Hodges' Model: Welcome to the QUAD: Search results for conflict

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 sorted by relevance for query conflict. Sort by date Show all posts
Showing posts sorted by relevance for query conflict. Sort by date Show all posts

Saturday, October 15, 2011

The International Health Protection Initiative (IHPI) - Resolution Sign-up



The International Health Protection Initiative believes that health care MUST be protected during armed conflict.

The International Health Protection Initiative (IHPI) is a collective movement of individuals, organisations, institutions and charities (including non-Governmental Organisations-NGOs) who have agreed to help to lobby the United Nations to act to uphold the Geneva Conventions, especially as regards safe-guarding health facilities/equipment/transport, and workers.  The Resolution was agreed following a meeting of the International Child Health Group held in November 2010.

Your support is urgently needed for an international resolution to protect healthcare during armed conflict

The resolution will ultimately be submitted to the United Nations (General Assembly, Security Council, and World Health Organization).

In order to achieve the objectives outlined in the resolution, we need the majority of the world’s healthcare organisations, institutions, NGOs and civil society, especially those in conflict afflicted countries to sign up to this important resolution.

We know that you are aware of the urgent need to protect healthcare during armed conflict, that is, to uphold the Geneva Conventions and we would be most grateful for your support.

Once you have read the resolution we respectfully urge you to sign up to it online, as an individual, or preferably, on behalf of your government, institution, or medical organisation. We also encourage you to state your reasons for supporting this resolution in the appropriate box.

So please Sign up now!

Many thanks for your time and attention and we look forward to working with you to help make this life-saving resolution a reality

The IHPI Team
info AT ihpi.org

"War... is when some adults who don't know what good is and what love is, are throwing dangerous war toys which injure innocent people" 

Tamara aged 10 years during the war in Bosnia and Herzegovena.

My source: Prof. David Southall via HIFA2015

My thoughts upon signing up:
This resolution saddens me: that we should need it in the 21st century after millennia of human conflict.

The resolution is an essential course of action that I will help to publicize. Resources by way of legal enforcement, financial and personnel as declared in the resolution to protect basic human rights and health care provision must be assured and enforced globally. As per #5 the trend of pursuing those who commit crimes against humanity should be escalated as the means to record and furnish evidence also increases. This is imperative as a deterrent to those who supposedly 'lead' and those who invariably follow. In this sense 'education for all' is also crucial to help prevent indoctrination - with the additional health dividend that education affords.

Wednesday, April 17, 2024

Policy Dialogue - Water, Conflict and Peace in the Middle East: online

Dear colleagues,

I am delighted to invite you to the next Policy Dialogues from the JHU-UPF Public Policy Center:

Water, Conflict and Peace in the Middle East
Thursday 25th April, 6pm CEST
Online via Zoom (registration required)
Language: English

The Middle East is a region of both severe water problems, and acute political instability. But what is the relationship between these two things? This Policy Dialogue will provide an opportunity to reflect on this question and its implications. It will overview the region’s water problems, and consider how these problems are – or are not – contributing to conflict. It will also examine, conversely, how war and violence are affecting patterns of water resource degradation and water insecurities, and will reflect on opportunities for water-related peace-building, including on how water for peace initiatives might best be pursued.

We are delighted to invite Natasha Carmi (Water Peace Programme Manager at the Geneva Water Hub) and Jan Selby (Professor of International Politics and Climate Change at the University of Leeds, UK) to share their expertise during this session.

We invite you to join us and explore the complexities of this extremely important issue. You can register here. Please also share this invitation within your networks.

Best regards,
Aeve

Aeve Ribbons
she/her

Educational Projects Manager of JHU-UPF Public Policy Center (UPF-BSM)
Managing Editor of the International Journal of Social Determinants of Health and Health Services (IJSDOHS)

My working days are Monday-Thursday / Mis días laborables son de lunes a jueves.

Website: http://www.upf.edu/jhu-ppc/

Twitter: https://twitter.com/pubpolcenter


My source:

Politics of Health Group Mail List Messages

Visit the PoHG website for lots of interesting links and publications: http://www.pohg.org.uk/

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

Follow us on Twitter: @pohguk

Wednesday, June 13, 2007

i3: Inclusion, Integration, Informatics

As well as studying Bortoft over several months, I've been reading Oberski's (2003) paper 'A Goethean way of seeing inclusively' (ref. below) which discusses inclusion within special education. The second page in - I sat up. Although the subject is education, inclusion and integration are central drivers in care service development and improvement. Let's face it, you can't read or listen anywhere without coming across 'i' this and that.

Usually, ask a philosopher to justify their existence and amongst other earnest pursuits they will point to their detailed critique and qualification of the way words are used in our routine daily lives, both domestic and working. They do us a great favour, as the world would grind to a halt if everyone was blinded by the light of uncertainty and what would be perpetual philosophical deliberations.

In this paper, Oberski refers to sources that highlight some crucial differences between inclusion and integration. In this context inclusion means the school must adjust to accommodate and include the child with special educational needs.

As for integration, it is the child [individual] who must 'fall-in-line' and match themselves to the institution the school.

