4,758 research outputs found
A Question of Morals: Philip II and Achille Bocchi in a Roman Engraving (1588)
This article analyses an engraving of Philip II of Spain published in Rome in 1588 by Marcello Clodio. The portrait is based on Sofonisba Anguissola’s famous painting of the king by way of Alonso Sánchez Coello’s copy in Florence. The Roman engraving offers a rare example of a Spanish painting copied in Italian print. A historiated frame surrounding the portrait, comprised of emblems from Achille Bocchi’s Symbolicae Quaestiones (Bologna, 1555), represents the most significant reuse of Bocchi’s emblems by a contemporary artist. The unusual frame is interpreted as a tactful representation of the polarising Spanish monarch
How do patients and providers navigate the “corruption complex” in mixed health systems? The case of Abuja, Nigeria.
INTRODUCTION:
Over the last decades, scholars have sought to investigate the causes, manifestations, and impacts of corruption in healthcare. Most of this scholarship has focused on corruption as it occurs in public health facilities. However, in Nigeria, in which most residents attend private health facilities for at least some of their care needs, this focus is incomplete. In such contexts, it is important to understand corruption as it occurs across both public and private settings, and in the interactions between them. This study seeks to address this gap. It aims to examine how corruption is experienced by, and impacts upon, patients and providers as they navigate the “corruption complex” in the mixed health system of Abuja, Nigeria.
OBJECTIVES:
This over-arching aim is addressed via three interrelated objectives, as follows:
1.To investigate the experiences of patients and providers concerning the causes, manifestations, and impacts of corruption in public health facilities, in Abuja, Nigeria.
2.To investigate patients / provider experiences of corruption as they relate to private health facilities in Abuja, Nigeria.
3.To investigate how, and the extent to which, corruption is enabled by the co-existence of and interactions between public and private health facilities in the context of the mixed health system of Nigeria – and of Abuja in particular.
METHODS:
All three objectives are addressed via a qualitative exploratory study. Data was collected in Abuja, Nigeria’s Federal Capital Territory (between October 2021 to May 2022) through: (i) in-depth interviews with 53 key informants, representing a range of patient and provider types, and policymakers; and (ii) participant observation over eight months of fieldwork. The research took place in three secondary-level public health facilities (Gwarinpa, Kubwa, and Wuse General hospital) and three equivalent-sized private health facilities (Nissa, Garki, and King's Care Hospital) in Abuja. The empirical data was analysed using Braun and Clarke's (2006) reflexive thematic analysis approach and presented in a narrative form. Abuja was selected as the research setting, as the city is representative of the mixed health system structures that exist in Nigeria, especially in the country’s larger urban areas.
RESULTS:
Objective 1: Corruption in public health facilities is driven by a shortage of resources, low salaries, commercialisation of health and relationships between patients and providers, and weak accountability structures. Corruption takes various forms which include: bribery, informal payments, theft, influence- activities associated with nepotism, and pressure from informal rules. Impacts include erosion of the right to health care and patient dignity, alongside increased barriers to access, including financial barriers, especially for poorer patients.
Objective 2: Corruption in private health facilities is driven by incentives aimed at profit maximisation, poor regulation, and lack of oversight. Corruption takes various forms which include: inappropriate or unnecessary prescriptions (often driven by the potential for kickbacks), forging of medical reports, over-invoicing, and other related types of fraud, and under/over-treatment of patients. Impacts include reductions to the quality of care provided and exacerbation of financial risks to patients.
Objective 3: The nature of public-private sector interactions creates scope for several forms of corruption. For example, these interactions contribute to the causes of corruption in the public sector - especially the problem of scarcity of resources. Related manifestations include dual practice, absenteeism, and theft (e.g., diversion of patients, medical supplies, and equipment from public to private facilities). The impacts of such practices include inequities of access, for example, due to delays in and denials of needed services and additional financial barriers encountered in public facilities, alongside reductions to quality of care, pricing transparency and financial protection in private facilities.
