Hodges' Model: Welcome to the QUAD: June 2020

- 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

Sunday, June 28, 2020

1st WHO Infodemiology Conference - Online

WHO 1st  Infodemiology Conference (Image:WHO/Sam Bradd)

My source: HIFA

We are excited for the WHO Infodemiology pre-conference webinar line up on Monday!

There are over 3500 people registered from 151 countries and territories!

We have arranged for the webinar to be interpreted into French and Spanish.

If you have friends and networks that would be interested in infodemic management and speak Spanish or French, please invite them! They can still register here:


If zoom room reaches capacity, we have prepared an alternate way that you will be able to watch as you connect. Everyone will be available to participate in the *meeting via Slido* ask questions, discuss, and participate in polls.

*The promotional materials, programme and speaker bios will be available* in the event booklet on the public google drive for the event:


*The fun starts on Monday, 29 June, at 13:00 Geneva time sharp!*

Kindest regards,

Tina, Lis, Margaux, Stefano, Jianfang and Tim
Tina D. Purnat

Temporarily also supporting the WHO COVID-19 infodemic response pillar, see

Technical Officer, Digital Health Technologies
Department of Digital Health & Innovation
Science Division | World Health Organization | Avenue Appia 20, 1202
Geneva, Switzerland

Banner: WHO/Sam Bradd

Saturday, June 27, 2020

Arithmetic, Population and Energy by Dr Albert Bartlett

humanistic ----------------------------------------------- mechanistic
group - population

- a presentation by:

Dr. Albert A. Bartlett
Professor Emeritus
Department of Physics
University of Colorado, Boulder

My source:
Price, T. (2016) A monster called growth, MoneyWeek, 23 September, p.28.

B-corp: A new dawn for capitalism?

humanistic ----------------------------------------------- mechanistic
group - population

individual purpose, goals

[ corporate [entity] purpose - goals? ]




public good

"In 2006 they launched this new legal structure, dubbed a "Benefit Corporation" - or "B-corp" - with the authorisation of the Delaware courts, creating a legal framework for companies that requires managers to not just chase financial metrics (for shareholders) but environmental and social goals too." p.2.

My source:
Tett, G. Capitalism - a new dawn? FTWeekend, Life&Arts, 7-8 September 2019, pp.1-2.

Thursday, June 25, 2020

Any one for CSA - care situational awareness?

humanistic ----------------------------------------------- mechanistic
group - population


*(knowing what everyone else is up to in orbit)

My source:
de Quetteville, H. China joins the 'great game' in sky with GPS rival Beidou, Business, The Daily Telegraph, 25 June 2020, p.4.

Tuesday, June 23, 2020

Open Course: Public education - antibiotic resistance

Following a thread on HIFA on Antibiotic Drug Resistance here is an additional item:

Hello, I’d like to explore the opportunities for HIFA to help promote a new online open, short-course that we have produced specifically for the public, ‘An introduction to antibiotics and drug resistant infections’. We have recently launched this free resource, and it has currently now being used in 70 countries, with a high course-completion rate, and more than 93% rating it highly. Consequently we are keen to provide as many opportunities to help people become aware of this online course, for which they can get their free certificate of completion too.

I’d appreciate any advice and direction to promote, and whether it can be promoted through HIFA too.





Dr Roger Harrison (PhD)
Senior Lecturer in Public Health
Division Lead for Social Responsibility
Chair ‘Action on Antibiotic Drug Resistance: One student, one campus, one world’.

Division of Population Health, Health Services Research and Primary Care | School of Health Sciences | Faculty of Biology, Medicine and Health |The University of Manchester | C4.6 Ellen Wilkinson Building | Oxford Road | Manchester M13 9PT.

