Search

Objective: The authors present an account of the current state of sectorization in France and its development over the last decade. Method: The paper is based on statistics collected by the French Health Ministry and on relevant laws and regulations. Comments by patients, families and professionals are presented. Results: The supply of mental health care is usually satisfactory, and there is a tendency for in-patient units to be converted into day hospitals. There is a large disparity between regions, especially in child and adolescent psychiatry. The 1838 law governing compulsory admissions was revised in 1990, and this revision was the object of a commission of inquiry in 1995. Psychiatric units work on the borders between health and social services and are forging new links between the two. Conclusion: Psychiatric care requires an integrated health and social perspective. In the field of mental health legislation European recommendations are called for. [ABSTRACT FROM AUTHOR]

This paper investigates how political challengers articulate new political divides in European political party systems and with what implications for representative democracy. Focusing on the case of France and the discourse and practices of Emmanuel Macron and Marine Le Pen, the paper identifies three strategies these actors have used to articulate a new political division beyond Left and Right: the discursive rejection of traditional Left/Right politics, the combination of elements from across the Left/Right divide and the identification of each other as opposite sides on a new cleavage. Our analysis also suggests that rather than addressing the democratic pathologies associated with the traditional Left/Right party system, this new divide has largely contributed to deepen them. Specifically, the new dichotomy carries risks in terms of representative deficits, electoral demobilisation and the further legitimation of illiberal politics. [ABSTRACT FROM AUTHOR]

Genetic relatedness figures heavily in contemporary ethical debates on egg freezing, although the arguments lack empirical‐based evidence. Rather than adding another theoretical view on the moral relevance of genetic connections, this paper instead proposes an empirically grounded perspective based on two independent qualitative interview‐based studies conducted in Belgium and France. Three themes emerge from our empirical data: (1) prioritizing family building; (2) centering the gestational experience of motherhood; and (3) identifying the complexities and limitations of adoption. These themes suggest that the relationship between egg freezing, genetics, biological motherhood, and adoption is highly complex and less straightforward than what is often assumed in the egg freezing debate. Our study provides more detailed insights into women's ambivalent experiences regarding those reproductive options. We discuss the ethical implications of our empirical findings and hold that pursuing genetic desire is not necessarily the main moral reason why women freeze their eggs. [ABSTRACT FROM AUTHOR]

This paper contributes to the process of decolonising geographical knowledge on Indigenous people. More specifically, it seeks to critically engage with knowledge production on the Indigenous Other in early French colonial geography in the late 19th and early 20th centuries. This particular moment coincided with the institutionalisation of French geography and the subsequent ambition to convert this discipline into a "science." As a result, early colonial geographers began objectifying Indigenous people. Rather than discuss how early French colonial geographers defined the Indigenous Other as a new "object of science," this paper examines how this desire to objectify other humanities resulted in the dehumanisation of Indigenous peoples. After clarifying the meaning of "colonial geography" in France, this paper focuses on early French colonial geographers' invention of the Indigenous Other based on different modalities whose common principle appears to be the concept of "race." This paper concludes that racialised determinants were key to othering, distancing, and even animalising Indigenous Others. Disparaging non‐European people through the use of biased "science" enabled early colonial geographers to inferiorise and dispossess them under the guise of "progress." This paper contributes to the process of decolonising geographical knowledge on Indigenous people. More specifically, it seeks to critically engage with knowledge production on the Indigenous Other in early French colonial geography in the late 19th and the early 20th centuries. [ABSTRACT FROM AUTHOR]

This paper analyses the potential impacts of a hypothetical implementation of the Income Stabilisation Tool (IST) in France for the field crops sector. The IST is a risk management tool available within the 2014–2020 Common Agricultural Policy (CAP) to support farmers facing a severe drop in their incomes. This analysis was conducted using a farm‐level model relying on expected utility theory and based on positive mathematical programming with risk. The model was applied to a sample of 1375 field crop farms in France derived from Farm Accountancy Data Network (FADN) data. Simulation results show that the uptake rate of the tool is relatively low, less than 37% in all scenarios. It is strongly dependent on CAP public support and on how much premium farmers have to pay. Highest uptake rates are observed in farms specialising in Other Field Crops, such as potatoes, pulses and sugar beet, and farms located in regions highly exposed to climatic risks. Previous experience with insurance favours the acceptance of the IST. Model results also show that the IST improves adopters' income and reduces income inequality. However, its impacts on crop diversity, measured by the Shannon index, are negative. [ABSTRACT FROM AUTHOR]

Copyright of Antipode is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of GCB Bioenergy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper analyzes assortative mating and its contribution to inequality in France. We first provide descriptive evidence on the statistical association in several socio‐economic attributes of partners. Second, we assess the contribution of assortative mating to earnings inequality between couples. We provide a new method for assessing the contribution of assortative mating to inequality in couple's potential earnings, that accounts for selection bias arising from labor force participation. Our results indicate a strong degree of assortative mating in France. The correlation in earnings is around 0.17 for annual earnings, around 0.35 for full‐time equivalent earnings and up to 0.49 when using multi‐year average earnings. Assortative mating tends to increase inequality among couples. For annual earnings, the effect accounts for 3 to 9 percent of measured inequality. The effect of assortative mating on household potential earnings is much larger and amounts to 10 to 20 percent for observed inequality. [ABSTRACT FROM AUTHOR]

