- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Tuesday, March 28, 2017

Vision and Memory Re-ordering


humanistic --------------------------------------- mechanistic

pre-traumatic stress disorder



Eye Movement Desensitization and Reprocessing (EMDR)

Averted vision
focussed action?

Image source: https://commons.wikimedia.org/wiki/File:Methan_Lewis.svg

Sunday, March 26, 2017

Request from South Sudan Medical Journal

From HIFA:
Neil - can you post this on HIFA? We are really needing help with the tasks listed below.

The South Sudan Medical Journal is the only medical journal in South Sudan; since 2008 it has been published quarterly in Juba by a small group of volunteers. Now we want to add new people to our team in order to continue improving the journal over the next decade. At present we particularly need volunteers (with experience of publishing, and of healthcare in Africa) to help:

  1. The editorial advisor to oversee the progress of articles from submission to publication - including ‘chasing’ authors and reviewers;
  2. To edit/correct submitted articles with authors in order to prepare them for peer review (especially authors who are unused to writing in English and/or for publication) - and after peer review to help the author get the final copy ready for publication;
  3. The IT team manage and upload content onto the website.

Please contact us at admin AT southernsudanmedicaljournal.com if you can help with any of the above.

HIFA profile: Ann Burgess is a freelance nutritionist based in Scotland, UK. She is interested in facilitating the sharing of practical nutrition information between professionals in low/medium-income countries particularly those in Africa. She has helped to prepare various kinds of nutrition materials, and is a co-editor of the 3rd edition of Nutrition for Developing Countries published in 2015. She is Editorial Advisor to the South Sudan Medical Journal www.southsudanmedicaljournal.com.  annpatriciaburgess AT yahoo.co.uk

HIFA: Healthcare Information For All: www.hifa.org

HIFA Voices database: www.hifavoices.org

Thursday, March 23, 2017

Witness the Land and the Location of Truth

humanistic --------------------------------------- mechanistic

Lockerbie Witness Box (Exhibition Version), 2003
Nathan Coley, b.1967
Rosewood, laminates, aluminium, steel, carpet, plywood, electrical components and chair

"This work consists of an exact replica of the witness box used at the Lockerbie bombing trial alongside eight of a series of 12 drawings representing evidence presented during the trial. The trial was held in the Netherlands, but for 36 weeks the small area of land where the court stood was temporarily legally Scottish. Coley challenges what we take as 'real', by looking at the arbitrary rules that enable a country to 'appear' somewhere else and the assumption that a person is telling the truth because they are sitting in a certain place." 

My source: Gallery of Modern Art, Royal Exchange Square, Glasgow G1 3AH visited 28 November 2015.

Tuesday, March 21, 2017

Academics call for Parliament to tackle the privatisation of healthcare in the NHS in England

Please share this news on your social media platforms:

A bill to prevent the privatisation of NHS services and to reinstate the NHS in England, supported and written by Newcastle University academics, is scheduled to be debated today.

On Friday 24th March, the NHS Reinstatement Bill will be presented in the House of Commons by Margaret Greenwood, Labour MP for Wirral West.

It is the result of a body of work by Newcastle University academic Professor Alyson Pollock and colleague, barrister Peter Roderick. Professor Pollock, the newly-appointed Director of the Institute of Health and Society, Newcastle University, said:
“The NHS has been one of the UK’s greatest achievements and for almost 70 years it has provided a cost effective, universal health service. Yet this has been eroded.

“I believe the Health and Social Care Act 2012, forced a commercialised model on the NHS in England as the first thing it did was remove the duty on the Health Secretary to provide services throughout England. In effect this makes commercial tendering virtually compulsory.
“The result is billions of pounds of NHS money and thousands of health services put out to commercial tendering, removing scarce resources from the system and putting them into the private sector instead.
“The aim of today’s Bill is to force the issue into the open, and allow debate on what I consider as a momentous failing to society.”

The Bill proposes that the NHS should be restored as a public service by reversing marketization in the NHS, by abolishing the purchaser-provider split ending contracting and re-establishing public bodies and public services accountable to local communities.
The academic team believe this is necessary to stop the dismantling of the NHS under the Health and Social Care Act 2012.
Allyson Pollock was professor of public health research and policy at Queen Mary University of London, and set up and directed the Centre for International Public Health Policy at the University of Edinburgh before moving to Newcastle.

Her research at Newcastle University will focus on health inequalities, the privatisation and marketization of health services, pharmaceuticals and clinical trials and will build on her well-respected work on sports injury, in particular head injuries.

The Bill was co-written with the help of Peter Roderick, Principal Research Associate within the Institute of Health and Society.
He said: “In writing this bill, we are reinstating the founding principles which made the NHS. These have been eroded and they will not be restored unless Parliament passes a law to do so.”

MP Margaret Greenwood took up the Bill because of growing public concern about the state of the NHS and she is calling on people concerned about the NHS to write to their MP to ask them to support the Bill.

