Individual and Community-Contextual Level Factors Associated With Wellbeing Among Older Adults in Rural Zambia

Objective: This article aims to identify individual and community-contextual level factors associated with the wellbeing of older adults (50 years and older) in rural Zambia. Methods: Data from the nationally representative 2015 Living Conditions Monitoring Survey (LCMS) was used. Employing multilevel mixed effects, the individual and community-contextual factors on wellbeing were determined. Results: Overall, 31.7% of rural older adults perceived their wellbeing as good. Both individual and community-contextual level factors are associated with the wellbeing of older adults in rural communities. At the individual level, wellbeing was associated with higher education attainment. Community-contextual factors significantly associated with wellbeing included improved housing, access to piped tap water within the premises, own charcoal or income to purchase firewood. Conclusion: The findings foreground the imperative to analyse both individual and community-contextual level factors of wellbeing to generate and present evidence for investments in education across the life course and for the development of infrastructure towards increasing the wellbeing of rural older adults. Additionally, the results provide a basis for planning by devising policies and programmes for older people to thrive and for no one to be left behind regardless the setting

Exploring place-making in the Vredefort Dome, South Africa: A mixed-method approach

Any space – interior, exterior and landscapes – becomes a place to which people attach meaning. The process where by meaningful space or a sense of place is formed is rarely considered in developmental planning. This article argues for an interdisciplinary approach to the identification of different types of meaning attached to the Vredefort Dome World Heritage Site, and proposes a methodology for assessing these as an aid to sensitive development interventions in such precious places

The meaning of place-making in planning: historical overview and implications for urban and regional planning

In its course of development, urban and regional planning has been greatly influenced by the modernist movement, which left human environments with various problematic ecological and social conditions. In reaction to these conditions, alternative planning approaches branched from the planning profession, one of these being the development approach known as place-making. Place-making is the physical designing of a place based on locational contexts. Place-making is offered as an alternative planning approach to current planning practice to ameliorate and possibly prevent continuation of the problematic ecological and social conditions. However, this implies that there has to come about a shift in the focus and aims of current planning practice. The main implications of place-making are that planning should become more contextually driven, holistic, multidisciplinary, as well as human and quality centred. Also, it is proposed to increase research on place in the South African context.&nbsp

Reflective learning in training mental health practitioners

This article explores the critical, collective reflections that promoted the learning process. Action research has been applied to gather data by means of observation, individual interviews and video recordings. Learners and facilitators co-constructed a containing environment while engaging in reflective discussions. Learning processes involved the modelling of interactions, the development of shared values and the creation of safe spaces. The learning community developed from a position where they mainly complained about challenges to a co-operative position in which they explored alternative ways to promote the shared purposes of the learning community, as well as the communities in which they have engaged

A multiverse analysis of early attempts to replicate memory suppression with the Think/No-think Task

In 2001, Anderson and Green [2001. Suppressing unwanted memories by executive control. Nature, 410(6826), 366-369] showed memory suppression using a novel Think/No-think (TNT) task. When participants attempted to prevent studied words from entering awareness, they reported fewer of those words than baseline words in subsequent cued recall (i.e., suppression effect). The TNT literature contains predominantly positive findings and few null-results. Therefore we report unpublished replications conducted in the 2000s (N = 49; N = 36). As the features of the data obtained with the TNT task call for a variety of plausible solutions, we report parallel "universes" of data-analyses (i.e., multiverse analysis) testing the suppression effect. Two published studies (Wessel et al., 2005. Dissociation and memory suppression: A comparison of high and low dissociative individuals' performance on the Think-No think Task. Personality and Individual Differences, 39(8), 1461-1470, N = 68; Wessel et al., 2010. Cognitive control and suppression of memories of an emotional film. Journal of Behavior Therapy and Experimental Psychiatry, 41(2), 83-89. https://doi.org/10.1016/j.jbtep.2009.10.005, N = 80) were reanalysed in a similar fashion. For recall probed with studied cues (Same Probes, SP), some tests (sample 3) or all (samples 2 and 4) showed statistically significant suppression effects, whereas in sample 1, only one test showed significance. Recall probed with novel cues (Independent Probes, IP) predominantly rendered non-significant results. The absence of statistically significant IP suppression effects raises problems for inhibition theory and its implication that repression is a viable mechanism of forgetting. The pre-registration, materials, data, and code are publicly available (https://osf.io/qgcy5/).</p

Can rigidly rotating polytropes be sources of the Kerr metric?

