Circular business strategies and supply chain finance in the Aruba waste sector : a case study of a small island jurisdiction

This paper focuses on possibilities and obstacles for a circular economy in the waste management sector in Aruba. The authors describe the Aruban economy and the consequences of its SIDS characteristics. The article defines concepts in the field of circular economy and presents a conceptual model for research in this area. Based on multimethod research, the paper argues that small and medium-sized firms (SMEs) in the waste sector in Aruba determine their financial needs partly on the opportunities offered by the international market and price developments. Financing often takes place from own resources or via a local bank. No examples of circular chain financing were identified. Chain cooperation takes place with partners within the existing holding or with international partners, whereby performance and hedging contracts are concluded to guarantee quality and delivery and to mitigate business risks such as price fluctuations on the world market. During the research, it became obvious that limitations resulting from Aruba’s small scale and ‘islandness’ – such as the limited goods flow, limited quantities of feed waste materials and financing facilities offered by the local banking sector, as well as insufficiently stimulating legislation and regulations, coupled with faltering knowledge circulation and social awareness – seriously hamper the development of circular entrepreneurism in Aruba. The article offers policy recommendations to mitigate the bottlenecks for sustainable development in Aruba.peer-reviewe

The value of podcasts to journalism: analysis of digital native media brands’ offerings, production and publishing in Spain

The growing popularity of podcasting is an opportunity for the news industry to identify new ways of delivering journa-lism and to find solutions to the challenges of digital transformation. Podcasts are tools that help the media adapt to the digital sphere by giving prominence to audio to extend their journalistic influence in the sonosphere. Given its disruptive nature, and since it breaks with the traditional content choices available, the analysis of this article focuses on what is offered in the form of podcasts by digital native media brands in Spain. It looks at the extent to which they are committed to this audio content and the type of journalism-based productions they promote and publish. To do this, a qualitative and quantitative content analysis methodology was used. This included an interpretation of data recorded in the Digital media map 2021 (Mapa de medios digitales 2021), updated as part of the Diginativemedia project (2019-2021). An in-depth study of a corpus –or sample– of 29 titles or series of podcasts published by 7 native news brands is also provided. These brands were selected because they publish podcasts and because, according to the Digital news report Spain 2021, they have the largest weekly reach among Spanish internet users. The results of the research show that only 1 in 4 digital media brands that offer podcasts (925) are native (232), and that it is the specialist native media outlets that are most committed to podcasting (140). Native media brands view podcasts as part of their journalism-based products and services, whose presence is beginning to grow as an exploration of their informative and expressive potential. In addition, it is podcasts that tackle current affairs using conversational formats –both audio and video– through serialised, original productions for the media outlet’s website and to provide a range of platforms

Abundance, density, and influencing indicators of solid waste accumulation and mitigation solutions along coastlines on Isla Colón in Bocas del Toro Province, Panamá

Solid waste accumulation is a significant issue in Latin America where poor infrastructure and management systems are present and with the exponential tourism growth in this region, the abundance of solid waste is also growing. This increase affects environmental, economic, and social factors such as pollution, a decline in tourism, and an increase in negative health effects. This study on Isla Colón, in the Province of Bocas del Toro, in western Panamá sought results on the abundance of solid waste along roadsides and beaches in the most populous and touristic locations. Approximately 2,160 meters squared were studied in Playa Bluff, Bocas del Toro town, and Boca del Drago utilizing quadrants to collect visible solid waste accumulation. 743 items of solid waste were collected, of which 62% were of plastic origin. Of the most prevalent composition of plastic; wrappers, plastic bottles, and unidentifiable fragmented plastics were the most. The mean density of solid waste on the study sites was 25.125 grams per meter squared. Approximately 344 items of solid waste are projected to be found every kilometer of the study sites. Traceability of corporations who produced the items and their production location were difficult to find. A mean of 14% of collected items were identifiable on their location or corporation. A history of the solid waste management system on Isla Colón as well as a history of Cero Basura and their mitigation methods utilized were identified through available literature as well as a semi-structured interview with the leader of the organization. Further research should be conducted on the specifics of the solid waste management system in order to have successful management actions on Isla Colón

