“I am a musician born and raised in this country with the sound of the seas and landscapes that I carry with me,” says Giannouli of her Greek upbringing
stars as a genre-defying jazz piano maestra across Europe at various high-profile festivals including Jazztopad and Trondheim Jazzfest as well as at such impressive venues as Bimhuis in Amstersdam and both Flagey and Ars Musica in Brussels
But she’s most at home at the Enjoy Jazz Festival in Heidelberg
where she has annually offered new projects to the empathetic crowds fully prepared for her exploratory
complex music that is at once lyrical and urgent
Giannouli first appeared at Enjoy in 2019 and then in 2022 was granted artist-in-residence status
which she shared with Swiss piano master Nik Bärtsch
They clicked in their artistic philosophies
The following year she and Bärtsch joined for an exhilarating duo Enjoy show
In the liner notes to her simply titled Solo album (her fifth recording for Rattle
Giannouli thanks Enjoy producer Rainer Kern for “giving me the space
encouragement and confidence” in debuting her one-person show at Enjoy in 2020
again at Enjoy Jazz and in the wake of Solo
Giannouli intoxicated the anticipatory crowd with her scintillating 90-minute performance at the sold-out Friedenskirche church in Heidelberg
With her classical training at Athenaeum Maria Callas Conservatory
explorations of prepared piano and an inherent sense of her native Greek folklore
she revealed fresh versions of pieces from Solo
such as “Spiral,” “Novelette,” “Intone” and “Prelude.” She also rendered a solo version of her original “The Sea,” which was recorded on 2015’s Transcendence album with her five-member ensemble
Key to her flights were the prepared piano with such “in-the-box” objects as sheets of paper
Two encores championed her profound and personal exercises in stretching the jazz guardrails
sitting in an executive suite off the lobby of the hotel
Giannouli talked about the previous evening’s triumph
“I don’t plan what to play ahead of time,” she says
I don’t really think about what I’m playing
Last night I did something I’ve never done before in concert — playing a rhythm on the singing bowls inside the piano
what I play is a little like being in meditation.”
she says that it has come into her repertoire over the last few years of playing solo shows
“I do it occasionally with my ensembles,” she says
I’ve been involved in free improvisation for many years
I joined free improvisation bands with other students
Giannouli says the experience gives her great freedom and space to go on her personal journeys of vulnerability
In the liner notes for Solo she writes: “Playing solo is … the most liberating thing ever
Being alone with the instrument gives me an incredible sense of freedom
there is nothing more demanding than a solo recital
she and Bärtsch did a duo set at the London Jazz Festival last November at the prestigious Wigmore Hall
She recalls the beginning of their artistic connection in 2022
But because of their artist-in-residency work
the pair didn’t have time for a spontaneous collaboration
“We had respect for each other’s music and the common interest in composed and structured music in a classical sense in combination with improvisation and jazz,” says Bärtsch
“We also thought it might make sense to work in advance to learn more about each other’s music and the approach to it
I was offered the opportunity to invite someone for a show at Moods jazz club in Zurich
I thought this might be a good preparation for the show at Enjoy Jazz.”
but the same desire in telling the story.”
Bärtsch realized very quickly that Giannouli had excellent time feel that was crucial for him
“In combination with her classical training
this creates a very refreshing perspective,” he says
“We did not waste time with a lot of talking but immediately went into organizing the orchestration of the music with two pianos
phrasing and dramaturgy is quite delicate with two pianos.”
they decided to fill in the gaps of their busy schedules with a scattering of shows around Europe
“Tania’s playing is natural and honest,” he says
“It seems to be nourished by her affinity to a floating state between tonal and experimental music
It sounds individual although it is influenced by cultural context and universal ingredients from the classical background
I experience Tania as one of the hardest working musicians I know
joining up with trumpeter Amir ElSaffar’s new quartet and working in other duo excursions (recently with trumpeter Nils Petter Molvaer at an invite-only private event during Enjoy)
going it alone and journeying into the unknown
She is an improvisation genius who expands the piano’s range with that array of prepared piano objects tucked in the box
“I composed the music for Solo in just two days,” she says
“I could easily complete another in the same time frame.”
How does she categorize herself as an artist
“I still cannot say that what I play is pure jazz,” she laughs
so I guess I am a jazz artist who plays beyond genre
I have so many influences from the avant-garde world to contemporary composers like George Crumb
I don’t set out to play in the Greek folk tradition
I am a musician born and raised in this country with the sound of the seas and landscapes that I carry with me
I’m not self-censoring about my influences
“This is one of the great gifts that Coltrane gave us — he gave us a key to the cosmos in this recording,” says John McLaughlin
In his original liner notes to A Love Supreme
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“I’m certainly influenced by Geri Allen,” said Iverson
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we’re left with similarities,” Collier says
“Cultural differences are mitigated through 12 notes.”
DownBeat has a long association with the Midwest Clinic International Band and Orchestra Conference
but it’s still kind of productive in a way
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Of all the ‘live’ performance groupings in jazz and improvised music
the duo surely presents the biggest challenge
once you’re up on stage there’s really nowhere to hide
Yet of all the various instrumental matchups
the piano duo may also be the hardest to love
When pianists go face-to-face across Steinway grands
too often it can turn into something resembling a duel rather than a duo
a cat-and-mouse game of who can outsmart who
or a kind of jokey exchange in which the pianists seem to be having much more fun than the audience
Doubling up on the piano’s already rich orchestral-like palette as well can make for dense
cluttered textures; trying to figure out who’s playing what exactly tends to distract from the listening experience
Thankfully there are a few notable exceptions
One of them is arriving at the London Jazz Festival (LJF) this month when the renowned ECM artist and Swiss pianist Nik Bärtsch and the rising star Greek pianist-composer Tania Giannouli join grands on the Wigmore Hall recital stage
both are in the business of letting the music breathe
Sharing a common purpose is also key to a duo’s success
“It’s not a problem what you say because we try to make the whole thing sound better and Nik’s language is minimalist and mine is very melodic so it’s more or less we have two roles but of course this doesn’t mean that the roles don’t change during the concert,” Giannouli tells me on a video call from her home in Athens
“Certainly it’s not about virtuosity or playing too much to impress
Both of us are adding elements to the other person’s music so it’s very interesting because then it becomes something new
really exciting what we do because there’s no egos
There’s not the idea of who will play more or who the best pianist is
It’s what can I do so that the other pianist can sound better and make the music as a whole sound better
Yes there is some improvisation too of course
As well it’s one set as we do it like a journey.”
Giannouli maps out her studio albums in much the same way
especially her most recent widely-acclaimed Solo album from 2023 that she’s described as
"a very personal journey; a story narrated without filters"
The concert at LJF will be just the fourth time she and Bärtsch have played together and she says they’ll be adding in new compositions for the first time
The pair originally met at Germany’s Enjoy Festival in 2022
“During this time I had the idea it would be nice to play something together with Nik because I realised that although our music languages are not similar we have a similar approach to the idea of a solo piano concert”
“For example Nik and I both play one set that doesn’t stop anywhere and we don’t talk
So I asked him if we could try playing together some time and he immediately said yes
Some months later we met in Zurich where Nik lives and we had a concert at Moods Jazz club so it was our first try at playing together and it was very good
It’s music of mine and music of Nik’s and we have some improvisation inside and around these pieces and some are very recognisable because they’re pieces Nik is playing for many years with Ronin and the same with me as these are tracks I play either with my trio or solo
So the next year Enjoy Jazz invited us again for a proper concert this time and it was amazing
and then we played in Athens for the third time last January.”
In fact the instrumental duo has been a format regularly visited by Giannouli both ‘live’ and in the studio since releasing her eerily avant-minimalist debut in 2012 with Portuguese saxophonist Paulo Chagas; through to her most abstract release Rewa in 2018 with traditional Maori instrumentalist Rob Thorne (taonga puoro)
a connection initially prompted by her genre-defying New Zealand indie record label Rattle
“Playing with other musicians is always rewarding,” she says
“It’s another kind of interaction and you discover a lot of things in your music
It’s completely different from playing solo
But when it’s only two persons I think this dialogue and this interaction is more intense because you have to be alert all the time
It’s not about a band where you can add something here or there
Rema for me is my most special project and was totally improvisational
I had prepared some ideas in advance but when we were there I realised it doesn’t work because this guy plays stones and shells
let’s just play free and see what comes out'
in concert and I have actually recorded an album which is not released yet with trumpeter Arve Henriksen
So the duo format is extremely interesting for me.”
