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The aim of this study was to explore the note-taking experiences of university students using paper-based (non-electronic) and paperless (electronic) resources. By means of a hermeneutic phenomenological approach, the note-taking experiences of 18 students from an international program at a university in Belgium were examined throughout a semester. In order to document these students' practices with paper-based and paperless resources, four data collection methods were used: (a) in-depth interviews (b) observations (c) focus group discussions and (d) document analysis of students' lecture notes. The results showed that students experience note-taking as a complex phenomenon in which lived body, lived human relations, lived space and lived time come into play, and in which they try to find a balance between multiple engagements, between autonomy and authority, between attention and distraction, and between being original and mirroring others. This struggle for balance occurs irrespective of which medium (paper-based or paperless) they choose to use. These results provide an in-depth view of the phenomenon, and also highlight the complexity of the note-taking experience. [ABSTRACT FROM AUTHOR]

Landslides are among the major environmental hazards with large-scale socio-economic and environmental impacts that jeopardize socio-economic wellbeing in mountainous regions. Landslides are due to the interaction of several complex factors such as local or regional geology, geomorphology, topography, and seismic motions. The goal of this study is to review published articles on causes and effects of landslides in Central Asia throughout 2000–2020. In line with this goal, we have collected (using Scopus database), reviewed, and analyzed 79 papers published during 2000–2020. Our results revealed an increasing number of landslide studies in Central Asia during the period under investigation, with authors from Belgium dominating in the published outcomes (28% of total), followed by authors from Central-Asian countries. After then, the paper analyses the mostly applied models and frequently identified driving conditions and triggers of landsliding, such as aspect, altitude, soil types, precipitation, earthquakes and human interventions. Geographic information system (GIS) and remote sensing (RS) had not commonly been used in the papers between 2000 and 2010, and they have progressively been applied in landslide studies in Central Asia in the last decade. According to our analysis, geotechnical, geophysical and statistical methods were preferably used for the landslide studies in Central Asia. [ABSTRACT FROM AUTHOR]

This paper presents findings from a quantitative investigation of preservice teachers' beliefs about using students' home languages as resources in educational environments. The study looked into the relationships between preservice teachers' professional learning opportunities and their home language beliefs, which had been mostly ignored in prior research. An anonymous survey was used to obtain data from five different teacher education institutions (n = 819) in Flanders (Belgium). Multilevel regression analysis revealed a significant relationship between attending multilingual education courses and holding positive beliefs about students' home languages. There was no association between fieldwork and teachers' home language beliefs. The paper concludes with a discussion of the theoretical and practical implications, limitations and recommendations for future research. [ABSTRACT FROM AUTHOR]

Bedside handover is the delivery of the nurse-to-nurse handover at the patient's bedside. Although increasingly used in nursing, nurses report many barriers for delivering the bedside handover. Among these barriers is the possibility of breaching the patient's privacy. By referring to this concept, nurses add a legal and ethical dimension to the delivery of the bedside handover, making implementation of the method difficult or even impossible. In this discussion article, the concept of privacy during handovers is being discussed by use of observations, interviews with nurses, and interviews with patients. These findings are combined with international literature from a narrative review on the topic. We provide a practice-oriented answer in which two mutually exclusive possibilities are discussed. If bedside handover does pose problems concerning privacy, this situation is not unique in healthcare and measures can be taken during the bedside handover to safeguard the patient. If bedside handover does not pose problems concerning privacy, privacy is misused by nurses to hide professional uncertainties and/or a reluctance toward patient participation. Therefore, a possible breach of privacy—whether a justified argument or not—is not a reason for not delivering the bedside handover. [ABSTRACT FROM AUTHOR]

ABSTRACT In many European countries, about half of those eligible for means‐tested social benefits, do not receive the benefits to which they are entitled. In the literature, a wide range of factors have been identified that potentially contribute to the non‐take‐up of social benefits. Particular attention has been paid to factors that relate to the claimants themselves, including the experienced or perceived costs associated with claiming benefits and negative attitudes towards claiming benefits. However, the theory on the conditions under which claiming costs matter is still underdeveloped, while the evidence on the relative importance of claiming costs is to a large extent indirect and based on proxy variables. In this paper, we measure individual and household (dis)incentives for taking up social assistance benefits more directly, and evaluate to what extent they are associated with non‐take‐up of social assistance for people at active age in Belgium. To do so, we use a combination of register data and data from the TAKE survey, a new representative survey tailored for studying the determinants of non‐take‐up in Belgium. Combining both sources of information and detailed simulations of eligibility, we show that information costs are much better at predicting non‐receipt of social assistance than process costs and stigma. While attitudes towards the receipt of benefits are of little consequence, optimism about the future seems to matter more, as does the level of material deprivation experienced by the household. We also explore under what conditions information costs matter most. While findings are not very robust, our data suggest that the importance of information costs is mediated by the level optimism about the future and changes in household composition that act as trigger events. [ABSTRACT FROM AUTHOR]

Although medication use during pregnancy is common, most available products lack sufficient safety information. As prospective data collection and perinatal pharmacoepidemiologic research on medication safety in pregnancy did not exist in Belgium yet, the BELpREG data registration system was developed. BELpREG enables comprehensive "real-world" data collection on perinatal medication use and mother-infant outcomes via online questionnaires that are completed by pregnant women every 4 weeks during pregnancy and in the first 8 weeks after childbirth. This paper describes the development and current design of the BELpREG system, including the list of BELpREG variables. To compile this list of variables, relevant documents were explored, followed by consultation of an interdisciplinary expert panel. The included variables were structured in seven categories: 1) Sociodemographic characteristics; 2) Information on the current pregnancy and health status; 3) Maternal-obstetric history; 4) Use of medicines, folic acid/pregnancy vitamins and other health products; 5) Substance use; 6) Pregnancy outcomes; and 7) Neonatal outcomes. An electronic informed consent and linkage to medication databases, with images of drug packages and underlying structured data fields, are built into the system. Data collection has officially started in November 2022. Based on its rigorous design, BELpREG holds the potential to be a successful and sustainable research tool, enabling perinatal pharmacoepidemiologic research in Belgium and beyond. [ABSTRACT FROM AUTHOR]

Background study: Chinese tone pronunciation instruction gains increasingly attention and various instructional strategies have been studied to develop effective tones in students. Students usually listen to successful pronunciation stimuli provided by the teacher or peers, to be copied by themselves. However, individuals seem more sensitive to learn from their own voice to develop adequate tone pronunciation. Self‐Modelling is an instructional strategy that builds on learning from ones' own behaviour to develop target behaviours. Most available research builds on visual cues; hence the label Visual Self Modelling (VSM) that presents learners with videoclips of their own behaviour. VSM had been found to be successful to develop a range of skills. However, when focusing on language pronunciation, audio cues are to be preferred to direct the modelling process. This inspired the authors to the design of audio self‐modelling (ASM) that starts from recordings of students' pronunciation. These auditory recordings are hypothesized to be more appropriate as a base for self‐modelling. Objectives: The purpose of this study is to investigate the effectiveness of ASM when training Chinese as a foreign language students' tone pronunciation (focus on contour, pitch, duration. Additionally, the study explores the impact of ASM on students' self‐efficacy and motivation and the relationship between students' tone pronunciation skill, self‐efficacy, and motivation. Method: A quasi‐experimental design was adopted, involving 26 students in a six‐week intervention to study the improvement of their pronunciation of Chinese tones at word level. Seventeen students in the experimental condition were trained via ASM; the other nine students studied pronunciation as usual on the base of teacher provided pronunciation stimuli and corrective feedback. Students in the ASM were also individually interviewed about their learning experience. Results: Analysis of the quantitative pre‐ and post‐tests scores show that ASM results in a significantly higher posttest score for in each of the tone criteria as compared to the control group (contour, pitch and duration). Also, students' self‐efficacy and motivation improved to a significantly higher extent in the ASM research condition. No significant correlations were found between CFL students' tone pronunciation performance and their self‐efficacy and motivation. Analysis of the interview data further indicated that CFL students put forward positive attitudes and perceptions about ASM, next to some concerns. Conclusion: The significant findings present empirical evidence as to the efficacy of ASM as an instructional strategy to develop L2 skills, and push the idea to adopt self‐modelling on the base of person auditory recordings to direct L2 pronunciation instruction. Lay Description: What is currently known about the subject matter: There are four tones plus a neutral tone in Modern Chinese.Chinese tones are very difficult to acquire for non‐native Chinese people.Listening to one's own voice has been proved to be effective for learning music What the paper adds to this: It demonstrates that listening to one's own adaptive voice is effective for learning Chinese tones.Chinese as a foreign language (CFL) students feel more confident when listening to their own adaptive pronunciation. The implications of study findings for practitioners: Individuals learning a foreign language can consider using audio self‐modelling—listening to their own adaptive pronunciation—as a strategy to practice their pronunciation. [ABSTRACT FROM AUTHOR]

