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Copyright of European Journal of Psychotraumatology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The transition from primary to secondary education can be difficult for children. This paper reports on an intervention in the Netherlands known as the Talent Classrooms (TC), which aimed to support students' primary-secondary school transition. The goal of TC was to increase the match between the personal environment of the student and the school environment to facilitate a successful transition, and to help students achieve their potential at secondary school. With the needs described in the review by Symonds and Galton (2014) taken as a starting point for this investigation, we sought to explore the extent to which TC supported six specific needs during students' primary-secondary transition period, according to participants' longer term reflections about their earlier TC experiences. In this qualitative study, in-depth interviews were conducted with ten former TC students, four to five years after they had participated in the intervention. Data were analysed qualitatively. The analysis suggested that, according to the participants, TC had fostered most needs and this helped to support their transition experience. In particular, participants reported that, via their involvement in TC, they had become more familiar with the physical environment and routine of secondary school, were able to form lasting friendships and enjoyed a challenging curriculum and extracurricular activities. However, findings also indicated that the intervention did not fully succeed in supporting some needs, mainly in the areas of autonomy, competency, and identity development, as it did not seem to have prepared all participants sufficiently for the requirement for independent working they subsequently encountered in secondary school. This study highlights how emphasis on the development of autonomy-related skills might be beneficial for interventions designed to assist students with the transition to secondary education. Moreover, it draws attention to the importance of tailoring support to individual students' specific, varied and evolving needs during this stage of development. [ABSTRACT FROM AUTHOR]

Achieving global sustainability goals requires most people and societies to fundamentally revisit their relationship with nature. New approaches are called for to guide change processes towards sustainable futures that embrace the plurality of people's desired relationships with nature. This paper presents a novel approach to exploring desirable futures for nature and people that was developed through an application in Nationaal Park Hollandse Duinen in the Netherlands. This new national park is developed bottom-up by a diverse group of actors reshaping their interactions with each other and with nature. Our approach, co-designed with key stakeholders of the national park, engages with a new pluralistic framework for human-nature relationships presented by the IPBES task force on scenarios and models to catalyze the development of nature-centered scenarios. We integrated this Nature Futures Framework with the Three Horizons Framework in a participatory workshop process designed to bring people's diverse relationships with nature to the fore, and jointly envision desirable futures and the pathways to get there. We present a methodology to analyze and compare the visions and assess their potential contribution to the SDGs. We summarize the results of the application in Nationaal Park Hollandse Duinen and reflect on lessons learned. The approach successfully engaged participants in joint exploration of desirable futures for the national park based on their plural perspectives on human-nature relationships. We see much potential for its applications to support change processes in various social-ecological contexts toward more sustainable futures for nature and people. [ABSTRACT FROM AUTHOR]

Copyright of European Journal of Psychotraumatology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Pharmaceutical sector corruption undermines patient access to medicines by diverting public funds for private gain and exacerbating health inequities. This paper presents an analysis of UN Convention Against Corruption (UNCAC) compliance in seven countries and examines how full UNCAC adoption may reduce corruption risks within four key pharmaceutical decision-making points: product approval, formulary selection, procurement, and dispensing. Countries were selected based on their participation in the Medicines Transparency Alliance and the WHO Good Governance for Medicines Programme. Each country’s domestic anti-corruption laws and policies were catalogued and analysed to evaluate their implementation of select UNCAC Articles relevant to the pharmaceutical sector. Countries displayed high compliance with UNCAC provisions on procurement and the recognition of most public sector corruption offences. However, several countries do not penalise private sector bribery or provide statutory protection to whistleblowers or witnesses in corruption proceedings, suggesting that private sector pharmaceutical dispensing may be a decision-making point particularly vulnerable to corruption. Fully implementing the UNCAC is a meaningful first step that countries can take reduce pharmaceutical sector corruption. However, without broader commitment to cultures of transparency and institutional integrity, corruption legislation alone is likely insufficient to ensure long-term, sustainable pharmaceutical sector good governance. [ABSTRACT FROM AUTHOR]

