In the article the Cossack chronicles of Samovodska, Gregory Hrabianka, Samilo Velichko are reviewed. They are important sources of Ukrainian culture history.At the end of the XVIth and at the beginning of the XVIIth centuries some changes happened in the social and spiritual life of Ukraine. They led to the creation of a new social class – the cossacks, which did the most important tasks of the whole nation, played the main role in the its development.The cossacks created an amazing, multifaceted, original culture, which occupied a special page of Ukrainian culture. The cossack chronicles are very important monuments among the achievements of cossack culture and valuablesources for the study of Ukrainian culture history. They are historical and literary works of the second half of XVII – XVIII century, devoted to the cossack wars. That's why they are called "Cossack" or "Lieutenant-colonel", but they differ from the traditional chronicles very much.Nowadays we have only three famous cossack chronicle. They are Witness' Chronicle (devoted to the events ofthe 1648-1702 years, probable author – Roman Rakushka-Romanov) Hrabianka Chronicle ((1710) about the period from the origin of cossacks till 1709) and Chronicle Family Wieliczka ((1720) events in Ukraine in the 1648-1700 years).Witness' Chronicle is one of the greatest historiographical monument and one of the most reliable historical sources of the XVIIth century. In addition, it is a distinctive and original monument of Ukrainian language and literature.The chronicle as a historical source, written by an eyewitness, contains important factual information about thehistory of Ukrainian, Russian, Byelorussian, Polish and other nations in the second part of the XVIIth century. Most of it is unique. The first part of the work, devoted to the period from 1648 to 1677 years, is written mainly in a historical style.The author follows the logical and causal consistency in the review of events. His historical stories have titles, consequences and are logically connected.The second part of the chronicle ( till 1702) concerned the chronicle tradition. There are not any forestalls in thiswork, because the author was a witness of that events and did not know their end. The author used the method of gaining information, which consists of the mechanical reproduction of historical facts, and the author's interpretation of those facts.The central topic of Witness' chronicle is a national liberation war of Ukrainians in 1648-1654. There are economic, political and cultural characteristics of the country, the fact from the history of Russia, Poland, Hungary, Sweden, Moldova, Turkey and other states in this chronicle.Witness is more interested in the theme of wealth destruction, devastation, robbing of the most part of society by the "black" and external enemies. On the other hand, he condemns all people who shed the blood of people, tortured them and did tyranny, regardless of their social status.As for the political views of Witness, he openly sympathized the monarchy – whether it was the king of Poland, or the tsar of Moscow. He did not think about Ukraine as an independent state. Witness historical worldview definedcategories of "earth" causality. In his work the theme of the Divine mostly meant traditional ethic formula. The author explained the causes of historical events by the circumstances of life and human motives.Another famous cossack chronicle writer was Gregory Hrabianka, Gadyach colonel. His chronicle – one of thebrightest and most valuable works of Ukrainian chronicles. The author focused on the event of the liberation war in 1648-1654 and the vivid descriptions of cossack battles. Its first translation from old Ukrainian into modern language was done by H.Ivanchenko in 1992.Chronicle is a typical example of rhetorical genre of historical literature such as narrative. The attention is particular paid to the description of extreme situations, heroic and moral lessons of a "historic drama." Its composition and subject is clear. It should be considered primarily as a literary work, not as historical. The author shows no documentary evidence and presents the literary-adapted history aimed to the public reading. First of all, he expects asignificant emotional impact on the reader. In the gradual loss of Ukraine's autonomy,the main tasks of Hrabianka was to remind about the old cossack glory.The main object of his research is a history of cossacks. The central figure of Hrabianka's chronicle is Bogdan Khmelnitsky. This is the main character of a work where the author units the features of a real historical figure and the ideal leader. In Hrabianka's description, Bogdan Khmelnitsky remains an icon and a model for the next generations.Family Wieliczko chronicle was the great stage in the history of the Cossack chronicles and the most outstanding Ukrainian historical-fiction memoir in XVII-XVIII centuries.The chronicle is the first systematic exposition of the history of Ukrainian Cossack state where the author usesmany Ukrainian, Polish, German sources, a lot of the general military office documents. Writing the chronicle, Samuel Velichko used various sources: folk tales, other cossack chronicles, works of foreign historians, archival documents, letters, registers, etc. The authenticity of the many documents, listed in the record, is not discussed by historians; because some of them are known from other sources.The chronicle consists of 4 parts. The first one – "Legend of the cossack war with the Poles caused by ZenoviyBohdan Khmelnytsky ." describes the events of the 1648-1659 years, individual episodes dating back to 1620. Thesecond and the third parts, covered periods of the 1660-1686 and 1687-1700 years, are called "Chronicle story aboutmalorussian and other behavior which got and described there" contain a lot of Velichko's observations based on thedocuments of the Hetman's Office. The forth one contains the applications from different documents of the 17th century.It was the first fundamental historical research where the author used systematically a great number of sourceson a special topic. As historian and ruled by the rhetoric of baroque art, Velichko wanted to create an impressive picture of military feats and tests, glory and betrayal, blinded heroes by their passions and immense human suffering, which the Ukrainian people met in a day of great social events – the National Liberation War and Ruin.Velichko was a humanist and a democrat. He also was an admirer of the cossacks and considered them a real defenders of Ukraine and national and democratic "rights and liberties" of the Ukrainian people. The cossack chronicler rudely criticized internecine struggle for the hetman power and thought that it led to the ruin of his country, split Cossacks into hostile camps. This situation was used by Poland, Moscow and Turkey to establish their dominance in Ukraine.S. Velichko tries to highlight the history of Ukraine in the context of the most important events in neighboring countries – Poland, Muscovy, Hungary, Moldova, Crimea, Turkey.Certainly, the figure of Velichko is a decisive criterion for his work in general and the concept of baroque personality, because the author was such baroque person in his style of thinking and attitude.Velichko's chronicle became the favorite book for all our historians. Our best writers drew from it the materials and the spiritual energy. This is a really great book of the Ukrainian people. This is a feat life Samiylo Velichko.According previous information, the author concludes that the cossack chronicles of Witness, Hrabianka and Velichko are important sources of research into the history of Ukrainian culture, and our national pride. They haven't lost their artistic value, but also became the golden treasury of world culture. They glorified their creators. ; В статье рассмотрены казацкие летописи Самовидца, Григория Грабянки, Cамойла Величка, которые являются важным источником истории украинской культуры. Автор утверждает, что они не только не потеряли свою художественную и историографическую ценность, но и сейчас составляют нашу национальную гордость, входят в золотую сокровищницу украинской и мировой культуры. ; У статті розглянуто козацькі літописи Самовидця, Григорія Грабянки, Самійла Величка, які є важливим джерелом історії української культури. Автор стверджує, що вони не тільки не втратили свою художню та історіографічну цінність, а й нині становлять нашу національну гордість, входять до золотої скарбниці української та світової культури.
Comments: 99 Pages. Expanded and Presented Article's Version at "The 2016 GRavitational-Wave Astronomy International Conference in Paris, Institute d'Astrophysique de Paris (IAP), Sorbonne University, 'Paris VI - UPMC, CNRS, LERU, EUA', Paris, France (2016). 'Supported by the European Union's 7th Framework Program: FP7/PEOPLE-2011-CIG,' 2016. (http://www.iap.fr/vie_scientifique/ateliers/GravitationalWave/2016/scripts/abstract.aspx) ; International audience ; In Part I (pp. 1-10) of this article, I provide a general analysis of a number of current discontinuous approaches to fundamental physics. In Part II (the main part, pp. 11-99, Ref. [37]), as a new mathematical approach to the origin of basic laws of nature, using a new algebraic axiomatic (matrix) formalism based on the ring theory and Clifford algebras (presented in Sec.2), "it is shown that certain mathematical forms of the fundamental laws of nature, including laws governing the fundamental forces of nature (represented by a set of two definite classes of general covariant massive field equations, with new matrix formalisms), are derived uniquely from only a very few axioms" ; where in agreement with the rational Lorentz group, it is also basically assumed that the components of relativistic energy-momentum can only take rational values. Based on the definite mathematical formalism of this axiomatic approach, along with the C, P and T symmetries (represented by the corresponding quantum matrix operators) of the fundamentally derived field equations, it is concluded that the universe could be realized solely with the (1+2) and (1+3)-dimensional space-times. On the basis of these discrete symmetries of the derived field equations, it has been also shown that only left-handed particle fields (along with their complementary right-handed fields) could be coupled to the corresponding (any) source currents. Moreover, it is shown that the (1+3)-dimensional cases of uniquely determined two classes of general covariant field equations, represent, respectively, new massive forms of the bispinor fields of spin-2, and spin-1 particles; and (1+2)-dimensional cases of these equations represent new massive forms of the bispinor fields of spin-3/2 and spin-1/2 particles, respectively. As a particular consequence, it is shown that a certain massive formalism of general relativity – with a definite form of torsion field appeared originally as the generator of gravitational field's invariant mass – is obtained only by first quantization (followed by a basic procedure of minimal coupling to space-time geometry) of a certain set of special relativistic algebraic matrix equations. It has been also proved that Lagrangian densities specified for the originally derived new massive forms of the Maxwell, Yang-Mills and Dirac field equations, are also gauge invariant, where the invariant mass of each field is generated solely by the corresponding torsion field. In addition, in agreement with recent astronomical data, a new form of massive gauge boson is identified (compatible with U(1) symmetry group) with invariant mass: " m γ ≈ 4.90571×10 -50 kg ", which generated by a coupled torsion field of the background space-time geometry. Moreover, based on the definite mathematical formalism of this axiomatic approach, along with the C, P and T symmetries (represented basically by the corresponding quantum operators) of the fundamentally derived field equations, it has been concluded that the universe could be realized solely with the (1+2) and (1+3)-dimensional space-times (where this conclusion, in particular, is based on the T-symmetry). It is proved that CPT is the only (unique) combination of C, P, and T symmetries that could be defined as a symmetry for interacting fields. In addition, on the basis of these discrete symmetries of derived field equations, it has been also shown that only left-handed particle fields (along with their complementary right-handed fields) could be coupled to the corresponding (any) source currents. Furthermore, it has been shown that the metric of background space-time is diagonalized for the uniquely derived fermion field equations (defined and expressed solely in (1+2)-dimensional space-time), where this property generates a certain set of additional symmetries corresponding uniquely to the "SU(2) L ⊗U(2) R " symmetry group for spin-1/2 fermion fields (representing "1+3" generations of four fermions, including a group of eight leptons and a group of eight quarks), and also the "SU(2) L ⊗U(2) R " gauge symmetry groups for spin-1 boson fields coupled to the spin-1/2 fermionic source currents. Hence, along with the known elementary particles, eight new elementary particles, including four new charge-less right-handed spin-1/2 fermions (two leptons and two quarks), a spin-3/2 fermion, and also three new spin-1 (massive) bosons are predicted axiomatically by this new mathematical approach (on a fundamental gauge-theoretic basis) . As a particular result, based on the definite matrix formalism of the uniquely derived general covariant form of Maxwell (and also Yang-Mills) field equations, it has been also concluded that magnetic monopoles could not exist in nature. Comments: 99 Pages. A summary of a submitted and accepted research project ("Foundations of Physics", "Investigation of the Origin of Space-Time", and "Ontology"), Japan, 2012 - 2015. Expanded and Presented Article's Version at "The 2016 GRavitational-Wave Astronomy International Conference in Paris, Institute d'Astrophysique de Paris (IAP), Sorbonne University, 'Paris VI - UPMC, CNRS, LERU, EUA', Paris, France, 2016. 'Supported by the European Union's 7th Framework Program: FP7/PEOPLE-2011-CIG,' 2016. (http://www.iap.fr/vie_scientifique/ateliers/GravitationalWave/2016/scripts/abstract.aspx) This article has been invited and presented at the following international conferences: -The 2016 SIAM International Conference on Mathematical Aspects of Materials Science, Philadelphia, USA, 2016. (https://www.siam.org/meetings/ms16) -The 17th International Conference on Quantum Foundations: Quantum and Beyond, International Centre for Mathematical Modeling in Physics, Engineering and Cognitive Sciences (ICMM), Linnaeus University, Sweden, 2016. (https://lnu.se/en/qb/) -The 4th International Conference on New Frontiers in Physics, CERN Organized and Supported Conference (Europe), ICNFP-2015. (https://indico.cern.ch/e/icnfp2015/) -The 2016 International Conference on Algebraic Geometry and Mathematical Physics, University of Tromsø, Norway, 2016. (https://site.uit.no/) -The XXXVII Max Born International Symposium, International Conference on Non-commutative Geometry, Quantum Symmetries and Quantum Gravity (II), Wroclaw University, Poland, 2016. (http://ift.uni.wroc.pl/~mborn37/) -The 2016 GRavitational-wave Astronomy International Conference in Paris, Institute d'Astrophysique de Paris (IAP), The University of Paris VI - Sorbonne University, CNRS, LERU, EUA, Paris, France, 'Supported by the European Union's 7th Framework Program: FP7/PEOPLE-2011-CIG,' 2016. (http://www.iap.fr/vie_scientifique/ateliers/GravitationalWave/2016/scripts/abstract.aspx) -The 22nd Internnational Australian Institute of Physics Congress (AIP), University of Queensland, Brisbane, Australia, 2016. (http://appc-aip2016.org.au) -The 21st International Conference on General Relativity and Gravitation, Columbia University, New York, USA, 2016. (http://www.gr21.org) External URLs (including preprints and earlier publications of this article): https://cds.CERN.ch/record/1980381/, https://INSPIREHEP.net/record/1387680/, https://eprints.lib.hokudai.ac.jp/dspace/handle/2115/59279/ , http://jairo.NII.ac.jp/0003/00047402/en/, https://indico.CERN.ch/event/344173/session/22/contribution/422/attachments/1140145/1646101/R.a.Zahedi--OnDiscretePhysics-Jan.2015-signed.pdf, https://CORE.ac.uk/display/41880261/, http://philsci-archive.PITT.edu/11497, http://philpapers.cdp.UWO.ca/rec/zahotl/, http://www.ijqf.org/archives/3495, http://ci.NII.ac.jp/naid/120005613576, https://citeseerx.ist.PSU.edu/viewdoc/summary?doi=10.1.1.675.2202/, https://LNU.se/contentassets/1489145f113348f382202fbf0d1d4094/qb-abstracts-compiled-160613.pdf, http://mts-ncomms.Nature.com/ncomms_files/2017/07/10/00136200/00/136200_0_art_file_2445656_bsw9c4.pdf , https://indico.CERN.ch/event/344173/contribution/1740565/attachments/1140145/1726912/R.A.Zahedi--Forces.of.Nature.Laws-Jan.2015-signed.pdf .