Through historical and anthropological inquiry, this paper addresses the issue of memory antagonisms involving cultural landscapes in the context of a former mining region: the Belgian Black Country. This region, which became increasingly industrialized in the 19th century through the massive development of coal mining and steel industry, subsequently experienced deindustrialization, and now finds itself mobilized in a process of 'post-industrial' mutation. The paper is divided into two parts. In the first part, it examines how the landscapes inherited from industry, and in particular the slag heaps of the coalfield, have over time become repositories of a working-class memory, through the living and working practices of the communities surrounding the mines. It also documents the various representations attached to these landscape objects, whose contradictions echo the oppositions between capital and labor that have marked the development of industrial capitalism. The second part of the paper, which focuses on the present situation, examines how these representations are remobilized in the valorization processes that are initiated by different actors, in the context of a 'post-industrial' urban transition strategy that seeks to produce a unified and pacified historical narrative. We'll be looking at how historical conflicts still permeate the representations of these landscapes, the question of their conservation, and their possible future. [ABSTRACT FROM AUTHOR]

The exact role of biochemical markers of bone turnover in the management of metabolic bone diseases remains a topic of controversy. In this consensus paper, the Belgian Bone Club aimed to provide a state of the art on the use of these biomarkers in different clinical or physiological situations like in postmenopausal women, osteoporosis in men, in elderly patients, in patients suffering from bone metastasis, in patients with chronic renal failure, in pregnant or lactating women, in intensive care patients, and in diabetics. We also gave our considerations on the analytical issues linked to the use of these biomarkers, on potential new emerging biomarkers, and on the use of bone turnover biomarkers in the follow-up of patients treated with new drugs for osteoporosis. [ABSTRACT FROM AUTHOR]

The paper starts with a description of the complexity of the Belgian nation and an overview of its universities. During the term of the authors' librarianship at their university, there were regular meetings with their colleagues from the other universities, both at a national and a Flemish level. For both, a brief description is given of the actions originating from these collaborations. Nevertheless, these collaborations were also influenced negatively by the existing competitivity between their universities. At a national level, this led to a failure of the dream of installing a unified library management system. At a Flemish level, resentments were raised by the discussion on how to divide the funding that the Ministry of Education had allocated for the acquisition of digital journals. [ABSTRACT FROM AUTHOR]

This paper investigates three potential mechanisms of educational differentials in formal childcare uptake in Belgium, a country characterised by high availability, but also pronounced gradients in childcare uptake. We investigate whether and to what extent educational differentials can be accounted for by (i) differences in employment opportunities of mothers with different educational backgrounds, (ii) variation in local childcare availability which may entail different access, or (iii) differential availability of grandparents as an alternative source of affordable and flexible care. We use data from the 2011 Belgian census, which provides us with information on the socio-demographic characteristics of the entire population legally residing in Belgium. The census was linked to tax register data which gives insight into the uptake of formal childcare as childcare expenses are tax-deductible, as well as municipality-level data on childcare availability. Using logistic regression analysis, we investigate the uptake of formal childcare among two-parent families with one child younger than 2.5 years old. Results indicate that educational gradients are mainly due to differences in employment opportunities rather than differential availability of formal childcare at the local level or informal childcare availability. [ABSTRACT FROM AUTHOR]

Using time use diary data collected among 2603 teachers from the Flemish community of Belgium, this article investigates the 'family friendliness' of the teaching profession by exploring the family time of teachers in couple households with children. Teachers are an interesting case as the teaching profession is heavily feminised and considered to be a 'family friendly' occupation; it allows to synchronize the workers' schedule with their children's. Flexible work arrangements such as schedule or work-place flexibility function as so called 'boundary-spanning strategies'. However, research on the impact of flexible work on work-life balance has shown mixed results. This paper develops a number of time-use based indicators to measure the quality of family time and validates these by relating them to work-life balance. Subsequently, it is assessed how teachers' use of work time flexibility affects the quality of family time to evaluate whether this flexibility can be understood as a resource for increasing work-family balance. Results show that teachers with children have a better quality of family time and subsequently a better work-life balance if they work on standard hours rather than using their schedule flexibility to optimize the amount of family time. Highlights: Postponing work from afternoons to evenings and weekends proves to be detrimental for the quality of family time. The quality of family time is more important for self-reported work-life balance than the total amount of family time. Uncontaminated family leisure time is positively associated with the perceived work-life balance. Contaminated non-free time with family and fragmented shared time is negatively associated with the perceived work-life balance. [ABSTRACT FROM AUTHOR]

Studies examining parties' attack behaviour, also called negative campaigning, largely neglect temporal dynamics. Therefoe, this paper examines how the electoral cycle, the period between two elections, impacts parties' attack behaviour in parliaments. We argue that parties attack all the time but that the (i) level, (ii) type, and (iii) nature of attacks are affected by the electoral cycle as parties adapt their objectives. Analysing longitudinal data on parties' attacks in the parliaments of Belgium, Croatia, and the UK (2010–2020), we find that when elections draw closer parties' use of attacks, trait attacks, and uncivil attacks increases. We also find support for the notion that not all parties' attack behaviour is equally impacted by the electoral cycle, as parties differ in sensitivity to the electoral cycle based on risk acceptance. Overall, the impact of the electoral cycle on parties' strategic choices in general, and attack behaviour specifically, should not be ignored. [ABSTRACT FROM AUTHOR]

How do members of regional parliaments engage in EU policymaking? This paper examines how and why members of the Walloon, Flemish and Brussels regional parliaments vary in their EU-contacting activities, by adapting a German survey. Belgium makes a relevant case, as the 'in foro interno, in foro externo' principle entitles regions to conduct foreign policy, including EU affairs in those areas they possess internal competency. Our data show that the level of EU-contacting activities of Belgian regional parliamentarians is overall low, mainly directed towards informational activities and taking place in the direct environment of the parliamentarians. The variation in EU-related activities is best explained by individual-level factors such as the perceived salience of Europe for their own careers, their perceived influence on EU policymaking and their position towards European integration. [ABSTRACT FROM AUTHOR]