Methodology for analysing textural properties of sugar beet roots in the laboratory has previously been established. It has been shown to be reliable and of value in exploring relationships between textural properties, damage rates, and storability of varieties. In this paper, a methodology for the assessment of textural properties in-field, prior to harvest, using an inexpensive handheld penetrometer is examined. Three sugar beet varieties were grown in Belgium, the Netherlands, and Sweden during 2019. Textural properties were assessed in-field with the handheld penetrometer 2, 1 and 0 months prior to harvest, and with the laboratory penetrometer directly after harvest. Comparison of the results showed generally strong correlations. A power analysis suggests a difference in mean Handheld Pressure of 0.10 MPa could be found significant within a large trial with a block design. The reliability of the handheld penetrometer was further assessed in the Swedish national variety trials over three years (2019-2021). Correlation coefficients of 0.86 and 0.94 were found between mean Handheld Pressure for 2019 and 2020, and 2020 and 2021 respectively. The handheld penetrometer can be applied as an economic means of quantifying differences in textural properties of sugar beet varieties. Clear operating procedure and training must exist. [ABSTRACT FROM AUTHOR]

In this paper, we develop a new general class of skew distributions with flexibility properties on the tails. Moreover, such class can provide heavy and light tails. Some of its mathematical properties are studied, including the quantile function, the moments, the moment generating function and the mean of deviations. New skew distributions are derived and used to construct new models capturing asymmetry inherent to data. The estimation of the class parameters is investigated by the method of maximum likelihood and the performance of the estimators is assessed by a simulation study. Applications of the proposed distribution are explored for two climate data sets. The first data set concerns the annual heat wave index and the second data set involves temperature and precipitation measures from the meteorological station located at Schiphol, Netherlands. Data fitting results show that our models perform better than the competitors. [ABSTRACT FROM AUTHOR]

Purpose: Self-reliance and social participation are strongly promoted by social policy. Both concepts are linked to the concept of vulnerability, for people who do not meet these standards are labelled "vulnerable people". In this paper, the insider's perspective takes central stage by seeking to explore what it means to be labelled a "vulnerable person", and through this to further our insight into the meaning of the concept of vulnerability. Method: Thirty-three in-depth interviews were conducted with 16 allegedly vulnerable people. The data were subjected to thematic content analysis. Results: Our analysis revealed three main dimensions and eight sub-dimensions of perceived vulnerability, outlining an insider's concept of vulnerability. This concept includes manifestations of vulnerability, feelings coexisting with vulnerability, and the image of vulnerable people. Conclusion: The perception of vulnerability changes when interacting with others in society, especially with social policy implementers. In this interaction, the perceived vulnerability increases and becomes societal vulnerability. It concerns a dependency situation in which one's strength and self-determination are not recognized, and the help needed is not provided. By acknowledging the insider's perspective, social policy can fulfil a more empowering role towards "vulnerable people" and contribute to people's well-being. [ABSTRACT FROM AUTHOR]

This article reflects on a keynote presentation made at the 32nd Council for Hospitality Management Education Research Conference hosted at NHL Stenden University of Applied Science in Leeuwarden, The Netherlands. The field of study prepares managers who will organise the delivery of food and/or drink and/or accommodation in a service setting. The core concern of the article is to critique biases of higher education provision. The vocational nature of programmes tends to prioritise job readiness at the expense of some theoretical dimensions of the study of hospitality. These biases are compounded by a tendency to limit the industrial context to luxury hotels and restaurants. Students' career perceptions are thereby constrained and limited. The study of hospitality should adopt a critical studies approach; several recent publications might indicate avenues for further research and programme content. [ABSTRACT FROM AUTHOR]

