Hodges' Model: Welcome to the QUAD: noise

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Showing posts with label noise. Show all posts
Showing posts with label noise. Show all posts

Thursday, March 19, 2026

'Loud' noises and silences - Martin Luther King

INDIVIDUAL
|
    INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP







... We are confronted with the fierce urgency of now. In this unfolding conundrum of life and history, there is such a thing as being too late. Procrastination is still the thief of time. Life often leaves us standing bare, naked, and dejected with a lost opportunity. ... We may cry out desperately for time to pause in her passage, but time is adamant to every plea and rushes on. Over the bleached bones and jumbled residues of numerous civilizations are written the words, "Too late." There is an invisible book of life that faithfully records our vigilance or our neglect. Omar Khayyam is right: "The moving finger writes, and having writ moves on."
    -DR. MARTIN LUTHER KING, J.,
    Beyond Vietnam - A Time to Break Silence


Thursday, August 07, 2025

'Finding the Signal through the Noise' - WHO EARS

It is deprived communities who desperately want to do their best for family, but struggle to have access to and make sense of many sources of information. News and information not just through 'traditional' channels, but social media. Trying to be objective, non-judgemental it can still be surprising how TVs and smartphones are the key personal and furniture items.

Outside of London, Liverpool has a low uptake of immunisation against measles:

Liverpool, now has cases and a child's death from measles:

https://liverpool.gov.uk/council/public-health-liverpool/measles-on-the-increase/

https://www.liverpoolecho.co.uk/news/liverpool-news/alder-heys-plea-after-child-32050189

Located in-between, I often visit Manchester and Liverpool. I wonder now if I should visit Liverpool less. My daughter and her partner expecting their second child have a decision to make next year.

I noticed on X a reference to 'social listening'. This was missed while drafting a paper on COVID, technology, social media and information disorder. More positively, work on 'infodemic' was captured and posted. 

Blowing the dust of another draft, I will reassess this stream of work and seek specific literature, especially contributions to improved outcomes - public (mental) health.


McGowan B. S. (2022). World Health Organization's Early AI-supported Response with Social Listening Platform. Journal of the Medical Library Association : JMLA, 110(2), 273–275. https://doi.org/10.5195/jmla.2022.1398

See also:

Fryer, Jon. “Information Literacies – Learning, to Thrive in a Digital Age” IRMS Bulletin 230 (2022): 16-21.

Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.

Wednesday, June 02, 2021

Silent - Spring, Summer Autumn Winter ...

individual
|
 
 INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group



The Sea Around Us

Under the Sea-Wind



The Edge of The Sea



"The oceans are the living heart and lungs of our planet. They produce most of the oxygen in our atmosphere, and through their circulating currents they control climate. Without healthy oceans, we land-dwelling, air-breathing mid-sized primates will die.

The republication of the marine biologist Rachel Carson's first three books ... marks a new, widespread recognition of these facts."

Margaret Atwood, Did we think the sea was too big to fail? Review, The Daily Telegraph, 29 May, 2021. pp.6-7.

Tuesday, June 01, 2021

Book: Noise

individual
|
 
 INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
noise?

noise? noise?

Daniel Kahneman, Olivier Sibony, Cass R. Sunstein, Noise: Exclusive Edition (Hardback), HarperCollins Publishers.

Sunday, March 07, 2021

WHO: 1 in 4 people projected to have hearing problems by 2050

"When unaddressed, hearing loss impacts many aspects of life at individual level"

 and collective too.


individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

"Communication and speech

Cognition  

Education and Employment: In developing countries, children with hearing loss and deafness often do not receive schooling. Adults with hearing loss also have a much higher unemployment rate. Among those who are employed, a higher percentage of people with hearing loss are in the lower grades of employment compared with the general workforce."


"Nearly 2.5 billion people worldwide ─ or 1 in 4 people ─ will be living with some degree of hearing loss by 2050, warns the World Health Organization’s (WHO) first World Report on Hearing, released today. At least 700 million of these people will require access to ear and hearing care and other rehabilitation services unless action is taken."


