scholarly journals Toward a praxeological account of performing surgery

Author(s):  
Satomi Kuroshima ◽  
Jonas Ivarsson

Surgical operations are fundamentally comprised of multisensorial and multimodal activities. As surgical work involves professional and technical skills that entail a multitude of sensorial information, various methodological difficulties and technical constraints emerge for analysts. Subjective sensations and feedback received during the participants' constructed actions may not be available to outsiders, and the privilege of studying surgical operations is not always guaranteed for the fieldworker. However, as practical surgical tasks are constructed from the routine progression of mundane activities, technical and methodological difficulties can be overcome, confirming the perspicuous nature of surgical operations for social scientists as outsiders. In this report, the researchers describe their fieldwork experiences in two different types of operating rooms—gastroenterology surgical operations in a Japanese context and endovascular aortic repairs in a Swedish context—with a specific focus on how they controlled the technical challenges. This demonstrates the value of surgical operations as a site for scientific investigation independent of expert knowledge about surgery.

Author(s):  
Iga Jarosz* ◽  
Julia Lo ◽  
Jan Lijs

Many high-risk industries identify non-technical skills as safety-critical abilities of the operational staff that have a protective function against human fallibility. Based on an established non-technical skills classification system, methods for expert knowledge elicitation were used to describe non-technical skills in the specific context of train traffic control in the Netherlands. The findings offer insights regarding the skill importance for good operational outcomes, skill difficulty, categorization, and attitudes based on subject matter experts’ opinions. Substantial overlap between the employed non-technical skills framework and the observed expert classification was found, which might indicate that the experts utilize a mental model of nontechnical skills similar to the one used. Furthermore, considerations concerning the organizational culture and the attitudes towards change provide a promising outlook when introducing novel solutions to non-technical skill training and assessment.


2017 ◽  
Vol 141 (10) ◽  
pp. 1313-1315 ◽  
Author(s):  
Reena Singh ◽  
Kathleen R. Cho

Context.— Nonuterine high-grade serous carcinomas (HGSCs) are believed to arise most often from precursors in the fallopian tube referred to as serous tubal intraepithelial carcinomas (STICs). A designation of tubal origin has been suggested for all cases of nonuterine HGSC if a STIC is identified. Objective.— To highlight that many different types of nongynecologic and gynecologic carcinomas, including HGSC, can metastasize to the tubal mucosa and mimic de novo STIC. Data Sources.— A mini-review of several recently published studies that collectively examine STIC-like lesions of the fallopian tube. Conclusions.— The fallopian tube mucosa can be a site of metastasis from carcinomas arising elsewhere, and pathologists should exercise caution in diagnosing STIC without first considering the possibility of metastasis. Routinely used immunohistochemical stains can often be used to determine if a STIC-like lesion is tubal or nongynecologic in origin. In the context of uterine and nonuterine HGSC, STIC may represent a metastasis rather than the site of origin, particularly when widespread disease is present.


1973 ◽  
Vol 21 (3) ◽  
pp. 263-272 ◽  
Author(s):  
J. M. Pemberton ◽  
B. W. Holloway

SUMMARYOf 150 wild-type strains ofPseudomonas aeruginosaexamined, 48 formed recombinants when mated toP. aeruginosastrain PAO FP−and hence presumably possess sex factors. Three different types of sex factor were distinguished by the pattern of transfer of particular markers in different regions of the chromosome and by the ability to confer resistance to mercury in strain PAO. One new sex factor, FP39, was studied in detail, and while similar to the previously studied FP2 in terms of transfer kinetics, natural stability and resistance to curing by acridines, it differed from FP2 in promoting chromosome transfer from a site 10 min to the left of the FP2 origin and in showing apparently aberrant entry kinetics for a leucine marker situated 48 min from the FP2 origin. This was due to FP39 having a genetic determinant either for a structural gene of leucine biosynthesis or a specific suppressor gene for this locus. PAO strains carrying both FP2 and FP39 were unstable for both sex factors, suggesting a relationship between them.


2017 ◽  
Vol 66 (1) ◽  
pp. 92-109 ◽  
Author(s):  
Alberto Arribas Lozano

This article presents a critical analysis of Michael Burawoy’s model of public sociology, discussing several of its epistemic and methodological limitations. First, the author focuses on the ambiguity of Burawoy’s proposal, problematizing the absence of a clear delimitation of the concept of ‘public sociology’. Second, the author links the academic success of the category of public sociology to the global division of sociological labour, emphasizing the ‘geopolitics of knowledge’ involved in Burawoy’s work and calling for the decolonization of social science. Then, the author expounds his concerns regarding the hierarchy of the different types of sociology proposed by Burawoy, who privileges professional sociology over other types of sociological praxis. Reflecting upon these elements will provide a good opportunity to observe how our discipline works, advancing also suggestions for its transformation. Along these lines, in the last section of the article the author elaborates on the need to go beyond a dissemination model of public sociology – the unidirectional diffusion of ‘expert knowledge’ to extra-academic audiences – and towards a more collaborative understanding of knowledge production.