To assess the cultural competence (CC) of GP trainees and GP trainers. Design and setting: A cross-sectional survey study was conducted at the GP Training Institute of Amsterdam UMC. We included 92 GP trainees and 186 GP trainers. We measured the three domains of cultural competency: 1) knowledge, 2) culturally competent attitudes and 3) culturally competent skills. Regression models were used to identify factors associated with levels of CC. Participants rated their self-perceived CC at the beginning and end of the survey, and the correlation between self-perceived and measured CC was assessed. Approximately 94% of the GP trainees and 81% of the GP trainers scored low on knowledge; 45% and 42%, respectively, scored low on culturally competent attitudes. The level of culturally competent skills was moderate (54.3%) or low (48.4%) for most GP trainees and GP trainers. The year of residency and the GP training institute were significantly associated with one or more (sub-)domains of CC in GP trainees. Having >10% migrant patients and experience as a GP trainer were positively associated with one or more (sub-) domains of cultural competence in GP trainers. The correlation between measured and self-perceived CC was positive overall but very weak (Spearman correlation coefficient ranging from −0.1–0.3). The level of cultural competence was low in both groups, especially in the knowledge scores. Cultural competence increased with experience and exposure to an ethnically diverse patient population. Our study highlights the need for cultural competence training in the GP training curricula. General practitioner (GP) trainees find cross-cultural consultations stressful due to a self-perceived lack of cultural competence (CC). The level of CC in general practice is as yet unknown. On average, the level of CC was low for the majority of GP trainees and GP trainers, especially for the scores on knowledge. CC increased with experience and exposure to an ethnically diverse patient population. GP trainees and trainers perceived a lack of covered education on various topics related to the care of migrants. Our study highlights the need for cultural competence training in the GP training curricula. [ABSTRACT FROM AUTHOR]

Leptospirosis is a zoonosis caused by the spirochete Leptospira spp. It is often not clear why certain areas appear to be hotspots for human leptospirosis. Therefore, a predictive risk map for the Netherlands was developed and assessed, based on a random forest model for human leptospirosis incidence levels with various environmental factors and rat density as variables. Next, it was tested whether misclassifications of the risk map could be explained by the prevalence of Leptospira spp. in brown rats. Three recreational areas were chosen, and rats (≥25/location) were tested for Leptospira spp. Concurrently, it was investigated whether Leptospira spp. prevalence in brown rats was associated with Leptospira DNA concentration in surface water, to explore the usability of this parameter in future studies. Approximately 1 L of surface water sample was collected from 10 sites and was tested for Leptospira spp. Although the model predicted the locations of patients relatively well, this study showed that the prevalence of Leptospira spp. infection in rats may be an explaining variable that could improve the predictive model performance. Surface water samples were all negative, even if they had been taken at sites with a high Leptospira spp. prevalence in rats. [ABSTRACT FROM AUTHOR]

As more cities implement cycling infrastructure, there is a growing need to both learn best practices from other places through a detailed understanding of the lived and embodied experiences of cycling. However, this is rarely the case. On the one hand, planners and policymakers rely on incomplete (quantitative) data and policy tours that are unable to document the full extent of cycling or how it is experienced. While recent studies have expanded to include qualitative methods, they are predominantly conducted in one place, limiting our ability to draw international comparisons. The Netherlands is a popular destination for such tours and is generally regarded as one of the best places in the world for cycling. But what about people who, for a variety of reasons, have lived in different countries? Their knowledge, experiences and reflections on cycling are rarely featured in planning. To redress this, we interviewed participants who have international experience, capturing beyond aspects of policy tourism, illuminating how: (1) mixed land-use patterns, (2) incentivizing cycling as a mode choice, and (3) cycle networks and safety are vital to cycling participation. We advance the cycling research agenda by examining these findings and proposing changes best suited to lowcycling cities. [ABSTRACT FROM AUTHOR]

Despite the many benefits of cycle lanes for active travel, their implementation remains a persistent problem. Road users who believe that building cycle lanes will take away their road space may object because they believe there is not enough space to do so. This study aims to address the visual perception of road space by exploring the relationship of the road users' country of residence with how they perceive road space. Through an online survey distributed in three countries (n = 1591) with different levels of implemented cycle lanes this study demonstrates that the road space context significantly influences the visual perception of road space. Residents in the Netherlands, where cycle lanes are a common element of the road space, demonstrate 10% more recognition of having space to implement cycle lanes than the respondents in the UK and Australia, where cycle lanes are not as common. The implications of this research into the recognition by the public of having space (or not) to implement cycle lanes demonstrate the importance of context and provide evidence to policymakers to address a persistent problem. [ABSTRACT FROM AUTHOR]

