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In an age where change accelerates at an exponential pace, the world is grappling with a unique and volatile set of challenges. Mohamed El-Erian, the foreword author of our first publication (Reimagining Philanthropy in the Global South: From Analysis to Action in a Post-COVID World), uses the term “permacrisis” to describe the compounding issues of climate change, geopolitical instability, and technological disruption that now dominate the global landscape. These crises have revealed the fragility of systems once deemed resilient, highlighting the urgent need for transformative financing approaches to support sustainable development and achieve lasting systemic change in an ever-evolving world. This book explores the promise of catalytic capital and the emerging dynamics of development finance in this new global landscape.
In this chapter, artists look back on their careers and consider what they will leave behind. Responses vary from pride to regrets. Some rethink career decisions, such as whether they should have—or should not have—gotten advanced education and how their careers might have progressed had accidents not occurred or had they chosen to pursue a different avenue of work. Artists also discuss why they create in the first place, addressing the responses of audiences locally and internationally, how it has made a difference in their own lives and the lives of others, and the notion of creativity as a necessary part of everyday life.
The common law permits employers to fix the wages payable under the contract of employment and also upholds a broad principle of no work–no pay. Statute protects employees against deductions from their wages that are not authorised by the terms of their contract. Subject to the express terms of the contract, in some circumstances employers may be under a duty to provide work so that employees can earn a living. These rules embrace a principle of mutuality that protects the expectation of the employer that work will be performed and of the employee that work will be remunerated. The National Minimum Wage sets a floor on wages for all workers. The chapter describes the method of assessing whether the minimum wage is paid in various kinds of jobs. It concludes by assessing the various types of enforcement mechanisms, including HMRC inspectors, penalties and civil claims, and assesses the effectiveness of the law.
Invasive non-native species proceed through the Invasion Process upon introduction to a new location, with stages comprising establishment, growth, spread, and invasive impact. High fecundity, driven by fast growth, short lifespan, and a long reproduction period, can lead to high population densities, facilitating stage progression. The Asian date mussel (Arcuatula senhousia) is a marine intertidal–subtidal species, recently established in the UK. Given its potential to impact ecosystem services in Northern Europe, understanding the Invasion Process stage it has reached is imperative for assessing potential invasiveness and informing management. Therefore, population parameters of subtidal A. senhousia in the UK were evaluated from April 2021 to March 2022 to assess invasion stage. Specimens were collected (n = 1,029) via dredging and processed for condition index, gonadosomatic index, gonad index, length-frequency distribution, and electronic length-frequency analyses. While densities were low (<1 individuals per m2), maximum lifespan was high (23 months) and growth rate was high (1.8 mm per month), relative to other populations within the species’ global range. Results confirmed June to October spawning as previously reported in the UK and France but also evidenced secondary spawning (in November) for the first time in Northern Europe. Successful recruitment from primary and secondary spawning in 2020 was also apparent. Findings indicate A. senhousia has reached the Growth stage, and that further spread within the UK and Northern Europe is likely. Climate change will likely increase larval survivorship and individual and population fecundity, facilitating progression to invasive impact, potentially within the next decade.
The Desolate Boedelskamer was an innovative institution. It introduced a new approach to insolvency. Rather than punishing the insolvent debtor, the Desolate Boedelskamer sought to raise him up. Even though it remained firmly embedded in the early modern mental world and its communal culture of governance, the Amsterdam Desolate Boedelskamer is a clear example of how professionalization and good governance were able to provide systemic trust in a world of growing complexity. This new institution was part of the moral economy of seventeenth-century Amsterdam and relied upon it to function, but it also helped to shape that moral economy. Through a careful balancing act of trust and power, this institution was able to support the proliferation of credit, granting numerous insolvents in seventeenth-century Amsterdam a true stay of execution. In this analytical conclusion, the impact and wider implications of the book's argument will be discussed in a broader context.