The Ministers of the Environment from the Baltic Sea Countries and the High Representative of the European Commission in November 2007, within the framework of HELCOM, adopted the HELCOM Baltic Sea Action Plan (BSAP) concerning the Baltic Proper, the Gulf of Riga and the Gulf of Finland. The goal of the action plan is to achieve good environmental status by 2021. The action plan consists of around 150 different activities in four main segments; eutrophication, hazardous substances, biodiversity and nature conservation including fisheries, and maritime activities. At the Ministerial Meeting in Moscow 2010 it was recognised that there is a need to support activities agreed in the BSAP and to follow up the implementation of the Russian NIP with regard to e.g. the eutrophication and hazardous substances segments (mainly heavy metals) and to do that it is most important to have reliable monitoring and assessment.In the Copenhagen Ministerial Meeting 2013 the ministers decided on further actions and recommendations adding to the HELCOM Baltic Sea Action Plan including updated country-allocated nutrient reduction targets (CART). It further agreed to monitor and evaluate regularly the progress in implementing the measures to reduce the nutrient inputs and to develop and deliver operational assessments of pressures of e.g. nutrient and hazardous substances inputs (PLCs). In the review of the fifth Pollution Load Compilation (PLC 5.5) for the 2013 HELCOM Ministerial Meeting the PLC data sets were updated and for several countries also corrected and gap-filled. The Russian data were partly estimated due to serious gaps and uncertainties in data reported from the Russian Federation. The present document is a report from a joint co-operation project between Sweden and the Russian Federation "Capacity for Compliance with Baltic Sea Action Plan", named RusNIP II. The aim of the activities in RusNIP II is to contribute to the harmonisation of assessment methods in the Russian catchment area of the Baltic Sea in order to produce comparable and reliable data on pollution loads, mainly nutrients and selected hazardous substances. Such data are needed for use within HELCOM PLC assessments and the follow-up of measures taken to fulfil the BSAP requirements concerning nutrient reduction targets (CART). The project started in 2012, but the RusNIP II project has awaited the outcome of the EU BaltHazAR project before starting some of the RusNIP activities in order not to do any double work. The BaltHazAR II project was finalized 30 June 2012At the 2013 HELCOM Ministerial Meeting it was decided on new nutrient reduction targets for all HELCOM countries including both waterborne and airborne inputs to the Baltic Sea. Based on these figures new input targets (Maximum Allowable Inputs, or MAI) for waterborne nitrogen and phosphorus to sub-basins from Russia were calculated in order to estimate the distance o targets and the reductions required. Reduction targets for Russia are especially strict for phosphorus, and inputs has to be reduced by 50–60 % both for Gulf of Finland and Baltic Proper, as compared with the mean load during 1997–2003. For nitrogen a reduction of 11 % is required for Gulf of Finland and 19 % for Baltic Proper.Nitrogen waterborne load from Russia to Gulf of Finland is at present about 70,000 tons per year and it has not changed much during the period 1994 – 2010. The distance to target during 2008–2010 is about 5,000 ton/yr. For phosphorus a considerable reduction has occurred since 2005–2006, corresponding to about 1,500 tons of P/yr. or about half-way to the input target. The load development to the Baltic Sea from Kaliningrad area is uncertain due to lack of data.A main task of the project has been to assess if the Russian monitoring and assessment system can deliver data and information to HELCOM, in compliance with HELCOM PLC requirements. The overall conclusion is that this is not the case. Russia has not yet fulfilled the HELCOM requirements for annual reporting of PLC data. The main gaps are: a) loads from point sources are given in aggregated form, b) not all obligatory parameters are measured in monitored river, c) unmonitored areas are not reported. In perennial reportings (every 6 years) Russia has reported discharges from coastal point sources and the total riverine inputs, but no source apportionment of inland nutrient sources has been performed. The project has identified three main reasons for the above mentioned deficiencies: The first is that the organisational structure for collecting and compiling data for HELCOM PLC is very complicated and includes a large number of communication steps, from the regional up to the federal level. To simplify and improve the efficiency of data collection and reporting it is proposed that the Ministry of Natural Resources of the Russian Federation develops and approves legal documents that establish obligations for executors at all levels with regard to participation and submission of data and information to the Helsinki Commission on a regular basis. A second reason is insufficient funding. It is necessary to allocate additional funding from the federal budget, as well as to make necessary changes in the legislation of the Russian Federation. The latter refers specifically to regulatory documents and /or regulations that defines how the flow of information and timing regarding submission of the data to HELCOM, and specify the responsibilities of all levels of performers. A third reason is a lack of methodological basis and responsible authorities for the calculation and assessment of loads from unmonitored areas, diffuse sources, background load and retention. Such a basis is needed in order to be able to make complete source apportionments of loads from the Russian part of the Baltic Sea catchment rivers to the relevant Baltic Sea sub-basins. The project proposes several new methods in this respect. In order to be able to regularly perform calculations of source apportionment of nitrogen and phosphorus loads to the Baltic Sea, it is recommendable to use numerical models. A system for regular data collection, as part of the state monitoring, is needed to supply the models with indata and to update this information regularly. Specifically, we propose that the FyrisNP, or a similar model, should be set up for long-term use in all monitored rivers; Neva (downstream Ladoga), Luga, Narva and Pregolya. For Narva River this issue must be negotiated with Estonia. However, many of the challenges concerning river monitoring have been dealt with successfully. From now on Russia is able to fulfill HELCOM requirements for monitored rivers. Russia has also taken part in an inter-calibration exercise on chemical analyses of wastewater and river water within the HELCOM PLC 6 project.Within the project we have worked with test cases for modelling using the Swedish FyrisNP model and the Russian ILLM model. Advantages and disadvantages with these two numerical models were identified as well as information needed in order to use the models. A three day training course on the FyrisNP model was arranged at SLU, Uppsala in May 2012. In the course 12 Russian experts from authorities and institutions were present. Before the training course started a number of manuals were made available in Russian language. Further, the project has formulated a number of more detailed conclusions and recommendations in order to improve monitoring and assessments of pollution load from the Russian catchment area of the Baltic Sea. The different reports elaborated within the project have been discussed in working group meetings with responsible authorities and institutions which have given valuable comments and amendments to the final report and its annexes.
Europe's innovation potential is currently dominated by well-established large companies. In most member countries the bulk of R&D expenditures is spend by large companies. Following OECD data, SME's share in total R&D spending amount to 8% in Germany or Japan, around 15% in US, France, Korea or Italy, about 20% in Sweden, Finland or Switzerland, about 30% in Netherlands, Austria or Poland, and about 50% in Poland, Ireland, Slovakia or Greece. First of all, these figures point to a considerable heterogeneity with regard to the importance of SMEs in national R&D activities. However, young companies are said to be the driving force behind radical innovation which will be a source of employment and growth in future. In addition, the weakness of Europe is not only the small number of hightech startups but more specifically the number of hightech startups which accomplish continuing, rapid growth. However, there might be significant technology specific heterogeneity with regard to the contribution of SMEs and young firms to innovation. The central question of the paper is whether SMEs and young firms might be agents with a special contribution to new growth path in Europe. We took new renewable energy technologies as an example at test whether the contribution of SMEs and young firms is larger in this technology area compared to invention as measured by patenting. In order to focus on the most valuable patents we use patent applications at the European Patent Office which were also applied for patent production at the USPTO and the Japanese Patent Office ("triadic patent applications"). The analysis proceed in two steps: The paper looks first at trends in international patenting and compares triadic patent application in the field of energy with all triadic patent application by country of inventors. The idea is to highlight the role of EU and its member states in invention activity in a technology-field which is of special relevance for a new, sustainable growth path. In the second step we look at the contribution for SMEs and young firms to such a new growth path by a detail analyses of triadic patent application by German companies as the SMEs share to R&D is the smallest compared to all other EU member states as well as compared to OECD member states (except Japan). The focus on Germany is motivated for two reasons - to ease the analysis and to focus on the most extreme case of the firm-size R&D distribution which is observed in EU and OECD member states. The study employs the WIPO "Green Inventory" classification to identify energy-related patents via the international patent classification used by all patent offices to assign patents by technology and potential fields of application. This classification comprise as main technology classes alternative energy production, transportation, energy storage, waste management, agriculture/forestry, regulatory and design aspects, and nuclear power generation. The number of green inventory patents increased from 1991 to 2007 by a factor of 2.5 to 12.500 patent applications. The majority of this increase is observable in renewable energy product, storage of energy, design and management of energy systems, and waste management. Patents related to nuclear power account for 4% of green inventory patents and this share declined even more to 1% in 2007. Surprisingly, the increase of green inventory patent applications at the EPO more or less equals the increase in overall patent applications at the EPO. Hence, the share of green inventory patents in total patent application at EPO was constant and fluctuating always between 8-10% with not visible trend. Similarly, albeit the increase in the number of triadic patents is less impressive (only by a factor of 1.4) the structural features are the same. Overall, the importance of green patent activities does not greatly vary between countries or regions. In 2007, the share of green patent applications in all patent applications at the EPO lies between 7% and 12%. Interestingly, the new member states and southern Europe are at the upper end of the range (12% and 10%, respectively) - besides Japan (11%) and the US (10%). Green patents are slightly less important for Northern Europe and China (both 7%). Focusing on more valuable patent application ("triadic patent application"), green technologies become more important in Germany, Korea and China and lose importance in Southern Europe. The second step linked sustainable growth to the "entrepreneurial" economy by examining to which degree small and young firms are driving sustainable patenting. We find SMEs to be responsible for about 15% of all patent applications. This is the same for the WIPO Green Inventory classified "green" patents. Around half of patent applications of SMEs are made by young firms. About one half of all patent applications by SMEs are filed by micro firms. When narrowing down the analysis to triadic patents, we find the contribution of SMEs to decrease to about 9% of all patent applications which is probably caused by the larger costs of applying and maintaining triadic patents than EPO patents. The contribution to green patenting is even lower for triadic patents with only 6% of all green patents coming from SMEs. In the third step of the analysis, based on the link of German firm data to patent applications at the European Patent Office, we analyzed at the firm level whether small and young firms are more or less likely to file sustainable patents than other firms. The results show that large firms are significantly more likely to file both patents in general and green patents. We do find that, for micro, small and medium size firms, the negative effect on patenting compared to the reference category of a large firm is less strong for the younger firms. This effect exists both for the generation of patents in general and the generation of green patents. Therefore there does not seem to be a particular advantage for small or young firms in producing sustainable, green patents. Even more, SMEs and young firms seem to face larger obstacles to start inventing in green energy technologies than in other technology fields. In any case SMEs and young firms will probably not an important driver of new technologies like in some other fields of technology. Of course we have to admit that our same only covers international patent applications for the priority year 2007 or earlier. Hence, things might have changed in the meantime due to e.g. extended government support for innovation in green energy fields. However, this question can only be examined with future editions of the PATSTAT data which fully covers more recent years. In addition, we cannot rule out the SMEs and/or young firms are especially important for patents which are radical driver of technological change. To address this question several measurement issues need to be solved and/or existing measurement approaches need verification. However, this is beyond the limits of our study. What might be the contribution to the central questions of the wwwforEurope project? First of all, young and small firms might not able to drive the technology development towards a more sophisticated use of energy resources and renewable energies. Like in most other fields of technology the direction of technical change is determined by established large firms. Hence, under the current framework of innovation and industrial policies, the development of the "more entrepreneurial economy" will probably not form forerunners on the ways towards a new growth path. Secondly, private sector's production of invention activities became not stronger directed towards technologies which aim at production, storage, distribution, and management of new energy technologies compared to other fields of technology. Given the societal need for new energy technologies the paper speaks in favor of government regulation, invention and incentives to stimulate research, development, and implementation new energy technologies. However, we do not find arguments that such stimuli should favor SMEs or young firms.