Identify patient experience and preference towards thrombopoietin-receptor agonists (TPO-RAs) in treatment of immune thrombocytopenia (ITP) in the Netherlands. The Thrombopoietin-Receptor Agonist Patient experience (TRAPeze) survey used a discrete choice experiment (DCE) to elicit patient preferences and a patient burden survey (PBS) to evaluate the clinical and social impact of ITP. TRAPeze collected responses from 6th October to 19th November 2021. Seventy-six respondents completed the DCE: treatment preference appeared to be driven by method of administration (odds ratio [OR] 4.33; 95% confidence interval [CI] 2.88–6.52), frequency of dosing (OR 2.33; 95% CI 1.86–2.92) and drug–food interactions (OR 1.91; 95% CI 1.54–2.37). Respondents preferred therapies delivered orally over subcutaneous injection (OR 4.22; 95% CI 2.76–6.46), dosed once weekly over once daily (OR 2.37; 95% CI 1.58–3.54) and without food restrictions over with restrictions (OR 1.90; 95% CI 1.52–2.38). Sixty-nine respondents completed the DCE and PBS (mean [range] age 53 [19–83] years, 65% female). Seven incomplete PBS responses were excluded from analysis. Respondents were currently, or most recently, receiving eltrombopag (n = 43) or romiplostim (n = 26), of which 30% (n = 21/69) had previously received another TPO-RA. Loss (29%, n = 6/21) and lack (29%, n = 6/21) of response were the most common reasons for switching TPO-RA. Only 28% (n = 18/65) of respondents felt their TPO-RA increased energy levels. Patients preferred therapies delivered orally, dosed less frequently and without food restrictions. QoL of ITP patients on TPO-RAs can be improved; the burden analyses presented can inform future efforts towards this. [ABSTRACT FROM AUTHOR]

To assess experienced stress on different aspects of life and evaluate patient preferences for the consultation of periconception blended lifestyle care, combining face-to-face counseling with eHealth, during the COVID-19 pandemic among (pre)pregnant women. Using this two-fold aim, we were able to analyze the levels of stress among (pre)pregnant women during the COVID-19 pandemic, and to study whether their preferences for the consultation modality of periconception blended lifestyle care was influenced by the levels of stress. A quantitative survey among (pre)pregnant women who received blended periconception lifestyle care between March 2020 and December 2021, from the first until the fourth COVID-19 wave in the Netherlands. The questionnaire used a 5-point Likert scale and measured experienced stress and preferred periconception blended lifestyle care modality. 984 women (response rate: 55.2%) filled out the questionnaire. Experienced stress during the COVID-19 pandemic was relatively low and stable over time. The highest percentage of respondents (31.2%) reported to have experienced stress on fertility and pregnancy. 40.4% (309/764) of the respondents indicated that face-to-face consultations could be replaced by digital consultation. Additionally, the mean experienced stress did not differ between the patients who preferred a video consultation (2.60 ± 1.1), or a telephone consultation (2.57 ± 1.2), either a video or telephone consultation (2.54 ± 1.3), still preferred a face-to-face consultation (2.41 ± 1.4) (p =.83). Our findings indicate willingness for wide implementation of telemedicine within health care delivery, and reorganizing of periconception blended lifestyle care toward personalized and value-based health care. [ABSTRACT FROM AUTHOR]

We develop a generalized linear mixed model (GLMM) for bivariate count responses for statistically analyzing dragonfly population data from the Northern Netherlands. The populations of the threatened dragonfly species Aeshna viridis were counted in the years 2015–2018 at 17 different locations (ponds and ditches). Two different widely applied population size measures were used to quantify the population sizes, namely the number of found exoskeletons ('exuviae') and the number of spotted egg-laying females were counted. Since both measures (responses) led to many zero counts but also feature very large counts, our GLMM model builds on a zero-inflated bivariate geometric (ZIBGe) distribution, for which we show that it can be easily parameterized in terms of a correlation parameter and its two marginal medians. We model the medians with linear combinations of fixed (environmental covariates) and random (location-specific intercepts) effects. Modeling the medians yields a decreased sensitivity to overly large counts; in particular, in light of growing marginal zero inflation rates. Because of the relatively small sample size (n = 114) we follow a Bayesian modeling approach and use Metropolis-Hastings Markov Chain Monte Carlo (MCMC) simulations for generating posterior samples. [ABSTRACT FROM AUTHOR]

