Early Journey Research Articles

Scaling Up Whole Child Development Initiatives: Lessons from the Early Journey of Life Program in Vietnam

Human development programs—for example, early childhood interventions—often depend on high-quality, respectful human relationships. This creates a challenge for implementation at large scale. Here, we review how this challenge was addressed in the scale-up of the Early Journey of Life (EJOL) program, an evidence-based initiative in Vietnam that supports parents and families in the first 1,000 days of children’s lives. The program’s experience highlights the value of an approach to scaling that aims to energize stakeholders, including at the front line as well as among government leaders; rapidly learn and adapt based on new evidence; empower leadership across the delivery system; rebalance agency to the front line; and gradually but systematically embed program principles and activities in large government systems. Our findings suggest that EJOL’s work to implement scale-up along these lines was in turn grounded in high-quality relationships with those engaged in the program, from family members to frontline workers to middle managers and senior government officials. The EJOL program has successfully scaled to reach 109 rural communes in Ha Nam province and continues to expand and diversify while retaining its core focus on high-quality human relationships.

Analysis of Important Events in the Early Journey of Islam Through the Khaibar War and Wadi Al-Quran

This research aims to investigate the strategic role of the Khaibar and Wadi Al-Qura wars in the spread of Islam in the early days of Islam. The research method used is literature study, with a focus on analyzing various aspects such as military, diplomacy, economics and culture. The main objective of the research is to understand how these wars influenced the strengthening of the military position of Muslims, handling ethnoreligious conflicts, strengthening the economy, expanding Muslim recruitment, the importance of diplomacy in agreements, and the continuation of Islamic da'wah. Literature studies were carried out by identifying, selecting and analyzing literary sources relevant to the Khaibar and Wadi Al-Qura wars. An in-depth analysis of the literature's content provides a holistic insight into the impact of these wars on the spread of Islam in the Arab region at that time. The research results show that the Khaibar and Wadi Al-Qura wars played an important role in strengthening the military position of Muslims, providing examples in handling ethnoreligious conflicts, strengthening the economy, expanding Muslim recruitment, and proving the importance of diplomacy in forming agreements that support the peaceful spread of Islam.

Un artista entre España y América El pintor José Luis “Pasajes” y su compromiso con el arte durante la República y el franquismo

Abstract This article analyzes the life, exile, and artistic work of the republican painter José Luis Fernández Martínez (also known as Sarralde- “Pasajes” painter) under the republican government and the ensuing Franco regime. Enlisted as a volunteer in the Army of the Republic, he worked in the Culture Section of the General War Commissariat alongside other artists. He survived the victors by masking his past during the postwar period and facing the ravages of a Spain shrouded in darkness during the early years of Franco’s rule. He was lucky enough to embark on an early journey to America, in 1945, and brave enough, in the face of Franco’s government, to make friends with Republican exiles in Mexico. There, he married and raised a family. Since then and for long years he resided between the two shores. His brush portrayed illustrious characters from the field of culture and politics during the Republican government, the Franco regime, and the Republic of Mexico; but also other Republican exiles or characters related to the cause in America. Through his art, he demonstrated a unique ability to bridge two starkly contrasting worlds.

DISPORA HOMO-SAPIENS BERBARISKAN MANUSIA PELAUT DI KEPULAUAN ASIA TENGGARA DAN LAHIRNYA TEORI MANUSIA KELUAR JAWA ( THEORY OUT OF JAVA-MAN) : SATU PEMIKIRAN DARI PERSPEKTIF KELAUTAN

Traditionally, seas and oceans have become sources of inspiration in seeking the truth from facts to dispell the worldview of those who tended to asscoiate it with myths and superstitions. In fact, it is not far-fetched to suggest that the change and development in present day Southeast Asia, from traditional kingdoms to modern nation-states are intimately rooted in and shaped by the contributions of our seafaring ancestors. History demonstrates how they risked as well as as sacrificed their lives crossing treacherous waters and encountering stormy weathers just to ensure their legacy and continuity of the future generations of seafarers, and turning this region into an epicentre of civilization that was second to none in the world of civilizations. Yet, their thousands of years of contributions and sacrifices appear trivial and paled to insignificance like ”shipwrecks laying at the bottom of the sea in their forgotten watery graves”. Based on several theories of the development of traditional civilizations in the Nusantara like the Out of Yunan and Out of Taiwan theories by western scholars, it appears that these theoretical paradigms have marginalized the realities of history, and therefore require to be ”straightened” via a Southeast Asia centric perspective. This writing is to revisit the salience of the ancient epoch and pre-historic man marked by the arrival of the homo-eractus and homo-sapiens from mainland Asia to this region in the early journey and development of the history of maritime civilization; to explain how the seafaring communities from the eras B.C. (Before Christ) to A.D. (Anno Domini) were able to utilise seas and oceans as a source of emancipation and development, and eventual rise as feared and respected searfarers of the ancient world.

