Naar de kern

Dit rapport doet verslag van een evaluatie van de zogenoemde Kernpunten in de deelgemeenten Delfshaven, Charlois en Feijenoord. Een Kernpunt beoogt het sluitstuk te vormen in het hulpverleningsaanbod voor individuele jongeren in een deelgemeente. Het werkt met jongeren die door de bestaande instanties en hulpverlening niet worden bereikt. De hulpverlening door een Kernpunt is ambulant en outreachend van karakter en kan zo nodig bemoeizuchtig van aard worden, daarbij is alles er op gericht om in contact te komen met de jongeren waar het om gaat en met hun ouders. Jongeren komen in aanmerking voor deze intensieve hulpverlening indien zij aan een of meer van de volgende criteria voldoen. 1. Zij staan bij meerdere instanties bekend; 2. Zij vertonen overlastgevend of crimineel gedrag 3. Zij hebben geen afdoende hulp gevonden bij andere vormen van hulpverlening en/of zijn daar niet voor bereikbaar; De drie Kernpunten die in dit rapport centraal staan, maken onderdeel uit van het Actieprogramma Jeugd en Overlast dat is opgenomen in het gemeentelijk jeugdbeleid 2004-2006 (Zie: Aansprekend jeugdbeleid. Opgroeien in Rotterdam: steun èn grenzen’ Kadernotitie jeugdbeleid 2004-2006). Dit betekent dat de Kernpunten gemeentelijk worden gefinancierd

Can changes in soil properties in organic banana production suppress fusarium wilt?

Organic agriculture promotes disease suppression through healthy soils by increasing biological activity and diversity through the application of organic fertilizers and increasing organic inputs. Fusarium wilt of bananas (Fusarium oxysporum f. sp. cubense) (Foc), also known as Panama disease, has been a devastating disease throughout the world. So far, no fungicides or cultural measures have been found that control Foc sufficiently. The aim of this research was to assess whether organic-based farming systems were more resilient than inorganic farming systems to soil borne diseases, in particular Fusarium wilts. A survey was conducted comparing five organic and five conventional banana plantations at paired sites in north Queensland, Australia. Soil samples were collected and analysed for chemical, physical and biological soil health indicators. Disease development of F. oxysporum f. sp. lycopersici in tomatoes and Foc in bananas were studied in pot trials to pursue clues for identifying Fusarium suppressive soil traits. Organic soils from the survey showed higher microbial activity and lower disease symptom expression (both with tomatoes and bananas) than conventional soils. In the survey, nematode diversity and soil sulphate content were recurring indicators in all experiments showing close correlations to pathogen growth, disease expression and plant health. Organic soils were lower in plant-parasitic nematodes and sulphate sulphur levels and higher in nematode diversity, labile soil C and microbial indicators. Soil conduciveness or suppression of Foc appeared to be largely governed by competition for carbon. Measurement of soil microbial enzyme activity, nematode community structure and diversity and possibly sulphate sulphur seem to provide a relatively reliable indicator for general disease suppression. Differences between organic and conventional agriculture cannot be related to single management practices, but may be linked to synergies among system components

Can soil nematode community structure be used to indicate soil carbon dynamics in horticultural systems?

There is a need to develop indicators that relate the dynamics of soil organic carbon (SOC) with changes in land management of horticultural production systems. Soil nematode communities have been shown to be sensitive to land management changes, but often do not include plant-parasites in the calculation of soil nematode community indices. The concept of nematode functional guilds was used to estimate the proportion of carbon entering the soil ecosystem through different channels, such as through decomposition of organic material, the detrital channel, through the roots of plants, the root channel or recycled through the activity of predators, a predation channel. Calculations of the indices were developed and validated using case studies in the north Queensland banana industry. Firstly, a survey of organic and conventional banana farms found a greater proportion of C entering the soil ecosystem through the detrital channel and a reduced proportion of C originating through the root channel at the organic sites relative to conventional sites. Secondly, a field experiment comparing compost amendments, found application of fresh compost significantly increased the proportion of C entering the soil ecosystem through the detrital channel and decreased proportion of C originating from the root channel. Thirdly, a field experiment comparing 'conventional' banana production to an 'alternative' system which incorporated organic matter, found the proportion of C entering the soil ecosystem through the root channel was significantly greater in the conventional systems relative to the alternative system. This research demonstrates that nematode indices can be used to assess horticultural systems, by indicating the origins of SOC

Can soil nematode community structure be used to indicate soil carbon dynamics in horticultural systems?

There is a need to develop indicators that relate the dynamics of soil organic carbon (SOC) with changes in land management of horticultural production systems. Soil nematode communities have been shown to be sensitive to land management changes, but often do not include plant-parasites in the calculation of soil nematode community indices. The concept of nematode functional guilds was used to estimate the proportion of carbon entering the soil ecosystem through different channels, such as through decomposition of organic material, the detrital channel, through the roots of plants, the root channel or recycled through the activity of predators, a predation channel. Calculations of the indices were developed and validated using case studies in the north Queensland banana industry. Firstly, a survey of organic and conventional banana farms found a greater proportion of C entering the soil ecosystem through the detrital channel and a reduced proportion of C originating through the root channel at the organic sites relative to conventional sites. Secondly, a field experiment comparing compost amendments, found application of fresh compost significantly increased the proportion of C entering the soil ecosystem through the detrital channel and decreased proportion of C originating from the root channel. Thirdly, a field experiment comparing 'conventional' banana production to an 'alternative' system which incorporated organic matter, found the proportion of C entering the soil ecosystem through the root channel was significantly greater in the conventional systems relative to the alternative system. This research demonstrates that nematode indices can be used to assess horticultural systems, by indicating the origins of SOC

'Reframing Healthcare Services through the Lens of Co-Production' (RheLaunCh): a study protocol for a mixed methods evaluation of mechanisms by which healthcare and social services impact the health and well-being of patients with COPD and CHF in the USA and The Netherlands

Contains fulltext : 177297.pdf (publisher's version ) (Open Access)INTRODUCTION: The USA lags behind other high-income countries in many health indicators. Outcome differences are associated with differences in the relative spending between healthcare and social services at the national level. The impact of the ratio and delivery of social and healthcare services on the individual patient's health is however unknown. 'Reframing Healthcare Services through the Lens of Co-Production' (RheLaunCh) will be a cross-Atlantic comparative study of the mechanisms by which healthcare and social service delivery may impact patient health with chronic conditions. Insight into these mechanisms is needed to better and cost-effectively organise healthcare and social services. METHODS: We designed a mixed methods study to compare the socioeconomic background, needs of and service delivery to patients with congestive heart failure and chronic obstructive pulmonary disease in the USA and the Netherlands. We will conduct: (1) a literature scan to compare national and regional healthcare and social service systems; (2) a retrospective database study to compare patient's socioeconomic and clinical characteristics and the service use and spending at the national, regional and hospital level; (3) a survey to compare patient perceived quality of life, receipt and experience of service delivery and ability of these services to meet patient needs; and (4) multiple case studies to understand what patients need to better govern their quality of life and how needs are met by services. ETHICS AND DISSEMINATION: Ethics approval was granted by the ethics committee of the Radboud University Medical Center (2016-2423) in the Netherlands and by the Human Subjects Research Committee of the Hennepin Health Care System, Inc. (HSR #16-4230) in the USA. Multiple approaches will be used for dissemination of results, including (inter)national research presentations and peer-reviewed publications. A website will be established to support the development of a community of practice