556 research outputs found

    From International Borders to the Honeycombing of Internal Borders: Response to COVID-19 Pandemic

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    This article looks at borders during the Covid-19 crisis. In particular, it looks at how internal borders have arisen following xenophobic and national responses to Covid-19. This rise of internal borders is referred to as the honeycombing of borders. This article takes a genealogical approach to understand how borders have arisen—despite not always favorable opinions about them. Therefore, this looks at Rancière’s (1999; 2004) concept of the “police order” in the imposition of the sensible through Foucault’s genealogical approach, both to show the temporary, haphazard nature of these borders and how they revert to less desirable things. This is situated within the moment of rightwing populism, where increased prejudice leads to violence against everyone. This article uses examples from two rightwing populist countries, Brazil and the United States, Australia, which currently has a center-right government and xenophobic policies. Japan has had a hegemonic rightwing conservative government. The similarities and varieties of these countries show how internal borders vary in different spatial and political settings as well as change or persist over time. While these internal borders might suggest power concentrating at the local and subnational levels, this article argues that these borders enable increased national power

    The Spread of International Borders as a Prelude to the Spread of International Borders during COVID-19

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    This article analyzes how Covid-19 has impacted borders and xenophobia. In particular, it looks at how four countries with generally right-wing politics, but not necessarily right-wing viewpoints, have used xenophobia to deal with Covid-19: The United States, Japan, Brazil, and Australia. This paper chronicles the expected rise in blaming other countries for the spread of Covid-19 with unexpected consequences. Rather than solidifying national borders and constituencies in the face of an international threat through xenophobia, right-wing countries have instead created a successful border creation process with little room to expand. The options seem to be a fragmentation of these countries into internal borders

    Barriers and enablers to participation in physical activity among women diagnosed with ovarian cancer.

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    Ovarian cancer is the leading cause of death among gynecological cancers, with low survival rates and a high disease burden. Despite the known benefits, most women reduce their participation in physical activity following diagnosis. Little is known about ovarian cancer survivors' experiences of physical activity. The primary aim of this study was to explore the barriers and enablers to participation in physical activity among women diagnosed with ovarian cancer. A qualitative descriptive study design was conducted via semi-structured interviews with nine women diagnosed with ovarian cancer (stages I-IV; 40-77 years). The interviews took place at the participant's home via telephone or online video conferencing software Coviu©. An inductive thematic approach was used. The organization and coding of data were completed using NVivo computer software (Version 12.6.0, QSR International Pty Ltd.). Weekly discussions occurred among the research team to ensure that themes accurately represented participant views. The consolidated criteria for reporting qualitative studies (COREQ) 32-item checklist were followed. The main barriers to physical activity participation that emerged were (i) the lack of referral to an exercise professional within the multidisciplinary cancer team, (ii) fear of injury after surgery and during treatment, and (iii) treatment-related side effects. However, many of the participants perceived benefits of physical activity related to (i) enhanced physical and psychological health, (ii) improved cancer outcomes, and (iii) social benefits as key enablers of physical activity participation. Physical activity interventions for women with ovarian cancer should address the modifiable barriers identified in this study. A key focus should be to streamline timely referral pathways within the multidisciplinary team, including exercise professionals, dietitians, psychologists, and specialists nurses following a diagnosis of ovarian cancer. Further research and service development are needed to optimize supported self-management through (i) education about the importance of physical activity to both healthcare professionals and women alike, (ii) enhanced symptom management for women, which was identified as a barrier to participation, and (iii) the development of shared care plans and patient center goals to address any fears or concerns. People diagnosed with ovarian cancer have low participation levels of physical activity. Cancer care professionals' support could increase physical activity uptake and reduce some of the burden of an ovarian cancer diagnosis

    Addressing legal and policy barriers to male circumcision for adolescent boys in South Africa

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    With millions of adolescents becoming infected with HIV globally, it is essential that barriers to much-needed interventions are reduced for at-risk adolescents. In this article we review the legal and policy framework in South Africa for adolescent access to male circumcision. We are of the view that the framework does confer protection for adolescent boys while enabling access to male circumcision; however, we identify ambiguities and tensions that exist between the Children’s Act, regulations and national guidelines. We recommend reform to further enable access by this vulnerable group to this prevention modality

    Introducing the concept of Potential Aerosol Mass (PAM)

