Troubling Structures: A Material-Embodied Pedagogy of Technical Difficulty

2019 ◽  
Vol 53 ◽  
pp. 47-59
Author(s):  
Rachael Sullivan
Keyword(s):  
Technical Difficulty ◽  
Embodied Pedagogy

Social Justice and Critical/Performative Communicative Pedagogy

2011 ◽  
Vol 4 (1) ◽  
pp. 21-34 ◽  
Author(s):  
John T. Warren
Keyword(s):  
Qualitative Research ◽  
Social Justice ◽  
Classroom Interactions ◽  
Point Of View ◽  
Constitutive Relationship ◽  
Just World ◽  
The World ◽  
Analytical Point ◽  
Embodied Pedagogy

Through narratives and critical interrogations of classroom interactions, I sketch an argument for a co-constitutive relationship between qualitative research and pedagogy that imagines a more reflexive and socially just world. Through story, one comes to see an interplay between one's own experiences, one's own desires and one's community — I seek to focus that potential into an embodied pedagogy that highlights power and, as a result, holds all of us accountable for our own situated-ness in systems of power in ways that grant us potential places from which to enact change. Key in this discussion is a careful analytical point of view for seeing the world and a set of practices that work to imagine new ways of talking back.

scholarly journals Ultrasound Imaging of the Spine for Central Neuraxial Blockade: a Technical Description and Evidence Update

2021 ◽  
Author(s):  
Hari Kalagara ◽  
Harsha Nair ◽  
Sree Kolli ◽  
Gopal Thota ◽  
Vishal Uppal
Keyword(s):  
Ultrasound Imaging ◽  
Spine Surgery ◽  
Postoperative Analgesia ◽  
Spinal Deformity ◽  
Ultrasound Examination ◽  
Technical Difficulty ◽  
Vertebral Level ◽  
Reliable Technique ◽  
Neuraxial Blockade ◽  
Preprocedural Imaging

Abstract Purpose of Review This article describes the anatomy of the spine, relevant ultrasonographic views, and the techniques used to perform the neuraxial blocks using ultrasound imaging. Finally, we review the available evidence for the use of ultrasound imaging to perform neuraxial blocks. Recent Findings Central neuraxial blockade using traditional landmark palpation is a reliable technique to provide surgical anesthesia and postoperative analgesia. However, factors like obesity, spinal deformity, and previous spine surgery can make the procedure challenging. The use of ultrasound imaging has been shown to assist in these scenarios. Summary Preprocedural imaging minimizes the technical difficulty of spinal and epidural placement with fewer needle passes and skin punctures. It helps to accurately identify the midline, vertebral level, interlaminar space, and can predict the depth to the epidural and intrathecal spaces. By providing information about the best angle and direction of approach, in addition to the depth, ultrasound imaging allows planning an ideal trajectory for a successful block. These benefits are most noticeable when expert operators carry out the ultrasound examination and for patients with predicted difficult spinal anatomy. Recent evidence suggests that pre-procedural neuraxial ultrasound imaging may reduce complications such as vascular puncture, headache, and backache. Neuraxial ultrasound imaging should be in the skill set of every anesthesiologist who routinely performs lumbar or thoracic neuraxial blockade. We recommend using preprocedural neuraxial imaging routinely to acquire and maintain the imaging skills to enable success for challenging neuraxial procedures.

Can MRI pelvimetry predict the technical difficulty of laparoscopic rectal cancer surgery?

2021 ◽  
Author(s):  
Jonathan S. Y. Hong ◽  
Marie Shella De Robles ◽  
Chris Brown ◽  
Kilian G. M. Brown ◽  
Christopher J. Young ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Technical Difficulty ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery

scholarly journals Surgical Advances in Osteosarcoma

Cancers ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 388
Author(s):  
Marcus J. Brookes ◽  
Corey D. Chan ◽  
Bence Baljer ◽  
Sachin Wimalagunaratna ◽  
Timothy P. Crowley ◽  
...  
Keyword(s):  
Fluorescent Dyes ◽  
Imaging Techniques ◽  
Intraoperative Imaging ◽  
Survival Rates ◽  
Computer Navigation ◽  
Bone Cancer ◽  
Technical Difficulty ◽  
Implant Design ◽  
Patient Specific ◽  
Patient Specific Instruments

