Die Bilderbuch- und Lernwerkstatt an der HAW Hamburg als Raum gelebter Partizipation?!

Der Artikel stellt die Bilderbuch- und Lernwerkstatt (BiLe) des Departments Soziale Arbeit an der HAW Hamburg in den Mittelpunkt und beschreibt diese als einen in Anlehnung an das Werkstattprinzip (Wedekind 2006) vorstrukturierten Raum, der Inspiration und Materialien für Studierende, Lehrende und Kinder bietet. Neben dem Raum vor Ort gibt es Mobile Lernboxen und Kinderbücher, die ausgeliehen werden können. Bei der Anschaffung, Entwicklung und Pflege dieser zentralen Bestandteile der BiLe wird der Fokus auf die Partizipation von Studierenden gelegt. Partizipation bedeutet mit Straßburger & Rieger (2014), dass die beteiligten Personen an Entscheidungen mitwirken und Einfluss auf das Ergebnis nehmen können. Getragen wird diese Grundhaltung von der Annahme, dass Studierende, die Partizipation erleben, ihre pädagogische Praxis in Zukunft ebenfalls partizipativ gestalten, sodass letztlich Befähigungs- und Verwirklichungschancen der Adressat:innen erweitert werden (vgl. Voigtsberger 2016). (DIPF/Orig.

No Association between Fish Intake and Depression in over 15,000 Older Adults from Seven Low and Middle Income Countries–The 10/66 Study

Background: Evidence on the association between fish consumption and depression is inconsistent and virtually nonexistent from low-and middle-income countries. Using a standard protocol, we aim to assess the association of fish consumption and late-life depression in seven low-and middle-income countries. Methodology/Findings: We used cross-sectional data from the 10/66 cohort study and applied two diagnostic criteria for late-life depression to assess the association between categories of weekly fish consumption and depression according to ICD-10 and the EURO-D depression symptoms scale scores, adjusting for relevant confounders. All-catchment area surveys were carried out in Cuba, Dominican Republic, Venezuela, Peru, Mexico, China, and India, and over 15,000 community-dwelling older adults (65+) were sampled. Using Poisson models the adjusted association between categories of fish consumption and ICD-10 depression was positive in India (p for trend = 0.001), inverse in Peru (p = 0.025), and not significant in all other countries. We found a linear inverse association between fish consumption categories and EURO-D scores only in Cuba (p for trend = 0.039) and China (p<0.001); associations were not significant in all other countries. Between-country heterogeneity was marked for both ICD-10 (I-2>61%) and EURO-D criteria (I-2>66%). Conclusions: The associations of fish consumption with depression in large samples of older adults varied markedly across countries and by depression diagnosis and were explained by socio-demographic and lifestyle variables. Experimental studies in these settings are needed to confirm our findings.Multidisciplinary SciencesSCI(E)SSCI0ARTICLE6null

Contrasting styles of (U)HP rock exhumation along the Cenozoic Adria-Europe plate boundary (Western Alps, Calabria, Corsica)

Since the first discovery of ultrahigh pressure (UHP) rocks 30 years ago in the Western Alps, the mechanisms for exhumation of (U)HP terranes worldwide are still debated. In the western Mediterranean, the presently accepted model of synconvergent exhumation (e.g., the channel-flow model) is in conflict with parts of the geologic record. We synthesize regional geologic data and present alternative exhumation mechanisms that consider the role of divergence within subduction zones. These mechanisms, i.e., (i) the motion of the upper plate away from the trench and (ii) the rollback of the lower plate, are discussed in detail with particular reference to the Cenozoic Adria-Europe plate boundary, and along three different transects (Western Alps, Calabria-Sardinia, and Corsica-Northern Apennines). In the Western Alps, (U)HP rocks were exhumed from the greatest depth at the rear of the accretionary wedge during motion of the upper plate away from the trench. Exhumation was extremely fast, and associated with very low geothermal gradients. In Calabria, HP rocks were exhumed from shallower depths and at lower rates during rollback of the Adriatic plate, with repeated exhumation pulses progressively younging toward the foreland. Both mechanisms were active to create boundary divergence along the Corsica-Northern Apennines transect, where European southeastward subduction was progressively replaced along strike by Adriatic northwestward subduction. The tectonic scenario depicted for the Western Alps trench during Eocene exhumation of (U)HP rocks correlates well with present-day eastern Papua New Guinea, which is presented as a modern analog of the Paleogene Adria-Europe plate boundary

Needs Examination, Evaluation and Dissemination (NEED) : Identification of unmet health-related needs associated with malignant melanoma

