27 research outputs found
Urban Theory by and for Whom? Engaged Research, Authorship and Transformation Beyond the Academy
This paper engages with Loretta Lees‘ suggestion that this journal include research collaborators beyond the academy as commentators in its urban dialogues. In it, I highlight the contortions and contradictions involved in extracting individual scholarly outputs from collaborative research, drawing on my experiences as a doctoral researcher in the UK. These challenges are intimately entangled with key questions posed by Loretta about who counts as an urban scholar or theorist, and what urban theor(ies) are – or might be – for. The difficulties involved in publishing engaged and collaborative research in academic formats contribute to its marginalision within critical urban studies, robbing the discipline of the particular understandings and possibilities it can open up. Making space for engaged dialogue beyond the academy within this journal can help to open up the production and circulation of urban knowledge to a greater diversity of perspectives and interests, creating a more hospitable environment for engaged, collaborative and activist research within the academy. Such a shift invites authors to bring their multiple subjectivities and identities into urban dialogues – as modelled by Loretta – challenging conventions designed to separate and elevate academic knowledge from the diverse others it depends upon. Extending urban dialogue to non-academic collaborators can therefore help to connect critical urban research with the communities and interests in whose name it claims to operate
Nurturing Economic Diversity: Alternative Economic Logics for Urban Planning, Research, and Activism
This short essay proposes nurturing economic diversity as alternative economic logics for urban planning, drawing on research and activism with market traders, industrial firms and small businesses contesting commercial displacement in London
Contested urban economies: representing and mobilising London's diverse economy
This thesis builds on the growing interest in the diversity of urban economies as a starting point for more inclusive approaches to urban economic development by exploring the mobilisation of diverse economic actors. Its central innovation is to use the notion of economic performativity and Gibson-Graham’s notion of economic politics to open up the politics of diverse urban economies. By combining activism with research, this thesis not only reveals and explores but also contributes to and strengthens some of London’s emerging economic alliances at metropolitan level and in Tottenham and the London Legacy Development Corporation area, located within two of the ‘Opportunity Areas’ earmarked to play a special role in accommodating London’s growth. The thesis finds that the global city growth model embedded in London’s metropolitan governance arrangements was stretched to its limits under Boris Johnson’s Mayoralty. It suggests that Johnson’s use of London’s low-cost workspace as a release valve for London’s escalating housing crisis accelerated its extension into a workspace crisis. The thesis argues that while the growing pressure on workspace poses a threat to the diversity of London’s economy, it has also mobilised small businesses, industrial firms, migrant and ethnic retailers, market traders and community enterprises and their allies to challenge and develop alternatives to plans and development proposals that ignore, marginalise or threaten to displace them. Through a collaborative action research method inspired by Gibson-Graham’s work, the thesis explores the generative and unfolding process through which diverse economic actors built common ground and solidarity, shared their knowledge and experience and developed visions and propositions for alternative, more inclusive approaches to urban economic development. It reveals that the economic evidence underpinning London’s metropolitan and local plans not only plays a role in supporting dominant approaches but has also become a terrain of contestation and struggle for alternatives
Describing meningococcal disease: understanding, perceptions and feelings of people in a regional area of NSW, Australia
Objectives: To explore understanding, perceptions and feelings about meningococcal disease in members of higher risk groups. To explore what people say are the most important health messages and communication preferences about invasive meningococcal disease (IMD).
Methods: Three focus groups and two semistructured interviews were conducted with people at higher risk of IMD in Hunter New England Local Health District in New South Wales.
Results: Participants generally had a low understanding of IMD, but described intense feelings about the disease and empathy for those who had experienced the disease. Fear of stigma and the impact of stigma were identified. Participants identified reasons for delaying presentation for care as perceptions of invincibility (particularly among young people), the cost of care (for all groups), and racism (particularly for Aboriginal people). These issues were both potential and experienced barriers for participants accessing help when acutely unwell. Factors for effective communication to improve understanding of IMD included the communication being acceptable, accessible and appropriate.