Genetic relatedness figures heavily in contemporary ethical debates on egg freezing, although the arguments lack empirical‐based evidence. Rather than adding another theoretical view on the moral relevance of genetic connections, this paper instead proposes an empirically grounded perspective based on two independent qualitative interview‐based studies conducted in Belgium and France. Three themes emerge from our empirical data: (1) prioritizing family building; (2) centering the gestational experience of motherhood; and (3) identifying the complexities and limitations of adoption. These themes suggest that the relationship between egg freezing, genetics, biological motherhood, and adoption is highly complex and less straightforward than what is often assumed in the egg freezing debate. Our study provides more detailed insights into women's ambivalent experiences regarding those reproductive options. We discuss the ethical implications of our empirical findings and hold that pursuing genetic desire is not necessarily the main moral reason why women freeze their eggs. [ABSTRACT FROM AUTHOR]

Background: Compassionate communities have been put forward as a promising model for community-based support for people facing serious illness, caregiving, dying, and loss. In particular, educational institutions are increasingly acknowledged as potential settings to function as compassionate schools and compassionate workplaces, cultivating acceptance and validation of these experiences beyond the university setting. Objectives: This paper investigates the activities and outcomes of a compassionate community initiative—the Compassionate University program at the Vrije Universiteit Brussel in Belgium. Design: Ripple Effects Mapping was used to guide the focus group and individual interviews conducted with core team members responsible for the development and implementation of the Compassionate University program. Methods: During the focus group and individual interviews, the core team members reflected on the program contributions, with their narratives visually depicted via a hand-drawn mind map. Qualitative data derived from this mind map were entered into XMIND mapping software and fine-tuned based on the focus group and individual interview transcripts and additional project records. Results: Thematic analysis identified four outcome areas that encapsulate the key contributions of the Compassionate University program: (i) increased acceptance and integration of topics such as serious illness, death, and bereavement into existing practices; (ii) broader support for and formalization of compassionate procedures and policies; (iii) emergence of informal networks and internal collaboration on the topics; and (iv) diffusion of compassionate ideas beyond the university. Conclusion: The Compassionate University program facilitates a cultural shift within the university environment, fostering greater acceptance of integrating topics such as serious illness, death, and bereavement into existing practices. Additionally, compassionate procedures and policies for students and staff have been formalized, and core team members are increasingly called upon to provide support on these matters. Notably, Compassionate University stands out as one of the pioneering initiatives in Europe, attracting different educational institutions seeking guidance on cultivating a more compassionate environment. [ABSTRACT FROM AUTHOR]

Concerns about widespread democratic dissatisfaction have prompted a search for remedies, such as increasing citizens' role in politics. While the public seems supportive, it remains unclear whether such newly introduced procedures can effectively tackle citizens' dissatisfaction with present‐day politics. This paper develops a problem‐solving approach to studying this question. It proposes that combining insights on what 'pushes' and 'pulls' people to support procedural reform is crucial: Only then can we uncover if and how people consider procedural reform as addressing the problem(s) they see in the representative system today. Using the example of deliberative minipublics and original, pre‐registered survey data from Belgium (n = 1,579), we find that respondents generally think of minipublics as problem‐solvers rather than problem‐creators, albeit to different degrees. For instance, this perceived problem‐solving potential is more pronounced among discontent citizens. This study sheds new light on the importance of studying citizens' reasoning about the roots and remedies for political dissatisfaction. [ABSTRACT FROM AUTHOR]

Researchers' reflexivity usually focuses on the spatiality and sociality of their ethnographic fieldwork. As a result, the temporal context of their positionality, whereby their various identities interact with one another at different research phases, is often overlooked. This paper adopts an agentic intersectional approach and draws from our separate studies of Thai migrant women in Belgium and Hong Kong to unpack the temporality of the power dynamics between study participants and us (the researchers). Through this reflexive exercise, we identify three salient aspects: first, different identities of the researchers intersect at each phase of the study; second, researchers are dependent on gatekeepers and study participants, notably during the data-gathering phase; and third, the changing researcher–participant dynamics throughout the research process are embedded in broader relations of power that encompass social institutions and migrant/ethnic networks. Hence, researchers' self-discipline and constant awareness of positionality are of utmost importance for achieving well-situated knowledge (re)production. [ABSTRACT FROM AUTHOR]

Aims: socNAMs provides a comprehensive and comparative dataset for researchers to identify how students' recent migration and their school setting relates to their social wellbeing, particularly regarding their feelings of loneliness. Results: This study design article delineates a quantitative cross-sectional research study (socNAMs) which successfully developed three questionnaires that were administered with unique and hard to reach populations, newly-arrived adolescent migrants (NAMs) and school staff offering reception education in Flanders, Belgium. Methods: At the individual level, socNAMs collected information on: (1) socio-demographic variables of NAMs; (2) migration and family context; (3) social relationships; (4) school experiences; (5) self-perceived wellbeing (physical and social); and (6) experiences with discrimination. The questionnaire developed for NAMs is available in 16 languages. To gain a further understanding of the impact of the school environment on NAMs, socNAMs collected contextual information primarily concerning school social capital by including data collected from teachers and reception-class coordinators. The final sample included 1379 NAMs, 50 teachers and 26 reception-class coordinators, from 35 schools offering reception education. Conclusions: In this article, we present the rationale for this study, the methodology of sampling and recruitment, the development and content of the questionnaires, some preliminary descriptive results and the strengths and limitations of the study. Future empirical studies will address the research aims outlined in this protocol paper. In addition, we highlight the opportunities that the dataset provides for advancing research regarding the social wellbeing of NAMs in varying school and national contexts. [ABSTRACT FROM AUTHOR]

Human geographers have analyzed the co-constitutive relationship between race, gender and sexualities across different spaces and social contexts and have called for intersectional approaches in discussions of identities, power and space. This article applies an intersectional framework to the processes of sexualization, racialization and exoticization that shape the daily lives and erotic/romantic encounters experienced and narrated by participants to two different projects: gay and bisexual men from a North African background living in Belgium; Italian gay men living in England; non-White gay men living in Italy. By discussing qualitative data collected during interviews with these men, and through a continued dialogue about this data between the authors, the paper explores both the effects of these processes on the lives of participants, and the strategies they enact to navigate their social worlds. The focus is on two elements, central to participants' narratives: the specificity of the intersectional experience of encountering men who expect a specifically gendered and racialized performance based on 'roughness' and 'wildness', and the capitalization on these exoticizing and racializing images to increase one's desirability on the dating/hook-up scene and everyday social and work life. By highlighting these elements, this paper shows the importance of applying an intersectional approach to analyses of the entanglements of racialization and sexualization in order to complicate linear accounts of these processes. [ABSTRACT FROM AUTHOR]

Background: Augmented reality (AR) is receiving increasing interest as a tool to create an interactive and motivating learning environment. Yet, it is unclear how instructional support affects performance in AR. Objectives: This study sought to explore how varying the instructional support in AR can affect performance‐related behaviours of students with low cognitive abilities during assembly work. Methods: A total of 90 Belgian secondary school students repeatedly executed four different realistic assembly tasks. Three levels of instructional support (low, medium, and high) in AR as well as a control condition with paper instructions with a high level of detail were systematically varied across tasks and participants. Results and Conclusions: Multilevel regression analyses showed that AR instructions yielded lower assembly times and a lower perceived physical effort than paper instructions. Additionally, participants perceived tasks as less complex when given AR instructions with a high or a medium level of detail than when given a low level of detail. No effects of instructional support were established for other performance‐related behaviours, namely necessary assistance, error‐making, cognitive load, competence frustration, and stress. Effect sizes were small, at least among the instructional support conditions studied, yielding a limited base for adaptivity. Presumably, tailoring the instructional support in AR is only beneficial for highly complex tasks. The results might be useful for the design and implementation of AR in educational settings. Lay Description: What is currently known about the subject matter: Augmented reality is knowing increased use in education.Little is known about how to design effective instructional support in augmented reality. What this paper adds: This study represents an initial insight into how to personalize instructional support.The impact of instructional support on augmented reality performance of students with low cognitive abilities was investigated.The study suggests that varying instructional support may lead to differences in performance outcomes. Implications for practitioners: How instructional support is constructed may affect augmented reality learning.The results may inform the design of effective augmented reality learning environments for students with special needs.How individual, contextual, and task‐specific characteristics moderate the effectiveness of instructional support should be further investigated. [ABSTRACT FROM AUTHOR]