This study is the first in a series looking at professional sports franchises and their forays into the realms of hospitality, leisure and tourism. It focuses on the city of Leeuwarden in the north of The Netherlands and its professional football club, SC Cambuur, competing in the elite tier of Dutch football, the Eredivisie, during the 2022/23 season. Leeuwarden is becoming an increasingly recognised tourism destination, particularly since 2018 when it was the European Capital of Culture. Its football club operates on the fringes of the visitor economy, but in relocating to a newly built state-of-the-art stadium, it is keen to establish its tourism and hospitality credentials alongside the more traditional actors in the sector. Using content analysis, the article examines the current state of play across the Eredivisie and its professional clubs by providing an inventory of the leisure and hospitality operations offered. It also assesses whether the clubs and their stadia are considered for their tourism potential by destination-marketing organisations. It captures a moment in time that acts as a benchmark for SC Cambuur going forward and reveals an organisation that follows a tried-and-trusted template, replicated throughout professional football in The Netherlands, in exploiting its somewhat limited facilities for the purposes of hospitality and leisure. The Leeuwarden club's operations are still relatively modest compared to many of its competitors, and it barely registers as a noteworthy partner for the tourism authorities. Despite significant challenges in recent times, the relocation to the new stadium, confirmed for 2024, leaves it well placed to expand its activities in the areas of hospitality and leisure. [ABSTRACT FROM AUTHOR]

Intralesional corticosteroid administration (ICA) is a first-line therapy in keloid treatment. However, its clinical results are still highly variable and often suboptimal. Treatment results may strongly be influenced by various ways of ICA. To explore the prevailing practice of ICA in keloid treatment among dermatologists and plastic surgeons in the Netherlands. The survey was constructed based on a scoping review on ICA in keloid treatment. Members of the Dutch Society for Plastic surgery and the Dutch Society for Dermatology and Venereology were asked to participate. One hundred and thirty-six responses were obtained. One hundred and thirty (95.6%) participants used triamcinolone acetonide. The majority (54.7%) did not use local anesthesia for pain reduction. Reported corticosteroid dosing that one would inject in one specific keloid differed by a factor of 40. Treatment intervals varied from 1 week to more than 8 weeks. The keloid center was most often injected (46.9%), followed by subepidermal (18.0%). A wide variety in ICA for keloids is noted among dermatologists and plastic surgeons, even in a limited geographic region and when evidence points toward an optimal way of treatment. Future studies and better implementation of existing evidence may reduce variation in ICA and optimize its treatment results. [ABSTRACT FROM AUTHOR]

Transgender and non-binary (TNB) people are at increased risk of adverse sexual and reproductive health (SRH) outcomes compared to cisgender people. With this qualitative study, we investigated the experiences of TNB people with access to primary SRH care in the Netherlands. We conducted semi-structured, explorative interviews with fourteen TNB individuals. Data were analysed using thematic analysis. We identified three themes: 'navigating cisgender assumptions', 'depending on your healthcare provider' and 'access requires labour'. In primary SRH care, respondents felt that healthcare providers made incorrect assumptions about their care needs which required respondents to actively disclose their gender identity or medical history. However, some respondents felt disclosure also exposed them to clinical bias, or reduced them to a medical category 'transgender' that their healthcare providers perceived to require specialised knowledge. In this context, respondents felt the onus was on them to ensure their SRH care needs were met. Using the concept of trans erasure, we highlight how TNB people are put at risk of adverse SRH outcomes. Creating equitable care access requires not only that providers are educated on TNB health needs and their own cisnormativity, but also an ongoing, critical reflection on the use of gender- and sex-based categories in medicine. [ABSTRACT FROM AUTHOR]

