Conversations about creativity and chronic illness II: Textile artists coping with long-term health problems reflect on the creative process

This qualitative study explored the origins of interest in textile arts among a group of women living with long-term health problems. The part that illness played in motivating engagement in creative arts was of particular concern. Twenty four women were interviewed, aged between 29-72 years. Most were hobbyists and but the sample included some publicly acclaimed textile artists. A minority had engaged in art continuously since their earlier years. Most of the women had discovered (or re-discovered) textile arts, in middle and later life. Several factors facilitated this. The narratives indicated that the women’s pre-existing resilient personality as well as extensive support structures may have encouraged a reflective attitude and a problem-solving approach to living with illness. The experience of biographical disruption, stemming from the crisis of illness, dissatisfaction with unproductive time and a growing need for self-fulfilment, appeared to create a search for a meaningful occupation. The discovery of textile art as a meaningful occupation (as opposed to other ways of living with illness) appeared to be encouraged by early role models, enjoyment of art at school, the discovery that adult personal and professional interests could be expressed through artwork, and chance events. Textile art at school appeared to provide a form of ‘cultural capital’ for these women, who returned to this art medium and the skills learned earlier, when crisis occurred. The findings indicate that a negative event such as illness may have life-enhancing effects. Rehabilitation specialists might focus more on the arts as a resource for adults living with illness

Market Design for Generation Adequacy: Healing Causes rather than Symptoms

Keywords JEL Classification This paper argues that electricity market reform – particularly the need for complementary mechanisms to remunerate capacity – need to be analysed in the light of the local regulatory and institutional environment. If there is a lack of investment, the priority should be to identify the roots of the problem. The lack of demand side response, short-term reliability management procedures and uncompetitive ancillary services procurement often undermine market reflective scarcity pricing and distort long-term investment incentives. The introduction of a capacity mechanism should come as an optional supplement to wholesale and ancillary markets improvements. Priority reforms should focus on encouraging demand side responsiveness and reducing scarcity price distortions introduced by balancing and congestion management through better dialog between network engineers and market operators. electricity market, generation adequacy, market design, capacity mechanis

Reimaginging Learning: A Big Bet on the Future of American Education

Today's young people are the most diverse, connected generation in history and have incredible aspirations for themselves. Educators all over the country are reimagining learning to better meet this generation's needs, rethinking classrooms and schools so they work better for students. It's an exciting time for innovation in education.At the same time, big bets are an increasingly popular concept in philanthropy. Several articles and papers in the last year have encouraged donors to consider them as a way of creating meaningful change, including in education. Big bets are usually defined as large grants to a specific issue or an individual organization.We're proposing something different.We've been working with partners across the country who are pursuing a common vision: reimagining learning with a broad set of outcomes in mind, so that every student finishes high school with an abundance of choices and the freedom to pursue them. Philanthropists have an opportunity to make a big bet on this shared vision.Most schools weren't designed with this vision in mind. But right now, all over the country, teams of educators are working to change this. They are partnering with families to create schools that speak to their hopes and honor their strengths. These schools prioritize rigorous academics and help students develop critical thinking skills, set important goals and create plans to reach them, and develop the mindsets and habits they need to take charge of their futures.Through deep engagement with our partners, we've thought concretely about how these ideas might spread and where existing momentum and early evidence might shine a light on a path forward. In September 2015, with our partners Summit Public Schools and Transcend, we released a paper entitled Dissatisfied Yet Optimistic (DYO), which made the case for reimagining learning. This new companion piece explores what it might take to strengthen and accelerate the momentum created by the early pioneers who are designing schools consistent with the ideas in DYO.What follows is a big idea for how $4 billion in philanthropy over 10 years could dramatically improve the performance of our schools by focusing on this emerging vision for how schools could produce much better and broader outcomes for students

Evaluation Design and Technical Assistance Opportunities: Early Findings From the Beacon Community Program Evaluation Teams

Examines study designs, evaluation approaches, outcome measures, data sources, challenges, and technical assistance needs among sites in a project under the American Recovery and Reinvestment Act to strengthen health information technology capabilities

Learning design in diverse institutional and cultural contexts: suggestions from a participatory workshop with higher education professionals in Africa

