International Solidarity in reproductive justice: surrogacy and gender-inclusive polymaternalism

Reproductive justice and gestational surrogacy are often implicitly treated as antonyms. Yet the former represents a theoretic approach that enables the long and racialised history of surrogacy (far from a new or ‘exceptional’ practice) to be appreciated as part of a struggle for ‘radical kinship’ and gender-inclusive polymaternalism. Recasting surrogacy as a dynamic contradiction in itself, full of latent possibilities relevant to early Reproductive Justice militants’ family-abolitionist aims, this article invites scholars in human geography and cognate disciplines to re-think the boundaries of surrogacy politics. As ethnographies of formal gestational workplaces, accounts of gestational workers’ self-organised resistance, and readings of the attendant public media scandals show (taking examples from India, Thailand, and New Jersey), there is no good reason to place these new economies of ‘third-party reproductive assistance’ in a ‘realm apart’ from conversations about social reproduction more generally. Surrogacy, I argue, potentially names a practice of commoning at the same time as it names a new wave of accumulation in which clinicians are capitalising on the contemporary – biogenetic-propertarian, white-supremacist – logic of kinmaking in the Global North. Ongoing experiments in the redistribution of mothering labour (‘othermothering’ in the Black feminist tradition) suggest that ‘another surrogacy is possible’, animated by what Kathi Weeks and the 1970s intervention ‘Wages Against Housework’ conceive as anti-work politics. In making this argument, the article revives the concept ‘gestational labour’ as a means of keeping the process of ‘literal’ reproduction open to transformation.     

The Changing Health Care Behaviour of the Hmong Refugee Population in Sydney

Health care behaviour of Hmong refugees in Sydney was investigated after research in the United States had shown that, within the Southeast Asian refugee community in that country, Hmong refugees not only had the lowest rates of use of Western medicine but also were the most likely to assess their quality of health as only fair ( Brainard and Zaharlick, 1989 , 849). In contrast, this study found that the Sydney Hmong generally used Western medicine as a system of first choice. At the same time, most continued to use traditional medicines, albeit in a modified form. Minimal costs, freedom to choose their own doctor and appropriate, long term health education were the most important factors in Hmong using Western medicine in Sydney. Other contributing factors included the structure and size of the community, the presence of a long‐term Hmong resident in Sydney upon arrival and familiarity with Western medicine. Thus, the Sydney Hmong community was able to maintain a reasonable quality of health at an affordable price. An unexpected finding was the improved social, economic and health status of Hmong women. Such differentiated results are a powerful argument for not looking at refugees as a homogenous group, even when investigating a single, national, ethnic or cultural group. This study highlighted both the multidisciplinary and transdisciplinary nature of health care behaviour and the contribution that a small in‐depth case study can make to health and migrant policy.     

Real-time Seismic Damage Detection of Concrete Shear Walls Using Artificial Neural Networks

Concrete shear walls are widely employed in buildings as a main resistance system against lateral loads. Early identification of seismic damage to concrete shear walls is vital for deciding post-earthquake occupancy in these structures. In this article, a method based on artificial neural networks for real-time identification of seismic damage to concrete shear walls was proposed. Inter-story drifts and plastic hinge rotation of concrete walls were used as the inputs and outputs of a MLP neural network. Modal Pushover Analysis was employed to prepare well-distributed data sets for training the neural network. The proposed method was applied to a five-story concrete shear wall building. The results from the network were compared with those obtained from Nonlinear Time History Analysis. It was observed that the trained neural network successfully detected damage to concrete shear walls and accurately estimated the severity of seismic-induced damage.     

Health prospects of older persons in Thailand: the role of education

ABSTRACT

Thailand’s population is aging rapidly and the number of older adults suffering from health limitations is expected to increase. Making use of several rounds of the Survey of Older Persons, we look at the education-specific prevalences of three health indicators over time and find a positive education gradient for difficulties with ADLs and poor self-rated health, but not for functional limitations. Combining these age-, sex- and education-specific prevalences for each indicator with population projections up to 2050, we see a lower projected number of persons with difficulties with ADLs or bad health as compared to an approach when we only account for differences by age and sex. Still, irrespective of the approach taken, we project a significant increase in the number of persons 50+ that have at least one ADL difficulty, at least one functional limitation or suffer from poor health. Our results provide estimates for future care needs and illustrate the possibly preventive effect of education.     