Conclusions: IMD is a serious but uncommon disease that has a range of impacts on people, families and communities. Higher risk groups may benefit from receiving more appropriate and accessible information about early signs and symptoms of IMD. Communication and understanding about the disease could be improved by working with new technologies and partnering with key people in high-risk groups. Use of text messages and social networking for urgent communication could be considered and trialled in public health practice. It is also important to recognise the potential direct or indirect experience of racism and stigma for patients with IMD and their families. Management of IMD could be strengthened by connecting people and families with support groups or services to reduce the impact of the disease
Social infrastructure and ‘left-behind places’
We explore the making, unmaking and remaking of social infrastructure (SI) in ‘left-behind places’ (LBPs) through a case study a former mining village in northern England. We address the understudied affective dimensions of ‘left-behindness’. Seeking to move beyond a narrowly economistic of reading LBPs, our framework: strongly emphasises the importance of place attachments and the consequences of their disruption; considers LBPs as ‘moral communities’, seeing the making of SI as an expression of this; views the unmaking of SI through the lens of ‘root shock’; and explains efforts at remaking SI in terms of the articulation of ‘radical hope’
Secular values and the location of religion: a spatial analysis of an English medical centre
What do contemporary controversies in healthcare reveal about secular values and the location of religion within an English medical centre? Using a socio-spatial methodology designed to break open ideological perspectives and normative values, we analyse the doctor-patient relationship, complementary and alternative medicine, and an issue that bridges the two, evidence-based medicine. In the physical, social and mental spaces of the medical centre we uncover the traces of religious activity and roles and of alternative therapeutic regimes often informed by spiritual or religious systems. Furthermore we disclose the heterogeneity of values that comprise the secular worldview of one group of contemporary general practitioners
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Interleukin-6 limits influenza-induced inflammation and protects against fatal lung pathology
Balancing the generation of immune responses capable of controlling virus replication with those causing immunopathology is critical for the survival of the host and resolution of influenza-induced inflammation. Based on the capacity of interleukin-6 (IL-6) to govern both optimal T-cell responses and inflammatory resolution, we hypothesised that IL-6 plays an important role in maintaining this balance. Comparison of innate and adaptive immune responses in influenza-infected wild-type control and IL-6-deficient mice revealed striking differences in virus clearance, lung immunopathology and generation of heterosubtypic immunity. Mice lacking IL-6 displayed a profound defect in their ability to mount an anti-viral T-cell response. Failure to adequately control virus was further associated with an enhanced infiltration of inflammatory monocytes into the lung and an elevated production of the pro-inflammatory cytokines, IFN-α and TNF-α. These events were associated with severe lung damage, characterised by profound vascular leakage and death. Our data highlight an essential role for IL-6 in orchestrating anti-viral immunity through an ability to limit inflammation, promote protective adaptive immune responses and prevent fatal immunopathology
Self-management education for adults with poorly controlled epilepsy (SMILE (UK)): statistical, economic and qualitative analysis plan for a randomised controlled trial
BACKGROUND: There is a need to test the effectiveness of new educational interventions for people with poorly controlled epilepsy. The SMILE (self-management education for adults with poorly controlled epilepsy) trial evaluates a complex service intervention that involves a 2-day self-management course with the aim of improving quality of life and clinical outcomes. This article describes the statistical, economic, and qualitative analysis plan for the trial. METHODS AND DESIGN: SMILE is a pragmatic, parallel design, two-arm, multi-centre randomised controlled superiority trial of a group-based interactive course compared with treatment as usual for people who have experienced two or more seizures in the past 12 months. RESULTS: A summary of the objectives and design of the trial are reported as well as the manner in which the data will be summarised and inferentially analysed. This includes the type of modelling that will be employed for each of the primary and secondary outcomes and the methods by which the assumptions of these models will be checked. Strategies are described for handling clustering of outcome data, missing observations, and treatment non-compliance. CONCLUSION: This update to the previously published trial protocol provides a description of the trial analysis which is transparent and specified before any outcome data are available. It also provides guidance to those planning the analysis of similar trials. TRIAL REGISTRATION: Current Controlled Trials ISRCTN57937389; date assigned: 27 March 2013
Self-Management education for adults with poorly controlled epILEpsy (SMILE (UK)): a randomised controlled trial protocol
This is an Open Access article distributed under the terms of the Creative
Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and
reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain
Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article,
unless otherwise stated.National Institute for Health Research Health Technology Assessment Programme; reference 09/165/01