2020 ◽  
Vol 37 (5) ◽  
pp. 511-526 ◽  
Author(s):  
Diana Coholic ◽  
Nicholas Schwabe ◽  
Kenneth Lander

Abstract Mindfulness-Based Interventions (MBIs) hold promise for building resilience in children/youth. We were interested in understanding why some MBIs incorporate arts-based methods, and what key findings were identified from the study of these MBIs. We used a scoping review to address our research questions. Scoping reviews can help us better understand how different types of evidence can inform practice, policy, and research. Steps include identifying research questions and relevant studies, selecting studies for analysis, charting data, and summarizing results. We identified 27 research articles for analysis. MBIs included the use of drawing, painting, sculpting, drama, music, poetry, and karate. Rationales included both the characteristics of children/youth, and the benefits of the methods. Arts-based MBIs may be more relevant and engaging especially for youth with serious challenges. Specific focus should be paid to better understanding the development and benefits of these MBIs.


1980 ◽  
Vol 32 (3) ◽  
pp. 406-424 ◽  
Author(s):  
H. N. Hirsch

An analysis of six recent works of psychohistory. A scheme is presented for classifying such works. Four different types of psychohistory are discussed; this typology is offered as a means of understanding and controlling the methodological difficulties inherent in the genre.


Author(s):  
Gaini Mukhtarova ◽  
Assel Dadyrova ◽  
Mukhtar Baibossyn

The purpose of the article is to study the legacy of the Koyandy fair and its impact on the development of traditional Kazakh culture. The research is based on the scientific expedition results collected by the authors of this work during the field trip to Karkaralinsk (Karaganda region, Kazakhstan). The work studies the history of one of the largest fairs in Kazakhstan - the Koyandy fair, which was functioned from the second half of the XIX- the up to the beginning of the XX century territory Kazakhstan. The Koyandy fair had a significant impact on the spread of the popularity among the broad masses of the works of Kazakh artists. The renowned Kazakh folk composers such as Ukili Ybray, Birzhan sal, Akhan-Sere, Estay, Tattimbet Kazangapuly, performers Amre Kashaubaev, Maira Ualikizi, Isa Bayzakov, wrestlers Kazhymukan Munaitpasov and Balauan Sholak performed at the fair. It is essential to mention that the fair was a trading place and a site for a regional art festival's conduction. The Koyandy fair was a place for exchanging and interacting with different types, genres, and traditions of diverse performing arts schools.


2020 ◽  
Vol 8 (2) ◽  
pp. 125-141
Author(s):  
Amanda Sarah Chin

Suits’ evocation of masculinity within the neo-liberal office as a site of gender configuration is plural. Although its male protagonists all possess structural power as white, heterosexual, intelligent men (two are wealthy, and eventually the third comes to be), they each reflect varied and occasionally contrasting forms of masculinity. The article explores how, over the seasons, Suits progresses from breadth to depth, with its male characters threading their way through different types of masculine behaviours in order to succeed. In the face of recurrent challenges, their masculinities must be reconfigured. The article examines the manner in which the self becomes a locus of accountability to situate one’s problem-solving ability and subsequent empowerment through performing multiple masculinities.


2013 ◽  
Vol 52 (3) ◽  
pp. 722-743 ◽  
Author(s):  
Daniel Ussishkin

AbstractThe aftermath of the Second World War saw massive efforts to promote morale management across British industry. While these new discourses and industrial practices have often been explained in terms of the development of expert knowledge, this article places them at the center of the politics of social reconstruction. While the proper management of morale was linked to greater productivity, this article argues that it was often their assumed benefits regarding social cohesion and harmony that mattered most. It shows the ways in which government officials, management experts, and social scientists mobilized the perceived links that the war had forged among morale, collective sacrifice, and democratic citizenship and thus turned the workplace into a privileged site for the manufacture of consensus.


2021 ◽  
Author(s):  
A Lindström ◽  
Ann Weatherall

© 2015 Elsevier B.V. An ideological shift to patient-centered health care raises questions about how, in the face of medical authority, patients can assert agency in interactions with doctors. This study uses conversation analysis to explore how epistemic and deontic orientations are raised and made relevant in different types of responses to treatment proposals across two health care settings - New Zealand general practice consultations and Swedish hospital-based physician encounters. By examining responses ranging from acceptance to strong resistance, we show patient practices for deferring to and resisting medical authority, which includes claiming independent access to expert knowledge and raising everyday, experientially based concerns. Doctors rightfully privilege their own epistemic expertise in treatment decisions but they also take patient experiences into consideration. In cases of strong resistance we found doctors raising patients' ultimate right to refuse treatment recommendation. Our analysis further nuances current knowledge by documenting the ways epistemic and deontic domains are observably relevant forces shaping the sequential unfolding of treatment proposals.


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