CONCLUSION:
Patients experience corruption in both public and private health facilities in Abuja, Nigeria. The causes, manifestations and impacts of corruption differ across these settings. In the public sector, corruption creates financial and non-financial barriers to care – aggravating inequities of access. In the private health sector, corruption undermines quality of care and exacerbates financial risks. The public-private mix is itself implicated in the problem – giving rise to new opportunities for corruption, to the detriment of patients’ health and welfare. For policymakers in Nigeria to address the problem of corruption, a cross-sectoral approach - inclusive of the full range of providers within the mixed health system – will be required
Information actors beyond modernity and coloniality in times of climate change:A comparative design ethnography on the making of monitors for sustainable futures in Curaçao and Amsterdam, between 2019-2022
In his dissertation, Mr. Goilo developed a cutting-edge theoretical framework for an Anthropology of Information. This study compares information in the context of modernity in Amsterdam and coloniality in Curaçao through the making process of monitors and develops five ways to understand how information can act towards sustainable futures. The research also discusses how the two contexts, that is modernity and coloniality, have been in informational symbiosis for centuries which is producing negative informational side effects within the age of the Anthropocene. By exploring the modernity-coloniality symbiosis of information, the author explains how scholars, policymakers, and data-analysts can act through historical and structural roots of contemporary global inequities related to the production and distribution of information. Ultimately, the five theses propose conditions towards the collective production of knowledge towards a more sustainable planet
La Forma del cáncer: Socialización y representación visual de la enfermedad en Instagram
Social media platforms like Instagram are a source of information and support for
cancer patients. On this platform, millions of images shared by patients,
organisations and the general public give shape to the social imagination of one of
the most feared illnesses around the world.
This thesis proposes a method to identify and obtain images of cancer from
Instagram, a social media that in 2022 remains nearly inaccessible to research.
Through a transdisciplinary lens, it combines the sociology of everyday life, visual
sociology and methodologies from social media analysis to discover visual patterns
in the images and find alternative discourses.
The results show the variety of visual resources that patients use to communicate
their illness and support the construction of their identity. They also show how
Instagram’s economy of affection favours the publication of positive images,
aligned with the discourse of survivorship, while they hamper the expression of
other experiences. It concludes with the proposal for a new regime in the
communication of cancer, based on the concept of socialisation.Las redes sociales visuales como Instagram son una fuente de información y apoyo
para pacientes de cáncer. En esta red, millones de imágenes compartidas por
pacientes, organizaciones y por el público general configuran la imaginación social
de una de las enfermedades más temidas en todo el mundo.
Esta tesis plantea una metodología para extraer y estudiar imágenes de esta red,
prácticamente inaccesible para la investigación en 2022, y para su codificación. A
través de un enfoque transdisciplinar, combina la sociología de la vida cotidiana, la
sociología visual y las metodologías del análisis de redes sociales para descubrir
patrones visuales en las imágenes de cáncer e identificar discursos alternativos.
Los resultados muestran la variedad de recursos visuales que utilizan los
pacientes de cáncer para comunicar su enfermedad y apoyar un proceso de
construcción de la identidad. Muestran también cómo la economía afectiva de esta
plataforma favorece la publicación de imágenes positivas y alineadas con el discurso
de la supervivencia, mientras que supone un reto para visibilizar otras experiencias.
Concluye con la propuesta de un nuevo modelo de comunicación sobre cáncer,
basado en el concepto de la socialización.Departamento de Sociología y Trabajo SocialDoctorado en Investigación Transdisciplinar en Educació
Fictocritical Cyberfeminism: A Paralogical Model for Post-Internet Communication
This dissertation positions the understudied and experimental writing practice of fictocriticism as an analog for the convergent and indeterminate nature of “post-Internet” communication as well a cyberfeminist technology for interfering and in-tervening in metanarratives of technoscience and technocapitalism that structure contemporary media. Significant theoretical valences are established between twen-tieth century literary works of fictocriticism and the hybrid and ephemeral modes of writing endemic to emergent, twenty-first century forms of networked communica-tion such as social media. Through a critical theoretical understanding of paralogy, or that countercultural logic of deploying language outside legitimate discourses, in-volving various tactics of multivocity, mimesis and metagraphy, fictocriticism is ex-plored as a self-referencing linguistic machine which exists intentionally to occupy those liminal territories “somewhere in among/between criticism, autobiography and fiction” (Hunter qtd. in Kerr 1996). Additionally, as a writing practice that orig-inated in Canada and yet remains marginal to national and international literary scholarship, this dissertation elevates the origins and ongoing relevance of fictocriti-cism by mapping its shared aims and concerns onto proximal discourses of post-structuralism, cyberfeminism, network ecology, media art, the avant-garde, glitch feminism, and radical self-authorship in online environments. Theorized in such a matrix, I argue that fictocriticism represents a capacious framework