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Because sentences in English have gaps between them, we read more slowly and laboriously when sentences lack explicit linguistic or logical ties between them. Continuity involves using tools to make sentences seem tightly coupled, including transitions, sequencing, and common wording. However, continuity principles also enable writers to showcase important information by placing it in a sentence’s stress position. Similarly, long sentences can prove difficult to read because so little information receives stress, and so much detail can fall into the “dead zone” of sentences where readers’ recall is weakest.
In the long sweep of human history, certain key innovations were so dramatic in their impacts that they changed our world forever. What do we know from historical studies and archaeology of the topics chosen for five key chapters of this book?
When we study technology transitions of the past – the shifts from horses to cars, from cesspools to sewers, from traditional farming to intensive agriculture – we can see how they were enabled and accelerated by government policy. Coordinated action by groups of countries could accelerate change even more – through faster innovation, larger economies of scale, and level playing fields where needed. International cooperation of this kind could dramatically accelerate low-carbon transitions in each of the greenhouse-gas-emitting sectors of the global economy. Until now, it has barely been attempted.
People often assume that to give ourselves a fighting chance of avoiding catastrophic climate change, we need either inspired political leadership, or a moral revolution in society. Both would be nice to have, but there are more plausible ways to make faster progress. They involve thinking differently. We need science that gives us risk assessment instead of prediction; economics that understands change instead of assuming stability; and diplomacy that focusses on international collaboration instead of unilateral national action.
We need to act five times faster to avoid dangerous climate change. This is an inside story from Simon Sharpe, who has spent ten years at the forefront of climate change policy and diplomacy. In our fight to avoid dangerous climate change, science is pulling its punches, diplomacy is picking the wrong battles, and economics has been fighting for the other side. This provocative and engaging book sets out how we should rethink our strategies and reorganise our efforts in the fields of science, economics, and diplomacy, so that we can act fast enough to stay safe. This edition has been brought up-to-date throughout, and includes a new chapter on how international cooperation on climate change can be reconciled with economic and geopolitical competition. It also includes a response to the question the book has most often provoked: 'How can I help?'
This chapter presents an overview of the book and positions it in the context of the development of expertise and the pursuit of excellence. It presents the historical context of the development of expertise and the theoretical context of the study of expertise.
The longitudinal course of late-life depression remains under-studied.
Aims
To describe transitions along the depression continuum in old age and to identify factors associated with specific transition patterns.
Method
We analysed 15-year longitudinal data on 2745 dementia-free persons aged 60+ from the population-based Swedish National Study on Aging and Care in Kungsholmen. Depression (minor and major) was diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision; subsyndromal depression (SSD) was operationalised as the presence of ≥2 symptoms without depression. Multistate survival models were used to map depression transitions, including death, and to examine the association of psychosocial (social network, connection and support), lifestyle (smoking, alcohol consumption and physical activity) and clinical (somatic disease count) factors with transition patterns.
Results
Over the follow-up, 19.1% had ≥1 transitions across depressive states, while 6.5% had ≥2. Each additional somatic disease was associated with a higher hazard of progression from no depression (No Dep) to SSD (hazard ratio 1.09; 1.07–1.10) and depression (Dep) (hazard ratio 1.06; 1.04–1.08), but also with a lower recovery (HRSSD−No Dep 0.95; 0.93–0.97 [where ‘HR’ refers to ‘hazard ratio’]; HRDep−No Dep 0.96; 0.93–0.99). Physical activity was associated with an increased hazard of recovery to no depression from SSD (hazard ratio 1.49; 1.28–1.73) and depression (hazard ratio 1.20; 1.00–1.44), while a richer social network was associated with both higher recovery from (HRSSD−No Dep 1.44; 1.26–1.66; HRDep−No Dep 1.51; 1.34–1.71) and lower progression hazards to a worse depressive state (HRNo Dep−SSD 0.81; 0.70–0.94; HRNo Dep−Dep 0.58; 0.46–0.73; HRSSD−Dep 0.66; 0.44–0.98).