Touched and Changed: Self-Reflexivity and Reciprocity in Fieldwork

Touched and Changed: Self-Reflexivity and Reciprocity in Fieldwork

Pengalaman Komunikasi Kelompok KLa Project dan Eksistensinya Selama 32 Tahun

The 1990s are considered a major force on fashion, music and screens. At that time, in Indonesia various bands were born, developed and reached a golden age. One of them is the KLa Project, which is still surviving until the age of 32. This study aims to determine the experience of group communication in the KLa Project band in an effort to maintain their existence for 32 years in the Indonesian Music scene. The method used is qualitative with a phenomenological approach. The research subjects consisted of the main research subjects, namely KLa Project personnel, namely Ignatius Bagaskoro Katon, Romulo Radjadin, Adi Adrian and Ahmad Ari Suharto. Supporting research subjects were also taken in this study, namely the crew and management of the KLa Project, as well as several other fellow musicians who are related to the KLa Project. The results show that communication between personnel in the KLa Project music group or band is the most important and fundamental thing. The group communication is also dynamic and there is a change in communication patterns during the early formation and journey of the KLa Project, namely from 1986-1987 to 2000, with the communication situation between personnel in 2001.

Chicken or egg: A dual diagnosis narrative

WHAT IS KNOWN ON THE SUBJECT?: Dual diagnosis is a term used to describe persons who have a co-occurring mental health and substance misuse disorders. It is the cause of significant economic burden to health care, justice and educational systems. It is well reported that to date dual diagnosis is under-diagnosed and poorly treated within the confines of mental health services WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: It demonstrates that the need for service reform where all services are equipped with the necessary tools required to adequately support a person with dual diagnosis. WHAT ARE THE IMPLICATIONS FOR MENTAL HEALTH NURSING?: The narrative provides a real-life, candid description of how trauma in early childhood can cause significant challenges when one becomes older. The narrative identifies the dangers of not diagnosing a dual diagnosis early, resulting in only treating half the presenting issues. This narrative also offers hope to individuals in current distress, as well as for those supporting such individuals, as it clearly demonstrates that with the right supports and encouragement, recovery is possible. ABSTRACT: Introduction Dual diagnosis describes when a person has two co-occurring disorders. It is often difficult to diagnose and this can lead to prolonged suffering on behalf of the individual. Aim To provide a lived experience narrative of the early recovery journey of a person with a dual diagnosis. Method This aim was achieved through the use of a narrative based methodology. Results The journey of life leading to a dual diagnosis and beyond is described under the following headings: Formative Years, Substance Misuse, When Life gives you Lemons, They Say Nothing lasts Forever, From the Ashes, Early Recovery and Luck or Fate? DISCUSSION: The narrative presented describes a first hand experience of the struggles leading to a dual diagnosis and how receiving the diagnosis has supported the recovery journey of the first author.

Messages to first responders from a bereaved parent

INTRODUCTION: This article describes the use of autoethnography to explore my experience as a bereaved parent in relation to the traumatic loss of my 12-year-old child in 2009.METHODS: Employing an autoethnographic approach, this research articulates and investigates personal narratives associated with experiences of the death of my young child. Narratives offer a rich description of the event and allow data analysis where emerging themes stream from a personal experience.FINDINGS: Professionals taking control and the caring role of the community are main themes identified and analysed from these personal narratives. The findings advocate for an understanding of the needs of grieving parents at a time of extreme confusion. This article concentrates on professional first responders taking control and guiding traumatised parents when their child has a fatal event. Bereaved parents experience disorientation and traumatic confusion at the sudden death of their child. Emergency responders need to offer active listening skills and guidance.IMPLICATIONS: Professional first responders need to take control of the bereaved parent’s early journey of grief as they are likely to be in a state of deep traumatic shock, where disorientation leaves them vulnerable to lowered cognitive ability. The use of active listening skills and sensitivity can direct traumatised parents, thereby assisting the short- and long-term welfare of the family by addressing their initial needs at a time of crisis.

How to Incorporate Anti-Racism Into Psychiatric Practice

How to Incorporate Anti-Racism Into Psychiatric Practice

Early Journey Formative for New VP

Early Journey Formative for New VP

An Interpretative Phenomenological Analysis Of Experience Of Honorary Teachers Teaching Student With Disabilities In Inclusive Settings In Semarang.

