Breaching Of Boundaries Research Articles

Long Day’s Journey Into Night

Long Day’s Journey Into Night

Influential factors of intercity patient mobility and its network structure in China

Intercity patient mobility reflects the geographic mismatch between healthcare resources and the population, and has rarely been studied with big data at large spatial scales. In this paper, we investigated the patterns of intercity patient mobility and factors influencing this behavior based on >4 million hospitalization records of patients with chronic kidney disease in China. To provide practical policy recommendations, a role identification framework informed by complex network theory was proposed considering the strength and distribution of connections of cities in mobility networks. Such a mobility network features multiscale community structure with “universal administrative constraints and a few boundary breaches”. We discovered that cross-module visits which accounted for only 20 % of total visits, accounted for >50 % of the total travel distance. The explainable machine learning modeling results revealed that distance has a power-law-like effect on flow volume, and high-quality healthcare resources are an important driving factor. This paper provides not only a methodological reference for patient mobility studies but also valuable insights into public health policies. • More than 4 million multi-year mobility records from a national database were investigated. • The distribution of travel distance of patients differs from the results of general human mobility studies. • The network features multiscale community structure with “universal administrative constraints and a few boundary breaches”. • An identification framework was proposed to understand cities’ roles in the mobility network. • The explainable AI model revealed that distance and high-quality healthcare resources are two critical factors.

Victorian materialisms: approaching nineteenth-century matter

ABSTRACT In this introduction to the special issue Victorian Materialisms, the authors review the material turn in cultural and literary studies, foregrounding the necessity of more historical nuance. While new materialist accounts tend to stress the post-Enlightenment persistence of dualistic oppositions between nature and culture, humans and nonhumans, body and mind, the editors of this special issue argue that Victorian conceptions of matter reveal a wide range of materialisms that anticipate current new materialist interventions. Closer attention to nineteenth-century cultural, literary, philosophical, and scientific approaches to matter, the authors submit, uncovers not just anxiety about boundary breaches, but a widespread interest in material agency and the entanglement of animal, chemical, human, plant, and inorganic matter. The introduction suggests that a broader enquiry into Victorian materialisms beyond canonical figures and texts helps recuperate the pervasiveness and mundaneness of Victorian engagements with matter and material agency.

Breaching Boundaries in Muslim and Christian Tourism from Indonesia to Israel and Palestine

AbstractStudies on tourism and pilgrimage show that spatial mobility, including transregional travel, mostly confirms and strengthens tourists’ and pilgrims’ social identities and symbolic boundaries between Self and Other. However, in guided religious package tours from Indonesia to Israel and Palestine, experiences with spatial boundaries do affect the Muslim and Christian pilgrims, adding more nuances to socio-cultural boundary-making. This complex making and breaching of boundaries relates to inner-Indonesian religious dynamics. Among both Muslim and Christian Indonesians, references to the Middle East express not only transregional solidarity but also multifarious orientations in inter and intra-religious relations within Indonesia. Among Indonesian Muslims, some orthodox Muslims’ orientations towards the Middle East as the birthplace of Islam are contested but also combined with indigenous Islamic traditions. Similar to these intra-Muslim frictions, members of Indonesia's Christian minority experience fissures in the expressions of local and global Christian identities. This article analyses how symbolic, social, and spatial boundaries are maintained and breached in transregional tourism from Indonesia to the Middle East.

Complaint risk among mental health practitioners compared with physical health practitioners: a retrospective cohort study of complaints to health regulators in Australia

ObjectivesTo understand complaint risk among mental health practitioners compared with physical health practitioners.DesignRetrospective cohort study, using incidence rate ratios (IRRs) to analyse complaint risk and a multivariate regression model to...

Asbestos

AbstractAsbestos is a fibrous mineral. Airborne asbestos—similar to nuclear radiation and chemical atmospheric pollutants—is invisible to the naked eye, and living and breathing alongside it has deferred toxic effects on human bodies. The toxicity of asbestos operates by breaching the boundary that appears to separate the insides of our bodies from our outward environments. Asbestos attests to the fact that the human does not just touch the nonhuman, culture does not just touch nature, but the boundaries between them operate within a framework of trans-corporeality, viscous porosity, and reciprocal interpenetration. In this article the author examines the history and materiality of asbestos to theorize toxic embodiment through the mutuality of the haptic sense and the breaching of boundaries of inside and outside. The author develops this through an analysis of her own film project Asbestos (2016), shot at the mining town of Asbestos, Quebec, mobilizing a discussion of haptic visuality to theorize toxic embodiment in its relationship to reciprocity, vulnerability, and responsibility. In the case of asbestos, the boundary of inside and outside traverses a series of unfolding scales: from the boundedness of a single cell, to a single organism encased in skin, to a body enclosed in a hazmat suit, to architecture and surrounding space, city and hazardous-waste landfill site, contaminated and safe, local and global. Asbestos shows that there is no spatial or temporal “outside” in which to deposit toxic materials, and that being an embedded part of the environment means there is no “outside” to either vulnerability or responsibility.