Chapter 12 discusses the potential opportunities and challenges associated with disseminating the findings of corpus-based approaches to health communication, which also apply more generally to interdisciplinary research and collaborations between researchers and non-academic stakeholders. We include two case studies. The first case study involves work on patient feedback with members of the NHS who had provided a list of questions for us to work on. We discuss the importance of and challenges around building and maintaining relationships with members of this large, changing organisation, as well as outlining how we approached dissemination of findings, both in academic and non-academic senses, and the extent that we were able to carry out impact. The second case study considers our experiences of disseminating findings from a project on metaphors and cancer, focussing particularly on writing for a healthcare journal, dealing with the media, and going beyond corpus data to create a metaphor-based resource for communication about cancer.
The chapter will help you to be able to explain the overarching purpose of any CBT treatment process, consider the rationale for having therapy goals, define the most important features of a good goal, collaboratively create a set of goals with individual patients, and determine the key targets of treatment from a therapist perspective.
Clinical and Translational Science Award (CTSA) hubs are charged with supporting high-quality, community-engaged clinical research; improving the effectiveness and efficiency of research; and facilitating dissemination and implementation of findings into practice, leading to improved clinical outcomes and public health. Traditional academic outcomes, such as publications, subsequent grant funding, and innovative research methods, have often been cited as evidence of hubs’ impacts. This article describes one CTSA’s approach to extending beyond traditional research outcomes to operationalizing and measuring impacts on health, health care, and public support of research. The approach replaces logic models with key driver diagrams, shifts responsibility for performance indicators to individual programs, consolidates and standardizes impact measures across programs, and adapts existing measures, such as the Translational Science Benefits Model. Measurement challenges include the extended time from supporting a study to its impact, reliance on investigators and partners to provide information, gaining access to organization-wide data, limited validated tools for this purpose, and the limits to documenting breadth of impact. Early lessons learned include the need to embrace various and often imperfect methods and measures, strategically engage partners for mutual benefit, support programs to adopt a continuous improvement mindset, and collaborate with leadership to prioritize and support change.
The Tohu Manawa Ora | Healthy Heart Award programme helps early learning services across Aotearoa create an environment that promotes nutritional health and physical activity. It achieves a sustainable change to the environment by using a ‘whole-service’ approach, through governance and management, learning and teaching, collaboration and professional development. The programme aims to foster happy tamariki with awareness of how to have hearts fit for life, ensuring healthier futures for whānau across Aotearoa New Zealand. To evaluate and understand the impact and social value of the Tohu Manawa Ora | Healthy Heart Award programme on fostering healthy habits and creating supportive environments in early learning settings across Aotearoa New Zealand the Heart Foundation undertook this evaluation with ImpactLab. Two hundred and fifteen early learning services and 33,717 tamariki across Aotearoa New Zealand, who were enrolled in or had achieved a Tohu Manawa Ora | Healthy Heart Award, were used to determine the impact and social value of the programme. This was achieved through using a social value calculation which integrates multiple data sources and analytical methods. Firstly, impact values derived from the programme were combined with evidence from global literature on the effectiveness of similar health promotion programmes. Secondly, the size of the opportunity for participants—early learning services across Aotearoa New Zealand—to achieve more positive health outcomes was assessed. Thirdly, the number of people supported by the programme was considered. Every year, the Tohu Manawa Ora | Healthy Heart Award programme delivers $6,163,581 of measurable good to society in New Zealand. Outcomes for tamariki of improved oral health, physical activity and reduced diabetes and improved physical activity for whānau directly contribute to the social value. Improved health equity, nutrition, increased food exposure and physical activity, promotion of lifelong wellbeing and positive health behaviours, reduced cardiovascular disease and sugar consumption indirectly contributed to the social value. This means that every dollar invested in the Tohu Manawa Ora | Healthy Heart Award programme delivers $4.50 of measurable good to New Zealand. The Tohu Manawa Ora | Healthy Heart Award programme delivers significant measurable social value to Aotearoa New Zealand. Growth, development and continued funding of the programme should continue to further positively impact the future of tamariki and their whānau in Aotearoa New Zealand.