"But the most glaring gap in health system capacity is in human resources. Among low-income countries, about 78% have fewer than one ear, nose and throat (ENT) specialist per million population; 93% have fewer than one audiologist per million; only 17% have one or more speech therapist per million; and 50% have one or more teacher for the deaf per million. This gap can be closed through integration of ear and hearing care into primary health care through strategies such as task sharing and training, outlined in the report."

"Impact on society and economy

Years Lived with Disability (YDLs) and Disability Adjusted Life Years (DALYs)

WHO estimates that unaddressed hearing loss poses an annual global cost of US$ 980 billion. This includes health sector costs (excluding the cost of hearing devices), costs of educational support, loss of productivity, and societal costs. 57% of these costs are attributed to low- and middle-income countries."

Sources:

https://www.who.int/news/item/02-03-2021-who-1-in-4-people-projected-to-have-hearing-problems-by-2050

https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss

 

Dear colleagues,

We have recently published an article that presents some insights from Canada 

(full-text available from ResearchGate https://www.researchgate.net/publication/343400636_Here's_to_sound_action_on_global_hearing_health_through_public_health_approaches )

Shroff, F.M. and Jung, D. (2020), "Here's to sound action on global hearing health through public health approaches", International Journal of Health Governance, Vol. 25 No. 3, pp. 235-244. https://doi.org/10.1108/IJHG-01-2020-0004 

Abstract Purpose – A global pandemic, non-occupational noise-induced hearing loss (NIHL) is a completely preventable public health problem, which receives limited air time. This study has dual purposes: to contribute to scholarly literature that puts non-occupational NIHL on the global priority map and to effect change in the City of Vancouver’s policies toward noise. 

Design/methodology/approach – Experts in public health and hearing health were contacted in addition to a scoping literature search on PubMed. Information pertaining to both developed and developing countries was obtained, and comparison was made to Canada where possible. The authors met with elected officials at the City of Vancouver to inform them of the win–win aspects of policies that promoted better hearing.

Findings – Non-occupational NIHL is an underappreciated issue in Canada and many other countries, as seen by the lack of epidemiological data and public health initiatives. Other countries, such as Australia, have more robust research and public health programs, but most of the world lags behind. Better hearing health is possible through targeted campaigns addressing root causes of non-occupational, recreational noise–positive associations with loud noise. By redefining social norms so that soft to moderate sounds are associated with positive values and loud sounds are negatively attributed, the societies will prevent leisure NIHL. The authors recommend widespread national all-age campaigns that benefit from successful public health campaigns of the past, such as smoking cessation, safety belts and others. Soft Sounds are Healthy (SSH) is a suggested name for a campaign that would take many years, ample resources and sophisticated understanding of behavior change to be effective.

Research limitations/implications – A gap exists in the collection of non-occupational NIHL data. Creating indicators and regularly collecting data is a high priority for most nations. Beyond data collection, prevention of non-occupational NIHL ought to be a high priority. Studies in each region would propel understanding, partly to discern the cultural factors that would predispose the general population to change favorable attitudes toward loud sounds to associations of moderate sounds with positivity. Evaluations of these campaigns would then follow.

Practical implications – Everyday life for many people around the world, particularly in cities, is loud. Traffic, construction, loudspeakers, music and other loud sounds abound. Many people have adapted to these loud soundscapes, and others suffer from the lack of peace and quiet. Changing cultural attitudes toward loud sound will improve human and animal health, lessen the burden on healthcare systems and positively impact the economy. Social implications–Industries that create loud technologies and machinery ought to be required to find ways to soften noise. Regulatory mechanisms that are enforced by law and fines ought to be in place. When governments take up the banner of hearing health, they will help to set a new tone toward loud sounds as undesirable, and this will partially address the root causes of the problem of non-occupational NIHL.

Thanks

Irina Ibragimova, PhD

Co-editor, International Journal of Health Governance

HIFA profile: Irina Ibraghimova is a medical librarian, based in Croatia, and works with health care professionals in the countries of the Former Soviet Union, Central and Eastern Europe, and Africa. Her interests include evidence-based practice (both in health care and in library/informatics field). She is a HIFA Country Representative for Croatia. https://www.hifa.org/support/members/irina www.lrcnetwork.org www.healthconnect-intl.org ibra AT zadar.net

Source:

HIFA https://www.hifa.org/

(Posted a little late...)

