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This article discusses changes to the Prehospital and Disaster Medicine (PDM) mission statement which will take effect as of January 1, 2025. The new mission statement focuses on innovative, high-impact, evidence-based research.
The context of humanitarian action has changed considerably over the past twenty years. These upheavals have given rise to a need to reflect on humanitarian action, as evidenced by the new focus on scientific research by humanitarian actors since the turn of the century. This new approach has led to the creation of numerous organizations dedicated to research within the sector itself, so that scientific knowledge on humanitarian action is no longer produced solely by university researchers. One such organization is the French Red Cross Foundation, founded in 2013. This organization bears witness to the diversity and depth of the issues affecting the humanitarian sector, and the challenges of responding to them. Its history and its past and present difficulties and successes also illustrate the complexity of implementing such a response.
This article aims to analyze and capitalize on several examples of scientific programmes built in direct relation to the humanitarian sector, in order to draw lessons from them (success factors, difficulties encountered, testimonials of applications of research results). In the article, we provide retrospective information on collaboration between the humanitarian and social action sectors and the academic sector, and look to the future by anticipating the shortcomings and needs that organizations – like researchers – will have to address in order to nurture the solidarity practices of tomorrow.
Technological change often prompts calls for regulation. Yet formulating regulatory policy in relation to rapidly-changing technology is complex. It requires an understanding of the politics of technology, the complexity of the innovation process, and its general impact on society. Chapter 3 introduces a variety of academic literatures across the humanities, law and the social sciences that offer insights on understanding technological change that have direct relevance to the challenges of regulating new and emerging technology. The chapter discusses different strands of scholarship, ranging from the history of technology, innovation studies and the growing field of law and technology that have until now remained largely fragmented and siloed, focusing primarily on digital technologies.
The chapter examines the relationship between the size and diversity of the expellee population and entrepreneurship and occupational change in West Germany. Using statistical data at the municipal and county levels, it documents a reversal of fortune: although expellee presence presented economic challenges in the immediate postwar period, in the long run, it increased entrepreneurship rates, education, and household incomes. The more regionally diverse the expellee population, the better the long-run economic performance in receiving communities.
This chapter comprehensively lays out all the possible ways that artificial intelligence (AI) might interact with Jewish sources as their relationship develops over the next many years. It divides the scope of the relationship into three parts. First, it engages with questions of moral agency and their potential interactions with Jewish law, and suggests that this path, while enticing, may not be particularly fruitful. Second, it suggests that Jewish historical sources generally distinguish human value from human uniqueness, and that there is therefore quite a bit of room to think of an AI as a person, if we so choose, without damaging the value of human beings. Finally, it considers how Jewish thought might respond to AI as a new height of human innovation, and how the human–AI relationship shares many characteristics with the God–human relationship as imagined in Jewish sources.
What counts as a significant innovation in human history, and what might we identify beyond the topics included in this book? In our concept of progress are we too influenced by the sense of our own era as the culmination of history, and can we avoid a presentist bias?
Conventional wisdom holds that open, collaborative, and transparent organizations are innovative. But some of the most radical innovations—satellites, lithium-iodine batteries, the internet—were conceived by small, secretive teams in national security agencies. Are these organizations more innovative because of their secrecy, or in spite of it? We study a principal–agent model of public-sector innovation. We give research teams a secret option and a public option during the initial testing and prototyping phase. Secrecy helps advance high-risk, high-reward projects through the early phase via a cost-passing mechanism. In open institutions, managers will not approve pilot research into high-risk, high-reward ideas for fear of political costs. Researchers exploit secrecy to conduct pilot research at a higher personal cost to generate evidence that their project is viable and win their manager's approval. Contrary to standard principal–agent findings, we show that researchers may exploit secrecy even if their preferences are perfectly aligned with their manager's, and that managers do not monitor researchers even if monitoring is costless and perfect. We illustrate our theory with two cases from the early Cold War: the CIA's attempt to master mind control (MKULTRA) and the origins of the reconnaissance satellite (CORONA). We contribute to the political application of principal–agent theory and studies of national security innovation, emerging technologies, democratic oversight, the Sino–American technology debate, and great power competition.