The purpose of this study is to understand the experience of honorary teachers who teaching student with disabilities in inclusive settings. The study involved four female honors teachers 41-45 years old and had 8-12 years of teaching experience with disabilities students. This research using Interpretative Phenomenological Analysis (IPA) approach to understand the subject's experience through his personal life. In this study, semi-structured interviews were used as data collection methods. There are three main themes found: (1) early journey to become a teacher of student with disabilities in inclusive settings (2) job description as teacher of student with disabilities in inclusive settings (3) appreciation about profession. The results of this study indicate that the four subjects are able to be grateful for the profession as a honorer teacher in inclusive settings with support from interacting with children with disabilities before their becoming a teachers, supportive work environment, family support, comformity in work place and satisfaction in working help the four subjects to remain loyal to the their profession.

The early patient journey following lumbar spinal fusion surgery: a qualitative study using semi structured interviews and weekly patient diaries

The early patient journey following lumbar spinal fusion surgery: a qualitative study using semi structured interviews and weekly patient diaries

‘We can’t afford not to do it’: One health system’s early journey into addressing social determinants of health

A few hospitals and health systems have long histories in addressing the social and environmental conditions that affect the health of those living in their communities. The growing awareness of the effect that social needs have on patient outcomes is motivating many more hospitals and health systems to address these issues, but the majority are doing so without access to sustained external funding to support these new efforts. This paper provides an insider’s view into the processes, decisions and realities that influenced one such health system’s early efforts to address social determinants of health. Lessons learned that may be helpful to other hospitals and health systems and their collaborators are highlighted and include the following: recognise the costs of not addressing the social needs of patients; understand that addressing social determinants of health can happen in myriad ways; recognise that it will take some time for science to catch up to the fast pace of innovation in this area; be realistic about the organisation’s capacity; and consider both community need and factors affecting the organisation’s bottom line before choosing a strategy.

The messianic journey of Jonathan ha-Kohen of Lunel to the Land of Israel re-examined

In 1210, thanks to increased contacts between Jewish communities in western Europe and in the eastern Mediterranean in the wake of the crusades, Jonathan ha-Kohen, head of the yeshivah of Lunel and leading Jewish Provençal sage of his time, set sail for Alexandria, from where he proceeded on a pilgrimage to Jerusalem. A year later, a group of sages from northern France and England arrived in Marseille, en route to Palestine. A number of scholars have investigated the messianic aspects of this second wave of immigration, called the “‘ aliyah of the three hundred rabbis”. This article, however, seeks to examine the messianic aspects of the earlier journey, undertaken by Jonathan ha-Kohen and his followers, within their local Provençal context.

Reflections of the Editor-in-Chief.

Along with our entire team, I have learned a great deal in the 2 years since I was tapped to be Editor-in-Chief of Circulation . Now, looking back, I have reflected on the insights we’ve gleaned during this early journey. The scope of cardiovascular disease is now more global than ever. Whereas in previous years, communicable diseases were the major killer in low- and middle-income nations, they have largely been replaced by heart disease, vascular disease, and stroke. The prevalence of cardiovascular disease is growing rapidly in Asia and beyond, as lifestyles have evolved to include high-calorie consumption and diminished physical activity. Meanwhile, in the West, the scope of cardiovascular disease is also evolving, with a shift from atherothrombotic manifestations toward disease triggered by metabolic stress. In fact, in many ways, the face of cardiovascular disease in developed countries is increasingly shaped by heart failure, whereas in the developing world the immediately lethal manifestations of myocardial infarction and stroke continue to rise. Heart disease is emerging with 2 faces in different parts of the globe. To address the global manifestations of cardiovascular disease, we have implemented a distributed leadership …

From Religion to Revolution: Theologies of Secularisation in the British Student Christian Movement, 1963–1973

The collapse of the British Student Christian Movement in the long 1960s is conventionally ascribed to its mimicking of student radicalism at a time of increasing secularisation. Yet analysis of the SCM's rhetoric demonstrates that in the early 1960s the movement imagined a religious crisis when student Christianity was still strong. By embracing a theological vision of ‘secularisation’, which demanded the deliberate transposition of Christian eschatologies into secular form, the SCM embarked on an early, original and influential journey into political radicalism. In this way, the SCM made a significant contribution to British student radicalism in the late 1960s.

‘Dutchman, lazier than any other race of mankind’. Joseph Banks bezoekt de Nederlandse Republiek (1773)

‘Dutchman, Lazier than any other race of mankind’: Joseph Banks in the Dutch Republic. In 1773, the British scientist and explorer Joseph Banks (1743-1820) visited the Dutch Republic for a short holiday. By request of his sister Sarah, Banks kept a journal in which he wrote about his experiences in the Republic. These descriptions are remarkably negative about the Dutch, their culture and their scientific knowledge. It also gives a good insight in Banks’s personality. This article tries to answer the question why Banks is having such a bad time in the Dutch Republic. The article contains a short summary of the journal, an account of Banks’s earlier journey to Batavia with James Cook and a comparative analysis of other British travel accounts of the Dutch Republic in the eighteenth century.