In this literature review, measures of reducing the ammonia (NH3) emissions from pig production are described, with focus on systems that can be used under Swedish conditions. The entire production chain with feed, housing, manure storage and application on the field is described and taken into consideration. However, in order to limit the study, the production of crops for feed is not included. As compared to many other countries, emissions of NH3 in Swedish pig production are already low, due to low protein levels in the feed, housing systems with a small excretory area, and storage of slurry outside the building. Lowering the crude protein level from 14.5 % to 12.5 % would reduce NH3 emission by 20 % from the pig house. Including fiber in the feed, leads to a shift from nitrogen in the urine towards more nitrogen in the faeces. In combination with removing the manure daily from the pig house, this might give opportunities for reducing NH3 emissions. A reduction in NH3 emission of up to 50 % might be possible. However, using fiber leads to higher methane (CH4) emissions (from animal and housing), and therefore this should be combined with biogas production. More research is needed in this field. Adding acids or salts to the feed could reduce NH3 emission by up to 40 %, while also improving feed conversion efficiency. Of course, good practice when preparing the feed must be followed. By applying multi-phase feeding and feeding according to the sex of the animals, NH3 emissions could be reduced by 5-15 %. By reducing feed spillage, offering a good environment for the pigs and maintaining good pig health, nitrogen losses could also be reduced with about 5 – 15 %. The importance of having clean pens is also discussed in this literature survey. Swedish housing systems, having a relatively high percentage of solid flooring (with some bedding) and a small excretory area in the pen, provides an opportunity for reducing NH3 emissions from the housing system. However, one prerequisite for this is that the pigs keep the pens clean, and therefore the room temperature should not be too high. This means that during hot periods, the air has to be conditioned before entering the pig house, e.g., by taking in the air via channels under the building. Removing manure daily by means of scrapers (reduction up to 40 %) and cooling the manure under the slats (reduction up to 50 %) are measures that are already implemented in Swedish pig production. The effect of air temperature, air flow and ventilation system are also discussed. Cleaning the exhaust air using bio-filters (up to 65 % reduction), bio-scrubbers (up to 70 % reduction) and chemical scrubbers (up to 96 % reduction) is also an option. By only purifying the exhaust air from the manure channels, the costs for this method can be reduced substantially. The emissions of CH4 and nitrous oxide (N2O) from the housing system are also discussed. Removal of the manure under the slats appears to reduce CH4 emission from the building. The use of deep-litter bedding may in many cases result in high N2O emissions. More research is needed in this field. Treating the manure with sulphuric acid, in combination with aeration and re-circulation in the pig house, can reduce NH3 emissions by up to 70 %. Pumping slurry between different compartments in a pig house is not allowed according to the Swedish Welfare Legislation. Therefore it is not certain that the acidification of slurry, inside the pig house, can be applied in Sweden. Anaerobic treatment of biogas production, as another treatment of manure, may not reduce NH3 emissions when storing and spreading the manure, but it results in increasing the nitrogen availability for the crops. In that way nitrogen losses can be reduced since less nitrogen has to be spread per hectare. Besides, biogas production reduces odour problems as well as emissions of green house gas (GHG) by the production of energy and lower CH4 emissions. Aerobic treatment of manure, can reduce the emissions of NH3 and GHG. However, poorly controlled aeration processes can have the opposite effect. Storage of slurry in a tank having a cover lid has been pointed out in many investigations, to be the easiest and most effective way of reducing NH3 and CH4 emissions. The straw used for fattening pigs is mainly consumed by the pigs, and it is rare that a naturally stable crust will be developed on the slurry. However, within piglet production a crust on the slurry tank is often found. This crust can cause problems when the slurry tank is covered. Technical solutions have to be developed to solve this problem. On pig farms, the main crops are cereals, and the slurry is mainly applied either in the spring during tillage work, or band spread in the early summer on growing cereals. Incorporation of the slurry, e.g., by harrowing in the spring, effectively reduces the NH3 losses if it takes place as soon as possible after spreading, preferably directly or at least within 4 hours after spreading. Another possibility is to band spread the slurry onto the growing cereals because the canopy provides a microclimate which reduces the NH3 losses, as compared to spreading on a bare field. Late application during the vegetation period or spreading before the autumn sowing, often results in lower nitrogen utilization by the plants, and thereby higher risks of nitrogen leakage. Due to interactions between different sources on a farm, reduction in NH3 emission from the individual sections of the livestock production system cannot be simply added to give the net reduction in emission from the total system. Thus a whole farm system approach is needed for devising control strategies for reducing NH3 emission. Four scenarios were evaluated in this report. Scenario 1 consists of: Reduction of the crude protein in the feed from 14.5 % to 12.5 %, relatively simple technique inside the pig house to reduce NH3 emission, covering the slurry tank and new technique when spreading manure. Scenario 2 consists of: Using biproducts from industry (16.5 % crude protein instead of 14.5 %) and cleaning of exhausting air, covering the slurry tank and new technique when spreading manure. Scenario 3 comprises conditions similar to those of Scenario 1, including high dietary feed fiber content in combination with biogas production. Scenario 4 comprises conditions similar to those of Scenario 2, including high dietary feed fiber content and in combination with biogas production. Preliminary calculations indicate that the scenarios may reduce emissions by 47-68 %. It should be pointed out that the calculations are still very uncertain. The calculations show that Scenario 3 appears to be the most effective way of reducing NH3 emissions. So the combination of using low protein feed with high fiber content together with the production of biogas appears to be a promising method for future development. Even Scenario 1, which used only simple techniques, has a significant result: lowering the protein content affects the entire chain from feed to the field. From the literature review, it can be concluded that one should consider whole farm systems when trying to reduce NH3 emissions. Having a roof on the manure storage, using band spreading together with incorporation, e.g. harrowing, within a few hours after spreading, are the most important and easiest ways of reducing NH3losses. When discussing the method of animal keeping, feeding and housing, a low protein level in the feed has a positive effect along the entire production chain, and appears to be the most effective means of reducing NH3 emissions. Using more fiber or acids/salts in the feed will reduce the NH3 emission even more. When biproducts from industry are used in the pig feed, cleaning the exhausting air from the manure channel may be an option. More research is needed before recommendations can be given.
Public Sector Economics Master's final thesis topic is of interest because we consider the Lithuanian state pension system. Pension system - is one of the elements of social protection. Social security is the basic institution which protects the national market economy. Five years ago Lithuania was launched in the state social insurance pension system reform. This reform is part of the state social insurance pension system privatization. This step and the context of criticism and support. Lithuanian scientists perform calculations and statistical analysis is very critical and critical carried out the reform. According to the reformed pension system is not fair, they will suffer most from the current retirees and older workers today, outside the system (Gylys, 2002). Studies have shown that the state social insurance pension system creates greater social security or private pension systems (Bitinas, 2008). By the way Lithuania private pension system developed state social insurance pension account. The implementation of pension reform should address the question of the social impact of the pension system will in the future. Pension system should be managed in the interest of social justice. Free Market Institute, experts agree the privatization of the pension system, they argue that in order to save people's pensions, rather than the current Social Security system needs radical reform, with the ultimate aim of the mandatory state social insurance waiver. However, the social insurance welfare state development rate under the responsibility of the state. Pension Scheme, together with health care is generally considered the heart of the welfare state. Therefore, public retirement systems management efficiency can be increased by the introduction of new management methods. Member image depends on how it can take care of older and disabled people nationally. Recently, public pensions through industrialized countries have already rightly equated old age poverty. The working generation supports the contributions of its pension scheme. Funded pension system will undoubtedly have been associated with positive intentions. However, this system there is still a lot of problems. These systems benefit in the long term it is extremely difficult to predict. Prior to the pension system reform, and it was done by the start of an aggressive and irresponsible advertising campaign, which has information about the underlying luxurious old age, participation in the choice of pension reform in the second stage. However, it was completely silent on the possible effects of pension reform. The author's view, cumulative pension system and the effectiveness of optimistic results of Lithuania allow the question and an incomplete legal framework in this area. There is no defined risk management and liability transferred to the State Social Insurance Fund contributions. Does not provide for the mandatory pension funds and the profitability of their specific commitments and guarantees the pension fund participant. There is no doubt, and the pension system's objectives are achieved. Pension system of the Lithuanian Republic consists of a state pension and social assistance benefits paid from the state budget and the state social insurance pensions, paid from the State Social Insurance Fund budget. State pensions are paid for certain services rendered to the state or certain professions. The state pension coverage tends to increase, in addition to a systematic increase in state pension base. State pensions offer unreasonable benefits to their recipients in violation of social justice, finally, is compounded by the burden of state, increasing the State budget. Pay-as-you-go today as a government social security fund system in line with European standards and has its own advantages. This system provides a sound social security, the contributions of persons liable for the financial sustainability of this system is responsible for the State. This system is simple and versatile, collected contributions from the immediate allocation of benefits. For this reason, the management of the system is cheap. This system is stable, it is immune to investment risk and inflation, the system constantly monitors the state because it is \"public.\" The social security pension system creates greater social security. The main advantage of this system fosters solidarity. This feature of the welfare state, showing the state of social maturity and respect for its citizens. A state social insurance pension system in the pay and benefits approach, the main problem is the state social insurance budget formation. As shown by the State Social Insurance Fund budget analysis, a one-year budget is not stable. It depends on the country's economic situation. By the way, one-year budget is very difficult to provide balanced. Today the country's economy is global, depends not only on their country's economic indicators, but also from all over the world of global events. This is a direct effect on State Social Insurance Fund budget. There must be a reserve fund, which went State Social Insurance Fund budget surplus in order to cover the projected future costs. Another proposal of the state social insurance to ensure financial sustainability would be that a pension should increase their funding base, part of a pension, for example, the main part of the financing from the state budget; by the way the State has more sources in the collection of taxes. This would help to increase the state social insurance contributions and increase the competitiveness of companies in ensuring the State Social Insurance Fund budget for the financial sustainability. Five years ago started a partial state social insurance pension privatization. This reform was made subject to certain objectives. The paper addresses the following broad objectives and their implementation. One of the goals was to balance the budget of the State Social Insurance fund. As shown by the work of analysis, State Social Insurance Fund budget depends on the economy: in good times - the budget surplus, during periods of economic downturn - the budget deficit. Since the creation of private pensions is the DHS pension account balance the budget solely State Social Insurance Fund this budget is difficult, especially in the economic downturn. Another objective of introducing the reform was to change the pension system so that individuals receive a higher pension than without reform. The paper's calculations show that the 2004 - 2008 the average pension growth rate of 18.05, while the second-tier funds transferred funds only 3.57. This means that the funds transferred to the pension funds did not increase faster than the increase in the State Social Insurance Fund pension, the past five years their presence was detrimental. The ongoing pension reform was to abandon privileged pensions. The paper analysis showed that the current number of persons receiving two or more pensions waived privileged pensions, low to consistently and systematically increase the basic state pension level. To prepare for the pension reform was considered investing in private pension funds thanks to spur economic growth. But, since a large part of the capital invested abroad, our country's economy does not receive the investment and can contribute to economic growth. Pension reform is ongoing in many foreign countries. Pension system was reformed in several directions. That's raising the retirement age, and the introduction of private funded pensions, the supplementary voluntary pension insurance promotion Pensions Reserve Fund, the promotion of older people to remain in the labor market early and partial retirement. Foreign countries have a wide variety of pension, is a different experience in the development of private pension funds. Developed European countries set up additional reserves. In good economic situation in the accumulation of assets that, if necessary, to cover the increased costs of default. The largest funds are pension reserve funds have been generated in Finland, Sweden, Denmark and Luxembourg.
