The point is to change it: connecting research to policy and practice

2021 ◽  
pp. 167-180
Author(s):  
Priscilla Alderson

The final chapter begins with epidemics in Africa and Asia, then considers challenges to health and illness research, and ways forward. Disconnections in theory, policy and practice are contrasted with the connections that need to be made in theory and practice if pandemics, climate change and other global threats to health are to be contained. Contradictory social science theories all need to be connected and combined, like medical science, into a larger coherent critical realist framework that goes beyond describing and measuring. The detailed example is about contested understandings of mental distress within neoliberal reform of community mental health services. Eight commitments for useful health research are followed by methods for Utopian research about future change.

Author(s):  
Priscilla Alderson

Critical realism, a toolkit of practical ideas, helps researchers to extend, clarify and validate their work. Critical realism resolves problems and contradictions between quantitative factual research and qualitative interpretive approaches. It draws on their strengths, overcomes their limitations, and helps to connect research to policy and practice. To meet growing demand from researchers and students, the book shows how versatile critical realism can be in research across the life course and around the world, from small studies to large trials. Healthcare, health promotion and heath inequalities are all addressed. This book is based on the course at University College London, first taught by Roy Bhaskar the founder of critical realism, and later convened by the author. The aim is to help readers who are new to critical realism, or are in the fairly early stages, with their research across the whole range of health and illness disciplines and professions. Chapters consider relations between structure and agency, facts and values, and between visible evidence and mainly unseen powerful influences on health and illness. Using clear definitions, diagrams and examples, this book enables readers to understand and apply valuable critical realist concepts to health and illness research.


Author(s):  
William R. Thompson ◽  
Leila Zakhirova

In this final chapter, we conclude by recapitulating our argument and evidence. One goal of this work has been to improve our understanding of the patterns underlying the evolution of world politics over the past one thousand years. How did we get to where we are now? Where and when did the “modern” world begin? How did we shift from a primarily agrarian economy to a primarily industrial one? How did these changes shape world politics? A related goal was to examine more closely the factors that led to the most serious attempts by states to break free of agrarian constraints. We developed an interactive model of the factors that we thought were most likely to be significant. Finally, a third goal was to examine the linkages between the systemic leadership that emerged from these historical processes and the global warming crisis of the twenty-first century. Climate change means that the traditional energy platforms for system leadership—coal, petroleum, and natural gas—have become counterproductive. The ultimate irony is that we thought that the harnessing of carbon fuels made us invulnerable to climate fluctuations, while the exact opposite turns out to be true. The more carbon fuels are consumed, the greater the damage done to the atmosphere. In many respects, the competition for systemic leadership generated this problem. Yet it is unclear whether systemic leadership will be up to the task of resolving it.


1998 ◽  
Vol 53 (2) ◽  
pp. 136-151 ◽  
Author(s):  
Maggie Bruck ◽  
Stephen J. Ceci ◽  
Helene Hembrooke