Paperwork has always been a central part of bureaucratic work. Over the last few years, bureaucratic procedures have become increasingly standardised and digitalised. Based on interviews and ethnographic fieldwork within welfare offices in Switzerland and Belgium, we reflect on the way evidence is constructed within social policy and cases built for or against noncitizen welfare recipients in order to show how paper truths are established and challenged. The focus on digital practices within public policy implementation highlights how it contributes to enhanced control mechanisms on the implementation level and how migration law continues to guide welfare governance for noncitizens. This allows targeting of the most marginalised groups, whose rights to access state support are institutionally impeded. Through database information flows, official forms, paper reports and face-to-face meetings, we further show how a hybrid form of bureaucratic work emerges, where direct contact with the client is still key, yet highly influenced by standardisation processes. [ABSTRACT FROM AUTHOR]

Background: The assessment of primary care organizations is considered to be essential for improving care. However, the assessments' acceptability to professionals poses a challenge. Developing assessment programmes in collaboration with the end-users is a strategy that is widely encouraged to make interventions better targeted. By doing so, it can help to prevent resistance and encourage adherence to the assessment. This process, however, is rarely reported. This paper aims to fill this gap by describing the process of the co-production of an assessment programme for community health centres (CHCs) affiliated to the Federation of Community Health Centres (FCHC) in French-speaking Belgium. Methods: We conducted a documentary study on the co-production of the assessment programme before carrying out semi-structured interviews with the stakeholders involved in its development. Results: CHCs in French-speaking Belgium are increasing in number and are becoming more diverse. For the FCHC, this growth and diversification pose challenges for the meaning of CHC (an identity challenge) and what beneficiaries can expect in terms of the quality of organizations declaring themselves CHC (a quality challenge). Faced with this double challenge, the FCHC decided to develop an assessment programme, initially called Label, using participatory action research. During the co-production process, this initial programme version was abandoned in favour of a new name "DEQuaP". This new name embodies new objectives and new design regarding the assessment programme. When studying the co-production process, we attributed these changes to two controversies. The first concerns how much and which type of variety is desired among CHCs part of the FCHC. The second concerns the organization of the FCHC in its capacity as a federation. It shed light on tensions between two professional segments that, in this paper, we called "political professionalism" and "pragmatic professionalism". Conclusions: These controversies show the importance of underlying challenges behind the development of an assessment programme for CHCs. This provided information about the evolution of the identity of multidisciplinary organizations in primary care. Issues raised in the development of this assessment programme also show the importance of considering assessment methods that reflect and embody the current realities of these organizations and the way of developing these assessment methods. [ABSTRACT FROM AUTHOR]

A recent paper published in the European Addiction Research journal highlighted the discrepancies in addiction medicine and psychology training across European countries. The paper specifically mentioned Belgium as having no specific training and only four academics working on addictive disorders. However, further investigation revealed that the situation in the French-speaking part of Belgium is less dire than described in the paper. Three universities in this region have research groups focusing on addiction research, and courses related to addiction are routinely provided to students. Additionally, there are inter-university diplomas available for medical professionals and a dense network of care for addictive disorders in the French-speaking part of Belgium. Despite these strengths, challenges remain in terms of the education of caretakers specialized in addiction and the quality of treatment offered. Proposed solutions include improving continuous training, reducing the treatment gap, and strengthening preventive laws and policies. Collaboration between French- and Dutch-speaking clinicians and researchers is also crucial for improving addiction treatment in Belgium. [Extracted from the article]

The COVID-19 pandemic has disrupted societies globally. Public health institutions were tasked with responding to the pandemic in a dynamic and uncertain context. This paper sheds light on the experiences of COVID-19 response actors as they navigated multi-dimensional crises associated with the pandemic in general and vaccine hesitancy in particular. This research was conducted during the initial phase of the COVID-19 vaccine rollout in Flanders, Belgium. Participants included informants across all levels of the COVID-19 vaccination strategy including but not limited to those producing scientific knowledge, providing policy input, or implementing public health directives locally. 'Crisis' was identified as a recurring theme in interviews with informants. The paper highlights multi-dimensional crises experienced by informants such as the: (i) crisis of prioritization, (ii) crisis of communication, (iii) crisis of the changing image of science, (iv) crisis of epistemic agency and autonomy, and (v) crisis of trust. [ABSTRACT FROM AUTHOR]

The transition to parenthood exacerbates gender inequality in couples' division of paid work. While this is widely documented for general populations, in particular, potential underlying mechanisms of this phenomenon remain un(der)explored for couples with different migration backgrounds. Hence, this paper examines how women's pre-birth relative wage potential affects the gender division of paid work after the transition to parenthood in Belgium among native, Southern-European and non-European origin couples. Our results show that, among all couples, the division of paid work is more gender-equal after childbirth when women's wage potential is higher than or similar to that of their male partner. However, there is substantial variation by couples' migration background and relative wage potential in partners' gender division of paid work and the extent to which it changes after parenthood. These findings suggest that both normative and institutional factors moderate the impact of partners' relative resources on couples' division of paid work after parenthood, particularly among non-European origin couples. [ABSTRACT FROM AUTHOR]

In the geological disposal of high-level radioactive waste in argillaceous rocks, studying the barrier integrity after gas transport and the pathway closure thanks to self-sealing capacity is a crucial aspect for the safety assessment. This paper presents experimental research in Boom Clay (a potential host rock in Belgium) to evaluate the effectiveness of self-sealing and possible fissure reactivation during a second gas invasion event. Initial water permeability under oedometer conditions was first measured on samples at two bedding orientations, being higher the sample with bedding planes parallel to flow, highlighting marked anisotropy. Then, gas injection tests at a constant volume rate were performed. Results indicated that Boom Clay underwent expansion and degradation during gas injection due to the development of fissures that were quantified using microstructural techniques. The computed effective gas permeability was not significantly dependent on bedding orientation and was slightly larger than the initial intrinsic water permeability. The re-saturation of the samples led to a recovery of the initial water permeability for both orientations, replicating the original anisotropy. The microstructural analyses confirmed the gas pathways' closure, indicating good self-sealing and the regaining of the hydraulic barrier function. However, a small volume of large unconnected pores was detected on undrained unloading before the microstructural study. An additional gas injection after the self-sealing resulted in a higher effective gas permeability and a larger increase in pore volume, suggesting the reopening of fissures generated during the first injection. Finally, the experimental data were compiled within a multi-scale phenomenological model to relate the microstructural information to macroscopic flow transport properties capturing the intrinsic permeability increase on gas invasion and its recovery during self-sealing. Highlights: Gas transport on Boom Clay occurs along fissures, increasing its permeability The re-saturation process induces the recovery of the initial water permeability, demonstrating an excellent self-sealing capacity. A subsequent gas injection after the re-saturation suggests the reopening of previous gas paths. A multi-scale model is proposed to account for the permeability changes derived from a microstructural damage variable. [ABSTRACT FROM AUTHOR]