Learning design approaches, such as those adopted by the Open University, provide a set of tools and resources for purposefully-designing modules with a focus on student experiences. However, many of the current learning design strategies have been situated within specific institutions in Europe and North America. This means that there are several issues worth considering around if and how established learning design approaches make sense in diverse institutional and cultural contexts. To critically assess the relevance and appropriateness of learning design strategies in new contexts, this article describes an in-depth participatory workshop with 34 education professionals from five African countries. Altogether, 10 suggestions for learning design practices were derived from the consensus of workshop participants, which provide a foundation for the development of learning design practices moving forward

Systematizing Decentralization and Privacy: Lessons from 15 Years of Research and Deployments

Decentralized systems are a subset of distributed systems where multiple authorities control different components and no authority is fully trusted by all. This implies that any component in a decentralized system is potentially adversarial. We revise fifteen years of research on decentralization and privacy, and provide an overview of key systems, as well as key insights for designers of future systems. We show that decentralized designs can enhance privacy, integrity, and availability but also require careful trade-offs in terms of system complexity, properties provided, and degree of decentralization. These trade-offs need to be understood and navigated by designers. We argue that a combination of insights from cryptography, distributed systems, and mechanism design, aligned with the development of adequate incentives, are necessary to build scalable and successful privacy-preserving decentralized systems

Barriers and enablers to walking in individuals with intermittent claudication: a systematic review to conceptualize a relevant and patient-centered program

Background: Walking limitation in patients with peripheral arterial disease (PAD) and intermittent claudication (IC) contributes to poorer disease outcomes. Identifying and examining barriers to walking may be an important step in developing a comprehensive patient-centered self-management intervention to promote walking in this population. Aim: To systematically review the literature regarding barriers and enablers to walking exercise in individuals with IC. Methods: A systematic review was conducted utilizing integrative review methodology. Five electronic databases and the reference lists of relevant studies were searched. Findings were categorized into personal, walking activity related, and environmental barriers and enablers using a social cognitive framework. Results: Eighteen studies including quantitative (n = 12), qualitative (n = 5), and mixed method (n = 1) designs, and reporting data from a total of 4376 patients with IC, were included in the review. The most frequently reported barriers to engaging in walking were comorbid health concerns, walking induced pain, lack of knowledge (e.g. about the disease pathology and walking recommendations), and poor walking capacity. The most frequently reported enablers were cognitive coping strategies, good support systems, and receiving specific instructions to walk. Findings suggest additionally that wider behavioral and environmental obstacles should be addressed in a patient-centered self-management intervention. Conclusions: This review has identified multidimensional factors influencing walking in patients with IC. Within the social cognitive framework, these factors fall within patient level factors (e.g. comorbid health concerns), walking related factors (e.g. claudication pain), and environmental factors (e.g. support systems). These factors are worth considering when developing self-management interventions to increase walking in patients with IC. Systematic review registration CRD42018070418

Ethical Engineering and Respect for The ‘Other’

Engineers have a very important role and responsibility in shaping modern society. Diversity amongst engineers is important in fulfilling this responsibility and ensuring that the creativity and needs of the whole population are taken account of. However, only a small percentage of engineers are female and very few of them are disabled. The paper discusses the experiences of women and disabled engineers in the context of othering and considers the way in which the existence of binary divides facilitates marginalisation and exclusion. It also discusses the need to involve end-users in design and development and education to encourage this, with a particular focus on disabled end-users

What counts as good evidence

Making better use of evidence is essential if public services are to deliver more for less. Central to this challenge is the need for a clearer understanding about standards of evidence that can be applied to the research informing social policy. This paper reviews the extent to which it is possible to reach a workable consensus on ways of identifying and labelling evidence. It does this by exploring the efforts made to date and the debates that have ensued. Throughout, the focus is on evidence that is underpinned by research, rather than other sources of evidence such as expert opinion or stakeholder views.Publisher PD

Medicare Part D: Simplifying the Program and Improving the Value of Information for Beneficiaries

Examines options for simplifying Medicare's prescription drug benefit, including streamlining benefit procedures and descriptions; further standardizing benefit parameters, especially cost-sharing rules; and modifying rules on plan formularies