Of course, [special needs] education is not health - is it? Whatever the extent of education within health and social care, it must play a far greater role in future. That's why distinctions like this are important.

The policy push is ongoing - integrated services, public involvement (inclusion?), patient engagement (self-assessment, carer assessment, self-care = inclusion?). How does all this fit together and :-

1. is it generally consistent?
2. are these terms consistent as applied across the h2cm domains:

- INTERPERSONAL; SOCIAL; SCIENCES and POLITICAL?

There's an exercise here if you care to try?

Actually, if inclusion and integration are not used consistently across the care domains, what does that mean for #1 and the general situation? Surely declaring a conflict of definition - should any exist - is as important as declaring a conflict of interest?

If a conflict is found do we freeze in panic, transfixed in the glare of uncertainty?

Or do we just play it cool. Reach for the sunglasses and watch as informatics pulls it all together?

Oberski, I. (2003). A Goethean way of seeing inclusively, Eur. J. of Special Needs Education, 18, 3, 333-340.

Tuesday, June 13, 2017

Boxing 'II'

As young children we may encounter 'boxing' quite early on. This first experience, which we may or may not wholly remember is undoubtedly critical to our personality and subsequent psyche. Such early experiences influence our ability to 'look after ourselves', how we deal with bullies, anxiety, the potential for conflict and develop assertiveness skills. When a 'scrap' happens it can be quite sudden, that total impact of everything out of control, sheer danger and literal impacts. The environment might be nursery, playground, cloak room and the presence of peers as onlookers can be another key factor.

In the late 1960s early 70s I found some old boxing gloves under the stairs at my nan's. I had a handful of uncles on mum's side (just two now - Uncles Tom and Ken!) and the gloves had clearly been swung and jabbed down the line. I don't count myself as a fighter, unless someone tries to push their beliefs - without invitation - down my throat. Then it will be more a case of a reflex action. The 'arc' being comprised of vomit. In the school playground I learned to talk my way out of trouble, resorting to humour at times; as you learn to deploy whatever intellect you might have judiciously. Legs are essential to a boxer:

“First your legs go. Then you lose your reflexes. Then you lose your friends”
Willie Pep

My legs helped me a time or two.

Not too many years ago, so a new generation is in the frame and a nephew had boxing gloves of his very own. He trained with a local club and had some fights. I didn't go watching, but didn't make too big a big fuss either. He doesn't box now as it happens; he's married with family and busy earning a living. Over four decades I've cared for several gentleman, former boxers who developed dementia. Hence, my lack of enthusiasm. (Although the selective literature listed below does not reflect it, women's boxing is of course also well established.) The extent to which boxing caused their dementia is not the point here. It's trying to acknowledge the ongoing debate: the risks, the history (Ancient Greece 688BC), the discipline, sense of belonging and self-respect it can instill. Of course a great many sports can do this. Of course, I listened very attentively as one gent could still relate how perhaps he had been 'used' in terms of the fights and purses back in the 50s-60s. Vulnerable adults of today and yesteryear. Today American Football is concerned about head injuries, in football heading the ball repeatedly is in the news. Technology should be able to reduce the risks even more and protect individuals from injury that is obvious and more insidious in nature.

Some of these points I've considered in Hodges' model as follows:

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

SELF

self-awareness
Identity
self-belief

way-finding

dementia - cognitive damage

personality change

aggression

tactics  strategy

motivation training attitude

self-discipline

ethics

mental health - mental capacity
emotions

mood

Personal safety

boxing technique

reflexes speed movement balance

punching fitness

weight, reach, statistics

THE RING

stamina nutrition hydration

concussion
sub-concussive

exposure models

unconscious knockout

Head - Brain injuries

physics: force time (duration) momentum

technology - sensor equipped gloves

Sports Medicine Research
Headgear
Safety - Evidence

Medical risks

OTHER

Ethnographics
Coaches <-> Boxers
Mentors

Support network

THE STREET

personal history-family
History
sports history

trainer friends club

Sporting behaviour

family friends
Socio-
Rules (changes)

Conflict Power

promotion media finance

codification rules

Amateur Professional

Refereeing

Regulating bodies

Governance

Law

Contracts

Economics


Selective reading:

Sacha, J. (2017). Fighting Feelings. Sociological Perspectives, 60(1), 77-94.

Erlanger, D. (2015). Exposure to sub-concussive head injury in boxing and other sports. Brain Injury, 29(2), 171-4.

Falvey, &., & Mccrory, P. (2015). Because not all blows to the head are the same. British Journal of Sports Medicine, 49(17), 1091.

Mcintosh, A., & Patton, D. (2015). Boxing headguard performance in punch machine tests. British Journal of Sports Medicine, British Journal of Sports Medicine, 14 July 2015.

http://www.welshboxers.com/quotes/

See related post 2016: 'Boxing' I


Monday, May 18, 2020

"Care Package" 4 the C.21st ?

