The Central Matters of Concern

1972 ◽  
pp. 13-14
Author(s):  
John Burton
Keyword(s):  
2021 ◽  
Vol 61 (5) ◽  
pp. 287-90
Author(s):  
Kaniz Fathema ◽  
MD. Benzamin ◽  
Fahmida Begum ◽  
Fahmina Khanam ◽  
Md Mahamudul Hasan ◽  
...  

Alimentary tract duplications may be symptomatic or may be discovered incidentally. They are named for the organ with which they are associated.1 Congenital gastrointestinal (GI) tract duplication cysts are commonly located in the ileum (53%), mediastinum (18%), colon (13%), stomach (7%), duodenum (6%), rectum (4%), or oesophagus (2%)2. A single theory is insufficient to explain all types of duplications.3 Children may present with symptoms like vomiting, abdominal pain, lumps, or weight loss.4 The presence of ectopic gastric mucosa and the potential for malignancy remain matters of concern.2 Surgical management is essential for these rare cysts.5 We encountered a Bangladeshi boy with a gastric duplication cyst (GDC) that was pre-operatively diagnosed as a pancreatic cyst. A variety of imaging modalities failed to indicate GDC before the operation. Here we present the clinical course of the case and discuss the difficulties and problems in diagnosing GDC.


1987 ◽  
Vol 35 (4) ◽  
pp. 775-794 ◽  
Author(s):  
K.E. Shaw

Since members of the mass professions are employed mainly by large organisations in the public sector, they are increasingly ‘managed’. What is happening to their skills, their control over their own work, and their professionalism, are matters of concern as revealed by recent disputes. These are precisely questions at the heart of the labour process debate relaunched by Braverman. The insights generated by this stream of writing, already profitably applied beyond blue collar work to clerical occupations may be extended to embrace elements of the service class. There the notion of indetermination goes beyond the notion of discretion. Changes in public ideology have effects analogous to those arising from technological innovation in manufacturing. Yet professionals, whilst attending to technological aspects of their work, typically ignore the wider social issues. In this respect they are vulnerable to deskilling and erosion of control over their work.


2021 ◽  
Author(s):  
Kewan Mertens ◽  
Gina Delima

<p>The disaster risk reduction (DRR) community tends to treat disasters and risk in a managerial and technocratic way, thereby disregarding the highly political nature of DRR. An alternative epistemology of disasters, as matters of concern, is proposed and tested. Mobilizing concepts from Chantal Mouffe and Bruno Latour, this paper illustrates how DRR can be transformed into a public issue. It is argued that education and policy making on DRR would benefit from a recognition of the hybrid nature of disasters. A serious game is used to test proposed epistemology. The board game simulates political decision making on the reduction of risks due to floods and landslides in West Uganda. It is hypothesized that the game can generate an ideal speech scenario that fosters discussions among players and possibly even creates a space of political confrontation. Discussions during ten gameplays in South-West Uganda have been recorded and transcribed. Participants effectively experience affects, power relations and confrontations during the game, but a call for consensus and technical solutions are sometimes used to prematurely close the discussions and move on with concrete solutions. Insights from this paper contribute to understanding why DRR is frequently treated as a technical issue in local and international disaster governance. Proposed epistemology and approaches are expected to stimulate innovative experiments towards a more political approach of DRR education and policy.</p>


ICR Journal ◽  
2019 ◽  
Vol 10 (2) ◽  
pp. 280-282
Author(s):  
Mohammad Hashim Kamali

It may be said at the outset that in discussing haj related issues, one runs the risk of touching on public sensitivities as haj is part of the devotional aspects (‘ibadat) of Islam and not as open to rational enquiry as are matters of concern to civil transactions (mu‘amalat). That said, raising questions over haj management matters tangential to the substance of worship should not be a problem. Islam does not preclude religious matters from rational investigation in the spirit of healthy renewal and reform (tajdid). Earlier precedent confirms this when, for instance, the caliph ‘Umar al-Khattab introduced the second call to prayer (adhan) on Fridays when the crowds attending congregational prayers in Madinah grew larger.


Author(s):  
Liesbeth Huybrechts ◽  
Katrien Dreessen ◽  
Selina Schepers

In this chapter, the authors use actor-network theory (ANT) to explore the relations between uncertainties in co-design processes and the quality of participation. To do so, the authors investigate Latour's discussion uncertainties in relation to social processes: the nature of actors, actions, objects, facts/matters of concern, and the study of the social. To engage with the discussion on uncertainties in co-design and, more specific in infrastructuring, this chapter clusters the diversity of articulations of the role and place of uncertainty in co-design into four uncertainty models: (1) the neoliberal, (2) the management, (3) the disruptive, and (4) the open uncertainty model. To deepen the reflections on the latter, the authors evaluate the relations between the role and place of uncertainty in two infrastructuring processes in the domain of healthcare and the quality of these processes. In the final reflections, the authors elaborate on how ANT supported in developing a “lens” to assess how uncertainties hinder or contribute to the quality of participation.


Author(s):  
Patricia Thille ◽  
Thomas Abrams ◽  
Barbara E Gibson

In health care clinics, problems are constructed through interactions, a choreography of human and non-human actors together enacting matters of concern. Studying the ways in which a body, person, family, or environment is objectified for clinical purposes opens discussion about advantages and disadvantages of different objectification practices, and exploration of creative ways to handle the diversity and tensions that exist. In this analysis, we explored objectifications in a Canadian neuromuscular clinic with young people with muscular dystrophy. This involved a close examination of clinical objectification practices across a series of 27 observed appointments. We identified the routinised clinical assessments, and argue these embed a default orientation to how to intervene in people’s lives. In this setting, the routine focused on meeting demands of daily activities while protecting the at-risk-body, and working toward an abstract sense of an independent future for the person/body with muscular dystrophy. But the default could be disrupted; through our analysis of the routine and disruptions, we highlight how contesting visions for the present and future were consequential in ways that might be more than what is anticipated within rehabilitation practice.


Author(s):  
Michael Ashdown

Lord Walker’s analysis in Pitt v Holt in the Supreme Court accords in all essential respects with the reasons put forward in Chapter 3 to prefer a duty (‘weak’) rather than results-oriented (‘strong’) account of the Re Hastings-Bass rule, as does the approach adopted by Lloyd LJ in the Court of Appeal, which Lord Walker expressly endorses. Yet Lord Walker’s judgment does not yet provide a wholly comprehensive basis for the future development of the law. There remain a number of loose ends, arising predominantly from issues not specifically before the court in Pitt, but which have been matters of concern in earlier Re Hastings-Bass cases, including: how a ‘relevant consideration’ is defined; the significance of establishing that the trustees ‘would’ or ‘might’ have acted differently, in view of Lord Walker’s refusal to choose between these two alternatives; the specific problems arising from the use of professional advisers, and in cases concerning tax liability and pension trusts. These matters are addressed in detail in chapters 5 to 8. But in order to do this it is first necessary to clarify the juridical nature of the ‘duty of consideration’ upon which Lord Walker’s analysis depends.


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