Surveillance and alienation in the online economy

The critical literature on commercial monitoring and so-called ‘free labour’ (Terranova 2000) locates exploitation in realms beyond the workplace proper, noting the productivity of networked activity including the creation of user-generated-content and the profitability of commercial sites for social networking and communication. The changing context of productivity in these realms, however, requires further development of a critical concept of exploitation. This article defines exploitation as the extraction of unpaid, coerced, and alienated labour. It considers how such a definition might apply to various forms of unpaid but profit-generating online activity, arguing that commercial monitoring redoubles the conscious, intentional activity of users in ways that render it amenable to a critique of exploitation. Given the role of commercial monitoring in the emerging online economy, the paper emphasizes the importance of supplementing privacy critiques with approaches that identify the ways in which new forms of surveillance represent a form of power that seeks to manage and control consumer behaviour

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

Surveillance in the digital enclosure

Popular portrayals of ubiquitous computing downplay the surveillance implications of emerging forms of networked interactivity. This essay supplements such accounts by analyzing interactive spaces as digital enclosures which restrict access to the means of interaction to those who “freely” submit to the detailed forms of monitoring that take place within them. It supplements privacy-based critiques of surveillance with questions about the ownership and control of such data and the implications of this control for networked communication

The kinder, gentler gaze of Big Brother: reality TV in the era of digital capitalism

Surveillance-based reality television has emerged as a resurgent programming genre in the US and Western Europe during a time when the online economy is becoming increasingly reliant upon surveillance as a form of economic exploitation. The portrayal of surveillance through 'reality TV' as a form of entertainment and self-expression can thus be understood as playing an important role in training viewers and consumers for their role in an 'interactive' economy. This article relies on interviews with cast members and producers of MTV's popular reality show 'Road Rules', to explore the form of subjectivity that corresponds to its implicit definition of 'reality'. This form of subjectivity reinforces the promise of the interactive economy to democratize production by relinquishing control to consumers and viewers. Surveillance is portrayed not as a form of social control, but as the democratization of celebrity - a fact that has disturbing implications for the democratic potential of the internet's interactive capability