This chapter addresses how one could quantify and explore the impact of geopolitics on global businesses. Computational geopolitics is an attempt to integrate quantitative methods and geopolitical analysis to understand and predict trends. The explosive growth of data, improvements in computational power, and access to cloud computing have led to a proliferation of computational methods in analyzing geopolitics and its impact on companies. The chapter explores some tools and techniques used in computational geopolitics, including events-based approaches to measuring geopolitical tensions, textual approaches, and empirical approaches. In addition, it provides examples of ways in which analysts can quantify the impact of geopolitics on trade and foreign direct investment. It also introduces experimental methods to assess the effectiveness of companies’ strategic responses to geopolitical tensions. Large language models (LLMs) can be used for sentiment analysis, spotting trends, scenario building, risk assessment, and strategic recommendations. While they methods offer advances in quantifying the impact of geopolitics on global businesses, analysts should also be cautious about data quality and availability as well as the complexity of the phenomenon and the geopolitics of AI. The chapter concludes by pointing the reader to some widely used data sources for computational geopolitics.
Early pregnancy loss is a common but distressing occurrence. Caring thoughtfully for women and others experiencing pregnancy loss and being able to listen to and understand their concerns can make a real and positive difference. Communication is key: communicating with patients clearly and thoughtfully, and delivering unexpected or bad news sensitively is hugely important. Health professionals may need to talk with and support patients and partners as they make difficult decisions within a short period of time, so should feel confident in talking about procedures including the benefits and risks of treatment. Equally, it is important for health professionals dealing with difficult situations to know how and where to find support for themselves, and to be aware of the resources the Miscarriage Association provides to both patients and professionals.
The productivity of dairy animals is heavily reliant on the timely access to sufficient, high-quality fodder. This study analyzes the ex-post impact of Model Fodder Villages on the livelihood security of dairy farmers in Bundelkhand region of central India. The study used cross-sectional data from 437 farmers and employed the inverse-propensity-weighting regression adjustment (IPWRA) method for impact evaluation and verified the robustness of the results through matching methods. The findings show that dairy farmers in model fodder villages are 14–19% more likely to improve habitat security, 19–21% more likely to enhance economic security, and 13–16% more likely to increase food security. Our findings also indicate that factors such as age, education, household size, dependency ratio, off-farm income, adult cattle units, and access to roads, markets, credit, and training play significant roles in adopting improved fodder practices. The study's methodology provides a reliable approach to evaluating the impact of interventions that improve access to fodder and related resources, aiming to enhance the livelihoods of dairy farmers and agricultural communities.
The ‘Associate Psychological Practitioner’ (APP) is an innovative new role that expands the psychological workforce and addresses the rising demand for mental health services in England, yet the impact of this role on NHS workforce capacity has yet to be modelled.
Aim:
We modelled the impact of the APP role in Primary Care in terms of additional capacity to provide mental health care and the impact on General Practitioner (GP) capacity within the sector.
Method:
Workforce experts of the NHS Workforce Repository and Planning Tool (WRaPT) team used a modelling tool to determine future state scenarios of APPs working across all Primary Care Networks (PCNs) within a region and the associated change on the baseline workforce. Modelling was based on Lancashire and South Cumbria, a large geographical area in North-West England that includes 41 PCNs. Assumptions used in the modelling included identifying the patient population and workforce in scope, documenting the activity undertaken by APPs, and considering the future state scenarios for modelling.