This paper examines empirically the economic relationship between local labour market size and firm returns to training. Anchoring in the literature of micro‐foundation of agglomeration economies, we suspect that this relation is driven by two mechanisms: (i) labour pooling which should positively influence the returns to training through matching and learning effects and (ii) the risk of labour poaching, which tends to reduce the returns to training in larger labour markets. Our estimates, based on a large sample of French industrial firms, reveal that returns to training are increasing with the labour market size, suggesting that labour pooling dominates labour poaching effects. On average, returns to training lie between 6.7 and 7.7%, more in line with the microeconomic literature on education than previous studies focusing on training. [ABSTRACT FROM AUTHOR]

Policy PointsPrivate health insurance (PHI) in France has been facing critical changes over the past 30 years. A complementary and voluntary scheme, it has been historically dominated by nonprofit entities. However, the share of for‐profit insurance companies in the sector has significantly increased. Nonprofit firms also changed their strategies and mimicked some for‐profit behaviors.The present paper argues that this process is a result of the conflict‐provoking coevolution of the insurance and health care sectors. Trying to improve the regulation of the insurance industry as whole, two European directives first jeopardized the business model of nonprofit entities. Then, two national reforms designed to improve health coverage significantly increased competition among insurers, notably in the area of corporate‐level contracts.Decoupling the insurance and health care sectors has become a major source of policy feedback and unexpected outcomes of reforms affecting the very organization of PHI. Context: In France, private health insurance (PHI) has an exceptionally high level of coverage and accounts for 13.7% of health expenditures. A complementary and voluntary scheme, it has been historically dominated by nonprofit, mutual benefit societies. Over the past 20 years, however, the market share of for‐profit insurance companies has increased by 47%. Financialization of the field developed, and competition based on new risk management strategies also increased. The broad aim of this paper is to characterize and to elucidate the causes of this trend. More specifically, we are interested in how and to what extent a series of supranational and national policies contributed to this situation. Method: Our data come from three sources. We first reviewed documents published by health insurers, government reports, and newspaper articles. We then conducted two semistructured interview campaigns between September 2017 and May 2018. The first mostly covered private and public actors and their involvement in European Union (EU) policymaking (n = 21). The second series of interviews was conducted with another group of actors directly involved at the French level (n = 16). Findings: Our findings support preliminary observations. PHI in France, we argue, is indeed facing a development of competition and marketlike instruments. Four major policies (two EU directives and two national reforms) played a significant role in this outcome. Surprisingly, however, it has never been the purpose of legislators and policymakers: while EU directives created a regulatory framework for insurance activities within the Single Market, policies adopted at the national level initially aimed at improving health coverage. We show that it is the interactions and the noncoordination among all of these policies that explain their unexpected outcome. Conclusions: The trend described in this paper is twofold. The first is Europeanization, as PHI in France is increasingly affected by EU legislation. Since this framework tends to favor larger firms and for‐profit companies, a reduction in statutory coverage can no longer be considered a quasi‐neutral transfer from (publicly owned) social security to nonprofit providers. At the same time, PHI is shifting toward collectivization: as competition increases, complementary health coverage is becoming gradually standardized and based at the corporate level. Together, these changes are likely to reduce freedom of choice and individual welfare, an assumption supported by studies published on the most recent period. [ABSTRACT FROM AUTHOR]

Childcare is a need that inevitably emerges once migrants establish themselves and their families in their destination country. However, migrants' use of informal childcare still constitutes an under‐researched phenomenon. Using data from the 'Social Condition and Integration of Foreign Citizens' survey (2011–2012) for Italy and the 'Trajectoires et Origines' survey (2008–2009) for France, this paper examines differences between migrants living in the two countries in terms of their use of informal childcare and, more specifically, their informal childcare arrangements. We employ a comparative analysis because we hypothesised that parental choices would depend on the migrants' region of origin, the institutional context of their destination country and the interplay between these two elements. The results suggest that migrants' choices stem from a complex relationship between the norms and beliefs of the country of origin and those in the destination country, which are generally characterised by different family policies and levels of childcare availability. We show that the use of informal childcare is higher among migrants in Italy than it is among those in France, even among migrants from the same region of origin. The results also suggest that the use of particular informal childcare arrangements varies by region of origin regardless of destination country, supporting the hypothesis that migrants' cultural values and beliefs play a critical role in determining childcare arrangements. Finally, we demonstrate that household composition and parents' occupational status strongly influence migrants' childcare choices. [ABSTRACT FROM AUTHOR]

The closing of the aging nuclear power plant of Fessenheim was eventually concretized in June 2020 after many years of controversy, reflecting the sensibility of closing nuclear power plants in France, the world's second largest producer of nuclear power. This paper provides insight into how this highly policy vexed issue was discussed on the local level during 2017, a period when the decision regarding the shutdown was still at stake. Here, I examine the discursive strategies mobilized by key actors lobbying for the shutdown or maintenance of the nuclear power plant to enhance their argumentations. Using political discourse analyses combined with the logics approach, the article shows that the argumentation of proponents and advocates of a shutdown is structured around the same concept of sustainability. However, economic growth, social prosperity, and environmental "cautiousness" are not articulated with the same chain of equivalence and do not activate the same fantasmatic logics. [ABSTRACT FROM AUTHOR]

To problematize the idea of peasant autonomy in old capitalist societies, this paper will explore the evolution of two phenomena in present‐day France: peasantry, commonly understood as relatively autonomous small family farms that rely on subsistence farming, and the neorural movement, that is, urban‐to‐rural migration that has a counter‐cultural connotation. While peasantry is believed to be disappearing, the neorural movement is charged with "deradicalization" because it distances itself from subsistence farming. The juxtaposition of both phenomena shows that capitalism has transformed the countryside, making it difficult to live from agriculture. In old capitalist countries, peasant autonomy is no longer about subsistence farming but about achieving an economic equilibrium that increases autonomy from market pressures created by high input prices and low output values. [ABSTRACT FROM AUTHOR]

