Developing the model for cross-sectoral cooperation for promoting health and wellbeing

In the rapidly progressing world where different sectors become more interconnected, cross-sectoral cooperation in health promotion lacks a specific set of instruments, navigating partners through the cooperation process in project implementation. Cross-sectoral cooperation is an everyday practice in business and has become an integral part of promoting health and wellbeing comprehensively and sustainably. In this paper, we propose a developed Model for cross-sectoral cooperation, which has been designed within the Interreg Baltic Sea Region project “Urban Labs for Better Health for All in the Baltic Sea Region” (Healthy Boost), aiming to boost cross-sectoral cooperation for health and wellbeing in cities and municipalities. The Model is developed based on literature research and self-assessment of cross-sectoral cooperation for health promotion in Healthy Boost partner cities and municipalities in Latvia, Poland, Russia, Finland, Estonia, Lithuania, and Sweden. Composed of five major domains (risk identification, leadership, coordination, communication, and motivation) and four stages of cooperation (mapping, planning, implementation, and assessment), it provides a checklist of helpful questions for identifying solutions effectively and systematically. The Model can be used both as a navigational tool and as an “emergency” tool to manage cross-sectoral cooperation challenges successfully.

Impact of an intraoperative coronal spinal alignment measurement technique using a navigational tool for a 3D spinal rod bending system in adult spinal deformity cases

OBJECTIVE In corrective spinal surgery for adult spinal deformity (ASD), the focus has been on achieving optimal spinopelvic alignment. However, the correction of coronal spinal alignment is equally important. The conventional intraoperative measurement methods currently used for coronal alignment are not ideal. Here, the authors have developed a new intraoperative coronal alignment measurement technique using a navigational tool for a 3D spinal rod bending system (CAMNBS). The purpose of this study was to test the feasibility of using the CAMNBS for coronal spinal alignment and to evaluate its usefulness in corrective spinal surgery for ASD. METHODS In this retrospective cohort study, patients with degenerative lumbar kyphoscoliosis, a Cobb angle ≥ 20°, and lumbar lordosis ≤ 20° who had undergone corrective surgery (n = 67) were included. The pelvic teardrops on both sides, the S1 spinous process, the central point of the apex, a point on the 30-mm cranial (or caudal) side of the apex, and the central point of the upper instrumented vertebra (UIV) and C7 vertebra were registered using the CAMNBS. The positional information of all registered points was displayed as 2D figures on a monitor. Deviation of the UIV plumb line from the central sacral vertical line (UIV-CSVL) and deviation of the C7 plumb line from the CSVL (C7-CSVL) were measured using the 2D figures. Nineteen patients evaluated using the CAMNBS (BS group) were compared with 48 patients evaluated using conventional intraoperative radiography (XR group). The UIV-CSVL measured intraoperatively using the CAMNBS was compared with that measured using postoperative radiography. The prevalence of postoperative coronal malalignment (CM) and the absolute value of postoperative C7-CSVL were compared between the groups on radiographs obtained in the standing position within 4 weeks after surgery. Postoperative CM was defined as the absolute value of C7-CSVL ≥ 30 mm. Further, the measurement time and amount of radiation exposure were measured. RESULTS No significant differences in demographic, sagittal, and coronal parameters were observed between the two groups. UIV-CSVL was 2.3 ± 9.5 mm with the CAMNBS and 1.8 ± 16.6 mm with the radiographs, showing no significant difference between the two methods (p = 0.92). The prevalence of CM was 2/19 (10.5%) in the BS group and 18/48 (37.5%) in the XR group, and absolute values of C7-CSVL were 15.2 ± 13.1 mm in the BS group and 25.0 ± 18.0 mm in the XR group, showing statistically significant differences in both comparisons (p = 0.04 and 0.03, respectively). The CAMNBS method required 3.5 ± 0.9 minutes, while the conventional radiograph method required 13.3 ± 1.5 minutes; radiation exposure was 2.1 ± 1.1 mGy in the BS group and 2.9 ± 0.6 mGy in the XR group. Statistically significant differences were demonstrated in both comparisons (p = 0.0002 and 0.03, respectively). CONCLUSIONS From this study, it was evident that the CAMNBS did not increase postoperative CM compared with that seen using the conventional radiographic method, and hence can be used in clinical practice.

Early Modern Nautical Charts and Maps: Working Through Different Cartographic Paradigms

Of all the technical and scientific developments that made possible the European maritime expansion, the nautical chart is perhaps the least studied and understood. This fact is very surprising as it was with the information contained in those charts, and later imported to geographical maps and atlases, that the newly discovered lands were first shown to the European nations. There was, however, a deep incompatibility between these two cartographic paradigms—the nautical charts and the geographical maps—which remained unsolved throughout the sixteenth century and beyond, despite the attempts to harmonize the technical principles of Ptolemy’s Geography with the advances of nautical cartography. An eloquent symptom of such incompatibility was the difference between what was understood as an accurate depiction of the Earth, in the eyes of cosmographers and geographers, and what was considered by the pilots as an accurate nautical chart. The misunderstandings around these issues during the early modern period and the unsuccessful attempts at reconciliation were, in great part, the cause for some polemics among cosmographers, cartographers and pilots, such as the conflict in the Casa de Contratación around the charts of Diego Gutiérrez, a fact not entirely understood by historians. At the core of the difficulty lies the circumstance that only in the present day has the true nature of the nautical chart, as a navigational tool, started to be clarified. How the differences between geographical maps and nautical charts contributed to shape the History of Cartography in various periods, and how they are related to conflicting scholarly objectives and practices, is the subject of this essay. We will show, using the results of cartometric analysis, that not only were those artifacts constructed using different principles and with different purposes, but that they belonged to incompatible cartographic paradigms, and we will argue for the relevance of this fact for the history of science.

Navigating the Rural Terrain: Educators' Visions to Promote Change

Advocates of rural education emphasize the need to examine supports which may promote rural educators given the challenging contexts of which they face. Teacher visioning has been conceptualized as a navigational tool to help sustain and promote teachers given high-challenging contexts. The current study explored 10 public school teachers from rural areas in the Pacific Northwest, and their visions and challenges to practicing their visions in their respective school environments. Findings suggest that visions were described in three domains: visions of students, visions of self as teacher, and visions of school. Teachers expressed visions of self as 'change agents,' and often expressed a sense of responsibility and vulnerability as they worked to weave knowledge of effective pedagogy, teacher leadership principles, and self-reflection to implement change in their individual schools.

A More Comprehensive Habitable Zone for Finding Life on Other Planets

The habitable zone (HZ) is the circular region around a star(s) where standing bodies of water could exist on the surface of a rocky planet. Space missions employ the HZ to select promising targets for follow-up habitability assessment. The classical HZ definition assumes that the most important greenhouse gases for habitable planets orbiting main-sequence stars are CO2 and H2O. Although the classical HZ is an effective navigational tool, recent HZ formulations demonstrate that it cannot thoroughly capture the diversity of habitable exoplanets. Here, I review the planetary and stellar processes considered in both classical and newer HZ formulations. Supplementing the classical HZ with additional considerations from these newer formulations improves our capability to filter out worlds that are unlikely to host life. Such improved HZ tools will be necessary for current and upcoming missions aiming to detect and characterize potentially habitable exoplanets.