Lituanistica ◽  
2020 ◽  
Vol 66 (4) ◽  
Author(s):  
Palmira Zemlevičiūtė

The article deals with the names referring to persons engaged in medicine and related sciences as used in the 1920 issues of Medicina, a medical theory and practice magazine of independent Lithuania. The author identifies their meanings and typical groups, discusses their composition and characteristics, and, to some extent, touches upon the matters of their structure and origin. The names of the actors in the medical field carry a high degree of semantic diversity and fall into four identifiable core groups: (1) the names of persons administering treatment, (2) the names of medical training persons, (3) the names of pharmacy persons, and (4) the names of persons undergoing treatment. Within these groups, names further branch off into subgroups based on a set of different, often individual aspects. Still, there are several frequently occurring aspects that should be distinguished: these are the aspects of college medical education, the connection with the military, and the qualifying degree. Although all names of these actors in the medical field are covered by the overarching seme of medicine, they all vary in differential semes. In terms of word formation, the prevailing names for the actors in the medical field are compound words with their key components mostly deriving from Lithuanian terms. Obviously, the prevalence of compounds is the outcome of the need to name different persons associated with medical science and practice, as well as patients, something that cannot be done with single-word terms. Today, many think of a scientific text as one defined by an abundance of foreign terms. The subject source of the names for the actors in the medical field is a science magazine, yet most of the names are of Lithuanian origin. Many of them are suffixal derivatives: gydytojas ‘physician’, mokovas ‘expert’, slaugytojas ‘nurse’, pribuvėja ‘midwife’, seselė ‘sister’, vaistininkas ‘pharmacist’, ligonis ‘a sick person’, džiovininkas ‘a consumptive’, etc. Loanwords are dominated by words of Latin (daktaras ‘doctor’, medikas ‘medic’, pacientas ‘patient’, provizorius ‘pharmaceutical chemist’, sanitaras (‘orderly’), etc.) and Greek (anatomas ‘anatomist’, chirurgas ‘surgeon’, fiziologas ‘physiologist’, terapeutas ‘therapist’, etc.) origin. Hybrids are not very common and usually have a borrowed root and a Lithuanian suffix (stipendininkas ‘scholar’, farmacininkas ‘pharmacist’, venerininkas ‘a male with a venereal disease’, kretinaitė ‘a female with cretinism’, and so on). Conformity with the terminological criterion can mostly be observed in the names of persons administering treatment, whereas a number of the names of persons undergoing treatment are not very terminological due to them being expressed by substantival adjectives and, typically, participles (apsikrėtusysis ‘one who has caught a disease’, pažeistasis ‘(the) affected’, sergantysis ‘(the) sick’, sveikasis ‘(the) healthy’, etc.), or descriptive word combinations (akių liga sergantysis ‘one with an eye disease’, grįžtamąja šiltine sergantysis (‘one with recurrent typhus’, etc.). In addition to linguistic and terminological evidence, the names of actors in the medical field convey a certain amount of subject-related (medical) information. Their meanings provide insight into the medical situation in Lithuania in 1920, practitioners, the most common illnesses of the period, and so on.


2020 ◽  
Vol 3 (1) ◽  
pp. 1-17
Author(s):  
Mbewe Jacqueline ◽  
Kabwe Harnadih Mubanga

Purpose: Climate change affects local and global rainfall patterns and hence has a counter effect on smallholder agriculture. Impacts of climate change on agriculture are largely due to rainfall variability resulting in reduced yields due to crop-water stress and emergency of pathogens and diseases. In Zambia, climate change has been manifested through increased intensity of droughts and floods. These rainfall anomalies adversely affect agriculture and food systems. In order to survive the impacts of climate change and variability, smallholder farmers in Chongwe have adopted their livelihoods and farming systems to the new climatic patterns.Methodology: This study assessed how smallholder farmers in Chongwe District have adopted their livelihoods as a response to changed climatic conditions. It also investigated the perceptions of smallholder farmers as regards changes in aspects of their climatic conditions. Data collection involved a critical review of literature related to climate change and agriculture, observations, semi- structured interviews with 60 smallholder farmers and eight key informants. The data were analysed using multiple analysis techniques which included the descriptive statistics, One-way analysis of Variance (ANOVA), and the post-hoc Least Square Difference for pairwise comparisons of incomes from different livelihoods engaged in by smallholder farmers .The gendered comparisons of livelihood engagement was done using the chi-square test of association.Findings: The results showed that all farmers perceived occurrence of changes in climatic conditions in the light of changed rainfall patterns in that there has been uncertainty in onset of rains, short rainy season, more intermittent rainfall and increased frequency of intra-seasonal droughts. These changes have led to farmers to adopt such farming techniques as potholing in preference to oxen and tractor ploughing when farming is done on smaller pieces of land. There was a significant difference in the mean annual incomes generated from on-farm livelihoods (ZMW 3677.59; n=58) and off-farm livelihoods (ZMW 6840.91; n = 58) (p= 0.001). Farmers generated the highest income returns by engaging in casual work (ZMW 10307.69; n = 13) compared to every other livelihoods common in the area such as gardening (p=0.002), petty trade (p=0.002) and on-farm livelihoods (p=0.001).Contribution to policy, theory and practice: It was therefore concluded that diversification of income through diversified livelihoods would help smallholder farmers enhance their resilience in the face of changed climatic conditions. On-farm livelihoods should not always be the main income source for farmers as results indicated that farmers engaged in casual work generated higher incomes than those who depended on farming. It was recommended that policy direction should be towards introduction of a gender responsive credit facility that can help improve women’s engagement in off-farm income generating livelihoods, as well as encourage climate change resilience.


