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Migration and international relations: cooperation and control in the European Community.

"In this article I have developed a political-economic framework for understanding international migration in postwar Europe and the United States." The author begins by reviewing four theories of international relations and gives a short critique of their main assumptions. He "finds that international migration reveals a contradiction between the main economic purpose of the postwar international order--to promote exchange--and the national perquisites of sovereignty and citizenship."

Americas↗

[Brief notes on the evolution of the legal position of immigrants from outside the European Community in Italy in 1995-1996].

"In 1995/96 Italian immigration decrees on the legal status of non-EC citizens have maintained a confused and, in some cases, an unconstitutional character. Government decree n.489/November 1995, issued on the grounds of an alleged emergency, did not succeed in regulating incoming flows for seasonal work and enforcing restrictive measures on illegal immigration. Hopefully, it will manage to clear the position of 250,000 illegal entries. This latter provision is likely to prove a further incentive for illegal immigrants, the...opposite of what the government had in mind." (SUMMARY IN ENG AND FRE)

Demography↗

Drug related problems identified by European community pharmacists in patients discharged from hospital.

INTRODUCTION: Drug related problems (DRPs) are perceived to occur frequently when patients are discharged from the hospital. Community pharmacists' interventions to detect, prevent and solve DRPs in this population are scarcely studied. OBJECTIVE: To examine the nature and frequency of DRPs in community pharmacies among patients discharged from hospitals in several countries, and to examine several variables related to these drug related problems. METHOD: The study was performed in 112 community pharmacies in Europe: Austria, Denmark, Germany, The Netherlands, Portugal and Spain. Community pharmacists asked patients with a prescription after discharge from hospital between February and April 2001 to participate in the study. A patient questionnaire was used to identify drug related problems. Pharmacists documented drug related problems, pharmacy interventions, type of prescriber and patient and pharmacy variables. RESULTS: 435 patients were included in the study. Drug related problems were identified in 277 patients (63.7%). Uncertainty or lack of knowledge about the aim or function of the drug (133; 29.5%) and side effects (105; 23.3%) were the most common DRPs. Practical problems were reported 56 times (12.4%) by patients. Pharmacists revealed 108 problems (24.0%) concerning dosage, drug duplication, drug interactions and prescribing errors. Patients with more changes in their drug regimens (drugs being stopped, new drugs started or dosage modifications) and using more drugs were more likely to develop DRPs. Community pharmacists recorded 305 interventions in 205 patients with DRPs. Pharmacists intervened mostly by patient medication counselling (39.0%) and practical instruction to the patient (17.7%). In 26.2% the intervention was directed towards the prescriber. In 28 cases (9.2%) the pharmacists' intervention led to a change of the drug regimen. CONCLUSION: This study shows that a systematic intervention by community pharmacists in discharged patients, or their proxies, is able to reveal a high number of DRPs that might be relevant for patient health outcomes. There should be more initiatives to insure continuity of care, since DRPs after discharge from hospital seem to be very common.

Aged↗

The use of antigen and vaccine banks in case of emergency vaccination in the European community.

The Community control measures for foot-and-mouth disease (FMD) have been reviewed and are currently laid down in Directive 2003/85/EC of 29 September 2003. The Community is free of FMD and infection without practising vaccination. Legal provisions are in place to resort to emergency vaccination where required by the epidemiological situation and reserves of suitable antigens of the FMD virus for express formulation into vaccines have been established.

Animals↗