13 research outputs found

    Interdisciplinary research project: SPATIALIST; Spatial Data Infrastructures and Public Sector Innovation in Flanders (Belgium)

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    In September 2007, Katholieke Universiteit Leuven and Vrije Universiteit Brussel started a four-year research project entitled “SPATIALIST; Spatial Data Infrastructures and Public Sector Innovation” funded by Institute for the Promotion of Innovation by Science and Technology in Flanders. The strategic and generic character of this project is situated in its research object as well as its method. The research object of the project is the relation between Spatial Data Infrastructures (SDI) and Public Sector Innovation in the Flemish Region. A lot of information in the public sector has a geographic component, so the large-scale roll-out of an SDI will be of great strategic importance in itself and to the further development and innovation of public practices. The method of the project supports a generic approach of SDI-development. First, the project looks at SDI-development from an interdisciplinary perspective. A discipline combination of public administration, sociology, law, economics and geomatics has to guarantee a comprehensive view on the development of an SDI. Second, the development of an SDI is looked upon in all its phases. The central research question to be answered in this project is the following: “what are the technological, legal, economic, sociological and public administrative requirements to further develop an operational Flemish Spatial Data Infrastructure consistent with international standards that is efficient, effective, flexible and feasible?”. The aim of this paper is to present this unique strategic research project in terms of motivation, problem statement, state-of-the-art, strategic research question, analytical research model, research strategy, and valorisation potential.status: publishe

    Differences in Speed of Response of Depressive Symptom Dimensions in Older Persons During Electroconvulsive Therapy

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    INTRODUCTION: Electroconvulsive therapy (ECT) is an important and effective treatment for depression. However, research on course trajectories of depressive symptoms during ECT is limited. Insight into putative differences in speed of response of depressive symptom dimensions may enable clinicians to optimally inform patients and their relatives. Therefore, we aim to examine course trajectories of depressive symptom dimensions in depressed older persons during ECT. METHODS: Data were derived from the Mood Disorders in Elderly treated with Electro Convulsive Therapy study, including 110 persons, aged 55 years or more, with a current diagnosis of major depressive disorder and referred for ECT. Exploratory factor analysis was used to identify symptom dimensions, using the 10 depression items of the Montgomery-Åsberg Depression Rating Scale (MADRS). Differences in course trajectories of symptom dimension during 2 weeks were examined by multilevel analyses. RESULTS: Three symptom dimensions were identified: a "mood," "melancholic," and "suicidal" dimension. Mood showed a significantly greater severity decline as compared with melancholic and suicidal at the 1-week follow-up. At the 2-week follow-up, both mood and melancholic demonstrated a significantly greater decline as compared with suicidal. However, because scores on the suicidality item of the Montgomery-Asberg Depression Rating Scale were already lower at baseline compared with the other items, a floor effect cannot be ruled out. DISCUSSION: All symptom dimensions of depression showed a rapid response to ECT. Our findings did not support the general assumption that suicidal symptoms may be the first to improve. However, a floor effect on the suicidality item cannot be ruled out
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