We use a recent result by Cabezas et al. to build up an approximate solution to the gravitational field created by a rigidly rotating polytrope. We solve the linearized Einstein equations inside and outside the surface of zero pressure including second-order corrections due to rotational motion to get an asymptotically flat metric in a global harmonic coordinate system. We prove that if the metric and their first derivatives are continuous on the matching surface up to this order of approximation, the multipole moments of this metric cannot be fitted to those of the Kerr metric.Comment: LaTeX, 17 pages, submitted to CQ

Mechanisms in dynamic interplay with contexts in a multigenerational traditional food preparation initiative involving rural South African women

This study describes the causal powers of mechanisms in dynamic interplay with relevant contexts (socio-cultural-historical and interpersonal) by looking at the outcome patterns of a multigenerational food initiative from a critical realist perspective. Heuristic constructs taken from psychological, interactional, and group theories implied in the multigenerational initiative are discussed. Textual data, obtained from women (n = 104) from three generations in rural South Africa in 11 focus group discussions, were analyzed thematically to present outcome patterns. Findings illustrate the transformative potential of mechanisms, their interrelatedness on different levels, and the activation of a deeper level mechanism. Broad guidelines are proposed for sustainable intergenerational initiatives.The South African Sugar Association.https://www.tandfonline.com/loi/wjir20hj2022Psycholog

Klinische Qualitätssteuerung – ein praktischer Versuch in der Hausarztpraxis am Beispiel der Influenzaimpfung

Klinische Qualitätssteuerung (KQS) meint ein Qualitätsmanagement im klinischen Bereich. Vermutlich aufgrund der Coronapandemie meldeten sich im Jahr 2020 deutlich mehr influenzaimpfwillige Patient*innen als in den Vorjahren, sodass sich abzeichnete, dass für Hochrisikopatient*innen nicht ausreichend Impfdosen zur Verfügung stehen würden. Um dem Problem zu begegnen, setzten wir einen KQS-Zyklus in Gang. Bei diesem Artikel handelt es sich explizit nicht um eine wissenschaftliche Arbeit, sondern um die exemplarische Beschreibung einer Priorisierung und einer KQS als Beispiel, zur Anregung und zur Diskussion. Wir erstellten folgenden Prozess: 1. Evaluation des Ist-Zustands; 2. Priorisierung der Patient*innen, die sich als impfwillig gemeldet hatten, und Impfung der Hochrisikogruppe zuerst; 3. Identifikation, telefonische Kontaktierung und Impfung der Hochrisikopatient*innen, die sich nicht selbstständig als impfwillig gemeldet hatten. Patient*innen über 60-Jahre mit chronisch obstruktiver Lungenerkrankung (COPD) wurden als Indikatorgruppe gewählt. Zunächst waren nur 3 (8 %) unserer 38 COPD-Patient*innen gegen Influenza geimpft. Nach Priorisierung und Impfung der Hochrisikogruppe in der Liste der Impfwilligen waren 25 (66 %) der insgesamt 38 COPD-Patient*innen geimpft. Nach telefonischer Einladung und Aufforderung waren zuletzt 28 (74 %) der 38 Patient*innen geimpft. Dies entspricht einer Steigerung der Impfquote der über 60-jährigen COPD-Patient*innen von 8 % auf 74 % und damit nahezu dem Zielwert der Weltgesundheitsorganisation (WHO). Hausärzt*innen müssen sich gelegentlich mit Ressourcenknappheit auseinandersetzen und sich mit Strategien beschäftigen, ihr zu begegnen. Unter anderem in diesem Zusammenhang bietet sich eine KQS in der Hausarztpraxis an. Die Praxisverwaltungssysteme (PVS) sollten für diesen Zweck von Seiten der Hersteller benutzerfreundlicher gestaltet werden