Although it’s clear that cross-cultural collaborations are vital to Giannouli’s music that in itself is a big generalisation
Other projects include her work in mixed-media contexts (visual arts
cinema and with text) while there has to be very few musicians that can say they’ve improvised for 10 hours inside of an active volcano (as she did in 2016)
Giannouli is an artist with a passion for new adventure and sonic experimentation
“I consider myself firstly a composer and secondly a pianist,” she says
“I have studied both academically: a Classical Composition Diploma which in the Greek system means you have to go through advanced harmony
contrapuntal fugue and then you are allowed to study composition
composition was what was interesting for me and I still think that composition is first and the performance or the piano is the medium for that
Probably my background and studies play also a very big role in that because music is not only the melody
the harmony and the rhythm but it’s also about sounds
about what you can create there even when you don’t play the keys
I think in mostly a compositional way than like a pianist
Maybe this is why I have a tendency to explore things
Giannouli also leads a couple of trios – Hemera with Michele Rabbia (drums
electronics) and Daniele Roccato (double bass); and on In Fading Light
an album released in 2020 with Andreas Polyzogopoulos on trumpet and Kyriakos Tapakis on oud - which come from a contemporary jazz lineage deriving inspiration from global folk music (including her native Greece)
avant-electronica and Baroque to Romantic through to more ambient/minimalist European concert music idioms
“I have been listening to jazz since I was a teenager when I discovered Keith Jarrett,” she says
“We were studying in the conservatory at the time and I was always showing the class my compositions and someone made the comment
'this sounds so much like ECM' and at the time I had no idea what that meant
I play mostly in jazz festivals because of the improvisation but in a wider way as well what I do is maybe not mainstream jazz but it is jazz.”
Speaking about her visit to London for the Festival this month she’s sorry that
“unfortunately it will be a very short visit
The previous day I have a concert with my trio in Rome and the next day I play with Nik in Poland so it will be really an express trip
But I’m looking forward to this concert that’s the highlight of the whole tour… if not the year!”
It’s not at all unlikely we could soon be adding the London Jazz Festival to that highlights list
Tania Giannouli and Nik Bärtsch play Wigmore Hall on 22 November as part of the EFG London Jazz Festival: efglondonjazzfestival.org.uk
This article originally appeared in the November 2024 issue of Jazzwise. Never miss an issue – subscribe today
This Collection welcomes original research on the association between physical activity and healthy aging, from epidemiology and intervention studies to cell biology.
Objective: The aim of this pilot randomized clinical trial was to test the feasibility and efficacy of an exergame-based cognitive-motor training program in geriatric inpatients.
Results: Thirty-nine persons were included in the study. Average adherence rate was 99%, there were no intervention-related dropouts and no adverse events. The mean System Usability Scale (SUS) score was 83.6 and the mean NASA-TLX score 45.5. Significant time-group interaction effects were found for the dual task walking speed, the Go/No-Go test and Step Reaction Time test (SRTT).
Conclusion: Exergaming is a feasible, safe and effective cognitive-motor training approach in inpatient rehabilitation of geriatric patients. Incorporating exergaming in the rehabilitation program of geriatric patients offers potential to reduce fall risk factors and to increase patients’ exercise motivation and rehabilitation success.
Volume 13 - 2021 | https://doi.org/10.3389/fnagi.2021.739948
Objective: The aim of this pilot randomized clinical trial was to test the feasibility and efficacy of an exergame-based cognitive-motor training program in geriatric inpatients
Methods: The study participants were randomly allocated to either the exergame intervention group or the control group
The control group received the standard rehabilitation treatment offered in the clinic
In addition to the standard rehabilitation program
the intervention group conducted supervised exergame training on 5 days per week using the Dividat Senso
an exergame system specifically designed for older adults
System Usability Scale (SUS) and NASA-TLX score
Secondary outcomes included measures of physical and cognitive functioning such as comfortable walking speed
Go/No-Go test and Step Reaction Time test (SRTT)
All secondary outcome measures were assessed pre- and post-intervention
Results: Thirty-nine persons were included in the study
there were no intervention-related dropouts and no adverse events
The mean System Usability Scale (SUS) score was 83.6 and the mean NASA-TLX score 45.5
Significant time-group interaction effects were found for the dual task walking speed
the Go/No-Go test and Step Reaction Time test (SRTT)
safe and effective cognitive-motor training approach in inpatient rehabilitation of geriatric patients
Incorporating exergaming in the rehabilitation program of geriatric patients offers potential to reduce fall risk factors and to increase patients’ exercise motivation and rehabilitation success
this is the first study to examine the feasibility and effects of a motor-cognitive training in form of purpose-developed exergames in a geriatric inpatient rehabilitation setting
Aim of this study was to assess the feasibility and effects of such training in a geriatric inpatient rehabilitation clinic
We first hypothesized that the exergame intervention integrated in the inpatient rehabilitation program routines is feasible and safe
we hypothesized that the effects on cognitive and physical functions will be more meaningful in the group receiving the exergame intervention compared to the group receiving the conventional rehabilitation therapy only
This is a pilot feasibility randomized clinical trial (RCT) with two arms (one intervention and one control group) adhering to the CONSORT extension for pilot and feasibility trials (Eldridge et al., 2016)
The study was conducted at the geriatric and orthopedic rehabilitation clinic Dussnang during a period of 3 months (January to March 2021)
Participants were randomly allocated to one of the two groups using a permuted block randomization approach
The intervention group conducted exergame-training using the Dividat Senso in addition to the conventional rehabilitation treatment while the control group received the conventional treatment only
The duration of the intervention period was adjusted to the duration of each participant’s stay at the rehabilitation clinic lasting between 2 and 3 weeks
Before beginning and after finishing the intervention or control period
a baseline (T1-meaurement) and a post measurement (T2-measurement) was conducted with each participant of both groups
The exergame intervention was almost identical to the present study
the intervention period was more than twice as long
Because of the much shorter intervention period in this study
the sample size was aimed to be 40 allowing the detection of smaller effect sizes with sufficient power while also allowing some dropouts
a small effect size (F = 0.3) can be detected with a 91% chance of correctly rejecting the null hypothesis
The patients of the control group followed the standard rehabilitation plan offered by the clinic
For each week this usually included: 3× 30 min physiotherapy
5× 30 min group therapy (knee- / hip- or back-specific group / otago-group therapy for upper extremities)
3× 30 min walking groups (only in patients admitted for issues in the lower extremities)
3× 45 min group therapy (mindfulness therapy
The primary outcome of this study was the feasibility of the Dividat Senso integrated in the rehabilitation context
and the number of adverse events were assessed
four questionnaires were used to assess usability and safety and filled in by the participants of the intervention group after each training (NASA-TLX
self-made questionnaire including several usability and user experience questions)
Average adherence rate was calculated as the number of completed training sessions as a percentage of the maximal possible training sessions
Reasons for non-adherence were recorded in the attendance protocol
attrition in the intervention and control group was recorded
The attrition rate was calculated as the number of participants that dropped out during the trial as a percentage of the initial sample size
Adverse events occurring during the training sessions and measurements were noted in detail by the treating therapist
participants were asked to rate their perceived enjoyment level on a 5-point Likert scale
A questionnaire was used to assess user experience and safety aspects
The questionnaire included a total of 19 items to assess each participants’ subjective perception of the exergame training sessions
Thirteen items were rated on a 5-point Likert scale ranging from 1 to 5 and assessed fun
excitement and diversification of the games
perceived improvements of motor coordination
perceived improvements of cognitive performance
intention to recommend this type of training to everyone as well as specifically to people with coordinative impairments
In six further open questions the participants were asked for their favorite game
what kind of positive effects resulting from the training were perceived
The effects of the exergame intervention on physical and cognitive functions were examined as secondary outcome to receive first indications whether a full RCT of the intervention will be worthwhile and to determine whether there is a need for further development of the intervention (Abbott, 2014)
several physical and cognitive tests were executed before and after the intervention or control period (T1- and T2-measurement)
The Short Physical Performance Battery (SPPB) developed by the National Institute on Aging (Short Physical Performance Battery (SPPB), 2021) is a tool (Mijnarends et al., 2013) for assessing motor functioning of the lower extremities
The test battery includes three physical tasks: Maintaining balance in different positions
standing up and sitting down five times as fast as possible and walking at comfortable speed
The total points achieved in all tests together as well as the completion time for the five times sit-to-stand subtask were used for further analyses
The Step Reaction Time test (SRTT) was performed on the Dividat Senso
It measures psychomotor speed in terms of reaction to a visual stimulus using the lower extremities
As soon as one of these triangles turns black
participants have to react by stepping as quickly as possible in one of the six possible directions in which the stimulus appeared (right
Average reaction time was used for further analyses
The Go/No-Go Test was also performed on the Dividat Senso and measures selective attention and inhibition
Participants have to focus on a small gray dot in the middle of the screen
crosses (+) and Xs (x) appear on the right and left side of the gray dot
Participants are asked to ignore the crosses and only react to the Xs by stepping as quickly as possible in the right direction
the sheet presented to the participant contains the words “red,” “green” and “blue” printed incongruently in red
