De sociale betekenis van de buurt: een onderzoek naar de relatie tussen het wonen in een arme wijk en sociale mobiliteit

In The Social Significance of the Neighbourhood the negative image of the social quality of poor urban districts is critically examined based on research in two districts of The Hague. This investigation focuses on the extent to which living in a certain quarter could constitute as an obstacle to social mobility and what role social relations play between local residents therein. Based on interviews with residents in a poor and a mixed neighborhood this study outlines the role that the neighborhood and local residents play in the social and working lives of residents.In De sociale betekenis van de buurt wordt de negatieve beeldvorming over de sociale kwaliteit van arme stadswijken aan de tand gevoeld aan de hand van onderzoek in twee Haagse wijken. Het onderzoek richt zich op de vraag in hoeverre het wonen in een achterstandswijk een belemmering kan vormen voor sociale mobiliteit en welke rol sociale relaties tussen buurtbewoners daarin spelen. Aan de hand van interviews met bewoners in een arme en een gemengde wijk wordt een beeld geschetst van de rol die de buurt en buurtbewoners spelen in het sociale en werkende leven van bewoners

Development and testing of a multidimensional parent reported outcome measure for common presenting complaints of infancy: the UK infant questionnaire.

Objectives: Patient reported outcome measures are recognized as important and valuable tools to monitor patient progress in healthcare. It is fundamental to clinical practice to understand whether the treated patient has improved or not. Despite the highest use of outpatient healthcare among all pediatric age groups, no age-appropriate outcome measures are available for the infant. Therefore, the objective of this study was to develop and test a new infant outcomes instrument for the most common presenting complaints of infancy. Methods: This was a multi-phase study designed to develop a questionnaire using maternal interviews and to test it for reliability and validity for use in well child clinical practice. After collecting the mother’s views, grounded theory and content analysis were used to derive themes and domains for the questionnaire. After achieving face validity, the instrument was evaluated for test-retest reliability, homogeneity and concurrent criterion validity. Subjects comprised a convenience sample of mothers who presented their infants to a university-affiliated chiropractic teaching clinic on the south coast of England. Results: Maternal interviews revealed mothers’ concerns about feeding, sleeping, crying and other aspects of infant activities of daily living resulting in construction of a 12 question instrument. The questionnaire showed excellent test-retest reliability (ICC = 0.96) and good internal consistency (Cronbach’s α = 0.8). In validity testing, ten questions showed positive correlation to a statistically significant degree against their established gold standard references. In all, 294 mother/infant dyads were involved in the research project. Conclusion: The UK Infant Questionnaire is the first parent reported outcome measure for use with the most common complaints of the infant patient based on maternal views. As such, this instrument meets the standard set by the UK National Health Service to involve the parent’s voice in their child’s care, and is therefore innovative in its field. Although further testing is indicated, and we make no claims that this instrument is comprehensive in all aspects of infant well-child care, it may be used by individual clinicians in routine daily practice to gain understanding of clinical progress of individual patients

Environmental tolerance of three gammarid species with and without invasion record under current and future global warming scenarios

Aim: Numerous regions worldwide are highly impacted by anthropogenic activities and globalization, with climate change and species introductions being among the greatest stressors to biodiversity and ecosystems. A main donor region of non‐indigenous species (NIS) for numerous European water bodies, as well as in the North American Great Lakes is the Ponto‐Caspian region (i.e., Black, Azov and Caspian Seas), with some of those species having significant impact on local communities and ecosystem functioning. Location: Northern European, Ponto‐Caspian and North American regions. Methods: To determine environmental tolerance of native species and related NIS under current and future global warming scenarios of the Baltic Sea, we conducted common garden experiments to test temperature tolerance of three euryhaline gammarid species: one Baltic (Gammarus oceanicus), one Ponto‐Caspian (Pontogammarus maeoticus) and one North American species (Gammarus tigrinus) in two different salinities. Results: Our results determined that mortality of P. maeoticus in all temperature treatments (i.e., increased, control, and decreased) at the end of both experiments (i.e., conducted in salinities of 10 and 16 g/kg) was lower when compared to mortality of G. oceanicus and (c) G. tigrinus. The highest mortality was observed for G. oceanicus, reaching 100% in both experiments in the increased temperature treatment. Main conclusions: Due to the high environmental tolerance of the Ponto‐Caspian species tested in this study, as well as the fact that Ponto‐Caspian species evolved in environmentally variable habitats and currently inhabit warmer waters than species from North America and Northern Europe, we suggest that species from the Ponto‐Caspian region may benefit from global warming when invading new areas. Those new invasions may, in the best case scenario, increase biodiversity of the Baltic Sea. However, if notorious invaders arrive, they may have a significant impact on local communities and ecosystem functioning

Developing a patient satisfaction measure for imaging-based patient information during clinical consultations

Different types of medical imaging are increasingly being used to explain specific aspects of injuries to patients during consultations. However, there are no validated questionnaires available yet that specifically measure patients’ satisfaction with the use of such images. The objective of this study was to develop and evaluate a patient-centred measure of satisfaction with the use of medical imaging modalities in clinical treatment. A preliminary 22-item version of the Questionnaire for Patient Satisfaction with Imaging (QPSI) was developed based on extant literature and interviews with trauma patients. Final item selection and psychometric evaluations were conducted amongst a sample of 106 hospital trauma patients who were shown medical images of their injuries. The psychometric analyses resulted in a final 13-item questionnaire comprising two subscales that measure the importance of seeing the images (9 items) and the clearness of the image (4 items). Both subscales showed adequate internal consistency (α = 0.84 and 0.75). The subscales were weakly intercorrelated (ρ = 0.34) and were both significantly and independently associated with patients’ global ratings of satisfaction with the use of imaging. The final two-dimensional QPSI is an innovative, reliable and valid questionnaire for measuring patients’ satisfaction with imaging-based information during clinical consultations. Experience Framework This article is associated with the Quality & Clinical Excellence lens of The Beryl Institute Experience Framework (https://www.theberylinstitute.org/ExperienceFramework). Access other PXJ articles related to this lens. Access other resources related to this lens