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The relevance of Climate adaptation platforms for floating urbanisation and nature-based solutions.

There is a clear demand for a collaborative knowledge-sharing on climate adaptation and mitigation. The aim of most climate adaptation platforms is (inter)national knowledge exchange and raising awareness about climate adaptation in urban areas and promote solutions such as Nature-based solutions (NBS) and floating infrastructure. However their multiple benefits are often unknown to the wider public. During seminars (February 2020) in Indonesia climate adaptation measures where mapped and the relevance of the climate adaption platforms such as ClimateScan was evaluated by the means of workshops and a survey. The platform ClimateScan holds now over 5000 locations in 5 main categories of climate adaptation (water, nature, agriculture, energy and people). The conclusions from the workshops in Semarang and Surabaya show high relevance scores for NBS: permeable pavement and swales; for infiltration of stormwater to groundwater; for mitigation of high temperatures with heat stress measures; and flood barriers to mitigate flooding. There were low scores for floating urbanization because this is not a culturally accepted practice in contradiction to other parts of the world. Indonesian floating infrastructure as a floating library, restaurant and airport terminal where mapped during workshops bringing the total of international floating structure locations to 150. The workshops have raised awareness among participants and contributed to capacity building by empowering the participants to map and review climate adaptation measures. A high majority see the value of climate adaptation platforms and will use it in the future.

Light conditions for older adults in the nursing home: Assessment of environmental illuminances and colour temperature

Over 40% of nursing home residents in the Netherlands are estimated to have visual impairments. In this study, light conditions in Dutch nursing homes were assessed in terms of horizontal and vertical illuminances and colour temperature. Results showed that in the seven nursing homes vertical illuminances in common rooms fell significantly below the 750 lx reference value in at least 65% of the measurements. Horizontal illuminance measurements in common rooms showed a similar pattern. At least 55% of the measurements were below the 750 lx threshold. The number of measurements at the window zone was significantly higher than the threshold level of 750 lx. Illuminances in the corridors fell significantly below the 200 lx threshold in at least three quarters of the measurements in six of the seven nursing homes. The colour temperature of light fell significantly below the reference value for daylight of 5000 K with median scores of 3400 to 4500 K. A significant difference in colour temperature was found between recently constructed nursing homes and some older homes. Lighting conditions of the examined nursing homes were poor. With these data, nursing home staff have the means to improve the lighting conditions, for instance, by encouraging residents to be seated next to a window when performing a task or during meals.

Daily physical activity in stable heart failure patients

BACKGROUND:: Physical activity is the only nonpharmacological therapy that is proven to be effective in heart failure (HF) patients in reducing morbidity. To date, little is known about the levels of daily physical activity in HF patients and about related factors. OBJECTIVE:: The objectives of this study were to (a) describe performance-based daily physical activity in HF patients, (b) compare it with physical activity guidelines, and (c) identify related factors of daily physical activity. METHODS:: The daily physical activity of 68 HF patients was measured using an accelerometer (SenseWear) for 48 hours. Psychological characteristics (self-efficacy, motivation, and depression) were measured using questionnaires. To have an indication how to interpret daily physical activity levels of the study sample, time spent on moderate- to vigorous-intensity physical activities was compared with the 30-minute activity guideline. Steps per day was compared with the criteria for healthy adults, in the absence of HF-specific criteria. Linear regression analyses were used to identify related factors of daily physical activity. RESULTS:: Forty-four percent were active for less than 30 min/d, whereas 56% were active for more than 30 min/d. Fifty percent took fewer than 5000 steps per day, 35% took 5000 to 10 000 steps per day, and 15% took more than 10 000 steps per day. Linear regression models showed that New York Heart Association classification and self-efficacy were the most important factors explaining variance in daily physical activity. CONCLUSIONS:: The variance in daily physical activity in HF patients is considerable. Approximately half of the patients had a sedentary lifestyle. Higher New York Heart Association classification and lower self-efficacy are associated with less daily physical activity. These findings contribute to the understanding of daily physical activity behavior of HF patients and can help healthcare providers to promote daily physical activity in sedentary HF patients.PMID:23416939DOI: 10.1097/JCN.0b013e318283ba14

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