This paper studies the contradictory effects of pro-homeownership policies on inequalities through the case of Belgium. While the literature describes high homeownership rates as levellers of wealth inequalities, this paper finds, using national microdata from ECHP and EU-SILC, that different mechanisms underlying homeownership growth have had contradictory effects on economic inequalities, even in the absence of a housing crisis or increase in income inequalities. Inequalities in the weight of rental costs have risen for newly contracted rental agreements in the last decade, while wealth inequalities are rising because of an increasingly exclusive mortgage-credit market. Current measurements of wealth inequalities are based on the distribution of net wealth, thereby missing the evolution of the difference between mean wealth and no wealth and the dynamic nature of wealth accumulation. Therefore, inequalities are rising in Belgium as poorer renters are increasingly constrained by rental costs when they are increasingly excluded from accessing homeownership. [ABSTRACT FROM AUTHOR]

Background: Acute and late toxicities in patients treated with (chemo)radiotherapy for head and neck cancer (HNC) is common and can negatively impact quality of life and performance. Performance status instruments measure the functional ability to perform daily life activities and are important tools in the oncologic population. Aims: Since Dutch performance status scales for the HNC population are lacking, we conducted this study to translate the Performance Status Scale for Head and Neck Cancer Patients (PSS‐HN) into Dutch (D‐PSS‐HN) and to validate this version. Methods & Procedures: The D‐PSS‐HN was translated into Dutch according to the internationally described cross‐cultural adaptation process. It was administered to HNC patients and together with the Functional Oral Intake Scale completed by a speech and language pathologist at five different time points during the first 5 weeks of (chemo)radiotherapy. Patients were asked each time to complete the Functional Assessment of Cancer Therapy and the Swallowing Quality of Life Questionnaire. Pearson correlation coefficients were used to calculate convergent and discriminant validity and the evolution of D‐PSS‐HN scores was assessed by means of linear mixed models. Outcomes & Results: A total of 35 patients were recruited and > 98% of the clinician‐rated scales were completed. Convergent and discriminant validity were demonstrated, with all correlations rs between 0.467 and 0.819, and between 0.132 and 0.256, respectively. The subscales of the D‐PSS‐HN are sensitive to detect changes through time. Conclusion & Implications: The D‐PSS‐HN is a valid and reliable instrument to assess performance status in patients with HNC treated with (chemo)radiotherapy. It is a useful tool to measure HNC patients' current diet level and functional abilities to perform daily life activities. WHAT THIS PAPER ADDS: What is already known on the subject: Acute and late toxicities in patients treated with (chemo)radiotherapy for HNC are common and can negatively impact quality of life and performance. Performance status instruments measure the functional ability to perform daily life activities and are important tools in the oncologic population. However, Dutch performance status scales for the HNC population are lacking. Therefore, we translated the Performance Status Scale for Head and Neck Cancer Patients (PSS‐HN) into Dutch (D‐PSS‐HN) and validated this version. What this paper adds to existing knowledge: We translated the PSS‐HN and demonstrated its convergent and discriminant validity. The subscales of the D‐PSS‐HN are sensitive to detect changes through time. What are the potential or actual clinical implications of this work?: The D‐PSS‐HN is a useful tool to measure HNC patients' functional abilities to perform daily life activities. The tool can easily be used in clinical settings: since data collection duration is very short, this facilitates clinical (and research‐related) implementation of the scale. Patients' individual needs could be identified by using the D‐PSS‐HN, resulting in more appropriate approaches and (early) referrals if needed. Interdisciplinary communication could be facilitated. [ABSTRACT FROM AUTHOR]

Background: In the governmental delineation of the speech‐language therapist (SLT) profession and in preservice SLT education, Flemish SLTs are considered as gatekeepers of the standard language in Flanders. Yet, most Flemish clients typically use a colloquial language style. Following earlier research on how teachers' language style affects teacher–student interactions, an SLT's strict adherence to standard Dutch may potentially evoke perceptions of inequality in their clients. As a result, Flemish SLTs may find themselves torn between on the one hand adhering to the standard language and on the other hand adapting to the sociolinguistic style of their client and establishing trust. In the present study, we explored SLTs' views on using standard/colloquial language varieties in their practice. Methods & Procedures: Individual semistructured interviews were conducted with 13 Flemish SLTs who worked with children, adolescents and adults in special schools, private practices and hospitals. Interview transcripts were analysed with reflexive thematic analysis. Outcomes & Results: Analyses yielded three themes. Switching between styles was (1) triggered by client characteristics (age, style, therapeutic needs), and it was shaped by (2) the need for establishing trust and (3) a balance between the SLT's professional and personal identity. Notably, most SLTs described partially converging with their clients' colloquial style, effectively reconciling their professional identity as expert speakers with their personal identity as a colloquial language user. Conclusions & Implications: Despite consensus on the role of the SLT as gatekeeper of standard language, many SLTs felt that colloquial language also plays an important role as it bolsters therapeutic alliance and rehabilitation of functional communication. By implementing reflective mixed methods and integrating the client perspective, future studies should further examine how authentic style‐switching occurs and how various styles used by the SLT are evaluated by clients in different contexts. These findings may guide the development of style‐switching as a communicative strategy that can be addressed in preservice education. What this paper adds: What is already known on the subject: In Flanders, the existence of various (non‐)standard varieties of Dutch may evoke some tension regarding the preferred variety in a given context. Flemish teachers switch between standard language and colloquial language (style‐shifting), depending on the foregrounding of the transactional or relational nature of the context. Moving towards students' colloquial speech builds trust and perceptions of equality. Despite the importance of alliance in speech‐language therapy, little is known about how speech‐language therapists (SLTs) feel about using colloquial speech given that they are considered expert speakers. What this paper adds to existing knowledge: While 'talking properly' is part of the SLT's professional identity, many Flemish SLTs felt that strict adherence to the standard language variety hinders therapeutic alliance. While standard language was strongly associated with professionalism, strict adherence to standard language was used only when SLTs felt they had to prove their clinical competency or when language scaffolding was in the foreground. Partially converging with the clients' language use allowed SLTs to reconcile their professional identity as expert speaker with personal identity and authenticity. What are the potential or actual clinical implications of this work?: Both colloquial speech and standard speech serve a function in SLT practice. Therefore, switching between standard and colloquial speech needs further consideration as a communicative strategy rather than instilling in therapists an ideological, normative stance towards language. [ABSTRACT FROM AUTHOR]

This study provides an in-depth analysis of the potential role of hydrogen (H 2) in the Belgian transport sector in the context of sustainable and environmentally friendly growth. This paper starts by examining the energy-climate roadmap and the emission mitigation programme defined by the Belgian federal government in the context of environmental sustainability. Then, the Belgian situation is critically evaluated in light of the needs for H 2 fuel in the transport sector, as well as issues about a roadmap on environmental considerations for a sustainable future, while preserving the country's economic stakes. There are several key advances in this direction, especially as H 2 is seen as one of the best viable options for sustained development, unlike other possibilities. This paper also highlights some limitations that make it difficult to accelerate the transition to a sustainable H 2 energy future. Although there are many interests in favour of an advanced and non-polluting transport system, there are differing views on the approach to be taken in political decision-making at national level. Therefore, this study will help public authorities to better integrate environmental and sustainability issues in the context of a transition to a comprehensive hydrogen economy in the current transport sector. • An in-depth analysis of hydrogen's role in the Belgian transport sector is presented. • Considerations of sustainable and environmentally friendly growth are addressed. • It highlights the constraints and barriers to the full development of H 2 in Belgium. • There is no unified national public policy for hydrogen development. • Policies should prioritise R&D, training and social empowerment of hydrogen energy. [ABSTRACT FROM AUTHOR]

