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People suffering from dementia often have problems with way finding and feel restless. In this paper we present an interactive wall developed for decreasing the amount of wandering behaviour of people suffering from dementia. The installation aims at making these people feel more at home in the nursing homes by guiding them with a motion triggered audio path. This leads them to a wall with large windows displaying images and short movie tracks from their hometown. The results of an observation study show that the interactive wall succeeds in attracting people and thus reducing the wandering behaviour. Remarks of the elderly as well as their family and caretakers support this conclusion.
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Through artistic interventions into the computational backbone of maternity services, the artists behind the Body Recovery Unit explore data production and its usages in healthcare governance. Taking their artwork The National Catalogue Of Savings Opportunities. Maternity, Volume 1: London (2017) as a case study, they explore how artists working with ‘live’ computational culture might draw from critical theory, Science and Technology Studies as well as feminist strategies within arts-led enquiry. This paper examines the mechanisms through which maternal bodies are rendered visible or invisible to managerial scrutiny, by exploring the interlocking elements of commissioning structures, nationwide information standards and databases in tandem with everyday maternity healthcare practices on the wards in the UK. The work provides a new context to understand how re-prioritisation of ‘natural’ and ‘normal’ births, breastfeeding, skin-to-skin contact, age of conception and other factors are gaining momentum in sync with cost-reduction initiatives, funding cuts and privatisation of healthcare services.
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Art is a mirror of society. Thanks to our communication technology, which has made possible globalization and associated scaling-up, a few giants have emerged, leaving everyone else unintentionally ... dwarfs. In our world, the ordinary is sometimes ridiculously magnified. In Maurizio Cattelan 's famous ductaped banana, art does what I think it should do: touch emotions, encourage reflection and discussion. But here too the first outrage has increased enormously and the reflection that follows - the second thought - has seldom or not been heard.
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Background: Regular inspection of the oral cavity is required for prevention, early diagnosis and risk reduction of oral- and general health-related problems. Assessments to inspect the oral cavity have been designed for non-dental healthcare professionals, like nurses. The purpose of this systematic review was to evaluate the content and the measurement properties of oral health assessments for use by non-dental healthcare professionals in assessing older peoples’ oral health, in order to provide recommendations for practice, policy, and research. Methods: A systematic search in PubMed, EMBASE.com, and Cinahl (via Ebsco) has been performed. Search terms referring to ‘oral health assessments’, ‘non-dental healthcare professionals’ and ‘older people (60+)’ were used. Two reviewers individually performed title/abstract, and full-text screening for eligibility. The included studies have investigated at least one measurement property (validity/reliability) and were evaluated on their methodological quality using “The Consensus-based Standards for the selection of health Measurement Instruments” (COSMIN) checklist. The measurement properties were then scored using quality criteria (positive/negative/indeterminate). Results: Out of 879 hits, 18 studies were included in this review. Five studies showed good methodological quality on at least one measurement property and 14 studies showed poor methodological quality on some of their measurement properties. None of the studies assessed all measurement properties of the COSMIN. In total eight oral health assessments were found: the Revised Oral Assessment Guide (ROAG); the Minimum Data Set (MDS), with oral health component; the Oral Health Assessment Tool (OHAT); The Holistic Reliable Oral Assessment Tool (THROAT); Dental Hygiene Registration (DHR); Mucosal Plaque Score (MPS); The Brief Oral Health Screening Examination (BOHSE) and the Oral Assessment Sheet (OAS). Most frequently assessed items were: lips, mucosa membrane, tongue, gums, teeth, denture, saliva, and oral hygiene. Conclusion: Taken into account the scarce evidence of the proposed assessments, the OHAT and ROAG are most complete in their included oral health items and are of best methodological quality in combination with positive quality criteria on their measurement properties. Non-dental healthcare professionals, policymakers and researchers should be aware of the methodological limitations of the available oral health assessments and realize that the quality of the measurement properties remains uncertain.
On duty, police officers are exposed to a variety of acute, threatening stress situations and organizational demands. In line with the allostatic load model, the resulting acute and chronic stress might have tremendous consequences for police officers’ work performance and psychological and physical health. To date, limited research has been conducted into the underlying biological, dynamic mechanisms of stress in police service. Therefore, this ecological momentary assessment study examined the associations of stress, mood and biological stress markers of a 28-year-old male police officer in a N-of-1 study over three weeks (90 data points). Four times a day (directly after waking up, 30 minutes later, 6 hours later, before going to bed), he answered questions about the perceived stress and mood using a smartphone application. With each data entry, he collected saliva samples for the later assessment of salivary cortisol (sCort) and alpha-amylase (sAA). In addition, data was collected after six police incidents during duty. sCort and sAA were not related to perceived stress in daily life and did not increase in police incidents. Regarding mood measures, deterioration of calmness, but not valence and energy was associated with perceived stress. The results suggest continued police service to constitute a major chronic stressor resulting in an inability to mount a proper response to further acute stress. As an indicator of allostatic load, psychological and biological hyporesponsivity in moments of stress may have negative consequences for police officers’ health and behavior in critical situations that require optimal performance. Prospectively, this research design may also become relevant when evaluating the efficacy of individualized stress management interventions in police training.
Looking at the trends in the four quarters of 2021, it is clear that (partial) lockdowns of sectors have been very bad news for business performance. Also not directly hit sectors like the care and service industry underperformed. The horeca, retail and cultural sectors were hit hardest by recurring lockdowns. Business services and technical professionals were more resilient. We have observed a strong decrease in sales, net margins, investment (willingness), solvability and entrepreneurial wages in periods of lockdown. They are (far) below the levels of the pre-Corona year 2019. Start-ups and the self-employed were the most vulnerable. The type of market in which entrepreneurs operate is of great importance. Turnover, net margins and entrepreneurial wages in the B2B markets are significantly higher than in the B2C markets. We were unable to establish any direct positive effects of the degree of digitization of businesses on net margins (Q2 special). Rather, the utilization of too many applications seems to deteriorate business performance. Entrepreneur digital skills are able to predict net margins better and positively. We will repeat this special in the near future as many businesses have only recently started to digitize. Entrepreneurs have lost their way in the forest of local, provincial, national and EU subsidies (Q3 special), halving the number of applications compared to 2015. Tax deduction programs seem far more effective than the dazzling diversity of subsidies. Owners of businesses with staff are especially willing to pay specialized advisors to detect and apply for subsidies on a “no cure, no pay” basis. There appears to be a strong link between the self-estimated sales skills of entrepreneurs and their turnover, and the short-term growth expectations (Q4 special). The more experienced and skilled in sales, the higher the quarterly turnover and the higher the growth expectation. However, 62% of entrepreneurs are unskilled or untrained in sales skills. And 30% of entrepreneurs indicate that they are not effective at selling. Overall, the lockdowns resulted in a growing number of entrepreneurs developing into marginal companies. Financial reserves, such as saved pensions and private/partner/family capital were depleted. Lockdowns also increased firm and private debts, which the majority of companies are unable to repay. Poverty is knocking at the door of many Dutch entrepreneurs and, even with the support of a partner income, only 4 out of 10 entrepreneurs earn a more than marginal living. Our main recommendations in the quarterly reports of 2021 are: 1. Strengthen the solvability of micro-businesses by converting tax debts in subordinate loans. 2. Pro-actively contact entrepreneurs to support them with support possibilities, (poverty alleviation) allowances and free coaching and sales, financial and digital training possibilities. 3. Start proactively discussing the viability of the firm and business model and possible ways to resolve debts. There is strong demand and shortages on the labor market, which makes this the perfect time to guide depleted entrepreneurs to (far) better paid jobs.
