Hodges' Model: Welcome to the QUAD: treatment

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 treatment. Show all posts
Showing posts with label treatment. Show all posts

Saturday, September 26, 2026

15th Panhellenic Conference on Alzheimer’s Disease (P.I.C.A.D.)

15th Panhellenic Conference on Alzheimer’s Disease (P.I.C.A.D.) 
& 7th Mediterranean Conference on Neurodegenerative Diseases (Me.Co.N.D.)

24–28 February 2027 | KEDEA – Aristotle University of Thessaloniki
Thessaloniki, Greece

The Countdown Begins!

From 24 to 28 February 2027, Thessaloniki will host the 15th Panhellenic Conference on Alzheimer’s Disease (P.I.C.A.D.) and the 7th Mediterranean Conference on Neurodegenerative Diseases (Me.Co.N.D.), at the KE.D.E.A. (Aristotle University Research Dissemination Center) – Aristotle University of Thessaloniki (AUTH).

This important scientific meeting will bring together healthcare professionals, researchers, academics, and experts in the field of Alzheimer’s disease and neurodegenerative disorders, providing an opportunity to:

  • present the latest scientific findings and emerging data;
  • exchange knowledge, experience, and best practices;
  • discuss current developments and challenges in the field; and
  • foster new scientific collaborations and professional networks.

The Conference is jointly organised by the Panhellenic Institute of Neurodegenerative Diseases, the 1st Propedeutic Department of Internal Medicine of AHEPA University Hospital, Aristotle University of Thessaloniki, and the Panhellenic Federation of Alzheimer’s Disease and Related Disorders.

The Conference will be held in a hybrid format, offering participants the opportunity to attend either in person or online.

Secure Your Participation

We invite you to register and join us in Thessaloniki for this important scientific event.
REGISTER NOW

Would You Like to Present Your Work?
Submit your abstract and contribute to the scientific programme of the Conference. This is an excellent opportunity to present your research, share your findings with the scientific community, and engage with colleagues from Greece and the wider Mediterranean region.

SUBMIT YOUR ABSTRACT

Save the Important Dates
Please plan ahead and make sure to complete your registration and, if you wish to present your work, your abstract submission within the relevant deadlines.

Timely compliance with the Conference schedule is essential for the effective organisation of the event and will contribute to the smooth preparation of both speakers and participants.

IMPORTANT DATES
For registration deadlines, abstract submission, programme updates, and all other Conference information:

For detailed information, please visit the OFFICIAL CONFERENCE WEBSITE

We look forward to welcoming you to Thessaloniki, 24–28 February 2027, and to an engaging and productive scientific meeting.

The Organising Committee


n.b. I enjoyed taking part in 2025 virtually. Blog post to follow re. 'Propedeutic' above. PJ

Tuesday, July 07, 2026

Choose to Treat appeal, 7–14 July 2026



Donate here between 7–14 July and your donation will be doubled! 

'Water is scarce in Mauritania and people have little choice but to bathe, wash clothes, care for their animals, and cool off in the same pools. But the water that brings relief also carries schistosomiasis, a parasitic disease that silently damages the kidneys, stunts growth, impairs learning, and steals futures.

Through our collaboration with the Ministry of Health, Amadou (pictured*) received treatment, and he recovered. But many children in Mauritania still require it. Without continued access to treatment, Amadou and thousands like him remain at risk every time they enter the water.

When people cannot avoid exposure, access to safe, effective treatment is their best protection. A single donation can help protect children like Amadou and support their health at a critical stage in their childhood.' ... 'Choose to Treat appeal'


 


Previous related posts: 'neglected tropical diseases' : 'SDGs'

Sunday, May 03, 2026

Global Experts call for Paradigm Shift in Medicine, Health and Education to Save Lives and Fight escalating Health Crisis

ACCESS NEWS WIRE – for PRESS RELEASE on Tuesday, 28. April 2026

A global consortium of 64 experts (72 entities, 5 continents) unveiled two coordinated consensus plus policy brief reports, outlining a science‑driven roadmap to confront escalating health crises and to tackle the growing burden of noncommunicable diseases (NCDs—including cardiovascular diseases, cancer, diabetes, etc.: 75% of global deaths; 82% in low-/middle income countries; 90% of all death in European region).

