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Formatting patient knowledge and channelling participation: how patient organisations work under authoritarianism 患者知识的格式化与参与的引导:患者组织如何在专制主义下开展工作
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2024-01-04 DOI: 10.1057/s41292-023-00316-9
Vlas Nikulkin, Olga Zvonareva

Patient experiential knowledge is important for the quality and responsiveness of healthcare systems. However, it is not rare for patients to struggle to have their knowledge recognised as credible and valuable. This study explores how patient organisations work to adjust patient knowledge to formats recognisable and acceptable by healthcare governance decision-makers. Using the case of patient organisations in Russia, we show that such formatting involves changes in language, practices, and materiality that contribute to channelling patient participation into specific routes and forms while marginalising others. Channelling of patient participation, then, rather than being a result of direct coercion, emerges as a distributed process continuously co-produced by a multitude of actors, such as state administration, patient organisations themselves, patient surveys, consultative spaces, and normative acts.

患者的经验知识对医疗保健系统的质量和响应能力非常重要。然而,患者努力使自己的知识被认可为可信和有价值的知识并不罕见。本研究探讨了患者组织如何努力将患者知识调整为可被医疗管理决策者认可和接受的格式。通过俄罗斯患者组织的案例,我们表明,这种格式化涉及语言、实践和物质的变化,有助于将患者的参与引导到特定的途径和形式中,同时将其他途径和形式边缘化。因此,患者参与的引导不是直接强制的结果,而是一个分布式的过程,由国家行政部门、患者组织本身、患者调查、咨询空间和规范行为等众多行为者持续共同制造。
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引用次数: 0
Sensing inequity: technological solutionism, biodiversity conservation, and environmental DNA 感知不平等:技术解决方案主义、生物多样性保护和环境DNA
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-11-22 DOI: 10.1057/s41292-023-00315-w
Elaine W. Shen, Jessica M. Vandenberg, Amelia Moore

Environmental DNA (eDNA) has risen in popularity as a genetically-based method to enumerate species in natural ecosystems, and it is well positioned to be integrated into biodiversity monitoring and conservation initiatives. While the field has made great strides in methodological development, it has largely avoided discussion of its potential inequitable social outcomes. In this paper, we argue that the social asymmetries of eDNA are under-addressed precisely because of how it is framed and valued by powerful actors who may benefit from the technology’s proliferation. We use a framework of representational rhetorics to articulate the discursive process by which the biodiversity crisis is distilled into problems of data-deficiency and inefficiency in scientific articles such that eDNA offers the exact corresponding technological solution. This framing helps justify eDNA’s implementation in local, global, and corporate spheres, despite the methodology’s uncertainties and limitations. It may also enable future inequitable outcomes through sidelining other forms of biodiversity knowledge and enclosing biodiversity information through processes of genetic commodification and privatization. We engage with critiques of neoliberal conservation, big data, and (biodiversity) genomics made by political ecologists and feminist science and technology studies scholars to help reorient the eDNA field towards more equity-oriented discursive practices and implementations.

