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European Regions (european + regions)

Distribution by Scientific Domains

Life Sciences	42%
Humanities and Social Sciences	28%
Medical Sciences	9%
4 Other Domains	21%

Selected Abstracts

Spatial Effects in Website Adoption by Firms in European Regions

GROWTH AND CHANGE, Issue 1 2009
MARGARITA BILLON
ABSTRACT The purpose of this paper is to provide empirical evidence on the neighboring effects of Internet adoption as measured by the percentage of firms with their own website in the European regions. This is the first study that explicitly analyzes the role played by spatial effects to explain website adoption for the European case. A set of instruments and techniques commonly used in the spatial econometrics framework is employed to test the hypothesis that proximity matters when explaining Internet adoption by firms. Results show that firms in physically adjacent regions register a similar degree of Internet adoption, confirming the presence in this context of positive spatial dependence. Nevertheless, the spatial effects detected are mainly constrained by national borders. Gross domestic product (GDP) per capita, population density, sectoral composition, and education are positively related to geographic distribution of Internet adoption in the enlarged European Union. In addition, regional disparities in Internet adoption were found to be less important than territorial inequalities in GDP per capita. [source]

Virulence Frequences of Puccinia triticina in Germany and the European Regions of the Russian Federation

JOURNAL OF PHYTOPATHOLOGY, Issue 1 2007
V. Lind
Abstract From 2001 to 2003, leaf rust was collected in different regions of Germany and the Russian Federation to generate single spore isolates and to study the structure of the pathogen populations by analyses of virulence. The virulence of isolates was tested with 38 near-isogenic lines each carrying a different resistance gene. The analyses of variance revealed significant effects for the frequency of virulent isolates, the regions and most interactions with years and regions, but no significance was found for the effects of years. In Germany, an increase of virulence frequencies was detected for Lr1 and Lr2a while a decrease was found for Lr3a, Lr3bg and Lr3ka. Such clear trends did not occur in Russia which may be due to the great agroclimatic differences between regions. The variance of the frequency of virulent isolates was used to estimate adequate sample sizes for the analysis of regional populations of leaf rust. This procedure resulted in more reliable information about the dynamic processes within the pathogen populations. In 2002 and 2003, all pathotypes in Germany had a combined virulence to Lr1, Lr2a, Lr2b, Lr15, Lr17 and Lr20 supplemented by a few other genes. The complexity of virulence was lower in the most frequent pathotypes. In Russia virulence to the alleles at locus Lr3 was very common. Using detached leaf segments in Germany and Russia it turned out that the most virulent pathotypes carry 34 and 32 virulence genes, respectively. Virulence to Lr9, Lr19, Lr24 and Lr38 was rare or even absent. The use of major genes, not overcome by corresponding virulent pathotypes, may contribute to more durable types of resistance in case they are combined with genes having different effects, e.g. adult plant resistance. [source]

Catching Up or Falling Behind?

ECONOMIC GEOGRAPHY, Issue 2 2000
Economic Performance, Regional Trajectories in the "New Europe"
Abstract: This paper examines the trajectories of economic development of European national and regional economies in light of the pressures for greater integration and enlargement of the European Union. Using a variety of data sets, we demonstrate that there are significant variations in the speed and direction of change in per capita income and in productivity and employment rates across countries and a sample of European regions, and that falling behind (divergence) occurs as well as catching up (convergence). Making sense of spatial development therefore requires, we argue, that attention be paid to processes of differentiation and, in particular, to the falling behind experienced by less developed areas in East Central Europe and the forging ahead of the most developed, as well as to processes of catch-up. The paper also contributes to an assessment of the appropriateness of interpretations of growth and spatial development through countering the dominant discourse of convergence in neoclassical and neoliberal formulations and by suggesting that integration brings with it a number of important territorial "costs" associated with increasing inequality. [source]

The Learning Region between Pedagogy and Economy

EUROPEAN JOURNAL OF EDUCATION, Issue 3 2010
ROBERTA PIAZZA
Economic growth is stimulated through learning. In ,the learning economies' of those European regions that chose to develop their human and intellectual capital wisely, benefits have been visible. But this is a one-dimensional outlook in a multi-dimensional world. A ,Learning Region' is an entirely different entity, pooling and mobilising its resources from the community, its institutions, culture and heritage, and industry, to mention just a few, for the common, social, economic and ecological good. This article examines and critiques recent ideas and perceptions behind the concept of the learning region and suggests why, in the Italian context, they have not been successful so far in entering the consciousness of regional leaders. It argues that greater individualisation, privatisation and the ascendancy of the market approach to learning are, perhaps paradoxically, barriers to establishing the regional structures that would implement lifelong learning for all and enhance economic and social progress. Cooperation, partnership, sharing and the integration of stakeholders in respecting a common goal are far more difficult to achieve in today's climate. [source]