"The CARE Package was the original unit
of aid distributed by the humanitarian organization
CARE (Cooperative for Assistance and Relief Everywhere)."
individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group - population

Disaster Conflict Refugee context?
Individual choices - 
facilitating autonomy 
whenever possible - Sign Language?
Mental health Care Plan
includes relapse prevention /
 Staying well / Self care
Mental capacity / Decision making
Physical health check
Patient Reported Outcomes*
Specific management of medication - lithium, psychotropics and safety completed and health literacy demonstrated with support if needed.
Making Every Contact Count -
in every care context
Psychological therapies 
One narrative: told recorded once
Cognitive access:
Health Information
Access to my health record
My Care - Why?
Understanding, Awareness
C[P]-Suite "I Consent" - My data,
Genetic Profile, Reimbursement?

INTEGRATED -
Disaster Conflict Refugee context?
Avoid admission, over-treatment
Quaternary Prevention
Preparation for Admission?
Physical Care Plan
includes relapse prevention /
 Staying well / Self care
If in-patient THEN is medication ordered and ready for discharge? e-Prescription?
Electronic Health Record
Mobility - aids, Transport
Advice / instructions
Wound / 
Dressing management
Making Every Contact Count -
in every care context
Clinic location: urban / rural
 transport 
Virtual - Telemedicine, e-Health
m-Health
Patient Reported Outcome Measures
Patient involvement in Research
Trials
Physical therapies - access
Physical access services/devices?

- CARE ?
Care IN the Community?
Housing :: Homeless?
Pre-discharge home visit -
e.g. Occupational Therapy?
Living alone?
Safety
Carers involved with due 
consent in care planning. 
Engaged in recognition and role of warning signs and actions to follow.
Recovery, Rehabilitation, Reablement
Awareness and shared competency in medication, in event of physical illness.
Patient/Family audit of clinical record: accuracy if/when appropriate BUT check completed.
Plan of care - activities, groups, information, arts, studies, 
volunteering.
Carers assessment
Social care.
Advance (anticipatory) care planning
Progress (this time) PRO*
Introduce respite care, day care, volunteering
Avoidance of admission:
this time :: next time?
[Finance of Health Service Delivery]
Care Package for specific groups / populations / circumstances: 
Forensic, Prison, Homeless, 
Substance Misuse, Veterans
Need for interpreter, advocacy?
Feedback on care experience:
patient and carer(s)
Management of Belongings, Cash
Community care - follow up instigated - introductions made with continuity of care (personnel) were possible.
Communication with (family) GP/Doctor
Out-of-hours services 
and contact details.
Patient & Carer invited to phone
purely as a trial-run.
Law - Policy? 72 hour, 7 Day -
follow-up at home.
Incidents - Complaints? Apologies?
Organisational Learning 
Welfare - Employment
Data capture and reporting of care spell/episode.
De-identified.
Reports submitted stats.
Reporting plans to Public re. Health Services
Public involvement in Services



The above is not comprehensive and in itself begs questions of scope and what is a 'comprehensive' care package?

The mapping above to Hodges' model includes many assumptions - existing health service provision, governance, finance, housing, social infrastructure - social determinants of health and how these are mitigated (if at all).

Friday, February 05, 2021

Book review: iv "Leave No One Behind" #LNOB

Chapter 6 on Leapfrogging is significant, addressing not just education but access to a 21st Century education. I'm also conscious that as per the reviews I tend to leapfrog all over the (cognitive) space. There's quite a choice of words in the opening sentence: in education having a crucial role in dealing with the burning problems the world faces. Winthrop and Ziegler provide music for my ears as "we need to embrace new mental models for rapidly accelerating .. leapfrogging - education progress (p.109). More than half of all school-age children (884 million) will not be on track to achieve secondary-level skills, that include critical thinking and problem solving (pp.109-110). A process often deployed in providing education is explained:

The context remains global. The USA and the contrast between rich and poor students at 40 points (PISA) is the largest in the world. Five countries could, by 2030, account for half of all children who do not complete primary schooling. As before, notes and links flow thick and fast:  

https://www.education-inequalities.org/

We know the robots are advancing but there is hope in education, with 69 million new teachers being needed to achieve SDG 4. Healthcare, medicine and nursing especially provides its own workforce opportunities. COVID is showing us that you can have rapid provision of 'Nightingale Hospitals' but without staff ...? In intensive care, person-centred, or at least very-focused [Sciences-Physical] care, relies on 1:1 nurse patient ratio or better; without this staff multitasking, you are burning a candle at both ends. In education many nations, as we read, need extra teachers to reduce class sizes. The leapfrog is needed due to a hundred-year gap in 21st century education (p.113). Again, again: the need for new ways to advance education, "characterised by new mental models..." (p.114) and "... without harnessing new models we will never succeed." 

Reading, I scream* "Hey, the model's over here!" as there is more:

"Fourth, [ :-) ] and perhaps most important, while many actors in the global education community might argue that the idea of embracing new models so all young people can get a twenty-first century education is simply too difficult or unrealistic, there is s strong demand from national governments to do just that." p.115.

I realise there are many models implied here, but Hodges' model can I am sure play a role.