Conclusions
Older people may present with heterogeneous depressive trajectories. Targeting the accumulation of somatic diseases and enhancing social interactions may be appropriate for both depression prevention and burden reduction, while promoting physical activity may primarily benefit recovery from depressive disorders.
When prolonging life with acceptable quality of life becomes difficult, goals of care discussion are necessary. For clinicians and patients, the discontinuation of disease-modifying therapy can feel like a failure. This can lead clinicians to offer treatments we don’t believe are good options or offering treatment on the condition that our patients make an improbable recovery. The roadmap for late stage goals of care discussions is REMAP. Reframe why the status quo isn’t working, expect emotion and respond with empathy, map big picture values, align with the patient’s values, and finally plan medical treatments based on what’s important to your patient. Some things to note: Mapping thoroughly will help you make sure you don’t miss something important. A useful shift in thinking for many clinicians is first talking about what you will do before talking about what should be stopped or you won’t offer. And, clearly linking your recommendations to the patient’s values will help your proposed plan be more acceptable. By grounding ourselves in what is medically possible and using the patient’s values to guide our next steps, we can cocreate a plan that is both possible and meaningful.
This introductory chapter outlines how children are active agents with motives and intentions, and what practitioners can do to support children’s learning, development and well-being in different age periods. It is therefore relevant for adults who work with children from birth to late adolescence, both within and beyond formal institutions. We also intend it to be useful to researchers and other professionals concerned with children and young people.
Our aim is to look forward toward children’s futures and how they can be supported to benefit from and contribute to what society has to offer. We argue that, by taking children’s intentions and emotions seriously, we can create an education that benefits children across the age periods. When children move through the institutional practices that society creates for them, they will learn, acquire new motives and develop. Therefore, the tools that we offer will allow carers and practitioners to tailor their support to children in different age periods. These ideas underpin a caring relational form of pedagogy, which is particularly but not only, important when children are dealing with changes in society’s expectations for them. These changes occur as they move, for example, between family, day-care or school, and when new challenges arise in familiar situations.
This chapter moves beyond Fambul Tok and looks at how processes of transition and justice occur outside of the official scope and discourse, or through what I refer to as unrecognized mechanisms. I problematize the notion of transition, looking again at the official transitional justice discourses and contrast these with interview narratives that demonstrate the fluidity of conflict and post-conflict periods. The chapter further examines how unrecognized mechanisms that were employed by Sierra Leoneans served as more meaningful avenues of ‘transitioning’ past their war-related experiences. Individuals engaged in everyday activities, such as economic restoration, agriculture and religion in an effort to transition to what I call a new normal. The importance of the everyday and re-obtaining a sense of normality were key priorities. Individuals, therefore, define and enact their own ideas of what it means to transition, engaging with alternative, often more immediate and pragmatic, channels within their existing social structures to reach their own defined goals. Using Sierra Leone as an example, this chapter demonstrates how individuals in post-conflict societies are active agents in defining and facilitating their own post-conflict processes, thereby recognizing the unrecognized and understanding notions of transition and justice at work.
People often assume that to give ourselves a fighting chance of avoiding catastrophic climate change, we need either inspired political leadership, or a moral revolution in society. Both would be nice to have, but there are more plausible ways to make faster progress. They involve thinking differently. We need science that gives us risk assessment instead of prediction; economics that understands change instead of assuming stability; and diplomacy that focusses on international collaboration instead of unilateral national action.
When we study technology transitions of the past – the shifts from horses to cars, from cesspools to sewers, from traditional farming to intensive agriculture – we can see how they were enabled and accelerated by government policy. Coordinated action by groups of countries could accelerate change even more – through faster innovation, larger economies of scale, and level playing fields where needed. International cooperation of this kind could dramatically accelerate low-carbon transitions in each of the greenhouse-gas-emitting sectors of the global economy. Until now, it has barely been attempted.