Early Pragian conodont-based correlations between the Barrandian area and the Spanish Central Pyrenees

GEOLOGICAL JOURNAL, Issue 5 2007
Ladislav Slavík
Abstract Occurrences and distribution of extremely scarce eognathodontids do not facilitate reliable correlation across the European regions. The correlation of the traditional early Pragian of the Prague Synform (a part of the classical Barrandian area) and the Spanish Central Pyrenees (section Segre 1) is based on conodont taxa of the Icriodus steinachensis and the Pelekysgnathus serratus stocks. This correlation has the potential to be extended to other peri-Gondwanan regions where this scarcity of eognathodontid faunas exists as well. Application of the morphotype subdivision in I. steinachensis enables approximation of the beginning of the Pragian in the Pyrenees. It is based on the entry of I. steinachensis beta morphotype; it enters together with early eognathodontid taxa in the Barrandian sections. These correlations show that routine application of certain zonal concepts can lead to misleading conclusions. Copyright © 2007 John Wiley & Sons, Ltd. [source]

Rapid climate change-related growth decline at the southern range edge of Fagus sylvatica

GLOBAL CHANGE BIOLOGY, Issue 11 2006
ALISTAIR S. JUMP
Abstract Studies on Fagus sylvatica show that growth in populations toward the southern limit of this species' distribution is limited strongly by drought. Warming temperatures in the Mediterranean region are expected to exacerbate drought where they are not accompanied by increases in precipitation. We studied levels of annual growth in mature F. sylvatica trees over the last half-century in the Montseny Mountains in Catalonia (northeast Spain). Our results show significantly lower growth of mature trees at the lower limit of this species' distribution when compared with trees at higher altitudes. Growth at the lower Fagus limit is characterized by a rapid recent decline starting in approximately 1975. By 2003, growth of mature trees had fallen by 49% when compared with predecline levels. This is not an age-related phenomenon, nor is it seen in comparable populations at higher altitudes. Analysis of climate-growth relationships suggests that the observed decline in growth is a result of warming temperatures and that, as precipitation in the region has not increased, precipitation is now insufficient to ameliorate the negative effects of increased temperatures on tree growth. As the climate-response of the studied forest is comparable with that of F. sylvatica forests in other southern European regions, it is possible that this growth decline is a more widespread phenomenon. Warming temperatures may lead to a rapid decline in the growth of range-edge populations and a consequent retreat of the species distribution in southern Europe. Assessment of long-term growth trends across the southern range edge of F. sylvatica therefore merits further attention. [source]

Spatial Effects in Website Adoption by Firms in European Regions

Maternal expectations about infant development of pre-term and full-term infants: a cross-national comparison

INFANT AND CHILD DEVELOPMENT, Issue 1 2006
Y. van Beek
Abstract In three European regions (The Netherlands, Northern Italy and Southern Italy) we investigated whether mothers of healthy pre-term infants (n=92) adjust their expectations for the timing of developmental milestones in the first years of life as compared to mothers of full-term infants (n=140). We examined whether these adjustments could be seen as reflecting a pessimistic view, as would be predicted from the ,prematurity stereotype' perspective. Partial corrections for prematurity were regularly made, but no indications were found for an overly pessimistic view. Moreover, the differences between the regions in the anticipated timing of mastery of milestones were larger than the effects of prematurity. Copyright © 2006 John Wiley & Sons, Ltd. [source]