Skype rogerharrisonuk

Sunday, June 21, 2020

Heritage Management Process: Before & After

humanistic ----------------------------------------------- mechanistic
group - population

Rio Tinto was given permission to blast Juukan Gorge 1 and 2 under Section 18 of the Aboriginal Heritage Act, despite calls to protect the two Aboriginal rock shelters. (Image: Puutu Kunti Kurrama And Pinikura Aboriginal Corporation)
Juukan Gorge in the Hammersley Ranges in Western Pilbara

My source:
Smyth, J. (2020) Rio Tinto criticised by former adviser over heritage site blast, FTWeekend, 20-21 June, p.13.

See also:
The Guardian,
Rio Tinto blasts 46,000-year-old Aboriginal site to expand iron ore mine, The Guardian.

Image source:

Saturday, June 20, 2020

30 Years of Progress: Nursing informatics and Nursing theory

Going through some papers I found some notes written in the 90s:

Allan Curtis a clinical services manager described the experience of setting up a 24 hour information service to a hospital paediatric hospital service.

Creating a system using Sensible Solution (a database package), Curtis noted how:
"The intricacies of programming were more difficult than I imagined."
Problems occurred when the school of nursing changed its adopted model of nursing, some information was then either redundant or incompatible.
"Although it would be nice to redesign the program to take account of such changes, it would take too much time - and money."

I do not have the article and a search failed to locate the full reference. I am assuming the link above is the 1980s-90s database package in question. When able to visit a university library I will update accordingly. It would be interesting to see if the model of nursing and the change was noted and any reasons. I'm sure they were? The point for me are the divides in skills, academic - service settings, finance and the status of 'models of nursing' (care). There is also the extent of change in programming and information systems. What is now referred to as 'the development stack' is far more powerful and yet more complex and complicated.

Curtis, A. (1990) Nursing Times, February 28, 86, 9, pp.69-70.

Wednesday, June 17, 2020

Op-Ed: Why dignified menstruation matters?

"reproductive health rights are human rights"

humanistic ----------------------------------------------- mechanistic
group - population


personal beliefs 



mental health
trauma - abuse
impact on education

health literacy 

psychological privacy
(this is my period - not my shame ...) 

A matter of 
human biology: 
anatomy & physiology
Bangladesh, Nepal, India, other low and middle income countries
 in South Asia

menstruation, menstrual period

women of reproductive age

wrong information
life threatening ...

menstrual hygiene 
menstrual health management

disaster response
natural disaster, floods, cyclones, conflict, refugees
cyclone shelters
physical security 
physical access to toilets
traditional materials - cloth
physical privacy
even if it's yours?

intergenerational factors...
"When I was a girl..."

Women's menstruation
menstrual period 
cultural and social beliefs
Health literacy
Health promotion

negligence and whisper
womanhood: dignity and respect
public discussion
 stereotype, ideas, taboos, stigma
age old superstitions  life threatening harmful practices imposed to them by the family members, neighbours and the community
[ Community care?! ]

positive role models
positive support of husbands and families

social privacy

Human Rights Declaration
United Nations in 1948
'dignified menstruation'

UN Water

water, sanitation and hygiene (WASH)

Disaster relief:
1. Male perspective;
2. Cultural taboo;
3. Menstrual health not in plans?

 budgetary planning

Public Health

Toilet facilities
Provision of toilets
Toilet-sewage infrastructure

political privacy
(do not compromise my privacy 
by compromising my rights)

"All the stakeholders should explore all-inclusive 
most comprehensive integrated approach 
to ensure dignified menstruation."

The Daily Observer, Why dignified menstruation matters? by PARVEZ BABUL

My source: HIFA

... and previously on W2tQ

Sunday, June 14, 2020

Book Review: iii Mathematics and Art: A Cultural History

Mathematics + Art
Mathematics + Art

Chapters 2 and 3 on proportion and infinity and chapter 7 on symmetry concern foundational topics in mathematics and also the arts. From antiquity through to modern day the ideas are interwoven within and across personalities, history and the development of thought and a never ending quest for knowledge and meaning.

The diagrams in chapter 2 work very well illustrating the literal transformation of the representation of 3D space on a 2D plane. Linear perspective then presented it own challenge for artists, the human figure correctly proportioned against architecture that can dominate space, as intended, but on a canvas?