We need to act five times faster to avoid dangerous climate change. As Greenland melts, Australia burns, and greenhouse gas emissions continue to rise, we think we know who the villains are: oil companies, consumerism, weak political leaders. But what if the real blocks to progress are the ideas and institutions that are supposed to be helping us? Five Times Faster is an inside story from Simon Sharpe, who has spent ten years at the forefront of climate change policy and diplomacy. In our fight to avoid dangerous climate change, science is pulling its punches, diplomacy is picking the wrong battles, and economics has been fighting for the other side. This provocative and engaging book sets out how we should rethink our strategies and reorganise our efforts in the fields of science, economics, and diplomacy, so that we can act fast enough to stay safe.
The decade of the 1960s provoked a specific interest in Latin America and its literature, largely owing to the impact of the Cuban Revolution and the attention it paid to the struggle in the cultural field. If until that point the continent’s great writers were perceived as isolated figures, the new context after 1959 created the conditions for them to be read as part of a group that was committed to the common duty of putting a new face on Latin American literature. In fact, the so-called Boom cannot be understood without considering the specific political context that acted as its sounding board. An intrinsic part of the atmosphere at the time, then, were heated debates that foregrounded the role of the intellectual in society, intense polemics regarding the limits of freedom of expression under socialism, and fiery conflicts about the status of literature in a revolutionary society. Paradoxically, the very same period was also seen by its protagonists as one of transition toward a new, as yet undefined, stage. If the decade of the 1960s was dominated by left-wing thought and by the idea of the continental revolution, the 1970s meant the withdrawal of the left, and a gradual rise for the right. In its own way – always and naturally tangentially – literature has narrated all those transitions.
The decade of the 1960s provoked a specific interest in Latin America and its literature, largely owing to the impact of the Cuban Revolution and the attention it paid to the struggle in the cultural field. If until that point the continent’s great writers were perceived as isolated figures, the new context after 1959 created the conditions for them to be read as part of a group that was committed to the common duty of putting a new face on Latin American literature. In fact, the so-called Boom cannot be understood without considering the specific political context that acted as its sounding board. An intrinsic part of the atmosphere at the time, then, were heated debates that foregrounded the role of the intellectual in society, intense polemics regarding the limits of freedom of expression under socialism, and fiery conflicts about the status of literature in a revolutionary society. Paradoxically, the very same period was also seen by its protagonists as one of transition toward a new, as yet undefined, stage. If the decade of the 1960s was dominated by left-wing thought and by the idea of the continental revolution, the 1970s meant the withdrawal of the left, and a gradual rise for the right. In its own way – always and naturally tangentially – literature has narrated all those transitions.
The year 1492 invokes many instances of transition in a variety of ways that intersected, overlapped, and shaped the emergence of Latin America. For the diverse Native inhabitants of the Americas as well as the people of Europe, Africa, and Asia who crossed the Atlantic and Pacific as part of the early-modern global movements, their lived experiences were defined by transitions. The Iberian territories from approximately 1492-1800 extended from what is now the US Southwest to Tierra del Fuego, and from the Iberian coasts to the Philippines and China. Built around six thematic areas that underline key processes that shaped the colonial period and its legacies – space, body, belief systems, literacies, languages, and identities – this innovative volume goes beyond the traditional European understanding of the lettered canon. It examines a range of texts including books published in Europe and the New World and manuscripts stored in repositories around the globe that represent poetry, prose, judicial proceedings, sermons, letters, grammars, and dictionaries.
Transitional justice – the act of reckoning with a former authoritarian regime after it has ceased to exist – has direct implications for democratic processes. Mechanisms of transitional justice have the power to influence who decides to go into politics, can shape politicians' behavior while in office, and can affect how politicians delegate policy decisions. However, these mechanisms are not all alike: some, known as transparency mechanisms, uncover authoritarian collaborators who did their work in secret while others, known as purges, fire open collaborators of the old regime. After Authoritarianism analyzes this distinction in order to uncover the contrasting effects these mechanisms have on sustaining and shaping the qualities of democratic processes. Using a highly disaggregated global transitional justice dataset, the book shows that mechanisms of transitional justice are far from being the epilogue of an outgoing authoritarian regime, and instead represent the crucial first chapter in a country's democratic story.