When and How Regions Become Peaceful: Potential Theoretical Pathways to Peace,

INTERNATIONAL STUDIES REVIEW, Issue 2 2005
Benjamin Miller
The objective of this essay is to address the following two puzzles. First, what best accounts for the transition from war to peace in different regions at different times? Second, what is the best explanation for variations in the level of regional peace that exists in different regions in a particular time period? Consider the differences that exist today in the Middle Eastern, South American, and Western European regions. A theoretical framework is proposed that is intended to integrate the regional and international perspectives on regional peace. It establishes linkages between different mechanisms that can lead to regional peace and the emergence of different levels of peace as well as presents three potential theoretical pathways to peace. An argument is made that the underlying cause of regional war propensity is the extent of the state-to-nation imbalance in a region. Accordingly, different peacemaking strategies produce different levels of peace based on their treatment of the state-to-nation problem. A distinction is made between the effects of different approaches to peacemaking and the conditions for their success. In effect, peacemaking strategies bring about the transition from war to peace only if certain conditions exist in the region. The advantages and disadvantages of the three mechanisms are illustrated through three case studies, each exemplifying a specific strategy and level of peace that have resulted from the presence of certain conditions in the region: the Middle East (a transition to cold peace in the 1990s), South America (the evolution of normal peace across the twentieth century), and Western Europe (the emergence of warm peace since the 1950s). [source]

The Impact of EU Regional Support on Growth and Convergence in the European Union

JCMS: JOURNAL OF COMMON MARKET STUDIES, Issue 4 2003
Aadne Cappelen
The evidence presented in this article suggests that EU regional support has a significant and positive impact on the growth performance of European regions. Moreover, there are signs of a change in the impact of this support in the 1990s, indicating that the major reform of the structural funds undertaken in 1988 may have succeeded in making EU regional policy more effective. However, the results also indicate that the economic effects of such support are much stronger in more developed environments, emphasizing the importance of accompanying policies that improve the competence of the receiving environments. [source]

Wildfires and the expansion of threatened farmland birds: the ortolan bunting Emberiza hortulana in Mediterranean landscapes

JOURNAL OF APPLIED ECOLOGY, Issue 4 2008
Lluís Brotons
Summary 1It has been argued that wildfires are one of the major agents involved in landscape transformation in many European regions and their impact is expected to increase in the near future. Despite the recognized impact of fire on wildlife at a local scale, we lack information on the species responses to fire at larger spatial scales. 2In this study, we used the ortolan bunting Emberiza hortulana to evaluate the potential effects of wildfires on open-habitat species distribution. In contrast to most European countries, this farmland species has experienced a consistent range expansion during the last decades in Catalonia (northeast Iberian peninsula). Distribution data of the species collected at different time periods allowed us to test the role of fires in determining range expansions at a regional scale, and to evaluate the importance of dispersal constraints on distribution changes. 3Analyses of distribution data from 1975,1983 and 1999,2002 showed a consistent expansion of the ortolan bunting in Catalonia. After correcting for differences in sampling effort, changes in distribution showed a strong spatial pattern with colonization and stability, but not local extinction, being clumped in space. Patterns of change were also strongly and significantly associated with the amount of shrubland burnt between the two time periods, since areas that experienced a larger impact of fires in terms of burnt area showed a much higher probability of maintaining species presence or of being colonized. Colonization events appeared to be more likely in areas affected by fire especially when surrounding areas had already been colonized by the species. 4Synthesis and applications. Overall, our results support the hypothesis that wildfires, especially those affecting open woodlands or shrubby areas, play a critical role in the ecology of the ortolan bunting and have contributed to the recent expansion of the species in Catalonia. Furthermore, we have shown that colonization appears to be limited, not only by the availability of new burnt habitat but also by specific dispersal constraints. We suggest that, for several European threatened species associated with open habitats, burnt areas may partially compensate for the widespread loss and deterioration of farmland habitat, opening new management opportunities for their conservation. [source]

Use of trace elements in feathers of sand martin Riparia riparia for identifying moulting areas

JOURNAL OF AVIAN BIOLOGY, Issue 3 2003
Tibor Szép
We investigated whether trace elements in tail feathers of an insectivorous and long-distance migratory bird species could be used to identify moulting areas and hence migratory pathways. We analysed tail feathers from birds of different age and sex collected from a range of different breeding sites across Europe. The site of moult had a large effect on elemental composition of feathers of birds, both at the European and African moulting sites. Analysis of feathers of nestlings with known origin suggested that the elemental composition of feathers depended largely upon the micro-geographical location of the colony. The distance between moulting areas could not explain the level of differences in trace elements. Analysis of feathers grown by the same individuals on the African wintering grounds and in the following breeding season in Europe showed a large difference in composition indicating that moulting site affects elemental composition. Tail feathers moulted in winter in Africa by adults breeding in different European regions differed markedly in elemental composition, indicating that they used different moulting areas. Analysis of tail feathers of the same adult individuals in two consecutive years showed that sand martins in their first and second wintering season grew feathers with largely similar elemental composition, although the amounts of several elements in tail feathers of the older birds was lower. There was no difference between the sexes in the elemental composition of their feathers grown in Africa. Investigation of the trace element composition of feathers could be a useful method for studying similarity among groups of individuals in their use of moulting areas. [source]

