Cementing Relations. The Materiality of Roads and Public Spaces in Provincial Peru

Este artículo propone analizar cómo el concreto está implicado en la transformación del espacio público en el Perú provincial. Si bien el concreto mejora la capacidad de un estado para producir estructuras confiables y predecibles, también hay límites significativos en relación con su capacidad para la conectividad tanto en el ámbito material como social. La atención etnográfica a la dinámica relacional del concreto revela cómo su promesa de operar como un material genérico, homogéneo y, sobre todo, predecible, se ve constantemente desafiada por lainestabilidad y la heterogeneidad de los terrenos a los que se aplica. La imagen de poder que ofrece el concreto está, por lo tanto, comprometida, ya que la estabilidad y la previsibilidad de esta sustancia sólo es segura si está rodeada e incrustada en relaciones específicas de cuidado.This article sets out to analyze how concrete is implicated in the transformation of public space in provincial Peru. While concrete enhances a state’s capacity to produce reliable, predictable structures, there are also significant limits in relation to its connective capacity in both the material and social domains. Ethnographic attention to the relational dynamics of concrete reveals how its promise to operate as a generic, homogeneous, and above all predictable material is constantly challenged by the instability and heterogeneity of the terrains towhich it is applied. The image of power that concrete affords is thus a compromised one, as the stability and predictability of this substance is secure only insofar as it is surrounded by and embedded in specific relationships of care

Strengthening the global system of protected areas post-2020: A perspective from the IUCN World Commission on Protected Areas

Protected areas are the cornerstones of biodiversity conservation and have never been more relevant than at the present time when the world is facing both a biodiversity and a climate change crisis. The International Union for Conservation of Nature (IUCN) World Commission on Protected Areas (WCPA) has been helping to set global standards and best practice guidelines in protected area planning and management for 60 years. Following this guidance, many countries have made significant progress toward their Aichi Target 11 commitments under the Convention on Biological Diversity (CBD). The global community will be coming together at the 15th Conference of the Parties of the CBD to set new biodiversity conservation targets for the next decade, as milestones to 2050 and a vision of “a world living in harmony with nature.” This paper lays out the WCPA perspective on priorities for supporting effective protected and conserved areas for the post-2020 era

Quality Assurance for KidsMatter Primary: a scoping paper

This Scoping Paper reviews and details options for the ongoing quality assurance of KidsMatter PrimaryThis scoping paper was commissioned and funded by beyondblue, the national depression initiative. The Flinders team wishes to thank and acknowledge beyondblue for their ongoing support throughout the development of this report

Feasibility and impact of a post–discharge geriatric evaluation and management service for patients from residential care: the Residential Care Intervention Program in the Elderly (RECIPE)

BackgroundGeriatric evaluation and management has become standard care for community dwelling older adults following an acute admission to hospital. It is unclear whether this approach is beneficial for the frailest older adults living in permanent residential care. This study was undertaken to evaluate (1) the feasibility and consumer satisfaction with a geriatrician-led supported discharge service for older adults living in residential care facilities (RCF) and (2) its impact on the uptake of Advanced Care Planning (ACP) and acute health care service utilisation.MethodsIn 2002&ndash;4 a randomised controlled trial was conducted in Melbourne, Australia comparing the geriatrician&ndash;led outreach service to usual care for RCF residents. Patients were recruited during their acute hospital stay and followed up at the RCF for six months. The intervention group received a post-discharge home visit within 96 hours, at which a comprehensive geriatric assessment was performed and a care plan developed. Participants and their families were also offered further meetings to discuss ACPs and document Advanced Directives (AD). Additional reviews were made available for assessment and management of intercurrent illness within the RCF. Consumer satisfaction was surveyed using a postal questionnaire.ResultsThe study included 116 participants (57 intervention and 59 controls) with comparable baseline characteristics. The service was well received by consumers demonstrated by higher satisfaction with care in the intervention group compared to controls (95% versus 58%, p&thinsp;=&thinsp;0.006).AD were completed by 67% of participants/proxy decision makers in the intervention group compared to 13% of RCF residents prior to service commencement. At six months there was a significant reduction in outpatient visits (intervention 21 (37%) versus controls 45 (76%), (p&thinsp;&lt;&thinsp;0.001), but no difference in readmissions rates (39% intervention versus 34% control, p&thinsp;=&thinsp;0.6). There was a trend towards reduced hospital bed-day utilisation (intervention 271 versus controls 372 days).ConclusionIt is feasible to provide a supported discharge service that includes geriatrician assessment and care planning within a RCF. By expanding the service there is the potential for acute health care cost savings by decreasing the demand for outpatient consultation and further reducing acute care bed-days.<br /