Young people moving from adolescent secure inpatient units to adult care in the UK present with multiple and complex needs and are more likely to experience poor transition outcomes related to enduring dependency on mental health services. However, there is lack of knowledge about the feasibility of transitional care models improving transition outcomes.
Objectives
The MOVING FORWARD study aims to implement a new transition intervention model for young people transitioning from adolescent secure services to adult-oriented settings and test the feasibility of a future cluster trial measuring its effectiveness.
Methods
The design of the study is a three-arm feasibility, cluster randomised controlled trial comparing the MOVING FORWARD intervention against standard transition preparation in six adolescent secure services.Young people between 17-19 years, their parents/carers and key workers will be allocated in two conditions and will receive four transition preparation workshops across six months. Data will be collected at three time points: (T0) baseline, (T1) 6-12 months post-intervention, and (T2)18-24 months post-baseline.
Results
Thirteen young people and 17 staff members have contributed to the intervention design through online Advisory Groups. Common identified themes included appropriateness of module content and support during delayed transitions. An intra-class correlation coefficient will be calculated to inform the power of sample size. With a sample size of 50, we will be able to estimate a drop-out rate of 80%.
Conclusions
This research will provide practitioners and policy makers with an evidence-based framework about barriers and facilitators to the proposed intervention and will enable services to reflect on quality of transitional care delivery.
Business history is expanding to include a greater plurality of contexts, with the study of Chinese business representing a key area of growth. However, despite efforts to bring China into the fold, much of Chinese business history remains stubbornly distal to the discipline. One reason is that business historians have not yet reconciled with the field's unique origins and intellectual tradition. This article develops a revisionist historiography of Chinese business history that retraces the field's development from its Cold War roots to the present day, showing how it has been shaped by the particular questions and concerns of “area studies.” It then goes on to explore five recent areas of novel inquiry, namely: the study of indigenous business institutions, business and semi-colonial context, business at the periphery of empire, business during socialist transition, and business under Chinese socialism. Through this mapping of past and present trajectories, the article aims to provide greater coherence to the burgeoning field and shows how, by taking Chinese business history seriously, we are afforded a unique opportunity to reimagine the future of business history as a whole.
Challenging transitions, increased stress and mental ill health can affect students’ academic performance and their capacity to remain in higher education. Prevention and early treatment of mental health problems in college students is therefore a key public health priority, nationally and internationally. Developing a range of evidence-based interventions targeting the mental health of students is critical. We examined the feasibility and acceptability of a new universal time use and well-being intervention, the ‘Everyday Matters: Healthy Habits for University Life’ digital badge (EMDB), a co-curricular micro-credential for first-year college students.
Methods:
This study used a single-arm, pre–post design for first-year undergraduate students. The EMDB comprised eight 1-hour lunchtime sessions on brain development and time-use habits across the 24 hours of the day including sleep, self-care, leisure, study and work. Validated measures of occupational competence and value, mental well-being, sleep health, mindset, self-compassion and gratitude were completed, along with an evaluation questionnaire.
Results:
Eight first-year undergraduate students completed the demographic questionnaire and pre- and post- measures, with one additional student completing only the evaluation questionnaire. There was significantly improved levels of well-being, self-compassion and growth mindset following the intervention. Many of the challenges reported by participants related to occupational issues such as managing finances and having a satisfying routine. Participants appreciated the practical relevance and scientific underpinnings of the programme content. The sense of belonging within the group and having insightful conversations with other group members were particularly valued by participants.
Conclusions:
This study offers preliminary evidence that an occupational therapy based universal time-use and well-being intervention was feasible to deliver and acceptable to first-year undergraduate students. The results of this study and the participant acceptability support further development and evaluation of the EMDB intervention.