Public Sector Economics Master's final thesis topic is of interest because we consider the Lithuanian state pension system. Pension system - is one of the elements of social protection. Social security is the basic institution which protects the national market economy. Five years ago Lithuania was launched in the state social insurance pension system reform. This reform is part of the state social insurance pension system privatization. This step and the context of criticism and support. Lithuanian scientists perform calculations and statistical analysis is very critical and critical carried out the reform. According to the reformed pension system is not fair, they will suffer most from the current retirees and older workers today, outside the system (Gylys, 2002). Studies have shown that the state social insurance pension system creates greater social security or private pension systems (Bitinas, 2008). By the way Lithuania private pension system developed state social insurance pension account. The implementation of pension reform should address the question of the social impact of the pension system will in the future. Pension system should be managed in the interest of social justice. Free Market Institute, experts agree the privatization of the pension system, they argue that in order to save people's pensions, rather than the current Social Security system needs radical reform, with the ultimate aim of the mandatory state social insurance waiver. However, the social insurance welfare state development rate under the responsibility of the state. Pension Scheme, together with health care is generally considered the heart of the welfare state. Therefore, public retirement systems management efficiency can be increased by the introduction of new management methods. Member image depends on how it can take care of older and disabled people nationally. Recently, public pensions through industrialized countries have already rightly equated old age poverty. The working generation supports the contributions of its pension scheme. Funded pension system will undoubtedly have been associated with positive intentions. However, this system there is still a lot of problems. These systems benefit in the long term it is extremely difficult to predict. Prior to the pension system reform, and it was done by the start of an aggressive and irresponsible advertising campaign, which has information about the underlying luxurious old age, participation in the choice of pension reform in the second stage. However, it was completely silent on the possible effects of pension reform. The author's view, cumulative pension system and the effectiveness of optimistic results of Lithuania allow the question and an incomplete legal framework in this area. There is no defined risk management and liability transferred to the State Social Insurance Fund contributions. Does not provide for the mandatory pension funds and the profitability of their specific commitments and guarantees the pension fund participant. There is no doubt, and the pension system's objectives are achieved. Pension system of the Lithuanian Republic consists of a state pension and social assistance benefits paid from the state budget and the state social insurance pensions, paid from the State Social Insurance Fund budget. State pensions are paid for certain services rendered to the state or certain professions. The state pension coverage tends to increase, in addition to a systematic increase in state pension base. State pensions offer unreasonable benefits to their recipients in violation of social justice, finally, is compounded by the burden of state, increasing the State budget. Pay-as-you-go today as a government social security fund system in line with European standards and has its own advantages. This system provides a sound social security, the contributions of persons liable for the financial sustainability of this system is responsible for the State. This system is simple and versatile, collected contributions from the immediate allocation of benefits. For this reason, the management of the system is cheap. This system is stable, it is immune to investment risk and inflation, the system constantly monitors the state because it is \"public.\" The social security pension system creates greater social security. The main advantage of this system fosters solidarity. This feature of the welfare state, showing the state of social maturity and respect for its citizens. A state social insurance pension system in the pay and benefits approach, the main problem is the state social insurance budget formation. As shown by the State Social Insurance Fund budget analysis, a one-year budget is not stable. It depends on the country's economic situation. By the way, one-year budget is very difficult to provide balanced. Today the country's economy is global, depends not only on their country's economic indicators, but also from all over the world of global events. This is a direct effect on State Social Insurance Fund budget. There must be a reserve fund, which went State Social Insurance Fund budget surplus in order to cover the projected future costs. Another proposal of the state social insurance to ensure financial sustainability would be that a pension should increase their funding base, part of a pension, for example, the main part of the financing from the state budget; by the way the State has more sources in the collection of taxes. This would help to increase the state social insurance contributions and increase the competitiveness of companies in ensuring the State Social Insurance Fund budget for the financial sustainability. Five years ago started a partial state social insurance pension privatization. This reform was made subject to certain objectives. The paper addresses the following broad objectives and their implementation. One of the goals was to balance the budget of the State Social Insurance fund. As shown by the work of analysis, State Social Insurance Fund budget depends on the economy: in good times - the budget surplus, during periods of economic downturn - the budget deficit. Since the creation of private pensions is the DHS pension account balance the budget solely State Social Insurance Fund this budget is difficult, especially in the economic downturn. Another objective of introducing the reform was to change the pension system so that individuals receive a higher pension than without reform. The paper's calculations show that the 2004 - 2008 the average pension growth rate of 18.05, while the second-tier funds transferred funds only 3.57. This means that the funds transferred to the pension funds did not increase faster than the increase in the State Social Insurance Fund pension, the past five years their presence was detrimental. The ongoing pension reform was to abandon privileged pensions. The paper analysis showed that the current number of persons receiving two or more pensions waived privileged pensions, low to consistently and systematically increase the basic state pension level. To prepare for the pension reform was considered investing in private pension funds thanks to spur economic growth. But, since a large part of the capital invested abroad, our country's economy does not receive the investment and can contribute to economic growth. Pension reform is ongoing in many foreign countries. Pension system was reformed in several directions. That's raising the retirement age, and the introduction of private funded pensions, the supplementary voluntary pension insurance promotion Pensions Reserve Fund, the promotion of older people to remain in the labor market early and partial retirement. Foreign countries have a wide variety of pension, is a different experience in the development of private pension funds. Developed European countries set up additional reserves. In good economic situation in the accumulation of assets that, if necessary, to cover the increased costs of default. The largest funds are pension reserve funds have been generated in Finland, Sweden, Denmark and Luxembourg.
The parallel epidemics of childhood asthma and obesity over the past few decades have spurred research into obesity as a risk factor for asthma. However, little is known regarding the role of asthma in obesity incidence. We examined whether early-onset asthma and related phenotypes are associated with the risk of developing obesity in childhood.This study includes 21 130 children born from 1990 to 2008 in Denmark, France, Germany, Greece, Italy, The Netherlands, Spain, Sweden and the UK. We followed non-obese children at 3-4 years of age for incident obesity up to 8 years of age. Physician-diagnosed asthma, wheezing and allergic rhinitis were assessed up to 3-4 years of age.Children with physician-diagnosed asthma had a higher risk for incident obesity than those without asthma (adjusted hazard ratio (aHR) 1.66, 95% CI 1.18-2.33). Children with active asthma (wheeze in the last 12 months and physician-diagnosed asthma) exhibited a higher risk for obesity (aHR 1.98, 95% CI 1.31-3.00) than those without wheeze and asthma. Persistent wheezing was associated with increased risk for incident obesity compared to never wheezers (aHR 1.51, 95% CI 1.08-2.09).Early-onset asthma and wheezing may contribute to an increased risk of developing obesity in later childhood. ; This work was partially supported by the Southern California Environmental Health Sciences Center (grant # P30ES007048) funded by the National Institute of Environmental Health Sciences [PI Gilliland]. Dr. Contreras was supported by a grant from the NIH T32ES013678. MEDALL and CHICOS Projects: The research leading to these results has received funding from the European Community's Seventh Framework Program(Health–F2-grantagreements No. 261357 and 241604). Per cohort ABCD: Data of the Amsterdam Born Children and their Development cohort study used in this research was in part supported by funds from the Netherlands Organisation for Health Research and Development (ZonMw 40–00812-98–11010). The study sponsors had no role in study design, data analysis, interpretation of data, or writing of this report. BAMSE: We acknowledge all funding sources: The Swedish Research Council, The Swedish Heart and Lung Foundation, The Swedish Research Council for Working Life and Social Welfare, the Swedish Asthma and Allergy Association Research Foundation, The Swedish Research Council Formas, Stockholm County Council, and the European Commission's Seventh Framework 29 Program Me DALL under grant agreement No.261357. We thank all the children and their parents for participating in the BAMSE cohort and the nurses and other staff members working in the BAMSE project. EDEN: We acknowledge all the funding sources for the EDEN study: Foundation for medical research (FRM), National Agency for Research (ANR), National Institute for Research in Public health (IRESP: TGIR cohorte santé 2008 program), French Ministry of Health (DGS), French Ministry of Research, INSERM Bone and Joint Diseases National Research (PRO-A) and Human Nutrition National Research Programs, Paris–Sud University, Nestlé, French National Institute for Population Health Surveillance (InVS),French National Institute for Health Education (INPES), the European Union FP7programmes (FP7/2007-2013, HELIX, ESCAPE, ENRIECO, Medall projects), Diabetes National Research Program (through a collaboration with the French Association of Diabetic Patients (AFD)), French Agency for Environmental Health Safety (now ANSES), Mutuelle Générale de l'Education Nationale a complementary health insurance (MGEN),French national agency for food security, French speaking association for the study ofdiabetes and metabolism (ALFEDIAM).We acknowledge the commitment of the EDEN mother-child cohort study group: I.Annesi-Maesano, JY. Bernard, J. Botton, M.A. Charles, P. Dargent-Molina, B. de Lauzon-Guillain, P. Ducimetière, M. de Agostini, B. Foliguet, , A. Forhan, X. Fritel, A. Germa, V.Goua, R. Hankard, B. Heude, M. Kaminski, B. Larroque†, N. Lelong, J. Lepeule, G.Magnin, L. Marchand, C. Nabet, F. Pierre, R. Slama, M.J. Saurel-Cubizolles, M.Schweitzer, O. Thiebaugeorges.The Generation R Study:The Generation R study is made possible by financial support from the Erasmus Medical Center, Rotterdam, the Erasmus University Rotterdam, the Netherlands Organization for Health Research and Development (ZonMw), the Netherlands Organisation for Scientific Research (NWO), the Ministry of Health, Welfareand Sport and the Ministry of Youth and Families. The project received funding from the European Union's Horizon 2020 research and innovation programme (LIFECYCLE project, grant agreement no 733206; 2016), the European Research Council (ERC-2014-CoG-648916) and from cofunded ERA-Net on Biomarkers for Nutrition and Health (ERAHDHL), Horizon 2020 (grant agreement no 696295; 2017), ZonMW The Netherlands (no529051014; 2017), Science Foundation Ireland (no SFI/16/ERA-HDHL/3360), and the European Union (ALPHABET project).The researchers are independent from the funders. The study sponsors had no role in study design, data analysis, interpretation of data, or writing of this report. INMA: Data used for this research was provided by the INMA-Environment and Childhood Project (www.proyectoinma.org). This study was funded by grants from Instituto de Salud Carlos III (Red INMA G03/176 and CB06/02/0041), Spanish Ministry of Health (FIS-PIO41436, PI06/0867, PI081151, and FIS-FEDER 03/1615, 04/1112,04/1931, 05/1079, 05/1052, 06/1213, 07/0314 and 09/02647), Generalitat de Catalunya-CIRIT 1999SGR00241, the Conselleria de Sanitat Generalitat Valenciana, Department of Health of the Basque Government (2005111093 and 2009111069), the ProvincialGovernment of Gipuzkoa (DFG06/004 and DFG08/001).KOALA: The collection of the data from the KOALA Birth Cohort Study used in this analysis was financially supported by Friesland Foods (now Friesland Campina),Netherlands Asthma Foundation (grant numbers 3.2.07.022 and 3.2.03.48), Netherlands Heart Foundation (grant number 2014 T037, the Netherlands Organization for Health Research and Development (Zon Mw Prevention Program number 1.210-00-090), Triodos Foundation, Phoenix Foundation, Raphaël Foundation, Iona Foundation, Foundation forthe Advancement of Heilpedagogie, all in the Netherlands. MAS:The MAS birth cohort was funded by grants from the German Federal Ministry ofEducation and Research (BMBF; reference numbers 07015633, 07 ALE 27, 01EE9405/5,01EE9406) and the German Research Foundation (DFG; reference number KE 1462/2-1).PIAMA: The PIAMA study has been funded by The Netherlands Organisation for Health Research and Development; The Netherlands Organisation for Scientific Research; The Netherlands Asthma fund; The Netherlands Ministry of Spatial Planning Housing, and the Environment; and The Netherlands Ministry of Health, Welfare and Sport. RHEA: The Rhea project was financially supported by European projects (EU FP6-003-Food-3-NewGeneris -Contract No16320, EU FP6 STREP Hiwate -Contract No36224,EU FP7 ENV.2007.1.2.2.2. Project No 211250 Escape, EU FP7-2008-ENV-1.2.1.4 Envirogenomarkers Contract No226756, EU FP7-HEALTH-2009-single stage CHICOS Contract No241604, EU FP7 ENV.2008.1.2.1.6. Proposal No 226285 ENRIECO, EU-FP7,Proposal No 264357 MeDALL, EU- FP7-HEALTH-2012 Proposal No 308333 HELIX),and the Greek Ministry of Health (Program of Prevention of obesity and neurodevelopmental disorders in preschool children, in Heraklion district, Crete, Greece:2011-2014; "Rhea Plus": Prevention Program of Environmental Risk Factors for Reproductive Health, and Child Health: 2012-2015).ROBBIC: Data of the Rome cohort was in part supported byfunds from the Italian Ministry of Health (Programma speciale ex art. 12, comma 2, lettera b) del D. Lgs. 502/92,2001, 2003). We thank all the fields workers and the families for their contribution to thestudy. SWS: We thank the members of the Southampton Women's Survey Study group and the many participants in the SWS for their contribution to the study. The Southampton Women's Survey is supported by grants from the Medical Research Council, British Heart Foundation, Food Standards Agency, British Lung Foundation, Arthritis Research UK, NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, and the European Union's Seventh Framework Programme (FP7/2007-2013), project Early Nutrition under grant agreement n°289346.