Taking concepts from economic geography, this study decomposes locational factors as 'first-nature' and 'second-nature' geography, and argues that the second-nature geography, which is the concentration of entrepreneurial activities, helps entrepreneurs to discover entrepreneurial opportunities and gives them an incentive to integrate business with supporting activities in close proximity due to pecuniary and technological externalities. This study has taken the agricultural sector as the context of its research, and finds that the agricultural entrepreneurship literature has neglected the impact of the second-nature geography. Findings from the Netherlands show that the higher the concentration of entrepreneurial diversification in a region, the greater the likelihood that a farmer undertakes entrepreneurship on the farm. [ABSTRACT FROM AUTHOR]

Chemical adherence testing is a reliable method to assess adherence to antihypertensive drugs. However, it is expensive and has limited availability in clinical practice. To reduce the number and costs of chemical adherence tests, we aimed to develop and validate a clinical screening tool to identify patients with a low probability of non-adherence in patients with uncontrolled hypertension. In 495 patients with uncontrolled hypertension referred to the University Medical Centre Utrecht (UMCU), the Netherlands, a penalised logistic regression model including seven pre-specified easy-to-measure clinical variables was derived to estimate the probability of non-adherence. Non-adherence was defined as not detecting at least one of the prescribed antihypertensive drugs in plasma or urine. Model performance and test characteristics were evaluated in 240 patients with uncontrolled hypertension referred to the Heartlands Hospital, United Kingdom. Prevalence of non-adherence to antihypertensive drugs was 19% in the UMCU and 44% in the Heartlands Hospital population. After recalibration of the model's intercept, predicted probabilities agreed well with observed frequencies. The c-statistic of the model was 0.63 (95%CI 0.53–0.72). Predicted probability cut-off values of 15%–22.5% prevented testing in 5%–15% of the patients, carrying sensitivities between 97% (64–100) and 90% (80–95), and negative predictive values between 74% (10–99) and 70% (50–85). The combination of seven clinical variables is not sufficient to reliably discriminate adherent from non-adherent individuals to safely reduce the number of chemical adherence tests. This emphasises the complex nature of non-adherence behaviour and thus the need for objective chemical adherence tests in patients with uncontrolled hypertension. [ABSTRACT FROM AUTHOR]

Developing successful policies for sustainable land use requires understanding the perspectives of different actors. This study explored how residents – an often under-represented and un-organized group – vary in their valuation of ecosystem services (ES) and perception of multifunctionality in a peri-urban setting. We conducted 127 interviews in the Kromme Rijn region of the Netherlands guided by an interactive, visual canvas tool (STREAMLINE). We addressed four research questions: (1) Is there variation among residents regarding preferences for ES? (2) Which competing interests do residents see in this landscape? (3) Where are hotspots of perceived multifunctionality? and (4) Can the level of perceived multifunctionality be explained by its location on the rural–urban gradient? Our findings demonstrate that while the majority of ES are important to residents of a peri-urban landscape, there is variation in relative preference towards a subset of ES (mainly provisioning services). A typology of preferences distinguishes three groups: (A)'I want it all' – all ES (very) important; (B)'I want most of it' – majority of ES important; and (C)'I want some' – several ES not important at all. The majority of competing interests identified by respondents were between biodiversity and either a provisioning or cultural service. Universal hotspots of perceived multi-functionality overlapped with the area around residential areas, whereas natural (grassland) areas and water were considered multifunctional by only a small share of respondents. These perceptions and preferences do not necessarily align with current policy and management efforts, it is advised that residents' perceptions and values are better accounted for in landscape governance. [ABSTRACT FROM AUTHOR]

Previous literature has discussed the different views, the diverse goals and scope of ethics education, and the need for a more homogenous curriculum in medical ethics. Since ethics is about values, and values are partly influenced by culture, we question to what extent teachers' perceptions concerning learning goals of medical ethics curricula are similar or different in two different countries, and if differences in learning goals are acceptable or problematic. We conducted in-depth interviews with 36 medical ethics teachers, 20 from Indonesia and 16 from the Netherlands, and explored what they think are the important learning goals. We found three similar goals, with slightly different perceptions, between the two groups: (1) being professional, (2) dealing with ethical problems, and (3) being part of society. We also found four other goals that differed between the two countries: (4) understanding one-self and (5) learning from others from the Netherlands; (6) being faithful/pious and (7) obeying rules/standards from Indonesia. We suggest that despite similar goals shared globally, there might be differences in how teachers in different cultural contexts perceive the goals with their local values and translate them into the curricula. Differences in learning goals are common and natural, often reflected by historical and sociocultural contexts, and should not become a barrier for teachers in different regions to collaborate. Understanding these differences may be an important goal for teachers themselves to broaden their knowledge and perspectives. [ABSTRACT FROM AUTHOR]