Doing transformational change in the English NHS in the context of "big bang" redisorganisation.

The purpose of this paper is to examine a bold and ambitious scheme known as the North East transformation system (NETS). The principal aim of the NETS is the achievement of a step-change in the quality of health services delivered to people living in the North East region of England. The paper charts the origins of the NETS and its early journey before describing what happened to it when the UK coalition government published its proposals for unexpected major structural change in the NHS. This had a profound impact on the leadership and direction of the NETS and resulted in it taking a different direction from that intended. The research design took the form of a mixed methods, longitudinal 3.5-year study aimed at exploring transformational change in terms of content, context, process and outcomes. The sample of study sites comprised 14 NHS trusts in the North East region chosen to provide geographical coverage of the area and to reflect the scale, scope and variety of the bodies that formed part of the NETS programme. The qualitative component of the research, which the paper draws upon, included 68 semi-structured interviews, observational studies and focus groups. Data analysis made use of both deductive and inductive frameworks. The deductive framework adopted was Pettigrew et al.'s "receptive contexts for change" and four of the eight factors stood out as especially important and form the basis of the paper. The fate of the NETS was shaped and influenced by the eight factors comprising the Pettigrew et al. receptive contexts for change framework but four factors in particular stood out as being especially significant: environmental pressure, quality and coherence of policy, key people leading change, supportive organisational culture. Perhaps the most significant lesson from the NETS is that achieving whole systems change is particularly vulnerable to the vicissitudes of politics especially where that system, like the UK NHS, is itself subject to those very same pressures. Yet, despite having an enormous influence on health policy, the political context is frequently avoided in research or not regarded as instrumental in determining the outcomes in respect of transformational change. The chief limitation is the credibility and authenticity of the interviews captured at particular points in time. These formed the datebase for subsequent analysis. The authors sought to guard against possible bias by supplementing interviews with observational studies and focus groups as well as running two dissemination events at which emerging findings from the study were subjected to independent external scrutiny and comment. These events provided a form of validation for the key study findings. The research findings demonstrate the importance of context for the likely outcome and success of complex transformational change initiatives. These require time to become embedded and demonstrate results especially when focused on changing culture and behaviour. But, in practice, allowing sufficient time during which the organisation may remain sufficiently stable to allow the change intervention to run its course and become embedded and sustainable is highly problematic. The consequence is that bold and ambitious efforts like the NETS are not given the space and stability to prove themselves. Too often, politics and external environmental pressures intrude in ways that may prove dysfunctional and negative. Unless a different approach to transformational change and its leadership and management is adopted, then changing the NHS to enable it to appear more responsive to changing health care needs and expectations will remain a cause for concern. Ultimately the public will be the losers if the NHS remains insensitive to changing needs and expectations. The patient experience was at the centre of the NETS programme. The study is original insofar as no other has sought to evaluate the NETS independently and over a reasonable time period. The research design, based on a mixed-methods approach, is unusual in evaluations of this nature. The study's conclusions are not so original but their value lies in largely confirming and reinforcing the findings from other studies. It perhaps goes further in stressing the impact of politics on health policy and the negative consequences of constant organisational change on attempts to achieve deep change in the way the NHS is organised and led.

‘I Was Not Born With a Hunger to Be Free’. Nelson Mandela’s Early Journeys towards Political Awareness

There is a stark contrast between Nelson Mandela the freedom fighter and the young man who grew up in rural Transkei without a ‘hunger to be free’. Until entering Johannesburg in 1941, he generally did not recognise or resist white oppression. Mandela was destined to be counsellor to the future abaThembu king, not a leader himself. Nevertheless, he encountered discordant notes, suggesting that he could not be a man as long as Africans were a conquered people. His consequent transition to manhood remained unresolved until his involvement in the defiance of the apartheid regime, which signified the attainment of his manhood that had been denied to him in earlier life.

A flâneur on wheels? Bicycle mobility and the sociological gaze in Edward Thomas's In Pursuit of Spring

This essay assesses Edward Thomas's In Pursuit of Spring (1914) as a bicycle travelogue, which anticipates the modern sociological gaze. It argues that bicycle mobility is critical to how that gaze is experienced and mediated, and contrasts this mode with urban flânerie and other forms of pedestrian travel. In extending his critical gaze in a sweep across Southern England, Thomas alludes to earlier journeys by Cobbett, Jefferies and Hazlitt, yet he presents a very contemporary perspective of modernity and its effects as it ripples out of London, across the expanding suburbs and through the transforming rural margins of the Home Counties. In the unique human-powered mobility the bicycle provides, Thomas also gains relief from mental illness and finds a space–time in which to pose existential questions about himself and modernity. In this regard, he follows his friend Robert Frost and anticipates the bicycle fictions of Samuel Beckett and Flann O'Brien.