Findings:
With regard to generating additional capacity, having 1 APP in each of the 41 PCNs in Lancashire and South Cumbria could provide 53 000 brief intervention appointments of 45 min each, thereby diverting these appointments away from the GP, and up to 48 people could benefit from attending Group and Well-being sessions over a year with 1 APP working with another Primary Care colleague, that is, 384 group intervention sessions delivered. In relation to GP capacity, 1 APP (if placed across a PCN, or within multiple practices) could free up at least 1,665 GP appointments within one year, which could lead to potential cost savings. These findings can be used to underpin decision-making with respect to training future cohorts of APPs and contribute to wider workforce planning in primary care.
We present two examples of how the environmental humanities have built bridges with governments and made effective policy interventions. Lessons can be drawn about how public humanities can help develop social and cultural understanding and societal resilience.
This chapter contains a broad overview of the technical and environmental issues to be addressed in the contruction of onshore wind energy projects. The former include ecological considerations, including birds and mammals; the requirements of typical pre-construction ornithological surveys are described with an example. Public safety and acceptance is discussed in the context of catastrophic damage to wind turbines, visual impact, shadow flicker, and noise nuisance. In the last case equations and simple rules for noise assessment are given in the context of typical planning guidelines. Sound power levels for a range of commercial wind turbines are compared, and empirical relationships given relating noise to rated output, and rotor size and tip speed. Risks to aviation are discussed, covering aircraft collision and interference to radar systems, including both primary and secondary surveillance radars. The concept of ‘stealthy’ wind turbine blades is discussed, and described in outline. Other siting criteria include avoidance of RF and microwave communications beams and television interference. Rules are given to avoid interference, while minimising required separation distances.
Tourism wildlife interactions are controversial, the debate hinging largely on the compromised welfare of the animals used. Despite this, lion cub (Panthera leo) interactions are popular, and there is a need to understand what motivates interactors to participate in the activity, their perceptions and expectations. We surveyed the attitudes of 300 visitors to three lion cub interaction facilities in South Africa. Whilst 38% of interactors were aware of the controversy around lion cub interactions, 69% desired the experience regardless. It is widely assumed that lion cub interaction opportunities are big attractions, yet 74% of respondents said that they would still have visited if lion cub interactions were not offered. Whilst 84% of interactors felt that their expectations were met, 61% said that the interaction had no impact on them. Several of those interviewed interacted with multiple species, and 34% determined that their favourite engagement was with animals that interacted back voluntarily. Most of those interviewed chose the interaction for their children (69%). Whilst 58% felt the experience was educational, only 2% of these had learnt about the plight of lions in the wild. When asked to reflect on the welfare of the lion cubs they had interacted with, ‘Freedom from discomfort’ was seen as the most important factor, as well as ‘Freedom to express natural behaviour’. Interactions were viewed with a variety of emotions and generated a range of beliefs. We conclude that the findings can be used by facilities to better prepare visitors for the experience, ensuring that interaction animals are better able to serve in their role as ambassador representatives.
This study investigates the impact of coronavirus disease 2019 (COVID-19) pandemic on HTAsiaLink members at the organizational level and provides recommendations for mitigating similar challenges in the future.
Methods
A survey was disseminated among HTAsiaLink members to assess the COVID-19 impact in three areas: (i) inputs, (ii) process, and (iii) outputs of the Health Technology Assessment organizations’ (HTAOs) research operations and HTA process in general.
Results
Survey results showed that most HTAOs hired more staff and secured similar or higher funding levels during COVID-19. Nevertheless, some organizations reported high staff turnover. COVID-19-relevant research was prioritized, and most of the organizations had to adapt their research design to meet the needs of policymakers. Time constraints in conducting research and inability to collect primary data were reported as impacts on the research process. Overall, the number of research projects and accessibility of respondents’ publications increased during COVID-19.
Conclusions
Research demand for HTAOs increased during COVID-19 and impacted their research process; however, they demonstrated resilience and adaptability to provide timely evidence for policymakers. With the growing reliance on HTA, HTAOs require adequate financial support, continuous capacity building, collaboration, and partnership, innovative HTA methods, and a pragmatic yet robust, evidence-to-policy process in preparation for future pandemics.