Mitochondrial phylogeography of the Woodmouse (Apodemus sylvaticus) in the Western Palearctic region

MOLECULAR ECOLOGY, Issue 3 2003
J. R. Michaux
Abstract We sequenced 965 base pairs of the mitochondrial DNA cytochrome b from 102 woodmice (Apodemus sylvaticus) collected from 40 European localities. The aims of the study were to answer the following questions. (i) Did the Mediterranean peninsulas play a role as refuge for woodmice? (ii) Is genetic variability of A. sylvaticus higher in the Mediterranean region compared with northern Europe? (iii) Are the patterns of the postglacial colonization of Europe by woodmice similar to those presently recognized for other European species? The results provide a clear picture of the impact of the Quaternary glaciations on the genetic and geographical structure of the woodmouse. Our analyses indicate a higher genetic variability of woodmice in the Mediterranean peninsulas compared to northern Europe, suggesting a role of the former as refuge regions for this small mammal. An original pattern of postglacial colonization is proposed where the Iberian and southern France refuge populations colonized almost all European regions. The Sicilian population appears to be very differentiated and highly variable. This emphasizes the importance of this island as a ,hot spot' for the intraspecific genetic diversity of the woodmouse. Finally, woodmice in North Africa originated from southwestern Europe, most probably as a result of a recent anthropogenic introduction. [source]

The spatial scale of adaptive population differentiation in a wide-spread, well-dispersed plant species

OIKOS, Issue 12 2008
Ute Becker
Adaptation to the specific conditions at different sites may contribute strongly to the wide distribution of a plant species. However, little is known about the scale at which such adaptation occurs in common species. We studied population differentiation, plasticity and local adaptation of the short-lived perennial Hypochoeris radicata, a widespread and common plant whose seeds are well-dispersed. We reciprocally transplanted seedlings among several populations of different size within and among three European regions (in the northwest Czech Republic, central Germany and the central Netherlands) and studied several fitness-related traits over two growing seasons. The region in which the reciprocal transplant experiment was carried out had no influence on the performance of seedlings, indicating that there were no differences in overall habitat quality. In contrast, the site within region, and the plot within site strongly influenced mean plant performance. Plants from different populations of origin differed in their performance, indicating genetic variation among populations, but performance strongly depended on the specific combination of population of origin and transplant site. Plants that grew at their home site produced on average almost twice the number of seeds per transplant (a multiplicative fitness measure) than foreign plants originating from other sites. Survival, rosette size and multiplicative fitness all decreased with increasing distance from the home site to the transplant site. The size of the population of origin did not influence overall plant performance or the strength of local adaptation. In conclusion, our results indicate that the common and widespread H. radicata consists of locally adapted genotypes within its European range at a relatively small scale. Thus a large potential for gene flow by seeds and a high density of populations do not appear to be sufficient to prevent population differentiation by selection. [source]

Exploratory spatial data analysis of the distribution of regional per capita GDP in Europe, 1980,1995

PAPERS IN REGIONAL SCIENCE, Issue 2 2003
Julie Le Gallo
European Union; exploratory spatial data analysis; regional disparities; spatial autocorrelation; spatial heterogeneity Abstract. The aim of this paper is to study the space-time dynamics of European regional per capital GDP. A sample of 138 European regions over the 1980,1995 period provides clear evidence of global and local spatial autocorrelation as well as spatial heterogeneity in the distribution of regional per capita GDP. The detection of spatial clusters of high and low per capita GDP throughout the period is an indication of the persistence of spatial disparities among European regions. The dynamism of European regions is investigated by exploring the spatial pattern of regional growth. Implications for applied econometric work on the convergence of European regions are then suggested. [source]

Evaluation of prenatal diagnosis of associated congenital heart diseases by fetal ultrasonographic examination in Europe