A key supporter of this Bill is also MP for North Tyneside, Mary Glindon.

Reference to previous published work:

Pollock AM (2016). How Marketisation and Privatisation Is Being Used to Abolish National Universal Health Care Systems and What Must Be Done to Restore Them. REVISTA DEL CLAD REFORMA Y DEMOCRACIA (64) 5-50.

Pollock AM, Roderick P (2015). Why the Queen's Speech on 19 May should include a bill to reinstate the NHS in England. BMJ vol. 350, 10.1136/bmj.h2257

Pollock AM, Roderick P (2014). Trust in the time of markets: protecting patient information. Lancet vol. 383, (9928) 1523-1524. 10.1016/S0140-6736(14)60727-3

Pollock AM, Price D (2014). Loss of population data sources when health systems are not responsible for geographically defined populations: implications of the Health and Social Care Act of 2012 in England. Evid Based Med vol. 19, (1) 4-5. 10.1136/eb-2013-101287

Pollock AM, Price D, Kondilis E et al. (2013). Planning for closure: the role of special administrators in reducing NHS hospital services in England. BMJ vol. 347, 10.1136/bmj.f7322

My source: 
Politics of Health Group Mail List Messages


Visit PoHG on Facebook: https://www.facebook.com/282761111845400

Follow us on Twitter: @pohguk

Guns. Coal, Guns... Coal. Guns, Coal.... Great Barriers [ii]

Politically pernicious mine-fields

(Spot the difference?)

humanistic -------------------------------------------  mechanistic

See also:
Australia must share the blame for coral bleaching, FT View, 17 March 2007.

Coal image: News.com.au see credit

Rifle image: Moyers & Company see credit

Monday, March 20, 2017

Great Barriers [i]

humanistic -------------------------------------------  mechanistic

Great Barrier Reef 
c/o ARC Centre


Great Barriers to Belief


See also:
Australia must share the blame for coral bleaching, FT View, 17 March 2007.

Map image: ARC Centre

Sunday, March 19, 2017

Architects' social conscience - in Hodges' model

humanistic -------------------------------------------  mechanistic
can never supply the 
whole answer 
without a 
complex and lengthy 
with specific ...

"There is a sense that the age of the icon is now long dead, that architects need to take their eyes off the skylines and engage with the streets."

"... contemporary architectural culture, swings wildly between two poles. On one hand there is the urge to express (architecture as art)..."

"Aravena made his name with the "half-a-good-house" idea, an elegantly innovative design for a dwelling with a matching negative space beside it into which the inhabitants can expand as necessary when they have the means.

... social,

... and on the other the urge to confess
(social conscience)."

political and economic conditions."

"The current* refugee crisis perhaps
illustrates architects' powerlessness."

*From decades of 'news' experience we can take refugee crises, natural disasters and forced migration to be essentially ongoing and globally pernicious in population impact. Temporary and permanent architectural and housing solutions for people in these extreme situations are therefore critical to improving the lives of millions. PJ

Heathcote, E. (2016*). Architects' social conscience, FT Weekend, Venice Biennale of Architecture, 21-22 May, pp.1-3.

Wednesday, March 15, 2017

4 3 2 1 (What took you so long...!)

humanistic -------------------------------------------  mechanistic

Paul Auster's book '4 3 2 1'

Weeks ago this book shouted its obvious appeal as a blog post. If dropped it is a toe breaker. Reading and hearing on TV discussion about the book you can understand the page count:
"Nearly two weeks early, on March 3, 1947, in the maternity ward of Beth Israel Hospital in Newark, New Jersey, Archibald Isaac Ferguson, the one and only child of Rose and Stanley Ferguson, is born. From that single beginning, Ferguson’s life will take four simultaneous and independent fictional paths. Four identical Fergusons made of the same DNA, four boys who are the same boy, go on to lead four parallel and entirely different lives." (http://paul-auster.com/)
Hodges' model encourages us to understand one life interpreted through the four strands - the care domains - that must contribute to the braided thread that forms all our lives. When at least those lives are able to flourish and prosper. Central to the model are the ideas of 'health career' and 'life chances'. How many lives are cut short by genetics, interventions by nature, politics ... as in the current DEC crises? When interviewed (BBC 2) Auster stressed the significance of an event early in his life, when still a child.
Timeline - Past to Future

We can also imagine Hodges' model being centered on the timeline running from the here-and-now projected out into the future. A series of frames: current; potential and actual. The use of actual here is less idealistic than suggested in Maslow's hierarchy, but reflects the primacy of mindfulness at present. It is more about immediate plans being realised. Perhaps the term realised may be better? Mindfulness is not directly concerned with goals and objectives of course, it is about being in the moment. Hodges' model is in the moment in the sense of being situated.

If the model is not centered on the timeline, as ideally envisioned, what are the consequences? Perhaps this could account for an inability to integrate the matter of our lives. We are disconnected, alienated, malcontented, disenfranchised, depressed, apolitical, asocial, psychotic even unconscious...

