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Background: The concept of stigma has been widely used to understand patterns of discrimination and negative ideas surrounding people with mental health problems, yet we know little of the specific nuances of how this might operate beyond the 'Global North'. Aim: This paper aims to explore the notion of stigma in an Indian context by considering the lived experience of patients, carers and community members. Methods: A sample of 204 participants, representing mental health patients, informal carers and community members was recruited from urban and rural areas in Kerala, India. Participants took part in interviews where they were encouraged to talk about their experiences of mental ill health, attitudes towards these problems, barriers encountered and sources of support. Results: Experiences akin to the experience of stigma in Europe and the United States were elicited but there were important local dimensions specific to the Indian context. The difficulties faced by people with diagnoses of mental disorders in finding marriage partners was seen as an important problem, leading to marriage proposals being refused in some cases, and secrecy on the part of those with mental health problems. Rather than the 'self-stigma' identified in the US, participants were more likely to see this as a collective problem in that it could reflect badly on the family group as a whole rather than just the sufferer. Conclusions: In the Indian context, the idioms of stigma emphasised impairments in marriage eligibility and the implications for the family group rather than just the self. [ABSTRACT FROM AUTHOR]

The new urban politics (NUP) literature has helped to draw attention to a new generation of entrepreneurial urban regimes involved in the competition to attract investment to cities. Interurban competition often had negative environmental consequences for the urban living place. Yet knowledge of the environment was not very central to understanding the NUP. Entrepreneurial urban regimes today are struggling to deal with climate change and reductions in greenhouse gas emissions. Carbon reduction strategies could have profound implications for interurban competition and the politics of urban development. This paper explores the rise of a distinctive low-carbon urban polity—carbon control—and examines its potential ramifications for a new environmental politics of urban development (NEPUD). The NEPUD signals the growing centrality of carbon control in discourses, strategies and struggles around urban development. Using examples from cities in the US and Europe, the paper examines how these new environmental policy considerations are being mainstreamed in urban development politics. Alongside competitiveness, the management of carbon emissions represents a new yet at the same time contestable mode of calculation in urban governance. [ABSTRACT FROM PUBLISHER]

The transformations in radiology induced by new imaging technology can be understood as instances of 'doing distinctions' by both technology and human actors. This paper combines the analytical frameworks of Gieryn and Bourdieu to understand the reconfigurations engendered by the medical implementation of visualization apparatuses such as magnetic resonance imaging (MRI). It examines the reactions of radiologists to these transformations, which forced them to renegotiate visual expertise and to reconstitute their professional and disciplinary identity. The paper argues that imaging practices are practices of boundary work and distinction, aimed at regaining professional authority and accumulating symbolic capital within the professional field. Boundary work and distinction practices are thus means to improve both the prestige of the profession and the actors' individual status within the scientific or hospital community. The paper further argues that visualization machines and images are not exclusively used for diagnostic and research purposes but are also material and epistemic resources that are deployed in practices of boundary work and distinction. Technology and pictures serve as tools to demonstrate professional skills and power, to increase one's reputation, and to renegotiate identity. Drawing on interviews, documents and fieldwork in several radiology departments and MRI centres in Europe and the USA, the paper reconstructs processes of 'doing distinctions' related to the implementation of MRI and other imaging technologies in medicine. It explores the identity and accumulation strategies of radiologists and other medical specialists through an examination of their boundary work and distinction practices, which are focused on material, social and epistemic resources, and boundaries. [ABSTRACT FROM AUTHOR]

In the debate surrounding genetically modified (GM) food, intense controversies pertain over whether, or how, GM food products ought to be labelled. This paper examines how the GM-supportive and GM-sceptical alliances use arguments regarding labelling so as to strengthen their respective positions. It is an examination of conflicting arguments across social coalitions, corporations and policy-makers, mainly in the USA, but with certain European comparisons. The empirical material consists of written statements by the different groups. The paper suggests that the ideological and epistemological tenets are radically transformed, or even 'crossed over', between GM proponents and opponents when the focus is moved from GM per se to labelling. Two types of crossovers are identified: (i) the crossover of ideologies, and (ii) the crossover of epistemologies. The paper concludes that, while implementing mandatory GM labelling may have several democratic advantages, it is more urgent that both alliances become more reflexive and communicative concerning inconsistent or eclectic crossovers — both ideological and epistemological. [ABSTRACT FROM AUTHOR]