Late in the chapter there is a definition of leapfrogging, which put this on a more serious footing (really). I often wonder if those who speak about holistic, person-centred, integrated care or whatever that they can recognise x,y,z at the end of the day. Here there are directions on recognition of leapfrogging and its elements.

Essentially, leapfrogging has the above steps running in parallel.

INDIVIDUAL
|
INTERPERSONAL : SCIENCES
HUMANISTIC----------------------------------------------- MECHANISTIC
SOCIOLOGY : POLITICAL
|
GROUP - COMMUNITY - POPULATION
cognitive ACCESS
student-centred, QUALITY
individualised learning
RELEVANCE
scaling up [conceptual framework!]
virtual leapfrog lab
physical ACCESS
places, QUALITY
technology and data

the ELEPHANT in the domain:
GEOGRAPHY

people & 'places' diverse
QUALITY
RELEVANCE
social access - gender equality

policy design
funding, RELEVANCE
QUALITY
ACCESS governance/assurance
'reading' the data - evaluation
political 'mind-set' shift

There are examples, describing the situation in several countries. 

Another scream rings forth*, as I read that most efforts "have focused on identifying and highlighting innovations," and for the authors, "putting forward a conceptual framework that identifies which innovations have the potential to leapfrog."p.124. 

I'm skipping chapter 7 not because of some problem, it is another pearl and concerning 'universal health coverage' it ties to a paper my co-author and I have just re-submitted. The challenge is time, posts i-iii to date and two further books, plus two other well advanced drafts.

Following community informatics for many years and other sources, a pivotal aspect of gender equality is finance: enter chapter 8 - No women excluded from financial services. Social and economic history, community mental health work in the UK demonstrates the need to target certain welfare (e.g. child) benefits - to women to ensure it is spent as intended. Also apparent are the changes c/o technology. This book does refer to the leapfrog phenomenon in telephony. Many African nations moving to mobile communications skipping a whole generation (or two ...) of telecom infrastructure. Similarly though there is the demise of cash. If people do not have a bank account they miss out and so does the national respective, whether a citizen, or not (recognised). 

For students, the lay reader ... again I can recommend the copious sources:

https://globalfindex.worldbank.org/ 

If the elephant in the SCIENCES - Physical - empirical knowledge domain is geography, in the POLITICAL domain since at least Stiglitz's 'Roaring 90s' it is not just poverty, but the quantitative comparisons that have been made for several decades between the ultrapoor and the ultrawealthy. I remember reading of how certain 'wealth managers' have moved further 'upmarket'. Along the lines of - £10 million? Don't bother us! The repercussions of the 2008 financial crisis are still unresolved, the damage ongoing on so many measures. A crisis not just exacerbated by COVID, but lacerated across all communities and nations; but where is ground zero in terms of the real impact (sorry!)? This chapter considers all the SDGs and gender-equitable financial inclusion (Table 8-1, p.151). There are studies, results, rationale for why having an account matters and a global perspective. As mentioned COVID has helped my regards the individual <-> group axis. Chapter 8 explains intranational and intra-community variations in terms of the gender gap in having an account with a financial institution or mobile service (p.158).

Chapter 9 gave me 'income floors' and the effectiveness of tax-funded transfers in Sub-Saharan Africa. The insights into research explained here by Lustig, Jellema and Pabon that 'D'evelopment is another future employment avenue with something of a 'humanistic moat' to protect it from algorithmic incursions. Although the book via the Brookings Institute points to the opportunities that AI can provide in this field. Again resources abound:

http://iresearch.worldbank.org/PovcalNet/povOnDemand.aspx

https://commitmentoequity.org/

Learning of  'income floors' I wonder about the (disciplinary) extent of these floors, especially as Lustig et al. bring in 'perfectly-targeted' with 'spending-neutral', 'poverty gap' and 'poverty line'. Tables and graphs support explanation of  methodology, with the results from specific countries. Contrast and comparison is a great way to learn, no less here with poverty, tax burden and alternative policy strategies (p.180). This might sound dry, but the book engages, provokes thought, if anything it makes you thirsty for more. 'Forthcoming' work is sign-posted, so this work, the figures, stats are very much dynamic and alive as befits Agenda2030. It has to be given identification of 'fiscal impoverishment' and VAT leaks.

PART III Places: Following informatics since  the 80s I have, from the  periphery, followed the development and deployment of geographic information systems. The opening of Chapter 10 on spatial targeting of poverty hotspots, returned to the concrete reality of geography with my note of children -  'life chances' and the 'health career' (p.209). There is reliance on the history (back to Roman times) and evidence of socio-economic development, the change from rural to urbanization. Unfortunately, if you are a lover of 'dark skies' a measure used is nightlights (p.213) with agriculture as a driver. Limitations in terms of conclusions is stated, data lacking for a subnational picture. The authors investigate the characteristics of poverty hotspots and why some places develop and others do not. Policy issues leads to discussion of human capital, the critical contribution of education and health. I've followed HIFA.org for many years - health information for all. The aim here is to ensure that geography does not dictate the destiny of large numbers of people in developing nations.

[There is a further astrophysical point when satellite imaging can determine the viability of crops, the type of shelters/housing in areas, picking out tin roofs for example. Contrast this with the increased population in low and high Earth orbit and need to 'tidy-up'.]

