Ageing of the population in European cities creates fundamental challenges with regard to employment, pensions, health care and other age-related services. Many older people want to live independent lives as long as possible. This aspiration is currently strongly supported by many local governments. A precondition for 'ageing in place' is that older people perceive their neighbourhoods as familiar and safe places. In the Netherlands, many neighbourhoods with an ageing population have been subject to urban restructuring policies. An important question is to what extent such policies affect the housing situation, socioeconomic position and social support networks of older people, as these factors strongly assist their ability to 'age in place'. The paper answers this question through an exploratory analysis of a small but unique panel data set from Hoogvliet, a large urban restructuring area in the city of Rotterdam. The partly counter-intuitive results show that restructuring has enabled 'ageing in place'. Compared to stayers, movers within Hoogvliet often report improved housing quality and positive neighbourhood change. The exploratory analyses did not provide evidence of decreased social support or increased loneliness through restructuring-induced disruptions of social ties. Various 'buffer measures' have been effective in preventing negative restructuring impacts on older residents.
Managed realignment is the landward relocation of flood infrastructure to re-establish tidal exchange on formerly reclaimed land. Managed realignment can be seen as a nature-based flood defence system that combines flood protection by the realigned dike (artificial) and restored saltmarshes (nature-based). So far, research on coastal managed realignment is primarily directed to saltmarsh restoration on formerly reclaimed land. This study focuses on the realigned dikes. The aim of this research is to characterize realigned dikes and to indicate the characteristics that offer opportunities for nature-based flood protection. We categorized 90 European coastal managed realignment projects into two realigned dike groups: (1) Newly built landward dikes and (2) Existing landward dikes of former multiple dike systems. The second group has two subcategories: (2a) Former hinterland dikes and (2b) Realignments within summer polders. For each group we present the realigned dike characteristics of a representative case study. We consider that the use of existing landward dikes or local construction material make realignment more sustainable. From a nature-based flood protection perspective, the presence of an artificial dike is ambiguous. Our results show that targeted and expected saltmarsh restoration at managed realignment does not necessarily result in a greener realigned dike design that suits for combined flood protection with restored saltmarshes. We recommend coastal managers to explicitly take combined flood protection into account in the realigned dike design and steer the topography of the realignment site to facilitate nature-based flood protection and promote surface elevation increase seaward of the realigned dike in response to sea level rise. This makes managed realignment a nature-based flood defence zone for now and for the future.
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It is essential to look for new forms of care, with an emphasis on Prevention, Relocation and Replacement (Health & Care Knowledge and Innovation Agenda 2020-2030). Especially when it comes to Alcohol Use Disorder (AUD). Globally, more than 5% of all illness and injury are attributable to AUD. Treatment is challenging; 47-75% of AUD patients who are clinically detoxified relapse within one year. Recovry aims to prevent an unhealthy lifestyle due to (alcohol) addiction by developing and testing a Virtual Reality (VR) self-prevention tool (relocating and replacing care treatment). Although research shows that VR is used successfully in health care and in the treatment of alcohol addiction, especially through the creation of presence, it has not been tested for effectiveness and implementation (as an adjuvant in a clinical post-detoxification phase of an AUD- therapy). The question of whether virtual-humans should be used in a VR treatment and whether 3600 recorded VR or computer generated (CG) VR should be selected before. The use of a virtual human in VR has expected advantages (more effect) but also disadvantages (more costs). The expected advantages and disadvantages of 360o VR (cheaper, faster, more personal) and CG VR (more flexible and interactive) also cause choice and implementation problems. Recovry is the first project in which a VR tool is (further) developed in which an AUD treatment can (and will) be tested for the effect and effectiveness of adding virtual humans in CG and 360o VR environments as part of preventive care for patients with an AUD. This project thus serves as a prelude to cooperation in the Netherlands around a more effective implementation of VR in the (self) care system and thus the active and independent integration of former AUD patients in society (“more people, less patients”).
It is essential to look for new forms of care, with an emphasis on Prevention, Relocation and Replacement (Health & Care Knowledge and Innovation Agenda 2020-2030). Especially when it comes to Alcohol Use Disorder (AUD). Globally, more than 5% of all illness and injury are attributable to AUD. Treatment is challenging; 47-75% of AUD patients who are clinically detoxified relapse within one year. Recovry aims to prevent an unhealthy lifestyle due to (alcohol) addiction by developing and testing a Virtual Reality (VR) and Augmented (AR) in clinic treatment and self-prevention tool (relocating and replacing care treatment). A key research question within professorship digital media concepts is the role of realism in VR, AR and virtual humans on experience and behavior, in this case the confidence and skills to say no to alcohol. This project helps to develop version 4.0 with many improvements related to new AR and VR technologies.Societal issueTreatment for addictionBenefit for societyInclusion in society (from patient to people)
