Change and the nation-state in the European Union

The advent of the European Union has necessitated an adaptation on the part of governments, especially in those areas where the Community's laws supersede the national laws. The process whereby the Union affects the state has been characterised as ' Europeanisation.' This paper examines the adaptation in certain policy areas, not of policy itself, but at changes in the decision-making mechanisms that accompany membership in Union. It focuses on change in foreign policy mechanisms in Britain and Sweden, both unique case studies because of their histories. I argue that changes in foreign policy mechanisms reflect a change in the construct of the state itself given the delicacy of this particular policy area. Because foreign policy making remains within the ambit of respective member states, with the CFSP, the second pillar of the Maastricht treaty, encouraging, at best coordination by states, without imposing supranationality, foreign policy coordination in the European Union is mostly an intergovernmental affair. The changes in decision-making mechanisms however, has jeopardised the accepted notion of sovereignty in EU states as Sweden battles to retain her neutrality identity and Britain struggles to keep its Atlantic alliance intact while being part of Europe. Moreover, although the present changes have not removed foreign policy within the Union from intergovernmental level, that position too is fast changing. It is too early to say that the CFSP or the CESDP will supersede national foreign policy, and possibly, for a long time it would not; however, the new mechanisms in place allow for change in this aspect of the Union. In essence, as national foreign policy mechanisms evolve to accommodate membership, the CFSP too is adapting to the influence of the states and in the final analysis has the most potential to shape the future of the Union

Online Teaching Platform and Effective Teaching and Learning of Science Education in Nigerian Public Universities

The study investigated the online teaching platform and effective teaching and learning of science education in Nigerian public universities. A survey research design was adopted for the study, and it was carried out in three public universities committed to science education courses in Nigeria. Sixty-five teaching staff and sixty students were selected using a stratified random sampling technique to respond to questionnaires from the three tertiary institutions. The instruments used for data collection were questionnaires titled: Science Education Students Online Questionnaire (SESOQ) and Science Education Lecturers Online Questionnaire (SELOQ). The questionnaires gathered information from both lecturers and students based on the online teaching and learning platform. Mean, and standard deviation (SD) were used to analyze the data generated in the study. Results from the study revealed that the teaching and learning platform of science education in Nigerian public universities need a dramatic turnaround on the part of the lecturers and students, among other. Therefore, the study recommends, among others, that stakeholders in education should help to resolve problems confronting science education lecturers’ effective teaching and students’ effective learning using the online platform in Nigerian public Universities

New Directions for African Security

African security, particularly conflict-related political violence, is a key concern in international relations. This forum seeks to advance existing research agendas by addressing four key themes: domestic politics and peacekeeping; security sector reform programs; peace enforcement; and the protection of civilians. Each of the articles in this forum makes a case for analyzing African agency when it comes to African security. As a way of introduction, this short article sets out the main debates and concludes by providing further directions for future researc

Assessment of Ecological Status and Tree Diversity in Watershed Area of Dandi Local Government Area in Kebbi State, Nigeria

This study assessed the ecological and tree diversity status of watershed area of Dandi local government area in Kebbi state using systematic sampling technique. Three transects of 300 m long were laid at 100 m intervals. On each transect, six sample plots of size 50 m x 50 m (0.25ha) were alternately laid at 50 m intervals. A total of 18 sample plots will be used for the study. Diameters at breast height (Dbh) of all the trees found in the plot with Dbh ≥ 5cm will be measured. Fourteen tree species belonging to 10 genera and 8 families were identified. Borassus aethiopum of the family Arecaceae was the most abundant species in the area with a relative density (RD) and diversity index (DI) of 0.296 and 0.08728 respectively. This was followed by Cocos nucifera in the Arecaceae family also, with RD and DI of 0.192 and 0.03662 respectively. Daniella oliveri of the family Fabaceae was the least represented species with RD and DI of 0.0018 and 0.00002 respectively. The overall tree species richness in the area was 0.0052

Description and Composition of Tree Species in a Tertiary Institution Agricultural Faculty Arboretum, Ibadan, South-West Nigeria

The Arboretum of the Agricultural Faculty of a tertiary institution in Ibadan is known for its rich diversity of trees. Therefore, the study investigates the tree growth variables in the arboretum such as diameter at breast height (dbh), diameter at the base, middle and top of the bole, total height, merchantable height and crown diameter. The basal area and volume were then calculated per species and per family. Several models were fitted for the height – diameter relationship and crown diameter – diameter relationship and crown diameter – dbh relationship. Positive linear relationships were observed among the growth variables. The fitted models showed that cubic models exhibit a more reliable function than quadratic and linear models for crown diameter – dbh predictions as it has R2 above 0.75. Endangered species were observed too and this was indicated through the diversity index obtained. The highest basal area encounter belongs to myrtaceae family (9.61m2) while the lowest belongs to pinaceae family (0.24m2). The total basal area obtained at (31.72m2) from the faculty trees indicates that they are exhibiting better growth and yield