As our DNA spirals, the Moon around the Earth, the Earth around the Sun, the Sun around the galaxy ... so too our lives.

Book cover: Amazon

Wednesday, March 08, 2017

Will you #InvestInHer with a small loan this International Women's Day?

Peter – in celebration of International Women’s Day, our generous donors have offered to match $1 million in Kiva loans to women. Investing in women means safer, more financially stable communities where more women and children can thrive. 

Making a loan right now will have lasting impact for generations to come.

KIVA - International Women's Day loans

I will try and address this before 0000hrs and after...

Saturday, March 04, 2017

A Hospital Room with a View

humanistic -------------------------------------------  mechanistic


Photo: Waterstones Tottenham Court Road Window Display 4/3/2017

Book cover: Waterstones

Friday, March 03, 2017

Hodges' model: a blanc space, neutral for structure & content

On twitter today I mentioned the discovery of the book Panaesthetics by Daniel Albright. It was a buy in the end. A great discovery saddened to then learn that its author is no longer with us. Although I have not read it there will be much to draw from it: literally. I have often written about Hodges' model being initially a neutral space, a blank sheet. What is a starting position is always political as with Hodges' model. Its structure regiments the paper it is drawn upon. The presence of a political care - knowledge domain makes a statement. Structurally and in content the sense of neutrality is broken. Albright points to historical support as he discusses "What is painting?".

"White, said Superville, is an innocent peaceful color, calming us in the way that pure snow or moonlight calms. Black implies "silence and solitude, sadness, death, and oblivion"; red is "the hieroglyph of life and movement . . . the excess of luminous rays, just as the colour black is its absorption and annihilation." But this correlation of color with emotional state is less original than Superville's belief that color and lines are "the identical signs of one invariable language, and the associations of the one automatically imply the associations of the other" - every color corresponds to a linear pattern, every linear pattern presupposes a certain color. Superville provides a diagram to prove his point: red throws its arms into the air; black is stooped, submissive; "white , an invariable, pure sign, like the horizontal line, occupies the middle space between two extremes" (fig. 27)." p.102.

This is not the exact figure from the book but the meaning is relayed (I think).

A contact from the OU and 'The Difference that Makes a Difference' Conferences David Chapman kindly commented on this post on Facebook:

David Chapman "White is an innocent, peaceful, color". Except when it is the colour of the KKK, colonialism and slavery? I like the use of the shapes and can see that there may be ideas you can use in the quad, though.

I've expanded on my Facebook response below:

Thanks David, Yes I realise there's a potentially racist tone to this "white as pure". It is of course about the ideas, structure and form. I still refer implicitly to Michel Serres' work and the significance of 'blanc' and in previous posts. There are many ethnocultural connotations as to how black, white, greys and colours are interpreted and what they mean. As a tool it is important that Hodges' model conveys neutrality. In this case no emotional, value-based stance is taken.

Another thought from the past I recall is the BBC micro wordprocessor View and its appearance on a monochrome (Phillips) screen. Green on black (the new 'blanc'?) worked best. The penultimate blanc is the night sky...?

Albright, D. (2014) Panaesthetics On the Unity and Diversity of the Arts. New Haven: Yale University Press.

Diagram: http://www.dezenovevinte.net/obras/av_rc_baile_en.htm

Wednesday, March 01, 2017

Is Hodges' model a Self-Organising Hypothesis Network?

"The proposed approach is based on 3 key steps. First, derive knowledge from different sources of information (experimental data, expert learning, machine learning). Secondly, unify the different knowledge representations. Finally, organise the unified knowledge in a way that captures its generalisation hierarchy and facilitates the design of efficient prediction algorithms (Figure 3)." page 2 of 21.

Figure 3 The SOHN methodology. Different sources of knowledge are unified using a common representation based on the concept of hypothesis. The hypotheses can be organised into a hierarchical network to capture the knowledge in a standardised way (page 3 of 21).

Straight away this figure in Hanser et al. (2014) suggested learning and learners and the four care domains of Hodges' model. There are profound differences of course.

The information at the start takes the form of concepts, data, but 'information' also applies. The context in combining chemistry and informatics is radically different when it comes to who, or what is learning in that first arrow. The paper's keywords are:

Machine learning Knowledge discovery Data mining SAR QSAR SOHN Interpretable model Confidence metric and Hypothesis Network.

To a healthcare or social care student the knowledge encountered may well be raw. The principle of Hodges' model encourages the generation of hypotheses within and then across the model's knowledge domains. The learn-er can then attempt to unify these thoughts and reflections, organising them in a variety of ways. Hodges' model is not itself in self-organising, but there is a pattern-learning process for the learner and a pattern-matching process for the expert or specialist.

Hanser, T., Barber, C., Rosser, E., Vessey, J., Webb, D., & Werner, S. (2014). Self organising hypothesis networks: A new approach for representing and structuring SAR knowledgeJournal of Cheminformatics, 6(1), 1-21.