Festivals are one of the main contemporary forums in which Indigenous Australian public ceremony is staged, learned, shared and increasingly, revived. In this chapter we review the literature on public ceremony at Indigenous festivals, focusing on Junba at the Mowanjum festival in the Kimberley and Kun-borrk/Manyardi at the Stone Country and Mahbilil festivals in western Arnhem Land/Kakadu. We consider festivals as serving several purposes: Firstly, as a forum for cultural revival, reclamation, and maintenance, supporting language and song revival and reclamation work by local individuals, groups and Indigenous businesses. Secondly, as a forum for education and diplomacy, serving as powerful statements of Indigenous sovereignty, identity, law and diplomacy which educate the broader public. Thirdly, as a site for continuity and innovation of practice. We examine how performers in the Kimberley use Junba to transform society to address inequity and discrimination in wider Australian society, and performers in western Arnhem Land use Kun-borrk/Manyardi at festivals to support interdependence and reciprocity enacted as part of regional ceremonial practices and ideologies of being ‘different together’.
This paper seeks to grapple with questions of polity and innovation in the Church of England and specifically to explore the place of non-parochial forms of church within this tradition of Anglicanism. The paper begins by outlining recent developments within the Church of England around the ‘mixed ecology’ and church planting, before summarizing Alison Milbank’s recent critique of these changes. Then, building on in example of the Guild Churches Act from London Diocese in the mid-twentieth century, it is argued that within a commitment to Anglican polity there lies a vision for creativity in mission which might sometimes mean the pursuing non-parochial forms of ministry.
The U.S. is losing the competition for good jobs and high-value industries because most of Washington believes trade should be free, the dollar should float, and that innovation comes exclusively from the private sector. In this book, the authors make the bold case that these laissez-faire ideas have failed and that a robust industrial policy is the only way for America to remain prosperous and secure. Trump and Biden have enacted some of its elements, but it needs to be made systematic and comprehensive, including tariffs to protect key industries, a competitive exchange rate, and federal support for commercialization—not just invention—of new technologies. Timely, meticulously researched, and bipartisan, this impressive analysis replaces misunderstandings about industrial policy with lucid explanations of its underlying economic theory, the tools that implement it, and its successes (and failures) in America and abroad. It examines key industries of the past and future – steel, automobiles, television, semiconductors, space, aviation, robotics, and nanotechnology. It concludes with a realistic, actionable policy roadmap. A work of rigor and ambition, Industrial Policy for the United States is essential reading.
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.
Mainstreaming urban nature and nature-based solutions requires that we understand the key challenges and opportunities that are facing projects on the ground. This chapter revisits the main themes of the textbook, providing concise conclusions about the key points, arguments, and findings presented in the previous chapters and summarising the key implications for urban nature and nature-based solutions in the context of transformative pathways for sustainability. To break the dominance of grey infrastructure, new approaches are needed for the development, implementation, and mainstreaming of nature in cities. The chapter engages with two case studies to illustrate its key messages: Barcelona, Spain, and Sofia, Bulgaria.
This chapter presents innovation pathways for urban nature and nature-based solutions that are appearing in cities. Innovation pathways are journeys that involve key drivers, decision-making junctures, agents, and opportunities. The chapter provides a typology of nature-based innovations and unpacks the underlying conditions enabling and constraining the mainstreaming of these innovations through the nature-based solutions innovation system framework. It also discusses localised innovation processes. The chapter provides potential explanations for path dependencies through urban development regimes that enable or constrain these initiatives and systems. From these three sets of dynamics, the chapter aims to provide an understanding about what shapes the pathways through which urban nature and nature-based innovations emerge and open the gateway to potential intervention points towards sustainability. The chapter presents recent innovation pathways for urban nature through case studies from Leidsche Rijn water system in Utrecht, the Netherlands, and Little France Park in Edinburgh, United Kingdom, to explore the interconnections between nature, innovation and urban sustainability that indicate the emergence of a global agenda.
The greatest progress so far in decarbonising the global economy has been made by governments that ignored the advice of economists. Investing in new technologies turns out to be a more effective way of changing things than taxing the incumbents. We need to stop being surprised by this and start replicating those successes.