The majority of birds lay eggs of a colour and maculation "typical" of their species, but very occasionally individual females produce eggs of unusual colours. In the past, such eggs were often the target of egg collectors. Four trays of unusually coloured northern lapwing Vanellus vanellus eggs originally accumulated by two notable collectors, F.C.R. Jourdain and J. M. Goodall in the late 1800s and early 1900s, were recovered from the home of David Wilson after his death in 2020. Wilson had acquired this lapwing material, comprising 91 clutches and 347 eggs in total, from the avid collector and millionaire, Captain Vivian Hewitt after Hewitt's death in 1965. The lapwing clutches are unusual both in terms of their colours, ranging from pale blue with almost no maculation ("cyanic"), through to red ("erythristic"), but also in terms of the completeness of their accompanying data. During the 1800s and early 1900s, hundreds of thousands of lapwing eggs were collected annually in Britain and the Netherlands for human consumption, providing egg collectors, like Goodall and Jourdain, the opportunity to screen large numbers of clutches and acquire rare types. The occurrence of rare egg types in museum egg collections have the potential to provide opportunities to better understand the normal physiological and genetic bases of avian egg colour. [ABSTRACT FROM AUTHOR]

Non-binary and genderqueer (NBGQ) individuals do not identify with a binary gender identity. Some but not all NBGQ individuals identify as transgender, and it is currently unclear on which aspects of mental and sexual well-being NBGQ and binary transgender individuals may differ. To compare NBGQ, binary transgender and cisgender individuals on variables related to mental well-being, sexual well-being, and sexual self-concept discrepancies. We conducted an online questionnaire study in 125 transgender men, 72 transgender women, 78 NBGQ individuals, 98 cisgender men, and 107 cisgender women. For most variables, NBGQ individuals did not differ from binary transgender individuals. These two groups differed only on gender dysphoria and transgender specific body image worries, which were both lower in the NBGQ group. Compared to the cisgender group, NBGQ individuals scored higher on gender dysphoria, actual/ought sexual self-concept discrepancies, and actual/ideal sexual self-concept discrepancies, and lower on general life satisfaction and sexual esteem related to body perception. These results offer a first quantitative analysis of sexual well-being in NBGQ individuals, and highlight that – while both groups face unique challenges – NBGQ individuals encounter similar difficulties concerning mental and sexual well-being as binary transgender individuals. [ABSTRACT FROM AUTHOR]

Copyright of European Journal of Psychotraumatology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Chronic obstructive pulmonary disease (COPD) is a heterogeneous disease with variable mortality risk. The aim of our investigation was to validate a simple clinical algorithm for long-term mortality previously proposed by Burgel et al. in 2017. Subjects with COPD from two cohorts, the Swedish PRAXIS study (n = 784, mean age (standard deviation (SD)) 64.0 years (7.5), 42% males) and the Rotterdam Study (n = 735, mean age (SD) 72 years (9.2), 57% males), were included. Five clinical clusters were derived from baseline data on age, body mass index, dyspnoea grade, pulmonary function and comorbidity (cardiovascular disease/diabetes). Cox models were used to study associations with 9-year mortality. The distribution of clinical clusters (1–5) was 29%/45%/8%/6%/12% in the PRAXIS study and 23%/26%/36%/0%/15% in the Rotterdam Study. The cumulative proportion of deaths at the 9-year follow-up was highest in clusters 1 (65%) and 4 (72%), and lowest in cluster 5 (10%) in the PRAXIS study. In the Rotterdam Study, cluster 1 (44%) had the highest cumulative mortality and cluster 5 (5%) the lowest. Compared with cluster 5, the meta-analysed age- and sex-adjusted hazard ratio (95% confidence interval) for cluster 1 was 6.37 (3.94–10.32) and those for clusters 2 and 3 were 2.61 (1.58–4.32) and 3.06 (1.82–5.13), respectively. Burgel's clinical clusters can be used to predict long-term mortality risk. Clusters 1 and 4 are associated with the poorest prognosis, cluster 5 with the best prognosis and clusters 2 and 3 with intermediate prognosis in two independent cohorts from Sweden and the Netherlands. Supplemental data for this article is available online at https://doi.org/10.1080/15412555.2022.2039608. [ABSTRACT FROM AUTHOR]