PRENATAL DIAGNOSIS, Issue 4 2001
C. Stoll
Abstract Ultrasound scans in the mid trimester of pregnancy are now a routine part of antenatal care in most European countries. With the assistance of Registries of Congenital Anomalies a study was undertaken in Europe. The objective of the study was to evaluate prenatal detection of congenital heart defects (CHD) by routine ultrasonographic examination of the fetus. All congenital malformations suspected prenatally and all congenital malformations, including chromosome anomalies, confirmed at birth were identified from the Congenital Malformation Registers, including 20 registers from the following European countries: Austria, Croatia, Denmark, France, Germany, Italy, Lithuania, Spain, Switzerland, The Netherlands, UK and Ukrainia. These registries follow the same methodology. The study period was 1996,1998, 709,030 births were covered, and 8126 cases with congenital malformations were registered. If more than one cardiac malformation was present the case was coded as complex cardiac malformation. CHD were subdivided into ,isolated' when only a cardiac malformation was present and ,associated' when at least one other major extra cardiac malformation was present. The associated CHD were subdivided into chromosomal, syndromic non-chromosomal and multiple. The study comprised 761 associated CHD including 282 cases with multiple malformations, 375 cases with chromosomal anomalies and 104 cases with non-chromosomal syndromes. The proportion of prenatal diagnosis of associated CHD varied in relation to the ultrasound screening policies from 17.9% in countries without routine screening (The Netherlands and Denmark) to 46.0% in countries with only one routine fetal scan and 55.6% in countries with two or three routine fetal scans. The prenatal detection rate of chromosomal anomalies was 40.3% (151/375 cases). This rate for recognized syndromes and multiply malformed with CHD was 51.9% (54/104 cases) and 48.6% (137/282 cases), respectively; 150/229 Down syndrome (65.8%) were livebirths. Concerning the syndromic cases, the detection rate of deletion 22q11, situs anomalies and VATER association was 44.4%, 64.7% and 46.6%, respectively. In conclusion, the present study shows large regional variations in the prenatal detection rate of CHD with the highest rates in European regions with three screening scans. Prenatal diagnosis of CHD is significantly higher if associated malformations are present. Cardiac defects affecting the size of the ventricles have the highest detection rate. Mean gestational age at discovery was 20,24 weeks for the majority of associated cardiac defects. Copyright © 2001 John Wiley & Sons, Ltd. [source]

Integration and transition: Scenarios for the location of production and trade in Europe

THE ECONOMICS OF TRANSITION, Issue 1 2002
Rikard Forslid
Applying a newly developed CGE-model, we present scenarios for the future economic geography of Europe. The model divides the world into ten regions, five of which are European, and 14 industries, of which 12 are imperfectly competitive. With a complete input-output structure, the model captures comparative advantage mechanisms as well as intra-industry trade and ,new economic geography' agglomeration forces. The simulations focus on the consequences of successful transformation in Eastern Europe. The results indicate that transformation and European integration are of great importance for Eastern Europe, while the overall effects for other European regions are small. Individual sectors in the EU, such as Textiles and Transport Equipment, are, however, in some cases strongly affected. JEL classification: C68, F12, F17, R11. [source]

Is the historical war against wildlife over in southern Europe?

ANIMAL CONSERVATION, Issue 3 2009
A. Martínez-Abraín
Abstract Most southern European regions have experienced a rapid economical change during the last decades, moving from a historical economy based on agriculture to a society based on industry and technology. We test here whether causes of admission of birds admitted to a large southern European rehabilitation centre, during a 14-year period (1994,2007), reflect these socio-economical changes. Specifically, we estimated the trends in the number of birds admitted to the centre by shooting (S) over the number of birds admitted due to impacts caused by infrastructures (I), for the 10 most commonly admitted species with complete time series available. Species were grouped in three groups following ecological traits: raptors (diurnal and nocturnal) and aquatic birds. Trends were estimated by means of the slope of a linear regression of the log-transformed S/I ratio over time, which provided the finite population growth rate (,) and its 95% confidence intervals. We used the ratio to prevent possible biases caused by changes in wild population densities over the years. We conclude that the overall trend in the S/I ratio, as well as the trends for all three bird groups considered, were negative, and indicated a c. 10% annual reduction in the number of birds admitted by shooting in relation to those admitted by infrastructure-related injuries. Causal relationships were analysed by means of Poisson regressions on absolute numbers. Importantly we show that despite the direct historical war against wildlife seems to be coming to an end in southern Europe, impact to wildlife continues in an indirect way, as collateral damages caused by our post-industrial way of life. So the overall scenario is most likely not one of improved conservation status in southern Europe, but rather one of shifting ways of impacting wildlife in parallel with socio-economic changes. [source]