The participant is asked to name the color of each word as quickly as possible while inhibiting reading the words
the sheet looks the same as in the inhibition trial but additionally
half of the words are enclosed within boxes
The task is the same as in the inhibition trial expect for the enclosed words: The participant has to name the color of the non-enclosed words but read the word of the enclosed words
The time required to perform each trial was measured in each trial and errors counted in the third and fourth trial
“per protocol analysis” was used which means that only participants with a sufficient adherence rate (≥70%) were included in the analysis of the effects
The demographic data are depicted in Table 1. There was no statistically significant difference in age, MMSE score, BMI, time between pre- and post-measurement, years of education or physical activity between the two groups. A total of 39 patients were included in the final analysis (Figure 1)
The intervention period lasted between 8 and 23 days and the average amount of training sessions was 9.6
Figure 1. Flow diagram of screening and group allocation (based on Eldridge et al., 2016)
Clinicians were willing to recruit patients
and patients were willing to be randomized in either treatment arm
Within the clinical setting of orthopedic rehabilitation
the exergame intervention could be delivered as intended
(A) Mean ratings ± standard deviation of each item of the NASA-TLX to assess training workload
(B) median and interquartile range of the ratings of each SUS item
Self-tailored Questionnaire regarding usability and safety
Results of each outcome measure across groups and timepoints
Boxplots of physical outcomes of each group at pre- and post-measurements
(C) velocity for walking 10 m while dual tasking
(E) Total Score achieved in the Short Physical Performance Battery (SPPB)
(F) Time required for the Timed Up and Go (TUG)
Boxplots of cognitive outcomes of each group at pre- and post-measurements
(A) Reaction Time in the Go/No-Go Test on the Dividat Senso
(B) Reaction Time in the 6-Step Reaction Time test (SRTT) on the Dividat Senso
(C) Time required for the first Stroop task (Color Naming)
(D) time required for the second Stroop task (Word Reading)
(E) time required for the third Stroop task (Inhibition)
(F) time required for the fourth Stroop task (Inhibition/Switching)
(G) time required for the Trail Making Test (TMT) part A
(H) time required for the Trail Making Test (TMT) part B
the item-specific SUS ratings suggest that technical support is required for a successful use of the exergame system
Since the Dividat Senso was created for clinical purposes mostly under supervision
the supervisor is indirectly part of the training system
the training supervisor should be familiar with the Dividat Senso to ensure fast problem-solving of potential technical problems
the participants were very satisfied with the exergame intervention
Almost all participants subjectively noticed positive effects on physical
or psychological aspects during the intervention period and would recommend the exergame training to other people
twice as many participants of the intervention group were willing to prolong the stay at the rehabilitation clinic compared to the control group
This might be because some of the participants saw the benefits of the additional exergame training and wanted to profit more from this opportunity
it was shown for the first time that exergaming on the Dividat Senso in geriatric patients is feasible in terms of usability
exergaming can be successfully incorporated in the rehabilitation program of geriatric patients in inpatient rehabilitation clinics
exergaming on the Dividat Senso could be a beneficial supplement to conventional rehabilitation therapies to reduce fall risk of geriatric patients
Effect sizes representing change over time in each group
A further limitation is that the dual task performance was only assessed by walking speed while information about the cognitive performance was not assessed
no statement can be made if the improvements in the exergame group is a result of the task prioritization or improved task switching ability
despite the strategies for individual training adaptations described in the “Materials and Methods” section
it is possible that the training intensity was not sufficiently high to provide the optimal stimulus to each participant
The quantitative assessment of the patients’ subjective perception of game difficulty would be a further option to individually adapt training load
if the intervention period could be prolonged
also on single cognitive and physical functions
the continuation of the exergame training within the scope of outpatient rehabilitation or as a home-based approach after the end of the inpatient rehabilitation is warranted
The development of home-based exergame systems seems to offer potential for future fall-prevention strategies
Future studies using longer time frames should place a focus on adjusting the training load to each participants’ level and also assess dose-response effects while progressing through a rehabilitation program
The raw data supporting the conclusions of this article will be made available by the authors
This study’s design was reviewed and approved by the Cantonal Ethics Committee of Zurich
All participants provided their written informed consent
and MA supervised the data collection process
PA collected and analyzed the data and drafted the first manuscript
All authors critically revised the manuscript and approved the final submitted version
the spin-off company that developed the video step platform used for the training of the seniors and is associated to the company as an external advisor
No revenue was paid (or promised to be paid) directly to EB or his institution over the 36 months prior to submission of the work
The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations
Any product that may be evaluated in this article
or claim that may be made by its manufacturer
is not guaranteed or endorsed by the publisher
We would like to thank all the participants for volunteering and all members of the therapy team in the rehabilitation clinic Dussnang for their support
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fnagi.2021.739948/full#supplementary-material
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On the penultimate day of the 2024 Youth Sailing World Championships
Danai Giannouli and Iakovina Kerkezou of Greece won the Female Two Person Dinghy event (I420)
The 2023 European champions posted four bullets in eight races to claim the early title
The world’s best young sailors from over 75 countries are competing July 15-19
with 11 events being held for the 1600 competitors in Lake Garda
Consistency by the USA has the team ranked fourth for The Nations Trophy which is awarded to the best overall nation
Event information – Race details – Results
Tags: Danai Giannouli, Iakovina Kerkezou, World Sailing, Youth Sailing World Championships
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Volume 6 - 2019 | https://doi.org/10.3389/fmed.2019.00318
The ability to effectively execute compensatory steps is critical for preventing accidental falls
and consequently stepping training is an essential ingredient of fall prevention programs
we propose a concept for stepping training that aims to maximize training effects by taking into account recent research evidence and a precise dosing of training ingredients
The concept addresses motor as well as cognitive falls-related aspects
it is suitable for individual as well as group based training
Theory and evidence behind all of the training principles is reviewed
and an example of an exercise protocol is described in detail
Participants are presented with stepping patterns which they have to memorize and implement on a mat
In order to enable investigation of dose-response effects
the difficulty level systematically and gradually increases session by session based on four principles: execution speed
pattern length and execution in dual-/multi-tasking conditions
The presented concept can be used as a framework for the development of further prevention and/or rehabilitation stepping exercise programs
Further studies using this exercise regimen or modified versions of it are encouraged
The most important component of falls prevention exercise programs is balance training (11) since good balance is crucial for maintaining postural equilibrium and thus for the avoidance of falls
Balance exercise programs often focus on standing balance tasks
where the center of mass has to be statically controlled over the base of support
these lack in ecological validity and are not specific enough to cause neuromuscular adaptations that are actually required in balance-threatening situations
maintaining balance to avoid a trip or a slip requires fast (rather than static/slow) stepping movements as well as high foot placement accuracy in order to initiate a correct step or inhibit a wrong one to quickly avoid an obstacle or an unexpected perturbation
effective falls prevention and rehabilitation exercise programs should focus on performing precise
In addition to this, physical activity in general and even more so structured physical exercise has shown to improve cognitive fall risk factors (16). In fact, combined physical and cognitive training (such as a stepping training containing additional cognitive tasks), may lead to larger improvements in cognitive and physical outcomes compared to physical or cognitive training alone (17)
possibly with greater impacts on daily functioning
targeting deficits in both mobility and cognition through dual- and/or multi-tasking exercise programs is likely to represent the most effective strategy to minimize cognitive and physical declines in healthy older adults and therefore reduce the risk of falls and cognitive impairment
Finally, regardless of type of training (strength/balance/stepping training), difficulty level (i.e., including increasingly challenging exercises e.g., either by adding a cognitive element, having additional movements, or increasing speed) is crucial for the success of falls prevention programs. This has been shown by systematic reviews (17, 18) as well as by a recent study monitoring movement characteristics of stepping exergames (19)
In this paper we propose a concept for stepping training (StepIt) that aims to maximize training effects in stepping capacity by taking into account recent research evidence and a precise dosing of training ingredients
we first review the theory and evidence behind Rhythmic Auditory Stimulation (RAS) used as an overall tool for stepping interventions aiming to prevent falls
we elaborate on all defined key elements of the proposed training by explaining their (neural) mechanisms
an exemplary protocol of the StepIt exercise program which includes all the aforementioned principles is described in detail and based on that
recommendations are presented on how this exercise program can be adjusted to fit needs of different purposes and populations
Principles for increasing difficulty level
In order to improve the ability to step quickly, the tempo given by the metronome on which participants have to execute the presented stepping patterns is increased across the training sessions. The ability to step quickly is a critical factor in avoiding a fall (42)
many community-dwelling older adults walk slower than the optimal speed for functioning optimally in the everyday life (e.g.