The centerpiece is HEAL—Healthy Eating & Active Living, ideally whole‑food plant‑predominant/vegetarian-vegan diets & daily exercise outdoors/active mobility—as the minimum, first‑line standard in health and care. The authors urge immediate action on Prevention-over-Treatment and reforming education and human‑relevant science (drug failure rate from animal studies is 90-95%, and as high as 99.6% for Alzheimer disease), with a rapid shift from disease‑centered reaction to person‑centered, lifestyle‑first cure and care.


Figure 1. HEAL means choosing a whole-food, plant-predominant (ideally vegan) diets coupled with daily exercise outdoors/in nature to kick-start better health. Credit: iStock/LightFieldStudios.


“Sustainable health is for free but cannot be downloaded or prescribed—it must be lived daily and earned across lifetime through informed lifestyle choices, with HEAL as starting point. As childhood-entrenched health literacy lasts a lifetime; embedding HEAL from primary to tertiary education is the policy priority of our generation.” —Lead author Katharina Wirnitzer | PHT, University of Innsbruck & CCCTIM


Foto 2. Katharina Wirnitzer/Keynote on Vegan Diet in Sports. Credit: ©Katharina Wirnitzer.

Why change is imperative.

  • The paradox: Despite rising health spending and scientific advances, public health gains lag while ever-growing NCDs. The expert panel offers 101 consensus statements and a 10‑step policy roadmap to act across the lifespan—from individual behavior to population‑level change.

  • Why HEAL, and why now: HEAL combines Healthy Eating (whole‑food, plant‑predominant; preferably vegetarian/vegan) with Active Living (regular, ideally daily, including outdoor activity and active mobility). Evidence shows synergistic benefits beyond either alone, reducing reliance on drugs and surgery while improving resilience and sustainability of health systems.

  • Prevention-First (3:1): The reports recommend prioritizing prevention, health maintenance, and health promotion over treatment by 3:1 (Figure 3), making healthy choices the easy, first‑line intervention and reserving medicalized treatment for specific indications.

  • Education and workforce: Embed HEAL from primary through tertiary education and continuously upskill healthcare and education professionals to deliver evidence‑based lifestyle counseling, routine assessment, and monitoring. Improve meal standards and support active mobility in schools and public spaces.

  • Human‑relevant science: Accelerate the transition to non‑animal, human‑relevant methods for basic and preclinical research and for efficacy, safety and toxicity testing through funding priorities, validation, and regulatory adoption.

  • Policy roadmap: Apply Health in All Policies (HiAP) to link individual choices with systemic supports (Figure 4); invest in supportive defaults (healthy public catering, active transport, public‑space design, community HEAL programs); embed HEAL in curricula; and track outcomes with robust evaluation to scale what works.


“Every dollar/euro invested in evidence-based prevention saves multiples in treatment. HEAL is the smartest first investment a health system can make.” —Bernd Haditsch | ÖGK – Austrian Health Insurance Fund, Prevention Unit
“Obesity is a disease with powerful drivers. HEAL gives every patient a proven, first-line foundation to reclaim their health.” —Fatima Cody Stanford | Harvard Medical School & MGH
“A doctor who cannot counsel patients on the Power of Lifestyle, especially on food and movement, is only half-equipped. Lifestyle education in medical school is the missing foundation of modern medicine. Helping our patients to eat a more plant-strong diet is the most powerful healing medicine we can prescribe.”
—Michael Klaper | Moving Medicine Forward
„Plant-forward diets provide a powerful opportunity to concurrently improve health and wellbeing for people, farmed animals and the environment.“ —Andrew Knight | Griffith University


Figure 3. Four areas-of-action, balanced 3:1, to achieve lifelong health. Credit: ©Katharina Wirnitzer.