A 20-year prospective study of mortality and causes of death among hospitalized opioid addicts in Oslo

<p>Abstract</p> <p>Background</p> <p>To study mortality rate and causes of death among all hospitalized opioid addicts treated for self-poisoning or admitted for voluntary detoxification in Oslo between 1980 and 1981, and to compare their mortality to that of the general population.</p> <p>Methods</p> <p>A prospective cohort study was conducted on 185 opioid addicts from all medical departments in Oslo who were treated for either self-poisoning (<it>n </it>= 93, 1980), voluntary detoxification (<it>n </it>= 75, 1980/1981) or both (<it>n </it>= 17). Their median age was 24 years; with a range from 16 to 41, and 53% were males. All deaths that had occurred by the end of 2000 were identified from the Central Population Register. Causes of death were obtained from Statistics Norway. Standardized mortality ratios (SMRs) were computed for mortality, in general, and in particular, for different causes of death.</p> <p>Results</p> <p>During a period of 20 years, 70 opioid addicts died (37.8%), with a standardized mortality ratio (SMR) equal to 23.6 (95% CI, 18.7–29.9). The SMR remained high during the whole period, ranging from 32.4 in the first five-year period, to 13.4 in the last five-year period. There were no significant differences in SMR between self-poisonings and those admitted for voluntarily detoxification. The registered causes of death were accidents (11.4%), suicide (7.1%), cancer (4.3%), cardiovascular disease (2.9%), other violent deaths (2.9%), other diseases (71.4%). Among the 50 deaths classified as other diseases, the category "drug dependence" was listed in the vast majority of cases (37 deaths, 52.9% of the total). SMRs increased significantly for all causes of death, with the other diseases group having the highest SMR; 65.8 (95% CI, 49.9–86.9). The SMR was 5.4 (95% CI, 1.3–21.5) for cardiovascular diseases, and 4.3 (95% CI, 1.4–13.5) for cancer. The SMR was 13.2 (95% CI, 6.6–26.4) for accidents, 10.7 (95% CI, 4.5–25.8) for suicides, and 28.6 (95% CI, 7.1–114.4) for other violent deaths.</p> <p>Conclusion</p> <p>The risk of death among opioid addicts was significantly higher for all causes of death compared with the general population, implying a poor prognosis over a 20-year period for this young patient group.</p

Prescriptive variability of drugs by general practitioners

<div><p>Prescription drug spending is growing faster than any other sector of healthcare. However, very little is known about patterns of prescribing and cost of prescribing between general practices. In this study, we examined variation in prescription rates and prescription costs through time for 55 GP surgeries in Northern Ireland Western Health and Social Care Trust. Temporal changes in variability of prescribing rates and costs were assessed using the Mann–Kendall test. Outlier practices contributing to between practice variation in prescribing rates were identified with the interquartile range outlier detection method. The relationship between rates and cost of prescribing was explored with Spearman's statistics. The differences in variability and mean number of prescribing rates associated with the practice setting and socioeconomic deprivation were tested using t-test and <i>F</i>-test respectively. The largest between-practice difference in prescribing rates was observed for Apr-Jun 2015, with the number of prescriptions ranging from 3.34 to 8.36 per patient. We showed that practices with outlier prescribing rates greatly contributed to between-practice variability. The largest difference in prescribing costs was reported for Apr-Jun 2014, with the prescription cost per patient ranging from £26.4 to £64.5. In addition, the temporal changes in variability of prescribing rates and costs were shown to undergo an upward trend. We demonstrated that practice setting and socio-economic deprivation accounted for some of the between-practice variation in prescribing. Rural practices had higher between practice variability than urban practices at all time points. Practices situated in more deprived areas had higher prescribing rates but lower variability than those located in less deprived areas. Further analysis is recommended to assess if variation in prescribing can be explained by demographic characteristics of patient population and practice features. Identification of other factors contributing to prescribing variability can help us better address potential inappropriateness of prescribing.</p></div

Expression quantitative trait loci of genes predicting outcome are associated with survival of multiple myeloma patients