Security Council 8236th Meeting (Pm) ; 5/24/2018 Humanitarian Response in Syria Must Be Urgently Boosted, Emergency Relief Coordinator Tells Security Council | Meetings Coverage and Press Relea… https://www.un.org/press/en/2018/sc13302.doc.htm 1/5 SC/13302 17 APRIL 2018 MEETINGS COVERAGE SECURITY COUNCIL > 8236TH MEETING (PM) Humanitarian Response in Syria Must Be Urgently Boosted, Emergency Relief Coordinator Tells Security Council Casting a spotlight on the pressing needs of civilians in Raqqa and Rukban, the Security Council met this afternoon to hear a brieng on recent developments and discuss ways forward. While people in those cities comprised 1 per cent of those requiring help, their needs were no less important than the remaining 99 per cent, said Mark Lowcock, Under-Secretary-General for Humanitarian Aairs and Emergency Relief Coordinator. In Raqqa, where 100,000 people had returned since October when Islamic State of Iraq and the Levant (ISIL/Da'esh) had been forced out, conditions were not conducive for returns because of high levels of unexploded ordinances and improvised explosive device contamination. In addition, there were scant basic services, a lack of electricity and mobile communications and food insecurity. Describing other concerns, he said in Rukban some 50,000 people were in need of sustained humanitarian assistance. Those remaining in the town of Douma and other areas of eastern Ghouta required urgent assistance after years of deprivation, he said, adding that the humanitarian community had not yet been able to provide help. On 25 March, the United Nations had requested permission from the Government of Syria to deploy an interagency surge team to scale up the United Nations operational capacity, he said, adding that he could not overstate the importance of sustaining and scaling up the international response. Council members underscored the need for sustained aid deliveries, with some calling on all Member States to make substantial commitments at the upcoming Brussels pledging conference and to swiftly disburse pledges. Some delegates said mine clearing should be a priority to ensure safe returns of displaced persons, while many members urged parties to return to negotiations to nd a political solution to end the conict. Echoing a common call, China's representative appealed to all parties in Syria to comply with Security Council resolution 2401 (2018) by ceasing hostilities and coordinating with United Nations humanitarian eorts. Any unilateral action would violate the basic norms of international law while complicating a settlement of the Syrian issue, he said, urging all sides to refrain from moves that would further escalate the situation. The representative of the Russian Federation, noting that Raqqa's destruction had been due to a United States-led coalition ght against ISIL, criticized coalition members for their lack of reconstruction in that area. Civilians were regularly killed by landmines and no assessment of humanitarian needs had occurred until the Russian Federation had insisted on it. In addition, no practical steps had been taken to provide humanitarian assistance to the population of Rukban, which was located near an American airbase. Urging the Council and the humanitarian community to address the situation of those two cities, he said coalition members should outline how they themselves were implementing resolution 2401 (2018). Meanwhile, the United States delegate said that while the 75 members of the Global Coalition against Da'esh had targeted ISIL and liberated civilians, the Syrian Government had bombarded its own people. United Nations humanitarian convoys were welcome at any time in Raqqa and Rukhban, with any delays being the result of the Syrian Government and its failure to allow deliveries. Condemning the Russian Federation for its "cynical, thinly disguised diversions", she said it was clear that it had requested the Council meeting as a distraction from the atrocities committed by the Bashar Al-Assad regime. Providing another perspective, Syria's representative said three Council members continued to search for microscopic dust while ignoring the enormous "elephant in the room", which was the aggression they had launched against his country. Raqqa was a martyr city that had been destroyed by those very States, he said, adding that the coalition had never sought to combat terrorism. Indeed, the point had been to block the Syrian Government and its allies as they attempted to combat ISIL. Turning to the situation in the Rukban camps, he said coalition forces had prevented the Government from delivering aid. Moreover, he asserted that the situation in Syria did not require draft resolutions or semi-daily meetings. Instead, the Council must stand against the occupation of Syria by the United States, Israel and Turkey and aggressions carried out by the United States, France and the United Kingdom. Drawing attention to the eects of the crisis on the Syrian people, Equatorial Guinea's representative said the situation in Raqqa required the international community's urgent attention. Calling for sustained humanitarian access and the intensication of eorts to reach a political solution, he reminded Council members that "the Syrian people have suered enough." 5/24/2018 Humanitarian Response in Syria Must Be Urgently Boosted, Emergency Relief Coordinator Tells Security Council | Meetings Coverage and Press Relea… https://www.un.org/press/en/2018/sc13302.doc.htm 2/5 Also speaking were the representatives of Kuwait, Sweden, France, United Kingdom, Kazakhstan, Poland, Côte d'Ivoire, Netherlands, Bolivia, Ethiopia and Peru. The meeting began at 4:48 p.m. and ended at 6:38 p.m. Brieng MARK LOWCOCK, Under-Secretary-General for Humanitarian Aairs and Emergency Relief Coordinator, briefed the Council on the situation in Syria, including in Raqqa and Rukban. While people in those cities totalled 1 per cent of those requiring help, their needs were no less important than the remaining 99 per cent. After a United Nations assessment mission on 1 April in Raqqa, where 100,000 people had returned since October when Islamic State of Iraq and the Levant (ISIL/Da'esh) had been forced out, reports showed that conditions were not conducive for returns because of high levels of unexploded ordinances and improvised explosive device contamination. Every week, 50 casualties had been reported due to the remnants of war. Also, an estimated 70 to 80 per cent of all buildings had been destroyed or damaged. While public services were slowly resuming, the city lacked electricity and mobile communications while water was being pumped at a very limited capacity to the outskirts. Meanwhile, up to 95 per cent of households that had returned to Raqqa were food insecure and health services were lacking. Some schools had reopened, but lacked supplies. United Nations agencies were planning deliveries of humanitarian assistance and programmatic interventions to support the work of humanitarian agencies already active in those areas. In Rukban, some 50,000 people were in need of sustained humanitarian assistance, he continued, noting that there was a pressing need for better service provision and medical help. Humanitarian agencies were working closely with the United States, Russian Federation and the Syrian Arab Red Crescent to facilitate deliveries. At the same time, those remaining in the town of Douma and other areas of eastern Ghouta, under control of the Government of Syria, required urgent assistance after years of deprivation. The humanitarian community had not yet been able to provide that, he said, adding that access to reach the people of eastern Ghouta was critical. Of the 155,000 who had been displaced, he said, approximately 63,000 had moved north to Idlib and Aleppo, resulting in a 25 per cent increase in Idlib's displaced population. That situation placed incredible pressure on host communities and humanitarian actors working to provide assistance and services. Those remaining in Afrin were also in dire need of aid. Despite some positive developments, humanitarian partners were still struggling to gain sustained access to Afrin and freedom of movement for internally displaced persons remained severely limited. On 25 March, the United Nations requested permission from the Government of Syria to deploy an interagency surge team to scale up the United Nations operational capacity. Overall, he could not overstate the importance of sustaining and scaling up the international response. Statements VASSILY A. NEBENZIA (Russian Federation), noting that some delegations were constantly calling on his country to provide updates on its implementation of resolution 2401 (2018), said signicant eorts had been undertaken to improve the situation in eastern Ghouta, where armed groups had long held populations hostage. "A bloodbath was prevented," he said, adding that some 60,000 people had also been helped to return to their homes. Joint work was ongoing between the Russian military police and Syrian law enforcement ocials, including debris clearance, re-establishment of services and food deliveries. However, the international community's attention was also required, he said, calling for additional support from other Member States. In contrast, he said, Raqqa — which had been destroyed by United States-led coalition air strikes — had seen no reconstruction eorts. Civilians were regularly killed by landmines, and no assessment of humanitarian needs had taken place until the Russian Federation had insisted on it. Buildings were in ruins, thousands of corpses remained buried and no school, hospital or basic services remained operational. No practical steps had been taken to provide humanitarian assistance to the population of the similarly damaged city of Rukban, located near an American airbase whose very existence constituted a blatant violation of Syria's sovereignty. Urging the Council and the humanitarian community not to ignore the situation of those two cities, he said members of the coalition should be courageous enough to outline how they themselves were implementing resolution 2401 (2018) in those cases. Events over recent days had revealed the hypocrisy of the "troika" — namely, the United States, United Kingdom and France, he said. By their acts of aggression, those countries and their supporters had taken sides in the Syrian conict. The Russian Federation was instead working with all sides, committing to implementing Council resolutions and supporting the parties in making progress in the Geneva talks, which must resume without preconditions and especially without demands for a regime change. Given current developments, it was hard to imagine that the Government of Syria would want to talk about the situation in its country with any members of the troika, who sought to declare its President a war criminal. Indeed, before any progress could be made, "you rst need to undo the damage that you yourself have created", he said, noting that the opposition must step back from its destructive position while embracing Council resolutions, and their patrons must end their militant rhetoric against the legitimately elected President of Syria. Meanwhile, he said, the establishment of a mechanism to attribute responsibility for the use of chemical weapons in Syria made no sense, as Washington, D.C., and its allies were already acting like self-appointed executioners on that matter. Attempts to push the Russian Federation to change its position using air strikes and the threat of sanctions had never 5/24/2018 Humanitarian Response in Syria Must Be Urgently Boosted, Emergency Relief Coordinator Tells Security Council | Meetings Coverage and Press Relea… https://www.un.org/press/en/2018/sc13302.doc.htm 3/5 worked in the past nor would they work in the future. The United States and its allies must end its threats to use force against Syria, as such actions outed international law and only drove peace farther away. Warning against attempts to maintain foreign occupation in parts of Syria, loot its resources and stoke divisions between its people, he said military groups must also separate themselves from terrorists and Western parties should stop manipulating the humanitarian situation for political purposes. BADER ABDULLAH N. M. ALMUNAYEKH (Kuwait) said resolution 2401 (2018) had addressed the humanitarian situation across Syria, demanding a pause in hostilities for 30 days to ensure the delivery of humanitarian assistance and allow for the evacuation of the sick and wounded. Voicing frustration that it had not yet been implemented, he reiterated the call on parties to the conict to allow the entry of weekly convoys and for an immediate end to all attacks against civilians, civilian infrastructure and medical facilities. Urging the Astana guarantors, in particular, to continue to support talks. Welcoming the Oce for the Coordination of Humanitarian Aairs preparations of plans for providing humanitarian assistance in Raqqa, he underscored the need to maintain sustained aid delivery to internally displaced persons camps in Rukban. OLOF ORRENIUS SKOOG (Sweden) said a greater eort must be made to ensure full and immediate implementation of resolution 2401 (2018) throughout Syria, with the Astana guarantors living up to their commitments. He called on the Syrian authorities to immediately grant facilitation letters for humanitarian convoys to Douma and to facilitate sustained United Nations access to camps housing internally displaced persons. Referring also the situations in Raqqa, Rukban, Idlib and Afrin, he said the humanitarian community was undertaking a Herculean task. However, the acute lack of funding for United Nations humanitarian operations in in Syria was deeply troubling, he said, calling on all Member States to make substantial commitments at the upcoming Brussels conference and to swiftly disburse pledges. KELLEY A. ECKELS-CURRIE (United States) said the 75 members of the Global Coalition against Da'esh that had fought the terrorist group in Iraq had continued its eradication campaign in Syria. While the coalition had targeted ISIL and liberated civilians, the Syrian Government had bombarded its own people. Noting that United Nations humanitarian convoys were welcome at any time in Raqqa and Rukban, the United States stood ready to support deliveries. Any delays stemmed from the Bashar al-Assad regime and its failure to allow convoys to move. The United States had already provided assistance, clearing 3,000 remnants of war and contributing 300,000 pounds of food. Pointing out that the Russian Federation had called the Council meeting as part of a messaging campaign to distract the international community from the atrocities committed by the Assad regime, she reiterated that in addition to a ceasere, the Council had called for unhindered access for humanitarian assistance. Yet, the regime had only allowed six convoys. Such calls by the Council needed to be implemented on the ground, but that required the Syrian Government's cooperation, she said, condemning the Russian Federation for its "cynical, thinly disguised diversions". FRANÇOIS DELATTRE (France) said the humanitarian situation in Syria screamed for attention, including those eeing safe areas, the bureaucracy preventing access to camps and conditions in Raqqa, where 90,000 people had returned. Humanitarian actors needed access to provide much-needed basic services and eorts must continue to remove landmines. For its part, France was helping with landmine clearance and had contributed €10 million for projects easing civilian returns to Raqqa. Concerning Rukban, he reiterated an urgent appeal to guarantee unimpeded humanitarian access. In that context, he supported the draft resolution that his country, United Kingdom and the United States had tabled on 14 April with a view to making progress on the humanitarian front, put a denite end to the Syrian chemical programme and