Structural Racism and Supporting Black Lives – A Pharmacist’s Vow amid COVID-19

COVID-19 is disproportionately impacting Black communities in the United States due to racial structures that increase exposure (e.g., densely populated areas, substandard housing, overrepresentation in essential work) and promote underlying diseases that exacerbate COVID-19. This manuscript uses Oath of a Pharmacist as a framework to propose a set of best practices for pharmacists to mitigate inequities such as achieve competence in the ideology of structural racism; identify systems of power that jeopardize Black health; value Black voices; name the socio-structural determinants of health; define race as a socio-political construction; name historical and contemporary racism; apply resources equitably based on need; collect robust data to solve complex problems; diminish bias and view patients holistically in the contexts of inequities; and advocate for Black lives. While race is biological fiction, Black individuals are at an increased risk for COVID-19 cases, hospitalizations, and deaths than their white counterparts due to navigating generations of racist practices that often converge with other inequities—such as sexism, classism. To describe these racial health disparities, structured, racial disadvantage is commonly ignored while personal choices and clinical care are highlighted as the culprits. Achieving health equity requires comprehension, acceptance, and assessment of structural racism, and pharmacists are highly trusted, uniquely positioned healthcare professionals who, through their knowledge, skills, and resources, can help attenuate the effects of structural racism to support Black lives

Pragmatism and effective fragmented governance : comparing trajectories in small arms and military and security services

A hallmark of contemporary global governance is its complex nature. Understanding the implications of the array of “governors” and their efforts is paramount for scholars of global law and global politics. Most analyses have treated fragmented governance as a piece, arguing about its general effects. I concentrate instead on variation within fragmented situations, seeking to understand the conditions under which complexity yields more or less effective governance. I propose an analytical scheme for gauging effectiveness focused on how the array of governance efforts in an issue area relate to one another. I then compare these efforts in two issue arenas: small arms and private military and security services. Despite a similar complexity, similar array of actors trying to exert influence, and similar timing, complexity in small arms generated what most see as less effective results while in military and security services it has generated what seems to be a more promising path toward effective governance mechanisms. This difference is best explained with insights from pragmatism and network theory. When a broader range of relevant governors engage pragmatically to form linked networks governance is more likely. When governors engage ideologically and break off ties governance is less likely. Pragmatic engagement among the variety of relevant governors, including the US, is most likely to generate effective global governance. Una característica distintiva del gobierno mundial contemporáneo es su naturaleza compleja. Entender las implicaciones de la serie de "gobernadores" y sus esfuerzos es fundamental para los estudiosos del derecho internacional y la política mundial. La mayoría de los análisis han tratado el gobierno fragmentado como una pieza, discutiendo sobre sus efectos generales. El análisis se centra en cambio en la variación dentro de situaciones fragmentadas, buscando entender las condiciones en las que la complejidad produce un gobierno más o menos efectivo. Se propone un esquema analítico para medir la eficacia centrada en cómo el conjunto de esfuerzos de gobierno en un área temática se relacionan entre sí. Así, se comparan estos esfuerzos en dos ámbitos: las armas pequeñas y los servicios de seguridad y militares privados. A pesar de una complejidad similar, una gama similar de actores que tratan de ejercer influencia y un calendario similar, la complejidad de armas pequeñas generó ver los resultados como menos eficaces, mientras que en los servicios militares y de seguridad ha supuesto lo que parece ser un camino más prometedor hacia mecanismos eficaces de gobierno. Esta diferencia se explica mejor con los puntos de vista de pragmatismo y la teoría de redes. Cuando una gama más amplia de relevantes gobiernos emplea una forma pragmática para formar redes vinculadas, la gobernabilidad es más probable. Cuando los mandatarios se enfrentan ideológicamente y se rompen los lazos, el gobierno es menos probable. El compromiso pragmático entre la variedad de relevantes gobiernos, incluyendo EE.UU., es más probable que genere un gobierno mundial eficaz

Navigating and Supporting Marginalized Identities in Dominant Pharmacy Spaces

Implicit or unconscious bias is one the significant contributors to inequalities. Implicit bias is a common occurrence in our society that leads to discrimination in many different institutions at various levels. If we do not mitigate our bias, we risk perpetuating inequalities in our organizations.  This self-reflection reviews, in a 3-part manuscript, some of the most important issues and challenges in navigating and supporting marginalized identities in dominant spaces. Part I of the manuscript focuses on the implicit bias manifestations and the importance of self-awareness in promoting inclusivity. One of the ways in which we can create, promote, and sustain interpersonal inclusivity in our organizations is to prepare for microaggressions before they arise. Microaggressions are the common, persistent slights that non-dominant groups in our society face on a daily basis. Another way to promote inclusivity is to explore our identities to promote self-awareness and find common-ground to mitigate microaggressive behavior. This manuscript is written for three reasons. One, to provide guidance on how to navigate our marginalized identities. Two, this manuscript provides guidance on how to navigate our dominant identities. Three, this manuscript fills a gap in the field related to the experiences of those among us with marginalized identities. This autoethnography or self-reflection will help to empower not only myself but others, especially those of us at the margins (e.g., people of color, women, non-Christians, the LGBTQ community).    Article Type: Commentar