for writing and reading media that embodies the self-reflexive politics of second-order cybernetic theory while disrupting the rhetoric of technoscientific and neoliberal economic forc-es with speech acts of calculated incoherence. Additionally, through the inclusion of my own fictocritical writing as works of research-creation that interpolate the more traditional chapters and subchapters, I theorize and demonstrate praxis of this dis-tinctively indeterminate form of criticism to empirically and meaningfully juxtapose different modes of knowing and speaking about entangled matters of language, bod-ies, and technologies. In its conclusion, this dissertation contends that the “creative paranoia” engendered by fictocritical cyberfeminism in both print and digital media environments offers a pathway towards a more paralogical media literacy that can transform the terms and expectations of our future media ecology
An End, Once and for All: Mass Effect 3, Video Game Controversies, and the Fight for Player Agency
Since the success of the player-led Mass Effect 3 ending controversy, player-led video game controversies have become mainstream sites of industrial and ideological contention between developers, players, and the culture itself. This dissertation focuses on the history of the Mass Effect 3 ending controversy, the game’s specific textual qualities that encouraged player protest, and the negotiations between players and developers in online spaces that persuaded developers to alter the game’s ending based on player demands. Using the Mass Effect 3 as its primary object, this dissertation argues this controversy—as well as subsequent player-led video game controversies—was not simply the result of dissatisfaction with a single plot point or representation in the text or video game community, but the complex negotiation of creative differences between players and developers over the production and control of video game texts and culture. Video games and their controversies are rooted in the medium\u27s intrinsic qualities of interactivity, choice, labor and the need for shared production between developers and players to progress and produce a video game text, which encourages the development of a sense of agency and ownership over the text for both groups. This dissertation argues that video games are not just texts that developers create and that players play, but rather texts produced through the co-creative production practice that Axel Bruns has defined as “produsage”—texts where producers act in dual roles as users while users to also act as producers—that allow players a creative stake in the outcome of a video game text, encourages a sense of agency and ownership, and collapses traditional boundaries between developers and players. Video game controversies naturally arise when players perceive a loss of agency and control over the video game text and attempt to reclaim control over ownership of the text through controversy
COVID-19 Vaccine Refusal and Delay among Adults in Italy: Evidence from the OBVIOUS Project, a National Survey in Italy
BACKGROUND: Vaccine hesitancy was defined by the World Health Organization (WHO) in 2019 as a major threat to global health. In Italy, reluctance to receive vaccines is a widespread phenomenon that was amplified during the COVID-19 pandemic by fear and mistrust in government. This study aims to depict different profiles and characteristics of people reluctant to vaccinate, focusing on the drivers of those who are in favor of and those who are opposed to receiving the COVID-19 vaccine. METHODS: A sample of 10,000 Italian residents was collected. A survey on COVID-19 vaccination behavior and possible determinants of vaccine uptake, delay, and refusal was administered to participants through a computer-assisted web interviewing method. RESULTS: In our sample, 83.2% stated that they were vaccinated as soon as possible ("vaccinators"), 8.0% delayed vaccination ("delayers"), and 6.7% refused to be vaccinated ("no-vaccinators"). In general, the results show that being female, aged between 25 and 64, with an education level less than a high school diploma or above a master's degree, and coming from a rural area were characteristics significantly associated with delaying or refusing COVID-19 vaccination. In addition, it was found that having minimal trust in science and/or government (i.e., 1 or 2 points on a scale from 1 to 10), using alternative medicine as the main source of treatment, and intention to vote for certain parties were characteristics associated with profiles of "delayers" or "no-vaccinators". Finally, the main reported motivation for delaying or not accepting vaccination was fear of vaccine side effects (55.0% among delayers, 55.6% among no-vaccinators). CONCLUSION: In this study, three main profiles of those who chose to be vaccinated are described. Since those who are in favor of vaccines and those who are not usually cluster in similar sociodemographic categories, we argue that findings from this study might be useful to policy makers when shaping vaccine strategies and choosing policy instruments
The Blair Witch Phenomenon: Alternate Reality Games and Contemporary American Horror Cinema
In 1999, Daniel Myrick and Eduardo Sánchez’ found-footage horror film The Blair Witch Project was released alongside a widely successful marketing campaign that made the world believe that three film students had disappeared in the Maryland woods. The campaign is often remembered as an internet sensation, a hoax, or simply a viral marketing campaign, while few consider its gamified components, or particularly its likeness to an alternate reality game (ARG). ARGs are collaborative, transmedia games which blur the boundaries between fact and fiction and hide their own game-ness through immersive puzzles, compelling mysteries and vast story-worlds. This thesis therefore offers a reading of The Blair Witch Project campaign through the lens of an ARG. More acutely, this thesis explores ARG-like marketing techniques, specifically within the horror genre, positioning Blair Witch as a trailblazer for other film-based ARGs and ARG-type techniques. The first chapter of this thesis formulates an ARG axis model, which is then used in the second chapter to reconsider Blair Witch through the framework of an ARG. The third chapter of this thesis showcases other horror film examples through this same ARG model, including Cloverfield (Matt Reeves, 2008) and Unfriended (Levan Gabriadze, 2014) among newer examples, establishing the Blair Witch phenomenon as a contemporary trend within the genre. Finally, I consider how and why these novel industrial tactics work so well within the horror genre in particular, as they offer new modes of engagement and horror creation in the digital era