环境DNA (Environmental DNA, eDNA)作为一种基于遗传学的自然生态系统物种枚举方法越来越受欢迎,并且它很好地定位于生物多样性监测和保护倡议中。虽然该领域在方法论发展方面取得了巨大进步,但它在很大程度上避免了对其潜在的不公平社会结果的讨论。在本文中,我们认为eDNA的社会不对称性没有得到充分解决,正是因为它是如何被可能从技术扩散中受益的强大参与者所构建和重视的。我们使用表征修辞学框架来阐明话语过程,通过该过程,生物多样性危机被提炼为科学文章中数据缺乏和效率低下的问题,例如eDNA提供了完全相应的技术解决方案。这一框架有助于证明eDNA在地方、全球和企业领域的实施是合理的,尽管该方法存在不确定性和局限性。它还可能使其他形式的生物多样性知识靠边站,并通过遗传商品化和私有化进程封闭生物多样性信息,从而造成未来不公平的结果。我们参与了政治生态学家和女权主义科学技术研究学者对新自由主义保护、大数据和(生物多样性)基因组学的批评,以帮助将eDNA领域重新定位为更加以公平为导向的话语实践和实施。
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引用次数: 0
Introduction to national cultures of animals, care and science 介绍各国动物文化、护理和科学
4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-10-12 DOI: 10.1057/s41292-023-00314-x
Carrie Friese, Tarquin Holmes, Reuben Message
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引用次数: 0
Conceptualization of genotype–phenotype relationships and the assessment of risk in advertising of direct-to-consumer and preimplantation polygenic tests 基因型-表型关系的概念化和直接面向消费者和植入前多基因检测广告的风险评估
4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-09-30 DOI: 10.1057/s41292-023-00313-y
María Alejandra Petino Zappala, Lucía Ariza, Natacha Salomé Lima
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引用次数: 0
Figuring the ‘cynical scientist’ in British animal science: the politics of invisibility 英国动物科学中的“愤世嫉俗的科学家”:隐形政治
4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-09-26 DOI: 10.1057/s41292-023-00312-z
Tarquin Holmes, Carrie Friese
Abstract This paper investigates the ‘cynical scientist’ as a figure in British animal science discourse that developed in relation to the nineteenth-century emergence of the ‘sceptical scientist’. Here, efforts by scientists to demarcate their profession’s territory led to religious backlash against an alleged ‘divorce’ of British science from Christian morality. Animal experimentation became embroiled in this controversy through antivivisectionists’ conviction that animal research was symptomatic of scientific scepticism and Continental atheism’s malign influence. Accusations of cynicism ultimately forced British scientists to accept legal regulation following the 1875 Royal Commission on Vivisection. British scientists were, however, able to utilise their political leverage and credibility as experts to favourably influence licensing and inspection. We suggest that efforts to silence public claims of scientific cynicism may have enabled ‘cynical scientists’ to remain invisible and that this was marked by privilege and power, not marginality. Nevertheless, we argue that regulation and reforms have also worked to internalise within British animal science the notion that scientific cynicism must be combatted through proper governance and internal discipline.
摘要:本文调查了“愤世嫉俗的科学家”作为英国动物科学话语中的一个人物,该话语与19世纪“怀疑科学家”的出现有关。在这里,科学家划定其职业领域的努力导致了宗教对所谓英国科学与基督教道德“离婚”的强烈反对。由于反活体解剖论者坚信动物研究是科学怀疑主义和欧陆无神论邪恶影响的征兆,动物实验也卷入了这场争论。玩世不恭的指责最终迫使英国科学家接受了1875年皇家活体解剖委员会的法律规定。然而,英国科学家能够利用他们作为专家的政治影响力和信誉,对许可和检查产生有利的影响。我们认为,努力压制公众对科学犬儒主义的主张,可能使“犬儒主义的科学家”保持隐形,这是特权和权力的标志,而不是边缘化。然而,我们认为,监管和改革也在英国动物科学内部形成了一种观念,即必须通过适当的治理和内部纪律来打击科学犬儒主义。
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引用次数: 0
The effects of COVID-19 on imagined reproductive futures COVID-19对想象中的生殖未来的影响
4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-09-23 DOI: 10.1057/s41292-023-00310-1
Charlotte Abel
Abstract Macro-level crises affect individual lives and behaviors. One of COVID-19’s many effects was to disrupt the way people imagined their own and their children’s’ futures or imagined reproductive futures . Using 65 interviews collected between March and July 2020 with mothers who experienced pregnancy, childbirth, and the postpartum period at the onset of COVID-19 in the US, this study examines two elements of reproduction and futurity; first, how the pandemic exacerbated health, economic, racial, and global emergency stressors to create unique reproductive experiences and nuanced imagined reproductive futures. Second, I use Lee Edelman’s concept of reproductive futurism amidst COVID-19 to inquire whether reproduction maintains a compulsory sense of optimism amidst periods of social disruption. I find that despite the various stressors and in addition to the shared disruption of the pandemic, there remains a widespread maternal optimism about reproduction across birthing people with different intersectional social identities. Diverse imaginations of futurity are likely to impact reproductive practices and the meaning-making associated with them; in this research, I use maternal subjectivities to illustrate how narratives and experiences of reproduction are contextual, and offer a distinct avenue toward theoretical analyses of futurity.