From power struggle to benevolent authority and empathic limit-setting: Creating inclusive school practice with excluded students through action research

Teachers face a dilemma in setting limits and establishing boundaries with excluded students, who often exhibit extremely disruptive behavior that cannot be ignored or condoned. Since limit-setting through threats, sanctions, punishment, or expulsion simply reinforces the cycle of exclusion, the alternative approach presented here is to treat the breaching of boundaries as a developmental rather than a moral issue. Benevolent authority and empathic limit-setting, which lie at the core of this method, involve understanding and tending to the needs of the young person while at the same time clearly defining the necessary boundaries and positively reinforcing students for maintaining them. The transition from power struggle to empathic limit-setting entails both a turning point in which problematic incidents are essentially reframed, and emotional awareness on the part of teachers of their own inner turmoil in response to such situations. To the extent that teachers can exercise their authority without punishing or humiliating their students, they provide a holding environment in which excluded students feel stable and secure enough to develop their own internal authority. This paper is based on action research carried out with teachers in an MEd program in inclusive education at the Oranim Academic College of Education in Israel.

Occupation as refrain: territory and beyond in Occupy London

Emerging with the wider ‘movements of the squares’ of 2011, Occupy London was defined by occupation, and by participants’ negotiation of what occupation meant. Its forms and meanings changed as London’s Occupiers moved between occupied sites, through uprootings by eviction, and into post-eviction attempts to extend Occupy’s territorial politics without the camps. This paper builds on three years of ethnography to consider occupation as an unfolding process, using Deleuze and Guattari’s concept of the ‘refrain’. This describes territory in three ‘moments’: the marking of a fragile centre; the stabilization of a bounded ‘home’; and the breaching of boundaries, extending in progressive directions. This rubric is used to analyze London’s occupations, and their defining tension, between an expansive desire to ‘Occupy Everywhere’ – connecting to the wider ‘99 percent’ – and the tendency to become embedded in the protest camp ‘home’. The features of ‘home’ are analyzed using Foucault’s concept of ‘heterotopia’, highlighting an alterity with ambivalent consequences for Occupy’s project. The paper argues that despite a desire to ‘deterritorialize’ occupation, Occupy London stalled in the moment of ‘home’, a consequence of the camp’s status as the ‘common ground’ of an often disparate movement, and the reduction of productive capacities characterizing Occupy’s terminal downswing.

BREACHING THE SEXUAL BOUNDARIES IN THE DOCTOR-PATIENT RELATIONSHIP: SHOULD ENGLISH LAW RECOGNISE FIDUCIARY DUTIES?

In this article, I argue that sexual exploitation in the doctor-patient relationship would be dealt with more appropriately by the law in England and Wales on the basis of a breach of fiduciary duty. Three different types of sexual boundary breaches are discussed, and the particular focus is on breaches where the patient's consent is obtained through inducement. I contend that current avenues of redress do not clearly catch this behaviour and, moreover, they fail to capture the essence of the wrong committed by the doctor-the knowing breach of trust for self-gain-and the calculated way in which consent is induced. Finally, I demonstrate that the fiduciary approach is compatible with the contemporary pro-patient autonomy model of the doctor-patient relationship.

Understanding "revolving door" patients in general practice: a qualitative study.

Background‘Revolving door’ patients in general practice are repeatedly removed from general practitioners’ (GP) lists. This paper reports a qualitative portion of the first mixed methods study of these marginalised patients.MethodsWe conducted qualitative semi-structured interviews with six practitioner services staff and six GPs in Scotland, utilizing Charmazian grounded theory to characterise ‘revolving door’ patients and their impact from professionals’ perspectives.Results‘Revolving door’ patients were reported as having three necessary characteristics; they had unreasonable expectations, exhibited inappropriate behaviours and had unmet health needs. A range of boundary breaches were reported too when ‘revolving door’ patients interacted with NHS staff.ConclusionsWe utilise the ‘sensitising concepts’ of legitimacy by drawing on literature about ‘good and bad’ patients and ‘dirty work designations.’ We relate these to the core work of general practice and explore the role that medical and moral schemas have in how health service professionals understand and work with ‘revolving door’ patients. We suggest this may have wider relevance for the problem doctor patient relationship literature.

