“I'm from Europe,but I'm Not European”

This article examines the role television (TV) plays in the development of primary school children's European knowledge and identities in England and Bulgaria. It compares the media coverage on Europe and the European Union with pupils' European perceptions and identities. The article reports data from 174 qualitative interviews with children and the content analysis of seven TV programmes. It concludes that TV plays a strong role in collective identities when a topic is salient on the agenda. TV raises awareness and knowledge and sets the direction of understanding. Yet, despite the higher salience of Europe on the Bulgarian media agenda, Bulgarians feel less European than English children. The article provides an explanation to this phenomenon, thus filling an important gap in the literature about the media's role in collective identities formation from an early age. It also adopts an innovative approach in the study of agenda-setting theory by investigating its application among children.     

Respiratory syncytial virus and influenza hospitalizations in Danish children 2010–2016

ObjectiveTo pave the way for universal or risk factor-based vaccination strategies, the present study aimed to describe the epidemiology and compare risk factors for hospitalization associated with respiratory syncytial virus (RSV) and influenza virus infections in Danish children.MethodsNational register-based cohort study among 403,422 Danish children born 2010–2016.ResultsPrior asthma hospitalization, number of children in the household, chronic disease and maternal history of asthma hospitalization were the most important risk factors for both RSV and influenza hospitalization. The incidence of influenza increased at school start.ConclusionsOur findings enable targeted vaccination programs for high-risk children with asthma-like disease, chronic disease, siblings in the household, or maternal history of asthma hospitalization.     

Successful Treatment of Erdheim-Chester Disease With Coronary Artery Involvement

Erdheim-Chester disease (ECD) is a rare non-Langerhans histiocytosis and inflammatory myeloid neoplasm with poor prognosis. Symmetric long bone osteosclerosis occurs in nearly all patients, but other organs are often involved. Coronary artery involvement is rare, but was encountered in a patient who experienced angina. Radiologic presentation and histologic findings were consistent with diagnosis of ECD. A soft-tissue mass was found surrounding the right atrium, ascending aorta, and all branches of coronary artery. Interferon-alfa treatment was successful. In conclusion, we recommend coronary artery computed tomography angiography for cardiovascular evaluation of ECD and interferon-alfa to treat ECD.     

The emerging EU quality of care policy: From sharing information to enforcement

Despite the fact that Member States and many citizens of the EU like to keep healthcare a foremost national competence and the EU treaties state that Member States remain primarily responsible for the organization and delivery of health care services, the European Union (EU) has expanded its involvement in healthcare policy over the last twenty years. Based on interviews and document and literature analysis we show that the scope of EU involvement has widened from public health and access to care, to quality of care. In this paper we concentrate on the latter. Focusing on the recent EU initiatives regarding the quality systems of the Member States and the quality of services, this paper shows how the depth of EU interference has increased from sharing information to standardization and even to the first signs of enforcement. We argue that at this stage, reflection on the feasibility and desirability of the EU's involvement is clearly needed, also considering the differences in quality of care policies between and within EU Member States. Both arguments in favour and against further EU involvement are discussed in this paper.     

Exploring Types of Parent–Child Relationship and Internet use across Europe

This article explores internet-related parent–child relationships across twenty-five European countries. Parent–child dyads are analysed in terms of parental mediation, digital competence, and communicative proximity, in order to answer the following research questions: Which types of parent–child relationship with respect to internet use can be found? How do they coincide with developmental, social, and cultural patterns? And how are they distributed across European Union countries? Using data from the EU Kids Online survey, four types of parent–child relationship were identified. The types are shaped by several factors on the level of child, family, and country, with the child's age and internet use being the most important predictors. Based on the prevalence of these family types, six country clusters were identified, which represent technical, social, and cultural contexts shaping the type of internet-related parent–child relationship.     

Tumor Epigenetic Signature and Survival in Resected Gastric Cancer Patients

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Two-stage maxillary distraction osteogenesis using a modified external device: clinical outcome and complications

Rigid external distraction is currently used to correct severe maxillary hypoplasia. The purpose of this retrospective study was to present the clinical results and complications of a two-stage surgical approach using a modified external distraction system that consists of maxillary distraction and then maxillary fixation. We treated eight patients with cleft lip and palate in this way from 2016 to 2018. Lateral cephalograms taken before the first operation, after distraction, two weeks after the second operation, and one year after treatment were used to examine maxillofacial morphology. Velopharyngeal function was evaluated by a speech therapist. The mean movements of the maxilla forwards and downwards at Point A were 12.0 mm and 8.0 mm at the completion of distraction and those at Point B were 5.0 mm backwards and 9.7 mm downwards. Mouth opening was limited at this time, and was relieved after maxillary fixation. The mean relapse one year postoperatively was 24.3% horizontally and 52.5% vertically. Velopharyngeal function was unchanged by the operation. We conclude that the method has advantages that include the short duration of wearing distractors and increased acceptance by patients. The modified external device advanced the midface sufficiently.