Deepening Democracy in Buffalo by Honoring Prior Commitments (And a Legacy)

The waning years of the 2010s and the opening weeks of the 2020s have been rife with headlines, editorials, academic articles, lectures, and book titles lamenting a “crisis of democracy”. Among other things, the concerned authors and observers participating in the discourse cite foreign election interference; the global rise of populist authoritarians; the exorbitant financial costs of electoral politics and the attendant subordination of policy to wealth and corporate interests; increasing social and cultural cleavages and polarization; sharply rising inequality; the ongoing erosion of public trust; and a host of other factors as both causes and consequences of the present weakened state of democracy in and beyond the United States. Not surprisingly, in light of these trends, strengthening democratic institutions and expanding democratic participation are among the highest priorities included in proposals to combat intersecting social, economic, and ecological problems from local gentrification to global climate change. With that in mind, this policy memo highlights two opportunities for the City of Buffalo, New York to answer these urgent calls to deepen democracy. Both opportunities—promoting worker cooperatives and the use of participatory budgeting—have already been experimented with in Buffalo, and have received meaningful resource commitments from the City in the recent past. Earlier progress on those fronts is part of the legacy of former Delaware District Council Member Michael J. LoCurto, who championed both causes through legislation and advocacy. Honoring that legacy means renewing prior commitments to these causes and ensuring that they become lasting fixtures of local governance

Influences on the Uptake of and Engagement With Health and Well-Being Smartphone Apps: Systematic Review

Background: The public health impact of health and well-being digital interventions is dependent upon sufficient real-world uptake and engagement. Uptake is currently largely dependent on popularity indicators (eg, ranking and user ratings on app stores), which may not correspond with effectiveness, and rapid disengagement is common. Therefore, there is an urgent need to identify factors that influence uptake and engagement with health and well-being apps to inform new approaches that promote the effective use of such tools. Objective: This review aimed to understand what is known about influences on the uptake of and engagement with health and well-being smartphone apps among adults. Methods: We conducted a systematic review of quantitative, qualitative, and mixed methods studies. Studies conducted on adults were included if they focused on health and well-being smartphone apps reporting on uptake and engagement behavior. Studies identified through a systematic search in Medical Literature Analysis and Retrieval System Online, or MEDLARS Online (MEDLINE), EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsychINFO, Scopus, Cochrane library databases, DataBase systems and Logic Programming (DBLP), and Association for Computing Machinery (ACM) Digital library were screened, with a proportion screened independently by 2 authors. Data synthesis and interpretation were undertaken using a deductive iterative process. External validity checking was undertaken by an independent researcher. A narrative synthesis of the findings was structured around the components of the capability, opportunity, motivation, behavior change model and the theoretical domains framework (TDF). Results: Of the 7640 identified studies, 41 were included in the review. Factors related to uptake (U), engagement (E), or both (B) were identified. Under capability, the main factors identified were app literacy skills (B), app awareness (U), available user guidance (B), health information (E), statistical information on progress (E), well-designed reminders (E), features to reduce cognitive load (E), and self-monitoring features (E). Availability at low cost (U), positive tone, and personalization (E) were identified as physical opportunity factors, whereas recommendations for health and well-being apps (U), embedded health professional support (E), and social networking (E) possibilities were social opportunity factors. Finally, the motivation factors included positive feedback (E), available rewards (E), goal setting (E), and the perceived utility of the app (E). Conclusions: Across a wide range of populations and behaviors, 26 factors relating to capability, opportunity, and motivation appear to influence the uptake of and engagement with health and well-being smartphone apps. Our recommendations may help app developers, health app portal developers, and policy makers in the optimization of health and well-being apps

The Critical Role of Public Charging Infrastructure

Editors: Peter Fox-Penner, PhD, Z. Justin Ren, PhD, David O. JermainA decade after the launch of the contemporary global electric vehicle (EV) market, most cities face a major challenge preparing for rising EV demand. Some cities, and the leaders who shape them, are meeting and even leading demand for EV infrastructure. This book aggregates deep, groundbreaking research in the areas of urban EV deployment for city managers, private developers, urban planners, and utilities who want to understand and lead change

Digital health, cardiometabolic disease and ethnicity: an analysis of United Kingdom government policies from 2010 to 2022