I have long laboured the point that in Hodges' model, it takes physical and emotional labour to put the patient (person, carer, student, ...) at the center of the model. In art, Alberti suggested putting the vanishing point in the center of a painting to achieve an overall symmetry (p.81). We realise of course that comprehensive, non-judgemental, person-centredness also relies on political labour too.

In chapter 3 on infinity, the 'frightening' aspect of the concept is highlighted from the outset in the work of Cantor, even before discussing rational and irrational numbers. As much as we clearly seek to reduce phenomena, it is fascinating; the human drive to unify, synthesize and discern some higher Absolute order. The existence of free will was subject to question (C. 19th) and is still debated today, with probability calculations and quantum mechanical additions. Although we might understand a concept in a certain disciplinary context, the conjunction of disciplines (art and mathematics) and the meaning of terms abstract and objective (and hence subjective) are instantly and usefully perturbed. That's what I enjoyed about reading this.

In the first post on Gamwell's book I suggested the (oh so real!) mystery of mathematics for me. The book could have been a challenge in terms of explaining complex mathematics, but this 'tome' rewards rather than confounds the reader. In chapter 3 you will find 'set theory' and Cantor's Actual infinity. At the risk of contradicting myself, aleph-zero, aleph-null et al. are worth (require) re-reading. Gamwell provides the titles of other key texts, some dating to the earliest writings and with some background. Gamwell refers to friar Giodano Bruno and the plurality of worlds, another very early reference to SETI. A reminder of a book to pick up again, with Leopardi Giacomo in the Zibaldone: infinity, (other) beings and nihilism too?

Like you perhaps, I have seen this engraving many times:

Camille Flammarion:
L'atmosphère météorologie populaire.
Paris 1888

As if often the case, there is more to this than meets the eye.

Thanks to Gamwell (p.126) I can see Hodges' model not only as "the place where four roads meet" but:
"In this nineteenth-century popular science on meteorology, an anonymous engraver depicted a medieval cleric who, like Bruno, imagined that beyond the fixed stars on the dome of the heaven were other suns, other worlds, and, according to a vision of the Hebrew prophet Ezekiel, a spirit-filled chariot with "a wheel intersecting a wheel" (shown in the upper left-hand corner) that could magically roll in four directions...".

humanistic ----------------------------------------------- mechanistic
group - population

Cantor's real number axis, he called "the continuum", it is dense. p.123.


(Latin: 'of the state') p.120.

More to follow ...

Lynn Gamwell (2016) Mathematics and Art: A Cultural History. Princeton, New Jersey: Princeton University Press. ISBN: 9780691165288. p.283.

(Thank you to PUP and I must add John Wiley for the review copy - more to follow.)

Source image:
Camille Flammarion: L'atmosphère météorologie populaire. Paris 1888.

Saturday, June 13, 2020

Mirror 4: 'Health Career' = life chances

humanistic ----------------------------------------------- mechanistic
group - population

Meditations in an Emergency
May 21–August 30, 2020

My source:
Dally, J. (2020) The art world gets back to business. Life&Arts, FTWeekend, 23-24 May, p.11.

Image source:

Friday, June 12, 2020

"Blind to the Big Picture" and Parity of Esteem

humanistic ----------------------------------------------- mechanistic
group - population
Mirrored ...
An art gallery party for Christie's Contemporary during Frieze week 2008
Martin Parr/Magnum

The Decadent Society

My source:
Foroohar, R. (2020) Blind to the big picture. Life&Arts, Financial Times, 23-24 May, p.8.

Ross Douthat, The Decadent Society — has the west run out of ideas? Simon and Schuster

See also:

 - and on W2tQ:

Monday, June 08, 2020

5th Workshop on Visualization for the Digital Humanities

We are happy to announce that the 5th edition of VIS4DH — the Workshop on Visualization for the Digital Humanities — will take place on Sunday, October 25, 2020 in Salt Lake City, Utah, as part of the IEEE VIS2020 conference.

