Illness in Returned Travelers and Immigrants/Refugees: The 6-Year Experience of Two Australian Infectious Diseases Units.

BACKGROUND: Data comparing returned travelers and immigrants/refugees managed in a hospital setting is lacking. METHODS: We prospectively collected data on 1,106 patients with an illness likely acquired overseas who presented to two hospital-based Australian infectious diseases units over a 6-year period. RESULTS: Eighty-three percent of patients were travelers and 17% immigrants/refugees. In travelers, malaria (19%), gastroenteritis/diarrhea (15%), and upper respiratory tract infection (URTI) (7%) were the most common diagnoses. When compared with immigrants/refugees, travelers were significantly more likely to be diagnosed with gastroenteritis/diarrhea [odds ratio (OR) 8], malaria (OR 7), pneumonia (OR 6), URTI (OR 3), skin infection, dengue fever, typhoid/paratyphoid fever, influenza, and rickettsial disease. They were significantly less likely to be diagnosed with leprosy (OR 0.03), chronic hepatitis (OR 0.04), tuberculosis (OR 0.05), schistosomiasis (OR 0.3), and helminthic infection (OR 0.3). In addition, travelers were more likely to present within 1 month of entry into Australia (OR 96), and have fever (OR 8), skin (OR 6), gastrointestinal (OR 5), or neurological symptoms (OR 5) but were less likely to be asymptomatic (OR 0.1) or have anaemia (OR 0.4) or eosinophilia (OR 0.3). Diseases in travelers were more likely to have been acquired via a vector (OR 13) or food and water (OR 4), and less likely to have been acquired via the respiratory (OR 0.2) or skin (OR 0.6) routes. We also found that travel destination and classification of traveler can significantly influence the likelihood of a specific diagnosis in travelers. Six percent of travelers developed a potentially vaccine-preventable disease, with failure to vaccinate occurring in 31% of these cases in the pretravel medical consultation. CONCLUSIONS: There are important differences in the spectrum of illness, clinical features, and mode of disease transmission between returned travelers and immigrants/refugees presenting to hospital-based Australian infectious diseases units with an illness acquired overseas

Moving, Making and Atmosphere: Routines of Home as Sites for Mundane Improvisation

In this article, we examine how everyday atmospheres of home are made, maintained and improvised through habitual routines of movement, and the implications of this for co-design for energy demand reduction. Drawing on our ethnography of how people experienced and constituted a sensory aesthetic of home, we analyse the example of lighting use in night-time routines. We propose seeing these routines as sites of the possible, where everyday making might be engaged for co-design. Thus suggesting refocusing ethnographic design research beyond what people do in their homes, towards how they move through and make the atmospheres of their homes

Gender norms and relations in an agricultural watershed project in the Parasai-Sindh Watershed, Jhansi/India

Agricultural watershed projects require intertwined technical and social interventions, and accompanying research should aim at blending technical and social sciences (Douthwaite et al. 2001). CGIAR research programs have been designed by centers and partners with such an approach since their first phase from 2010 to 2016; and also in their second phase, 2017 to 2022, this interdisciplinary approach represents their conditions of existence. As many studies have demonstrated, the success of agricultural intervention projects depends on the degree of participatory approach and gendersensitivity in each project stage: planning, design, implementation and monitoring (Leder et al. 2017; Quisumbing et al. 2014). Hence, any intervention project should develop mechanisms trying to avoid the reproduction of gender relations and the exclusion of diverse local knowledge at the community level. Instead, a holistic approach to empower communities with its diverse members should be developed and adjusted continuously. While “participatory” has become a buzzword, it is necessary to demystify respective project stakeholders’ assumptions. As Cleaver (1998: 293) argues, “sectorial bias, instrumental approaches to participation, and an inadequate understanding of social context (...) detract from a truly gendered understanding of water resource management“. Hence it is the role of any intervening organization to understand diverse water needs, and to identify who accesses water and who controls water access. Women are traditionally associated with the domestic use of water, while men are linked to the productive uses of water, whereas several studies have found this division inadequate and far more complex, particularly in the context of primarily male out-migration and the so-called feminization of agriculture. In their study on agrobiodiversity management in Nepals Himalaya, Bhattarai et al. (2015: 129) found that women’s lack of power can be “reinforced by the development organizations’ acceptance of established gender roles that privileges men with new products associated with cash”

