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As one of the lowest-lying island nation states in the world, the Republic of the Marshall Islands is vulnerable to sea level rise, flooding and the associated impacts on soil and water salinity. Persistent drought is further affecting agricultural production and access to drinking water, and heat stress is increasingly common. The number of Marshallese people residing in the USA has increased rapidly from 6650 in 2000 to an estimated 30,000 in 2018. While we know that climate change is already affecting the Marshall Islands and that there are significant migration flows, we do not know to what extent people already migrate because of climate change. This paper addresses this gap and presents findings from interdisciplinary fieldwork in the Marshall Islands and destination areas in the USA. The research team conducted a survey (N = 278), focus group discussions, expert interviews and a geo-spatial analysis of flood extent and migration rates to study the relationship between climatic events, ecosystem services and migration. The results show that respondents primarily cite education, health care, work and family visits as migration drivers, and only few mention climate impacts or environmental change. However, respondents do identify impacts of climate change on their livelihoods, health and safety, and the study finds significant correlations between climate impacts, trends in ecosystem services and migration propensities at household level. Furthermore, 62% of Marshallese respondents in the USA indicated that climate change affects their decision to return to Marshall Islands in the future.

The ultimate goal of any prescribed medical therapy is to achieve desired outcomes of patient care. However, patient nonadherence has long been a major problem detrimental to patient health and, thus, is a concern for all health care providers. Moreover, nonadherence is extremely costly for global medical systems because of unnecessary complications and expenses. Traditional patient education programs often serve as an intervention tool to increase patients' self-care awareness, disease knowledge, and motivation to change patient behaviors for better adherence. Patient trust in physicians, patient-physician relationships, and quality of communication have also been identified as critical factors influencing patient adherence. However, little is known about how mobile patient education technologies help foster patient adherence. This study aimed to empirically investigate whether and how a mobile patient education system (MPES) juxtaposed with patient trust can increase patient adherence to prescribed medical therapies. This study was conducted based on a field survey of 125 patients in multiple states in the United States who have used an innovative mobile health care system for their health care education and information seeking. Partial least squares techniques were used to analyze the collected data. The results revealed that patient-physician communication and the use of an MPES significantly increase patients' trust in their physicians. Furthermore, patient trust has a prominent effect on patient attitude toward treatment adherence, which in turn influences patients' behavioral intention and actual adherence behavior. Based on the theory of planned behavior, the results also indicated that behavioral intention, response efficacy, and self-efficacy positively influenced patients' actual treatment adherence behavior, whereas descriptive norms and subjective norms do not play a role in this process. Our study is one of the first that examines the relationship between patients who actively use an MPES and their trust in their physicians. This study contributes to this context by enriching the trust literature, addressing the call to identify key patient-centered technology determinants of trust, advancing the understanding of patient adherence mechanisms, adding a new explanation of the influence of education mechanisms delivered via mobile devices on patient adherence, and confirming that the theory of planned behavior holds in this patient adherence context.

Participatory research (PR) is on the rise. In Spain, PR is scarce in the field of health, although there is an increasing interest in the matter. A comprehensive understanding of the meanings and practical implications of “public participation” is essential to promote participation in health research. The aim of the study is to explore the discursive positions on PR among individuals with experience in participatory processes in different areas and how this understanding translates into practice. We conducted a critical discourse analysis of 21 individuals with experience in PR and participatory processes (13 women, 8 men), mainly from the field of health and other areas of knowledge. Sixteen were Spanish and the rest were from the United Kingdom (3), United States (1), and Canada (1). Interviews were conducted in person or by telephone. The fieldwork was conducted between March 2019 and November 2019. The dominant discourses on public participation are situated along two axes situated on a continuum: the purpose of public participation and how power should be distributed in public participation processes. The first is instrumental public participation, which sees participatory research as a tool to improve research results and focuses on institutional interests and power-decision making is hold by researchers and institutions. The second, is transformative public participation, with a focus on social change and an equitable sharing of decision-making power between the public and researchers. All discursive positions stated that they do not carry out specific strategies to include the most socially disadvantaged individuals or groups. A shift in the scientific approach about knowledge, along with time and resources, are required to move towards a more balanced power distribution in the processes involving the public.

This exhilarating book interweaves the stories of two early twentieth-century botanists to explore the collaborative relationships each formed with Yunnan villagers in gathering botanical specimens from the borderlands between China, Tibet, and Burma. Erik Mueggler introduces Scottish botanist George Forrest, who employed Naxi adventurers in his fieldwork from 1906 until his death in 1932. We also meet American Joseph Francis Charles Rock, who, in 1924, undertook a dangerous expedition to Gansu and Tibet with the sons and nephews of Forrest's workers. Mueggler describes how the Naxi workers and their Western employers rendered the earth into specimens, notes, maps, diaries, letters, books, photographs, and ritual manuscripts. Drawing on an ancient metaphor of the earth as a book, Mueggler provides a sustained meditation on what can be copied, translated, and revised and what can be folded back into the earth.