Quality of Life: Changes in Self-Perception in People with Down Syndrome as a Result of Being Part of a Football/Soccer Team. Self-Reports and External Reports

The hypothesis posed was whether being part of a football/soccer team influenced the quality of life (QL) of the people who participated in it since their perception of themselves is enhanced by factors, such as self-determination, social inclusion, emotional well-being, physical well-being, material well-being, rights, personal development, and internal relationships. The objective was to evaluate the QL of people with Down Syndrome (DS) using their self-perception (n = 39) and the perception of the informants (family members, teachers) (n = 39). The KidsLife-Down Scale, with a few modifications, was used. In general, differences of opinion between the subgroups of participants with DS and informants showed that results were higher in terms of perception for participants in the DS subgroup. Scores for all variables were higher for those participants with DS who said they did engage in practicing competitive football/soccer. Although the perception of informants provides a great deal of information regarding the QL of participants with DS, participants with DS should also be involved in the evaluation process and their self-perceptions taken into account. It is not participating in a football team that causes the conclusions of the study, but training (which includes the friendly matches that are played), the cause correlated with the improvements detected in the athlete’s DS

Personal Assistants in the Promotion of Independent Living for Persons with Intellectual Disability: A Basic Applied Investigation

Background: The personal assistant is a support figure aimed at improving the autonomy and independence of persons with intellectual disability, and is coherent with the new models of intervention with such groups. Method: Two sub-studies were conducted. The first one, comprising 120 persons with intellectual disability and 147 relatives, was aimed at identifying perceptions on support needs for independent living. The second was a case study with 4 participants who received support from personal assistants. Results: In the first sub-study, persons with intellectual disability showed a clear preference for a greater degree of autonomy and self-determination in their life projects. The second one highlights the effect of personal assistance on the individuals’ empowerment and the improvement of their autonomy. Discussion: The results are used to suggest a competency profile of the personal assistant, including ten key competencies, and a critical analysis of the most relevant findings is made.Planteamiento del problema: El asistente personal es una figura de apoyo a la mejora de la autonomía y la vida independiente, coherente con los nuevos modelos de intervención con personas con discapacidad intelectual. Método: Se desarrollan dos subestudios. El primero cuantitativo, con 120 personas con discapacidad intelectual y 147 familiares, tiene el objetivo de conocer la percepción de las necesidades de apoyo para la vida independiente. La segunda fase es un estudio de casos con 4 participantes, en los que se aplica la figura del asistente personal. Resultados: Destaca del primer subestudio la clara disposición de las personas con discapacidad intelectual a tener más autonomía y autodeterminación en sus proyectos de vida. En el segundo subestudio resalta el impacto de la asistencia personal en el empoderamiento y en la mejora de la autonomía. Conclusiones: Con base en los resultados, se propone un perfil competencial del asistente personal con diez competencias clave y se realiza un análisis crítico de los hallazgos más relevantes

A break in neoliberal ideology? : A critical analysis of Bolivian elite discourse