and amplitude of the compensatory step is also crucial
complexity is manipulated by starting with patterns including only shorter
forward/lateral steps and progressing to wider
Like during any motor learning task, multidirectional stepping causes structural and functional changes at the central nervous system. In order to achieve greater motor learning (in our case safer, smoother and more efficient multidirectional stepping performance) it is important to increase complexity and variability (63), which results in a flexible and adaptable motor system (63)
In the StepIt exercise program this is achieved through the execution of steps in all directions and with different amplitudes
something which increases motor exploration and requires high inter- and intra-limb coordination
both of which are fundamental to human motor control
especially for foot trajectory and foot placement accuracy
Finally, considering the limited generalization to other locomotor tasks (64) (stepping in different directions than the trained ones), falls prevention stepping training programs even for high-functioning older adults should incorporate multidirectional steps and also focus on the adaptation of step length (65) in order to be effective
participants are presented with stepping patterns that they have to memorize and then execute on a grid-like mat
The number of steps inside the stepping patterns is progressively increased throughout the course of the intervention
this is an n-back (1-back) visuospatial working memory task
Although the exact procedures of how the neural systems that support working memory are altered through intensive training are not fully elucidated a recent neuroimaging study found that intensive working memory training produces functional changes in large-scale front parietal networks (69)
Besides increasing the amount of step positions to be memorized
another way to increase cognitive load is to step while conducting additional motor or cognitive tasks
an exemplary protocol for 9 weeks of the group-based version of the StepIt exercise program aiming to improve physical
cognitive and psychological fall risk factors will be presented
The difficulty level described here is appropriate for older adults without major mobility or cognitive impairments
thus it can be used as a prevention (rather than rehabilitation) tool
Further recommendations regarding possible adjustments of this protocol to fit other populations
purposes and settings are presented in the “Design Recommendations” section
While participants are walking across the room
the instructor calls random numbers (from 1 to 9) and participants have to find the closest square on one of the mats with the number called by the instructor and step on it
For the session's main phase (45 min) each participant stands behind their mat and starts performing the instructed stepping patterns
All sessions should be supervised by preferably two instructors
The main instructor (MI) leads the sessions and the assistant instructor (AI) stands at the back and offers help/correction when needed
The MI demonstrates and explains the patterns first on a flipchart
which ensures good visibility also for participants standing at the back
and if needed also performs the pattern on his/her mat
Participants are then given time to practice the pattern until they can memorize and reproduce it without looking at the MI/flipchart
During this time both instructors walk around and provide help in case some participants need it
After a couple of rounds of practicing in their self-selected speed
a metronome is switched on and participants have to execute the stepping patterns in the given pace
Each session includes stepping patterns executed with one leg (left leg remained in the predefined start square and right leg stepped on the given numbered squares
mirrored) pattern was executed with the right leg remaining at the start square and the left stepped on the given numbered squares) as well as patterns with both legs moving in turns (to avoid confusion
execution should always with the same leg)
80% of the participants master the current pattern
In case some participants manage to learn the sequence much earlier than others
in order to avoid longer periods of inactivity and boredom
they can be approached from either the MI or the AI and asked to recall and repeat the patterns that have been taught so far in the session or to learn new patterns (with the same difficulty level) which the instructors come up with spontaneously
Around 306 patterns should be developed for 18 training sessions. The number of patterns decreases every 2 weeks (because the number of steps within each pattern increases every 2 weeks) in order to have enough time to practice the patterns within the 45 min stepping phase. For a detailed description of the number of patterns for each condition and week, please see Table 1
Number of patterns to be practiced for each condition
In case this concept is used as an intervention with fixed duration, the exact content of each session (including the exact stepping patterns, the pace as well as the starting point/square for each of the 18 sessions) should be predefined and put together in a manual (see Supplementary Material for some exemplary training plans of week 1
The last 5 min of each session is a cool-down phase
where various stretching exercises in a standing position are performed
The difficulty level is gradually increased within each session (by using first one leg and then both for the execution of the stepping patterns) as well as between sessions
Between sessions, the difficulty level is increased based on four principles (P); two of them addressing the increase of motor (M) load and two of them addressing the increase of cognitive (C) load (Table 2):
(I) Execution speed (PM1): starting from 92 beats per minute (BPM) for the single-leg and 64 BPM for both leg patterns to 118 and 104 BPM
(II) Direction and amplitude of the steps (pattern complexity) (PM2): starting from small forward and lateral steps to larger backward and oblique steps
(III) Number of steps for each pattern (pattern length) (PC1): starting from 3-step up to 8-step patterns
(IV) Additional motor/cognitive tasks (Dual-/Multi-tasking) (PC2): starting with execution in Single-task condition (ST) to Dual- (DT) and then Multi-task (MT) condition
Difficulty level increase between sessions
for the first 3 weeks the patterns require forward
In week 4–6 the patterns include much longer steps which require to skip the middle line of the squares (for example stepping from 7 to 2 etc.)
and finally the last 3 weeks of the intervention
the patterns also require steps with crossings of the legs (for example from 6 to 5 or from 6 to 2)
Pacing of the steps is increased by 2 BPM at almost every session both for the RF/LF as well as the BF patterns
the patterns include 3 steps and every 1 or 2 weeks the number of steps included in each pattern increases by 1 step
resulting in week 8–9 when patterns consist of 8 steps
Detailed overview of the content of all 18 training sessions
the presented concept can be used as a framework for the development of further prevention and/or rehabilitation stepping exercise programs
we present recommendations on how this exercise program can be adjusted to fit different purposes
Being a form of highly specific balance training
this stepping training program can be applied to either healthy older adults aiming to improve their overall balance ability
as well as to neurological patients aiming to improve their stepping capacity and/or to any other fall-prone target group aiming to prevent falling
It can be delivered either as a group-based training program
using mats and at least one instructor (possibly also two
depending on size and homogeneity of the group) or as a home-based training program using an ICT-based solution (e.g.
which would not necessarily require the presence of an instructor
physiotherapy practices or nursing home facilities)
it is also possible to offer this mat-based but still in 1:1 training
Depending on the participants' preferences
All of them have proven to be equally effective
There are several ways to make training more variable or more challenging for example by altering material
Using a very thin mat (or even “drawing” the 9-square grid on the floor) is suitable for beginners or fall-prone older adults
At later stages or for relatively healthy older adults
thicker/softer mats can be used or the thin mats can be placed on unstable surfaces (e.g.
which will increase proprioception and neuromuscular demands
In order to also train step length, the size of the mat can easily be personalized using the Pythagoras theorem by measuring maximum step length (MSL) with the maximum step length test (75) (or alternatively leg length or height)
Beginners or fall-prone older adults can then start by training with mats sized to fit ca
60% of their MSL and then progress up until 80% of their MSL
it is possible to have three standard sizes (Small: 85 × 85 cm
Normal: 90 × 90 cm and Big: 95 × 95 cm) and use them based on participant's height and/or training level
Regarding tempo and dosage, a recent meta-analysis on the effects of RAS in Parkinson's patients (24) found that training using this method should include tempo variations ±10% with respect to the preferred cadence
for a minimal period of 20–45 min per day
Although these recommendations cannot be used as is for a stepping training because they are based on gait studies
they can be used as a basis and adjusted to fit needs and fitness levels of other kinds of neurological patients (stroke
content/focus of training can also be adjusted to fit needs of different target groups
Participants with memory complaints or mild cognitive impairment can focus on the cognitive load (pattern length and dual-/multi-tasking) whereas stroke/Parkinson's patients can focus on the motor load (execution speed and pattern complexity)
To reduce the burden of falls in older adults falls prevention exercise programs that apply new research evidence into practice need to be developed. The ability to execute movements varying in speed, amplitude, complexity and additional cognitive load is critical for preventing falls (76) and thus stepping training programs that incorporate such aspects have resulted in substantial reductions of falls (15)
We have proposed a framework for a stepping training program
reviewed the theory and evidence underlying it and described in detail the implementation of an exemplary 9 week
group-based stepping exercise program applying the suggested concept
The exemplary training plan does not require costly equipment and has potential for high adherence levels
taking into account the social aspect of physical activity
However, being a group-based, it also has certain limitations such as that, the use of relevant secondary cognitive tasks (e.g., visual search tasks) is not possible. Moreover, adjustments of the difficulty level cannot happen according to each participant's current personal level. However, recent evidence suggests that even just exposure to varying levels of task difficulty is sufficient for inducing training gains (77)
making individually-tailored training not always necessary
The elements as well as progression rate of the exemplary training program can be easily modified to fit the needs of different samples (e.g.