Copyright of Antipode is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Swiss Political Science Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aim: This paper describes the characteristics of the new advanced practice nursing roles in France, as well as their challenges and perspectives, and compares the French model with the recommendations of the International Council of Nurses. Background: Advanced practice nursing is particularly well established in English‐speaking countries. Since 2018, France has become the second French‐speaking region to legalize and regulate advanced practice nurses. Source of evidence: The International Council of Nurses and French government websites, and scientific databases (PubMed, CINALH, Cochrane Library) were explored. Feedback from French nursing academics was also requested. Discussion: The advanced practice nursing model in France is described according to the scope and conditions of professional practice. The educational program leads to a State diploma with master's degree, which it is mandatory to be a registered nurse. Remuneration depends on the sector of practice in the public hospital, primary care or private sector. Although there is no national strategy for the implementation of advanced practice nursing roles, research projects are being initiated to guide and evaluate the practice. Based on concordance analysis with the recommendations of the International Council of Nurses, the French advanced practice nursing model appears to be similar to the nurse practitioner model. Conclusion: Adjustments in the scope of practice and education can be expected as the implementation of these roles is evaluated. Implications for nursing practice: This is a historical evolution of the nursing profession in France, for which communication with patients and healthcare professionals is essential. Implications for nursing policy: The implementation of advanced practice nursing roles in clinical settings requires the development of national strategies to support initiatives and ensure the sustainability of these roles. [ABSTRACT FROM AUTHOR]

This paper assesses the impact of eligibility for a free means-tested complementary health insurance plan, called Couverture Maladie Universelle Complémentaire (CMUC), on doctor visits. We use information on the selection rule to qualify for the plan to identify the effect of eligibility and adopt a regression discontinuity approach. Our sample consists of low-income individuals enrolled in the Health Insurance Fund and recipients of social benefits from the Family Allowance Fund of an urban area in Northern France. Our findings do not show significant impacts of the CMUC threshold on the number of doctor visits within the full sample. Among the subsample of adults under 30 years old, however, eligible individuals are more likely to see a specialist and have, on average, significantly more specialist visits than non-eligible individuals. This specific impact of the CMUC cut-off point among young adults may be explained by the fact that young adults are less likely to be covered by a complementary health insurance plan when they are not recipients of the CMUC plan. © 2017 The Authors. Health Economics Published by John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

This paper advances a research agenda on how asset‐based welfare policies, residential market volatility, stratified accumulation and vulnerability impinge upon the geography of inequality in property markets. Since the mid‐1990s, housing prices have increased faster than the income of buyers, becoming a driver of social polarisation and household vulnerability. Few studies have however explicitly linked socio‐spatial inequality to asset capitalisation, instability and vulnerability in residential housing markets. We employ an empirically‐grounded investigation of the factors driving and reinforcing these dynamics, what we conceptualise as a feedback loop mediating particular housing finance regimes. Drawing on three French cities (Paris, Lyon, and Avignon) our study develops a comparative framework to interpret the relational effects of price, equity and homeowner vulnerability on the production of inequality across different geographical scales. Our approach puts into conversation debates concerning housing markets, social inequality, and ordinary financialisation in the period since the Global Financial Crisis. [ABSTRACT FROM AUTHOR]

Context Until the last decade of the 20th century, France had no equivalent to the US Food and Drug Administration. In this paper we describe and interpret the complex series of events that led to the passage by the French Parliament in December 1992 of a law incorporating such an agency, the Agence du Médicament (literally, 'medicines agency'). The broad aim of this project was to learn how public health policy change comes about by detailed analysis of a specific instance. More specifically, we aimed to better understand the circumstances under which public health crisis leads to significant public health policy reform. Methods This paper is based on detailed analysis of primary documents (eg, archived French health ministry papers, recorded parliamentary debates, government reports, newspaper articles) and oral history interviews covering a period from 1988 to 1993. Thematic analysis of these materials was initially grounded in theories of organizational change, moving to constructs that emerged from the data themselves. Findings Policy entrepreneurs positioned to frame adverse events and seize opportunities are key to public health policy reform. However, whether these entrepreneurs will have the requisite institutional power is contingent both on political structure and on the power of competing institutional actors. Health crises may catalyze institutional reform, but our analysis suggests that whether reform occurs, or even whether adverse episodes are labeled as crises, is highly contingent on circumstances of history, political structure, and political ideology and is extremely difficult to predict or control. Conclusions Actors positioned to shape public health policy need to have a detailed understanding of the circumstances that facilitate or impede policy reform. Health crises are now more often global than not. Comparative, theoretically grounded, cross-national research that looks in detail at how different countries respond to similar health crises would be extremely valuable in informing both policymakers and researchers. [ABSTRACT FROM AUTHOR]

Aim: This paper describes the situation regarding COVID‐19 emergency in France as of early May 2020, the main policies to fight this virus, and the roles and responsibilities of nurses regarding their work at this time, as well as the challenges facing the profession. Background: Europe continues to be affected by the COVID‐19 pandemic. At the time of writing France was the fourth country with the highest number of detected cases and cumulative deaths. Sources of evidence: Websites of the World Health Organization, French Government, French Agency of Public Health, French National Council of Nurses and ClinicalTrials.gov database, as well as the experiences of the authors. Discussion: The history of the development of the pandemic in France helps explain the establishment of the state of health emergency and containment of the population. Many decisions made had undesirable repercussions, particularly in terms of intra‐family violence, mental health disorders and the renunciation of care. Hospitals and primary care services, with significant investment by nurses, played a key role in the care of persons with and without COVID‐19. Conclusion: France has suffered a very high toll in terms of COVID‐19 morbidity and mortality, and effects on its people, health systems and health professionals, including nurses. Implications for nursing practice: Nurses are recognized for their social usefulness in France. However, it is important to consider the collateral effects of this crisis on nurses and nursing and to integrate the health emergency nursing skills established during the pandemic into the standard field of nursing competence. Implications for nursing policy: The nursing profession has expectations of a reflection on and revision of nursing skills as well as of its valorization in the French healthcare system, notably carried out by the French National Council Order of Nurses. [ABSTRACT FROM AUTHOR]