begin conclusive political negotiations. That draft had sought areas of convergence to create conditions of real diplomatic progress in Syria and open the way for true negotiations. KAREN PIERCE (United Kingdom), regretting to note that some members had used the humanitarian situation to score political points, recalled that the United Kingdom had contributed a total of $3.5 billion to date for humanitarian assistance. Her Government continued to provide humanitarian support to Raqqa and surrounding areas and had aided with landmine clearance. Raising several concerns, she drew attention to the plight of displaced persons in Rukban and urged the regime to facilitate access to the United Nations and its partners to deliver aid to Douma and eastern Ghouta. She called on the Council to use recent events to get the political process back on track and was looking forward to the upcoming retreat in Sweden, which the Secretary-General would also attend. KANAT TUMYSH (Kazakhstan), welcoming the Oce for the Coordination of Humanitarian Aairs assessment mission to Raqqa in April, raised concerns that an estimated 100,000 people had returned to their homes in that city despite the wide presence of unexploded ordnances. Highlighting the signicant destruction of Raqqa and the precarious fate of the Rukban and Hadalat refugee camps, he warned the Council of a dangerous tendency for those camps to become havens for foreign mercenaries. Kazakhstan supported the Russian Federation's proposal to establish humanitarian corridors for withdrawing refugees from El Tanf and the Rukban camp, based on the example provided by Russian and Syrian military troops during the assault on Aleppo. Calling on all parties immediately suspend hostilities, implement resolution 2401 (2018) and report periodically on those eorts, he said the questions of boundaries and territories following Syria's prolonged war should be addressed in line with that country's Constitution in order to prevent the re‑emergence of extremist groups. PAWEL RADOMSKI (Poland), raising concerns about new internally displaced persons reaching Idlib, said the military conict in north-west Syria had further complicated the situation on the ground. He called on all parties, especially the Russian Federation and Iran, to take action towards a cessation of hostility and to comply with all their obligations under 5/24/2018 Humanitarian Response in Syria Must Be Urgently Boosted, Emergency Relief Coordinator Tells Security Council | Meetings Coverage and Press Relea… https://www.un.org/press/en/2018/sc13302.doc.htm 4/5 international law. He also urged the Russian Federation, Iran and Turkey to full their responsibility as guarantors of the Astana process. There could be no military solution to the conict, in Syria, he said, underlining that a political agreement remained the only sustainable solution. ANATOLIO NDONG MBA (Equatorial Guinea) said Council members had recognized the very high number of people eeing Syria when they had adopted resolution 2393 (2017). In the former ISIL stronghold of Raqqa, military oensives had led to signicant destruction. Commending World Health Organization (WHO) eorts, he said Raqqa's residents continued to be deprived of aid because there were no nearby oces of humanitarian agencies and local authorities were incapable of providing assistance. The situation required the international community and the Council's urgent attention, he said, calling for the provision of sustained access allowing humanitarian convoys to reach Raqqa. "The Syrian people have suered enough," he said, calling for the intensication of eorts to reach a political solution centred on the needs of the Syrian people and in full respect for Syria's territorial integrity. THÉODORE DAH (Côte d'Ivoire), echoing expressions of regret that resolution 2401 (2018) remained unimplemented, called on all parties to ensure its full implementation across Syria including in Raqqa and Rukban. In the former, signicant destruction, a dearth of basic services and the presence of unexploded ordnance posed serious obstacles for safe returns of civilians. Calling on the international community to address those situations, he said a needs assessment was urgently required to better understand the extremely precarious living conditions in Rukban's internally displaced persons camps. Such work must be part of a global eort to reach a negotiated political solution based on inclusive dialogue and in line with resolution 2254 (2015). LISE GREGOIRE VAN HAAREN (Netherlands) emphasized the urgent need for access to Douma for humanitarian convoys and for the Organisation for the Prohibition of Chemical Weapons (OPCW) fact-nding mission. Calling for a humanitarian surge to address the urgent needs of internally displaced persons, she emphasized the situation of more than 180,000 people displaced by hostilities in Afrin, adding to the strain felt by host communities. Clearing improvised explosive devices was a priority in Raqqa, while in Rukban, both food and medical aid must reach the remaining displaced persons via the fastest and easiest route. Resolution 2401 (2018) must be implemented across Syria and eorts must succeed in ensuring humanitarian access and the protection of civilians, in line with international humanitarian law. MA ZHAOXU (China) appealed to all parties in Syria to comply with resolution 2401 (2018), cease hostilities and coordinate with United Nations humanitarian eorts. Equal attention must be paid to the humanitarian situation and to helping displaced persons to return to their homes. Emphasizing China's adherence to the peaceful settlement of disputes and its rejection of the use of force in international regulations, he said any action taken must comply with the United Nations Charter. Any unilateral action would violate the basic norms of international law while complicating a settlement of the Syrian issue, he said, urging all sides to refrain from moves that would further escalate the situation. PEDRO LUIS INCHAUSTE JORDÁN (Bolivia) underscored the pressing need to pursue mine clearing and to remove improvised explosive devices and remnants of war. Such work was vital for reconstruction and the return of basic services. Expressing regret that violence had continued unfettered in major cities, he said it was even more repugnant that schools, hospitals and residential areas were being targeted. Bolivia called on all stakeholders to spare no eort to implement resolution 2401 (2018) and for all parties to allow for unconditional humanitarian access. He went on to reiterate that the Syrian people should decide their political future through an inclusive process, free from external meddling. DAWIT YIRGA WOLDEGERIMA (Ethiopia) said the destruction of infrastructure and limited public services remained major challenges in Syrian cities. Demining eorts should be strengthened and aid must be delivered to all parts of Syria via safe and unhindered humanitarian access. Underscoring the importance of fully implementing resolution 2401 (2018), he said the Council should restore its unity through genuine and productive dialogue. GUSTAVO MEZA-CUADRA (Peru), Council President for April, speaking in his national capacity, welcomed eorts to clear "deadly booby-traps" laid by Da'esh in Raqqa and other areas. Recommendations from the Oce for the Coordination of Humanitarian Aairs mission to Raqqa would contribute to the safe return of displaced persons. While acknowledging the legitimate right of States to protect their borders, he said there should be unfettered access to Rukban, given the humanitarian situation there. It was vital that needs in Syria be met on a consistent basis, regardless of location, he said, adding that politicizing humanitarian assistance was unacceptable and a contravention of resolution 2401 (2018), which must be applied holistically throughout Syria. BASHAR JA'AFARI (Syria) said three Council members continued to search for microscopic dust while ignoring the enormous "elephant in the room", which was the aggression they had launched against Syria. His counterpart from the United States had declared that her country's forces had rid Raqqa of 3,000 landmines. Yet, the United States had also assisted 4,000 terrorists to safely leave the city without holding them accountable for planting them. While Sweden's representative had called out the Syrian Government many times, he had failed to call for an end to the United States, Turkish and Israeli occupation of Syria and to mention State-sponsored terrorism. Addressing France's delegate, he said Médecins Sans Frontières, like ISIL, had entered Syria without the Syrian Government's approval, behaving instead like "terrorists without borders". 5/24/2018 Humanitarian Response in Syria Must Be Urgently Boosted, Emergency Relief Coordinator Tells Security Council | Meetings Coverage and Press Relea… https://www.un.org/press/en/2018/sc13302.doc.htm 5/5 Providing an update on the OPCW fact-nding mission in Douma, he said the Syrian Government had facilitated the arrival today of a United Nations security team, which had entered the city around 3 p.m. local time. If the team found the situation to be secure, the OPCW fact-nding team would begin its work 18 April. Claims that the mission had been blocked had only intended to distract the international community from reality, he said, expressing regret that countries launched cowardly attacks against Syria still failed to understand the Syrian people's desire to determine their own destiny. "The days of hegemony are gone," he said, adding that no threat of force or support for terrorists would change the fact that the world's people were tired of seeing big Powers continue to disregard international law with impunity. He said Raqqa was a martyr city that had been destroyed by those very States, with the Oce for the Coordination of Humanitarian Aairs declaring the destruction to be "100 per cent complete". Hundreds of thousands of people had ed Raqqa and no basic services or operating hospitals remained, except for Médecins Sans Frontières facilities. The coalition had never sought to combat terrorism, he said, recalling its bloody massacres of civilians in various towns and villages across Syria. Indeed, the point had been to block the Syrian Government and its allies as they attempted to combat ISIL. On 8 February, United States forces had killed dozens of members of a popular force that had been ghting ISIL along the Euphrates River. Meanwhile, terrorists had been spared and even armed so they could wreak further havoc. Turning to the situation in the Rukban camps, he said coalition forces had prevented the Government from delivering aid. The United States was using the area as a place to train terrorist forces, who would then be used to ght other battles in the region. The situation in Syria did not require draft resolutions or semi-daily meetings. Instead, what was needed was for the Council to stand against the occupation of Syria by the United States, Israel and Turkey, aggressions carried out by the United States, France and the United Kingdom and the imposition of coercive measures against the Syrian people. For information media. Not an ocial record.
Background: Recent policy is marked by a shift towards enabling people with dementia to remain at home and in their neighbourhoods, yet little is known about the wider perspective of neighbourhood as an everyday place of connection, practice and meaning in the lives of people with experience of dementia. Aims: The aim of this thesis is twofold. The first aim is to explore the neighbourhood as an everyday place for people with experiences of dementia. The second aim is to explore neighbourhood as a place for practice. Methods and Designs: Five studies are included in the thesis with both quantitative and qualitative designs. Study I had a cross-sectional exploratory and descriptive design. A total cohort of 17, 405 people with a dementia diagnosis were identified and matched with data about home care services and housing, and were then associated with socio-demographic factors in three county councils: Östergötland, Stockholm and Västerbotten. Study II had a phenomenological design; 14 community-dwelling people diagnosed with dementia in the County of Östergötland participated using walking interviews. Study III had an inductive and exploratory qualitative design including 14 community-dwelling people living alone with dementia in England, Scotland and Sweden involving multiple data collection methods. Study IV had an inductive and explorative qualitative design that included 22 people with the lived, personal and professional experiences of dementia and used semi-structured individual and group interviews. Study V had an inductive and explorative qualitative design where the perspectives of 18 participants (registered and specialist nurses) were included using shadowing as the main method for data collection. Findings: In study I, 72% of the cohort was living in ordinary housing and 28% in special housing of the total of 17, 405 people with a dementia diagnosis. Overall, 52% of 17, 405 people with dementia in three county councils (Östergötland, Stockholm and Västerbotten) were living alone. Study II revealed that walking in the neighbourhood was an integral part of their day-to-day activities that helped them to manage life with dementia. Connection to nature by being outdoors was a restorative practice for people living with dementia. Neighbourhood was often described as a social context, although some participants living alone revealed that their social contacts were mainly staff working in municipal home care. In study III, participants across all three field sites channelled their efforts to stay connected to the neighbourhood into creating new ways of maintaining social networks and relationships. By participating in several activities (provided in the United Kingdom by the third-sector and charitable groups, and in Sweden, by the municipalities), bonds of friendship were created. However, the impact of stigma surrounding dementia was highlighted by the participants, which caused experiences of involuntary solitude or loneliness. Despite the impact of stigma, participants took control over their lives by searching for new daily social connections in the neighbourhood and were by no means passive in the face of the challenges in everyday life. In study IV, the participants discussed how dementia was stigmatized in the community. People living with dementia were often not being respected as active citizens with their own resources in the community. Being socially active in a group or in public spaces were strategies to maintain a social role in the community. Participants with different experiences of dementia wanted the day care centres and teams to be more centrally involved in person-centred care and health-promoting improvements. Finally, in study V, participants struggled with the commonly held view of their role and their workplace within the health care system, interpreting it as being invisible, as if placed in a black box. The tasks and responsibilities of the participants were shifting to assistant nurses, neighbours and family members according to the socio-economic level of the municipality. Nonetheless, the participants were clearly part of the neighbourhood. The findings of this thesis have been integrated into a combined thematic analysis based on the five studies to reach an overall representation of people's experiences of neighbourhood as an everyday place and a place for practice in the context of dementia. Five main themes (and three sub-themes) emerged from the analysis: (1) walkable attachment to the lived neighbourhood; (2) daily activities promote health and well-being; (3) opportunities for social connections; (4) just treat us as active citizens; (5) neighbourhood: a place for practice. The analysis suggested the neighbourhood was not