110 research outputs found

    An Exceptional Strike: A Micro-history of 'People versus Park' in Madagascar

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    The article presents a microhistory of a work strike in an Integrated Conservation and Development Project (ICDP) located in a rain forest of eastern Madagascar. ICDPs in Madagascar, as in other rain forest countries, are instruments of "green" neoliberal policy, a dominant development paradigm in Africa since the late 1980s. International donors and the Malagasy state are expanding the number of protected areas in Madagascar, and foreign NGOs typically manage the start-up phase of projects aimed at lessening slash-and-burn horticulture (called tavy) in the forest and to developing ecological tourism. The article traces the roles and narratives of low-wage, locally-hired ICDP workers, who perform the menial tasks of forest conservation. Details of a work strike by lower-tier ICDP workers in 1996 reveal dynamics of environmental interventions that have been neglected in analyses and evaluations. To understand conservation’s recurrent failures, one must investigate not only the sources of tension between agrarian populations and park representatives but also those arising from conservation’s historical division of labor. Key Words: conservation, labor, capitalism, development, parks, Madagasca

    Development and validation of the brief esophageal dysphagia questionnaire

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    BackgroundEsophageal dysphagia is common in gastroenterology practice and has multiple etiologies. A complication for some patients with dysphagia is food impaction. A valid and reliable questionnaire to rapidly evaluate esophageal dysphagia and impaction symptoms can aid the gastroenterologist in gathering information to inform treatment approach and further evaluation, including endoscopy.Methods1638 patients participated over two study phases. 744 participants completed the Brief Esophageal Dysphagia Questionnaire (BEDQ) for phase 1; 869 completed the BEDQ, Visceral Sensitivity Index, Gastroesophageal Reflux Disease Questionnaire, and Hospital Anxiety and Depression Scale for phase 2. Demographic and clinical data were obtained via the electronic medical record. The BEDQ was evaluated for internal consistency, split‐half reliability, ceiling and floor effects, and construct validity.Key ResultsThe BEDQ demonstrated excellent internal consistency, reliability, and construct validity. The symptom frequency and severity scales scored above the standard acceptable cutoffs for reliability while the impaction subscale yielded poor internal consistency and split‐half reliability; thus the impaction items were deemed qualifiers only and removed from the total score. No significant ceiling or floor effects were found with the exception of 1 item, and inter‐item correlations fell within accepted ranges. Construct validity was supported by moderate yet significant correlations with other measures. The predictive ability of the BEDQ was small but significant.Conclusions & InferencesThe BEDQ represents a rapid, reliable, and valid assessment tool for esophageal dysphagia with food impaction for clinical practice that differentiates between patients with major motor dysfunction and mechanical obstruction.Validated, rapid clinical assessment tools for esophageal dysphagia are lacking. The brief esophageal dysphagia questionnaire aims to gauge the severity and frequency of dysphagia with additional items to gauge food impaction. The BEDQ is a reliable and valid tool to assess esophageal dysphagia.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135130/1/nmo12889.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/135130/2/nmo12889_am.pd

    Capitalist Expansion and the Decline of Common Property Ecosystems: Lessons from China, Vietnam and India

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    This article identifies some of the multiple processes of capitalist development through which access to common property resources and their utility for communities are undermined. Three sites in upland Asia demonstrate how patterns of exclusion are mediated by the unique and selective trajectories through which capital expands, resulting in a decline of common property ecosystems. The process is mediated by economic stress, ecological degradation and political processes such as state-sanctioned enclosure. The first case study from Shaoguan, South China, indicates how rapid capitalist industrialization has depleted the aquatic resource base, undermining the livelihoods of fishing households yet to be absorbed into the urban working class. At the second site, in Phu Yen, Vietnam, capitalist development is limited. However, indirect articulations between capitalism on the lowlands and the peasant economy of the uplands is driving the commercialization of agriculture and fishing and undermining the utility of communal river and lake ecosystems. In the third site, Buxa in West Bengal, India, there is only selective capitalist development, but patterns of resource extraction established during the colonial period and contemporary neoliberal ‘conservation’ agendas have directly excluded communities from forest resources. Restrictions on access oblige them to contribute subsidized labour to local enterprises. The article thus shows how communities which are differentially integrated into the global economy are excluded from natural resources through complex means

    Competing biosecurity and risk rationalities in the Chittagong poultry commodity chain, Bangladesh

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    This paper anthropologically explores how key actors in the Chittagong live bird trading network perceive biosecurity and risk in relation to avian influenza between production sites, market maker scenes and outlets. They pay attention to the past and the present, rather than the future, downplaying the need for strict risk management, as outbreaks have not been reported frequently for a number of years. This is analysed as ‘temporalities of risk perception regarding biosecurity’, through Black Swan theory, the idea that unexpected events with major effects are often inappropriately rationalized (Taleb in The Black Swan. The impact of the highly improbable, Random House, New York, 2007). This incorporates a sociocultural perspective on risk, emphasizing the contexts in which risk is understood, lived, embodied and experienced. Their risk calculation is explained in terms of social consent, practical intelligibility and convergence of constraints and motivation. The pragmatic and practical orientation towards risk stands in contrast to how risk is calculated in the avian influenza preparedness paradigm. It is argued that disease risk on the ground has become a normalized part of everyday business, as implied in Black Swan theory. Risk which is calculated retrospectively is unlikely to encourage investment in biosecurity and, thereby, points to the danger of unpredictable outlier events

