Book review: Bigger on the inside, or maybe on the outside: Lindy Orthia, ed, Doctor Who and Race; Matt Hills, ed., New Dimensions of Doctor Who: Adventures in Space, Time and Television; Paul Booth, ed., Doctor Who: Fan Phenomena; and Iain MacRury and Mi

Review essay of four recent books on Doctor Wh

The Anthropocene unconscious: Climate anxieties in suburban SF

If the Anthropocene is the unconscious of the art, literature, and media of our time, then sf films that are not overtly about climate change will nonetheless express Anthropocenic concerns. In Marjorie Prime (2017), an intense inward focus on the domestic bourgeois subject replicates the defining foundational error of what Amitav Ghosh calls the “serious literary novel,” the feature that prevents it from properly addressing climate change. It ends with all the humans gone and three AI/holograms talking to each other against a backdrop of weird weather. The Tomorrow War (2021) establishes a series of parallels between alien invaders and climate change, but nonetheless unthinkingly depicts suburban life, a key driver of fossil fuel consumption, as a utopia to be preserved. In The Purge (DeMonaco 2013), the armored suburban home, situated within the context of settler colonialism, becomes a microcosm of the nation state in the era of climate destabilization

A Review of Virtual Reality Based Training Simulators for Orthopaedic Surgery

This review presents current virtual reality based training simulators for hip, knee and other orthopaedic surgery, including elective and trauma surgical procedures. There have not been any reviews focussing on hip and knee orthopaedic simulators. A comparison of existing simulator features is provided to identify what is missing and what is required to improve upon current simulators. In total 11 total hip replacement pre-operative planning tools were analysed, plus 9 hip trauma fracture training simulators. Additionally 9 knee arthroscopy simulators and 8 other orthopaedic simulators were included for comparison. The findings are that for orthopaedic surgery simulators in general, there is increasing use of patient-specific virtual models which reduce the learning curve. Modelling is also being used for patient-specific implant design and manufacture. Simulators are being increasingly validated for assessment as well as training. There are very few training simulators available for hip replacement, yet more advanced virtual reality is being used for other procedures such as hip trauma and drilling. Training simulators for hip replacement and orthopaedic surgery in general lag behind other surgical procedures for which virtual reality has become more common. Further developments are required to bring hip replacement training simulation up to date with other procedures. This suggests there is a gap in the market for a new high fidelity hip replacement and resurfacing training simulator

Social and professional influences on antimicrobial prescribing for doctors-in-training: a realist review.

Background: Antimicrobial resistance has led to widespread implementation of interventions for appropriate prescribing. However, such interventions are often adopted without an adequate understanding of the challenges facing doctors-in-training as key prescribers. Methods: The review followed a realist, theory-driven approach to synthesizing qualitative, quantitative and mixed-methods literature. Consistent with realist review quality standards, articles retrieved from electronic databases were systematically screened and analysed to elicit explanations of antimicrobial prescribing behaviours. These explanations were consolidated into a programme theory drawing on social science and learning theory, and shaped though input from patients and practitioners. Results: By synthesizing data from 131 articles, the review highlights the complex social and professional dynamics underlying antimicrobial prescribing decisions of doctors-in-training. The analysis shows how doctors-in-training often operate within challenging contexts (hierarchical relationships, powerful prescribing norms, unclear roles and responsibilities, implicit expectations about knowledge levels, uncertainty about application of knowledge in practice) where they prioritize particular responses (fear of criticism and individual responsibility, managing one's reputation and position in the team, appearing competent). These complex dynamics explain how and why doctors-in-training decide to: (i) follow senior clinicians' prescribing habits; (ii) take (or not) into account prescribing aids, advice from other health professionals or patient expectations; and (iii) ask questions or challenge decisions. This increased understanding allows for targeted tailoring, design and implementation of antimicrobial prescribing interventions. Conclusions: This review contributes to a better understanding of how antimicrobial prescribing interventions for doctors-in-training can be embedded more successfully in the hierarchical and inter-professional dynamics of different healthcare settings

Atrocity exhibition

Review of named fil