Discussion Formats for Addressing Emotions: Implications for Social-Emotional Learning

Scholars of Social and Emotional Learning (SEL) advocate discussion as a promising instructional method yet rarely specify how such discussions should be conducted. Facilitating classroom discussions is highly challenging, particularly about emotions. Furthermore, the SEL literature contains contradictory discursive imperatives; it typically overlooks the gaps between students’ and teachers’ emotional codes and how these codes are shaped by culture, class, and gender. The current study explores different ways in which teachers facilitate classroom dialogue about emotions. We analyze data drawn from a two-year ethnographic study conducted as part of a design-based implementation research project aimed at fostering productive dialogue in primary language arts classrooms, looking in particular at two lessons centered around a story about crying. We found two different interactional genres for discussions about emotions: (1) inclusive emotional dialogue, in which students share emotions experienced in their everyday lives; (2) emotional inquiry, in which students explore emotions, their expressions, and their social meanings. Both types of discussion generated informative exchanges about students’ emotions. Yet the discussions also put the teacher and students in challenging positions, often related to the need to navigate between contradictory discursive norms and emotional codes

Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries

Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide.Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters.Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries.Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)