Recent health policies in the United Kingdom (UK) and internationally have focussed on digitisation of healthcare. We examined UK policies for evidence of government action addressing health inequalities and digital health, using cardiometabolic disease as an exemplar. Using a systematic search methodology, we identified 87 relevant policy documents published between 2010 and 2022. We found increasing emphasis on digital health, including for prevention, diagnosis and management of cardiometabolic disease. Several policies also focused on tackling health inequalities and improving digital access. The COVID-19 pandemic amplified inequalities. No policies addressed ethnic inequalities in digital health for cardiometabolic disease, despite high prevalence in minority ethnic communities. Our findings suggest that creating opportunities for digital inclusion and reduce longer-term health inequalities, will require future policies to focus on: the heterogeneity of ethnic groups; cross-sectoral disadvantages which contribute to disease burden and digital accessibility; and disease-specific interventions which lend themselves to culturally tailored solutions

Better access to urban opportunities: accessibility policy for cities in the 2020s

The world has entered the 2020s facing three intertwined crises that demand immediate attention: the COVID-19 pandemic, a new rise in poverty and inequality and the climate emergency. The urgency is particularly great in cities, where people and economic activities are concentrated. This calls for a critical rethinking of whether urban areas are meeting people’s needs – and how policies could help transform them for the better

Glimpses of the future : Data policy, artificial intelligence and robotisation as enablers of wellbeing and economic success in Finland

Our society is moving into the 2020s in a situation where we are making more efficient use of services enabled by new technology to develop new services and business models in society and in business life. The 2020s is predicted to be a decade characterised by the clear breakthrough of artificial intelligence and robotisation in the same way as social media, cloud computing, smart phones, location and time independent working and digital services did in the 2010s. Finland has performed extremely well in international statistics in several fields of society. Finland's stability and security combined with high technology utilisation rate and education level provides an excellent platform for the creation and development of digital business. At the core of this development are citizens, businesses and data. The development of data policy and data management in a way that takes the different life situations of citizens into account is a unique innovation by global standards, and one which we believe will be a significant contributor to Finland’s success in the 2020s. In this big picture, trust plays a key role. This is a major issue that emerges in the context of the personal data processing of private citizens and customers, new business model and service development, making society more resilient, and in national and international cooperation. Trust requires continues development work in different sectors, paying due attention to the threats and risks affecting the digital environment. Here, digital security serves as the enabler of trust and of services made possible by new technology

Why sexual health clinics are important in the 2020s

To make services more accessible, acceptable and affordable, sexual health service delivery models have embraced innovation, technology, outreach and decentralisation. In particular, some routine high-volume services, like asymptomatic testing for sexually transmitted infections (STIs), can be delivered in general practice, online or in non-clinical settings. On the surface, sexual health clinics, like hospitals or other primary care clinics, might appear to be operating on a model that has not changed significantly in recent times. However, globally sexual healthcare needs are rising both in volume and complexity, not all of which can be adequately met through decentralised care. Sexual health clinics themselves are the site of considerable innovation. The importance of sexual health clinics in the diagnosis and treatment of symptomatic STIs is likely to increase with the increasing burden of disease, the complexity of treatment guidelines and the emergence of new infections. Services essential to patient health such as immediate or complex clinical care, partner notification and safeguarding, and activities essential to the health system like research, training and supervision require expertise to be located where it can be accessed and maintained at reasonable cost. We do not know whether increasing some services outside existing models can safely compensate for reducing other services inside them

Small Groups, Big Weapons: The Nexus of Emerging Technologies and Weapons of Mass Destruction Terrorism

Historically, only nation-states have had the capacity and resources to develop weapons of mass destruction (WMD). This was due to the significant capital, infrastructure, and intellectual capacity required to develop and maintain a WMD program. This paradigm, however, is shifting. To be clear, non-state actors have been interested in WMD for decades. In fact, over a 26-year period, there were 525 incidents by non-state actors involving nuclear, biological, and chemical agents. But the scale of these incidents was relatively low level when compared to the impact of terrorist attacks using conventional weapons. However, this reality must be reexamined given the commercialization of emerging technologies that is reducing the financial, intellectual, and material barriers required for WMD development and employment. This report serves as a primer that surveys the key challenges facing non-state actors pursuing WMD capabilities, and the potential for certain emerging technologies to help overcome them. While there are numerous examples of such technologies, this report focuses on synthetic biology, additive manufacturing (AM) (commonly known as 3D printing), and unmanned aerial systems (UAS). There is a wide range of expert opinions regarding the dual-use nature of the technologies discussed in this report, the ease of their possible misuse, and the potential threats they pose. The varied opinions of scientists and government officials highlight the challenges these technologies pose to developing a cohesive strategy to prevent their proliferation for nefarious use by non-state actors. Much of the risk and threat associated with these dual-use technologies resides in the intent of the user