Saturday, January 18, 2020

Book* - "Healing Spaces"


- plus, five care knowledge domains*

and a question...?


individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group - population



"What is missing from the book is a precise figure on just how great a contribution a restful atmosphere makes to healing - something health chiefs are sure to demand before making changes in our hospitals. Nevertheless, it provides a pleasant glimpse of the possible future of rest and recuperation." p.45.



Which, if any, healing space - or care domain in Hodges' model should be the priority?
 
Justify your choice and subsequent ordering.


My source:
Geddes, L. (2009) Books&Arts, A view to recovery, New Scientist, 9 May 2009, 202:2707. p.45.

See also:
Ulrich, R. (1984) View through a window may influence recovery from surgery. Science, 224: 4647, 420.
https://doi.org/10.1126/science.6143402

Saturday, January 28, 2017

Hodges' model: A Black Box

"Globally, every theory of systems became a graph of either a simplex or a complex, all things being first of all situated in the depths of a black box." p.3.

Genesis: Michel Serres
"Who, in the end, and from the other side of the picture can boast of having conceived a general system, of projecting or constructing a general system of communication or relation, as a universal network? What would be conveyed by it? and how? What harmony, what cacophony would come of it? Do we have any sort of an ear for hearing that kind of thing?" p.4.

Michel Serres (1995). Genesis (Studies in Literature & Science). (Trans. Genevieve James, James Nielson) Ann Arbor: The University of Michigan Press.


Sunday, November 13, 2016

Too much Information...

individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population
Perception
Stimuli
Concentration - 'Noise' - Attention
Safety - Salience - Space
Anxiety - Disposition - Mood
Sense-making
Models of Communication

TOO MUCH - information - TOO LITTLE
"How much do you have?"
Activism
Policy
Employment
Awareness
Employer Engagement
Equality
Inclusion



My source: Post and image c/o BBC Radio 4 - Digital Human

Wednesday, July 09, 2014

ERCIM News No. 98 Special theme: "Smart Cities"

http://ercim-news.ercim.eu/en98
ERCIM NEWS #98
Dear ERCIM News Reader,

ERCIM News No. 98 has just been published at:
http://ercim-news.ercim.eu/en98

Special Theme: "Smart Cities"
http://ercim-news.ercim.eu/en98/special/

featuring a keynote by Eberhard van der Laan, Mayor of Amsterdam
http://ercim-news.ercim.eu/en98/keynote-smart-cities

Guest editors:
- Ioannis Askoxylakis, ICS-FORTH, Greece
- Theo Tryfonas, Faculty of Engineering, University of Bristol, UK

This issue is also available for download as:
pdf:  http://ercim-news.ercim.eu/images/stories/EN98/EN98-web.pdf
epub: http://ercim-news.ercim.eu/images/stories/EN98/EN98.epub

Next issue: No. 99, October 2014 - Special Theme: "Quality Software"
(see Call at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz
ERCIM News central editor

Includes:
Urban Civics - Democratizing Urban Data for Healthy Smart Cities
CityLab@Inria - A Lab on Smart Cities fostering Environmental and Social Sustainability
‘U-Sense’, A Cooperative Sensing System for Monitoring Air Quality in Urban Areas 
---------------------------------
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is published quarterly by ERCIM, the European Research Consortium for Informatics and Mathematics.
The printed edition will reach about 6000 readers.
This email alert reaches over 7500 subscribers.
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Wednesday, February 06, 2013

Extrasolar planets, x-phi and The Francis report

I'm sure there is a planet out there - extrasolar - with the physical make-up such that be it an incredible water fall, tidal surge, or rolling polished mega-rocks - the noise, could we hear it, would do far more than make your ears bleed.

Today, here in England there is a legal, health and political media event of very serious import. The ruckus in health and political circles might also make for more than bleeding noses and definitely thousands of continuing broken hearts.

The Francis report will be published today. Further insights and findings will be revealed c/o the Public Inquiry with recommendations on the Mid Staffordshire NHS Foundation Trust health care debacle.

In Philosophy Now Jan/Feb 2013 Tibor Fischer's editorial mentions the need for marketing within philosophy and literature, with the suggestion of placing x-phi on a T-shirt.