The REpowerEU plan prioritizes combining electrification with low-carbon hydrogen for a green energy shift. However, uncertainties surrounding the future hydrogen market and its supply costs impede the establishment of its value chain. Without definite plans for hydrogen production and infrastructure, investing in low-carbon hydrogen industrial processes is risky. Simultaneously, the absence of solid market interest poses challenges in deploying a hydrogen backbone. In recent years, European gas Transmission System Operators (TSOs) in Belgium, Netherlands, and Germany, have introduced various roadmaps for their prospective national hydrogen network. Despite the infrastructure proposals, detailed quantitative scenario analysis for the future hydrogen supply chain is still missing. This paper presents a hydrogen infrastructure model that employs Mixed Integer Linear Programming (MILP) for investment and operational cost optimization at detailed spatiotemporal resolution. A regionalization method is proposed to allocate the potential hydrogen consumption in different industrial sectors across various clusters within a country, represented as the prospective hydrogen demand nodes. The model assesses extreme supply scenarios to examine the robustness of the resulting network infrastructure and compare the system-levelized cost of hydrogen. A real-life case study focusing on the potential Belgian hydrogen supply chain showcases the model's capabilities and outputs. • Regionalization of the industrial hydrogen consumption derived from a national-scale energy system model. • MILP cost optimization model for hydrogen infrastructure design. • Comparative analysis of diverse extreme low-carbon hydrogen supply scenarios. • In-depth case study focusing on the prospective Belgian hydrogen backbone. [ABSTRACT FROM AUTHOR]

In phosphorites, the content and distribution of rare earth elements are linked to the environment of phosphogenesis. This paper focuses on the question of sources and processes controlling the rare earth element content of apatite from Belgian phosphorites formed during three major phosphogenic events in the Lower Palaeozoic, Late Cretaceous and Cenozoic. To constrain sources and processes, new data include petrological, mineralogical (including cathodoluminescence and Raman spectroscopy) and in situ trace element and Sr and O isotope analyses of apatite. Fluorapatite from Lower Palaeozoic P‐rich conglomerates has the greatest rare earth element enrichment. It is affected by metamorphism that led to deformation of apatite nodules and formation of garnet porphyroblast inclusions. The role of Fe‐oxyhydroxides in element scavenging is highlighted by some apatite nodules that maintain their primary middle rare earth element enrichment, while others are characterized by altered rare earth element patterns resulting from competition for these elements between co‐crystallizing minerals during deformation. A systematic shift towards lower δ18O and radiogenic Sr isotopic composition compared to contemporaneous seawater indicate interaction with 18O‐depleted meteoric fluids and a crustal component. By contrast, carbonate‐rich fluorapatite from the Late Cretaceous phosphatic chalk mostly keeps its primary trace element and isotopic signatures (close to seawater), although an external rare earth element addition is noted, as well as rare earth element redistribution induced by diagenetic alteration. Cenozoic carbonate fluorapatite nodules mostly present flat rare earth element patterns that are indicative of a detrital influence. Slight changes in rare earth element distribution are assigned to post‐depositional alteration, which also led to an increase in radiogenic Sr, with unchanged δ18O compared to seawater. The methodology followed here efficiently helps in deciphering the processes that modified the chemistry of apatite in the frame of major phosphogenic events. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic immensely impacted care provision, including quality of care in general practice. This paper aimed: (1) to assess how Belgian general practices acted upon the six dimensions of quality of care during COVID-19; (2) to study differences between the three Belgian regions; and (3) to benchmark the performance of the Belgian practices against the performance in other European countries. Methods: The data collected from 479 Belgian practices during 2020–2021 using an online survey as part of the international cross-sectional PRICOV-19 study were analyzed. Hereby, descriptive statistics, chi-squared tests, and binary logistic regression analyses were performed. Thirty-four survey questions related to the six dimensions of quality of care were selected as outcome variables. The adjusted regression models included four practice characteristics as covariates: practice type, being a teaching practice for GP trainees, multidisciplinarity of the team, and payment system. Results: Belgian practices made important organizational changes to deliver high-quality care during COVID-19. Most practices (n = 259; 56.1%) actively reached out to vulnerable patients. Limitations to the practice building or infrastructure threatened high-quality care in 266 practices (55.5%). Infection prevention measures could not always be implemented during COVID-19, such as using a cleaning protocol (n = 265; 57.2%) and providing a separate doctor bag for infection-related home visits (n = 130; 27.9%). Three hundred and sixty practices (82.0%) reported at least one safety incident related to a delayed care process in patients with an urgent condition. The adjusted regression analysis showed limited significant differences between the Belgian regions regarding the quality of care delivered. Belgian practices demonstrated varied performance compared to other European countries. For example, they excelled in always checking the feasibility of isolation at home but reported more patient safety incidents related to timely care than at least three-quarters of the other European countries. Conclusions: Future studies using different design methods are crucial to investigate which country and practice characteristics are associated with delivering high-quality care. [ABSTRACT FROM AUTHOR]

This paper describes the process of developing classroom culture that promotes reciprocal intercultural encountering in the primary school. Storycrafting, an oral storytelling method used for democratic encounters between participants, was used to connect classes in Scotland, Finland and Belgium over three cycles of design-based research. Abductive analysis produced a theoretical framework of seven key dimensions that influence the learning space for reciprocal encounters: power, knowledge, relatedness, purpose, structure, continuity and meaningfulness. These dimensions were used to identify four kinds of learning spaces that occurred during the implementation of the story exchange: the ambivalent space, the space of information, the transitional space and the space of reciprocal encountering. The intervention created a platform for children's encounters that reinforced mutuality and reciprocal interactions rather than Othering the exchange partners. [ABSTRACT FROM AUTHOR]

There has been a growing policy interest in establishing connections between heritage and education. Nevertheless, there seems to be very little evaluation or critical reflection on what actually happens in practice, and it remains unclear how heritage education is employed in countries throughout Europe. The aim of this paper is to assess the current status of heritage education in Flanders (the Dutch-speaking northern part of Belgium) via a literature review and an exploratory case study. The perceptions and opinions of pre-service teachers (n = 17) were investigated using three instruments: a questionnaire, document analysis, and the think aloud method. The results show that the pre-service teachers had a traditional interpretation of heritage, mainly relying on well-known and monumental examples and following a rather historical–artistic conception. However, it was found that their opinions were positive towards the use of heritage as an educational resource, and their evaluations of educational materials from the heritage and museum sector provided detailed information concerning teachers' desires and needs in this regard. The implications of this study should encourage initial teacher training in Flanders to further consider the epistemological and methodological challenges in the emerging field of heritage education. [ABSTRACT FROM AUTHOR]

Background: The Bethesda System for Reporting Thyroid Cytopathology is a commonly used classification for fine needle aspiration (FNA) cytology of suspicious thyroid nodules. The risk of malignancy (ROM) for each category has recently been analyzed in three international databases. This paper compares the diagnostic performance of the Bethesda classification in a high‐volume referral center in Belgium. Methods: All consecutive thyroid procedures were registered in a prospective database from January 2010 till August 2022. Patient and surgical characteristics, preoperative Bethesda categories, and postoperative pathology results were analyzed. Results: Out of 2219 consecutive thyroid procedures, 1226 patients underwent preoperative FNA. Papillary thyroid cancer was the most prevalent malignancy (N = 119, 70.4%), followed by follicular (N = 17, 10.1%) and medullary thyroid cancer (N = 15, 8.9%). Micropapillary thyroid cancer was incidentally found in 46 (3.8%) patients. Bethesda categories I, II, III, IV, V, and VI, respectively, represented 250 (20.4%; ROM 4.4%), 546 (44.5%; ROM 3.8%), 96 (7.8%; ROM 20.8%), 231 (18.8%; ROM 15.2%), 62 (5.1%; ROM 72.6%), and 41 (3.3%; ROM 90.2%) patients. Overall ROM was 13.8%. An negative predictive value (NPV) of 96.2% was found. Overall specificity was 64.2% with a positive predictive value (PPV) of 31.9%. Diagnostic accuracy was 67.8%. Compared to international databases (CESQIP, EUROCRINE, and UKRETS), ROM in this study appeared lower for Bethesda category IV (15.2 vs. 26.7% and p = 0.612). Conclusion: Despite being validated in numerous studies, ROM based on preoperative FNA cytology classified according to the Bethesda classification may vary among surgical centers and countries as this study reveals a higher NPV and lower PPV. [ABSTRACT FROM AUTHOR]