Chapter 11 provided another lesson the INDIVIDUAL-GROUP axis. The role of cities within the state and ongoing trauma experienced within fragile states, with their vulnerable populations. The difference between social and personal justice. I contrasted 'fragility' with 'frailty' in healthcare. The quality does not wane in the final chapters and there is a logical progression here as we'll see. 

Table 11.1 is a gift for Hodges' model: Drivers of Fragility.

"This overview and analysis of the numerous indicators of fragility brings nuance to the discussion on why defining fragility has been thus far inconclusive and inadequate in inspiring solutions to fragility in all contexts." (p.242).
'All contexts' - I wonder?

There are quite a few indices in the book; State Fragility Index here and the role of Foreign Direct Investment. There are phrases, no doubt common-place in the development lexicon, but they beg deeper understanding - large-scale conflict and low-level violence (empathy and solutions!). Interdisciplinary research is needed to understand the causal linkages at various levels. Table 11.2 'Current Approaches to Fragility', I would think is a great resource for students. 'Military-urbanism' is another characteristic of fragile states. If you think of hearing about global unrest in the world, where is it most likely located? There are several pages (with a table) explaining Matland's conflict-ambiguity model (p.269). The chapter also points to formal international declarations and agendas around which the global response can be coordinated and progress assessed. I'm really encouraged about the 'big picture' credentials of Hodges' model as although they may often be unfortunately concurrent, targeting of poverty hotspots has a companion in targeting fragile states.

All the contributors achieve quite a feat. Although the SDGs are on the book's cover, they are not the cacophony they could be. The history from the Millennium Development Goals does emerge, and from this how the SDGs stand out, in this instance SDG 11 (cities). I've maps of Calgary from 1979 and 1989, an education comparing. We nurses are motivated by being able (if enabled) to make a difference. I do envy those with career pathways to find / tread. What a difference city planners must make too. An impact that is also transdisciplinary. There is still some uncertainty, a need for agreement on the definition of 'urban'. I've approached a community informatics list for any thoughts.

Logical progression and organisation of the book is obvious, as chapter 12 deals with the importance of city leadership. References to events on 'Smart Cities' have been legion for many years, so hopefully technical solutions will not distract for the hybrid leadership skills that are now needed. The need for a ''holistic' picture of urban environments (p.284) is made, perhaps a piece  of the jig-saw, I saw comparing those maps 1979-1989. 

In so many cities there are vulnerable populations. The issue of financial and bank account access and having an address has already been made. Once again, here Pipa and Conroy raise the problem of lack of data. A solution is needed to leapfrog the usual  'household surveys' to provide data and information informing VNR Vulnerable Nation Reviews (p.285) presented to the UN. Allied with transdisciplinary is 'multisolving' (p.289) and perhaps 'humanics' also posted recently? Summing up "cities frame the global frontier in the fight for fairness" (p.292). Following the (real) news and media you inevitably read of cities on the coast and vulnerable to rising oceans. Some nations of seeking to move cities / capitals and build capitals anew. Clearly a space to watch in so any ways.

Finally, chapter 13 has a section all its own: 'On Politics' and as per post #1 underscored my need to read critically on feminism and intersectionality. The focus is feminist leadership. This is excellent material by Paul O'Brien, that begins with a quote:

 It's the combination of feminist leadership and typology of power that is liberating and potentially community affirming that I enjoyed. This is educational as it opens up the level of sophistication, depth of involvement and expertise of NGOs and charities, in this case Oxfam (with acknowledgement of recent history and the need for governance and accountability). So, how are your 'zero sum realities'? Just as the book addresses the SDGs continuously, but in an understated manner, there's a very important point made in the fact that the purpose of the SDGs is not redistributing power, but improving "well-being" or human "development" (p.304). The discussion on power, reminded me of the term 'non-rivalrous' from another (lengthy) book review:

http://hodges-model.blogspot.com/2009/01/book-review-gary-halls-digitize-this.html

Perhaps I missed it, but tax (p.312) does not appear in the otherwise comprehensive index. The preceding listing of the book's contributors is helpful. The closing critique of what LNOB represents is a key take-away, one of several, but significant as the calendar moves closer to 2030.

Many thanks to the publisher for my copy and to all involved in this book The world needs ER now. Agenda 2030 must not be derailed. This book is Essential Reading ... especially to help me achieve a holistic overview of development, the scope and specifics of the SDGs. (paper pending)

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



Homi Kharas, John W. McArthur and Izumi Ohno, (Eds.) 2020. Leave No One Behind: Time for Specifics on the Sustainable Development Goals, Washington D.C.: Brookings Institution Press. 

*(mentally of course)

Sunday, April 03, 2022

MEMO TO: New College of Humanities and London Interdisciplinary School

Re. "Introduction to Lifelong Learning 101"

Since 1998, when I first went 'online' I've always been conscious of etiquette and note how this has changed - developed - over the years. The email associated with the former website domain p-jones.demon.co.uk saw a lot of emails to quite a diverse range of mail lists. Should I? Should I not? These questions remain a key consideration in trying to spread the thought and word on Hodges' model.