    Changing governance, changing inequalities: Protected area co-management and access to forest ecosystem services: a Madagascar case study

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    Access, in reference to Ecosystem services (ES), is defined as the capacity to gain benefits from the environment. There has been a global shift in natural resource governance, particularly increased co-management of protected areas (PAs). Yet there has been little research on how this change may be affecting access to ES. We aim to fill this research gap by considering: (a) what ES are considered most important, (b) what factors are important in determining whether a person can access ES, and (c) how rules and regulations regarding ES access are decided and enforced. Qualitative and quantitative data were collected using questionnaires, focus groups and interviews with stakeholders in a case study PA in Madagascar, co-managed by local community associations (VOIs) and an NGO. Data analysis was framed around the IPBES framework and access factors. Respondents considered provisioning services most important, but also valued cultural and regulating services. Institutions and social identity had the largest impact on access to ES. VOI members and individuals who knew VOI committee members had greater access to ES than non-members. Findings show that co-management may be shifting ES access inequalities rather than reducing them, and we outline a number of challenges relating to PA co-management

    Motivated Markets: Instruments and Ideologies of Clean Energy in the United Kingdom

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    This article examines efforts to reconcile capitalist and ecological values, focusing in particular on the instruments and ideologies that pervade the United Kingdom's developing renewable energy sector. In keeping with neoliberal models of economic knowledge and practice, renewable energy instruments target the motivations of individuals by using incentive programs to reach environmental policy goals. The argument focuses especially on the way newly implemented market devices shape and represent the motivations of energy producers, suppliers, and traders. The centerpiece of the U.K. government's initiative is the creation of an artificial market in renewability, bought and sold as a virtual commodity. Although the realities of economic motivation complicate the practical implementation of the renewable market, these are represented as isolated and self-interested “exchanges” by market devices, providing policymakers and their critics with partial yet authoritative accounts of renewable policy, premised on narrow and contested assumptions about economic motivation and action

    Small-scale commodity frontiers:The bioeconomy value chain of castor oil in Madagascar

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    The European Commission defines the bioeconomy as a “transition economy which seeks to increase efficiency, optimize use and decrease environmental impact through the reduction of waste and greenhouse gas emissions.” However, attempts to substitute or control nature through efficient bio-based technology have not lived up to expectations and much of the industry still relies on globally sourced biomass to drive the bioeconomy. This article examines the social and political economic relations surrounding small-scale production of the feedstock castor oil plant (castor, Ricinus communis) in the deep south of Madagascar. Theorizing the bioeconomy through the lens of a “small-scale commodity frontier,” it builds from recent injunctions by Jason Moore to show how the appropriation of cheap nature (including paid and unpaid labour) is both historically and geographically co-produced. The castor value chain is held up as a way to transform regional economies and a “silver bullet” to alleviate poverty and address food security in some of the most economically marginal areas of Madagascar. We adopt a regional and feminist political ecology approach to illustrate what is behind this discursive cloak of “development imaginaries,” making visible the social relations surrounding castor production and demonstrating the historical marginalization involved in producing the frontier

    Human plague: An old scourge that needs new answers

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    Yersinia pestis, the bacterial causative agent of plague, remains an important threat to human health. Plague is a rodent-borne disease that has historically shown an outstanding ability to colonize and persist across different species, habitats, and environments while provoking sporadic cases, outbreaks, and deadly global epidemics among humans. Between September and November 2017, an outbreak of urban pneumonic plague was declared in Madagascar, which refocused the attention of the scientific community on this ancient human scourge. Given recent trends and plague’s resilience to control in the wild, its high fatality rate in humans without early treatment, and its capacity to disrupt social and healthcare systems, human plague should be considered as a neglected threat. A workshop was held in Paris in July 2018 to review current knowledge about plague and to identify the scientific research priorities to eradicate plague as a human threat. It was concluded that an urgent commitment is needed to develop and fund a strong research agenda aiming to fill the current knowledge gaps structured around 4 main axes: (i) an improved understanding of the ecological interactions among the reservoir, vector, pathogen, and environment; (ii) human and societal responses; (iii) improved diagnostic tools and case management; and (iv) vaccine development. These axes should be cross-cutting, translational, and focused on delivering context-specific strategies. Results of this research should feed a global control and prevention strategy within a “One Health” approach

    Effective and safe proton pump inhibitor therapy in acid-related diseases – A position paper addressing benefits and potential harms of acid suppression

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