Regulating mobility in the Peruvian Andes: road safety, social hierarchies and governmentality in Cusco's rural provinces

Significant developments in road safety regulation have taken place in Peru during recent years, reflecting international efforts to reduce worldwide fatalities and injuries. A series of measures has sought to bring about transformations in governmentality among passengers on public transport. Seen ethnographically, these have had uneven success on the ground. In rural provinces of Cusco, situated histories and sociologies of mobility have sometimes led to ambivalence, unobtrusive resistance or reinforcement of discriminatory attitudes. This article explores how reception of the regulations has been refracted through class, ethnic and geographical divisions within Peruvian society, and argues for both the applied and theoretical utility of anthropological study of road safety governance

“Dolls or teddies?”: constructing lesbian identity through community-specific practice.

The concept of ‘community’ often presents a problem for queer linguists. ‘The gay community’ is often viewed as an impossible site for research due to its imagined status, whilst local communities of gay people have been considered too heterogeneous and idiosyncratic to draw conclusions from. In this article, however, it is argued that both of these aspects of community can, and should, be a central focus of an investigation into language and sexual identity. Through the analysis of a conversation emerging from a lesbian group, using a sociocultural linguistics framework, it is argued here that the community of practice approach can play a crucial role in understanding how ideologies from ‘the gay community’ are used to construct a coherent sexual identity on a local level. The analysis reveals how the group engages in practices that enable them to construct micro-level personas in direct response to broader, ideological structures of heteronormativity

Imagining the highway:Anticipating infrastructural and environmental change in Belize

This article examines the social and political, as well physical, construction of infrastructure, by attending to the implications of a highway yet to be built. In southern Belize, where the development of rural road networks figures strongly in historical narratives of political and environmental change, the recent paving of a major domestic highway has had distinctive implications for livelihoods and land rights among the predominantly Maya population of rural Toledo district. At the time of research, a plan for a new paved highway to the Guatemalan border animated longstanding debates over territoriality, environment and development, even as the details remained elusive. Bringing political ecology into conversation with attention to the perception of sensory environments, and the affective power of anticipation, I argue for extending anthropological conversations about infrastructure to encompass the meanings and consequences of imagined infrastructures for the ways people encounter, experience and enact social and environmental change

Offspring sex and risk of epithelial ovarian cancer: a multinational pooled analysis of 12 case-control studies

While childbearing protects against risk of epithelial ovarian cancer (EOC), few studies have explored the impact on maternal EOC risk of sex of offspring, which may affect the maternal environment during pregnancy. We performed a pooled analysis among parous participants from 12 case–controls studies comprising 6872 EOC patients and 9101 controls. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using multivariable logistic regression for case–control associations and polytomous logistic regression for histotype-specific associations, all adjusted for potential confounders. In general, no associations were found between offspring sex and EOC risk. However, compared to bearing only female offspring, bearing one or more male offspring was associated with increased risk of mucinous EOC (OR = 1.45; 95% CI = 1.01-2.07), which appeared to be limited to women reporting menarche before age 13 compared to later menarche (OR = 1.71 vs 0.99; P-interaction = 0.02). Bearing increasing numbers of male offspring was associated with greater risks of mucinous tumors (OR = 1.31, 1.84, 2.31, for 1, 2 and 3 or more male offspring, respectively; trend-p = 0.005). Stratifying by hormonally-associated conditions suggested that compared to bearing all female offspring, bearing a male offspring was associated with lower risk of endometrioid cancer among women with a history of adult acne, hirsutism, or polycystic ovary syndrome (OR = 0.49, 95% CI = 0.28-0.83) but with higher risk among women without any of those conditions (OR = 1.64 95% CI = 1.14–2.34; P-interaction = 0.003). Offspring sex influences the childbearing-EOC risk relationship for specific histotypes and conditions. These findings support the differing etiologic origins of EOC histotypes and highlight the importance of EOC histotype-specific epidemiologic studies. These findings also suggest the need to better understand how pregnancy affects EOC ris