210 p.ill.,LIST OF FIGURES 5 -- LIST OF TABLES 6 -- LIST OF ABBREVIATIONS 8 -- SCIENTIFIC REPORT 10 -- 1 INTRODUCTION .10 -- 2 DISEASE DESCRIPTION 11 -- 2.1 EPIDEMIOLOGY .11 -- 2.2 PATHOPHYSIOLOGY 15 -- 2.3 MORTALITY 17 -- 2.4 DIAGNOSIS 18 -- 2.5 TREATMENT .19 -- 2.1.1 Targeted therapy 20 -- 2.1.2 Immune-based therapy .20 -- 2.1.3 Other therapies .21 -- 2.1.4 Follow-up 21 -- 3 METHODS 22 -- 3.1 ONLINE SURVEY 22 -- 3.1.1 Data collection tool 22 -- 3.1.2 Recruitment of participants .23 -- 3.1.3 Quantitative data collection process 24 -- 3.1.4 Quantitative data analysis 24 -- 3.2 INDIVIDUAL INTERVIEWS 25 -- 3.2.1 Selection of participants 25 -- 3.2.2 Qualitative data collection tool 26 -- 3.2.3 Qualitative data analysis 27 -- 3.3 LITERATURE REVIEW 27 -- 3.4 EXPERT OPINION .28 -- 4 RESULTS – UNMET PATIENTS NEEDS .29 -- 4.1 DESCRIPTION OF THE PARTICIPANTS .29 -- 4.1.1 Surveyed participants .29 -- 4.1.2 Interviewed participants 32 -- 4.2 UNMET HEALTH NEEDS 32 -- 4.1.1 Impact on general health-related quality of life .33 -- 4.2.2 Impact on physical health 36 -- 4.2.3 Impact on psychological health .41 -- 4.2.4 Impact on autonomy 47 -- 4.2.5 Impact on life expectancy 48 -- 4.2.6 Other unmet health needs 49 -- 4.3 UNMET HEALTHCARE NEEDS .49 -- 4.3.1 Effectiveness of treatment 49 -- 4.3.2 Burden of treatment 51 -- 4.3.3 Quality of care 59 -- 4.3.4 Accessibility of care .74 -- 4.4 UNMET SOCIAL NEEDS 76 -- 4.4.1 Impact on social life .76 -- 4.4.2 Impact on education 80 -- 4.4.3 Impact on work 80 -- 4.4.4 Financial consequences 82 -- 4.5 OTHER UNMET PATIENT NEEDS 84 -- 5 RESULTS – UNMET SOCIETAL NEEDS .85 -- 5.1 UNMET HEALTH NEEDS 85 -- 5.1.1 Frequency 85 -- 5.1.2 Transmissibility (contagiousness) 85 -- 5.1.3 Antimicrobial resistance 85 -- 5.1.4 Burden on informal caregivers 85 -- 5.2 UNMET HEALTHCARE NEEDS .85 -- 5.2.1 Value for money of standard care 85 -- 5.2.2 Preventability 86 -- 5.3 UNMET SOCIAL NEEDS 87 -- 5.3.1 Productivity losses 87 -- 5.3.2 Environmental impact of standard of care 87 -- 6 RESULTS – UNMET FUTURE NEEDS 88 -- 6.1 FUTURE HEALTH NEEDS 88 -- 6.1.1 Burden of disease 88 -- 6.2 FUTURE HEALTHCARE AND SOCIAL NEEDS 90 -- 6.2.1 Economic burden .90 -- 7 INEQUITIES 91 -- 8 DISCUSSION 92 -- 8.1 SUMMARY OF RESULTS .92 -- 8.2 LIMITATIONS 94 -- 8.2.1 Primary data collection 94 -- 8.2.2 Secondary data collection 94 -- 8.3 LESSONS LEARNED 95 -- 8.4 ADDED VALUE OF THE STUDY 97 -- 8.5 POTENTIAL SUGGESTIONS TO TACKLE UNMET NEEDS IN PATIENTS WITH MELANOMA 97 -- REFERENCES .99 -- APPENDICES 107 -- APPENDIX 1. SUMMARY TABLES 107 -- APPENDIX 2. ORIGINAL TESTIMONIALS 113 -- APPENDIX 3. SURVEYS .128 -- APPENDIX 4. INTERVIEW GUIDE .195 -- APPENDIX 5. QUALITATIVE ANALYSIS CODES 20

Country of birth as a potential determinant of inadequate antenatal care use among women giving birth in Brussels. A cross-sectional study

