Between Two Messiahs: An Ethnography of Settler-Colonizers in the West Bank

This dissertation is a study of settler-colonialism. Based on fieldwork among Jewish settlers in the West Bank, it analyzes from an anthropological perspective how a settler-colonial process takes place. Officially, since the signing of the Oslo Accords, with few exceptions, Israel ceased to build new settlements in the West Bank. But, on the ground, from the 1990s onwards, the West Bank hinterland was scattered with over 150 illegal outposts, strategically constructed to appropriate as much land as possible. Often established on remote hilltops, the illegal outposts are the central tool today in appropriating Palestinian land, and the “outpost people” who reside in them, are considered the most radical settlers of all. For this research, I moved to one of these frontier outposts which I pseudonymously refer to as Ma’ale Eliya. Located at the edge of the Judean Desert, I stayed in the community for an overall period of almost two years. On one level, at the center of this research is an investigation of how a settler-colonial project expands: I explicate the settler-colonial know-how by which settlers appropriate land against indigenous resistance, the different challenges they face, and the internal conflicts and desires that shape their colonial endeavor. I make the case that these days, at the heart of the advancement of the West Bank settlement project is a sense of crisis and a set of contradictions that paradoxically propel the colonial process forward. On a second level, by focusing on a particular strand of what I discovered to be “post-messianic” settlers, this dissertation investigates the conditions of political action in the aftermath of ideological and religious rupture. My main argument is that rather than wholehearted beliefs, the generation of outpost settlers is animated to colonial action precisely from a sense of ideological retreat. In analyzing this dynamic of post-ideological radicalism, in addition to being about settler-colonialism, this research is also about political action in an age when master narratives lose their mastery

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

High Incidence of Obstetric Anal Sphincter Injuries among Immigrant Women of Asian Ethnicity

(1) Background: Obstetric anal sphincter injuries (OASI) may complicate vaginal deliveries. The aim of the present study was to explore the incidence and clinical characteristics of OASI among Asian women living in a Western country compared to local Caucasian women. (2) Methods: A retrospective cohort study of 380 women diagnosed with OASI, following singleton vaginal deliveries, during a 10-year period (January 2011 to December 2020). Exclusion criteria: age < 18 years, stillbirth, and breech presentation. Demographic, clinical, and obstetrical data were obtained, and a comparison between Asian and Caucasian women was performed. (3) Results: There were 35 cases of OASI among 997 women of Asian ethnicity compared to 345 cases of OASI among 86,250 Caucasian women (3.5% vs. 0.4%, respectively, p < 0.001). Asian women endured a significantly higher rate of fourth-degree OASI (17.1%) even though they bore smaller newborns (3318 g vs. 3501 g, p = 0.004), and birth weights rarely exceeded 3800 g (2.8% vs. 25.8%, p < 0.001). Asian ethnicity was also associated with a significantly higher risk for blood transfusion following OASI and a lower tendency for postpartum follow up. (4) Conclusions: Immigrant women of Asian ethnicity had a nine-fold higher rate of OASI, much higher than previously reported. Furthermore, Asian women had higher rates of fourth-degree OASI

Challenging the stubborn core of opposition to equality: racial contact and policy attitudes

A Random Digit Dialing survey (n=794) examined the interracial contact experiences and racial attitudes of White South Africans. The survey measured racial attitudes not only in terms of individuals' prejudice, but also in terms of their perceptions of group threat, perceived injustice, and support for various government policies designed to rectify the legacy of apartheid. The results indicated that the frequency and quality of interracial contact predicted Whites' support for both race compensatory and race preferential policies of redress, and these effects were partly mediated by perceived threat, sense of fairness, and racial prejudice. The research points to a potential rapprochement between the social psychological theories of intergroup contact and group positioning theories derived from the work of Blumer. It also highlights the value of adopting a more expansive and politically nuanced conception of the “consequences” of contact and desegregation