“Given its cost-effectiveness, Traditional, Integrative, and Complementary Medicine will be the evidence-based mainstream of tomorrow’s global healthcare.” —Tomáš Pfeiffer | ITCIM & SANATOR
“Treatment alone will not sustain health systems. HEAL connects prevention, lifestyle medicine and integrative care to advance salutogenesis on a planetary scale. We must invest far more in creating health.” 
—Georg Seifert |
WHO CC & CCCTIM, Charité Universitätsmedizin Berlin

“The science clearly shows that, when it comes to human health, animal protection is a win-win.
Given human health’s complexity, and
since animal testing virtually fails to cure human diseases, human-relevant methods already outperform animal experimentation and must therefore be implemented with priority in science, with funds going to human-focused research.
Citizens in the EU and US have spoken clearly in favor of this transition.
HEAL can prevent many diseases, avoiding the need for animal studies altogether
.“
—Merel Ritskes-Hoitinga | Universities Aarhus & Utrecht; Doris Wilflingseder | Vetmed Uni Vienna, Aysha Akhtar | Center for Contemporary Sciences, Corina Gericke & Gaby Neumann | Doctors Against Animal Experiments

 

Figure 4. Systemic application of HEAL to reach target groups and improve personal and public health across micro (individuals/families), meso (communities), and macro (state/government/federal policy) levels, ensuring optimal vertical and horizontal permeability and integration. Credit: ©Katharina Wirnitzer.

Key Actions at a Glance.

  • Make HEAL the universal starting point and minimum, first‑line prevention standard.

  • Implement lifestyle‑first counseling before routine prescriptions.

  • Prioritize Prevention-over-Treatment with an 3:1 balance.

  • Mandate lifestyle education in schools; embed HEAL across tertiary programs.

  • Continuously upskill professionals for evidence‑based lifestyle counseling and monitoring.

  • Accelerate adoption of human‑relevant methods to end animal experiments in research, education and regulatory testing.


Figure 5. The Power of Lifestyle: Start with the dual HEAL approach across 6 interconnected areas to improve health and well-being. Credit: ©ACLM. Graphic modification: ©Katharina Wirnitzer (permission: 24.11.2021).


Contact for further information

Katharina C. Wirnitzer—Professor for Sports Public Health with a special focus on Child Public Health

Email: katharina@wirnitzer.at | Cell: +43 (650) 5901794

University College of Teacher Education Tyrol (PHT), Innsbruck, Austria

Saturday, May 02, 2026

Martha's Rule revisited ...

Last year in May, I posted about Martha's Rule. A year on, there is an update:

Evidence suggests Martha’s Rule is saving lives

'To support learning and assess the impact the programme is having, we regularly collect data from sites where Martha’s Rule is in place.

Early evidence suggests Martha’s Rule is saving lives and helping thousands of patients benefit from changes to their care.

Data from September 2024 to February 2026 shows 12,301 Martha’s Rule calls were made, with the highest proportion of calls (72%) made via the family/carer escalation process. 4,047 Martha’s Rule escalation calls (33%) related to acute deterioration.

Of those, 2,310 calls required changes in treatment. This includes 524 calls which resulted in transfers of care to high dependency or intensive care units, enhanced levels of care, tertiary centres or referral/transfer to specialists or a specialist ward. Other changes in treatment (1,786) did not require transfer of a patient from a ward in-patient setting. This includes the introduction of a new medication such as an antibiotic to treat infection, investigations including scans and procedural interventions including going to theatre.'

Source:
https://www.england.nhs.uk/patient-safety/marthas-rule/#implementingmarthasrule


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

"Not herself ..."
 
Listening 

Martha

1,700 NHS staff

Taking action


escalation
Mills

parents, guardians, friends & family
 
Familly input -
Multidisciplinary Team
 
Teamwork


Martha's Rule



My prompt:
Koronka, P. '1,700 NHS staff use Martha's Rule to raise the alarm'. The Times, 1 May, 2026, p.6.

Previously: 'intuition' : 'observation' : 'listen' : 'communication' (Never as an afterthought.)

Saturday, April 11, 2026

'Sociological Theory in Transition' (always ..?)

Conclusion: Sociology as a Skin Trade

In other writings (O'Neill, 1972, 1985) I have set out a rival conception of the embodied subject who suffers the hopes and defeats of what I have called 'sociology as a skin trade'. At the same time I began to renovate the imagery of society as a body-politic, to differentiate the levels of the bio-body, the productive body and the libidinal body as sites where human beings pursue the relevant knowledge and values of health, work and happiness. Each level of discourse requires he formulation of relevant technical knowledge (medicine, political economy, sociology and psychoanalysis) and each level has its own emancipatory discourse about health creativity and self-expression. Because each of these discursive interests is likely to be articulated by professional social scientists and therapists, it is necessary to require the institutionalization of mechanisms of political and ethical accountability to laypersons' common-sense knowledge and values regarding their bodies, their families, their work and their souls. Medical and sociological nemesis is not the result of a therapeutic conspiracy against society. It belongs to the radical technological a priori of Western knowledge whose ambition is fundamentally bio-technological. The sin of Adam and Eve was the best humankind could manage at the time. In today's laboratory Adam and Eve can be bypassed and life can be set in motion according to the best genetic formulas. Huge legal, ethical and sociological problems are simultaneously generated. And thus we step into a new 'crisis of opportunity` for which very few social scientists are prepared - whether by training or morals.' p.35.
INDIVIDUAL
|
     INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
psychoanalysis

