Currently, 4% of older adults reside in long-term care facilities in the Netherlands. Nursing home residents tend to have multimorbidity that is associated with considerable disabilities and a high level of care dependency. In the Dutch adult population the highest estimated prevalence (>40%) of visual impairment (low vision and blindness) was found in the subgroup of residents in nursing homes (NHs). The aim of this study is to describe the current practice of eye care by Dutch nursing home physicians (NHPs). A digital online survey was developed to describe the eye care activities of nursing home physicians and their cooperation in this perspective with other professionals. Of 1573 NHPs present in the Netherlands, 125 (8%) responded. Results show that more than 50% of the NHPs regularly examine ‘distant vision’, ‘near vision’ and ‘the visual field’ . However, 23%, 33% and 45% almost never or never examine the ‘visual field’, ‘near vision’ and ‘distant vision’, respectively. Data regarding eye care, regularly recorded in the client files by more than 50% of the NHPs, are medical data involving ‘use of eye medication’, ‘eye disease’, and ‘eye surgery in the past’. Less commonly recorded is ‘the use of reading glasses’ as well as ‘eye pain’. Inside of the NH, (head) nurses and ward nurses (chi 2 = 309, df = 5, p = 0.000), and outside of the NH, ophthalmologists and low vision specialists are most frequently contacted about eye related issues (chi 2 = 224, df = 4, p = 0.000). Opticians are rarely contacted, and optometrists and orthoptists are ‘never’ contacted by more than 50% of the NHPs. Moreover, 50% of the NHPs noted that collaboration with external eye care professionals is ‘not structural’. This study shows that, according to NHPs, relevant visual aspects are not structurally examined and recorded in the client files. Outside of the NH, NHPs tend to have a less frequent collaborative relationship with optometrists, orthoptists and opticians compared to ophthalmologists and low vision specialists. The NHP’s role in providing eye care can be improved by development of guidelines for structural eye screening, improvement of recording in client files, and exploring plus undertaking collaboration with other eye care professionals.
LINK
The coronavirus pandemic highlighted the vital role urban areas play in supporting citizens’ health and well-being (Ribeiro et al., 2021). In times of (personal) vulnerability, citizens depend on their neighbourhood for performing daily physical activities to restore their mental state, but public spaces currently fall short in fulfilling the appropriate requirements to achieve this. The situation is exacerbated by Western ambitions to densify through high-rise developments to meet the housing demand. In this process of urban densification, public spaces are the carriers where global trends, local ambitions and the conditions for the social fabric materialise (Battisto & Wilhelm, 2020). High-rise developments in particular will determine users’ experiences at street-level. Consequently, they have an enduring influence on the liveability of neighbourhoods for the coming decades but, regarding the application of urban design principles, their impact is hard to dissect (Gifford, 2007).Promising emerging technologies and methods from the new transdisciplinary field of neuroarchitecture may help identify and monitor the impact of certain physical characteristics on human well-being in an evidence-based way. In the two-year Sensing Streetscapes research study, biometric tools were tested in triangulation with traditional methods of surveys and expert panels. The study unearthed situational evidence of the relationship between designed and perceived spaces by investigating the visual properties and experience of high-density environments in six major Western cities. Biometric technologies—Eye-Tracking, Galvanic Skin Response, mouse movement software and sound recording—were applied in a series of four laboratory tests (see Spanjar & Suurenbroek, 2020) and one outdoor test (see Hollander et al., 2021). The main aim was to measure the effects of applied design principles on users’ experiences, arousal levels and appreciation.Unintentionally, the research study implied the creation of a 360° built-environment assessment tool. The assessment tool enables researchers and planners to analyse (high-density) urban developments and, in particular, the architectural attributes that (subliminally) affect users’ experience, influencing their behaviour and perception of place. The tool opens new opportunities for research and planning practice to deconstruct the successes of existing high-density developments and apply the lessons learned for a more advanced, evidence-based promotion of human health and well-being.ReferencesBattisto, D., & Wilhelm, J. J. (Eds.). (2020). Architecture and Health Guiding Principles for Practice. Routledge, Taylor & Francis Group. Gifford, R. (2007). The Consequences of Living in High-Rise Buildings. Architectural Science Review, 50(1), 2–17. https://doi.org/https://doi.org/10.3763/asre.2007.5002 Hollander, J. B., Spanjar, G., Sussman, A., Suurenbroek, F., & Wang, M. (2021). Programming for the subliminal brain: biometric tools reveal architecture’s biological impact. In K. Menezes, P. de Oliveira-Smith, & A. V. Woodworth (Eds.), Programming for Health and Wellbeing in Architecture (pp. 136–149). Routledge, Taylor & Francis Group. https://doi.org/https://doi.org/10.4324/9781003164418 Ribeiro, A. I., Triguero-Mas, M., Jardim Santos, C., Gómez-Nieto, A., Cole, H., Anguelovski, I., Silva, F. M., & Baró, F. (2021). Exposure to nature and mental health outcomes during COVID-19 lockdown. A comparison between Portugal and Spain. Environment International, 154, 106664. https://doi.org/https://doi.org/10.1016/j.envint.2021.106664 Spanjar, G., & Suurenbroek, F. (2020). Eye-Tracking the City: Matching the Design of Streetscapes in High-Rise Environments with Users’ Visual Experiences. Journal of Digital Landscape Architecture (JoDLA), 5(2020), 374–385. https://gispoint.de/gisopen-paper/6344-eye-tracking-the-city-matching-the-design-of-streetscapes-in-high-rise-environments-with-users-visual-experiences.html?IDjournalTitle=6
MULTIFILE
Organizations are currently facing substantial challenges regarding becoming circular by 2050 – also referred to as Circular Economy (CE). Subsequently, increasing complexity on all organizational levels creates uncertainty about respective organizational and technological capabilities and adequate strategies to develop these capabilities. Organizations are struggling in picking up the CE ambitions and answering the what’s in it for me question. Scholars are developing models and frameworks to enable organizations to measure CE performance. Over 125 assessment methods are available for micro level assessment – measuring up to 365 different metrics. Moreover, extant literature is available presenting barriers and opportunities for CE transformation focusing on industry, sector, region, etc. And, although a more holistic perspective is required to become circular mature, this is currently lacking. In this paper we present a multi-methodology view on approaches and how they are used (or not). Our main goal is to extend the existing body of knowledge with an eye on applicability and research directions to untie the Gordian knot of measuring circularity.
LINK