'X-phi' of course reads as experimental philosophy.

In health care, nursing and social care evidence counts for everything (and for h2cm too). Evidence based practice that is founded upon research is essential. Experiments are needed that can be reproduced, extended, validated. ...

Today is a profoundly sad day for everyone in the NHS, as many commentators have already predicted. The future constantly beckons, but today reflect we must that in the clamour for evidence based care, does this mean we must don T-shirts?:

x-care

Have we forgotten the principles of what it is to care: compassion - our duty of care?

No, but amid the cacophony of technology, technical care, the targets, statistics, budget cuts, the challenges to morale and nursing's values we need to be ever more vigilant.

We must learn how to x-listen and x-shout in the 21st century health care environment(s).

But experiments in how to listen, how to blow a whistle? Surely not.

Well yes: as clearly here basic care systems did not work they failed terribly: individually, organisationally and across the FIVE care domains of h2cm.

Wednesday, September 01, 2010

Ru! Ru! Ru! Ru! ..... alarmed by the noise? [ambient care]

Working in nursing home liaison I am a regular visitor to various residential and nursing homes.

As I respond to referrals I spend several minutes waiting to see residents, relatives and staff. At this point I can take in the ambience of the home and all too frequently what stands out is the home's call system.

Many are acutely effective.

Even though I am not there for long - 30-60 minutes, the volume, tone and the overall quality of some of these systems can be grossly irritating. Due to the care needs of the resident population the alarm calls are also a constant. This is not just my audiological experience, but one shared with students on placement with me.

Attracting the attention of staff is crucial. Caring staff do want to know who, where and when someone needs assistance. Ironically, sometimes that annoying, intrusive alarm call is supported with a plaintive shout for "someone!". As ever there are many ways to define person centred care. In response to the alarm's screech, scream and shrill the staff head to the panel and seek direction to Room 3 or 7.

If care is personalised then whatever happened to our signature tunes? Did this individual play a musical instrument? Gleaned from their life history record this might at least include Jo's musical favourites? It's true that existing alarms are anonymous, and so confidentiality is preserved. Meanwhile though peace, well-being and staff retention rates(?) are lined up against the walls and reverberated, rev erbe rat ed, re ve r be ra te d ... ...

Of course, at some remote future time I might embarrass myself as I press the red button and the Thunderbirds March rings out down the corridor, around a left, a right corner to light a panel.

Fellow residents and visitors might be given to say "Gee, there goes Alan Tracy needing help again!" Maybe by then the robots will have it sorted: the latest in-situ care units will save the day and people's ears.

Seriously though: designers, owners and managers of homes must consider the acoustic architecture of the care environment; or are they also anticipating a rise in the average age of employees with a consequent impact on the hearing acuity of employees? As to the quality of life of the residents go figure: 5, 4, 3, 2, 1!

Tuesday, July 14, 2009

Distorted care

Some musical performances are so polished, clear and (p)honed that we readily attribute them to the classical genre. There are experimental pieces that 'buck this quality trend' but the musicianship, melody and composition stand the test of time grabbing audiences by the ear, throat and heart. On the popular music front some bands - The Eagles spring to mind - are not universally appreciated for their sound, (sales), shine and harmonies.

Whatever the music though if you ramp up the volume enough - distortion happens. This disturbs and disrupts the artist's, composer's and producer's original intent.

The worry is that care can be similarly distorted, not only by those who can shout the loudest creating noise, but the political clamour that creates its own form of cultural background radiation. It becomes hard for everyone to listen and reflect on the track we've heard so many times since our teen years:
you know the one - 'Quality Care' by 'Informed Debate, Health & Social Lookyafters'.

Image my source: Sodahead.com


Additional link - BBC: Compulsory social care bill plan

Thursday, September 18, 2008

Butterflies make the news go-round

In health, social care and the news media at large there are themes that recur. While every summer has its silly season, there is a strange irregular-regularity in the way the light is re-cast on issues important to us all. It may be triggered due to a tragic incident involving a child, older person, or a whole family. At other times the stimulus for further exposure and prompt for debate is found when different coloured papers have their political say. The political opposition can force or be forced into a reaction.