Stepping on toes a couple of times, someone also asked about links to blog posts on LinkedIn. Not had those queries recently so I think readers understand the 2x2 table is critical to the post in representing the model. Twitter presents its own challenges [ #WasteOfTime ]. So please pardon my shouting, but there's an important message here about an important resource.

I've lapsed again with no progress on the new site - maybe it is not just vapourware but a dream.

The creation of new education institutions: 

the New College of Humanities and London Interdisciplinary School

- is encouraging for the work here:

"The London Interdisciplinary School wants its students to be problem solvers with a wide range of academic interests."
(Nicola Woolcock, Polymaths plan to teach universities a thing or two. The Times, October 2, 2021. p.17.)

Does it, really - and by implication the NCH, plus New Model Institute for Technology and Engineering (NMITE) and others?

The Times Education Commission with proposals for reform due in June, adds further impetus and evidence ...

I read this evidence as supporting the argument that education and health are and always will be 'legacy issues', that is in need of change, investment, policy. All disciplines of study and knowledge are always dynamic and should be challenging, personally and collectively.

If institutions can distract themselves from fiscal incentive of the bums on seats for a few moments and policy makers look up from the dotting of  I's and crossing of T's then student's learning can be energised by Hodges' model: a generic bootstrap for lifelong learning.

Just to be clear. This model is NOT about boxes, it is about being aware of boundaries and being prepared to cross and use these journeys.

In the 21st century we are humbled by what now constitutes the pantology - the system of all knowledge. No individual can take in - apprehend and master it all, but we should have a means to at least conceptually touch this incredible gift.

INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP
Education
Philosophy (Ethics, Logic)
Psychology: (Applied, Child, Clinical,
Criminal - Forensic,
Occupational,
Artificial Intelligence ...
Cognitive Sciences
Theology
Arts
Creativity and Design
Eco-Anxiety
Happiness - Metrics
...

Sciences: Biology, Physics, Chemistry*
Health: (Medicine, Nursing ...)
Occupational Professions
Computer Science, Information
Mathematics
[macro - nano] Engineering
Architecture
Design and Creativity
Environmental Studies
Hydrology
Land use: Forestry ...

Arts (Music, Dance, Drama ...)
Literature
Anthropology, Archaelogy
Languages
Ancient-History, History
Future Studies
Social Work
Sociology (Culture, Ethnography ...)
Anthropology
Gender Studies
Philanthropy
...

Politics, Government
Security
Law & Crime - Fraud/Corruption
Policing - Law Enforcement
News and Media studies
Political Science - Citizenry
Economics
Socio-Economics
International Development
Peace Studies
Administration
Leadership and Management
War and Conflict ...


I am pleased to see that the post re. Nicholas Maxwell's work is popular here:

"How Universities Have Betrayed Reason and Humanity—And What's to Be Done About It" c/o Nicholas Maxwell 

*So many sub-disciplines: Climate studies, Epidemiology, Marine biology, Quantum Computing / Physics, Exobiology, Astronomy, Materials, Demographics, Geology, Genomics, Cybernetics, Systems, Epigenetics, Exobiology, Neuroscience, Public (Mental) Health, Allied Health Professions ...


Wednesday, July 03, 2019

RCN Congress 2019 ii "We are all Global Nurses"



The debate about public sector vs. private sector healthcare touches all healthcare professionals. There is no escape. Despite this, from my 40+ years in the NHS - the NHS can act as a cocoon. It's as if the walls are adorned with "Keep Calm and Carry On". For some of us there is a 'keep your head down' mentality. While as a nursing assistant and student nurse, the words "Make sure you join COHSE, NUPE or the RCN" rang out; it was the day job, learning and family that had my attention. I wish I'd got to Congress decades ago.



You can't do everything and this lack of involvement is a blessing in a way. For example, without ever taking anything for granted, I never imagined I would need the help of my union/professional body. When I did and 'we won' thanks to a brilliant RCN Rep. Being represented has this quality to it. Unless, you are an activist, it is a newsletter, journal, annual pay discussion, but this opened my eyes. As a consequence, I encourage students, even more so and others to ensure they are represented and get involved.

To Congress itself: I was surprised and disappointed to hear several years ago about the RCN's cessation of links to the International Council of Nurses [ICN]. Further surprise followed when a Congress debate revealed it was five-six years ago in fact:

Members vote to allow RCN to leave international nursing body

£600,000 is 'politics' in the raw for membership and the RCN Council. The cost of ICN membership  was debated at Congress. There are various arguments. This seemed a break on many levels; social, political, psychological and scientifically.

(Bizarrely, perhaps this state of affairs says something in support of reflection. When the latter is accused of fostering navel-gazing, finance and value for money ... speak volumes, but the RCN's global isolation is navel-gazing realised aggravated by the ongoing psychological experience of Brexit.)

In championing Hodges' model as a global resource for healthcare and education, my parochial perspective from Wigan Pier has felt acute. Online I've long nurtured links with global nursing and healthcare groups: HIFA, HIPNET, GANM, Nursing Now and others. In workshops with nursing students and other disciplines, the ICN and global nursing context is always stressed (the ICD too). [After all, as students and lifelong learners these people do have the World at their feet.]