body as a machine
bio-technological

body-
bio-

sociology

-politic

bio-politics of the population


'In concrete terms, starting in the seventeenth century, this power over life evolved in two basic forms ... One of these poles - the first to be formed, it seems - centered on the body as a machine: its disciplining, the optimisation of its capabilities, the extortion of its forces, the parallel increase of its usefulness and docility, its integration into systems of efficient and economic controls, all this was ensured by the procedures of power that characterised the disciplines: an anatomo-politics of the human body.
The second, formed somewhat later, focussed on the species body, the body imbued with the mechanics of life and serving as the basis of the biological processes: propagation, births and mortality, the level of health, life expectancy and longevity, with all the conditions that can cause them to vary. Their supervision was effected through an entire series of interventions and regulatory controls: a bio-politics of the  population. (Foucault, 1980a, p. 139; altered for my emphasis)' p.24.
'Bio-power regulates bodies individually, as in the clinical model. and collectively, as on the model of social medicine. The two strategies are combined to produce the most complete system of discipline ever known in the history of power. Disciplinary power works in hospitals. schools, prisons, armies, factories and bureaucracies. It is compatible with shifting vocabularies of rights, reform and welfare. It is intimate and collective; it is obeyed not because of its power over death but because of its power over life. It is this shift in emphasis that is the source of the expansion of bio-power whose corresponding apparatus we may call the therapeutic state.' p.25.
 
O’Neill, J. Sociological Nemesis: Parsons and Foucault on the Therapeutic Disciplines, Chapter 1 (pp.21-35). In. Wardell, M.L. and Turner, S. (Eds.). (1986) Sociological Theory in Transition. London: Allen & Unwin, Inc. https://digitalcommons.usf.edu/phi_facpub/86

Previously: 'sociology' : 'power' : 'body'

Friday, March 13, 2026

'GlobalMinds' - NHS study severe mental health problems

Together we can change lives

Depression, bipolar, schizophrenia and related conditions affect millions of people around the world.

Yet mental health receives less than 1% of global research funding. 

This has left healthcare for these conditions stuck in the past:

Cross icon

Diagnosis can take years

Cross icon

Treatments target symptoms, not underlying causes

Cross icon

Half of the prescribed drugs cause severe side effects

GlobalMinds is a major research programme seeking to advance the understanding of mental health conditions and improve lives.

 



My source: 
News, NHS study to transform mental health treatment, The Times, 14 February, 2026, p.6

Friday, February 27, 2026

Rare Disease Day 2026 Official Video

28 February is 
Rare Disease Day


'Raising awareness and generating change for the 300 million people worldwide living with a rare disease, their families and carers.'

Manchester, UK https://www.rarediseaseday.org/event/light-up-for-rare-2/

Continued ... https://www.rarediseaseday.org/

Wednesday, December 24, 2025

Person-centredness, Holistic approach, Prevention c/o Hippocrates

“It is more important to know what sort of person 
has a disease than to know 
what sort of disease a person has.” 
Hippocrates

 
Individual
|
      INTERPERSONAL    :     SCIENCES               
HUMANISTIC  --------------------------------------  MECHANISTIC      
 SOCIOLOGY  :    POLITICAL 
|
Group
To say that Hippocrates was ahead of his time is a gross understatement. Hippocrates recognised the importance of person-centredness and prevention, and contributed to the emergence of several medical specialties. (Kostakopoulos, et al., 2024). 


'Holistic Approach

One of the most significant innovations of the founding father of clinical medicine was the holistic approach for the diagnosis and treatment of disease. This approach is based on the assumption that the human body is a sum of many parts that function in harmony and that if one part is ill, the balance will be affected and the whole person will suffer. Hippocrates considered that patients consisted of body, mind, and spirit and this is also the modern physicians' approach when treating a disease [2].'
 