Can targeted messages from political elites impact the relationship between valuing conformity and prejudice? We answer this question in a survey experiment on a national probability sample from the Netherlands by exposing respondents to a favorable vs. unfavorable statement about East European immigrants. We find that individuals attaching relatively high importance to the value of conformity express greater agreement with the statement, independently of its content or partisanship. Further, the positive association between valuing conformity and prejudice is significantly decreased when individuals are presented with a favorable statement about East European immigrants. Thus, valuing conformity is not only associated with higher prejudice but can also reduce prejudice because it makes individuals susceptible to elite normative pressure to respond positively. [ABSTRACT FROM AUTHOR]

Purpose: In order for health professionals to encourage pregnant women with a low socioeconomic status (SES) to move towards empowerment for a healthy dietary intake, crucial steps are to understand the perspectives of pregnant women of food and eating and to identify opportunities for empowerment. This study aimed to examine the perspectives of pregnant women on food and eating and to identify the opportunities for empowerment towards a healthy dietary intake. Methods: This was a qualitative participatory study. Thirteen semi-structured interviews were conducted with low SES pregnant women in the Netherlands and analysed using an inductive approach. Results: Five perspectives on food and eating emerged: 1) health-promoting foods and products, 2) challenges in healthy eating, 3) risky products, 4) strategies for healthy eating, and 5) motivational aspects. Opportunities for empowerment were: searching balanced and personalized information, developing strategies to implement healthy diets, navigating the social environment, and dealing with different motivations. Conclusion: Pregnant women hold diverse perspectives regarding food and eating, signalling the need to adjust dietary support from health-care professionals. Professionals in antenatal care could optimize their interactions by engaging in pregnant women's empowerment processes to make healthy modifications to their dietary intake. [ABSTRACT FROM AUTHOR]

Aims: Rifaximin-α as an adjunct to lactulose is reimbursed in the Netherlands for prevention of the third and subsequent episodes of overt Hepatic Encephalopathy (HE) in cirrhotic patients. However, use of rifaximin-α remains limited. This study evaluates the clinical and economic impact of treating all patients eligible under Dutch reimbursement conditions with rifaximin-α as an adjunct to lactulose for the prevention of overt HE in the Netherlands from a hospital and healthcare payer's perspective.Materials and Methods: A budget impact analysis was performed following national and international guidelines. Resource use was based on Dutch real-world data. HE-related cost inputs were based on the declaration codes, Dutch cost manual, and actual drug list prices. Several sensitivity and scenario analyses were conducted to assess model robustness.Results: Treating eligible HE patients with rifaximin-α in addition to lactulose saves €4,487 and costs €249 per patient over a 5-year period compared with lactulose monotherapy from hospital and healthcare payer's perspectives, respectively. In the Netherlands, an estimated 38% of the 2,567 eligible patients are currently being treated with rifaximin-α. Optimizing rifaximin-α use by treating all eligible patients with the rifaximin-α + lactulose could save more than 3,000 hospital admissions, almost 15,000 hospital bed days, and 300 deaths over a 5-year period. Despite increased drug costs, treatment is estimated to result in potential cost savings over a 5-year period of 7.2 million euros from a Dutch hospital perspective. The budget impact is 397,770 euros from a healthcare payer's perspective.Conclusions: Next to a clinical perspective, also from an economic perspective, wider prescription of rifaximin-α adhering to guidelines could be beneficial to reduce costs from a hospital perspective. From a healthcare payer's perspective, costs increase with addition of rifaximin-α due to relative better survival causing relatively higher drug and liver transplantation-related costs. [ABSTRACT FROM AUTHOR]