This paper describes a multi‐family therapy (MFT) group for adult outpatients with obsessive‐compulsive disorder and their family members. Since family accommodation (FA) is known to maintain OCD symptoms by preventing exposure and response prevention (ERP), reduction of FA is a major focus of the treatment. Furthermore, psychoeducation, conjoint ERP and (re)discovering resources and strengths of families are also important therapeutic foci of the family group. The organisation of MFT is explained and involvement of family is illustrated with clinical vignettes. Finally, some reflections about MFT are provided. On the basis of initial clinical impressions, MFT seems a promising approach. A clinical trial is currently underway. [ABSTRACT FROM AUTHOR]

With the development in the field of energy and the growing demand for sustainable energy, gas–electric integrated energy systems are attracting attention as an emerging energy supply method. At the same time, with the deep application of information technology, the cyber–physical interactions of gas–electric integrated energy systems are increasingly enhanced. To this end, first, the reliability assessment indices of a gas–electric integrated energy system, which comprehensively considers the interactions between cyber–physical and different energy sources, are established in this paper to quantitatively assess the reliability level of the system under different fault and failure conditions. Second, to solve the reliability optimization problem, a comprehensive reliability enhancement optimization model is constructed in this paper, which targets the sum of the total penalties of the failure rate and average repair time modification. The impact of the cyber systems on the gas–electric integrated energy systems is transformed into a modification of the failure rate and the average repair time, and the model is solved by an adaptive Gaussian particle swarm optimization algorithm. Finally, the applicability and superiority of the adaptive Gaussian particle swarm optimization algorithm to the reliability optimization of the gas–electricity integrated energy system are verified by conducting simulation tests on the gas–electricity integrated energy system coupled with an 8-node distribution system and the 11-node natural gas system in Belgium. Furthermore, the effects of cyber systems and cyber-attacks on system reliability optimization are also analyzed to verify the effectiveness of the proposed method and the rationality of the newly defined reliability indices. [ABSTRACT FROM AUTHOR]

BACKGROUND: Do-it-yourself technologies such as 3D printing offer interesting opportunities for creating custom-made assistive devices for people with disabilities. Although these opportunities are increasingly acknowledged, it remains unclear how 3D printing technology should be implemented in assistive devices delivery processes. OBJECTIVE: In three separate action research projects carried out in Belgium, Italy and The Netherlands, workflows were designed and evaluated that incorporate 3D printing as a standard option for providing clients with suitable assistive devices. METHODS: In this paper we describe and compare the three workflows that were conceived simultaneously, yet independently from each other. RESULTS: Based on the evaluations of these workflows, and the experiences of the researchers who developed the workflows, we provide recommendations for implementing 3D printing as a common approach in assistive device delivery processes in practice. Most importantly, designing and manufacturing should be done by means of a client-centered co-creation process by interdisciplinary teams of clinicians, clients, and 3D printing experts. We provide several recommendations for facilitating and supporting collaborations within such teams. CONCLUSIONS: The three workflows presented in this paper are strikingly similar and therefore provide a convincing starting point for interdisciplinary design teams who wish to embark on 3D printing custom-made assistive devices. [ABSTRACT FROM AUTHOR]

When conducting a postal survey, a traditional recommendation is to use paper postage stamps instead of an automated postage system, to make sure that invitations have a more personal and attractive appearance. In this research note, we investigate whether this traditional recommendation is still valid. In the autumn of 2020, a postal survey was conducted among high-school teachers in Belgium strictly adhering to the Dillman protocol. The overall response rate was 43.4%. Invitations with a real paper postage stamp had a three-percentage points higher response rate (44.9% versus 41.8%), but this difference proved not to be significant. There are no significant gender or age differences between the groups. In addition, the presence or absence of a paper stamp did not influence the respondents' choice for answering the questionnaire online or on paper, as those who received a stamped envelope were equally likely to choose the online answering tool. [ABSTRACT FROM AUTHOR]

This paper introduces a Techno-Economic Assessment (TEA) on present and future scenarios of different energy storage technologies comprising hydrogen and batteries: Battery Energy Storage System (BESS), Hydrogen Energy Storage System (H 2 ESS), and Hybrid Energy Storage System (HESS). These three configurations were assessed for different time horizons: 2019, 2022 and 2030, under both on-grid and off-grid conditions. For 2030, a sensitivity analysis under different energy scenarios was performed, covering other trends in on-grid electric consumption and prices, CO 2 taxation and the evolution of hydrogen technology prices from 2019 until 2030. The selected case study is the Research Park Zellik (RPZ), a CO 2 -neutral sustainable Local Energy Community (LEC) in Zellik, Belgium. The software HOMER (Hybrid Optimisation Model for Electric Renewable) has been selected to design, model and optimise the defined case study. The results showed that BESS was the most competitive when the electric grid was available among the three possible storage options. Additionally, HESS was overall more competitive than H 2 ESS-only, regardless of the grid connection mode. Finally, as per HESS, hydrogen was proved to play a complementary role when combined with batteries, enhancing the flexibility of the microgrid and enabling deeper decarbonisation by reducing the electricity bought from the grid, increasing renewable energy production and balancing toward an island operating mode. • Assessment of hybrid energy storage systems for future energy scenarios. • Sensitivity analysis with different technical, economic, and environmental KPIs. • Analysis of the effects of the connection and capacity access to the electric grid. • Application to a real case study: a CO2-neutral Local Energy Community. [ABSTRACT FROM AUTHOR]

Thermal processes represent a significant fraction of industrial energy consumptions, and they rely mainly on fossil fuels. Thanks to technological innovation, highly efficient devices such as high-temperature heat pumps are becoming a promising solution for the electrification of industrial heat. These technologies allow for recovering waste heat sources and upgrading them at temperatures up to 200 °C. Moreover, the coupling of these devices with thermal storage units can unlock the flexibility potential deriving from the industrial sector electrification by means of Demand-Side Management strategies. The aim of this paper is to quantify the impact on the energy system due to the integration of industrial high-temperature heat pumps and thermal storage units by means of a detailed demand–supply model. To do that, the industrial heat demand is investigated through a set of thermal process archetypes. High-temperature heat pumps and thermal storage units for industrial use are included in the open-source unit commitment and optimal dispatch model Dispa-SET used for the representation of the energy system. The case study analyzed is Belgium, and the analysis is performed for different renewable penetration scenarios in 2040 and 2050. The results demonstrate the importance of a proper sizing of the heat pump and thermal storage capacity. Furthermore, it is obtained that the electrification of the thermal demand of industrial processes improves the environmental impact (84% reduction in CO2 emissions), but the positive effect of the energy flexibility provided by the heat pumps is appreciated only in the presence of a very high penetration of renewable energy sources. [ABSTRACT FROM AUTHOR]

Recent climate activism has played a key role in denouncing the unsustainability of representative democracy. Previous research has investigated the attitudes of climate activists towards representative institutions along the conceptual distinction between 'environmental' and 'ecological' democracy. Yet, little attention has been paid to climate activists' critique of capitalism and how it relates to demands for democratic reform. Our paper addresses this gap by conducting a mixed-method analysis of protest survey data collected in Belgium in 2019. Our findings show that activists display low levels of trust towards representative institutions, but still abide by the ideals of environmental democracy within the boundaries of existing institutions. At the same time, we observe a widespread critique of capitalism, signaling attraction towards the ideals of ecological democracy. Overall, our findings challenge the binary distinction between environmental versus ecological democracy, and raises normative questions about the role of environmental social movements in economic and democratic reform. [ABSTRACT FROM AUTHOR]