Economics is not just about the allocation of scarce resources – how to ‘divide up the pie’. It is also about the creation of novelty, and the formation of new structures – how to make a pie in the first place. The new science of complexity, allied to old ideas of political economy, can help us understand how to create and change things quickly and at large scale. New economic thinking of this kind predicted the global financial crisis, but has barely begun to be applied to policy. It could transform the way we respond to climate change.
Urban nature holds great potential to address the web of challenges that cities are facing and support transitions to a more sustainable future. Cities are working with nature in a diversity of ways, such as by using blue and green infrastructure. Blue infrastructure includes, for example, lakes, ponds, drains, and wetlands. These features can regulate storm-water flows, reduce pressure on the urban drainage system, and create sponge cities that lower flooding risks while reducing heat island effects, enhancing biodiversity, and providing recreational opportunities. Green infrastructure can include, for example, urban forests, green roofs and walls, multi-functional parks, and river embankments. These areas can improve air quality and energy efficiency, reduce heat island effects, and contribute to human health and well-being, amongst other benefits. Furthermore, urban gardens can increase access to food and employment while enhancing physical and mental health and social integration.
A conceptual framework, called Innovation of Health Technology Assessment Methods (IHTAM), has been developed to facilitate the understanding of how to innovate methods of health technology assessment (HTA). However, the framework applicability has not been evaluated in practice. Hence, we aimed to explore framework applicability in three cases of method innovation that are part of the HTx project and to develop a roadmap to improve framework applicability.
Methods
The IHTAM framework was applied to three cases of innovating HTA methods. We collected feedback from case study leaders and consortium members after a training session, an approximately 1-year follow-up of periodic case study meetings, and a general assembly meeting where innovation progresses of the three cases were reported through surveys and interviews. Feedback was then summarized using an open-coding technique.
Results
According to feedback, the framework provided a structured way of deliberation and helped to improve collaboration among HTA stakeholders. However, framework applicability could be improved if it was complemented by a roadmap with a loop structure to provide tailored guidance for different cases, and with items to elaborate actions to be taken by stakeholders. Accordingly, a 48-item roadmap was developed.
Conclusions
The IHTAM framework was generally applicable to the three case studies. A roadmap, with loop structure and actionable items, could complement the framework, and may provide HTA stakeholders with tailored guidance on developing new methods. To further examine the framework applicability, we recommend stakeholders to apply the IHTAM framework and its roadmap in future practice.
The sandbox approach, developed in the financial technologies sector, creates an environment to collaboratively develop and test innovative new products, methods and regulatory approaches, separated from business as usual. It has been used in health care to encourage innovation in response to emerging challenges, but, until recently, has not been used in health technology assessment (HTA). This article summarizes our learnings from using the sandbox approach to address three challenges facing HTA organizations and to identify implications for the use of this approach in HTA.
Methods
We identified three challenging contemporary HTA-related topics to explore in a sandbox environment, away from the pressures and interests of “live” assessments. We convened a pool of 120 stakeholders and experts to participate in various sandbox activities and ultimately co-develop solutions to help HTA organizations respond to the identified challenges.
Results
Important general learnings about the potential benefits and implementation of a sandbox approach in HTA were identified. Consequently, we developed recommendations to guide its use, including how to implement an HTA sandbox in an effective way and the types of challenges for which it may be best suited.
Conclusions
For many HTA organizations, it is difficult to carefully consider emerging challenges and innovate their processes due to risks associated with decision errors and resource limitations. The sandbox approach could reduce these barriers. The potential benefits of addressing HTA challenges in a collaborative “safe space” are considerable.
We live in an era of major technological developments, post-pandemic social adjustment, and dramatic climate change arising from human activity. Considering these phenomena within the long span of human history, we might ask: which innovations brought about truly significant and long-lasting transformations? Drawing on both historical sources and archaeological discoveries, Robin Derricourt explores the origins and earliest development of five major achievements in our deep history, and their impacts on multiple aspects of human lives. The topics presented are the taming and control of fire, the domestication of the horse,and its later association with the wheeled vehicle, the invention of writing in early civilisations, the creation of the printing press and the printed book, and the revolution of wireless communication with the harnessing of radio waves. Written in an engaging and accessible style, Derricourt's survey of key innovations makes us consider what we mean by long-term change, and how the modern world fits into the human story.