The assessment of efforts to return to work in the European Union

Background: Assessment of efforts to promote return-to-work (RTW) includes all efforts (vocational and non-vocational) designed to improve the work ability of the sick-listed employee and increase the chance to return to work. Aim of the study was to investigate whether in 13 European countries these RTW efforts are assessed and to compare the procedures by means of six criteria. METHODS: Data were gathered in the taxonomy project of the European Union of Medicine in Assurance and Social Security and by means of an additional questionnaire. RESULTS: In seven countries RTW efforts are subject of the assessment in relation to the application for disability benefits. Description of RTW efforts is a prerequisite in five countries. Guidelines on the assessment of RTW efforts are only available in the Netherlands and no countries report the use of the ICF model. Based on the results of the additional questionnaire, the assessor is a social scientist or a physician. The information used to assess RTW efforts differs, from a report on the RTW process to medical information. A negative outcome of the assessment leads to delay of the application for disability benefits or to application for rehabilitation subsidy. Conclusion: RTW efforts are assessed in half of the participating European countries. When compared, the characteristics of the assessment of RTW efforts in the participating European countries show both similarities and differences. This study may facilitate the gathering and exchange of knowledge and experience between countries on the assessment of RTW efforts

The impact of Arctic warming on the midlatitude jetstream: Can it? Has it? Will it?

Copyright © 2015 John Wiley & Sons, LtdThe Arctic lower atmosphere has warmed more rapidly than that of the globe as a whole, and this has been accompanied by unprecedented sea ice melt. Such large environmental changes are already having profound impacts on the flora, fauna, and inhabitants of the Arctic region. An open question, however, is whether these Arctic changes have an effect on the jet-stream and thereby influence weather patterns farther south. This broad question has recently received a lot of scientific and media attention, but conclusions appear contradictory rather than consensual. We argue that one point of confusion has arisen due to ambiguities in the exact question being posed. In this study, we frame our inquiries around three distinct questions: Can Arctic warming influence the midlatitude jet-stream? Has Arctic warming significantly influenced the midlatitude jet-stream? Will Arctic warming significantly influence the midlatitude jet-stream? We argue that framing the discussion around the three questions: Can it?, Has it?, and Will it? provides insight into the common themes emerging in the literature as well as highlights the challenges ahead

Opportunities and challenges for GeoBIM in Europe: developing a building permits use-case to raise awareness and examine technical interoperability challenges

The integration of geoinformation with BIM (GeoBIM) is critical to underpin solutions to many city-related challenges. However, to achieve an effective integration it is necessary to consider not only data and technical options but also current practice and users’ needs. This paper describes work carried out within the EuroSDR-GeoBIM project to address this challenge. After investigating potential uses for GeoBIM and existing challenges, we address a planning permits for buildings use case, to help bridging the gap between theory and practice. The resultshighlights a high-level harmonised workflow envisaging the use of GeoBIM information for automating the planning permits process

Anomalous blocking over Greenland preceded the 2013 extreme early melt of local sea ice

The Arctic marine environment is undergoing a transition from thick multi-year to first-year sea ice cover with coincident lengthening of the melt season. Such changes are evident in the Baffin Bay-Davis Strait-Labrador Sea (BDL) region where melt onset has occurred ~8 days decade-1 earlier from 1979-2015. A series of anomalously early events has occurred since the mid-1990s, overlapping a period of increased upper-air ridging across Greenland and the northwestern North Atlantic. We investigate an extreme early melt event observed in spring 2013 below the 1981-2010 melt climatology), with respect to preceding sub-seasonal mid-tropospheric circulation conditions as described by a daily Greenland Blocking Index (GBI). The 40-days prior to the 2013 BDL melt onset are characterized by a persistent, strong 500 hPa anticyclone over the region (GBI >+1 on >75% of days). This circulation pattern advected warm air from northeastern Canada and the northwestern Atlantic poleward onto the thin, first-year sea ice and caused melt about 50 days earlier than normal. The episodic increase in the ridging atmospheric pattern near western Greenland as in 2013, exemplified by large positive GBI values, is an important recent process impacting the atmospheric circulation over a North Atlantic cryosphere undergoing accelerated regional climate change

Arctic sea-ice change: a grand challenge of climate science

Over the period of modern satellite observations, Arctic sea-ice extent at the end of the melt season (September) has declined at a rate of >11% per decade, and there is evidence that the rate of decline has accelerated during the last decade.While climate models project further decreases in seaice mass and extent through the 21st century, the model ensemble mean trend over the period of instrumental records is smaller than observed. Possible reasons for the apparent discrepancy between observations and model simulations include observational uncertainties, vigorous unforced climate variability in the high latitudes, and limitations and shortcomings of the models stemming in particular from gaps in understanding physical process. The economic significance of a seasonally sea-ice-free future Arctic, the increased connectivity of a warmer Arctic with changes in global climate, and large uncertainties in magnitude and timing of these impacts make the problem of rapid sea-ice loss in the Arctic a grand challenge of climate science. Meaningful prediction/projection of the Arctic sea-ice conditions for the coming decades and beyond requires determining priorities for observations and model development, evaluation of the ability of climate models to reproduce the observed sea-ice behavior as a part of the broader climate system, improved attribution of the causes of Arctic sea-ice change, and improved understanding of the predictability of sea-ice conditions on seasonal through centennial timescales in the wider context of the polar climate predictability

Chapter 10 - Detection and attribution of climate change: From global to regional

This chapter assesses the causes of observed changes assessed in Chapters 2 to 5 and uses understanding of physical processes, climate models and statistical approaches. The chapter adopts the terminology for detection and attribution proposed by the IPCC good practice guidance paper on detection and attribution (Hegerl et al., 2010) and for uncertainty Mastrandrea et al. (2011). Detection and attribution of impacts of climate changes are assessed by Working Group II, where Chapter 18 assesses the extent to which atmospheric and oceanic changes influence ecosystems, infrastructure, human health and activities in economic sectors

Identification of the factors associated with outcomes in a condition management programme

<p>Background: A requirement of the Government’s Pathways to Work (PtW) agenda was to introduce a Condition Management Programme (CMP). The aim of the present study was to identify the differences between those who engaged and made progress in this telephone-based biopsychosocial intervention, in terms of their health, and those who did not and to determine the client and practitioner characteristics and programme elements associated with success in a programme aimed at improving health.</p> <p>Methods: Data were obtained from the CMP electronic spreadsheets and clients paper-based case records. CMP standard practice was that questionnaires were administered during the pre- and post-assessment phases over the telephone. Each client’s record contains their socio-demographic data, their primary health condition, as well as the pre- and post-intervention scores of the health assessment tool administered. Univariate and multivariate statistical analysis was used to investigate the relationships between the database variables. Clients were included in the study if their records were available for analysis from July 2006 to December 2007.</p> <p> Results: On average there were 112 referrals per month, totalling 2016 referrals during the evaluation period. The majority (62.8%) of clients had a mental-health condition. Successful completion of the programme was 28.5% (575 “completers”; 144 “discharges”). Several factors, such as age, health condition, mode of contact, and practitioner characteristics, were significant determinants of participation and completion of the programme. The results showed that completion of the CMP was associated with a better mental-health status, by reducing the number of clients that were either anxious, depressed or both, before undertaking the programme, from 74% to 32.5%.</p> <p>Conclusions: Our findings showed that an individual's characteristics are associated with success in the programme, defined as completing the intervention and demonstrating an improved health status. This study provides some evidence that the systematic evaluation of such programmes and interventions could identify ways in which they could be improved.</p&gt