The relevance of Hodges' model increases daily and - my bias aside - the model's significance is crystalised in this issue for the RCN and its members. As noted in the debate John Gilmore raises the matter of refugees. For those in crisis through natural disaster, conflict and crime amid chaos there is geopsychiatry and the mental health implications for children and future generations of this 'lived experience'. As we await further news on this, below I have mapped key elements of the debate in Hodges' model:

There is a digital archive for members to watch the debate.
individual - self
"My backyard"
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group- population
"The WORLD of Nursing"

Philosophical: Values,
Philosophies of Care
Mental Health
Mental Health of Nurses
Parity of Esteem -
geoPSYCHIATRY

Ethel G. Fenwick and others

[ Health Education & Promotion,
Sustainability ]


The 'GEO-' in Nursing
Nursing logistics
Research; Collaboration, Multi-center, Evidence,
The 'UNIVERSAL' in UHC
Definitions of Nursing Roles
Skills & Knowledge
Coding & Classification initiatives
Global: 20,000,000 nurses
ICN predates RCN

'transparency'

The Nursing Community
"Voice"
1899 ICN formed
SOCIO-[Economic] status of nurses

The global:
Community of Practice

Collegiality
Cooperation
Collaboration
Fellowship

"We are all global nurses."

'political'

POLICY: Workforce, Migration,
Recruitment crisis
Safe Staffing (National, Global)
Medical Emergencies,
Climate change
Working groups: Standards, Issues
Funding, ICN, RCN and other bodies
Support for Developing Nations LMIC
The Scope of Nursing
Stewardship
ICN - Membership model
PAY restraint, austerity
As of 2013: £614,470 / £1.42 per member
Business case



How do you measure the impact of an organisation?

2020 - International Year of the Nurse

20:20 vision IS global

https://en.wikipedia.org/wiki/Keep_Calm_and_Carry_On

Monday, February 15, 2016

[Business] Domains of extraordinary Disruption ?

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

Creative: In this case the organisation itself is the disruptor. For instance, when new start-ups disrupt established players.


Transformational: These disruptions are planned and internal. An example would be a company turnaround.



Reputational: These disruptions are unplanned and internal. Examples include fraud cases, misconduct, management conflict and product safety problems.

Hostile: These disruptions come from an external source. Examples include cyberattacks, activist investors and hostile bids.

"Large disruptions can move from one category to another. Each type of disruption will require a different style of leadership."

Source: Boards in Challenging Times: Extraordinary Disruptions.

My source:
Chynoweth, C. Crisis? No, it's an opportunity, Business, Sunday Times, 7 February 2016, p.12.

Tuesday, January 22, 2019

Paper: Geopolitical factors and mental health I [mapped to h2cm]

" ... we propose that mental health must be seen as a key strategic goal of foreign policy and be used as a measure of success of the foreign aid to ensure that individual people with mental illness are guaranteed a role and support in the civil society and their needs – clinical or social – do not get swept under the carpet. To this end, we examine some key statistics and to address the mental health needs of those worst placed, we propose an index – the Compassion, Action, Pragmatism and Evidence (CAPE) Vulnerability Index – that identifies the most vulnerable communities so that international aid may be more appropriately targeted, possibly ‘ring fenced’ making mental health a strategic building block of foreign policy." p.779.

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

wither mental health in relief,
shorter life compared with general population, 
poverty including


 As a child
As an adult



Vicious cycle 1:
Disaster experiences - mental health
Traumatic Stress Disorder**

Natural & man-made disasters,
health crises, e.g. Ebola,
Conflict, War
Climate warming
Humanitarian intervention:
Emphasis on
physical survival and physical health
Statistics: globally

Proposed index:
the Compassion, Action, Pragmatism and Evidence (CAPE) Vulnerability Index – that identifies the most vulnerable communities

Vicious cycle 1:
[**Intergenerational transmission of stress and trauma - Epigenetics, social memory]
 Social upheaval, migration and
displacement


mental illnesses assoc with
social failures such as
poor parenting, school failure,
domestic violence and toxic stress,
impacted prospects on earning a living,
stigma
social exclusion

Social Determinants of Health
Displacement refugees, poverty,
women, children,
 trafficking, rape

Foreign Policy
Relief: mental illness =
denial of - human rights, vote,
marriage, inheritance, make a will

Vicious cycle 2:
corruption - inequality
sequestration of assets
crime, law & order
Disaster ('declaration')

Mental health problems cost the world some
US$2.5 trillion per year
 (US$16.1 trillion by 2030)
Foreign aid & assistance
Foreign policy

Populism


Persaud, A. et al. (2018) Geopolitical factors and mental health I. International Journal of Social Psychiatry, 64(8) 778–785. DOI: 10.1177/0020764018808548
https://journals.sagepub.com/doi/abs/10.1177/0020764018808548?journalCode=ispa&

n.b. I have added epigenetics and the intergenerational transmission of stress and trauma.