In 1997, the French government put into effect a law that permanently exempted young French men born after 1 January 1979 from mandatory military service. This paper uses a regression discontinuity design to identify the effect of peacetime conscription policies on education and labor market outcomes. Results indicate that conscription eligibility induces a significant increase in years of education but has no effect on employment and wages at the ages of 30–36. Further analysis shows that the interpretation most consistent with findings is that the average marginal return to the additional schooling induced by conscription is low. [ABSTRACT FROM AUTHOR]

In March 2020, the French President called to war against the COVID‐19 which was followed by the launch of a military operation called Operation Resilience. This use of martial rhetoric initiated an effective mobilisation consisting in logistical assistance to the health sector. While armies are increasingly used to deal with environmental disasters, aside from their traditional role, this paper postulates that the geography of the French and international military engagement can be used to analyse both the institutional strategy of crisis management and the message governments send to their population. Military involvement differs in terms of missions given and of the amount of troops mobilised. It first questions the use of the military in the name of national resilience in the political discourse and the way it displays a symbolic message to the population, before analysing the role of armies in the crisis through the spatiality of their interventions. [ABSTRACT FROM AUTHOR]

Upper Barremian – Lower Aptian inner platform "Urgonian" limestones in the Mont de Vaucluse region, SE France, consist of alternating metre‐scale microporous and tight intervals. This paper focuses on the influence of structural deformation on the reservoir properties of the Urgonian limestone succession in a study area near the town of Rustrel. Petrographic, petrophysical and structural data were recovered from five fully‐cored boreholes, from the walls of a 100 m long underground tunnel, and from a 50 m long transect at a nearby outcrop. The data allowed reservoir property variations in the Urgonian limestones to be studied from core to reservoir scale. Eleven Reservoir Rock Types (RRTs) were identified based on petrographic features (texture, grain size), reservoir properties (porosity, permeability), and the frequency of structural discontinuities such as fractures, faults and stylolites. Tight and microporous reservoir rock types were distinguished. Tight reservoir rock types were characterised by early cementation of intergranular pore spaces and by the presence of frequent structural discontinuities. By contrast microporous reservoir rock types contained preserved intragranular microporosity and matrix permeability, but had very few structural discontinuities. Observed vertical alternations of microporous and tight rock types are interpreted to have been controlled by the early diagenesis of the Urgonian carbonates. Deformation associated with regional‐scale tectonic phases, including Albian – Cenomanian "Durancian" uplift (∼105 to 96 Ma) and Pyrenean compression (∼55 to 25 Ma), resulted in the modification of the initial petrophysical properties of the Urgonian limestones. An early diagenetic imprint conditioned both the intensity of structural deformations and the associated circulations of diagenetic and meteoric fluids. Evolution of the Reservoir Rock Types is therefore linked both to the depositional conditions and to subsequent phases of structural deformation. [ABSTRACT FROM AUTHOR]

Electricity supply in the European member states has been a closed national public sector service without competition for a long time. Currently, the European electricity industry is subject to radical change resulting from the European directive establishing common rules for the internal market in electricity, which came into force in 1997. This paper attempts to explain the varying forms of implementation of the internal electricity market in France and Germany. First, it clarifies the special characteristics of electricity supply and European electricity policy. Secondly, the paper shows the divergent sectoral arrangements of the French and German electricity industries. Thirdly it points out that the different degrees of linkage between the public players and the electricity companies in France and Germany produce different political strategies which are followed by the companies at the European level, especially those strategies which seek direct influence on the European Commission. Finally, the paper reveals the significance of these strategies in Brussels in terms of the implementation of the single electricity market in both member states. [ABSTRACT FROM AUTHOR]

We present a data set resulting from the first round of a national monitoring program of forest reserves. It contains 9538 permanent plots, distributed across 111 study sites in mainland France (including Corsica). Notably focusing on dead wood measurement, this protocol has primarily been applied in strict forest reserves and special nature reserves (sensu Bollmann & Braunisch 2013), with 68% (6494) of the plots being currently located in strict forest reserves (unmanaged) and 24.7% (2363 plots) in forests unmanaged for at least 50 years. Sites cover a large variety of ecological conditions, from lowland to subalpine forests, but with an underrepresentation of Mediterranean forests (Table 1). The protocol assesses all the stages of a tree's life cycle, from seedling to decomposed lying dead wood. On each plot, a combination of three sampling techniques was used: (1) fixed‐area inventory for regeneration, standing dead trees, living trees, and coarse woody debris (CWD) with diameter over 30 cm; (2) transect lines for CWD with diameter <30 cm; and (3) fixed‐angle plot method for living trees with diameter at breast height (DBH) >30 cm (using a relascopic angle of 3%). Measurements include exact tree location (azimuth, distance), species, diameter(s), tree‐related microhabitats, decay stage and bark cover, and seedling cover. With ongoing climate change, the program network can also provide important information to monitor changes in forest ecosystems. It can also be used as forest management monitoring or conservation status assessment. These data are freely available for noncommercial scientific use (Creative Commons Attribution 4.0 CC BY SA 4.0) with attribution, and this paper must be cited if this material is reused. [ABSTRACT FROM AUTHOR]