Evaluating the impact of patient involvement in health technology assessments (HTA) may help improve practices and avoid ineffective activities. Evaluation, however, continues to be infrequent, inconsistent, and often only relates to process quantity or quality. The Patient and Citizen Involvement in HTA Interest Group (PCIG) within Health Technology Assessment International set out to contextualize this impact to support evaluation.
Methods
Given the lack of established methodology to measure impact, the team performed a qualitative analysis of first-hand accounts about perceived changes in HTA due to involvement of patient stakeholders. A questionnaire was developed, piloted, and rolled out to collect personal perspectives from stakeholders with relevant experience. The stories were analyzed in the aggregate to identify themes in the data.
Results
From January 2019 to September 2021, twenty-four responses were collected through PCIG’s network. Responses (including one joint industry-HTA body submission) came from patient representatives (12), HTA bodies (11), and industry representatives (2) from North America (5), South America (3), Europe (13), and Asia Pacific (3). Based on themes commonly reported, a three-domain framework for evaluating impact is proposed: impact on basis of HTA result or recommendation, impact on HTA body, and impact on patient participants. The framework includes components under each domain to support reporting.
Conclusions
Using the Three-Domain Impact Framework may be useful in identifying, evaluating, and communicating the value of patient involvement in HTA. Enhancing and increasing reporting practices may improve transparency and facilitate process improvements for meaningful integration of patient stakeholders into HTA appraisals across jurisdictions.
Traditional approaches for evaluating the impact of scientific research – mainly scholarship (i.e., publications, presentations) and grant funding – fail to capture the full extent of contributions that come from larger scientific initiatives. The Translational Science Benefits Model (TSBM) was developed to support more comprehensive evaluations of scientific endeavors, especially research designed to translate scientific discoveries into innovations in clinical or public health practice and policy-level changes. Here, we present the domains of the TSBM, including how it was expanded by researchers within the Implementation Science Centers in Cancer Control (ISC3) program supported by the National Cancer Institute. Next, we describe five studies supported by the Penn ISC3, each focused on testing implementation strategies informed by behavioral economics to reduce key practice gaps in the context of cancer care and identify how each study yields broader impacts consistent with TSBM domains. These indicators include Capacity Building, Methods Development (within the Implementation Field) and Rapid Cycle Approaches, implementing Software Technologies, and improving Health Care Delivery and Health Care Accessibility. The examples highlighted here can help guide other similar scientific initiatives to conceive and measure broader scientific impact to fully articulate the translation and effects of their work at the population level.
Researchers generally do an excellent job tracking the scientific impacts of their scholarship in ways that are relevant for academia (e.g., publications, grants) but too often neglect to focus on broader impacts on population health and equity. The National Cancer Institute’s Implementation Science Centers in Cancer Control (ISC3) includes 7 P50 Centers that are interested in broad measures of impact. We provide an overview of the approach underway within the ISC3 consortium to identify health and social impacts.
Methods:
ISC3 adapted and applied the Translational Science Benefits Model (TSBM) to identify the impact on the discipline of D&I science and to consider dissemination and implementation (D&I) impacts in the four original TSBM domains: (1) clinical; (2) community; (3) economic; and (4) policy. To collect data from all Centers, we: (1) co-developed a set of detailed impact indicators with examples; (2) created a data collection template; and (3) summarized the impact data from each center.
Results:
Based on data from 48 ISC3 pilot studies, cores, or consortium activities, we identified 84 distinct benefits. The most common impacts were shown for implementation science (43%), community (28%), and clinical (18%). Frequent audiences included primary care providers, public health practitioners, and community partners. ISC3 members highlighted the need for product feedback, and storytelling assistance to advance impact.
Conclusions:
The ISC3 consortium is using a participatory approach to successfully apply the TSBM, thus seeking to maximize the real-world impacts of D&I science. The D&I field needs to prioritize ways to more fully document and communicate societal impacts.