only described as a walkable, social and citizenship arena in the context of dementia; it was also a place where practice was ongoing around the clock (studies II, III, IV and V) because most of the people with dementia are living in ordinary housing (study I). Conclusion: The thesis presents a new foundation and knowledge to understand neighbourhood as a place for everyday life and practice by applying a new lens for understanding. The neighbourhood can be understood as a place linked by connections that people actively searched out, and where the meaning of place emerges via movement of the body through the world. It is also a site where practices support everyday life for people with dementia, especially for those living alone with dementia. This points to the need to re-think nursing practice, where "neighbourhood nursing" as a formal model with a lifeworld perspective has to be established in dialogue with citizens. ; Bakgrund: Den senaste samhällsutvecklingen och de politiska ambitionerna har utgått alltmer från att göra det möjligt för personer med demenssjukdom att bo kvar allt längre i sina hem och grannskap. Trots denna utveckling finns det lite kunskap utifrån det bredare perspektivet om grannskapet som en vardaglig plats för relationer, omvårdnad samt vilken mening det har för personer som har erfarenhet av demens. Syfte: Syftet med avhandlingen var för det första att undersöka grannskapet som en plats i vardagen för personer som har erfarenheter av demens, och för det andra, att undersöka grannskapet som en plats för omvårdnad. Design och metod: Avhandlingen inkluderar fem delstudier med både kvalitativ och kvantitativ design. Studie I hade en explorativ och beskrivande tvärsnittsdesign. Totalt ingick det 17 405 personer med en demensdiagnos som identifierades och samkördes med information av hemtjänstinsatser och boende. Denna informationen förenades sedan med de socio-demografiska faktorerna i de tre regionerna Östergötland, Stockholm och Västerbotten. Studie II hade en femenologisk design som inkluderade 14 personer som bodde i ett eget boende med en demensdiagnos i Östergötlands län och som deltog i ´promenad intervjuer´. Studie III hade en induktiv och beskrivande kvalitativ design vilket inkluderade 14 personer som bodde ensamma i ett eget boende med en demensdiagnos i England, Skottland och Sverige. De 14 personer som bodde i ett eget boende med en demensdiagnos i Studie III deltog i flera datainsamlingsmetoder. Studie IV hade en induktiv och beskrivande kvalitativ design som inkluderade 22 personer med levda, personliga och professionella erfarenheter av demens som deltog i semistrukturerade individuella och gruppintervjuer. Slutligen, Studie V hade också en induktiv och beskrivande kvalitativ design där 18 deltagare (legitimerade sjuksköterskor och specialistsjuksköterskor) inkluderades skuggning som är den huvudsakliga metoden för datainsamlingen. Resultat: I Studie I fann vi att 72 % av den totala befolkningen av 17 405 personer med en demensdiagnos bodde i ordinärt boende och 28 % i särskilt boende. Sammantaget bodde 52 % av de 17 405 personerna med demens i singelhushåll i de tre regionerna Östergötland, Stockholm och Västerbotten. Studie II påvisade att promenader i grannskapet var en betydelsefull del av deras dagliga aktiviteter som hjälpte personer med en demensdiagnos att hantera ett liv med demens. Att vara utomhus i naturen medförde att personer med demens knöt an till naturen och genom det återhämtade sig. Grannskapet beskrivs ofta som ett socialt sammanhang, även om vissa deltagare som bodde ensamma berättade att deras sociala kontakter främst var med personalen som arbetade i den kommunala hemsjukvården (och hemtjänsten). I studie III beskrev personer med demens i England, Skottland och Sverige hur de ansträngde sig för att hålla kvar kontakten med grannskapet men också hur de skapade nya sätt att upprätthålla och hitta nya sociala nätverk och kontakter. Dessa vänskapsband skapades genom att delta i olika aktiviteter (som tillhandahålls i England av tredje sektorn och välgörenhetsgrupper, och i Sverige, av kommunerna). Även effekterna av stigmatiseringen kring att leva med demens betonades av deltagarna, de beskrev detta som en orsak till ofrivillig ensamhet. Trots påverkan av stigmatiseringen tog personerna med demens, kontroll över sina liv, genom att finna nya dagliga sociala kontakter i grannskapet. Personer med demens är intressearde av att anta nya utmaningarna i vardagen. I studie IV diskuterade personerna med olika erfarenheter av demens hur demenssjukdomen som ett stigmatiserat tillstånd i samhället påverkade dem. De ansåg att deltagarna som lever med en demensdiagnos ofta inte respekterades som aktiva medborgare med sina egna resurser i samhället. Personerna med olika erfarenhet av demens framhöll också att vara socialt aktiv i en grupp eller i offentliga rum var strategier för att upprätthålla en social roll i samhället. Förutom betydelsen av det sociala livet påpekade personerna med olika erfarenheter av demens att de skulle önska att dagverksamheterna och demensteamen skulle utgå mer utifrån person-centrerad vård och hälsofrämjande förhållningssätt. Slutligen, i studie V observerades det hur legitimerade sjuksköterskor och specialistsjuksköterskor kämpade med den vanligt förekommande synen på deras profession och arbetsplatsen inom hälso-och sjukvården som gav sig uttryck som osynlig. Deras uppgifter och ansvar hade även förändrats och allt mer hade överlåtits till undersköterskor, grannar och familjemedlemmar och kommunernas socioekonomiska status hade betydelse. Legitimerade sjuksköterskor och specialistsjuksköterskorna var en självklar del av grannskapet. Resultaten av denna avhandling har integrerats i en sammansatt tematisk analys baserad på de fem studierna för att nå en övergripande representation av människors upplevelser av grannskapet som en plats för det dagliga livet och omvårdnad med utgångspunkt utifrån erfarenheter av demens. Analysen resulterade i fem huvudteman (och tre underteman): (1) anknytning till det existerade grannskapet via promenader (2) dagliga aktiviteter främjar hälsa och välbefinnande; (3) möjligheter för sociala kontakter; (4) behandla oss som aktiva medborgare; (5) grannskapet som en plats för omvårdnad. Grannskapet beskrivs inte bara som en framkomlig, social medborgarskapsarena i relation till demens, utan var även en plats där sjuksköterskepraxis pågick dygnet runt (studierna II, III, IV och V) eftersom de flesta personer som lever med demens bor i ordinärt boende (studie I). Konklusion: Avhandlingen presenterar ett nytt underlag och ny kunskap för att förstå grannskapet som en plats för dagligt liv och omvårdnad genom att använda ett nytt perspektiv för att få förståelse. Grannskapet kan förstås som en plats förenad genom förbindelser som människor aktivt söker efter och där betydelsen av grannskapet inträder genom kroppens rörelse ut mot världen. Det är också en plats där omvårdnad sker som i sin tur stödjer vardagslivet för personer med demens, särskilt för dem som lever ensamma med demens. Detta visar på behovet av att tänka om i praktiken vad det gäller omvårdnaden, där "omvårdnad i grannskapet" som en modell med ett livsvärldsperspektiv behövs i dialog med medborgarna. ; Pozadina: Nedavni trend demencije ogleda se u ovome da osobe koje žive sa demencijom ostanu u kući ili u susjedstvu, ali još uvijek nije poznato mnogo u široj perspektivi koju nude ta susjedstva kao svakodnevno mjesto povezivanja, medicinske njege, te samog značaja u životu onih koji žive sa demencijom. Ciljevi: Cilj je istražiti susjedstvo kao svakodnevno mjesto boravka za ljude koji žive od demencije, te kao drugo istražiti susjedstva kao mjesta gdje bi se pružala medicinska njega. Metode i dizajni: Ukupno pet studija uključeno je u rad sa kvantitativnim i kvalitativnim dizajnom. Studija I imala je istraživački i opisni dizajn. Populacija od 17. 405 ljudi sa dijagnozom demencije bila je identifikovana, te usklađena sa podacima o kućnoj njezi i mjestu prebivališta, a zatim povezana sa tri općine: Östergötland, Štokholm i Vasterboten. Studija II imala je fenomenološki dizajn gdje je 14 osoba koje žive sa demencijom u porodičnoj kuci učestovalo u Östergötlandu u intervju pri šetnji. Studija III imala je induktivni i istraživački kvalitativni dizajn koji je uključivao 14 ljudi iz porodičnog domaćinstva koji žive sami sa demencijom u Engleskoj, Škotskoj i Švedskoj, uključujući više metoda prikupljanja podataka. Studija IV imala je induktivni i istraživački kvalitativni dizajn koji je obuhvatio 22 osobe koje žive, ili imaju lično i profesionalno iskustvo sa demencijom, gdje su se koristili pojedinačni i grupni intervju. Studija V imala je induktivni i istraživački kvalitativni dizajn gdje je uljućeno ukupno 18 medicinskih sestara, a kao glavna metoda za prikupljanje podataka korištena je metoda praćenja i posmatranja. Završni rezultati: U studiji I, 72% od 17. 405 ljudi koji su imali demenciju živjeli su porodičnim kućama a 28% u starački domovima. Ukupno 52% od 17. 405 ljudi koji žive sa demencijom u tri općine su Östergötland, Štokholm i Vasterboten žive sami. Studija II otkrila je kako svakodnevna šetanja je sastavni dio njihovih aktivnosti koje su im pomogle u životu sa demencijom. Može se reći da je boravak na otvorenom, te povezivanje sa prirodom je vrlo praktično za ljude koji žive sa demencijom. Susjedstvo je često opisano kao socijalni kontekst, iako su neki učesnici u istraživanju koji žive sami otkrili kako je njihov jedini društveni kontakt bio sa uposlenicima kućne njege. U studiji III učesnici ispitivanja u Engleskoj, Škotskoj i Švedskoj su sve svoje napore da ostanu povezani sa susjedstvom kako bi stvorili nove načine koji bi pomogli stvaranje novih veza i odnosa. Učestvovanjem u nekoliko aktivnosti (koje su u Velikoj Britaniji omogućile dobrotvorne i slobodne organizacije, a u Švedskoj općine) stvorene su veze i prijateljstva. Međutim, utjecaj predrasuda povezanih s demencijom, što su i naglašavali sudionici, vodilo je kao iskustvu samoće i usamljenosti. Uprkos utjecaju predrasuda, učesnici su preuzeli kontrolunad svojim životima, te su tražili nove svakodnevne društvene veze u susjedstvu, ne pokazujući tako pasivnost prema svakodnevnim izazovima s kojima se susreću. U studiji IV učesnici su razgovarali o predrasudama o demenciji u zajednici. Ljudi koji žive sa demencijom često nisu uvaženi kao aktivni članovi koji mogu doprinijeti zajednici. Kako bi održali svoje uloge u zajednici vrlo je bitno da ostanu društveno aktivni. Učesnici sa različitim iskustvom demencije izrazili su želju da se centri za svakodnevnu njegu i timovi više baziraju kao unapređenju njege i zdravlja, kao i da se akcenat stavi na osobu za demencijom. Na kraju, u studiji V medicinske sestre su se borile sa općeprihvaćenim stavom o njima i njihovoj ulozi, te njihovom radnom mjestu u sistemu zdravstvene zaštite, opisujući to kao nevidljivo. Zadaci i odgovornosti medicinskih sestara prebacivali su se na pomoćne sestre, komšije i članove porodica prema društveno-ekonomskom nivou opštine. Unatoč tome, medicinske sestre su očito bile dio susjedstva. Iskustva, odnosno pronalasci u ovoj tezi integrisani su u kombinovanu analizu prema pet tematski obrađenih studija, kako bi se dostigao sveobuhvatan prikaz iskustava u susjedstvu kao svakodnevnom mjestu, te mjestu zdravstvene podrške u kontekstu demencije. Iz ove analize pojavilo se pet glavnih tema (kao i tri podteme): (1) povezanost sa susjedstvom; (2) svakodnevne aktivnosti promovišu zdravlje i dobrobit; (3) mogućnosti za socijalne veze; (4) tretiranje kao aktivne građane; (5) susjedstvo je mjesto za medicinske prakse neprekidno traju. Analize pokazuju kako se susjedstvo ne opisuje samo kao prohodno, socijalno i građansko polje u kontekstu demencije, već kao i mjesto gdje medicinske prakse neprekidno traju (studije II, III, IV i V), jer većina ljudi s demencijom žive u običnom domaćinstvu (studija I). Zaključak: Teza predstavlja nove temelje i znanja, kako bi se lakše razumio pojam susjedstva kao svakodnevnog mjesta za život, kao i njege kroz nove objektive razumijevanja. Susjedstvo bi se moglo shvatiti kao mjesto spojeno vezama koje ljudi aktivno potražuju gdje se značenje mjesta spaja sa kretanjem tijela kroz svijet. To je također mjesto gdje je svakodnevno obezbjeđena njega za ljude koji žive sa demencijom, posebno za one koji žive sami. Ovo ukazuje na potrebu da se preispita medicinska praksa, gdje se ''njega u susjedstvima'' kao formalni model sa životnom perspektivom treba uspostaviti u dijalogu sa građanima. ; Ytterligare forskningsfinansiärer: Swedish Riksbankens Jubileumsfond, Economic and Social Research Council (ESRC), National Institute for HealthResearch (NIHR), Norrköping Municipality Research and Development Fund (Norrköpings fond för forskning och utveckling), County Council of Östergötland, Linköping University from its strategic research fund for Health Care and Welfare.
Background: Recent policy is marked by a shift towards enabling people with dementia to remain at home and in their neighbourhoods, yet little is known about the wider perspective of neighbourhood as an everyday place of connection, practice and meaning in the lives of people with experience of dementia. Aims: The aim of this thesis is twofold. The first aim is to explore the neighbourhood as an everyday place for people with experiences of dementia. The second aim is to explore neighbourhood as a place for practice. Methods and Designs: Five studies are included in the thesis with both quantitative and qualitative designs. Study I had a cross-sectional exploratory and descriptive design. A total cohort of 17, 405 people with a dementia diagnosis were identified and matched with data about home care services and housing, and were then associated with socio-demographic factors in three county councils: Östergötland, Stockholm and Västerbotten. Study II had a phenomenological design; 14 community-dwelling people diagnosed with dementia in the County of Östergötland participated using walking interviews. Study III had an inductive and exploratory qualitative design including 14 community-dwelling people living alone with dementia in England, Scotland and Sweden involving multiple data collection methods. Study IV had an inductive and explorative qualitative design that included 22 people with the lived, personal and professional experiences of dementia and used semi-structured individual and group interviews. Study V had an inductive and explorative qualitative design where the perspectives of 18 participants (registered and specialist nurses) were included using shadowing as the main method for data collection. Findings: In study I, 72% of the cohort was living in ordinary housing and 28% in special housing of the total of 17, 405 people with a dementia diagnosis. Overall, 52% of 17, 405 people with dementia in three county councils (Östergötland, Stockholm and Västerbotten) were living alone. Study II revealed that walking in the neighbourhood was an integral part of their day-to-day activities that helped them to manage life with dementia. Connection to nature by being outdoors was a restorative practice for people living with dementia. Neighbourhood was often described as a social context, although some participants living alone revealed that their social contacts were mainly staff working in municipal home care. In study III, participants across all three field sites channelled their efforts to stay connected to the neighbourhood into creating new ways of maintaining social networks and relationships. By participating in several activities (provided in the United Kingdom by the third-sector and charitable groups, and in Sweden, by the municipalities), bonds of friendship were created. However, the impact of stigma surrounding dementia was highlighted by the participants, which caused experiences of involuntary solitude or loneliness. Despite the impact of stigma, participants