For 4 years now, the VIS4DH workshop has brought together researchers and practitioners from the fields of visualization and the humanities to discuss new research directions at the intersection of visualization and (digital) humanities research. The general aim is to foster productive collaborations that mutually advances all fields involved. Papers and invited talks from previous years can be found here.

Re-Imagining Data

This year, we invite a dialogue on the topic and terminology around “data”, a contested term within and between a range of disciplines. There are varying perspectives on the meaning and use of data that impact how we engage and debate it. “Data” seems core to visualization! Or is it? We invite both theoretical and applied works at the intersection of visualization and (digital) humanities around these and other questions related to the workshop theme.

You can contribute and showcase your work through our paper track (just like in previous years) and/or through our provocations track (new for VIS4DH 2020!) – the official calls for papers and provocations can be found on the Call for Submissions page.

Check back here or follow us on Twitter for the latest updates.

Sunday, June 07, 2020

The Greatest Wealth: In Celebration of the NHS

4 Jun – 1970s: Sister Susan, by Moira Buffini, performed by Dervla Kirwan

Which is your decade?

What of the Future ...?

humanistic ----------------------------------------------- mechanistic
group - population
For you,
and you,
and you,
it's your safety net.

That's why
we should all take 
of it ...

So, for you
and you,
and you,
who Occupy 
this space here;
the Public 
have been 
waiting, waiting, waiting ...
oft silent minorities suffering,
but all are
watching and willing
for a semblance of rational
 leadership with security
in national and global 

Saturday, June 06, 2020

Kirigami: Engineering in a World of Friction

humanistic ----------------------------------------------- mechanistic
group - population

Bioinspired kirigami metasurfaces as assistive shoe grips


Falls and subsequent complications are major contributors to morbidity and mortality, especially in older adults. Here, by taking inspiration from claws and scales found in nature, we show that buckling kirigami structures applied to footwear outsoles generate higher friction forces in the forefoot and transversally to the direction of movement. We identified optimal kirigami designs capable of modulating friction for a range of surfaces, including ice, by evaluating the performance of the dynamic kirigami outsoles through numerical simulations and in vitro friction testing, as well as via human-gait force-plate measurements. We anticipate that lightweight kirigami metasurfaces applied to footwear outsoles could help mitigate the risk of slips and falls in a range of environments.

Babaee, S., Pajovic, S., Rafsanjani, A. et al. Bioinspired kirigami metasurfaces as assistive shoe grips. Nat Biomed Eng (2020). https://doi.org/10.1038/s41551-020-0564-3

See also on W2tQ:
RA of Eng - Healthcare challenges needing engineering expertise

My source:
Kirigami keeps your feet on the ground. The Times, News, 2 June, 2020, p.16 and 27.

Wednesday, June 03, 2020

RA of Eng - Healthcare challenges needing engineering expertise

humanistic ----------------------------------------------- mechanistic
group - population

The Royal Academy of Engineering is keen to help identify potential solutions and facilitate useful contacts across its national and international engineering networks that could help our governments address problems and assist the public health response.


We would like to hear from frontline medics and policymakers who are encountering critical issues, so that we can convene expert teams of engineers to help solve these problems.

Diagnosis vs Formulation in Mental Health

"Should psychological formulation replace diagnosis?"

When Brian Hodges created the model the original purposes (c. 1983-84) were to facilitate:
  1. Reflection and reflective practice;
  2. Integrated - person-centred care;
  3. Holistic care (mental, physical, social, political and spiritual) and;
  4. Bridge the Theory - Practice gap.
After learning and applying the model in 1987-88 I quickly recognised the multi-fold purposes and functions to which Hodges' model can be applied. One of these is clinical assessment which are encapsulated in 1-4 above. Importantly this includes assessment across all fields of health and social care; and more specifically case formulation as applied within various psychological therapies and interventions.