宏观危机影响个人的生活和行为。COVID-19的诸多影响之一是扰乱了人们想象自己和孩子未来或想象生育未来的方式。本研究利用2020年3月至7月期间对在美国经历过怀孕、分娩和产后期间的母亲进行的65次访谈,研究了生殖和未来的两个要素;首先,大流行如何加剧健康、经济、种族和全球紧急压力因素,创造独特的生殖体验和微妙的想象生殖未来。其次,我在COVID-19中使用Lee Edelman的生殖未来主义概念来探究生殖是否在社会混乱时期保持一种强制性的乐观意识。我发现,尽管存在各种压力因素,除了大流行的共同破坏之外,产妇对具有不同交叉社会身份的生育人群的生育仍然普遍持乐观态度。对未来的不同想象可能会影响生殖实践以及与之相关的意义建构;在这项研究中,我使用母亲的主观性来说明叙述和生殖经验是如何上下文化的,并为未来的理论分析提供了一个独特的途径。
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引用次数: 0
Foetal programming meets human capital: biological plasticity, development, and the limits to the economization of life 胎儿编程符合人力资本:生物可塑性,发展和限制的经济生活
4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-09-16 DOI: 10.1057/s41292-023-00309-8
Tessa Moll, Maurizio Meloni, Ayuba Issaka
Abstract The disciplinary integration of biology and economy is taking new forms in the postgenomic era, transforming long-standing exchanges between human biology and economics. In this article, we first describe how an emerging area of research in development and health economics has embraced, stabilized, and expanded the emerging field of the Developmental Origins of Health and Disease (DOHaD). We map the global expansion of this literature particularly in the Global South. Via an analysis of shifting models of health in human capital, we argue that as economists draw on DOHaD theories, their increasing focus on marginalized groups in postcolonial settings produces a darker model of health deficit. Based on notions of accumulated shocks, this model questions the generalizable expansion of the economization of life and speaks to a wider and more sombre range of figures. Health models in economics reflect the double nature of biological and developmental plasticity caught between agency and passivity, change, and near-permanency.
生物学与经济学的学科融合在后基因组时代呈现出新的形式,改变了人类生物学与经济学长期以来的交流。在本文中,我们首先描述了发展和卫生经济学的一个新兴研究领域是如何拥抱、稳定和扩展健康和疾病的发展起源(DOHaD)这一新兴领域的。我们描绘了这种文学的全球扩张,特别是在全球南方。通过对不断变化的人力资本健康模型的分析,我们认为,随着经济学家借鉴DOHaD理论,他们越来越多地关注后殖民环境中的边缘化群体,产生了一个更黑暗的健康赤字模型。基于累积冲击的概念,这个模型质疑了生活经济化的普遍化扩展,并谈到了更广泛和更阴暗的数字范围。经济学中的健康模型反映了介于能动性和被动性、变化性和近永久性之间的生物和发展可塑性的双重性质。
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引用次数: 0
Medical markets for imagined futures: the framing of egg freezing on fertility clinic websites in Turkey 想象未来的医疗市场:土耳其生育诊所网站上的卵子冷冻框架
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-09-04 DOI: 10.1057/s41292-023-00311-0
Azer Kılıç
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引用次数: 0
Uncertain commodities: egg banking and value in Ukraine 不确定的商品:乌克兰的鸡蛋银行和价值
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-08-17 DOI: 10.1057/s41292-023-00307-w
P. Vlasenko
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引用次数: 0
Publisher Correction: Citizenship in times of crisis: biosocial state–citizen relations during COVID-19 in Austria 危机时期的公民身份:奥地利COVID-19期间的生物社会国家-公民关系
4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-06-26 DOI: 10.1057/s41292-023-00306-x
Isabella M. Radhuber, Christian Haddad, Katharina Kieslich, Katharina T. Paul, Barbara Prainsack, Seliem El-Sayed, Lukas Schlogl, Wanda Spahl, Elias Weiss
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Biosocieties
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