Osteosarcoma (OS) is the most common primary bone cancer in children and, unfortunately, is associated with poor survival rates. OS most commonly arises around the knee joint, and was traditionally treated with amputation until surgeons began to favour limb-preserving surgery in the 1990s. Whilst improving functional outcomes, this was not without problems, such as implant failure and limb length discrepancies. OS can also arise in areas such as the pelvis, spine, head, and neck, which creates additional technical difficulty given the anatomical complexity of the areas. We reviewed the literature and summarised the recent advances in OS surgery. Improvements have been made in many areas; developments in pre-operative imaging technology have allowed improved planning, whilst the ongoing development of intraoperative imaging techniques, such as fluorescent dyes, offer the possibility of improved surgical margins. Technological developments, such as computer navigation, patient specific instruments, and improved implant design similarly provide the opportunity to improve patient outcomes. Going forward, there are a number of promising avenues currently being pursued, such as targeted fluorescent dyes, robotics, and augmented reality, which bring the prospect of improving these outcomes further.

scholarly journals A Novel Method for the Complex Tube System Reconstruction and Measurement

Sensors ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 2207
Author(s):  
Xiang Guo ◽  
Xin Su ◽  
Yingtao Yuan ◽  
Tao Suo ◽  
Yan Liu
Keyword(s):  
Neural Network ◽  
Minimum Distance ◽  
Technical Difficulty ◽  
Industry Structure ◽  
Tube System ◽  
Simulation Experiments ◽  
Pipe System ◽  
System Reconstruction ◽  
Novel Method ◽  
Assembly Error

Pipe structures are at the base of the entire industry. In the industry structure, heat and vibration are transmitted in each pipe. The minimum distance between each pipe is significant to the security. The assembly error and the deformation of the pipeline positions after multiple runs are significant problems. The reconstruction of the multi-pipe system is a critical technical difficulty in the complex tube system. In this paper, a new method for the multi-pipes structure inspection is presented. Images of the tube system are acquired from several positions. The photogrammetry technology calculates positions, and the necessary coordination of the structure is reconstructed. A convolution neural network is utilized to detect edges of tube-features. The new algorithm for tube identification and reconstruction is presented to extract the tube feature in the image and reconstruct the 3D parameters of all tubes in a multi-pipes structure. The accuracy of the algorithm is verified by simulation experiments. An actual engine of the aircraft is measured to verify the proposed method.

Trends in Brachial Plexus Surgery: Characterizing Contemporary Practices for Exploration of Supraclavicular Plexus

Hand ◽  
2021 ◽  
pp. 155894472110146
Author(s):  
J. Ryan Hill ◽  
Steven T. Lanier ◽  
Liz Rolf ◽  
Aimee S. James ◽  
David M. Brogan ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Treatment Strategies ◽  
Technical Difficulty ◽  
Nerve Grafting ◽  
Structured Interviews ◽  
Lower Trunk ◽  
Nerve Transfers ◽  
Case Vignettes ◽  
Distal Nerve

Background There is variability in treatment strategies for patients with brachial plexus injury (BPI). We used qualitative research methods to better understand surgeons’ rationale for treatment approaches. We hypothesized that distal nerve transfers would be preferred over exploration and nerve grafting of the brachial plexus. Methods We conducted semi-structured interviews with BPI surgeons to discuss 3 case vignettes: pan-plexus injury, upper trunk injury, and lower trunk injury. The interview guide included questions regarding overall treatment strategy, indications and utility of brachial plexus exploration, and the role of nerve grafting and/or nerve transfers. Interview transcripts were coded by 2 researchers. We performed inductive thematic analysis to collate these codes into themes, focusing on the role of brachial plexus exploration in the treatment of BPI. Results Most surgeons routinely explore the supraclavicular brachial plexus in situations of pan-plexus and upper trunk injuries. Reasons to explore included the importance of obtaining a definitive root level diagnosis, perceived availability of donor nerve roots, timing of anticipated recovery, plans for distal reconstruction, and the potential for neurolysis. Very few explore lower trunk injuries, citing concern with technical difficulty and unfavorable risk-benefit profile. Conclusions Our analysis suggests that supraclavicular exploration remains a foundational component of surgical management of BPI, despite increasing utilization of distal nerve transfers. Availability of abundant donor axons and establishing an accurate diagnosis were cited as primary reasons in support of exploration. This analysis of surgeon interviews characterizes contemporary practices regarding the role of brachial plexus exploration in the treatment of BPI.

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