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    International audiencePotential Aerosol Mass (PAM) can be defined as the maximum aerosol mass that the oxidation of precursor gases produces. In the measurement, all precursor gases are rapidly oxidized with extreme amounts of oxidants to low volatility compounds, resulting in the aerosol formation. Oxidation occurs in a small, simple, flow-through chamber that has a short residence time and is irradiated with ultraviolet light. The amount of the oxidants ozone (O3), hydroxyl (OH), and hydroperoxyl (HO2) were measured directly and can be controlled by varying the UV light and the relative humidity. Maximum values were 40 ppmv for O3 500 pptv for OH, and 4 ppbv for HO2. The oxidant amounts are 100 to 1000 times troposphere values, but the ratios OH/O3 and HO2/OH are similar to troposphere values. The aerosol production mechanism and the aerosol mass yield were studied for several controlling variables, such as temperature, relative humidity, oxidant concentration, presence of nitrogen oxides (NOx), precursor gas composition and amount, and the presence of acidic seed aerosol. The measured secondary organic aerosol (SOA) yield of several natural and anthropogenic volatile organic compounds and a mixture of hydrocarbons in the PAM chamber were similar to those obtained in large, batch-style environmental chambers. This PAM method is being developed for measuring potential aerosol mass in the atmosphere, but is also useful for examining SOA processes in the laboratory and in environmental chambers

    The unidentified eruption of 1809: A climatic cold case

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    The "1809 eruption"is one of the most recent unidentified volcanic eruptions with a global climate impact. Even though the eruption ranks as the third largest since 1500 with a sulfur emission strength estimated to be 2 times that of the 1991 eruption of Pinatubo, not much is known of it from historic sources. Based on a compilation of instrumental and reconstructed temperature time series, we show here that tropical temperatures show a significant drop in response to the ~1809 eruption that is similar to that produced by the Mt. Tambora eruption in 1815, while the response of Northern Hemisphere (NH) boreal summer temperature is spatially heterogeneous. We test the sensitivity of the climate response simulated by the MPI Earth system model to a range of volcanic forcing estimates constructed using estimated volcanic stratospheric sulfur injections (VSSIs) and uncertainties from ice-core records. Three of the forcing reconstructions represent a tropical eruption with an approximately symmetric hemispheric aerosol spread but different forcing magnitudes, while a fourth reflects a hemispherically asymmetric scenario without volcanic forcing in the NH extratropics. Observed and reconstructed post-volcanic surface NH summer temperature anomalies lie within the range of all the scenario simulations. Therefore, assuming the model climate sensitivity is correct, the VSSI estimate is accurate within the uncertainty bounds. Comparison of observed and simulated tropical temperature anomalies suggests that the most likely VSSI for the 1809 eruption would be somewhere between 12 and 19ĝ€¯Tg of sulfur. Model results show that NH large-scale climate modes are sensitive to both volcanic forcing strength and its spatial structure. While spatial correlations between the N-TREND NH temperature reconstruction and the model simulations are weak in terms of the ensemble-mean model results, individual model simulations show good correlation over North America and Europe, suggesting the spatial heterogeneity of the 1810 cooling could be due to internal climate variability

    Averting HIV Infections in New York City: A Modeling Approach Estimating the Future Impact of Additional Behavioral and Biomedical HIV Prevention Strategies

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    Background:New York City (NYC) remains an epicenter of the HIV epidemic in the United States. Given the variety of evidence-based HIV prevention strategies available and the significant resources required to implement each of them, comparative studies are needed to identify how to maximize the number of HIV cases prevented most economically.Methods:A new model of HIV disease transmission was developed integrating information from a previously validated micro-simulation HIV disease progression model. Specification and parameterization of the model and its inputs, including the intervention portfolio, intervention effects and costs were conducted through a collaborative process between the academic modeling team and the NYC Department of Health and Mental Hygiene. The model projects the impact of different prevention strategies, or portfolios of prevention strategies, on the HIV epidemic in NYC.Results:Ten unique interventions were able to provide a prevention benefit at an annual program cost of less than 360,000,thethresholdforconsiderationasacostsavingintervention(becauseofoffsetsbyfutureHIVtreatmentcostsaverted).Anoptimizedportfolioofthesespecificinterventionscouldresultinuptoa34360,000, the threshold for consideration as a cost-saving intervention (because of offsets by future HIV treatment costs averted). An optimized portfolio of these specific interventions could result in up to a 34% reduction in new HIV infections over the next 20 years. The cost-per-infection averted of the portfolio was estimated to be 106,378; the total cost was in excess of 2billion(overthe20yearperiod,orapproximately2 billion (over the 20 year period, or approximately 100 million per year, on average). The cost-savings of prevented infections was estimated at more than 5billion(orapproximately5 billion (or approximately 250 million per year, on average).Conclusions:Optimal implementation of a portfolio of evidence-based interventions can have a substantial, favorable impact on the ongoing HIV epidemic in NYC and provide future cost-saving despite significant initial costs. © 2013 Kessler et al
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