Bordering through care and control: Policing and sheltering Central American migrant youth in Mexico

Despite rising numbers of unaccompanied child migrants in the Americas, very limited research directly engages with youth as they journey north to seek protection in the United States. In this article, we examine young Central American migrant experiences of bordering, focusing on policing and shelter management. Part of a wider binational, interdisciplinary, and multi-scalar research project along the Mexico-U.S. border, which began on the heels of Programa Frontera Sur, we draw on interviews and a participatory workshop with migrant youth, and complementary interviews with migration officials and shelter workers. Through the uniquely insightful accounts of children themselves, we show how care work in shelters and direct control via policing emerge as powerful and connected techniques of bordering. In these spaces of connected securitization and humanitarian management, children negotiate highly violent, emotional, and extra-legal interactions with officials. These include extortion, apprehension, aggression, confinement and deception, but also disciplinary forms of care and protection. Our findings deepen and complicate extant work on the humanitarian care/control nexus via our focus on, and direct research with, youth from Central America in Mexico. Their narratives make clear that state policies such as Programa Frontera Sur expand the geographies of bordering and bring practices of migrant care and control into deeper relation. This bordering blocks children's access to legal protections like asylum; leaves them more exposed to exploitation and rights abuses; and encourages greater risk-taking in migration journeys.     

An overview of women's health in the U.S. since the mid-1960 s

Women's health became intertwined with the second wave of feminism in the 1960s. The process and history of the interactions among physicians, feminists, health care consumers, activists, and politicians have brought women's health into the foreground of health research and curricular agendas in several ways. It identified major gaps in research and practice and initiated a critique of the current health care system at all levels; it originated from, and remains connected with, the non-medical community; it is interdisciplinary and requires interdisciplinary teams for research and clinical practice, as well as collaboration with colleagues in non-medical academic fields; it developed new curriculum focused on women's health; it emphasizes race, class, sexual orientation, and other diversities among women. The continuing presence of activists and feminist scholars will insure that health and science include women's needs to provide better health for all.     

Living and dying as subjects of the Inca Empire: Adult diet and health at Puruchuco-Huaquerones,Peru

Imperial strategies varied as the Inca expanded their empire from the capital in Cusco. Some communities were conquered violently while others were ruled indirectly with little evidence of Inca presence. According to ethnohistorical evidence, the central coast was peacefully annexed by the Incas ca. A.D. 1470, but little is known about how Inca imperialism may have affected the quality of life of subjects of the Inca Empire. We integrate multiple lines of evidence to assess diet, health and disease for a sample of human remains from the Late Horizon cemetery of Puruchuco-Huaquerones, Peru. Specifically, we examine and analyze osteological, dental and stable isotope data (n = 162, 90 and 46 respectively) in order to investigate whether the Inca period population at Puruchuco-Huaquerones experienced nutritionally insufficient diets and poor health under imperial policies. Diet at Puruchuco-Huaquerones incorporated a variety of foods, both plant and animal. Osteological lesions and stature indicate periods of stress, with males experiencing more illness relative to females. Stature sexual dimorphism, the presence of healed lesions and isotope data indicate a sufficiently nutritious diet and support the conclusion that, although disease was present, individuals were healthy enough to survive and recover. Geographical and temporal comparisons suggest that health changed little with the Inca annexation of this region, but future work is needed.     

The care of women's health and beauty: an experience shared by medieval Jewish and Christian women

In this article I intend to elucidate the extent to which medieval western Jewish and Christian women shared customs, knowledge and practices regarding health care, a sphere which has been historically considered as part of women's daily domestic tasks. My study aims to identify female agency in medical care, as well as women's interaction across religious lines, by analysing elusive sources, such as medical literature on women's health care, and by collating the information they provide with data obtained from other textual and visual records. By searching specific evidence of the dialogues that must have occurred between Christian and Jewish women in transmitting their knowledge and experiences, I put forward the idea (developed from earlier work by Montserrat Cabré i Pairet) that medical texts with no clear attribution can be used as sources to reconstruct women's authoritative knowledge.