Chaos is hardly a new kid in town, but there are many groups such as Society for Chaos Theory in Psychology & Life Sciences who are trying to understand and apply this infant science to specific disciplines and even conjoin and create new ones. I mention chaos due the question of migration.

Where do the various items of news head to when they disappear off the media's smörgåsbord?

Maybe they are still there, they just merge into the background noise? This movement is not just a binary, metronomic tick-tock, in and out of the media's eyes. It's more complex than that.

Like the butterflies beloved of chaoticists everywhen, perhaps these issues travel an unpredictable and yet inevitable course through the four fold space of Hodges' model? They travel together and yet in separate lanes, like the horses racing at an amusement arcade. When one reaches the socio-cultural-political boundary, that is when things happen and the volume is ramped up.

Events may frequently have their origin in the intrapersonal domain (it takes a person to find a tango partner), but one way or another - either heading south through the social domain or east and south through the sciences domain - news worthy items will and do repeat themselves.

Original image source: http://10outof10.blogspot.com/2008/04/lorenz-father-of-chaos-theory-died-at.html

Tuesday, May 13, 2008

Where the heck am I (and where are you on Hodges' model)?

A combination of nursing experience and informatics knowledge and skills have meant that for a long time I have been able to sit on the fence and listen appreciatively to two sides of an ongoing saga. I am sure the ending will be a happy one, if not for the reason that there is no such thing as a 'finished' (nursing) information system. There is however a need for targets, deadlines, plans for a series of software releases and all the activities that accompany 'IT' projects. In short - project management. There is then a constant need for people to sit on the fence.

While the ability to sit on the fence may be something of an advantageous position, there are times when it becomes a source of anxiety and dissonance. Off the fence as a nurse without an informatics role (without i-portfolio), you feel left out of things. Literally chomping at the bit to contribute to the developments taking place - elsewhere.

Also off the fence, but alternately wearing the informatics shoes you have a sense that those soft, fuzzy caring, psychobabble skills are slowly yet inexorably melting away. How credible can you be if you have not 'nursed', that is - seen a client, managed your case load for 1, 2 or 3 years? Whatever your field, you can lose your touch.

Reading Michel Serres and his use of Harlequin as a trope really caught my imagination and breath (as lots of things do). Here's some background to Harlequin (and Hermes):

Two figures, then, inform Serres's oeuvre: Hermes and the Harlequin. Hermes the traveller and the medium allows for the movement in and between diverse regions of social life. The Harlequin is a multicolored clown standing in the place of the chaos of life. Two regions of particular interest to the voyager in knowledge are those of the natural sciences and the humanities. Should science really be opened up to poetry and art, or is this simply an idiosyncrasy on Serres's part? Is this his gimmick? The answer is that Serres firmly believes that the very viability and vitality of science depends on the degree to which it is open to its poetical other. Science only moves on if it receives an infusion of something out of the blue, something unpredictable and miraculous. The poetic impulse is the life-blood of natural science, not its nemesis. Poetry is the way of the voyager open to the unexpected and always prepared to make unexpected links between places and things. The form that these links take is of course influenced by technological developments; information technology transforms the senses, for example. Source: Dr.Vicente Forés López
This short quote hopefully illustrates the attraction of Serres to me as I study Hodges' model and informatics. Discovering Serres really creased me up. I say creased because that is where I am, trapped between two worlds. Stuck in that line between HUMANISTIC and MECHANISTIC realms. If I run the gauntlet there, the only other avenue open to me is that afforded by the INDIVIDUAL and GROUP axis.

Now I'm clearly not the only one able to sit on the fence and take in the views and perspectives of two frequently disparate worlds. On informatics secondment and at events such as HC2008 (HC2009) as a nurse - informatician (?) you have to see lost opportunities looking at the speaker line-up and number of nurses present and enabled to take the messages home.

As a fact of life change will happen.

How much better though is change borne of
dialogue and engagement?

Like Harlequin those of us with clinical AND informatics insights must mix things up. There is a need to constantly enquire, challenge, influence and direct at times. A need also to pass the baton and let others experience the dual perspectives from the fence (and the splinters too).
Image sources: http://commons.wikimedia.org/wiki/User:Malene
and http://www.qosmiq.com/cdiadrone/ghis/pfolio/characters/index.htm