“Fox Tots Attack Shock”: Urban Foxes, Mass Media and Boundary-Breaching

On June 7, 2010, UK media outlets reported that 9-month-old twins living in East London had been rushed to hospital following a “suspected fox attack”: the babies had been seriously injured. This story received sustained coverage for several months, and became the focus of debate over the behavior of urban foxes, and how they and humans should coexist. Using textual analysis to unravel the various discourses surrounding this moment, this paper discusses how the incident became such a prominent “media event.” Alongside the contexts of the “silly season” and a period of political transition, we argue that this incident breached a series of spatial boundaries that many societies draw between people and the “natural world,” from the “safest space” of a child's cot, to the categorizations made about animals themselves. We discuss the consequences of such boundary breaches, pointing to a deep confusion over the assignment of responsibility for, and expertise about, the figure of the “urban fox.”

Nanoethics and the Breaching of Boundaries: A Heuristic for Going from Encouragement to a Fuller Integration of Ethical, Legal and Social Issues and Science

The intersection of ELSI and science forms a complicated nexus yet their integration is an important goal both for society and for the successful advancement of science. In what follows, I present a heuristic that makes boundary identification and crossing an important tool in the discovery of potential areas of ethical, legal, and social concern in science. A dynamic and iterative application of the heuristic can lead towards a fuller integration and appreciation of the concerns of ELSI and of science from both sides of the divide.

Algorithmic network monitoring for a modern water utility: a case study in Jerusalem

We report on the design, deployment, and use of TaKaDu, a real-time algorithmic Water Infrastructure Monitoring solution, with a strong focus on water loss reduction and control. TaKaDu is provided as a commercial service to several customers worldwide. It has been in use at HaGihon, the Jerusalem utility, since mid 2009. Water utilities collect considerable real-time data from their networks, e.g. by means of a SCADA system and sensors measuring flow, pressure, and other data. We discuss how an algorithmic statistical solution analyses this wealth of raw data, flexibly using many types of input and picking out and reporting significant events and failures in the network. Of particular interest to most water utilities is the early detection capability for invisible leaks, also a means for preventing large visible bursts. The system also detects sensor and SCADA failures, various water quality issues, DMA boundary breaches, unrecorded or unintended network changes (like a valve or pump state change), and other events, including types unforeseen during system design. We discuss results from use at HaGihon, showing clear operational value.

The Justice of Jurisdiction: The Policing and Breaching of Boundaries in Orson Welles's Touch of Evil

Research Article| September 01 2010 The Justice of Jurisdiction: The Policing and Breaching of Boundaries in Orson Welles's Touch of Evil Austin Sarat; Austin Sarat Amherst College adsarat@amherst.edu Austin Sarat is William Nelson Cromwell Professor of Jurisprudence and Political Science at Amherst College and Justice Hugo L. Black Visiting Senior Scholar at the School of Law, University of Alabama. He is the author or editor of more than 70 books. He is currently writing a book titled Hollywood's Law: Film, Fatherhood, and the Legal Imagination. Search for other works by this author on: This Site Google Martha Merrill Umphrey Martha Merrill Umphrey Amherst College mmumphrey@amherst.edu Martha Merrill Umphrey is professor of law, jurisprudence, and social thought at Amherst College. Her research sits generally at the intersection of law, culture, and American studies in the late nineteenth and twentieth centuries. Search for other works by this author on: This Site Google English Language Notes (2010) 48 (2): 111–128. https://doi.org/10.1215/00138282-48.2.111 Cite Icon Cite Share Icon Share Facebook Twitter LinkedIn MailTo Permissions Search Site Citation Austin Sarat, Martha Merrill Umphrey; The Justice of Jurisdiction: The Policing and Breaching of Boundaries in Orson Welles's Touch of Evil. English Language Notes 1 September 2010; 48 (2): 111–128. doi: https://doi.org/10.1215/00138282-48.2.111 Download citation file: Zotero Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search Books & JournalsAll JournalsEnglish Language Notes Search Advanced Search The text of this article is only available as a PDF. Copyright © 2010 Regents of the University of Colorado2010 Article PDF first page preview Close Modal You do not currently have access to this content.

