The Bologna Process:inception, ‘take up’ and familiarity

This paper addresses the value of the Bologna Process in placing the European Higher Education Area (EHEA) on a solid institutional footing. How far has Bologna contributed to firming up the views academia, management and students have of the EHEA? The article is based on a survey administered across four systems of higher education in 2008. It underlines the importance for those active in shaping policy both at national and at European level to take fully into account the views of the different interests in higher education, difficult and at times non committal though these latter might be

Gerindo as Dinâmicas das Reformas de Bolonha: Como é que os Atores Reconstroem o Enquadramento Político

How do the constituencies in higher education re-interpret Bologna’s function with regard to the European Higher Education Area? This research examines how institutional actors re-construct the policy framework in the light of their own institutional agendas. Drawing on empirical data from a survey of Academics, Students and Administrators in seven universities in Germany, Italy, Norway and Portugal, the analysis focuses on the processes of mediation within national and European policy depending on the location of institutional actors. It dissects the tensions between macro political processes and the role status and function of the different constituencies and sheds new light on the role played by the Academic, Administrative and Student Estates in re-interpreting the Bologna Declaration whilst adopting the reforms it introduces.De qué forma las partes constituyentes de las instituciones de enseñanza superior reinterpretan la función de Bolonia desde el punto de vista de la construcción del Espacio Europeo de Educación Superior?. Esta investigación examina como los actores institucionales reconstruyen el marco político a la luz de sus agendas institucionales. Tomando como base los datos cuantitativos referentes a una encuesta a los profesores, a los estudiantes y al personal de administración y servicios este artículo se focaliza en el proceso de mediación. Examina el modo como los actores institucionales perciben Bolonia estando al mismo tiempo en el núcleo de la dinámica política del proceso de Bolonia. Este trabajo analiza las tensiones entre los procesos macro-políticos y el papel y la situación de las distintas partes que constituyen las instituciones de enseñanza superior, iluminando el papel desempeñado a nivel institucional por los actores institucionales reinterpretando la Declaración de Bolonia a medida que se adoptan las reformas que ésta preconiza.Como é que as partes constituintes das instituições de ensino superior reinterpretam a função de Bolonha tendo em vista a construção da Área Europeia de Ensino Superior? Esta investigação examina o modo como os atores institucionais reconstroem o enquadramento político à luz das suas agendas institucionais. Com base em dados quantitativos relativos a um inquérito por questionário direcionado a académicos, estudantes e pessoal técnico e administrativo este artigo foca-se no processo de mediação. Examina o modo como os atores institucionais percecionam Bolonha na medida em que estão no cerne da dinâmica politica do processo de Bolonha. Este trabalho analisa as tensões entre os processos macro políticos e o papel e o estatuto das diferentes partes constituintes das instituições de ensino superior, iluminando o papel desempenhado pelo nível institucional pelos atores institucionais reinterpretando a Declaração de Bolonha à medida que são adotadas as reformas por ela preconizadas.

Brexit and higher education in Europe::the role of ideas in shaping internationalisation strategies in times of uncertainty

Based on thematic data analysis of reports from a qualitative cross-country study, the article explores the perceptions of Brexit and collaborations with the UK in different EU countries through the lens of discursive institutionalism. We suggest that in the context of uncertainty characteristic of the post-Brexit referendum period, ideas related to economic concerns and strategic repositioning of national higher education systems subsume the values attached to the European dimension of higher education and research policies. The ideal of educational cooperation based on cultural diversity and national varieties is overridden by concerns expressed in terms of economic rationales. These findings corroborate research that argues that collaboration/cooperation has become a pragmatic and instrumental endeavour. In time, and if the current climate of uncertainty persists, this may further reconfigure institutional strategies and lead institutions to focus on problem solutions rather than the pursuit of the political ends of cooperation

Design and evaluation of a treatment programme for Spanish adolescents with overweight and obesity. The EVASYON Study