Im Dezember 2005, gewannen Evo Morales und seine Partei, die Bewegung zum Sozialismus (MAS), mit über 50 Prozent der Stimmen die Wahlen in Bolivien. Dieses war das stärkste Wahlergebnis einer Partei seit Einführung der Demokratie 1982. Morales wurde im Januar 2006 als der zweite indigene Präsident Lateinamerikas eingeweiht. Die Einweihungszeremonie war gleichzeitig ein Triumph der anti-neoliberalen Bewegung Boliviens, welche im Wasserkrieg im Jahr 2000 und im Steuer- und Gaskrieg im Jahr 2003 ihren Höhepunkt erreichte. Morales und MAS unterstützten die sogenannten Neoliberalen Kriege. Der Sieg der MAS und von Morales in den Wahlen regt Spekulationen an, dass der Neoliberale Konsens in der Elite, der Bolivien zwei Jahrzehnte lang regierte, gebrochen ist. Die Frage nach einem Konsenswechsel ergibt sich nicht nur von Morales’ und MAS Partizipation in den Neoliberalen Kriegen, sondern auch weil die MAS viele Forderungen der Proteste 2000 und 2003 in ihr Parteiprogramm aufgenommen haben. Während sich Morales’ anti-neoliberale Denkweisen offensichtlich in der bolivianischen Bevölkerung großer Beliebtheit erfreuen, ist es nicht erwiesen, dass sich diese Popularität auf die Elite des Landes erstreckt. Der potentielle Konsensbruch bezüglich des Neoliberalismus in der Elite entstand jedoch nicht von ungefähr. Im Gegenteil: er baute sich über die gesamte Geschichte Boliviens hinweg auf und wurde von den Rahmenbedingungen im Land begünstigt. Mit Hilfe der kritischen Theorie von Antonio Gramsci und Robert W. Cox, welche in Kapitel 2 vorgestellt wird, erforscht diese Magisterarbeit ob der Neoliberale Konsens in der Bolivianischen Elite gebrochen ist. Mit Unterstützung des Konzeptes, dass Geschichte und Produktionsbeziehungen Gesellschaften und die Gegebenheiten in ihnen den hegemonialen Diskurs formen, stellt diese Arbeit in den Kapiteln 3 Boliviens Geschichte bis dato dar und bespricht in Kapitel 4 wichtige Themen der aktuellen Bolivianischen Politik und Wirtschaft. Die Umsetzung der neoliberalen Ideologie und Richtlinien in Bolivien wurde von den USA, den hegemonialen Institutionen (der Internationalen Währungsfond und der Weltbank) sowie der sich in der Regierung abwechselnden Elite propagiert und implementiert. Die neoliberalen Programme der 1980er und 1990er wurden trotz bitteren Protesten seitens der Bevölkerung beibehalten, die sich gegen die negativen Konsequenzen der Programme wehrten. Da die kritischen Theorie Konflikte als Mechanismen sieht, die Machtverhältnisse verändern und einen Hegemon/ein hegemoniales System stürzen können, werden auch die Neoliberalen Kriege Boliviens besprochen. Insbesondere im Steuer und Gaskrieg 2003 baute sich ein anti-hegemonialer Diskurs auf. Dieser Konflikt, in dem die MAS mitagierte, wird besonders begutachtet weil er den Präsidenten Gonzalo Sanchez de Lozada (der neoliberale Kopf Boliviens) stürzte. Auf diesen Erkenntnissen basierend, wird in Kapitel 5 die Zeitungsanalyse vorgestellt. Diese wurde in zwei Zeiträumen vorgenommen: 2. bis 19. Oktober 2003 und 22. Januar bis 19. Februar 2006 (erster Monat der MAS-Regierung). Es wurden drei Zeitungen analysiert, welche je eine politische Strömung in der Bolivianischen Elite repräsentieren (La Prensa, konservative Tageszeitung; La Epoca, moderate Wochenzeitung, El Juguete Rabioso, ein alle zwei Wochen erscheinende linke Zeitung). Die Befunde der Zeitungsanalyse zeigten, dass die Bolivianische Elite sich sowohl gegen die anti-neoliberale Politik der MAS wendet, aber auch den Neoliberalismus und die Internationalen Finanzinstitutionen den Rücken gekehrt hat. Sie bewies auch, dass die Elite im Jahr 2003 erneut die Massen zu ihrem eigenen Vorteil missbrauchten, in dem sie ihre Wut, die gegen die Privatisierung der Gas Reserven gerichtet war, auf den regierenden Präsidenten (Sanchez de Lozada) umlenkten. Insofern zeigte die Zeitungsanalyse auch, dass ohne die Zustimmung der Elite in Bolivien ein friedlicher Systemwechsel unwahrscheinlich ist. Wie im Endfazit (Kapitel 6) beschrieben wird, hofft die bolivianische Elite, dass sich die MAS und Morales in inner- bzw. zwischen-parteilichen Scharmützeln verfängt, damit sich in der Zwischenzeit eine Alternative zwischen anti-hegemonialen und hegemonialem Diskurs findet, welche den Reichtum und die Macht der Elite erhält. Dies dürfte sich als schwierig erweisen, weil die politische Mitte Boliviens leer steht