which makes it a useful tool for the development of further stepping exercise programs
Pilot feasibility studies are needed to test its feasibility (safety/adverse outcomes and enjoyment/adherence)
its effectiveness to improve fall risk factors is then to be tested via randomized controlled trials
besides the improvement of stepping capacity
further expected outcomes include the improvement of further physical
further studies using this exercise regimen or modified versions of it are encouraged
All data for this study have been provided in the article/Supplementary Material
and was the major contributor in writing this manuscript
TM and WZ contributed significant components to the study design
All authors critically revised and approved the manuscript
This research was part of the project MyAHA: my Active & Healthy Aging
which was funded by the European Union's Horizon 2020 research and innovation program under grant agreement Nr 689582
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest
We would like to gratefully acknowledge the assistance of Jessica Coenen in generation of the stepping patterns and overall study preparation
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fmed.2019.00318/full#supplementary-material
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Received: 18 April 2019; Accepted: 13 December 2019; Published: 14 January 2020
Copyright © 2020 Giannouli, Morat and Zijlstra. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)
*Correspondence: Eleftheria Giannouli, ZWxlZnRoZXJpYS5naWFubm91bGlAdW5pYmFzLmNo
This work, Mutual Defense Cooperation Agreement Enhances U.S. Army and Greek Partnership, by MAJ Matthew St Clair, identified by DVIDS, must comply with the restrictions shown on https://www.dvidshub.net/about/copyright
Recording for New Zealand’s Rattle Music for over a decade now
Greek pianist Tania Giannouli has rightly been compared to the great pianists associated with ECM Records
Her music traverses the boundaries between jazz
and her current projects include Hemera with Daniele Roccato and Michele Rabbia
the brilliant one of a kind trio heard on 2020’s In Fading Light
duo projects with Nik Bärtsch and Arve Henriksen
and a quartet The Book Of Lost Songs with Maria Pia De Vito
For her fifth Rattle release Giannouli perhaps faces the ultimate challenge
Having limbered up with a series of unaccompanied concerts that began in Mannheim in 2020
Giannouli acknowledges the magnitude of the task in her album notes: “Alone on a stage
and to allow yourself to be vulnerable.”
but over the course of 72 gripping minutes she leaves no corner of her instrument unexplored
Recorded in glorious detail at Athens Concert Hall by George Kariotis and Alex Aretaios
the album’s 24 jewel-like pieces together form an intoxicating mosaic
The material includes fully-worked compositions
open-textured improvisations and short mood pieces exploring extended techniques
and with a few notable exceptions Giannouli’s focus is largely inward and contemplative
the dark interior dramas of “Transportal” and the momentary bliss of “Light Sleeper” are close to perfection
“Novelette” shares a certain sepia-tinged romanticism with Paul Bley’s classic “Ida Lupino”
and I was particularly taken by the shorter and more experimental pieces such as “The Call”
which punctuate the music’s flow with a fleeting sense of disquiet
that Giannouli is an essential artist to watch
Solo is a privileged window into a restlessly creative mind.
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By Peter Margasak | Published March 2021
introspective Greek pianist Tania Giannouli regularly has experimented with different instrumental settings
radically changing the timbre and tone of her music without altering its charged air of mystery
she played intimate duos with Portuguese reedist Paulo Chagas
while another was a trio with New Zealand taonga pūoro—a traditional Maori wind instrument—player Rob Thorne
She continues the practice on In Fading Light with a trio formed to play at Jazzfest Berlin in 2018
Giannouli and oudist Kyriakos Tapakis carve out moody ostinato patterns—delicately embroidered with pretty melodies—that clear space for the drifty explorations of trumpeter Andreas Polyzogopoulos
On “Labyrinth,” a measured piano line cycles meditatively as the oud freely casts about before falling into shadowing accents
giving a wide berth to the trumpeter’s smears
“When Then” reframes the plot with an aggressive
as a hammering left-handed piano line intertwines with a twangy oud lick
propelling Polyzogopoulos toward a sharper tone and phrases that slash
The folkish “Hinemoa’s Lament” lies somewhere in between
But there are pieces that depart from that form: the elliptical “Fallen,” when all of the musicians impart silence magnificently; the more abstract improvisational gambits of “Disquiet”; or the high-speed
The players reveal a strong collective rapport across the album
and every gesture and phrase seems generous and empathic
But the pervasive moodiness can feel like a damper on what might have been accomplished with a more varied emotional palette
Bergamo Jazz — situated in a medieval city of 120,000 souls an hour northeast from Milan in Italy’s Lombardy region — has developed a reputation for presenting programs that juxtapose A-list American improvisers with European counterparts of greater or lesser repute
Curated for the second year by vocalist Maria Pia De Vito
running March 17–20 through a variety of local venues
The proceedings begin with a solo recital by Greek pianist Tania Giannouli
recently renovated space with pristine acoustics
pianist Vijay Iyer presents a recently configured trio with bass virtuoso Matt Brewer and young drummer Jeremy Dutton
whose credits include a long association with Joel Ross
Performing opposite is well-known Roman drummer Roberto Gatto’s all-Italian quartet
pianist Alessandro Lanzoni and bassist Matteo Bortone
woodwind artist Guido Bombardieri and guitarist Marco Pasinetti play a duo program of music by Charles Mingus celebrating the bassist-composer’s centennial at the Circolino of Città Alta
is a set at Auditorium di Piazza della Libertà by Danish guitarist Jakob Bro’s nuanced trio with trumpeter Arve Henriksen and Catalan drummer Jorge Rossy (now a resident of Basel)
who convened for the stimulating 2021 ECM album Uma Elmo
Rossy’s successor in the Brad Mehldau Trio
leads an all-star American-expat quartet with alto saxophonist Logan Richardson
guitarist Charles Altura and bassist Joe Sanders at Teatro Donizetti
an opera house built in 1800 and later named for the composer Gaetano Donizetti
a Bergamo native who composed 70 operas during his half-century on the planet
reuniting with past partners Drew Gress on bass and Joey Baron on drums
with Italian icon Enrico Rava on flugelhorn
(Rava was Bergamo’s artistic director after Uri Caine and Paolo Fresu held the position
and right before Dave Douglas — De Vito’s immediate predecessor — assumed it.) After the festivities
bassist and Bergamo native Marco Rottoli helms a quartet with tenor saxophonist Michele Polga (Dee Dee Bridgewater) at Dieci
a local jazz club with a kitchen that stays open late
the ambiance turns speculative on a late-morning recital by New York-based guitarist Ava Mendoza
distortion and harmonics into her well-wrought flow
Sustaining that mood is French violinist Régis Huby
leading his sonically expansive veteran plugged-in quintet with English trumpeter Tom Arthurs
French bassist Claude Tchamitchian and Italian drum adventurer Michele Rabbia
The evening’s climax is a solo piano concert by Brad Mehldau
who had been scheduled to play in Bergamo with his trio in March 2020
precisely when Bergamo was at the peak of its devastating
widely reported experience as the global epicenter of COVID-19
resulting in the cancellation of that year’s festival
March 20 comes from the rampantly creative brass-and-electronics Star Splitter Duo
as Chicago outcat stalwart Rob Mazurek and 30-something Gabriele Mitelli (Brescia
speculative improvisation remains the watchword with the reunion of Giornale di Bordo (Ship’s Log)
consisting of veteran Chicago drum hero Hamid Drake and like-minded Sardinian luminaries Antonello Salis on piano and harmonica
Paolo Angeli on prepared guitar and Gavino Murgia on saxophone
Sunday’s three other concerts feature voices framed in contrasting contexts
Jobim-centric Trio Correnteza — Perugian clarinetist Gabriele Mirabassi
Brazilian guitarist Roberto Taufic and Abruzzese vocalist Cristina Renzetti — performs at the Sala Piatti
an intimate 1903 Art Nouveau space well-suited for chamber performance
Rising-star New York-based vocalist Michael Mayo brings his quartet (with keyboardist Andrew Freedman
drummer Robin Baytas) to Teatro Donizetti for a concert opposite “Viento Y Tiempo,” piano maestro Gonzalo Rubalcaba’s project with singer Aymée Nuviola
who delivers Yoruban sensibility and vocal power the way Celia Cruz did it in her prime
By Amerissa Giannouli
and trips to Mars are often seen as central solutions to the climate crisis leading to diverse socio-ecological and economic implications
Despide their inconsistencies and conflicted outcomes
their influence is so strong that our present approaches and vision for the future seem constrained by them
This short essay aims to explore opportunities and entry points that could mobilise personal and collective transformations in how we think and act
with the goal of fostering a more ecological and socially just response to the climate crisis
The question that arises is how we can move beyond Sustainable Development and Education for Sustainable Development
How can we identify and inspire new perspectives and solutions that redefine our relationships with both human and beyond-human worlds
how can these new ideas be expressed through various educational and learning processes
which are inherently interconnected with human existence
Rather than viewing the environment as separate from humanity
this approach highlights the interactions and interconnections between the self and the broader world
Similarly, Anna Kliampa in her PhD thesis refers to education in an era of climate change as open and ecologically adapted to the ever-changing social and physical realities, aiming to challenge the separation between society and nature. She also draws on Félix Guattari’s concept of ecology
which emphasises the transformation of mentality and subjectivity
is highlighted as a medium for expressing this transformation and the relationship between nature and society
extends beyond environmental policies and environmental science
focusing on the interaction and cooperation of and in between nature and society
Such a relational approach seems to align with indigenous knowledge systems, which emphasise diversity and recognise the interconnectedness of the material and spiritual worlds. These knowledge systems are often marginalised by the dominant model of Sustainable Development
providing further reason to critically examine this top-down model
Thus, in Degrowth, the goal is not to merely reduce production and consumption as an end in itself. Instead, the reduction of specific ecologically harmful forms of production and consumption is a desired outcome within a broader transformation for justice and democracy
This representation of Degrowth distinguishes it from business models such as the Circular Economy