Pain in children with cerebral palsy: a cross-sectional multicentre European study

ACTA PAEDIATRICA, Issue 3 2010
KN Parkinson
Abstract Aim:, To determine the prevalence and associations of self-reported and parent-reported pain in children with cerebral palsy (CP) of all severities. Method:, Cross-sectional design using a questionnaire; analysis using ordinal regression. Children aged 8,12 years were randomly selected from population-based registers of children with CP in eight European regions; a further region recruited 75 children from multiple sources. Outcome measures were pain in the previous week among children who could self-report and parents' perception of their child's pain in the previous 4 weeks. Results:, Data on pain were available from 490 children who could self-report and parents of 806 children (those who could and could not self-report). The estimated population prevalence of self-reported pain in the previous week was 60% (95% CI: 54,65%) and that of parent-reported pain in the previous 4 weeks was 73% (95% CI: 69,76%). In self-reporting children, older children reported more pain but pain was not significantly associated with severity of impairment. In parent reports, severity of child impairment, seizures and parental unemployment were associated with more frequent and severe pain. Conclusion:, Pain in children with CP is common. Clinicians should enquire about pain and consider appropriate physical, therapeutic or psychological management. [source]

The molecular phylogeny of the Miarus campanulae (Coleoptera: Curculionidae) species group inferred from CO1 and ITS2 sequences

CLADISTICS, Issue 3 2006
Varpu Vahtera
Miarus is a Holarctic weevil genus with morphologically very similar species, all breeding on Campanula plants or their close relatives. Two European members of this genus, Miarus campanulae (L.), the type species, and Miarus graminis (Bohemann) have recently been split into several new species on the basis of slight external variations. The separation of these new forms has proved impossible and new data was needed. Molecular data were gathered from specimens from a number of locations in Finland, Estonia, Denmark and Sweden. The regions sequenced were mitochondrial CO1 and nuclear ITS2. Both combined and separate datasets were analyzed using the optimization alignment program POY, with parsimony as the optimality criterion. The recently separated Miarus species was found to be indistinguishable from the traditionally recognized form on the basis of this sequence data. On the other hand, the traditionally recognized species were characterized by numerous synapomorphies. Our data suggest that recent studies have underestimated the morphological variation in this genus. We propose that this may also be true for many taxonomically problematic beetle complexes in well-studied European regions. The idea that molecular evidence will inevitably reveal unnoticed cryptic variation may only apply to poorly known regions. Miarus fennicusKangas, 1978 is placed as a junior synonym of Miarus campanulae (Linnaeus, 1767) syn. nov. © The Willi Hennig Society 2006. [source]

Clonal dissemination of epidemic methicillin-resistant Staphylococcus aureus in Belgium and neighboring countries

CLINICAL MICROBIOLOGY AND INFECTION, Issue 5 2000
A. Deplano
Objectives To determine the diversity of pulsed-field gel electrophoresis (PFGE) types among epidemic strains of methicillin-resistant Staphylococcus aureus (MRSA) recovered in Belgium, France, Germany and The Netherlands over the period 1981,94. Methods MRSA strains collected in a multicenter survey in Belgium (n = 171) and from reference laboratories in neighboring countries (n = 102) were characterized by PFGE analysis using the SmaI enzyme. Results In total, 32 PFGE types were found. Epidemic PFGE type 1, first recognized in 1984, accounted for 82% of Belgian strains (87% of hospitals) and 51% of European MRSA strains. Four other internationally epidemic PFGE types (types 8, 10, 11 and 12) were less widely disseminated and more recently detected (1991,94), each recovered from two or three countries. International spread of two PFGE types was linked to transfer of colonized patients to Dutch hospitals from another country where this type was frequently recovered. Conclusions Genotypic analysis indicated widespread distribution of several outbreak-associated MRSA strains over large European regions, which was in some instances related to interhospital patient transfer. These findings underscore the need for standardized international surveillance and control of MRSA transmission between healthcare institutions across Europe. [source]