hope as fighting against hopelessness. Thus, hope was woven together with hopelessness in a mysterious way; it took command through inner strength and courage based on a trust in being cured and of being in relationship with significant others. The findings of the close relationship between the shades of hope and hopelessness support the need for nurses to continue to practice hope-inspiring nursing. Nurses need to understand the complexity of hope and its close connection to hopelessness when newly diagnosed with a threatening disease as cancer; and the findings might help nurses assist patients in fighting hopelessness.

  20. Untreated newly diagnosed essential hypertension is associated with nonalcoholic fatty liver disease in a population of a hypertensive center

    PubMed Central

    Michopoulos, Spyros; Chouzouri, Vasiliki I; Manios, Efstathios D; Grapsa, Eirini; Antoniou, Zoi; Papadimitriou, Christos A; Zakopoulos, Nikolaos; Dimopoulos, Athanasios-Meletios

    2016-01-01

    Purpose Recent studies have demonstrated that hypertension (HTN) is associated with nonalcoholic fatty liver disease (NAFLD) in treated hypertensive patients. The aim of this study was to investigate the association between newly diagnosed essential HTN and NAFLD in untreated hypertensive patients. Patients and methods A consecutive series of 240 subjects (143 hypertensives and 97 normotensives), aged 30–80 years, without diabetes mellitus were enrolled in the study. Subjects with 24-hour systolic blood pressure (SBP) values ≥130 mmHg and/or diastolic BP values ≥80 mmHg were defined as hypertensives. NAFLD was defined as the presence of liver hyperechogenicity on ultrasound. Results Body mass index (P=0.002) and essential HTN (P=0.016) were independently associated with NAFLD in the multivariate logistic regression model. Furthermore, the multivariate analysis revealed that morning SBP (P=0.044) was independently associated with NAFLD. Conclusion Untreated, newly diagnosed essential HTN is independently associated with NAFLD. Ambulatory BP monitoring could be used for the diagnosis of essential HTN in patients with NAFLD. PMID:26834493