Background One of the mechanisms explaining perinatal health inequalities could be inadequate antenatal care among some immigrant groups. Few European studies compared antenatal care use between different groups of immigrants taking into account individual characteristics. This research investigates the associations of three birth regions with the use of antenatal care, by also considering socioeconomic and migration-related determinants. Methods We included 879 mothers born in Belgium, North Africa, and Sub-Saharan Africa, and interviewed them in four Brussels hospitals after they gave birth, using an adapted version of the Migrant-Friendly Maternity Care Questionnaire. We additionally collected clinical data from hospital records. We carried out descriptive analyses and ran univariate and multivariable logistic regression models to estimate the associations of socioeconomic and migration characteristics with a) late start of antenatal care and b) less than minimum recommended number of consultations. Results The vast majority of women in this study had adequate care in terms of timing (93.9%), frequency of consultations (82.2%), and self-reported access (95.9%). Region of birth was an independent risk factor for late initiation of care, but not for infrequent consultations. Women born in Sub-Saharan Africa were more prone to accessing care late (OR 3.3, 95%CI 1.5- 7.7), but were not more at risk of infrequent consultations. Women born in North Africa, had similar adequacy of care compared to the Belgium-born population. The three groups also differed in terms of socioeconomic profiles and socioeconomic predictors of antenatal care use. Housing type, professional activity, and health insurance status were important predictors of both outcomes. Conclusions This study showed that the region of birth was partly associated with adequacy of care, in terms of initiation, but not number of consultations. Further dimensions of adequacy of care (content, quality) should be studied in the future. Socioeconomic factors are also key determinants of antenatal care use. Copyright:SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Mothers’ experiences of perinatal care in Belgian public hospitals: exploring the social inequalities. Protocol for a cross-sectional survey

Introduction In Europe, the social inequalities in perinatal health are usually found to be to the disadvantage of non-European immigrants and women with lower levels of education and income. Among the possible underlying mechanisms are inadequate access to healthcare services and suboptimal care. To explore this hypothesis in the Belgian context, our research will describe detailed maternal socioeconomic and migration characteristics, explore how these factors relate to each other, and how they relate to women’s perinatal care trajectories and experiences of care.Methods Using a modified version of the Migrant-Friendly Maternity Care Questionnaire, we will survey 900 mothers of Belgian nationality or a nationality from a North or Sub-Saharan African country, and having given birth in four maternity wards in Brussels. The questionnaire has been adapted to the study objectives and the Belgian context. Interviewers will administer the 116-item questionnaire to all women agreeing to participate and meeting inclusion criteria, within 14 days of having given birth. Clinical information will be extracted from hospital records.Analysis We will estimate the associations of women’s socioeconomic and migration characteristics with:Women’s antenatal care trajectories (timing of first antenatal consultation, minimum recommended number of consultations, and problems accessing care).Obstetric practices such as episiotomies, emergency caesarean sections, and inductions.Patient experience such as feelings of discrimination, respect, and understanding of information.We will use descriptive statistics, multiple correspondence analysis, and simple and multiple logistic regressions.Ethics and dissemination Ethical approval has been obtained from the hospital Ethics Committees and from the Université libre de Bruxelles (No: P2017/055/B406201730877). Written informed consent will be sought from all participants.In addition to disseminating findings and recommendations to the scientific community through open-source journal articles and conferences, we will also address local organisations and healthcare professionals via a written report and seminars

Models at the interface between science and society: impacts and options

Within the CLEAR project a new approach to integrated assessment modelling has been developed for the participatory integrated assessment of regional climate change involving citizens’ focus groups. The climate change decision problem was structured by focusing separately on climate impacts and mitigation options. The attempt was made to link the different scales of the problem from the individual to the global level. The abstract topic of climate change was related to options on the level of a citizen’s individual lifestyle. The option of a low energy society was emphasised in order to embed the climate change decision problem in a wider range of societal concerns. Special emphasis was given to the characterisation and communication of uncertainties. The chosen approach allows different kinds of uncertainties in one framework to be addressed. The paper concludes with a summary of the experience made, and recommendations for the use of models in participatory integrated assessments

Relative risks (95% confidence intervals, CI) for the association between euro-D total score and fish consumption from zero-inflated negative binomial (ZINB) models and between country heterogeneity estimates.

<p>NOTE: All Vuong test for ZINB vs. standard negative binomial were statistically significant (p<0.001).</p>1<p>Adjusted for: age, gender, educational level, number of household assets, marital status, self-reported diagnosed diabetes, coronary-heart disease and stroke, number of physical illnesses, and overall cognitive status.</p>2<p>As for model 1 plus weekly meat intake, fruits and vegetables consumption, alcohol intake and physical activity level.</p>*<p>Test for trend.</p

Participants Socio-Demographic and Health Characteristics.

<p>Abbreviations: ICD-10 = International Classification of Diseases (10^th edition); EURO-D = EURODEP Concerted Action Programme common depression symptoms scale NCDs = Non-communicable diseases.</p