<p>Abstract</p> <p>Background</p> <p>The prevalence of overweight and obesity (OW/OB) among adolescents worldwide has increased since the 60 s. Spain has reached one of the highest OW/OB prevalence rates among adolescents from European countries. The aim of this methodological paper is to describe the design and evaluation in the EVASYON study (Development, implementation and evaluation of the efficacy of a therapeutic programme for adolescents with OW/OB: integral education on nutrition and physical activity).</p> <p>Methods/Design</p> <p>The EVASYON was planned by a multidisciplinary team to treat OW/OB in Spanish adolescents. The EVASYON is a multi-centre study conducted in 5 hospitals in 5 Spanish cities (Granada, Madrid, Pamplona, Santander and Zaragoza) and two hundred and four OW/OB Spanish adolescents were recruited for this intervention. The treatment was implemented for approximately one-year follow-up. The adolescents were treated in groups of a maximum of 10 subjects; each group had 20 visits during the treatment period in two phases: intensive during the first 2 months (1^stto 9^thvisits), and extensive during the last 11 months (10^thto 20^thvisits). In order to assess the efficacy of the treatment, 8 dimensions were measured: diet; physical activity and fitness; eating behaviour; body composition; haematological profile; metabolic profile; minerals and vitamins; immuno-inflammatory markers. Moreover, genetic polymorphisms were also determined.</p> <p>Discussion</p> <p>The treatment programme developed in the EVASYON study was designed as a national pilot study to be implemented as an effective treatment for adolescents with OW/OB into the Spanish Health Care Service.</p

Design and evaluation of a treatment programme for Spanish adolescents with overweight and obesity. The EVASYON Study

Background The prevalence of overweight and obesity (OW/OB) among adolescents worldwide has increased since the 60 s. Spain has reached one of the highest OW/OB prevalence rates among adolescents from European countries. The aim of this methodological paper is to describe the design and evaluation in the EVASYON study (Development, implementation and evaluation of the efficacy of a therapeutic programme for adolescents with OW/OB: integral education on nutrition and physical activity). Methods/Design The EVASYON was planned by a multidisciplinary team to treat OW/OB in Spanish adolescents. The EVASYON is a multi-centre study conducted in 5 hospitals in 5 Spanish cities (Granada, Madrid, Pamplona, Santander and Zaragoza) and two hundred and four OW/OB Spanish adolescents were recruited for this intervention. The treatment was implemented for approximately one-year follow-up. The adolescents were treated in groups of a maximum of 10 subjects; each group had 20 visits during the treatment period in two phases: intensive during the first 2 months (1st to 9th visits), and extensive during the last 11 months (10th to 20th visits). In order to assess the efficacy of the treatment, 8 dimensions were measured: diet; physical activity and fitness; eating behaviour; body composition; haematological profile; metabolic profile; minerals and vitamins; immuno-inflammatory markers. Moreover, genetic polymorphisms were also determined. Discussion The treatment programme developed in the EVASYON study was designed as a national pilot study to be implemented as an effective treatment for adolescents with OW/OB into the Spanish Health Care Service

Post-intervention Status in Patients With Refractory Myasthenia Gravis Treated With Eculizumab During REGAIN and Its Open-Label Extension