Cultural Theory, as developed by Mary Douglas, argues that differingrisk perceptions can be explained by reference to four distinct cultural biases: hierarchy, egalitarianism, individualism, and fatalism. This paper presents empirical results from a quantitative survey based on a questionnaire devised by Karl Dake to measure these cultural biases. A large representative sample (N = 1022) was used to test thisinstrument in the French social context. Correlations between cultural biases and perceptions of 20 social and environmental risks were examined. These correlations were very weak, but were statistically significant: cultural biases explained 6%, at most, of the variance in risk perceptions. Standard sociodemographic variables were also weakly related to risk perceptions (especially gender, social class, and education), and cultural biases and sociodemographic variables were themselves inter correlated (especially with age, social class, and political outlook). The authors compare these results with surveys conducted in other countries using the same instrument and conclude that new methods, more qualitative and contextual, still need to be developed to investigate the cultural dimensions of risk perceptions. The paper also discusses relationships between perceptions of personal and residual risk, and between perceived risk and demand for additional safety measures. These three dimensions were generally closely related, but interesting differences were observed for some risk issues. [ABSTRACT FROM AUTHOR]

Tumour genetics is currently turning into a massive clinical approach. This paper is an enquiry into its practices as they expand beyond expert and experimental contexts and become routinised in clinical hospital settings. Studying a French university hospital, we unpack the content and everyday organization of diagnostic labour in this context. Exploring the sociotechnical frictions that arise in the process, we describe the ways in which they are collectively controlled, and stabilized through organizational fictions, that are instrumental in making tumour genetics doable in the hospital, at a large scale. We further show that the new role of external regulations in the production of clinical values for mutations has a strong impact on diagnostic work, making it possible to be performed locally without resorting to expert bioclinical collectives, and outside the professional jurisdiction of clinical geneticists. This division of labour appears as a necessary condition for the rise in clinical productivity required by a new function assigned to genetics: to guide the prescription of drugs for common diseases. This turn in the way genetics is embedded in the clinic calls for a thorough reassessment of its impacts on clinical discourses, practices and decisions. [ABSTRACT FROM AUTHOR]

Through an ethnographic case study of campus politics at a Parisian university, this paper shows that neoliberal university reforms in France failed to create neoliberal subjectivities. Instead, the reforms provoked conflicts between direct and representative democracy, traditions which had organized post‐1960s French university culture. These conflicts suggest that we can decenter neoliberalism and instead examine the confluence of multiple modes of academic production, along with the antagonistic emergence of non‐neoliberal subjectivities. [ABSTRACT FROM AUTHOR]

In this paper, we provide a spatial analysis of agriculture in three mid-sized French cities, with a particular focus on professional farms. The existence of important agricultural spaces inside the cities is confirmed. We reveal the persistence of a field-based, market-oriented agriculture in French mid-sized cities, often ignored in studies on urban agriculture, and usually made invisible. Our results highlight the farms' diversity, as well as a diversity of farmers' viewpoints on the relations between urban and agricultural places. We emphasise the importance of three main determinants in the observed dynamics: the cities' geographies; the impact on farmers of land speculation and urbanisation; and the implementation of resistance and adaptation processes by some farmers. These results are discussed in relation to the literature on urban and peri-urban agriculture. [ABSTRACT FROM AUTHOR]

Wheat production stagnated in France during the late nineteenth and early twentieth century, while cultivated acreage and wheat output declined sharply around the Mediterranean from the 1870s. Wheat output never recovered in this region despite the introduction in 1885 of tariff measures, such as the 1892 Méline Tariff. This paper analyses the response of Mediterranean wheat growers to changes in local rainfall and to variations of the duty on imported grains. It uses regional level data for nine administrative divisions located on or near the Mediterranean and assesses the impact of rainfall on yields. It argues that an interplay of protectionist policies and environmental conditions explain the decline of wheat production. [ABSTRACT FROM AUTHOR]

ABSTRACT This paper draws on research into child welfare services in France, Germany and England which compares the subjective experience of mothers who have been in contact with family support and child protection agencies in the three countries. The mothers' stories suggest that successful help-achieving strategies differ according to the nature of the child welfare regime, and that behaviour which is effective in getting a good response in one country may work less well elsewhere. The stories of two mothers in each of the countries have been chosen to demonstrate how the structures of different social welfare regimes affect the efforts of welfare users to get the help they need. [ABSTRACT FROM AUTHOR]

Introduction and Aims: Field studies have indicated a recent increase in heroin availability and use in France, and yet very little is known about the mechanisms underlying heroin retail prices. This paper offers a first attempt at identifying the determinants of heroin pricing, to measure quantity discounts and assess the influence of purity on street prices, while controlling for a geographical effect.Design and Methods: Data on heroin samples were collected during 2011 in seven urban areas of metropolitan France. Ordinary least squares regression was used to model the associations between price, quantity, purity and other independent variables.Results: Quantity remains the most influential variable on heroin pricing. We estimate that a 10% increase in the size of a transaction leads to a 2.3% decrease in the unit price. Assessed purity proved to be significant, although in modest proportion. Sociodemographic characteristics, such as gender, users' experience and relationships with dealers, proved to be insignificant. Heroin retail prices vary according to a geographical gradient related to the routes of entry and distribution.Discussion and Conclusions: As a credence good, heroin retail prices in France are affected by more than simply the traditional supply and demand relationship. The results of this study also underline the limitations of a quantitative framework and should be complemented by further ethnographic research to obtain an in-depth understanding of local markets. Policies should be designed to better take local disparities into account.[Lahaie E, Janssen E, Cadet-Taïrou A. Determinants of heroin retail prices in metropolitan France:Discounts, purity and local markets. Drug Alcohol Rev 2016;35:597-604]. [ABSTRACT FROM AUTHOR]

