Photography as an act of collaboration

The camera is usually considered to be a passive tool under the control of the operator. This definition implicitly constrains how we use the medium, as well as how we look at – and what we see in – its interpretations of scenes, objects, events and ‘moments’. This text will suggest another way of thinking about – and using – the photographic medium. Based on the evidence of photographic practice (mine and others’), I will suggest that, as a result of the ways in which the medium interprets, juxtaposes and renders the elements in front of the lens, the camera is capable of depicting scenes, events and moments that did not exist and could not have existed until brought into being by the act of photographing them. Accordingly, I will propose that the affective power of many photographs is inseparable from their ‘photographicness’ – and that the photographic medium should therefore be considered as an active collaborator in the creation of uniquely photographic images

Critical systems heuristics

Critical systems heuristics (CSH) is a framework for reflective professional practice organised around the central tool of boundary critique. This paper, written jointly by the original developer, Werner Ulrich, and Martin Reynolds, an experienced practitioner of CSH, offers a systematic introduction to the idea and use of boundary critique. Its core concepts are explained in detail and their use is illustrated by means of two case studies from the domain of environmental planning and management. A particular focus is on working constructively with tensions between opposing perspectives as they arise in many situations of professional intervention. These include tensions such as ‘situation’ versus ‘system’, ‘is’ versus ‘ought’ judgements, concerns of ‘those involved’ versus ‘those affected but not involved’, stakeholders’ ‘stakes’ versus ‘stakeholding issues’, and others. Accordingly, boundary critique is presented as a participatory process of unfolding and questioning boundary judgements rather than as an expert-driven process of boundary setting. The paper concludes with a discussion of some essential skills and considerations regarding the practice of boundary critique. Parts of the account of the NRUA-Botswana study in Section 6.2 of the present paper are reproduced from an earlier publication by one of the authors (Reynolds 2007); we are grateful to the publishers of Edge Press, Point Reyes, CA, for granting us permission to reproduce this material. We do not need the systems concept at all if we are not interested in handling systems boundaries critically

Fluid challenges in intensive care: the FENICE study A global inception cohort study

Fluid challenges (FCs) are one of the most commonly used therapies in critically ill patients and represent the cornerstone of hemodynamic management in intensive care units. There are clear benefits and harms from fluid therapy. Limited data on the indication, type, amount and rate of an FC in critically ill patients exist in the literature. The primary aim was to evaluate how physicians conduct FCs in terms of type, volume, and rate of given fluid; the secondary aim was to evaluate variables used to trigger an FC and to compare the proportion of patients receiving further fluid administration based on the response to the FC.This was an observational study conducted in ICUs around the world. Each participating unit entered a maximum of 20 patients with one FC.2213 patients were enrolled and analyzed in the study. The median [interquartile range] amount of fluid given during an FC was 500 ml (500-1000). The median time was 24 min (40-60 min), and the median rate of FC was 1000 [500-1333] ml/h. The main indication for FC was hypotension in 1211 (59 %, CI 57-61 %). In 43 % (CI 41-45 %) of the cases no hemodynamic variable was used. Static markers of preload were used in 785 of 2213 cases (36 %, CI 34-37 %). Dynamic indices of preload responsiveness were used in 483 of 2213 cases (22 %, CI 20-24 %). No safety variable for the FC was used in 72 % (CI 70-74 %) of the cases. There was no statistically significant difference in the proportion of patients who received further fluids after the FC between those with a positive, with an uncertain or with a negatively judged response.The current practice and evaluation of FC in critically ill patients are highly variable. Prediction of fluid responsiveness is not used routinely, safety limits are rarely used, and information from previous failed FCs is not always taken into account

What is information? Toward a theory of information as objective and veridical

Information systems are a strong and ever-growing discipline of enormous relevance to today’s informated world, and yet, as recent reviews have shown, there is still not an agreed and explicit conceptualization or definition of information. After an evaluative review of a range of theories of information, this paper develops and defends a particular theory, one that sees information as both objective and veridical. By objective, we mean that the information carried by signs and messages exists independently of its receivers or observers. The information carried by a sign exists even if the sign is not actually observed. By veridical, we mean that information must be true or correct in order to be information – information is truth-constituted. False information is not information, but misinformation or disinformation. The paper develops this theory and then discusses four contentious issues – information as objective rather than subjective; information as true or correct; information and knowledge; and information and the ambiguity of meaning. It concludes with a discussion of the practical implications of the theory