Health and social care are still playing catch-up. The vitriolic 'debate' on X over psychiatry - anti-psychiatry and DSM-X. The total inability now to shift to preventive healthcare due to the perverse, entrenched economic incentives, which facilitate increasing inequity, inequality.

Whichever Government does switch to preventive medicine, perhaps other governments had better take note? 

I think Hippocrates would have approved - wholeheartedly - of Hodges' model. 

 

'Prevention of Disease

Another important aspect of Hippocrates' works that is widely applied in 21st-century medicine is the prevention of disease. The phrase “Κάλλιον το προλαμβάνειν του θεραπεύειν,” which means that it is better to prevent than to treat a disease, was the cornerstone of his teachings and is based on the observation that healthy Mediterranean diet and daily moderate physical activity can prevent disease. The ancient Greeks believed that all maladies started from the gut and that walking was the best available medicine [2].'



Kostakopoulos NA, Bellos TC, Katsimperis S, Tzelves L. Hippocrates of Kos (460-377 BC): The Founder and Pioneer of Clinical Medicine. Cureus. 2024 Oct 1;16(10):e70602. doi: 10.7759/cureus.70602. PMID: 39483540; PMCID: PMC11526839.

Gabbard, G. The Person with the Diagnosis. Psychiatric News. 49;6. 19 March 2014. 
https://doi.org/10.1176/appi.pn.2014.3b19.

Brigić, A., Hasanović, M., Pajević, I., Aljukić, N., Hamidović, J., & Jakovljević, M. (2021). Principles of Hippocratic Medicine from the Perspective of Modern Medicine. Psychiatria Danubina, 33(Suppl 4), 1210–1217. 

See also: 'medicine' : 'person' : 'diagnosis' : 'prevention'

Tuesday, December 02, 2025

Auction: Twenty-two photographs of psychiatric patients at the Surrey County Lunatic Asylum [1850s]

DIAMOND, Dr Hugh Welch (1808–1886)

Twenty-two photographs of psychiatric patients at the Surrey County Lunatic Asylum [1850s]

Estimate - GBP 100,000 – GBP 200,000

Christie's London - December 10th 2025

https://www.christies.com/en/lot/lot-6564110?ldp_breadcrumb=back

Asylum patient by Hugh Welch Diamond, c1850-58
Asylum patient by Hugh Welch Diamond, c1850-58
Hugh Welch Diamond (English, 1808-1886)
Public domain, via Wikimedia Commons

'The women Iook out at us across 170 years of history with a variety of expressions - bold and shy, serene and distressed. Yet all of them were regarded at the time as "lunatics". These faces were the  subjects of a pioneering project by the 19th-century psychiatrist Hugh Welch Diamond, superintendent of the female division of an asylum in London and the world's first photographer to take pictures of patients for the purpose of diagnosis and therapy.

Twenty-two of Diamond's asylum portraits - the largest surviving group - will be put up for auction on December 10 at Christie's in London, as part of a sale of books, manuscripts and photographs from the library of The Royal Society of Medicine. If they achieve their estimated prices, RSM, a membership charity, will raise more than £2mn to invest in physical and digital infrastructure.' ...

'Diamond was working at a time when society's views of people suffering from mental illness were changing. The earlier practice of shutting patients away in secure "madhouses" was giving way to more humane treatment. Diamond seems to have believed that photography would help doctors both to diagnose and to treat patients. His diagnoses were based partly on the idea, popular in Victorian medical circles, that an individual's physiognomy - their physical features, particularly the face - could reveal their mental state.

"He wanted to make people better and put them back into the world," says Sharrona Pearl, a medical historian at Texas Christian University who has studied Diamond's work. "He also enjoyed experimenting and liked the idea of bridging his expertise in medicine and photography.' p.32.
individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population

Mental Illness
PERSON - SUBJECT
Patient's names not recorded
Portrait - Consent?

Diagnosis and Treatment
person - DATA - SUBJECT
Photography as records
Eagerness to classify - label
Social history
Change in social attitudes
Stigma and fear of mental illness
Current relatives?