This paper provides the first detailed analysis of the spatial dimensions of precarious employment across the French territory. We find that different forms of precarious employment exhibit different spatial patterns. The most striking locational pattern is shown by fixed-term contracts and part-time work where we observe clusters of high levels of precarious employment primarily in southern regions. Northern regions, in contrast, are characterised by clusters of low levels of precarious employment. We also find that precarious employment is predominantly a rural phenomenon with the exception of temporary (interim) work which displays higher average levels in urban communes. Finally, modelling results suggest that the geographical distribution of precarious forms of employment is linked to factors such as the unemployment rate, the industrial composition of a region, gender and the structure of family households. [ABSTRACT FROM AUTHOR]

This paper examines the issues related to the double-sided dimension of wellbeing: subjective and objective. In the theoretical framework developed by Fleuret and Atkinson (2007, The New Zealand Geographer 63 106-29), spaces of wellbeing are shaped by four dimensions (spaces of security, spaces of capability, therapeutic spaces and integrative spaces). In the case of the student population in Angers, we observe a major imbalance: the component that really stands out is capability, which is quite logical because students are a population in a transition between youth and adulthood. The results reveal that the student population has a specific relation to space due to a transitory presence in the university town, with, as a consequence, a simultaneous embedding in different places. This could explain why the students do not perceive the characteristics of place to be a major influence on their wellbeing; instead it is the perception they have of their wellbeing that influences their perception of place. [ABSTRACT FROM AUTHOR]

Focusing on street-side vending of fresh mint and herbs in the French city of Montpellier, this paper considers the difference between illegal and informal vending, and the regulatory mechanisms deployed by municipal and police actors in the push to eradicate illegality. Drawing on municipal archives from the late 1990s, and interviews and city documents from the 2000s, I examine the relationship between regularised market stall holders and those selling goods outside assigned vending spaces, with a particular interest in how these two groups interact, and the instances in which police and market officials are called. Through a rapidly escalating campaign to fight illegality, green fresh mint is coded as an illicit product and the individuals who sell it are targeted as dangerous criminal elements. [ABSTRACT FROM AUTHOR]

Objective: Reasons for patients' acceptance of the allogeneic hematopoietic stem cell transplantation (allo-HSCT) proposed and how their decision may be affected by the long distances involved have not been sufficiently investigated so far. We therefore conducted a qualitative study to identify the factors involved in overseas patients' decision to accept allo-HSCT. Methods: In-depth semi-directive interviews were conducted with overseas allo-grafted patients (n=22), as well as one non-consenting patient and their caregivers (n=24). Interviews were analyzed taking an inductive thematic approach. Results: Respondents stated that their decision to undergo the transplantation was constrained by their feeling of being in a therapeutic impasse, the need for a survival strategy, the need to survive for their family's sake, family and doctors' pressures, and the feeling of being managed. The following factors favoring patients' acceptance were the medical information received, their faith, having a family donor, peer testimonies, and positive representations of the transplantation. Factors against patients' acceptance were geographical distance from home to the transplant center, apprehension of protective isolation, fear of dying, and representations of the graft. Conclusions: These factors, such as patient's personal values and representations, need to be weighed up in order to adapt the information exchanged accordingly. Efforts are required to relieve patients' social isolation and improve the means of providing family support. [ABSTRACT FROM AUTHOR]

This paper compares technical aspects of accrual-based budgeting and accounting reforms of the national governments of France, Germany, the UK and the US. It shows that there is no consensus among the four countries about the complete package of technical reform possibilities that is most appropriate; there is also no consensus among the four countries about each one of the possibilities that is most appropriate. What is clear is the resilience of traditional budgetary accounting systems. It is also clear that, in the fundamental context and content of the reforms, the UK is the striking exception. [ABSTRACT FROM AUTHOR]

The transition to retirement marks an appropriate juncture for older migrants to relocate to countries of origin if so desired. As recent survey data from France demonstrate, most older immigrants are well integrated and prefer to live out their old age in the host country. This paper examines return decisions at retirement in the case of older men living in migrant worker hostel accommodation, who seem on first inspection to be far from integrated in France. Despite this lack of integration, they tend not to return definitively to places of origin at retirement. Instead, their preference is for regular back-and-forth trips. In order to make sense of these mobility decisions, several theories of migration are presented and evaluated against qualitative data from interviews conducted in several hostels in the Paris region in spring and summer 2008. While no one theory adequately accounts for all the phenomena observed, the evaluation shows that at various points in the data there is support for several theories. The added value of each theory becomes most apparent when levels of analysis are kept distinct: at the household level as regards remittances; at the kinship-village level as regards reintegration in the home context; at the meso-level of ethnic communities in terms of migrants' transnational ties; and at the macro-level of social systems concerning inclusion in healthcare and administrative organisations. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

This paper draws on the results of a case study within the SoCo project and aims to assess the benefits and constraints in the application of conservation agriculture (CA) methods in Midi-Pyrénées, France, along with an evaluation of the coherence of the policy framework designed to improve the protection of soil resources. Inappropriate agricultural practices, under particular climate, terrain and soil conditions, have contributed to make erosion the main soil degradation phenomenon in Midi-Pyrénées, particularly under spring crops. The decrease of carbon stock is also a relevant issue. Among the various techniques applied by local farmers to reduce the impact of soil degradation on their land, CA appeared popular and was therefore analysed in detail. No specific legislation on soil protection is currently available in France, while the present agri-environmental policy, including the Rural Development Plan and the cross compliance measures, focuses mainly on water quality and biodiversity. A mixed methodological approach was used consisting of a literature review on the status of soils, of the characteristics of CA practices and of the soil-related policies in force. Semi-structured interviews with selected stakeholders on the use of soil conservation techniques and on soil legislation allowed a broader discussion of the study results. The research suggests that CA can effectively contribute to mitigate soil degradation in Midi-Pyrénées, although some implementation drawbacks seem to limit its wider use mainly due to lack of a specific support. Therefore, a better targeting of existing policies would be desirable for an improved protection of soil resources. Copyright © 2010 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]