although it has an important role in processes of reducing ecological burdens
may focus more on microeconomic levels and individual choices
Nadine Kaufmann, Christoph Sanders, and Julian Wortmann advocate for experiential workshops and long term educational experiences that promote Degrowth values and encourage experimentation with alternative visions and practices, particularly those experiences that make environmental justice struggles visible
they also acknowledge that these processes can still reproduce power relations and exclude those who are unable to participate in such
they suggest involving participants in the co-creation of educational programs
and recognising the inherently political nature of education
Their proposals focus on non-formal education settings
which are typically facilitated by organisations and collectives
For formal education contexts like schools and universities, Anna Kliampa in her PhD thesis advocates for integrating climate change education into the curriculum
alongside the implementation of daily practices aligned with degrowth values within educational settings
she emphasises the importance of building relationships and networks with other educational institutions that share similar interests
Education for Degrowth could involve both formal and non-formal actors and institutions that adopt practices and values that support
there remains a gap in realising the full transformative potential of Education for Degrowth beyond formal and informal educational contexts
particularly in the case of non-voluntary participation in these educational opportunities
Photo by Scott Webb on Unsplash
Building on this logic, I suggest that various collective initiatives, like urban commons, by promoting connection between society and nature, can be considered informal educational institutions and spaces of experimentation that support Education for Degrowth. These initiatives can contribute to creating a diversified education system within a diversified economy
Education for Degrowth encompasses different interconnected aspects
It is about sharing and co-creating content that critically examines economic growth and development
and different roles between educators and learners that can be inspired by critical pedagogies
But it is also about practicing the alternatives within and outside a typical (formal and non-formal) educational environment
The various collective initiatives are part of an ongoing and fluid informal educational process
they should not be seen only as representations of Degrowth or post-capitalist alternative economic solutions
This is important because it introduces another entry point to mobilise personal and collective transformations from an educational perspective
Education for Degrowth promotes socio-economic and ecological transformation for the perceptions about education itself
Education for Degrowth involves the co-creation of educational processes and systems that harmonise and interact with the ever-changing socio-economic and ecological context
which is in line with an eco-social philosophical approach to education
Its aim is to nurture caring and sustainable ecological relationships
rather than to reinforce the current model of economic growth
Education for Degrowth can challenge dominant solutions to the climate crisis and free our imaginations for the future
opening up new possibilities and alternatives in the present
Amerissa Giannouli holds a B.Sc in Economics
a M.Sc in International and European Economic Studies
organising participatory educational and spatial planning activities aimed at socio-ecological transformations
By Rupert Read, Ed Jarvis
The recent Climate Change Committee report on the UK government’s lack of preparedness for climate breakdown reveals negligence at a historic scale
By Kurt Cobb, Resource Insights
Our political discourse is actually far narrower than our total public discourse which makes addressing big problems such as climate change very difficult
By Helena Norberg-Hodge, Henry Coleman, Local Futures
we need to condemn globalization loud and clear
And we need a cohesive strategy that moves us sensibly and sanely in the opposite direction
Resilience is a program of Post Carbon Institute
a nonprofit organization dedicated to helping the world transition away from fossil fuels and build sustainable
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Volume 2 - 2015 | https://doi.org/10.3389/fmars.2015.00094
Oceans and seas represent over 70% of the earth's surface
living aquaticresources can provide a significant contribution to food
marine ecosystems are subject to increasing pressures and competing usages
resulting from resources over-exploitation and pollution
In order to produce efficient marine management plans
it is essential to consider the total economic value provided by the marine ecosystems
we are focusing on the Marine Framework Strategy Directive and the European Marine Spatial Planning that are established for the protection and efficient use of the marine area
We present the ecosystem services approach with regards to the marine ecosystem and propose economic methods that capture the marine ecosystem's total economic value in relation to the opportunity cost of marine space
Values should be used to guide policy makers following the European directives and initiatives
the “blue” economy represents roughly 5.4 million jobs and generates a gross added value of almost €500 billion per year
Nevertheless, marine ecosystems are subject to increasing pressures and competing usages, resulting from recourses overexploitation and pollution. Scientists (for example Kamanlioglu, 2011; Visbeck et al., 2014)
note that while all these years human development and economic growth have continued with stable or fast rate
seas and sea services has exerted major pressures on marine resources
ranging from overfishing and increasing resource extraction to various sources of pollution and alterations to coastal zones that often cause the degradation of marine ecosystems and habitats
Recognizing that human activities constitute a threat to the marine ecosystem
global initiatives continue to be implemented for its protection and sustainable use
Understanding the importance of marine resources and considering their potential contribution to economic growth and development
the European Union (EU) launched a long-term strategy plan in 2012 to support sustainable growth in the marine and maritime sectors
This strategy focuses in developing important sectors that have high potential for job creation and sustainable growth (aquaculture
legal certainty and security in the blue economy
such as maritime spatial planning and integrated maritime surveillance
Before Blue Growth, in 2008, the European Union (EU) adopted the Marine Strategy Framework Directive (MSFD), which aims at achieving and maintaining good environmental status of the European seas by 2020 in relation to marine economic and social activities (European Commission, 2008)
• Marine water current environmental status initial assessment
considering the environmental impacts of human activities
• Definition of the good marine environmental status
including the environmental targets and relevant indicators with regards to biodiversity conservation
hydrographical conditions that do not adversely affect the ecosystem
• Proposing of a monitoring program for the assessment of progress and regulation of the defined targets
• Program of measures designed to achieve the good environmental status
MSFD requires the application of an ecosystem-based approach
which considers the marine ecosystem services that are linked to the human welfare
It highlights the need to protect the marine environment by introducing the complex connection between the ecosystem and human activities
this approach recognizes the marine ecosystem benefits for the society
promoting sustainable management solutions with regards to the program of measures defined under the MSFD
This approach will be introduced in further detail in the next section
In order to choose the most appropriate strategy to achieve good environmental status
it is required to compare the proposed strategies according to their different effects on the marine ecosystem
the effects should be expressed in monetary values
In this article we are presenting the Total Economic Value (TEV) framework
which assists in capturing the total economic value of ecosystem services and informs the policy-makers through the application of economic tools
with regards to efficient and sustainable marine management plans
we are presenting a new area in maritime spatial planning solutions
which is about marine constructions that incorporate different uses of marine recourses and human activities
Human activities negatively affect the marine ecosystems and oceans by polluting and overexploiting its resources
which all impact on the marine food web and could lead to largely unknown consequences for the biodiversity and survival of marine life forms
“For centuries people have regarded them as an inexhaustible supply of food
and a convenient dumping ground—simply too vast to be affected by anything we do.” We simply present major pressures and threats to the marine environment and its ecosystem services:
• Unsustainable Fishing and Aquaculture
The overfishing might represent the largest threat to ocean life and habitats
Apart from the major declining in fish stocks
aquaculture activities are related to polluting farm discharges
Intense human activities put pressure to marine life
and other human made products pollute the marine ecosystem
The drilling poses major threat to sensitive marine habitats and species
and ship groundings are a few examples of negative effects that endanger marine habitats around the world
• Climate Change and Inadequate Protection
Hence, human-based effects put major pressure on the marine environment and threat its provision of ecosystem services. Based on Defra (2007)
ecosystem services are separated in (a) provisioning
which include products obtained from the ecosystem
which are benefits obtained from regulation processes of the ecosystem
which are services necessary for the production of all the other ecosystem services
and raw materials are included in the provisioning services
Climate regulation and water purification are included in regulating services
aesthetic and educational services are cultural services
nutrient cycling is a supporting service for the marine ecosystem
According to ecosystem services approach, the marine ecosystem's structure and processes produce services that benefit humans. This means that changes in ecosystem services are translated to changes in human welfare and could be expressed in monetary terms (see also Price, 2007)
Applying the ecosystem services approach in decision-making is essential for the economic analysis of a project or policy
This approach assists on considering the generated environmental and socio-economic benefits (positive or negative)
economists try to elicit these values and express them in monetary terms to use them for the evaluation of policies and marine management plans
suggest that the ocean provides humanity with both animate and inanimate services
Despite the use-value derived from animate ecosystem-services
ocean provides a number of non-tangible ecosystem services that include aesthetic and cultural values
as long as these services are not traded in the market