Noting a tweet (see below) I knew straight away that here is a blog post, even before being pointed to an associated blog post,

In 1998-9 I started a course on the use of psychosocial intervention and cognitive behaviour therapy in psychoses. From the outset as a student mental health nurse, you are constantly made aware of the politics in psychiatry and mental health nursing:

Clare, A.W. (1976) Psychiatry in Dissent: Controversial Issues in Thought and Practice. London: Tavistock

Even on twitter (and I don't wish to denote surprise) there is often marked debate, critique, even sniping between psychology, psychiatrists and users of mental health services, patients, or survivors whichever nomenclature you prefer.

I have always tried to draw student's attention to coding and classification. Key to this is purpose: clinical diagnosis, epidemiology, research, demographics, national and international reporting and statistics (plus of course - pandemic management). Being a health care professional demands an awareness of diagnosis, the tools available, how they change and their limitations. Even if it is 'not your job' to 'diagnose', that understanding is important to your effectiveness and ability to empathise with patients, carers and families.

Implicit in Hodges' Health Career - Care Domains - Model is time and potential or otherwise for change in and throughout someone's life.

Students will and should become embroiled in the debate of mental illness as a social construct. Although world events at present heighten the view of things being polarised and now in its starkest form - people too and Yes - #BlackLivesMatter. The continuum model of mental health affords another viewpoint. It suggests the gradual way a person's beliefs can become more bizarre over time. Substance harmful use is not some necessary (essential) precipitating factor, but it can accelerate a negative transformation of a person's view of themselves, others, the world and future.

A diagnosis can be constructive, providing renewed certainty and direction. A diagnosis can also be destructive in terms of how a patient, their loved ones, friends and society receive it. There are nursing diagnoses also; and as such Hodges' model provides a means for a nursing, psychological and clinical case formulation.

In response to reference to the 'medical model', I have tweeted many times how the biopsychosocial model, of which the medical model is a part, is incomplete.

Beyond diagnosis and formulation, there is a need to see the model that really does the work,
for the real elephant in the room to reveal itself.

I am of course referring to the bio-psycho-socio-political model.

Appeal to the medical model, without reference to the political is ingenuous. It is the political after all that permits institutions to award degrees and the granting of licensing and registers to 'practice', prescribe drugs and other treatments. Ready incorporation of the political should be acknowledged by the extent of change through the past 40 years of mental health service provision (and more recent stasis?).

Or, perhaps legislation passed in that time does not yet speak volumes?

The role of community mental health nursing has changed profoundly in this time and the accent (as evinced three days a week Nov-Mar 2020) is upon assisting individuals to manage their substance harmful use, financial affairs, strained therapeutic relationships and emotional dysregulation. Very often it is statutory agencies who 'rely' on diagnoses. A psychological formulation would probably have little 'leverage' as part of a Personal Independence Payment (PIP) assessment or appeal. It is here that a medical diagnosis - has currency. Consultant Psychiatrists have little enough time so the CPN/CMHN acts as the go-between. Reaching across from the intra- interpersonal domain to the political.

The narrative written on the assessment/appeal form will include content that would no doubt contribute to a psychological formulation (and even psychodynamic) were this is relevant purely for the purpose of the assessment. As such it is the dialogues and narratives that are engendered that can increase self and mutual understanding and awareness. This can in turn provide the opportunity to progress more positively a person's situation within which diagnoses and formulations play a part. There is still a great 'gap' between the formulaic and diagnostic outputs and the therapies that are available.

humanistic ----------------------------------------------- mechanistic
group - population
Diagnostic and Statistical Manual of Mental Disorders (DSM–5)


Psychological formulation

Psychodynamic formulation

Psychiatric diagnosis


Health career - life chances

Medical diagnosis


International Classification of Diseases



Health career - life chances

[Recruitment agencies seek mental health nurses as 'disability assessors'. I am a realist. I know some people are beyond the pale, but that doesn't mean we should not try. These assessments can be opportunities to engage anew, but of course that is not what is required?]

My prompt:
Samei Huda - Twitter