Monday, June 09, 2025

🗣️Solving or Resolving Palestinian Human Rights Issues: Relationship "Normalization" | Mohamed ‘Arafa



🗣️ Solving or Resolving Palestinian Human Rights Issues: Relationship "Normalization" | Mohamed ‘Arafa

This session will be the first in the series of conferences “Jurisprudential Dialogues on Human Rights”, which is designed to promote exchanges on topical issues involving human rights and the role of the courts of justice.

 

The aim of this session is to reflect on the violations of the human rights of the Palestinian people — an enduring state of affairs that transcends political or religious lines of judgement. Over the decades, the Israeli-Palestinian conflict has been marking the international landscape, sparking divisions, human misery, and far-reaching geopolitical consequences.

 

This session will be led by Professor Mohamed Arafa, Professor of Law at the University of Alexandria and Adjunct Professor of Law & the Clarke Initiative Visiting Scholar at Cornell Law School. Joining in will be Professor Rita Ribeiro, from the Institute of Social Sciences at the University of Minho, and Zaina Awartani, PhD researcher at the School of Law of the University of Minho and the School of Researchers of the Research Centre for Justice and Governance (JusGov). The event will be chaired by Sergio Ruiz Díaz Arce, Doctoral Integrated Researcher at JusGov.

 

📍June 13th, 2025 | 4.00 p.m. Online


Scientific Commission

Sergio Ruiz Díaz Arce

Joaquim Freitas da Rocha

Robert Junqueira

 

Organisation

JusGov (JusLab – DH)

School of Law of the University of Minho

 

Support

FCT - Foundation for Science and Technology


Yours respectfully,

Robert Junqueira

Executive Coordinator | Research and Scientific Careers Bureau


Research Centre for Justice and Governance

School of Law of the University of Minho

Gualtar Campus
4710-057 Braga - Portugal

 

T: (+351) 253 60 18 75

E: martinsjunqueira AT direito.uminho.pt

Sunday, March 14, 2021

Paper: Models of care for patients with hypertension and diabetes in humanitarian crises: a systematic review

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

"Implementing NCD care in humanitarian crises requires the development of a context-adapted approach or ‘model of care’. A model of care may be characterized as a conceptual and pragmatic framework that describes how services are delivered within a health system (Davidson et al., 2006; Agency for Clinical Innovation, 2013)."

Models of care

"We found that there was no single unifying model of care for HTN/DM care in humanitarian crises, and the variance in care models included in this review was highly dependent on context. In order to descriptively synthesize the diverse models presented in the included studies, we created a typology based on the type of crisis, region and integration with the health system, since these factors likely influenced model design"
 
patient’s expectations

hypertension and diabetes (HTN/DM)

Crisis type and Region
Natural: Hurricane, Flood, Earthquake

Palestine, Lebanon, Jordan,  China, Pakistan,  India, Philippines, Syria, Iraq, Turkey, Nepal

Camp, Non-Camp; Rural, Urban

Location of services - Location of people in need, transport, travel time, distance

Refugee population - Local population

forced displacement, disruption of treatment and support, interrupted health services, movement and attrition of health care workers (HCWs), insecurity, destruction of infrastructure,  breakdown in supply chains and data processes

"The domains of access — availability, affordability, accessibility, accommodation, and acceptability — were derived from previously described measures of coverage (Penchansky and Thomas, 1981; Hernández-Quevedo and Papnicolas, 2013; Levesque et al., 2013)."

Refugees and Host Communities

Humanitarian crises

"Responsiveness has been defined as the ability of health services meet a patient’s holistic needs; in this framework, it also encompassed a model of care’s ability to respond to changing patient needs in a volatile context (.Hernández-Quevedo and Papnicolas, 2013; Kruk et al., 2018). Integration described the linkage between different levels and sites of care, such as facility-based care and community-based support as well as coordination between providers and institutions, while continuity of care referred to uninterrupted care throughout the patient’s disease and life course."

Formal health system and community-based formal or informal systems

Non-governmental organisations


Crisis type and Region
Political: Conflict, Disaster

Affordability, income, worth of service

Accommodation

Person :: Service
centrednesss

 

"Availability was defined as the volume and type of existing services and whether this was adequate for the volume and needs of service users. Affordability constituted the patient’s capacity to use financial resources to obtain care balanced against their income and the perceived worth of the service. Accessibility addressed the match between the location of services vs the location of people in need, including transport, travel time, distance, and cost. The accommodation was defined as the organization of service delivery, such as opening times and ability of service users to accommodate to this. Acceptability was considered as the relationship between the services and the patient’s expectations of appropriate care."
(My emphasis)

NCD  - Non-communicable disease

My source: HIFA list

CITATION: Models of care for patients with hypertension and diabetes in humanitarian crises: a systematic review, Michael S Jaung, Ruth Willis, Piyu Sharma, Sigiriya Aebischer Perone, Signe Frederiksen, Claudia Truppa, Bayard Roberts, Pablo Perel, Karl Blanchet, Éimhín Ansbro
Health Policy and Planning, https://doi.org/10.1093/heapol/czab007