it is difficult to value the social and environmental externalities that society
industries and any human activity produce to the ecosystem services
The Total Economic Value (TEV) framework consists of valuation methods that express the values of non-market resources in monetary terms
The valuation methods are based on either consumer preferences elicitation (see Hedonic price method and Travel Cost method) or use stated preferences techniques (see Contingent valuation method and Choice Experiment)
An overview of the values and methods used to derive the Total Economic Value of marine resources is presented in the Figure 1 below
Figure 1. Total economic value framework (Bertram and Rehdanz, 2013)
Direct use value corresponds to value that affect utility directly and are reflected in the market
resources have indirect use value and option value
altruistic value and bequest value reflect the need to protect the resource for others and future generations
existence value derives from the knowledge of the existence of a resource
We are also giving brief definition for each of the above presented techniques based on Pearce (2002):
• Market Valuation Techniques: These techniques are market based
which means that the good is already traded in the market
Hence the estimation of the good's value is based on market data and prices that are easy to be found
• Revealed Preferences Techniques: These techniques are based on observed people's behavior
which follows a utility maximization process
How much people value an environmental attribute or good is reflected by another good which is traded in the market
Hedonic price method and travel cost method are revealed preferences techniques and can be used for standard market good valuation as well as non-market good valuation
• Stated Preference Techniques: These techniques
in contrast to the revealed preferences techniques
elicit people's willingness to pay or accept a good or attribute of a good
There are survey based techniques and include contingent valuation and choice modeling
Contingent valuation method is used when we want to value a non-market good
while choice modeling is used when we want to value attributes of a non-market good
• Benefit Transfer: Apart from primary research techniques
we can apply a benefit transfer which transfers adjusted values derived from other studies that have conducted primary research
Although the valuation techniques presented could be imperfect or controversial, they provide useful information to policy makers (Ledoux and Turner, 2002)
Identifying the TEV of the ecosystem is important for the MSFD and for every each policy-making that involves a change in the ecosystem services
in order to be able to internalize externalities produced by human activities applying economic public and private policy instruments
Assessing the available options and management plans can be done by using economic tools
CBA compares discounted flows of costs and revenues (financial
and environmental) and identifies if a project or proposed plan can be sustainable in time and space
As it is already mentioned the multiple marine-human activities constitute great pressure to the marine ecosystem
Effective maritime spatial planning aims to alleviate this problematic situation
proposing alternatives for mitigation of the negative effects and to restore the affected marine ecosystem
Maritime spatial planning is about the place and time marine human activities exist
It reduces conflicts between sectors and creates synergies between different activities
It secures coordination between countries and enhances cross-border cooperation
while protecting the environment by identifying the impact and opportunities for multiple use of space
According to OECD's project “The Future of the Ocean Economy”
apart from the establishment of ocean sectors such as shipping
traditional ocean and coastal tourism and ports
the emerging ocean-based sectors of offshore wind
The emerging sectors represent sources of economic growth and employment creation
resulting in future implications for ocean eco-systems and sustainability
as well as implications for managing the ocean activities
In line with future development and the goals of efficient spatial marine planning, Europe has already funded European projects (The Ocean of Tomorrow: MERMAID Project
H2OCEAN Project) related to construction and implementation of multi-use offshore platforms that combine energy extraction technologies
aquaculture and recreational activities in the sea
these platforms—apart from reducing financial costs—have the potential to support economic and social development
these platforms are able to decrease the negative environmental effects derived from human activities that are allocated in different places in the sea
The different functions incorporated in a multi-use platform host opportunities mitigation
since one function could potentially mitigate for the negative effect produced by the other
We can elicit the option value by estimating people's willingness to pay today in order to reduce the potential loss of an ecosystem service in the future
the average values for beach recreation and non-consumptive recreation in estuarine waters are $178.9 and $ 83.5 per person per year
The average values for recreational fishing and recreation in coral reef ecosystems are $408.7 and $700.4 per person per year
providing more space for recreational activities results in positive economic benefits as well
summarize monetary values for most of the marine ecosystem services
which can be affected by technological synergies such as multi-use platforms
we can implement a multi-use platform that incorporates energy production and aquaculture
instead of implementing separately an aquaculture system and an offshore wind farm
Assuming that this could save about 1000 hectares of space
only considering the genetic diversity that could be protected
results in $5000 (5 × 1000) economic benefits each year (2007)
Table 1. Summary of monetary values for each service per biome (values in Int.$/ha/year, 2007 price levels; de Groot et al., 2012)
In this paper we are focusing on the Marine Framework Strategy Directive and the European Marine Spatial Planning that are established for the protection and efficient use of the marine area
We have presented the ecosystem services approach with regards to the marine ecosystem and we have given an overview of the Total Economic Value framework
Ecosystem services values should be used to guide policy makers following the European directives and initiatives
as part of sustainable use of marine environment
we recommend for marine projects assessment to focus on estimating the option value due to efficient use of ocean space
This is a holistic approach that enables relevant drivers and players
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Securing blue wealth: The need for a special sustainable development goal for the ocean and coasts
Citation: Koundouri P and Giannouli A (2015) Blue growth and economics
Received: 18 August 2015; Accepted: 22 October 2015; Published: 06 November 2015
Copyright © 2015 Koundouri and Giannouli. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY)
provided the original author(s) or licensor are credited and that the original publication in this journal is cited
*Correspondence: Phoebe Koundouri, cGtvdW5kb3VyaUBhdWViLmdy
Do the observed sex differences in self-estimated intelligence among younger adults extend to older adults as well? And what are some psychological correlates of self-estimated intelligence among older adults? These are the research questions pursued by a new paper published in Brain and Behavior
“I am interested in neuropsychological assessment in older people. For many years I was wondering if there is a correlation between actual cognitive performance/intellectual abilities and self-estimated performance in cognitive tasks – including intelligence tests – not only in older adults, but also in young adults,” said Dr. Vaitsa Giannouli, a scientific collaborator at the European University Cyprus
inspired by the research done by Professor Furnham
I wanted to examine for the first time these variables along with some neglected ones
including self-estimated emotional intelligence
A total of 311 Greek younger and older adults (128 men) participated in this research
while the mean age of older adults was 77.9
Individuals with a history of various psychiatric and medical issues that could affect neuropsychological performance
Participants provided an estimate of their overall intelligence on a scale of 0 to 100
as well as ratings of their physical health and physical attractiveness on a 9-point scale ranging from 1 (not at all) to 9 (very)
They also indicated how optimistic and religious they were
Participants completed a working memory cognitive test
which is a strong predictor of intelligence
they responded to a questionnaire assessing for positive and negative affect
which have previously been excluded as a variable that could potentially influence self-estimated (emotional) intelligence
“Young males in Greece rate their intelligence quotient (IQ) and emotional quotient (EQ) higher than young females
This finding was not confirmed for older adults
for which surprisingly the reverse pattern was found,” Giannouli told PsyPost
“This is a novel finding; so far researchers haven’t observed gender differences in self-estimated intelligence for older adults
and religiousness were positively associated with participants’ self-estimated IQ and EQ
there were no links between objective measures of working memory and self-estimated IQ
suggesting this variable of interest is often overestimated
“I do hope that this study prompts other researchers to examine and compare different age groups in their future studies and to include more psychological variables in their research designs.”
What are some future research questions worth pursuing
“Are these findings in Greece culture-specific
or is there a more general cross-cultural phenomenon that researchers previously missed by focusing only on samples of young adults
The study, “Are sex differences in self-estimated intelligence an elusive phenomenon? Exploring the role of working memory, creativity, and other psychological correlates in young and older adults”, was authored by Vaitsa Giannouli.
Feeling unexpectedly grossed out by a romantic partner? A new study sheds light on “the ick,” revealing that individual traits—like how easily disgusted someone is or how high their standards are—can shape these reactions. Women reported it more often, but both genders experience it for surprisingly minor reasons.
A new study finds that older adults engage in less self-reflection about their personality traits than younger adults. People with lower emotional stability or extraversion tend to reflect more, especially through comparisons with others or their past selves.
Researchers have uncovered a link between politicians' dark personality traits and affective polarization, suggesting that voters who support these leaders experience greater dislike for political opponents—especially when they feel ideologically aligned with the candidate.
A new study finds that people with avoidant attachment styles toward their parents are more likely to be childfree, offering insight into how early emotional bonds may shape decisions about parenthood.