Although people with a migration background (MB) have more unmet mental health needs than the general population, patients with a MB are still underrepresented in mental health care services. Provider bias towards these patients has been evidenced repeatedly but its driving factors remain elusive. We assessed the moderating effect of the individual (e.g. age and ethnicity), interpersonal (e.g. healthcare provider trust), and organisational (e.g. perceived workload) factors on general practitioners (GPs) differential decision-making regarding diagnosis, treatment, and referral for a depressed patient with or without a MB. An experimental study was carried out in which GPs were shown one of two video vignettes featuring adult male depressed patients, one with a MB and the other without. Belgian GPs (n = 797, response rate was 13%) had to decide on their diagnosis, treatment, and referral. Analysis of variance and logistic regression were used to analyse the effect of a MB, adding interaction terms for the explanatory variables. Overall, we found that there were ethnic differences in GPs' decisions regarding diagnosis and treatment recommendations. GPs perceived the symptoms of the patient with a MB as less severe (F = 7.68, p < 0.01) and demonstrated a reduced likelihood to prescribe a combination of medical and non-medical treatments (F = 11.55, p < 0.001). Those differences increased in accordance with the GP's age and perceived workload; at an interpersonal level, we found that differences increased when the GP thought the patient was exaggerating his distress. This paper showed that lower levels of trust among GPs' towards their migrant patients and high GP workloads contribute to an increased ethnic bias in medical decision-making. This may perpetuate ethnic inequalities in mental health care. Future researchers should develop an intervention to decrease the ethnic inequities in mental health care by addressing GPs' trust in their migrant and ethnic minority patients. [ABSTRACT FROM AUTHOR]

Introduction: Non-communicable diseases, such as arterial hypertension (HTN) and type-2 diabetes (T2D), pose a global public health problem. Integrated care with focus on person-centred principles aims to enhance healthcare quality and access. Previous qualitative research has identified facilitators and barriers for scaling-up integrated care, however the lack of standardized terms and measures hinder cross-country comparisons. This paper addresses these gaps by presenting a generic codebook for qualitative research on integrated care implementation for HTN and T2D. Description: The codebook serves as a tool for deductive or deductive-inductive qualitative analysis, organizing concepts and themes from qualitative data. It consists of nine first level and 39 second level themes. First level codes cover core issues; and second level codes provide detailed insights into facilitators and barriers. Discussion: This codebook is more widely applicable than previously developed tools because it includes a broader scope of stakeholders across micro, meso, and macro levels, and the themes being derived from highly diverse health systems across highand low-income countries. Conclusion: The codebook is a useful tool for implementation research on integrated care for HTN and T2D at global scale. It facilitates cross-country learning, contributing to improved implementation, scale-up and outcomes. [ABSTRACT FROM AUTHOR]

Research on the electoral personalization of politics has stressed a trend towards a greater role of top prominent political figures (party leaders and ministers). This trend was described as centralized electoral personalization. Yet, this trend is merely one side of a more complex story. No leader attracts all voters' support, and other candidates manage to stand out despite lower resources and visibility. Using a unique dataset of 47,239 actual ballot papers cast for the 2018 Belgian local elections, we show that candidate-level, list-level and district-level factors result in distinct preference voting behaviour. While these factors lead to unmistakable forms of (de-)centralized personalized forms of elections, we furthermore, show that intermediary situations distinctively emerge. A significant number of 'subtop' candidates stand out among candidates, by attracting support from voters who do not support the mere leader of the list. This 'oligarchized personalization' would deserve greater attention in the literature. [ABSTRACT FROM AUTHOR]

The i-DREAMS project established a 'Safety Tolerance Zone (STZ)' to maintain operators within safe boundaries through real-time and post-trip interventions, based on the crucial role of the human element in driving behavior. This paper aims to model the inter-relationship among driving task complexity, operator and vehicle coping capacity, and crash risk. Towards that aim, data from 80 drivers, who participated in a naturalistic driving experiment carried out in three countries (i.e., Belgium, Germany, and Portugal), resulting in a dataset of approximately 19,000 trips were collected and analyzed. The exploratory analysis included the development of Generalized Linear Models (GLMs) and the choice of the most appropriate variables associated with the latent variables "task complexity" and "coping capacity" that are to be estimated from the various indicators. In addition, Structural Equation Models (SEMs) were used to explore how the model variables were interrelated, allowing for both direct and indirect relationships to be modeled. Comparisons on the performance of such models, as well as a discussion on behaviors and driving patterns across different countries and transport modes, were also provided. The findings revealed a positive relationship between task complexity and coping capacity, indicating that as the difficulty of the driving task increased, the driver's coping capacity increased accordingly, (i.e., higher ability to manage and adapt to the challenges posed by more complex tasks). The integrated treatment of task complexity, coping capacity, and risk can improve the behavior and safety of all travelers, through the unobtrusive and seamless monitoring of behavior. Thus, authorities should utilize a data system oriented towards collecting key driving insights on population level to plan mobility and safety interventions, develop incentives for road users, optimize enforcement, and enhance community building for safe traveling. [ABSTRACT FROM AUTHOR]

Aims: Multilingual families are often challenged with the transmission of their heritage language (HL) to future generations. Departing from this observation, this study aims to investigate which factors correlate with multilingual families' HL maintenance efforts. The variables taken into account are the families' language policy (FLP), advice from both Early Childhood Care and Education (ECCE) professionals and other (informal) sources, the parents' linguistic and educational resources, as well as their migration generation. Methodology: Exclusively quantitative in nature, the data for this study involve 776 multilingual families in the Flemish community of Belgium. Analysis: These data have subsequentially been subjected to two inferential analyses: a bivariate correlational analysis followed by a logistic regression for a more detailed understanding of the relations at play. Findings: The results indicate a positive correlation between families' policies and their HL maintenance efforts, in addition to confirming the independence of FLP's three components (beliefs, practices, and management). Furthermore, contrary to advice from ECCE professionals, advice from other sources is positively and significantly associated with HL maintenance efforts. Finally, families comprised of parents with access to higher linguistic and educational resources are less likely to try and pass on the HL to their children, probably favouring the acquisition of the institutional language (IL). Originality: This paper quantitatively explores factors that correlate with parental HL maintenance efforts using a large and language-diverse sample. This quantitative approach facilitates generalizations for future (qualitative) research and advice-giving bodies to build on. Significance: Our findings bring about greater insights into the motivation of parents concerning HL maintenance and could contribute to the advice given to multilingual families. [ABSTRACT FROM AUTHOR]

Among the most important sociocultural phenomena of contemporary global societies, immigration brings significant changes to all areas of immigrants' life (family, profession, and quality of life), impacting their cultural identities, including identity associated with their language use. As migrants need to be understood in the languages they are proficient in, receive instruction in the destination language, and access essential services understandable to them, language becomes an indispensable agent of migration. In this context, our paper examines the impact of migration on the linguistic behaviour of immigrants, and recognising the pivotal role of language in facilitating the integration of immigrants into host societies. The study focuses on the circumstances Romanian immigrants within Belgium's multilingual milieu, illustrating the dimensions of the identity crisis they grapple with. Data analysis has shown that migration generates consistent changes regarding the immigrants' linguistic behaviour, driven, on the one hand, by their desire to be integrated in the host country and, on the other hand, by their attachment to the cultural heritage values of their country of origin. [ABSTRACT FROM AUTHOR]