SCENARIO DEVELOPMENT FOR URBAN WATER MANAGEMENT PLANNING FOR UNCERTAINTY
The urban water sector is confronted with a multitude of challenges. Rapid population growth, changing political landscapes, aging water infrastructures, and the worsening climate crisis are creating a range of uncertainties in the sector around managing water. Scenarios have been used extensively in the environmental domain to plan for and capture uncertainties to develop plausible futures, including the field of urban water management. Scenarios are key in enabling plans and creating roadmaps to attain desired futures. Despite the advantages and opportunities that scenarios offer for planning, they also have limitations; generally, and within the urban water space. Firstly, the growing uncertainty surrounding urban water management systems necessitates a focused review specifically aimed at the use of scenarios in urban water management. This thesis presents a systematic review to empirically investigate the crucial dimensions of urban water scenarios. Through this review, key knowledge gaps are highlighted, and recommendations are proposed to address these gaps. Secondly, scenarios often depict distressing, almost dystopian futures. Though negative future visions help understand the consequences of present trends and aid in anticipating imminent threats, the limited exploration of positive future visions can make it challenging to find the direction to transform. Optimistic scenarios delve into what people want for the future and capture how their aspirations shape them. Imagining positive visions encourage innovative thinking, creates agency, and creates pathways to desired futures. There is therefore a recognition to move towards more positive, desirable futures. This thesis uses a narrative, participatory scenario process, the SEEDS method, to develop positive visions of urban water futures. The Greater Sydney region in New South Wales, Australia is used as a case study to evaluate the applicability of this approach for urban water management. The urban water sector in the Greater Sydney region faces a multitude of challenges including impacts from climate change, managing diverse water supply sources, and meeting future water demand. These challenges create an increasingly uncertain future for the water sector, where the scale and nature of water services needed in the Greater Sydney region can be unclear. Hence, the Greater Sydney region is selected as the case study region to apply the SEEDS method and develop scenarios for urban water management to plan for future uncertainties. Thirdly, only a few scenario studies include surprises, the unexpected events, which make scenarios useful for planning. Challenges around capturing surprises in scenarios include a lack of structured approaches as well as a lack of evaluation of those methods that have been developed. This thesis discusses the effectiveness and suitability of various surprise methods for scenario development. These methods have been applied in the context of the SEEDS method for urban water management. Finally, there is a lack of evaluation of the tools used to cope with surprises as well as a lack of evaluation efforts of urban water management scenario studies. The assessment of the SEEDS approach for urban water management as well as the different surprise methods for scenario development requires evaluation criteria. This thesis develops and presents an evaluation criteria list based on existing literature that captures key criteria required for adequate assessment of the surprise methods and the scenario process. This thesis contributes to the fields of scenario development and urban water management, and the use of surprises within scenarios. Critical gaps in existing urban water management scenario practices are highlighted and key recommendations are proposed to fill the gaps. Through the pilot study and full-scale implementation of a positive-visioning, narrative-based scenario approach - the SEEDS method, the thesis demonstrates that the SEEDS method is applicable for urban water planning and shows potential for use at different stages of water planning. The positive visions generated through the SEEDS method highlight fundamental aspirations for the urban water sector, possible challenges, and conflicts, and discuss pathways to achieve positive future visions. By using in-situ experimentation and engaging participants with expertise in the relevant field, this thesis provides a realistic evaluation of the scenario process and surprise methods. This thesis thus fills the critical gap about the lack of evaluation in urban water management scenario processes by assessing the scenario method using selected evaluation criteria. Further, the thesis contributes towards the development of quality surprise methods through application and evaluation, thus addressing the gap about the lack of evaluation of the methods used to explore surprise events. Finally, the lack of surprises in scenarios is addressed by presenting different methods that can be used to explore surprise events. Guidance is provided to researchers working with scenario development to understand the different surprise methods available and for choosing the appropriate method(s) to plan for uncertain futures
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