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Playgrounds designed with the intention to be inclusive are one approach to creating equal opportunities for all children, including those with disabilities, in terms of their right to play. However, when building inclusive playgrounds, the focus is often limited to the physical environment. Yet, studies investigating children’s play in inclusive playgrounds have shown that other aspects of inclusion, such as social inclusion, are equally as important as the physical environment. Nevertheless, there is a lack of knowledge about how inclusion is considered in the design of inclusive playgrounds. Therefore, this study aimed to explore the design and use of inclusive playgrounds among people involved in the provision of inclusive playgrounds and advocates of children with disabilities from a Swiss context. Four focus groups were conducted with 26 participants involved in providing inclusive playgrounds or having a professional or personal relationship with children with disabilities. Results revealed no uniform understanding of inclusive playgrounds. Barriers to inclusive playground provision included negative attitudes, lack of knowledge about inclusion and the absence of policies for inclusion. Through the focus group discussions, it was proposed that a community network is needed, to bring together children with disabilities and their families with playground providers when designing inclusive playgrounds. In this context, user involvement can inform the design of playgrounds and support the understanding of the needs of people with disabilities in playgrounds, among other things. To enhance inclusion for children with disabilities on inclusive playgrounds, design approaches that consider social inclusion, like Universal Design, are proposed., Validerad;2023;Nivå 2;2023-06-30 (joosat);Licens fulltext: CC BY-NC-ND License

Background: Elderly patients with advanced chronic kidney disease (CKD) have a high risk of death before reaching end-stage kidney disease. In order to allocate resources, such as advanced care nephrology where it is most needed, it is essential to know which patients have the highest absolute risk of advancing to renal replacement therapy (RRT). Methods: We included all nephrology-referred CKD stage 3b-5 patients in Sweden 2005-2011 included in the Swedish renal registry (SRR-CKD) who had at least two serum creatinine measurements one year apart (+/− 6 months). We followed these patients to either initiation of RRT, death, or September 30, 2013. Decline in estimated glomerular filtration rate (eGFR) (%) was estimated during the one-year baseline period. The patients in the highest tertile of progression (>18.7% decline in eGFR) during the initial year of follow-up were classified as “fast progressors”. We estimated the cumulative incidence of RRT and death before RRT by age, eGFR and progression status using competing risk models. Results: There were 2119 RRT initiations (24.2%) and 2060 deaths (23.5%) before RRT started. The median progression rate estimated during the initial year was −8.8% (Interquartile range [IQR] - 24.5-6.5%). A fast initial progression rate was associated with a higher risk of RRT initiation (Sub Hazard Ratio [SHR] 2.24 (95% confidence interval [CI] 2.00-2.51) and also a higher risk of death before RRT initiation (SHR 1.27 (95% CI 1.13-1.43). The five year probability of RRT was highest in younger patients (<65 years) with fast initial progression rate (51% in CKD stage 4 and 76% in stage 5), low overall in patients >75 years with a slow progression rate (7, 13, and 25% for CKD stages 3b, 4 and 5 respectively), and slightly higher in elderly patients with a fast initial progression rate (28% in CKD stage 4 and 47% in CKD stage 5) or with diabetic kidney disease. Conclusions: The 5-year probability of RRT was low among referred slowly progres

Sweden has commonly been regarded as a striking example of a social democratic welfare-stateregime (Esping-Andersen 1996), characterized by strong state governance and active involvementin welfare matters. In the last two decades, however, the Swedish public sector and educationsystem have been radically and extensively transformed in a neo-liberal direction, a move that waspreceded by extensive decentralization of decision-making from the state to municipalities andschools. In this article the scope, character and some of the consequences of internal and externalmarketization of Swedish education in the early 2000s are summarized, and the impact ofcompetition on the internal workings of upper secondary schools is highlighted in particular.We conclude that the external marketization of education has proceeded a long way and Swedenalso fully embraces new public management, i.e. ‘inner marketization’, of education in mostrespects. However, aspects of the older social democratic policy paradigm are still visible withregard to the assigned functions, values and governance of education.

Parent material greatly influences pedogenesis and soil nutrient availability and consequently we hypothesized that it would significantly affect the amount of organic solutes in soil, many of which have been implicated in rhizosphere processes linked to plant nutrient uptake. Consequently, we investigated the influence of two contrasting parent materials in which calcite was present or absent (alkaline and non-alkaline soils) on the concentrations of dissolved organic carbon (DOC), low-molecular weight organic acids (LMWOA) and glucose in soil solution. Both soils were under Norway spruce. The dynamics of LMWOAs in soil were also investigated using 14C-labelled citrate and oxalate. Some of the mineral horizons of the alkaline soils showed significantly higher concentrations of DOC, phenolics, and fumarate in soil solution and also a higher basal respiration. No major differences were seen in organic solute status in the organic horizons of the two soil types. LMWOAs were present at low concentrations in soil solution (< 1 to 25 ΌM). Their mineralization rate significantly decreased with soil depth, however, overall neither their concentration or half-life in soil was markedly affected by parent material. The alkaline soils had significantly higher CO2-to-soil organic C (SOC) ratios, and consequently SOC in the alkaline soils did not seem more chemically stable against mineralization. Considering possible DOC and CO2 efflux rates it was suggested that the equal or larger SOC stocks in alkaline mineral soils were most likely linked to a higher net primary productivity. In conclusion, our study found that parent material exerted only a small effect on the concentration and dynamics of organic solutes in soil solution. This suggests that in comparison to other factors (e.g. vegetation cover, climate etc) parent material may not be a major regulator of the organic solute pool in soil. © 2008 Elsevier B.V. All rights reserved.