A large-scale study has found that conservatives in the United States trust scientists less than liberals across nearly all scientific fields. Attempts to boost trust through brief, targeted messages failed, suggesting these attitudes may be deeply rooted.
A massive global study finds that people living in democratic nations are less likely to score high on the “dark triad” of Machiavellianism, narcissism, and psychopathy—and more likely to be empathetic and satisfied with life.
Are wealthier people more generous? A new meta-analysis suggests they might be—at least slightly. Drawing on data from over 2.3 million participants across 60 societies, researchers found that individuals from higher social classes are modestly more likely to act generously or cooperatively.
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the capital and largest city of the Thessaly region
is on high alert as the level of the Pinios River rose 10 meters in places overnight
Severe flooding has been reported in some of the city’s suburbs while the city center remains unaffected
The Workers’ Housing district and Ippokrati have risen between two and a half to three meters
Fire Service spokesman Yiannis Artopios said
The effort to prevent the city from flooding are focused at the entrance to Larissa
where diversions have been opened at points where the Pinios bends
Overnight dozens of volunteers and municipal workers filled sandbags to bolster embankments wherever necessary to protect homes
helicopters winched people from rooftops and military personnel used rubber boats to rescue families from floodwaters up to 3 metres deep in the region
after a devastating rainstorm killed at least 10 people
which meteorologists said was the worst to hit the country since records began in 1930
leaving a trail of ruin after a record summer heatwave that had touched off huge wildfires
power lines fell and crops in the fertile Thessaly plain were wiped out
Civil protection authorities confirmed a death toll of 10
It said 1,700 people had been rescued in total
among them 296 airlifted away from their homes
Residents said the water was 3 metres deep in places
Dozens of villages in the region were submerged
People who called in to TV stations said hundreds of people were still stranded
were despondent at the work of a lifetime disappearing in hours
“The damage we have all suffered to our homes is irreparable
A lifetime’s worth of work [was lost] within two hours,” said Haralampos Tsergas
sitting on a trailer with other locals and their pets after being rescued
so we closed it again and left through the windows,” he said
the storm will deal an economic blow to the country which emerged from a decade-long debilitating debt crisis in 2018
but Prime Minister Kyriakos Mitsotakis said it could withstand the disaster
“Greece’s economy is now strong enough to tough out such a catastrophe
I will also mobilise every European resource so that we can get additional help to cover
necessary compensation for households,” he said during a visit to the region
Thessaly Governor Kostas Agorastos said he estimated the storm had caused around three times the 700 million euros of damage inflicted by extensive floods in 2020
Thessaly accounts for about 15 percent of the country’s annual agricultural output and is a major cotton-producing area
Torrential rains left more than a metre of silt dumped on once-fertile soils
“The agricultural production isn’t destroyed just for this year
The thick coat of silt means it is no longer fertile,” Lekkas said
Extreme weather events have struck across the globe in recent weeks
India had its driest August since records began more than a century ago
one region received more rain in 24 hours than London does in an average year – followed a huge wildfire in the north and the country’s hottest summer on record
Scientists say Greece is on the front line of climate change
with freak weather incidents increasingly common
“It’s just one event after the other,” said Christos Zerefos
head at the Athens Academy Research Centre for Atmospheric Physics and Climatology
Authorities issued evacuation orders for three areas around the central city of Larissa on Friday over concerns of additional flooding from the Pinios
hunger … I’ve never seen such a thing in my life,” survivor Stavroulla Brazioti
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Pianist and composer Tania Giannouli describes the experience of free improvisation with New Zealand ‘singing treasures’ expert Rob Thorne
Taonga püoro means ‘singing treasures’
The term describes something more than just a set of musical instruments – the flutes
wood and shell trumpets and bull roarers that Maori people make out of things found in nature
It describes something more than a musical genre; it is an approach to music and to musicianship
it is the ethos of turning yourself into a vessel
becoming the intermediary through which music passes and reaches people
coming from a realm beyond the musicians’ grasp
Tania Giannouli had a first-hand experience of that
whose work is released through New Zealand-based Rattle Records
she is one of the most notable young contemporary music artists to emerge from Greece in at least a decade
her cinematic soundscapes gaining recognition around the world
Having one foot firmly set into structured
‘classical’ composition and the other in free improvisation
she is always eager to delve into new ventures and step into uncharted territory
But when she invited her Rattle Records stablemate Rob Thorne into the studio
when the pair first set foot in the studio
he only got to demonstrate the instruments and tried to play together
because I had some ideas to try which didn’t work out
Tania soon realised that she had to let go and go with the flow
“It’s the nature of these instruments,” she admits
“You can’t make them do what you want
But it is also the way Rob thinks about music
it’s the Maori voice coming through the instruments
so that they speak through the instruments.”
leaving all their ideas and preconceptions outside
we just sat in and started improvising,” she says
Giannouli and Thorne looked at each other and spent some time in silence
trying to fathom what exactly had happened
They had embarked on a journey of improvisation
“The best word to describe it is ‘journey’
I can’t think of another,” she says
“It is one of the most powerful and important things I’ve ever done in music in general
but Rob also said that he had never played like that before
We had obviously influenced each other’s playing and this is something beautiful and magical when it happens.”
“You just have to make the decision and accept that you’re going to play without a safety net
“You get into the music and lose touch with reality
The most interesting thing to me was to experience how easy it was for two musicians playing one instrument each at the time
can create such a rich and complicated world
when I listened to it; all this world was created by just a piano and a shell?”
The recorded material was sent to Steve Garden
“This is a very personal project for all three of us,” says Giannouli
was a chance to let out things that are hidden deep into my subconscious.”
what Rewa demonstrates is two worldviews coming together
music reviewer Phontas Troussas describes the album as one-of-a-kind
“Rewa has a distinct style relating to the transcendence of ancient sounds to now,” he wrote
describing the collaboration between Giannouli and Thorne as the “fusion of centuries”
carrying “vibes from the natural landscape” of New Zealand
The track list features some titles in English
“I don’t know,” Giannouli admits
“I guess it’s as Greek as I am.”
‘Rewa’ is available to purchase in CD form or as a digital download from Rattle Records, rattle.co.nz
WinnipegNewsMan with severe sleep apnea warns of treatment challenges in ManitobaBy Michelle GerwingPublished: May 03, 2023 at 10:05PM EDT
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no womb and (until fairly recently) no upper vagina
after a family doctor referred her to the hospital when she still hadn’t menstruated
When I was at the hospital for further examination
she said that I was never going to have children
Her manner was so sharp and blunt it almost cut me
One major reconstructive surgery when I was 18
when the doctors create a new vagina tunnel in order to have normal sexual intercourse
I had another operation a couple of years later on my perineum
Joanna doesn't need any more operations - at least for now - and she hopes to keep it this way
if I wanted to have a biological baby there is one solution
But it’s an extremely risky operation to begin with
People from all over the world are sending me messages to congratulate me
the love that I receive from people around the world
I have spoken to numerous women who have this condition
so honoured that they decided to take the first step and talk about it
It is like I have 'sisters' from all over the world
Joanna will begin her studies in forensic psychology in September
and her determination to raise awareness has lit a fire
So many women have it and most of them feel so ashamed
I want to tell them that they are not alone
we have each other and they should not be afraid anymore about themselves
We owe it to ourselves and to the people who love us the most
More: These wonderful illustrations show what women do when no one is watching
More: When this woman came out as trans at her workplace, her co-workers had a truly wonderful response
Joanna Giannouli (27) revealed that she was diagnosed with Rokitansky syndrome when she was 16
A Greek woman who was born with a rare condition which means she has no womb
cervix or upper vagina has opened up about the impact it has had upon her life
In a blog posted on BBC.com
when her mother became concerned that she was not menstruating
Doctors discovered that Joanna did not have a vaginal tunnel and revealed that she would never have children naturally as she was born without a womb
Joanna underwent major surgery to construct a vagina in order for the teen to have sex in the future
like something that you cannot get rid of it,” she told BBC
“I had partners who emotionally abused me about this condition
I couldn't have a stable relationship for many years because of that
your chances of having a good and stable relationship
It leaves you with a huge void that cannot be filled
One of the hardest aspects of the syndrome
is that Joanna will never be able to carry a child because she does not have a womb
which she says was tough to come to terms with
A mother is not the one who gives birth but is the woman who cares for a child
I'm not thinking about it but maybe in the future I will have children
Joanna revealed that it has taken more than a decade to come to terms with her Rokitansky diagnosis but she is no longer ashamed
“I'm still feeling bad about it but I'm not ashamed any more
“I want to support every woman that has this condition because I have been through hell and I know what problems this can cause
Many women have committed suicide because of this
“I found the strength and courage because I want to help other women in the same position because if we don't help each other then who will
It gives me strength when I talk about it,” said Joanna
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