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Purpose: The purpose of this paper is to explore the emergence of "Roma health and wellbeing" as a focus of attention in European research and in policy and the possible detrimental consequences of action founded on a generic representation of "Roma health." Design/methodology/approach: Based on discussions with and research conducted by scholars who work directly with Roma communities across European regions from a wide range of academic disciplines it suggests how future research might inform: a more nuanced understanding of the causes of poor health and wellbeing among diverse Roma populations and; actions that may have greater potential to improve the health and wellbeing among these populations. Findings: In summary, the authors promote three types of research: first critical analyses that unpick the implications of current and past representations of "Roma" and "Roma health." Second, applied participatory research that meaningfully involves people from specific self-defined Roma populations to identify important issues for their health and wellbeing. Third, learning about processes that might impact on the health and wellbeing of Roma populations from research with other populations in similarly excluded situations. Originality/value: The authors provide a multidisciplinary perspective to inform research that does not perpetuate further alienation and prejudice, but promotes urgent action to redress the social and health injustices experienced by diverse Roma populations across Europe. [ABSTRACT FROM AUTHOR]

We present a multi-trait approach to identify potentially vulnerable species of Ephemeroptera (mayflies), Plecoptera (stoneflies) and Trichoptera (caddisflies), collectively referred to as EPT, to the impacts of climate change (CC). The “climate change vulnerability score” (CCVS) is an aggregation of six autecological traits that are known to be associated with vulnerability to CC: endemism, micro-endemism, temperature preference, altitudinal preference, stream zonation preference, and life history. We assigned a vulnerability score (0 – invulnerable to 6 – highly vulnerable to climate change) to 1940 EPT species and discussed the applicability of the index at three spatial scales: (1) continental (Europe), (2) state (the German Federal State of North Rhine-Westphalia) and (3) a river basin (the Ruhr River). We identified 157 EPT species (ca. 8%) as highly vulnerable to climate change (CCVS ≥ 4), including 95 species of caddisflies, 60 species of stoneflies and two species of mayflies. These are mostly found in France and Italy (52 species each), Spain and Slovenia (36 and 34, respectively), and Austria and Switzerland (30 species each), of which 95 are caddisflies, 60 stoneflies, and 2 mayflies. Using data collected in routine regional sampling we show that although no endemic EPTs were found in the German Federal State of North Rhine-Westphalia, eight species can still be identified as relatively vulnerable to CC (CCVS of 3). Almost all of these species are occurring in the ‘mountainous’ regions of the state (>200 m a.s.l.), the Sauerland and the Eifel. The upper reaches of the Ruhr catchment have been found to be relatively rich in vulnerable species, including several locally rare species. This index can assist conservationists to identify “hotspots” in terms of climate vulnerability and climate change refuge areas that can be considered for protection or the application of restoration measures at a local and regional scale. Nevertheless, not all species have complete autecological information, which hinders our ability to fully recognize the areas of priority. To further stabilize and enhance the applicability of this method, it is essential to fill these knowledge gaps in the future. [ABSTRACT FROM AUTHOR]

The article examines the role of governments in the transition in cable policy in the three largest media countries of Europe (Britain, France and Germany). In theoretical terms it is argued that the involvement of governments in determining the course of development of cable systems has comprised three main stages. In the first stage, governments tried to ignore cable and prevent the establishment of cable infrastructure. In the second stage, governments regulated the technology in order to promote a national cable policy and encourage the overall development of the broadcasting media. In the third stage, although at different speeds and perceptions, governments deregulated cable by giving permission to market forces to dominate cable's development and abandoning the social goals of cable policy. [ABSTRACT FROM AUTHOR]

The emergence of science as a means to salvation in the 16th and 17th century Europe was associated with important shift in religious orientations and socioeconomic conditions. The concern of this essay is with a very different phase in the role of science in the western polity; the signs of its declining cultural force in the late 20th century liberal democracy and the diminishment of the capacity to support movements of collective amelioration. The author will argue that the place and status of science in the liberal-democratic polity are largely a consequence of the perceived relevance of science to the particular needs and problems which arise in the context of organizing and maintaining this specific type of political order.

Background & Aims: There is increasing interest in identifying patients with chronic hepatitis C genotype 2 or 3 infection in whom it is possible to lower the burden of therapy while retaining high levels of efficacy. Methods: Treatment-naive patients with chronic hepatitis C genotype 2/3 infection were randomized to receive peginterferon alfa-2b (1.5μg/kg/wk) for 24weeks (group A); peginterferon alfa-2b (1.0μg/kg/wk) for 24weeks (group B); or peginterferon alfa-2b (1.5μg/kg/wk) for 16weeks (group C), each in combination with weight-based ribavirin (800–1200mg/d). The study population comprised two cohorts: the Hep-Net cohort enrolled in Germany and an International cohort enrolled at study sites throughout Europe and Asia. The primary end point was sustained virological response (SVR). Results: The study included 682 patients; 80.2% had genotype 3 infection. In the intent-to-treat population, SVR rates were 66.5%, 64.3%, and 56.6% in groups A, B, and C, and were similar in Asian and white patients. Treatment differences (A vs. B and A vs. C) failed to reach the predefined margin for noninferiority of -10%; and thus groups B and C failed to show noninferiority relative to group A. Among patients with undetectable HCV RNA at week 4, SVR rates were 75.3%, 75.9%, and 72.4%, respectively. Relapse rates were 17.8%, 16.3%, and 29.3%, respectively. Treatment-emergent serious adverse events were highest in group A and lowest in group C, and adverse events leading to discontinuation were similar across treatment arms. Conclusions: For patients with chronic hepatitis C genotype 2/3 infection, 24weeks of peginterferon alfa-2b (1.5μg/kg/wk) plus weight-based ribavirin remains a standard-of-care therapy; however, treatment for 16weeks may be considered for patients with undetectable HCV RNA at week 4 of the treatment. [ABSTRACT FROM AUTHOR]