Confidentiality
Institutional change
Power imbalance
Shift from 'custodial' to health care 


My source:
Clive Cookson, Mind Hunter, FT Magazine, November 15, 2025, 1151, pp.30-34.

I have noticed Prof. Brendan Kelly is a regular FT respondent, as with this article:

'These photographs were likely to have been taken without meaningful consent and in the context of power imbalance. Yet publication can reclaim their individuality, address historical injustice and underscore our common humanity. Compassion, respect and humility should guide decisions. 
 Proceeds should support medical, educational, or justice-oriented programmes. Most importantly honouring forgotten patients of the past demands better care for people with mental illness today, who often languish, neglected, in homeless hostels or prisons. We can do better.'

Brendan Kelly Professor of Psychiatry, Trinity College, Dublin, Ireland.
Letters, FT Weekend. 22-23 November 2025, p.10.

See also: 'asylum' : 'photos'

Saturday, September 13, 2025

On Care, Papers, Distance, Pressure, Academia and Falls

In my student nursing days late 1970s there was a big-stick of motivation. It wasn't management, and yet it was. There was a stigma attached to a patient developing a pressure sore - decubitus ulcers. The NHS then had many psychogeriatric wards, but that care is now with nursing homes. Despite the best efforts some patients did, especially on the mental health infirmary, which was staffed by 'general'  trained nurses too. Using aseptic technique wounds had to be packed (stage 3-4?). Some of the treatments, were not exactly 'evidence-based'. There is a historical account of previous treatments provided on 'Asylum Years'.

In the 1990s I was working on a 'book' about health, nursing and informatics (it was simpler then?). Submitting the project as a book proposal, a letter from one publisher reads: 'thanks but no thanks'. Although unsuccessful, that exercise accounts for the range of interests I still maintain today, and the scope of posts here on W2tQ. Continuing to clear and sort notes, one is for the 'book':

Abbott, P., & Payne, G. (Eds.). (1990). New Directions in the Sociology of Health (1st ed.). Routledge. https://doi.org/10.4324/9781351141727

From the above book, I've a page of notes headed "For chapter 2" drawing on a brilliant chapter 4:

Distance Decay and Information Deprivation: Health Implications for People in Rural Isolation

By George G. Giarchi

Abstract

Deprivation is frequently associated with the lives of inner city dwellers in old densely packed terraced housing, or with the residents in high-rise city slums and concrete council houses. In substantive socio-economic terms the deprivation of both the urban and the rural setting are the effects of the same structural dysfunctions, as aptly demonstrated by Townsend's 1968 classic study of poverty. On the basis of empirical studies rural deprivation affects the standards of health of many people in the countrysides of the UK particularly the most vulnerable dependent populations, such as younger children and older adults at the lower end of the social scale. The houses which are 'unfit' are damp, poorly lit, badly ventilated or lack healthy sanitation: clothes are rotten with mildew. Leschinsky's nationwide survey of rural health services indicates that centralization of health provision is a major reason for health disparities in rural areas.


I looked up the author, guessing that they were possibly still in academia, emeritus, or more likely (then, a decade or more in their career) retired by now. The search did not take long, but filled me with sadness and anger:

'A coroner has said there were "missed opportunities" to prevent the death of a hospital patient who died after developing a bedsore.

George Giacinto Giarchi, 86, died in November 2017 at Plymouth's Mount Gould Hospital after being treated for weeks at Derriford Hospital after a fall.

At Plymouth Crown Court coroner Ian Arrow said Mr Giarchi died of multi-organ failure from the pressure ulcer.

His family urged ministers to ensure hospitals had adequate staffing levels.

The former Plymouth University professor was admitted to Derriford Hospital after falling and fracturing his arm at home on 25 September 2017.

He was later transferred to Mount Gould where the lesion was first noticed.'

Pressure ulcers, known as bed sores, are injuries caused by pressure on the skin often seen in bedridden patients.'

https://www.bbc.co.uk/news/uk-england-devon-48798285

 Thank you and bless you Prof. George G. Giarchi RIP.

Jones, P. (2012). Exploring several dimensions of local, global and glocal using the generic conceptual framework Hodges's model. The Journal Of Community Informatics. 8(3). Retrieved from https://www.academia.edu/3794699/Reflecting_on_the_glocal_through_the_conceptual_framework_of_Hodges_s_model