Military maladaptation : counterinsurgency and the politics of failure

Tactical learning is critical to battlefield success, especially in a counterinsurgency. This article tests the existing model of military adaption against a ‘most-likely’ case: the British Army’s counterinsurgency in the Southern Cameroons (1960–61). Despite meeting all preconditions thought to enable adaptation – decentralization, leadership turnover, supportive leadership, poor organizational memory, feedback loops, and a clear threat – the British still failed to adapt. Archival evidence suggests politicians subverted bottom-up adaptation, because winning came at too high a price in terms of Britain’s broader strategic imperatives. Our finding identifies an important gap in the extant adaptation literature: it ignores politics.PostprintPeer reviewe

Identifying the domains of context important to implementation science: a study protocol

Background There is growing recognition that “context” can and does modify the effects of implementation interventions aimed at increasing healthcare professionals’ use of research evidence in clinical practice. However, conceptual clarity about what exactly comprises “context” is lacking. The purpose of this research program is to develop, refine, and validate a framework that identifies the key domains of context (and their features) that can facilitate or hinder (1) healthcare professionals’ use of evidence in clinical practice and (2) the effectiveness of implementation interventions. Methods/design A multi-phased investigation of context using mixed methods will be conducted. The first phase is a concept analysis of context using the Walker and Avant method to distinguish between the defining and irrelevant attributes of context. This phase will result in a preliminary framework for context that identifies its important domains and their features according to the published literature. The second phase is a secondary analysis of qualitative data from 13 studies of interviews with 312 healthcare professionals on the perceived barriers and enablers to their application of research evidence in clinical practice. These data will be analyzed inductively using constant comparative analysis. For the third phase, we will conduct semi-structured interviews with key health system stakeholders and change agents to elicit their knowledge and beliefs about the contextual features that influence the effectiveness of implementation interventions and healthcare professionals’ use of evidence in clinical practice. Results from all three phases will be synthesized using a triangulation protocol to refine the context framework drawn from the concept analysis. The framework will then be assessed for content validity using an iterative Delphi approach with international experts (researchers and health system stakeholders/change agents). Discussion This research program will result in a framework that identifies the domains of context and their features that can facilitate or hinder: (1) healthcare professionals’ use of evidence in clinical practice and (2) the effectiveness of implementation interventions. The framework will increase the conceptual clarity of the term “context” for advancing implementation science, improving healthcare professionals’ use of evidence in clinical practice, and providing greater understanding of what interventions are likely to be effective in which contexts

Resources, Capabilities, and Routines in Public Organizations

States, state agencies, multilateral agencies, and other non-market actors are relatively under-studied in strategic management and organization science. While important contributions to the study of public actors have been made within the agency-theoretic and transaction-cost traditions, there is little research in political economy that builds on resource-based, dynamic capabilities, and behavioral approaches to the firm. Yet public organizations can be characterized as stocks of human and non-human resources, including routines and capabilities; they can possess excess capacity in these resources; and they may grow and diversify in predictable patterns according to behavioral and Penrosean logic. This paper shows how resource-based, dynamic capabilities, and behavioral approaches to understanding public agencies and organizations shed light on their nature and governance

Simulating Toxicant Concentrations in Surface Waters and Sediments: Advances in the Water Quality Analysis Simulation Program (WASP8)

Toxicant concentrations in surface waters and sediments are of environmental concern due to their potential impacts on ecological and human receptors. Numerical, process-based, mass balance models are one way to understand a system and its governing processes, assist in supporting management decisions, and evaluate different toxicant release scenarios. The US Environmental Protection Agency has developed and continues to improve the Water Quality Analysis Simulation Program (WASP), which is one of the more widely used water quality models in the US and the world. WASP is a modeling framework with which the user can develop a water quality model for nutrients or toxicants over a range of complexities and temporal and spatial scales. With the release of WASP version 8, the architecture of the toxicant module has been updated to allow for an increased number of state variables, including chemical solutes, particulates, and nanomaterials; as well explicitly simulating pathogens, temperature, different classes of dissolved organic carbon, and salinity. This presentation will focus on the recent developments, including the revised WASP8 structure and interface and the advances in simulating different classes of toxicants in surface waters and sediments. Details will be given on the new structure for handling light intensity in stream segments, including the distinction of different wavelengths of light, and on simulating nanomaterials, different particle attachment processes, and handling the transformation and production of one state variable to another. A WASP8 example is presented for simulating chemical, nanomaterial, and solid concentrations in the Cape Fear River, North Carolina, USA

The private military industry and neoliberal imperialism: Mapping the terrain

Despite the international reach, and increasing global importance, of the free market provision of military and security services—which we label the Private Security Industry (PSI)—management and organization studies has yet to pay significant attention to this industry. Taking up Grey’s (2009) call for scholarship at the boundaries between security studies and organization studies and building on Banerjee’s (2008) treatment of the PSI as a key element in necrocapitalism, in this article we aim to trace the long history of the PSI and argue that it has re-emerged over the last two decades against, and as a result of, a very specific politico-economic backdrop. We then suggest that the PSI operates as a mechanism for neoliberal imperialism; demonstrate its substitution for and supplementing of the state; and count some of the costs of this privatization of war. Finally, we take seriously Hughes’s (2007) thesis of the growth of a new security-industrial complex, and of the intersecting elites who benefit from this phenomenon