Enterprise discourses in Dutch urban policies; a comparison between two cities in the Netherlands

Local governments make use of ‘enterprise language’ to encourage citizens to adopt entrepreneurial behaviour in managing their daily lives and solving problems that emerge in their neighbourhood. In this paper, we examine the use of enterprise language and the promotion of enterprise in Dutch urban policy focusing specifically on how Dutch cities use enterprise language to influence and encourage their inhabitants to undertake entrepreneurial action. Our analysis shows how the language of enterprise helps cities to reinforce a local identity, to legitimize institutional change in local government functioning and to formulate expectations of how citizens (and professionals) should behave.Publisher PDFPeer reviewe

Entrepreneurial citizenship in urban regeneration in the Netherlands

In the Netherlands, active citizenship in the context of urban regeneration of deprived neighbourhoods seems to have evolved into ‘entrepreneurial citizenship’. The concept of entrepreneurial citizenship combines top-down and bottom-up elements. National and/or local governments promote an ideal citizen with entrepreneurship skills and competencies to create more responsible and entrepreneurial citizens’ participation in government-initiated arrangements. At the same time, bottom-up behavioural practices from citizens who demand more opportunities to innovatively apply assets, entrepreneurial skills, strategies and collaboration with other stakeholders are initiated to achieve their goals and create societal-added value. The aim of this paper is to better understand the origins of ‘entrepreneurial citizenship’, and its meaning in the Dutch context of urban regeneration. To do this, we will review the relevant international literature and combine insights from studies on governance, active citizenship, social and community entrepreneurship and urban neighbourhoods. We will also analyse how entrepreneurial citizenship can be locally observed in the Netherlands as reported in the literature.Publisher PDFPeer reviewe

Improving outcomes for people with COPD by developing networks of general practices: evaluation of a quality improvement project in east London

BACKGROUND: Structured care for people with chronic obstructive pulmonary disease (COPD) can improve outcomes. Delivering care in a deprived ethnically diverse area can prove challenging. AIMS: Evaluation of a system change to enhance COPD care delivery in a primary care setting between 2010 and 2013 using observational data. METHODS: All 36 practices in one inner London primary care trust were grouped geographically into eight networks of 4-5 practices, each supported by a network manager, clerical staff and an educational budget. A multidisciplinary group, including a respiratory specialist and the community respiratory team, developed a 'care package' for COPD management, with financial incentives based on network achievements of clinical targets and supported case management and education. Monthly electronic dashboards enabled networks to track and improve performance. RESULTS: The size of network COPD registers increased by 10% in the first year. Between 2010 and 2013 completed care plans increased from 53 to 86.5%, pulmonary rehabilitation referrals rose from 45 to 70% and rates of flu immunisation from 81 to 83%, exceeding London and England figures. Hospital admissions decreased in Tower Hamlets from a historic high base. CONCLUSIONS: Investment of financial, organisational and educational resource into general practice networks was associated with clinically important improvements in COPD care in socially deprived, ethnically diverse communities. Key behaviour change included the following: collaborative working between practices driven by high-quality information to support performance review; shared financial incentives; and engagement between primary and secondary care clinicians

Radiotherapy as nose preservation treatment strategy for cancer of the nasal vestibule:the Dutch experience

Contains fulltext : 238459.pdf (Publisher’s version ) (Open Access

Wake up, wake up! It's me! It's my life! patient narratives on person-centeredness in the integrated care context: a qualitative study

Person-centered care emphasizes a holistic, humanistic approach that puts patients first, at the center of medical care. Person-centeredness is also considered a core element of integrated care. Yet typologies of integrated care mainly describe how patients fit within integrated services, rather than how services fit into the patient's world. Patient-centeredness has been commonly defined through physician's behaviors aimed at delivering patient-centered care. Yet, it is unclear how 'person-centeredness' is realized in integrated care through the patient voice. We aimed to explore patient narratives of person-centeredness in the integrated care context

Seeing blue: negotiating the politics of Avatar media activism

This thesis examines how the Hollywood blockbuster Avatar (2009) has been taken-up in media activism directed towards Indigenous struggles against imperialism. It assumes the importance of locating this phenomenon within the discursive and material regimes that mediate, enable, and constrain it. I therefore offer a contextualised analysis of the film and media relating to its appropriation, which focuses on the representational practices and structural mechanisms that inform the production, circulation, and reception of the texts. This approach emphasises the tensions and contradictions that underpin activists’ relationship to the media they mobilise. Such contradictions are particularly apparent in relation to the politics of race that shape Avatar, the Indigenous activism that references it, and the media regimes that make this possible. The very forces that marginalise Indigenous voices empower auteur James Cameron to speak on their behalf and to be heard. Activists must also negotiate the tension between co-opting media spectacle and being commercialised as spectacle. However, refusing a simple critique of the representations activists deploy as media spectacles, I argue for a model that foregrounds the alliances that they seek to engender. Drawing on the work of feminist scholars Oliver (2001) and Deslandes (2010), I signal a theoretical approach that focuses on how the mediated spectator relates to such representations and insists on the spectator’s responsibility to respond. Acknowledging that the tensions that animate Avatar media activism can be both constrictive and creative, this project seeks a model that maximises the potential for the latter. It thus resists the paralysis of activism that can come with critiquing how we fight for the world we imagine

Engineered Breast Cancer Cell Spheroids Reproduce Biologic Properties of Solid Tumors

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135116/1/adhm201600644-sup-0001-S1.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/135116/2/adhm201600644.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/135116/3/adhm201600644_am.pd