Abortion work has changed in the decades since Roe v. Wade, and concerns over efficiency and cost reduction have resulted in increased specialization and compartmentalization of duties among health workers. This study examines the current state of surgical abortion at a clinic in southern California. Drawing on 18 months of ethnographic fieldwork at an abortion clinic, I use theories of dirty work and intimate work to examine how abortion work is organized and allocated among staff. I find that work in the clinic is best understood as existing on two intersecting spectrums of intimacy and dirtiness. Whereas existing research on abortion workers has primarily focused on doctors and nurses, this study includes medical assistants and compares experiences across different occupations. I conclude that frequency, intensity, and purpose of intimate work and dirty work coalesce to create distinct types of abortion workers.

Online criminal histories document and publicize even minor brushes with the law and represent people who may not even be guilty of any crime. This has dramatically changed the relationship that millions of Americans have with the criminal justice system and may affect their social and private lives. Drawing on interviews and fieldwork with people attempting to expunge and legally seal their criminal records, I explore how online versions of these records impact family relationships. Many who appear on mug shot and criminal history websites are arrestees who are never formally charged or convicted of a crime. The indiscriminate posting of all types of justice contact on websites may impact those who, for the most part, desist from crime and are core contributors to their family and community. I find that many of those who are affected by the stigma of online records did not know that records existed until they \"popped up\" unexpectedly, and that this experience leads them to self-select out of family duties that contribute to child well-being.

Fire is an essential tool enabling tropical subsistence agriculture, but can result in escaped fires when not adequately controlled. We employed agricultural calendars, participant observation, and semi-structured interviews with over 60 farmers over four months of fieldwork to evaluate how agricultural burning is currently conducted in the Peruvian Andes. We found that Quechua farmers use fire for clearing agricultural residue, controlling weeds and shrubs, and preparing new or fallow parcels, with most burns set during the dry season. Quechua farmers employ control burning techniques that reflect an understanding of how fire behavior is influenced by fuel, topography, and weather conditions, a knowledge that aligns closely with Western use of prescribed and controlled burns. We also observed a high incidence of escaped fires, although most were controlled within an hour, and very few required community-wide intervention to extinguish. Our findings have significant policy implications for the safe and effective use of fire in rural agricultural landscapes. Rather than solely impose fire suppression, governments could facilitate access to modern wildfire risk indices and provide technical assistance for controlled burns, compatible with farmers’ existing knowledge of factors influencing fire behavior. These recommendations are part of a worldwide call for collaborative fire management solutions that are reasonable and applicable in diverse settings in the Global South.

Small-scale fisheries (SSFs) in developing countries are expected to play a significant role in poverty alleviation and enhancing food security in the decades to come. To realize this expectation, a better understanding of their informal self-governance arrangements is critical for developing policies that can improve fishers' livelihoods and lead to sustainable ecosystem stewardship. The goal of this paper is to develop a more nuanced understanding of micro-level factors-such as fishers' characteristics and behavior-to explain observed differences in self-governance arrangements in Northwest Mexico. We focus on two ubiquitous forms of self-governance: hierarchical non-cooperative arrangements between fishers and fishbuyers, such as patron-client relationships (PCs), versus more cooperative arrangements amongst fishers, such as fishing cooperatives (co-ops). We developed an agent-based model of an archetypical SSF that captures key hypotheses from in-depth fieldwork in Northwest Mexico of fishers' day-to-day fishing and trading. Results from our model indicate that high diversity in fishers' reliability, and low initial trust between co-op members, makes co-ops' establishment difficult. PCs cope better with this kind of diversity because, in contrast to co-ops, they have more flexibility in choosing whom to work with. However, once co-ops establish, they cope better with seasonal variability in fish abundance and provide long-term security for the fishers. We argue that existing levels of trust and diversity among fishers matter for different self-governance arrangements to establish and persist, and should therefore be taken into account when developing better, targeted policies for improved SSFs governance.

Landscape-oriented approaches in archaeology have moved beyond site-based research to interpret how people have engaged with, modified, and constructed the environment and how the legacies of these activities continue to influence land use. In the Maya Lowlands, landscape archaeology is related to the analysis of settlement patterns, households, agricultural intensification, and water management. The increasing availability of LiDAR data has revolutionized the mapping of archaeological landscapes under vegetation, especially in tropical environments like the Maya Lowlands, but researchers still emphasize site-oriented settlement densities and infrastructure. Furthermore, the accessibility of drone-based LiDAR platforms has the potential to collect data across several seasons or years to facilitate change detection. In this paper, we compare three LiDAR datasets collected from 2018 to 2023, using both occupied and unoccupied airborne systems. The landscape surrounding the archaeological site of El Infiernito, Chiapas, Mexico near the Classic period (AD 250–800) dynastic capital of Piedras Negras, Guatemala was selected to compare these LiDAR datasets in the context of prior, extensive ground-based fieldwork. These data were used to interpret the built environment, land use, hydrology, landscapes of movement, and other infrastructure constructed and modified by several communities beginning in the Late Preclassic period (400 BC–AD 250) to the present. When used alongside systematic survey and ground verification, the combination of several LiDAR platforms to collect data across different seasons at El Infiernito enhanced the understanding of the spatial distribution of archaeological sites and features across the karst landscape.