OBJECTIVE: To evaluate whether eculizumab helps patients with anti-acetylcholine receptor-positive (AChR+) refractory generalized myasthenia gravis (gMG) achieve the Myasthenia Gravis Foundation of America (MGFA) post-intervention status of minimal manifestations (MM), we assessed patients' status throughout REGAIN (Safety and Efficacy of Eculizumab in AChR+ Refractory Generalized Myasthenia Gravis) and its open-label extension. METHODS: Patients who completed the REGAIN randomized controlled trial and continued into the open-label extension were included in this tertiary endpoint analysis. Patients were assessed for the MGFA post-intervention status of improved, unchanged, worse, MM, and pharmacologic remission at defined time points during REGAIN and through week 130 of the open-label study. RESULTS: A total of 117 patients completed REGAIN and continued into the open-label study (eculizumab/eculizumab: 56; placebo/eculizumab: 61). At week 26 of REGAIN, more eculizumab-treated patients than placebo-treated patients achieved a status of improved (60.7% vs 41.7%) or MM (25.0% vs 13.3%; common OR: 2.3; 95% CI: 1.1-4.5). After 130 weeks of eculizumab treatment, 88.0% of patients achieved improved status and 57.3% of patients achieved MM status. The safety profile of eculizumab was consistent with its known profile and no new safety signals were detected. CONCLUSION: Eculizumab led to rapid and sustained achievement of MM in patients with AChR+ refractory gMG. These findings support the use of eculizumab in this previously difficult-to-treat patient population. CLINICALTRIALSGOV IDENTIFIER: REGAIN, NCT01997229; REGAIN open-label extension, NCT02301624. CLASSIFICATION OF EVIDENCE: This study provides Class II evidence that, after 26 weeks of eculizumab treatment, 25.0% of adults with AChR+ refractory gMG achieved MM, compared with 13.3% who received placebo

Minimal Symptom Expression' in Patients With Acetylcholine Receptor Antibody-Positive Refractory Generalized Myasthenia Gravis Treated With Eculizumab

The efficacy and tolerability of eculizumab were assessed in REGAIN, a 26-week, phase 3, randomized, double-blind, placebo-controlled study in anti-acetylcholine receptor antibody-positive (AChR+) refractory generalized myasthenia gravis (gMG), and its open-label extension

Toward the integrated marine debris observing system

Plastics and other artificial materials pose new risks to the health of the ocean. Anthropogenic debris travels across large distances and is ubiquitous in the water and on shorelines, yet, observations of its sources, composition, pathways, and distributions in the ocean are very sparse and inaccurate. Total amounts of plastics and other man-made debris in the ocean and on the shore, temporal trends in these amounts under exponentially increasing production, as well as degradation processes, vertical fluxes, and time scales are largely unknown. Present ocean circulation models are not able to accurately simulate drift of debris because of its complex hydrodynamics. In this paper we discuss the structure of the future integrated marine debris observing system (IMDOS) that is required to provide long-term monitoring of the state of this anthropogenic pollution and support operational activities to mitigate impacts on the ecosystem and on the safety of maritime activity. The proposed observing system integrates remote sensing and in situ observations. Also, models are used to optimize the design of the system and, in turn, they will be gradually improved using the products of the system. Remote sensing technologies will provide spatially coherent coverage and consistent surveying time series at local to global scale. Optical sensors, including high-resolution imaging, multi- and hyperspectral, fluorescence, and Raman technologies, as well as SAR will be used to measure different types of debris. They will be implemented in a variety of platforms, from hand-held tools to ship-, buoy-, aircraft-, and satellite-based sensors. A network of in situ observations, including reports from volunteers, citizen scientists and ships of opportunity, will be developed to provide data for calibration/validation of remote sensors and to monitor the spread of plastic pollution and other marine debris. IMDOS will interact with other observing systems monitoring physical, chemical, and biological processes in the ocean and on shorelines as well as the state of the ecosystem, maritime activities and safety, drift of sea ice, etc. The synthesized data will support innovative multi-disciplinary research and serve a diverse community of users

Brexit and higher education in Europe::the role of ideas in shaping internationalisation strategies in times of uncertainty

Based on thematic data analysis of reports from a qualitative cross-country study, the article explores the perceptions of Brexit and collaborations with the UK in different EU countries through the lens of discursive institutionalism. We suggest that in the context of uncertainty characteristic of the post-Brexit referendum period, ideas related to economic concerns and strategic repositioning of national higher education systems subsume the values attached to the European dimension of higher education and research policies. The ideal of educational cooperation based on cultural diversity and national varieties is overridden by concerns expressed in terms of economic rationales. These findings corroborate research that argues that collaboration/cooperation has become a pragmatic and instrumental endeavour. In time, and if the current climate of uncertainty persists, this may further reconfigure institutional strategies and lead institutions to focus on problem solutions rather than the pursuit of the political ends of cooperation