Modelling of HTR Confinement Behaviour during Accidents Involving Breach of the Helium Pressure Boundary

Development of HTRs requires the performance of a thorough safety study, which includes accident analyses. Confinement building performance is a key element of the system since the behaviour of aerosol and attached fission products within the building is of an utmost relevance in terms of the potential source term to the environment. This paper explores the available simulation capabilities (ASTEC and CONTAIN codes) and illustrates the performance of a postulated HTR vented confinement under prototypical accident conditions by a scoping study based on two accident sequences characterized by Helium Pressure Boundary breaches, a small and a large break. The results obtained indicate that both codes predict very similar thermal‐hydraulic responses of the confinement both in magnitude and timing. As for the aerosol behaviour, both codes predict that most of the inventory coming into the confinement is eventually depleted on the walls and only about 1% of the aerosol dust is released to the environment. The crosscomparison of codes states that largest differences are in the intercompartmental flows and the in‐compartment gas composition.

Opening a debate on personal boundaries and work with sex offenders: A personal view of a clinical supervisor

As a clinical supervisor of employees working in prisons conducting rehabilitation programmes with offenders, I frequently encounter situations where personal boundaries are breached. This paper discusses the types of boundary breaches that may occur in work with sex offenders and why, and suggests ways in which individuals and teams can guard against breaches. Accepting that the possibility of boundary breaches exists for everyone, and providing awareness education of how they occur can assist in reducing them. Once they occur, the consequences can be devastating, ranging from embarrassment and unwanted publicity to loss of career and criminal convictions.

Managing ambiguity and danger in an intensive therapy unit: ritual practices and sequestration

This paper reports on a particular aspect of a larger ethnographic study of nursing culture in an intensive therapy unit (ITU), accomplished through participant observation over a 12-month period, followed by interviews with 15 nurses. The paper suggests that the ITU environment is perceived as 'dangerous', its dangerousness stemming from the ambiguity of its patients' conditions. Drawing on anthropological concepts of liminality, pollution, anomaly and breaching of boundaries, the paper identifies various ambiguities inherent in ITU patients' conditions. It then explores the ways in which these anomalies are managed through sequestration and other ritual and symbolic practices. Notwithstanding the undoubted scientific reasons for particular nursing practices, the paper argues that there are also ritual and symbolic elements serving other more complex purposes, both protecting patients and staff and symbolising the highly valued phenomenon of keeping patients safe. The paper identifies a contradiction inherent in nursing work in this locale inasmuch as rituals and symbolism coexist with technical and research-based elements of nursing care.

Filth

filth

Public Intimacy in Neighbour Relationships and Complaints

This paper examines neighbour relationships as an example of non-familial intimacy. It focuses on the way disputes between neighbours often hinge on notions of obtrusive public intimacy, in which the sights and sounds of normatively private domestic lives become sources of complaint. The analyses are based on approximately 150 hours of naturally-occurring interaction with neighbours including telephone calls to mediation centres, environmental health departments and anti-social behaviour units, neighbour mediation interviews, police-suspect interrogations in neighbour crime, and neighbour issues broadcast on television and radio. It was found that while the neighbours maintain good relations at the edges of private spaces, the physical arrangements of domestic properties, with their shared boundaries, means that personal information can be transmitted and observed as a routine matter of course. Disputes often have their basis in the illegitimate breach of boundaries, and in the unwanted and unavoidable receipt of the sights and sounds of other people's intimate lives.

Sexual boundaries in the relationship between clients and clinicians practising sexology in the UK

A survey was carried out with the collaboration of seven European countries to identify clinicians working within the field of sexual and psychosexual medicine, and to gain insight into the varied practices of physicians, psychologists, nurses and therapists in this area. In the UK a questionnaire was sent to 2352 potential practitioners working in the field of human sexuality, of which 814 responded detailing their training, professional practice and opinions about sexology. Clinicians were categorised by their initial training as either physicians or non-physicians. A total of 279 physicians responded and 535 non-physicians. One area of investigation was the relationship between clients and their doctor or therapist, exploring the extent to which boundaries and in particular sexual boundaries are appropriately maintained. This paper seeks to explore the issues surrounding breach of boundaries by therapists and doctors working in sexology, including our findings on the extent to which various sexual practices or clients' sexual experiences have made clinicians feel uncomfortable.