The re-mediating effects of bio-sensing in the context of parental touch practices

This article investigates the remediating effect of bio-sensing technology on touch practices in the context of parent-infant interaction. We examine how the entry of a biosensing technology into the social, sensory and technological ecology of family homes interacts with the ways in which parents and babies know each other and communicate through touch. The paper centres on an exploratory case study of the Owlet Smart Sock (OSS), a bio-sensing baby monitoring device. We bring the social critical and experiential lenses of multimodality and sensory ethnography to studying the OSS as a socio-technological probe across a range of research encounters, including focus groups, home visits and video re-enactments with parents. In doing so, we provide an account of the ways in which the technology affects how babies and parents’ bodies are (re)imagined, assessed, controlled, interrelated, experienced, and cared for and move beyond generic social debate around the quantified-objectified baby and fears of touch deprivation in contemporary digital culture

Digitally-mediated parent–baby touch and the formation of subjectivities

This article examines how the use of emergent smart baby monitors re-mediates parent–baby touch, notions of connection, parental sensing and the interpretation of babies’ bodies, and contributes to the formation of subjectivities. Domestic baby monitors are a mid 20th-century phenomenon which normalizes parental anxieties. While baby monitoring is not new, the ‘next generation’ of wearable bio-sensing baby monitors offers a different relationship to the body via the physiological tracking of babies, and the sending of information or alerts to parents’ via connected mobile apps. These devices have been associated with creating unnecessary parental anxiety and the digital ‘replacement’ of parental touch, although little research exists on their use in the context of parent–infant interaction or touch. The authors present a qualitative case study of one such technology, Owlet, to explore how parents experienced, understood and negotiated the discourses of parent–infant touch that circulate around and through Owlet, with particular attention to the relationship between visual and tactile resources. The study focuses on both its multimodal design and take-up by parents through analysis of interviews with the Owlet designer, Owlet as a product, focus groups with parents and families’ home experiences of Owlet. Data is analysed through a tri-part lens, which first combines multimodal social semiotic and sensory ethnographic approaches, and then the analytical concept of governmentality. The findings are discussed in relation to four analytical themes: (1) creating a desire for digitally mediated touch; (2) spatiality of digitally mediated connection; (3) formulating the ‘right kind’ of touch; and (4) reconfiguring ‘knowing touch’. The authors discuss multimodal discourses pertinent to the shaping of parent–baby touch practices including: rationality and efficiency; individualism, autonomy and freedom; and self-improvement and empowerment. They conclude that the discourses that coalesce around Owlet contribute to the reconfiguration of parent–baby touch and the formation of neoliberal subjectivities

Fermion loop simulation of the lattice Gross-Neveu model

We present a numerical simulation of the Gross-Neveu model on the lattice using a new representation in terms of fermion loops. In the loop representation all signs due to Pauli statistics are eliminated completely and the partition function is a sum over closed loops with only positive weights. We demonstrate that the new formulation allows to simulate volumes which are two orders of magnitude larger than those accessible with standard methods

Self-interest or joint welfare? Person and situation factors in interpersonal decisions about time

While previous research on interpersonal decisions has focused on individual differences or situational determinants, in this paper, we looked at the interplay of situation and personality in decisions that are characterized by a conflict between self-interest and joint welfare. In an online experiment, 185 participants made decisions about the allocation of their own work time and the work time of another anonymous participant. Agency and uncertainty were manipulated between subjects, and social value orientation as well as dispositional envy were assessed. Participants chose between an option that maximized participants' joint welfare and an option that maximized personal payoffs. The results pointed to an interaction between personality and situational forces: Uncertainty moderated the effect of social value orientation, and agency moderated the effect of envy on decisions. Taken together, the results provide evidence that the effect of individual differences in interpersonal decisions depends on the situation. Implications for team work are discussed in situations where a group potentially benefits disproportionally more from an individual's relatively higher effort than the individual who exerts the effort