Aims: Labour force activity and marriage share some pathways through which they potentially influence health. In this paper, we examine whether marriage and labour force participation interact in the way they influence mortality in the USA and six European countries. Methods: We used data from the US National Health Interview Survey linked to the National Death Index, and national mortality registry data for Austria, England/Wales, Finland, Hungary, Norway and Spain (specifically, the Basque country) during 1999–2007, for men and women aged 30–59 years at baseline. We used Poisson regression to estimate both the additive (relative excess risk due to interaction) and multiplicative interactions between marriage and labour force activity on mortality. Results: Labour force inactivity was associated with higher mortality, but this association was stronger for unmarried, rather than married, individuals. Likewise, being unmarried was associated with higher mortality, but this association was stronger for inactive than for active individuals. To illustrate, among US women out of the labour force, being unmarried was associated with a 3.98 times (95%CI 3.28–4.82) higher risk of dying than being married; whereas the relative risk (RR) was 2.49 (95%CI 2.10–2.94), for women who were active in the labour market. Although this interaction between marriage and labour force activity was only significant for women on a multiplicative scale, there was a significant additive interaction for both men and women. The pattern was similar across all countries. Conclusions: Marriage attenuated the increased mortality risk associated with labour force inactivity; while labour force activity attenuated the mortality risk associated with being unmarried. Our study emphasizes the importance of public health and social policies that improve the health and well-being of unmarried and inactive men and women. [ABSTRACT FROM AUTHOR]

Simpop2 is a generic multi-agent model designed for simulating any system of cities. From an evolutionary theory built upon the observation of networks of cities in different parts of the world and over long time-periods, it has been possible to identify stylised facts that characterise their main features and properties. This paper presents data-oriented simulations of two kinds of system: in early settled countries (Europe, 1300—2000) and in countries more recently settled (the United States, 1650—2000). The model can simulate properly the general dynamics of urban systems, at different scales of observation (general configuration and trajectories of individual cities). The simulations help to identify some dynamic properties that are shared by both systems: a general growth trend and spatial expansion (produced through interurban competition which generates emulation towards innovation that explain the persistency of the hierarchical configuration); a dramatic increase of contrasts in city sizes since the first industrial revolution linked to the increase of communication speed; and, a differentiation of urban economic functions produced through interactions between cities and innovation cycles, as industrial revolution. The model also puts forward the necessary integration of a new urban function in the model, which represents the early emergence of global cities. Yet, beyond these similarities in the evolution of all urban systems, when they are fully integrated, the model also measures to what extent the observed peculiarities in their contemporary spatial and functional configuration depend on differences in the early space-filling process between the two kinds of system. [ABSTRACT FROM PUBLISHER]

This special issue of Social Studies of Science centers on the topic of regulation in medicine and, in particular, on the notion of regulatory objectivity, defined as a new form of objectivity in biomedicine that generates conventions and norms through concerted programs of action based on the use of a variety of systems for the collective production of evidence. The papers in the special issue suggest ways in which the notion of regulatory objectivity can be tested, extended, revised, or superseded by more appropriate notions. They insist on the need to examine more closely clinical-therapeutic (and not just clinical-research) activities, and to pay more attention to the activities of regulatory agencies such as the US Food and Drug Administration and to standard-setting organizations. They call attention to the professional and organizational activities surrounding the mobilization of conventions for regulating clinical practices. Finally, they provide material that can help us to think about how analytical notions such as regulatory objectivity may or may not inform interventionist research projects. [ABSTRACT FROM AUTHOR]

This paper evaluates the relationships between atmospheric circulation, climate and streamflow in the northern North Atlantic region over the last century and especially the last 50 years. Improved understanding of climatic influences on streamflow is vital given the great importance of fluvial processes to natural systems and water resources, especially in the light of recent and predicted climate change. The main focus lies with climatic and hydrologic implications of the major circulation patterns in the northern North Atlantic, namely the North Atlantic Oscillation (NAO) and Arctic Oscillation (AO). The studies reviewed here reveal key relationships between circulation, climate and streamflow across the northern North Atlantic, allowing the construction of a simple conceptual model for this system. Generally positive NAO/AO-streamflow relationships are found in northwest Europe and northeast USA, with both positive and negative NAO/AO-streamflow linkages apparent for parts of eastern Canada. To help promote a better understanding of the system, several research gaps are identified and critically examined, including: the spatial scope and coverage of investigations; data quality and homogeneity; appropriateness of analytical techniques; and the need for greater knowledge and technique sharing between hydrology and climatology, particularly regarding the rigorous characterization of atmospheric circulation patterns. Among these, the development of seasonally varying, or mobile, NAO indices, to capture variations in subseasonal, seasonal and annual movements in the centres of action, and the need to develop analyses of more hydrologically meaningful climate variables beyond conventional time averaged statistics, are deemed particularly important. [ABSTRACT FROM AUTHOR]