Involving children in creating a healthy environment in low Socioeconomic Position (SEP) neighborhoods in The Netherlands:A Participatory Action Research (PAR) project

To ensure that health behavior interventions for children living in low socioeconomic position (SEP) neighborhoods are in line with children’s wishes and needs, participation of the children in the development, implementation, and evaluation is crucial. In this paper, we show how children living in three low SEP neighborhoods in the Netherlands can be involved in Participatory Action Research (PAR) by using the photovoice method, and what influences this research process. Observations, informal chats, semi structured interviews, and focus group discussions with children and professionals were done to evaluate the research process. The photovoice method provided comprehensive information from the children’s perspectives. With the help of the community workers, the children identified feasible actions. We found that it is important to constantly discuss the research process with participants, start with a concrete question or problem, and adapt the project to the local context and skills of participants

Flexorenthesopathie bij een Italiaanse cane corso : diagnostische bevindingen en resultaat na behandeling

The pathological condition of the enthesis at the medial humerus epicondyle is referred to as flexor enthesopathy. Lesions include thickening, inflammation, fibrillation, partial rupture and calcification of the enthesis. In this case report, the evolution of primary flexor enthesopathy in a 1,5-year-old Italian cane corso is described. Several medical imaging techniques, i.e. radiography, ultrasound and computed tomography were used to diagnose primary flexor enthesopathy, in this case bilaterally. An intra-articulair injection with methylprednisolone-acetate is regarded the standard treatment. The long term follow-up was evaluated based on the clinical improvement, the size of the calcification and the increase in osteoarthritis

Амбивалентно - эквилибраторное действие слабоминерализованных кремниевых вод на показатели водно-солевого обмена у жнвотных с моделью экспериментального предиабета

In the experiment on white rats with the model of pre-diabetes changes of water-salt exchange and their correction by internal course introduction of low-miniralization of silicic waters is grounded

Effectiveness of a school-based physical activity-related injury prevention program on risk behavior and neuromotor fitness a cluster randomized controlled trial

<p>Abstract</p> <p>Background</p> <p>To investigate the effects of a school-based physical activity-related injury prevention program, called 'iPlay', on risk behavior and neuromotor fitness.</p> <p>Methods</p> <p>In this cluster randomized controlled trial 40 primary schools throughout the Netherlands were randomly assigned in an intervention (n = 20) or control group (n = 20). The study includes 2,210 children aged 10-12 years.</p> <p>The iPlay-intervention takes one school year and consists of a teacher manual, informative newsletters and posters, a website, and simple exercises to be carried out during physical education classes.</p> <p>Outcomes measures were self-reported injury preventing behavior, self-reported behavioral determinants (knowledge, attitude, social-influence, self-efficacy, and intention), and neuromotor fitness.</p> <p>Results</p> <p>The iPlay-program was not able to significantly improve injury-preventing behavior. The program did significantly improve knowledge and attitude, two determinants of behavior. The effect of the intervention-program on behavior appeared to be significantly mediated by knowledge and attitude. Improved scores on attitude, social norm, self-efficacy and intention were significantly related to changes in injury preventing behavior. Furthermore, iPlay resulted in small non-significant improvements in neuromotor fitness in favor of the intervention group.</p> <p>Conclusion</p> <p>This cluster randomized controlled trial showed that the iPlay-program did significantly improved behavioral determinants. However, this effect on knowledge and attitude was not strong enough to improve injury preventing behavior. Furthermore, the results confirm the hypothetical model that injury preventing behavior is determined by intention, attitude, social norm and self-efficacy.</p> <p>Trial number</p> <p>ISRCTN78846684</p

Medial coronoid disease in an eleven-year-old Labrador retriever

In this case report, the occurrence of medial coronoid disease (MCD) is described in an eleven-year-old Labrador retriever. A left frontleg lameness had started six months before presentation. Radiographs showed minimal pathology and computed tomography (CT) demonstrated a discrete fissure of the medial coronoid process. Arthroscopy confirmed the presence of a coronoid lesion, visible as chondromalacia. Treatment was performed by arthroscopic removal of the diseased cartilage and subchondral bone. Despite the successful procedure, the dog needed continuous physiotherapy to maintain an acceptable gait. MCD is a developmental disorder mainly affecting young large breed dogs. However, the described dog was already eleven years old. Nevertheless, the duration of lameness was rather short and the imaging and arthroscopic findings could not demonstrate a chronic problem. In the literature, little information is available about the etiology, prevalence and treatment outcome of medial coronoid pathology in old dogs

A theoretical perspective on why socioeconomic health inequalities are persistent:Building the case for an effective approach

Despite policy intentions and many interventions aimed at reducing socioeconomic health inequalities in recent decades in the Netherlands and other affluent countries, these inequalities have not been reduced. Based on a narrative literature review, this paper aims to increase insight into why socioeconomic health inequalities are so persistent and build a way forward for improved approaches from a theoretical perspective. Firstly, we present relevant theories focusing on individual determinants of health-related behaviors. Thereafter, we present theories that take into account determinants of the individual level and the environmental level. Lastly, we show the complexity of the system of individual determinants, environmental determinants and behavior change for low socioeconomic position (SEP) groups and describe the next steps in developing and evaluating future effective approaches. These steps include systems thinking, a complex whole-system approach and participation of all stakeholders in system change

Impactmeting Pronkjewail 2018

Dit boekje is het resultaat van een bijzondere impactmeting die op 8 mei 2018 heeft plaatsgevonden. De initiatiefnemers en deelnemers van de eerste serie Pronkjewail projecten waren uitgenodigd om met elkaar hun projecten te evalueren. Daarvoor waren vijf visuele activiteiten ontwikkeld. Deze vonden plaats rondom zogenaamde conversation pieces die zo heten omdat ze ons niet alleen van belangrijke inzichten voorzien maar omdat ze ook aanleiding geven voor veel gesprekken tussen de deelnemers. Impact meten, werd impact creëren. Wij hopen dat ook onze duiding in dit boekje hieraan bij kan dragen