took control over their lives by searching for new daily social connections in the neighbourhood and were by no means passive in the face of the challenges in everyday life. In study IV, the participants discussed how dementia was stigmatized in the community. People living with dementia were often not being respected as active citizens with their own resources in the community. Being socially active in a group or in public spaces were strategies to maintain a social role in the community. Participants with different experiences of dementia wanted the day care centres and teams to be more centrally involved in person-centred care and health-promoting improvements. Finally, in study V, participants struggled with the commonly held view of their role and their workplace within the health care system, interpreting it as being invisible, as if placed in a black box. The tasks and responsibilities of the participants were shifting to assistant nurses, neighbours and family members according to the socio-economic level of the municipality. Nonetheless, the participants were clearly part of the neighbourhood. The findings of this thesis have been integrated into a combined thematic analysis based on the five studies to reach an overall representation of people's experiences of neighbourhood as an everyday place and a place for practice in the context of dementia. Five main themes (and three sub-themes) emerged from the analysis: (1) walkable attachment to the lived neighbourhood; (2) daily activities promote health and well-being; (3) opportunities for social connections; (4) just treat us as active citizens; (5) neighbourhood: a place for practice. The analysis suggested the neighbourhood was not only described as a walkable, social and citizenship arena in the context of dementia; it was also a place where practice was ongoing around the clock (studies II, III, IV and V) because most of the people with dementia are living in ordinary housing (study I). Conclusion: The thesis presents a new foundation and knowledge to understand neighbourhood as a place for everyday life and practice by applying a new lens for understanding. The neighbourhood can be understood as a place linked by connections that people actively searched out, and where the meaning of place emerges via movement of the body through the world. It is also a site where practices support everyday life for people with dementia, especially for those living alone with dementia. This points to the need to re-think nursing practice, where "neighbourhood nursing" as a formal model with a lifeworld perspective has to be established in dialogue with citizens. ; Bakgrund: Den senaste samhällsutvecklingen och de politiska ambitionerna har utgått alltmer från att göra det möjligt för personer med demenssjukdom att bo kvar allt längre i sina hem och grannskap. Trots denna utveckling finns det lite kunskap utifrån det bredare perspektivet om grannskapet som en vardaglig plats för relationer, omvårdnad samt vilken mening det har för personer som har erfarenhet av demens. Syfte: Syftet med avhandlingen var för det första att undersöka grannskapet som en plats i vardagen för personer som har erfarenheter av demens, och för det andra, att undersöka grannskapet som en plats för omvårdnad. Design och metod: Avhandlingen inkluderar fem delstudier med både kvalitativ och kvantitativ design. Studie I hade en explorativ och beskrivande tvärsnittsdesign. Totalt ingick det 17 405 personer med en demensdiagnos som identifierades och samkördes med information av hemtjänstinsatser och boende. Denna informationen förenades sedan med de socio-demografiska faktorerna i de tre regionerna Östergötland, Stockholm och Västerbotten. Studie II hade en femenologisk design som inkluderade 14 personer som bodde i ett eget boende med en demensdiagnos i Östergötlands län och som deltog i ´promenad intervjuer´. Studie III hade en induktiv och beskrivande kvalitativ design vilket inkluderade 14 personer som bodde ensamma i ett eget boende med en demensdiagnos i England, Skottland och Sverige. De 14 personer som bodde i ett eget boende med en demensdiagnos i Studie III deltog i flera datainsamlingsmetoder. Studie IV hade en induktiv och beskrivande kvalitativ design som inkluderade 22 personer med levda, personliga och professionella erfarenheter av demens som deltog i semistrukturerade individuella och gruppintervjuer. Slutligen, Studie V hade också en induktiv och beskrivande kvalitativ design där 18 deltagare (legitimerade sjuksköterskor och specialistsjuksköterskor) inkluderades skuggning som är den huvudsakliga metoden för datainsamlingen. Resultat: I Studie I fann vi att 72 % av den totala befolkningen av 17 405 personer med en demensdiagnos bodde i ordinärt boende och 28 % i särskilt boende. Sammantaget bodde 52 % av de 17 405 personerna med demens i singelhushåll i de tre regionerna Östergötland, Stockholm och Västerbotten. Studie II påvisade att promenader i grannskapet var en betydelsefull del av deras dagliga aktiviteter som hjälpte personer med en demensdiagnos att hantera ett liv med demens. Att vara utomhus i naturen medförde att personer med demens knöt an till naturen och genom det återhämtade sig. Grannskapet beskrivs ofta som ett socialt sammanhang, även om vissa deltagare som bodde ensamma berättade att deras sociala kontakter främst var med personalen som arbetade i den kommunala hemsjukvården (och hemtjänsten). I studie III beskrev personer med demens i England, Skottland och Sverige hur de ansträngde sig för att hålla kvar kontakten med grannskapet men också hur de skapade nya sätt att upprätthålla och hitta nya sociala nätverk och kontakter. Dessa vänskapsband skapades genom att delta i olika aktiviteter (som tillhandahålls i England av tredje sektorn och välgörenhetsgrupper, och i Sverige, av kommunerna). Även effekterna av stigmatiseringen kring att leva med demens betonades av deltagarna, de beskrev detta som en orsak till ofrivillig ensamhet. Trots påverkan av stigmatiseringen tog personerna med demens, kontroll över sina liv, genom att finna nya dagliga sociala kontakter i grannskapet. Personer med demens är intressearde av att anta nya utmaningarna i vardagen. I studie IV diskuterade personerna med olika erfarenheter av demens hur demenssjukdomen som ett stigmatiserat tillstånd i samhället påverkade dem. De ansåg att deltagarna som lever med en demensdiagnos ofta inte respekterades som aktiva medborgare med sina egna resurser i samhället. Personerna med olika erfarenhet av demens framhöll också att vara socialt aktiv i en grupp eller i offentliga rum var strategier för att upprätthålla en social roll i samhället. Förutom betydelsen av det sociala livet påpekade personerna med olika erfarenheter av demens att de skulle önska att dagverksamheterna och demensteamen skulle utgå mer utifrån person-centrerad vård och hälsofrämjande förhållningssätt. Slutligen, i studie V observerades det hur legitimerade sjuksköterskor och specialistsjuksköterskor kämpade med den vanligt förekommande synen på deras profession och arbetsplatsen inom hälso-och sjukvården som gav sig uttryck som osynlig. Deras uppgifter och ansvar hade även förändrats och allt mer hade överlåtits till undersköterskor, grannar och familjemedlemmar och kommunernas socioekonomiska status hade betydelse. Legitimerade sjuksköterskor och specialistsjuksköterskorna var en självklar del av grannskapet. Resultaten av denna avhandling har integrerats i en sammansatt tematisk analys baserad på de fem studierna för att nå en övergripande representation av människors upplevelser av grannskapet som en plats för det dagliga livet och omvårdnad med utgångspunkt utifrån erfarenheter av demens. Analysen resulterade i fem huvudteman (och tre underteman): (1) anknytning till det existerade grannskapet via promenader (2) dagliga aktiviteter främjar hälsa och välbefinnande; (3) möjligheter för sociala kontakter; (4) behandla oss som aktiva medborgare; (5) grannskapet som en plats för omvårdnad. Grannskapet beskrivs inte bara som en framkomlig, social medborgarskapsarena i relation till demens, utan var även en plats där sjuksköterskepraxis pågick dygnet runt (studierna II, III, IV och V) eftersom de flesta personer som lever med demens bor i ordinärt boende (studie I). Konklusion: Avhandlingen presenterar ett nytt underlag och ny kunskap för att förstå grannskapet som en plats för dagligt liv och omvårdnad genom att använda ett nytt perspektiv för att få förståelse. Grannskapet kan förstås som en plats förenad genom förbindelser som människor aktivt söker efter och där betydelsen av grannskapet inträder genom kroppens rörelse ut mot världen. Det är också en plats där omvårdnad sker som i sin tur stödjer vardagslivet för personer med demens, särskilt för dem som lever ensamma med demens. Detta visar på behovet av att tänka om i praktiken vad det gäller omvårdnaden, där "omvårdnad i grannskapet" som en modell med ett livsvärldsperspektiv behövs i dialog med medborgarna. ; Pozadina: Nedavni trend demencije ogleda se u ovome da osobe koje žive sa demencijom ostanu u kući ili u susjedstvu, ali još uvijek nije poznato mnogo u široj perspektivi koju nude ta susjedstva kao svakodnevno mjesto povezivanja, medicinske njege, te samog značaja u životu onih koji žive sa demencijom. Ciljevi: Cilj je istražiti susjedstvo kao svakodnevno mjesto boravka za ljude koji žive od demencije, te kao drugo istražiti susjedstva kao mjesta gdje bi se pružala medicinska njega. Metode i dizajni: Ukupno pet studija uključeno je u rad sa kvantitativnim i kvalitativnim dizajnom. Studija I imala je istraživački i opisni dizajn. Populacija od 17. 405 ljudi sa dijagnozom demencije bila je identifikovana, te usklađena sa podacima o kućnoj njezi i mjestu prebivališta, a zatim povezana sa tri općine: Östergötland, Štokholm i Vasterboten. Studija II imala je fenomenološki dizajn gdje je 14 osoba koje žive sa demencijom u porodičnoj kuci učestovalo u Östergötlandu u intervju pri šetnji. Studija III imala je induktivni i istraživački kvalitativni dizajn koji je uključivao 14 ljudi iz porodičnog domaćinstva koji žive sami sa demencijom u Engleskoj, Škotskoj i Švedskoj, uključujući više metoda prikupljanja podataka. Studija IV imala je induktivni i istraživački kvalitativni dizajn koji je obuhvatio 22 osobe koje žive, ili imaju lično i profesionalno iskustvo sa demencijom, gdje su se koristili pojedinačni i grupni intervju. Studija V imala je induktivni i istraživački kvalitativni dizajn gdje je uljućeno ukupno 18 medicinskih sestara, a kao glavna metoda za prikupljanje podataka korištena je metoda praćenja i posmatranja. Završni rezultati: U studiji I, 72% od 17. 405 ljudi koji su imali demenciju živjeli su porodičnim kućama a 28% u starački domovima. Ukupno 52% od 17. 405 ljudi koji žive sa demencijom u tri općine su Östergötland, Štokholm i Vasterboten žive sami. Studija II otkrila je kako svakodnevna šetanja je sastavni dio njihovih aktivnosti koje su im pomogle u životu sa demencijom. Može se reći da je boravak na otvorenom, te povezivanje sa prirodom je vrlo praktično za ljude koji žive sa demencijom. Susjedstvo je često opisano kao socijalni kontekst, iako su neki učesnici u istraživanju koji žive sami otkrili kako je njihov jedini društveni kontakt bio sa uposlenicima kućne njege. U studiji III učesnici ispitivanja u Engleskoj, Škotskoj i Švedskoj su sve svoje napore da ostanu povezani sa susjedstvom kako bi stvorili nove načine koji bi pomogli stvaranje novih veza i odnosa. Učestvovanjem u nekoliko aktivnosti (koje su u Velikoj Britaniji omogućile dobrotvorne i slobodne organizacije, a u Švedskoj općine) stvorene su veze i prijateljstva. Međutim, utjecaj predrasuda povezanih s demencijom, što su i naglašavali sudionici, vodilo je kao iskustvu samoće i usamljenosti. Uprkos utjecaju predrasuda, učesnici su preuzeli kontrolunad svojim životima, te su tražili nove svakodnevne društvene veze u susjedstvu, ne pokazujući tako pasivnost prema svakodnevnim izazovima s kojima se susreću. U studiji IV učesnici su razgovarali o predrasudama o demenciji u zajednici. Ljudi koji žive sa demencijom često nisu uvaženi kao aktivni članovi koji mogu doprinijeti zajednici. Kako bi održali svoje uloge u zajednici vrlo je bitno da ostanu društveno aktivni. Učesnici sa različitim iskustvom demencije izrazili su želju da se centri za svakodnevnu njegu i timovi više baziraju kao unapređenju njege i zdravlja, kao i da se akcenat stavi na osobu za demencijom. Na kraju, u studiji V medicinske sestre su se borile sa općeprihvaćenim stavom o njima i njihovoj ulozi, te njihovom radnom mjestu u sistemu zdravstvene zaštite, opisujući to kao nevidljivo. Zadaci i odgovornosti medicinskih sestara prebacivali su se na pomoćne sestre, komšije i članove porodica prema društveno-ekonomskom nivou opštine. Unatoč tome, medicinske sestre su očito bile dio susjedstva. Iskustva, odnosno pronalasci u ovoj tezi integrisani su u kombinovanu analizu prema pet tematski obrađenih studija, kako bi se dostigao sveobuhvatan prikaz iskustava u susjedstvu kao svakodnevnom mjestu, te mjestu zdravstvene podrške u kontekstu demencije. Iz ove analize pojavilo se pet glavnih tema (kao i tri podteme): (1) povezanost sa susjedstvom; (2) svakodnevne aktivnosti promovišu zdravlje i dobrobit; (3) mogućnosti za socijalne veze; (4) tretiranje kao aktivne građane; (5) susjedstvo je mjesto za medicinske prakse neprekidno traju. Analize pokazuju kako se susjedstvo ne opisuje samo kao prohodno, socijalno i građansko polje u kontekstu demencije, već kao i mjesto gdje medicinske prakse neprekidno traju (studije II, III, IV i V), jer većina ljudi s demencijom žive u običnom domaćinstvu (studija I). Zaključak: Teza predstavlja nove temelje i znanja, kako bi se lakše razumio pojam susjedstva kao svakodnevnog mjesta za život, kao i njege kroz nove objektive razumijevanja. Susjedstvo bi se moglo shvatiti kao mjesto spojeno vezama koje ljudi aktivno potražuju gdje se značenje mjesta spaja sa kretanjem tijela kroz svijet. To je također mjesto gdje je svakodnevno obezbjeđena njega za ljude koji žive sa demencijom, posebno za one koji žive sami. Ovo ukazuje na potrebu da se preispita medicinska praksa, gdje se ''njega u susjedstvima'' kao formalni model sa životnom perspektivom treba uspostaviti u dijalogu sa građanima. ; Ytterligare forskningsfinansiärer: Swedish Riksbankens Jubileumsfond, Economic and Social Research Council (ESRC), National Institute for HealthResearch (NIHR), Norrköping Municipality Research and Development Fund (Norrköpings fond för forskning och utveckling), County Council of Östergötland, Linköping University from its strategic research fund for Health Care and Welfare.
In a period of rapid social and economic change, labour markets are undergoing major transformations. This book explores the changing fortunes of young people in Europe's flexible and precarious labour markets and the range of policies that are being developed to help them deal with the problems they face
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A strong link between citizen preferences and public policy is one of the key goals and criteria of democratic governance. Yet, our knowledge about the extent to which public policies on specific issues are in line with citizen preferences in Europe is limited. This article reports on the first study of the link between public opinion and public policy that covers a large and diverse sample of concrete public policy issues in 31 European democracies. The findings demonstrate a strong positive relationship and a substantial degree of congruence between public opinion and the state of public policy. Also examined is whether political institutions, including electoral systems and the horizontal and vertical division of powers, influence the opinion‐policy link. The evidence for such effects is very limited, which suggests that the same institutions might affect policy representation in countervailing ways through different mechanisms.
