Un plus un fait un : Im/mobilités dans le film Incendies

Le film dramatique Incendies (2010) de Denis Villeneuve peut initier et complexifier une discussion approfondie sur la tension entre la mobilité et l’immobilité dans le cinéma mondial tout en traitant des tensions entre la convivialité et le conflit, le pardon et la vengeance, la diaspora et l’exil. Le présent article soutient que la tension et l’extension d’une oscillation, capturées par le terme im/mobilité, dominent le film à de multiples niveaux. Par conséquent, la représentation et l’utilisation par le film des im/mobilités physiques, psychologiques, émotionnelles et mathématiques, ainsi que socioculturelles, politiques et cinématographiques, sont examinées en détail. Alors que l’accent mis sur l’im/mobilité permet de découvrir des strates de ce film qui restent habituellement couvertes par une histoire extrêmement difficile à digérer, l’utilisation par le film de la tension et l’oscillation de l’im/mobilité donne des indications importantes sur son potentiel dramaturgique, politique, esthétique et cinématographique

One Plus One Makes One: Im/mobilities in Incendies (English version)

The dramatic film Incendies (2010) by Denis Villeneuve initiates and complexifies a discussion of the tension between mobility and immobility that is linked to tensions between conviviality and conflict, forgiveness and revenge, diaspora and exile. The present article argues that the tension and extension of an oscillating in-between captured by the term im/mobility pervades the film on multiple levels. Consequently, the film’s portrayal and use of physical, psychological, emotional, mathematical, cultural, and political - but also cinematographic - im/mobilities are discussed in detail. While the focus on im/mobility allows us to uncover layers of this film that usually remain covered by a story that is extremely hard to digest, the film’s use of the tension and oscillation of im/mobility offers important insights into its dramaturgic, political, aesthetic, and cinematographic potential

"On Sensing Island Spaces and the Spatial Practice of Island-Making: Introducing Island Poetics, Part I"

This two-part paper, co-authored by the members of the Island Poetics Research Group, introduces a larger project on the poetic construction of islands in island fictions across media, genres, and geographical regions. Traditional island scholarship tends to discuss islands as tropes for a set of preconceived and fixed meanings (such as isolation, imprisonment, paradise, remoteness, etc.) and thus often bypasses the complex poetic processes through which islands come to be in literary texts. Our intervention in the debate seeks to offer a precise analysis of the practices and operations through which islands are conceived and reconceived. The two parts of this paper examine different modes of island (re)conception in 20th- and 21st-century island fiction. They discuss fictional islands as particularly mobile spatial figures that raise the question of what an island is, refusing to offer easy answers and allowing for a reconsideration of the role of islands in contemporary discourse. Against potentially essentialist accounts of what islands ‘are’ and ‘mean’, our close readings of key moments within island narratives engage with the processes through which island spaces are constructed in different media. In this first part, we develop a phenomenology of fictional islands that focuses on the ways in which island topographies are constructed through the senses and through spatial practices. In our analysis, islands emerge through sight, sound, taste, smell, and touch (and frequently a confluence of these sensory experiences) or they are (re)conceived through the movements across and/or interaction with their topography

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

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

[Rezension zu:] Pacific Insularity. Imaginary Geography of Insular Spaces in the Pacific. Michael Heitkemper-Yates/Thomas Schwarz [Ed.]. Tokyo: Rikkyo University Press, 2021. 296 p.

Rezension zu Pacific Insularity. Imaginary Geography of Insular Spaces in the Pacific. Michael Heitkemper-Yates/Thomas Schwarz [Ed.]. Tokyo: Rikkyo University Press, 2021. 296 p

"Island Metapoetics and Beyond: Introducing Island Poetics, Part II"

This is the second part of a two-part paper co-authored by the members of the Island Poetics Research Group, which introduces a larger project on the poetic construction of islands in island fictions across media, genres, and geographical regions. Traditional island scholarship tends to discuss islands as tropes for a set of often preconceived and fixed meanings (such as isolation, imprisonment, paradise, remoteness, etc.) and thus often bypasses the complex poetic processes through which islands come to be in literary texts. Our intervention in the debate seeks to offer a precise analysis of the practices and operations through which islands are conceived and reconceived. The two parts of this paper examine different modes of island (re)conception in 20th- and 21st-century island fiction. They discuss fictional islands as particularly mobile spatial figures that raise the question of what an island is, refusing to offer easy answers and allowing for a reconsideration of the role of islands in contemporary discourse. Against potentially essentialist accounts of what islands ‘are’ and ‘mean’, our close readings of key moments within island narratives engage with the processes through which island spaces are constructed in different media. Part II engages more deeply with the textures of the media themselves in order to analyze the ways in which island metapoetics implicitly or explicitly exposes the processes of island construction. The article ends with a discussion of how island narratives can draw attention to and resist their own conceptions of islandness and thus interrogate the very object of island studies