ICAR: endoscopic skull‐base surgery

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What is urban nature and how do we perceive it?

This chapter discusses the complexities and apparent contradictions in defining ‘nature’ and ‘urban nature’ in the context of human-nature interactions. It explains why urban nature is so important to human health and well-being at this point in the twenty first century, focusing particularly on why considering nature perception is crucial if we are to plan, design and manage urban nature to prioritise people’s aesthetic appreciation, health and well-being. Nature-perceptions are then framed in relation to diversity in nature: the role of varying biodiversity, perceived biodiversity and different aesthetics of nature (specifically flowering and colour , structure and care). The significance of varying socio-cultural and geographical contextual factors in nature perception is then highlighted. The chapter closes by addressing implications for policy and practice and future research directions in relation to urban nature perception . The author draws extensively from her own and related research

Conviviality by design : the socio-spatial qualities of spaces of intercultural urban encounters

This paper presents findings from a mixed-method research project which explored use of outdoor spaces and social connections in Bradford, a post-industrial city in the north of England with a highly ethnically diverse population. Data was collected through micro-scale behavioural mapping of public spaces (analysed using GIS) and both on-site and in-depth interviews. The integration of these methods allows a focus on intersectional identities and social values for everyday conviviality situated in different typologies of public open spaces (parks, squares, streets) in city centre and suburban neighbourhoods. The analysis offers nuanced insights into the socio-spatial aspects of conviviality: patterns of activity by diverse users, situations in which encounters are prompted, and the implications of negotiating differences in relation to perceptions of self, others, and the environment. We discuss the relevance of the urban public realm for shared understandings of diversity, qualities of visibility, lingering and playfulness, and the importance of threshold spaces. We explore racialised and excluding experiences and how these relate to mobility and territorial patterns of use, specifically with relation to gender. The paper highlights connections between intercultural encounters and urban design practice, with implications for well-being and integration in ethnically diverse urban areas

Development and evaluation of a structured programme for promoting physical activity among seniors with intellectual disabilities:a study protocol for a cluster randomized trial

<p>Background: Older people with intellectual disabilities have very low physical activity levels. Well designed, theory-driven and evidence-based health promotion programmes for the target population are lacking. This paper describes the design of a cluster-randomised trial for a systematically developed health promotion programme aimed at improving physical activity and increasing fitness among seniors with intellectual disabilities.</p><p>Methods and design: The Intervention Mapping protocol was used for programme development. After defining the programme's objectives, the following behavioural techniques were selected to achieve them: Tailoring, Education, Modelling, Mirroring, Feedback, Reinforcement and Grading. With professionals and managers of provider services for people with intellectual disabilities, we translated these strategies into a structured day-activity programme, that consisted of a physical activity and an education programme. The programme will be executed in five day-activity centres in groups of eight to ten seniors during eight months, whereas seniors in five other centres receive care as usual. The physical activity level, as measured in number of steps a day, will be used as primary outcome measurement. Secondary outcome measurements include motor fitness, cardio respiratory fitness, morphological and metabolic fitness, ADL, functional deterioration and depressive symptoms. Differences in the primary and secondary outcome measures between participants and controls will be analysed using generalized estimation equations, correcting for day-activity center as cluster.</p><p>Discussion: This paper provides insight into the development and content of a theory-driven intervention aimed at behavioural change in a population with a low intellectual level. Its evaluation design is described. The programme's applicability to other populations is discussed.</p>