Aims This paper aimed to assess whether the increase of social differentiation of smoking is observed in France. Design and setting Five cross-sectional telephone surveys conducted in France between 2000 and 2007. Participants The surveys were conducted among national representative samples of French subjects aged 18–75 years ( n = 12 256, n = 2906, n = 27 499, n = 2887, n = 6007 in 2000, 2003, 2005, 2006 and 2007, respectively). We focused on three groups: executives, manual workers and the unemployed. Measurements Time trends of smoking prevalence were assessed, and socio-economic factors (especially occupation and job status) associated with smoking were identified and compared in 2000 and 2005. We also computed respondents' equivalized household consumption (EHI) and their cigarette budget to assess the financial burden of smoking. Findings Between 2000 and 2007, smoking prevalence decreased by 22% among executive managers and professionals and by 11% among manual workers, and did not decrease among the unemployed. Indicators of an underprivileged social situation were associated more markedly with smoking in 2005 than in 2000. In addition, the falling-off of smoking initiation occurred later and was less marked among manual workers than it was among executive managers and professionals. Finally, in 2005 15% of French smokers devoted at least 20% of their EHI to the purchase of cigarettes, versus only 5% in 2000, and smoking weighted increasingly heavily on the poorest smokers' budgets. Conclusions While these results point out an increased social differentiation in tobacco use, they underline the need to design and implement other forms of action to encourage people to quit, in particular targeting individuals belonging to underprivileged groups. [ABSTRACT FROM AUTHOR]

The three main estuaries in the French Atlantic coast – the Seine, Loire and Gironde, all with high tidal regimes – are interfaces between the continental and the coastal ecosystems. The Seine and Gironde are highly contaminated, whereas the Loire remains in a more natural state. Both the Seine and Gironde have suffered from harbour construction, and as a result, their biological units are extremely compartmentalized. Benthic species and communities have adapted to tolerate temporal physical and chemical changes ( e.g. salinity, substrata, depth, and levels of fine particles and oxygen) and human activities ( e.g. dredging, shipping traffic, and habitat reduction). Although numerous bio-indicators and indices are used to define the ecological quality status (EcoQS) of coastal waters, very few of them were developed specifically for environments with a mosaic of conditions and salinity levels, including freshwater. The main problem appears to be that all the indices for determining anthropogenic stress examine the abundances of stress-tolerant species, which may also be able to tolerate natural stressors such as those occurring in estuaries. This paper takes a look at the development status of the benthic indicators and index approaches used in the three main estuaries along the French Atlantic coast. In addition, it examines the adaptation of the different benthic indicators to the taxonomic sufficiency principle, and the adaptation of the Benthic Opportunistic Polychaetes Amphipods index (BOPA) and the Benthic Opportunistic Annelida Amphipod index (BO2A) for use in the freshwater zones of transitional waters ( i.e. up to the upper limit of the tidal range). Several perspectives are discussed in light of the diverse disturbances and the heterogeneity of such stressed zones, such as the use of multimetric and scoring approaches. [ABSTRACT FROM AUTHOR]

In the last decade, the French beef industry has been through two major health scares related to bovine spongiform encephalopathy. This paper describes and discusses changes in beef supply in France from the consumer's perspective. The authors review the initiatives implemented in each crisis and show that the immediate effects (slump in consumption), however spectacular, were not the most lasting effects. By contrast, responses from the industry and the authorities brought about a far-reaching change in practices by requiring new instruments to be used (traceability). Yet the information conveyed by this innovation cannot readily be appropriated by consumers who are not conversant with the characteristics of beef production systems. [ABSTRACT FROM AUTHOR]

Context The last 10 years have represented a period of significant reform within both the health care and education systems in France. In terms of its workforce, France faces a shortage of doctors, particularly in primary care. Methods This paper examines the French medical curriculum, student selection, licensure and continuing medical education and discusses the challenges currently facing French medical faculties. Results The French medical curriculum is defined nationally, with methods adapted at medical school level. There has been some uptake of innovative methods such as problem-based learning, skills-based teaching and performance-based assessment. However, traditional didactic teaching of scientific medicine and the apprenticeship model remain dominant. France uses a unique method of selection, which is the subject of much debate. Following a general year, medical students are subject to a selection examination that permits only a small number to continue studies. Similarly, at the end of medical school, a written test is used to rank students for the purpose of matching to specialty training. France has no national colleges or licensing authorities and thus authorisation to practise rests on the diploma delivered by each faculty of medicine. From 2005, continuing medical education became compulsory for all doctors. It includes the evaluation of medical practice. Conclusions French faculties of medicine face several challenges, including: rising numbers of students without a commensurate growth in the number of faculty members; an increasing emphasis on multidisciplinary health care; a drive towards mandatory continuing education and performance-based outcomes, and the development of national selection examinations that are knowledge-based. [ABSTRACT FROM AUTHOR]