Family physicians' views on participating in prevention of major depression. The predictD-EVAL qualitative study

Background The predictD intervention, a multicomponent intervention delivered by family physicians (FPs), reduced the incidence of major depression by 21% versus the control group and was cost-effective. A qualitative methodology was proposed to identify the mechanisms of action of these complex interventions. Purpose To seek the opinions of these FPs on the potential successful components of the predictD intervention for the primary prevention of depression in primary care and to identify areas for improvement. Method Qualitative study with FPs who delivered the predictD intervention at 35 urban primary care centres in seven Spanish cities. Face-to-face semi-structured interviews adopting a phenomenological approach. The data was triangulated by three investigators using thematic analysis and respondent validation was carried out. Results Sixty-seven FPs were interviewed and they indicated strategies used to perform the predictD intervention, including specific communication skills such as empathy and the activation of patient resources. They perceived barriers such as lack of time and facilitators such as prior acquaintance with patients. FPs recognized the positive consequences of the intervention for FPs, patients and the doctor-patient relationship. They also identified strategies for future versions and implementations of the predictD intervention. Conclusions The FPs who carried out the predictD intervention identified factors potentially associated with successful prevention using this program and others that could be improved. Their opinions about the predictD intervention will enable development of a more effective and acceptable version and its implementation in different primary health care settings

Is drop-out from obesity treatment a predictable and preventable event?

BACKGROUND: Attrition is an important but understudied issue that plays a vital role in the successful treatment of obesity. To date, most studies focusing on attrition rates and/or its predictors have been based on pretreatment data routinely collected for other purposes. Our study specifically aims at identifying the predictors of drop-out focusing on empirically or theoretically-based factors. METHODS: We conducted a retrospective observational study in an academic outpatient clinical nutrition service in Pavia, Italy. We examined a total of 98 adult obese patients (36 males, 62 females) who underwent a 6-month dietary behavioral weight-loss treatment at our Center. Pre-treatment and treatment-related variables were collected or calculated from clinical charts in order to discriminate those subjects who completed treatment from those who abandoned it before its completion. Multivariable regression analysis was used to identify the independent predictors of drop-out. RESULTS: The drop-out rates were 21% at 1 month and 57% at 6 months. Compared with completers, noncompleters were significantly younger in terms of age at first dieting attempt (24.0 ± 10.7 vs. 31.3 ± 11.2 years, P = 0.005), had lower diastolic blood pressure (87.8 ± 9.7 vs. 92.7 ± 11.4 mmHg, P = 0.022), had a lower baseline body fat percentage (38.5 ± 6.4 vs. 41.2 ± 4.4% weight, P = 0.015), and had a lower percentage of early weight loss (-1.8 ± 1.8% vs. -3.1 ± 2.1%, P = 0.035). Moreover, noncompleters significantly differed from completers with regard to type of referral (34.1% vs. 53.3% sent by a physician, P = 0.036) and SCL-90 anger-hostility subscale (0.83 ± 0.72 vs. 0.53 ± 0.51, P = 0.022). A multivariable logistic regression analysis including pre-treatment variables showed that body fat percentage (P = 0.030) and SCL-90 anger-hostility subscale (P = 0.021) were independently associated with attrition. In a multivariable model considering both pre-treatment and treatment-related factors, attrition was found to be independently related to the age at first dieting attempt (P = 0.016) and the achievement of early weight loss (P = 0.029). CONCLUSIONS: Our data confirm that psychopathological tracts, early dieting attempts, and a poor initial treatment response are key independent predictors of drop-out from obesity treatment