Author(s):  
Alix Dietzel

Chapter Four sets out the parameters for the cosmopolitan assessment of climate governance. The chapter first provides overview of the processes involved in global climate change governance: multilateral (United Nations Framework for the Convention on Climate Change, or UNFCCC) and transnational (cities, corporations, NGOs, sub-state authorities). Following this, Chapter Four outlines why actors in the UNFCCC and actors involved in transnational governance processes can be held responsible for bringing about a just response to the climate change problem. The chapter grounds the responsibility of these actors in their capability to enable the three demands of justice set out in Chapter Three by restructuring the social and political context. Finally, Chapter Four outlines a methodological framework to clarify how current practice will be assessed. This framework is based on a four-point hierarchy that can be used to investigate to what extent global governance actors enable each demand of justice.


Author(s):  
Catherine Machalaba ◽  
Cristina Romanelli ◽  
Peter Stoett

The prediction of emerging infectious diseases (EIDs) and the avoidance of their tremendous social and economic costs is contingent on the identification of their most likely drivers. It is argued that the drivers of global environmental change (and climate change as both a driver and an impact) are often the drivers of EIDs; and that the two overlap to such a strong degree that targeting these drivers is sound epidemiological policy. Several drivers overlap with the leading causes of biodiversity loss, providing opportunities for health and biodiversity sectors to generate synergies at local and global levels. This chapter provides a primer on EID ecology, reviews underlying drivers and mechanisms that facilitate pathogen spillover and spread, provides suggested policy and practice-based actions toward the prevention of EIDs in the context of environmental change, and identifies knowledge gaps for the purpose of further research.


Author(s):  
Olusoyi Richard Ashaye ◽  
Husam Helmi Alharahsheh ◽  
Abraham Pius

The chapter is exploring and investigating key definitions and principles of renewable energy highlighting key distinctions between sustainable energy source and renewables, key associated theories of renewable energy such as diffusion theory, and drivers and barriers to renewable energy good practice guidelines. Furthermore, the chapter would focus on strategy, priority and monitoring, and evaluation policies to further provide clarity on how renewable energy is being implemented in practice. The chapter also discusses key dynamic aspects of deployment to further enable success of renewable energy adoption. The chapter is based on reviewing the published literature in the field, as well as other related publications such as professional reports to enhance relatedness to recent updates in policy and practice. The chapter provides key findings and recommendations on the role renewables play in dealing with climate change both in interim and long run, influences on policies, and incentives that would shape its deployment.


2021 ◽  
pp. 112-132
Author(s):  
Michael A. Messner

The final chapter touches back on the stories of veteran activists Wendy Barranco, Phoenix Johnson, Monique Salhab, Monisha Ríos, Stephen Funk, and Brittany Ramos DeBarros to consider the future of Veterans For Peace and About Face within the larger field of national and international movements for peace and social justice. The chapter touches on the state of the current intergenerational dialogue taking place in these organizations, and ends with a critical analysis of how the intersectional praxis of a new generation of progressive activists holds the promise of bridging the struggle against militarism and war with other large issues of the day, including climate change, global pandemics, and the continuing violence of economic, racial, gender, and sexual injustice.


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