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In April 2001, the Swedish government decided to immediately remove Viagra from the public pharmaceutical reimbursement system (Swedish Book of Statutes 2001, 140). All patients who still wanted their use of these pharmaceuticals to be subsidized were henceforth required to submit individual applications for subsidy to the government itself. This highly publicized and much-debated decision marked a clear break with the established practice whereby prescription drugs that were granted marketing approval were consistently included in the public pharmaceutical benefits scheme. Under this scheme, patients prescribed subsidized drugs paid only a portion of their direct cost. Following the government's decision, Viagra was still available for purchase in pharmacies by those holding prescriptions, but the patients were now to assume the cost.

The Open Access version of this book, available at http://www.tandfebooks.com, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. An exploration of how global pharmaceutical products are localized - of what happens when they become 'glocal' - this book examines the tensions that exist between a global pharmaceutical market and the locally bounded discourses and regulations encountered as markets are created for new drugs in particular contexts. Employing the case study of the emergence, representation and regulation of Viagra in the Swedish market, Glocal Pharma offers analyses of commercial material, medical discourses and legal documents to show how a Swedish, Viagra-consuming subject has been constructed in relation to the drug and how Viagra is imagined in relation to the Swedish man. Engaging with debates about pharmaceuticalization, the authors consider the ways in which new identities are created around drugs, the redefinition of health problems as sites of pharmaceutical treatment and changes in practices of governance to reflect the entrance of pharmaceuticals to the market. With attention to 'local' contexts, it reveals elements in the nexus of pharmaceutcalization that are receptive to cultural elements as new products become embedded in local markets. An empirically informed study of the the ways in which the presence of a drug can alter the concept of a disease and its treatment, understandings of who suffers from it and how to cure it - both locally and internationally - this book will appeal to scholars of sociology and science and technology studies with interests in globalization, pharmaceuticals, gender and the sociology of medicine.

This article looks at the implications of emotion recognition, zooming in on the specific case of the care robot Pepper introduced at a hospital in Toronto. Here, emotion recognition comes with the promise of equipping robots with a less tangible, more emotive set of skills – from companionship to encouragement. Through close analysis of a variety of materials related to emotion detection software – iMotions – we look into two aspects of the technology. First, we investigate the how of emotion detection: what does it mean to detect emotions in practice? Second, we reflect on the question of whose emotions are measured, and what the use of care robots can say about the norms and values shaping care practices today. We argue that care robots and emotion detection can be understood as part of a fragmentation of care work: a process in which care is increasingly being understood as a series of discrete tasks rather than as holistic practice. Finally, we draw attention to the multitude of actors whose needs are addressed by Pepper, even while it is being imagined as a care provider for patients.

Purpose
The information technology (IT) sector has been seen as central to society's transformation to a more just and sustainable society, which underlines teachers' responsibility to foster engineers who can contribute specifically to such ends. This study aims to report an effort to significantly update an existing engineering programme in IT with this ambition and to analyse the effects and challenges associated with the transformation.


Design/methodology/approach
This study is based on a combination of action-oriented research based on implementing key changes to the curriculum; empirical investigations including surveys and interviews with students and teachers, and analysis of these; and a science and technology studies-inspired analysis.


Findings
Respondents were generally positive towards adding topics relating to sustainability. However, in the unmaking of traditional engineering subjects, changes created a conflict between core versus soft subjects in which the core subjects tended to gain the upper hand. This conflict can be turned into productive discussions by focusing on what kinds of engineers the authors' educate and how students can be introduced to societal problems as an integrated part of their education.


Practical implications
This study can be helpful for educators in the engineering domain to support them in their efforts to transition from a (narrow) focus on traditional disciplines to one where the bettering of society is at the core.


Originality/value
This study provides a novel approach to the transformation of engineering education through a theoretical analysis seldom used in studies of higher education on a novel case study.