Although there has been a rapid growth in the globalisation of sport and its delivery to world markets, nevertheless there is a variety of models of sport-business whose characteristics are the product of local histories, local political and sporting cultures, local economic conditions and so on. This paper does not seek to deny the increasingly obvious impact of globalisation on professional sport, but rather it seeks to articulate the ways in which such global phenomena are locally mediated in professional soccer systems in five countries, to identify and to explain local responses to global pressures. The five examples include the oldest professional football system, that of England, and a second contrasting European system, France, together with three relatively recently established professional football systems in Japan a developed capitalist economy, Algeria, which is developing a post-socialist sports economy, and China which is experimenting in sport as in other areas with a ‘socialist market economy’. The resultant evolution of professional sporting systems represents distinctive configurations of stakeholders in what are in effect contrasting business models, and reflects a situation of ‘diminishing varieties and increasing contrasts’, in contrast to the claims made by Elias in relation to global cultural phenomena. [ABSTRACT FROM AUTHOR]

Aim: On the basis of 2402 phytoecological relevés, with complete species lists, and real pH measurements resulting from chemical analyses of the top layer of forest soils, this paper compares quantitatively the ecological response of 46 herbaceous forest species along a pH gradient in two regions of northern France. Location: The two regions investigated are oceanic north-western France (NW) and semicontinental north-eastern France (NE). Methods: For each of the 46 species with more than 50 occurrences in both NW and NE regions, an ecological response curve was computed with simple logistic regression models, and two synthetic numerical values were derived: ecological optimum (OPT) and ecological amplitude (AMP). A comparison of the ecological behaviour of species present in both regions was performed in terms of shift in optimum and/or amplitude. Results: All 46 species did reveal a reaction to pH. Our main observation was the relative stability of the behaviour of most species with reference to pH conditions, which is consistent with results from some previous studies. Slight differences regarding the two synthetic parameters (OPT and AMP) were however observed between the NW and NE regions, probably due to a form of competitive release in neutral environments in the NW. Main conclusions: Among the main possibilities that could explain a geographical shift in the ecological behaviour of herbaceous species, competitive effects are, we suggest, the most plausible explanation. In the light of former studies, it seems that further analyses of geographical shifts in the ecological behaviour of forest plant species over large areas are needed, such as for example over the European continent. Nomenclature: Tutin et al . (2001). [ABSTRACT FROM AUTHOR]

Islands have exercised a fascination on the human imagination. Yet today it is possible to identify a positive need for island experience – an island imperative – in whole sectors of society in developed countries. This condition invites the geographer to investigate the nature and fundamental causes of this ‘lure of the island’. In this paper, it is argued that the enhanced impact of islands on the human imagination is not a passing fad: there is rather an essential contribution of, and by, small islands and their inhabitants to the urban and globalised civilisation of our time. [ABSTRACT FROM AUTHOR]

European household structures and their geography have been transformed in recent decades as a response to the interplay of demographic events and changing lifestyles. The formation of new households generally outstrips the rate of population increase, as more numerous and smaller households result from changing patterns of marriage, child-bearing, divorce and longevity. This paper tests some of the underlying hypotheses of the ‘second demographic transition’ using data from the most recent (1999) French population census. It provides an analysis of changing national household structures over the last quarter of the twentieth century and highlights the importance of smaller households, with particular emphasis on the rise of living alone. Trends identified in earlier work have intensified during the 1990s. In discussing the geography of new household forms, the paper focuses particularly on the evolution of major central cities and argues for more explicit links between their distinctive population and household structures and wider socio-economic change. [ABSTRACT FROM AUTHOR]

France and the UK are markedly different welfare states, both in terms of regime type and in terms of the varying degree of state responsibility for reconciling work and family life. One recent theoretical strand suggests that welfare states will tend to grow more similar since they face broadly similar pressures. This paper discusses the policy responses in France and the UK to labour market pressures resulting from enhanced international competition, technological development and family change during the past decade. These responses are set in the context of European debates about the desirability of greater flexibility, up-skilling and the activation of unemployed people, about the childcare needs of women workers and about the importance of paid work in reducing poverty and inequality. The analysis shows that trends to convergence are limited. [ABSTRACT FROM AUTHOR]

This paper examines the strained relationship between French police agencies and ethnic minorities and discusses evidence of ethnic discrimination by the police and the criminal justice system. Until recently, the idea that ethnic composition of a police force ought to reflect, to some degree, the community it polices, seemed odd in France. We argue that there are two main reasons for this viewpoint: first, a conception of the role of the police in the State as accountable to the government rather than to the citizens; secondly, a conception of Republic and citizenship denying any political significance to the personal identities of citizens. We conclude that ethnic diversification of police forces is but one aspect of a more encompassing struggle against discrimination that requires a degree of accommodation with the present legal and statistical invisibility of racial/ethnic groups. [ABSTRACT FROM AUTHOR]

Context and objective In many countries, medical training must be completed by presentation of a thesis. We report publication patterns of French medical theses. Materials We drew a random sample of theses presented in the 36 French medical universities between 1 January 1993 and 31 December 1997. The sample was stratified according to size of university, and drawn from the CD-ROM Doc-Thèse. Methods We recorded the research area (medicine, surgery, biology) and study type (clinical, epidemiological, laboratory). We used the name of the student and supervisor to assess whether the thesis resulted in a publication indexed in MEDLINE. Results Most of the 300 theses included were from medicine (79·3%) and were clinical studies (69·3%). A total of 51 theses (17·0%) resulted in publication. The proportion of theses which were published, the median impact factor of the journals in which they were published, the proportion of publications in English and the proportion of publications in which the name of the student was missing varied with the research domain and type of study. Conclusions Most French medical theses are not made available to the scientific community. In the European context, where medical training and qualification have to be standardized, our study provides a simple method of assessing that publication objectives of thesis research are met. Further research is needed to explore the educational value of medical professional theses. [ABSTRACT FROM AUTHOR]