Canadian Institutes of Health Research, Grant/ Award Number: 81274; Huntsman Cancer Institute Pilot Funds; Leukemia Lymphoma Society, Grant/Award Number: 6067-09; the National Institute of Health/National Cancer Institute, Grant/Award Numbers: P30 CA016672, P30 CA042014, P30 CA13148, P50 CA186781, R01 CA107476, R01 CA134674, R01 CA168762, R01 CA186646, R01 CA235026, R21 CA155951, R25 CA092049, R25 CA47888, U54 CA118948; Utah Population Database, Utah Cancer Registry, Huntsman Cancer Center Support Grant, Utah State Department of Health, University of Utah; VicHealth, Cancer Council Victoria, Australian National Health and Medical Research Council, Grant/Award Numbers: 1074383, 209057, 396414; Victorian Cancer Registry, Australian Institute of Health and Welfare, Australian National Death Index, Australian Cancer Database; Mayo Clinic Cancer Center; University of Pisa and DKFZThe authors thank all site investigators that contributed to the studies within the Multiple Myeloma Working Group (Interlymph Consortium), staff involved at each site and, most importantly, the study participants for their contributions that made our study possible. This work was partially supported by intramural funds of University of Pisa and DKFZ. This work was supported in part by the National Institute of Health/National Cancer Institute (R25 CA092049, P30 CA016672, R01 CA134674, P30 CA042014, R01 CA186646, R21 CA155951, U54 CA118948, P30 CA13148, R25 CA47888, R01 CA235026, R01 CA107476, R01 CA168762, P50 CA186781 and the NCI Intramural Research Program), Leukemia Lymphoma Society (6067-09), Huntsman Cancer Institute Pilot Funds, Utah PopulationDatabase, Utah Cancer Registry, Huntsman Cancer Center Support Grant, Utah StateDepartment of Health, University of Utah, Canadian Institutes of Health Research (Grant number 81274), VicHealth, Cancer Council Victoria, Australian National Health and Medical Research Council (Grants 209057, 396414, 1074383), Victorian Cancer Registry, Australian Institute of Health and Welfare, Australian National Death Index, Australian Cancer Database and the Mayo Clinic Cancer Center.Open Access funding enabled and organized by ProjektDEAL.The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.Gene expression profiling can be used for predicting survival in multiple myeloma (MM) and identifying patients who will benefit from particular types of therapy. Some germline single nucleotide polymorphisms (SNPs) act as expression quantitative trait loci (eQTLs) showing strong associations with gene expression levels. We performed an association study to test whether eQTLs of genes reported to be associated with prognosis of MM patients are directly associated with measures of adverse outcome. Using the genotype-tissue expression portal, we identified a total of 16 candidate genes with at least one eQTL SNP associated with their expression with P < 10(-7) either in EBV-transformed B-lymphocytes or whole blood. We genotyped the resulting 22 SNPs in 1327 MM cases from the International Multiple Myeloma rESEarch (IMMEnSE) consortium and examined their association with overall survival (OS) and progression-free survival (PFS), adjusting for age, sex, country of origin and disease stage. Three polymorphisms in two genes (TBRG4-rs1992292, TBRG4-rs2287535 and ENTPD1-rs2153913) showed associations with OS at P < .05, with the former two also associated with PFS. The associations of two polymorphisms in TBRG4 with OS were replicated in 1277 MM cases from the International Lymphoma Epidemiology (InterLymph) Consortium. A meta-analysis of the data from IMMEnSE and InterLymph (2579 cases) showed that TBRG4-rs1992292 is associated with OS (hazard ratio = 1.14, 95% confidence interval 1.04-1.26, P = .007). In conclusion, we found biologically a plausible association between a SNP in TBRG4 and OS of MM patients.Canadian Institutes of Health Research (CIHR) 81274Huntsman Cancer Institute Pilot FundsLeukemia and Lymphoma Society 6067-09United States Department of Health & Human Services National Institutes of Health (NIH) - USA NIH National Cancer Institute (NCI) P30 CA016672 P30 CA042014 P30 CA13148 P50 CA186781 R01 CA107476 R01 CA134674 R01 CA168762 R01 CA186646 R01 CA235026 R21 CA155951 R25 CA092049 R25 CA47888 U54 CA118948Utah Population Database, Utah Cancer Registry, Huntsman Cancer Center Support Grant, Utah State Department of Health, University of UtahVicHealth, Cancer Council Victoria, Australian National Health and Medical Research Council 1074383 209057 396414Victorian Cancer Registry, Australian Institute of Health and Welfare, Australian National Death Index, Australian Cancer DatabaseMayo Clinic Cancer CenterUniversity of PisaHelmholtz Associatio