Corporal diagnostic work and diagnostic spaces: Clinicians' use of space and bodies during diagnosis

© 2015 The Authors. Sociology of Health & Illness © 2015 Foundation for the Sociology of Health & Illness/John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.An emerging body of literature in sociology has demonstrated that diagnosis is a useful focal point for understanding the social dimensions of health and illness. This article contributes to this work by drawing attention to the relationship between diagnostic spaces and the way in which clinicians use their own bodies during the diagnostic process. As a case study, we draw upon fieldwork conducted with a multidisciplinary clinical team providing deep brain stimulation (DBS) to treat children with a movement disorder called dystonia. Interviews were conducted with team members and diagnostic examinations were observed. We illustrate that clinicians use communicative body work and verbal communication to transform a material terrain into diagnostic space, and we illustrate how this diagnostic space configures forms of embodied 'sensing-and-acting' within. We argue that a 'diagnosis' can be conceptualised as emerging from an interaction in which space, the clinician-body, and the patient-body (or body-part) mutually configure one another. By conceptualising diagnosis in this way, this article draws attention to the corporal bases of diagnostic power and counters Cartesian-like accounts of clinical work in which the patient-body is objectified by a disembodied medical discourse.The Wellcome Trust (Wellcome Trust Biomedical Strategic Award 086034

The golden circle: A way of arguing and acting about technology in the London ambulance service

This paper analyses the way in which the London Ambulance Service recovered from the events of October 1992, when it implemented a computer-aided despatch system (LASCAD) that remained in service for less than two weeks. It examines the enactment of a programme of long-term organizational change, focusing on the implementation of an alternative computer system in 1996. The analysis in this paper is informed by actor-network theory, both by an early statement of this approach developed by Callon in the sociology of translation, and also by concepts and ideas from Latour’s more recent restatement of his own position. The paper examines how alternative interests emerged and were stabilized over time, in a way of arguing and acting among key players in the change programme, christened the Golden Circle. The story traces four years in the history of the London Ambulance Service, from the aftermath of October 1992 through the birth of the Golden Circle to the achievement of National Health Service (NHS) trust status. LASCAD was the beginning of the story, this is the middle, an end lies in the future, when the remaining elements of the change programme are enacted beyond the Golden Circle

Just how hot are the ω\omega Centauri extreme horizontal branch pulsators?

Past studies based on optical spectroscopy suggest that the five $\omega$ Cen pulsators form a rather homogeneous group of hydrogen-rich subdwarf O stars with effective temperatures of around 50 000 K. This places the stars below the red edge of the theoretical instability strip in the log $g$ $-$ Teff diagram, where no pulsation modes are predicted to be excited. Our goal is to determine whether this temperature discrepancy is real, or whether the stars' effective temperatures were simply underestimated. We present a spectral analysis of two rapidly pulsating extreme horizontal branch (EHB) stars found in $\omega$ Cen. We obtained Hubble Space Telescope/COS UV spectra of two $\omega$ Cen pulsators, V1 and V5, and used the ionisation equilibrium of UV metallic lines to better constrain their effective temperatures. As a by-product we also obtained FUV lightcurves of the two pulsators. Using the relative strength of the N IV and N V lines as a temperature indicator yields Teff values close to 60 000 K, significantly hotter than the temperatures previously derived. From the FUV light curves we were able to confirm the main pulsation periods known from optical data. With the UV spectra indicating higher effective temperatures than previously assumed, the sdO stars would now be found within the predicted instability strip. Such higher temperatures also provide consistent spectroscopic masses for both the cool and hot EHB stars of our previously studied sample.Comment: 9 pages, accepted for publication in Astronomy and Astrophysic

Two Lane Traffic Simulations using Cellular Automata

We examine a simple two lane cellular automaton based upon the single lane CA introduced by Nagel and Schreckenberg. We point out important parameters defining the shape of the fundamental diagram. Moreover we investigate the importance of stochastic elements with respect to real life traffic.Comment: to be published in Physica A, 19 pages, 9 out of 13 postscript figures, 24kB in format .tar.gz., 33kB in format .tar.gz.uu, for a full version including all figures see http://studguppy.tsasa.lanl.gov/research_team/papers

Scraping the Social? Issues in live social research

What makes scraping methodologically interesting for social and cultural research? This paper seeks to contribute to debates about digital social research by exploring how a ‘medium-specific’ technique for online data capture may be rendered analytically productive for social research. As a device that is currently being imported into social research, scraping has the capacity to re-structure social research, and this in at least two ways. Firstly, as a technique that is not native to social research, scraping risks to introduce ‘alien’ methodological assumptions into social research (such as an pre-occupation with freshness). Secondly, to scrape is to risk importing into our inquiry categories that are prevalent in the social practices enabled by the media: scraping makes available already formatted data for social research. Scraped data, and online social data more generally, tend to come with ‘external’ analytics already built-in. This circumstance is often approached as a ‘problem’ with online data capture, but we propose it may be turned into virtue, insofar as data formats that have currency in the areas under scrutiny may serve as a source of social data themselves. Scraping, we propose, makes it possible to render traffic between the object and process of social research analytically productive. It enables a form of ‘real-time’ social research, in which the formats and life cycles of online data may lend structure to the analytic objects and findings of social research. By way of a conclusion, we demonstrate this point in an exercise of online issue profiling, and more particularly, by relying on Twitter to profile the issue of ‘austerity’. Here we distinguish between two forms of real-time research, those dedicated to monitoring live content (which terms are current?) and those concerned with analysing the liveliness of issues (which topics are happening?)

Quantitative spectral analysis of the sdB star HD 188112: a helium-core white dwarf progenitor

HD 188112 is a bright (V = 10.2 mag) hot subdwarf B (sdB) star with a mass too low to ignite core helium burning and is therefore considered as a pre-extremely low mass (ELM) white dwarf (WD). ELM WDs (M $\le$ 0.3 Msun) are He-core objects produced by the evolution of compact binary systems. We present in this paper a detailed abundance analysis of HD 188112 based on high-resolution Hubble Space Telescope (HST) near and far-ultraviolet spectroscopy. We also constrain the mass of the star's companion. We use hybrid non-LTE model atmospheres to fit the observed spectral lines and derive the abundances of more than a dozen elements as well as the rotational broadening of metallic lines. We confirm the previous binary system parameters by combining radial velocities measured in our UV spectra with the already published ones. The system has a period of 0.60658584 days and a WD companion with M $\geq$ 0.70 Msun. By assuming a tidally locked rotation, combined with the projected rotational velocity (v sin i = 7.9 $\pm$ 0.3 km s$^{-1}$) we constrain the companion mass to be between 0.9 and 1.3 Msun. We further discuss the future evolution of the system as a potential progenitor of a (underluminous) type Ia supernova. We measure abundances for Mg, Al, Si, P, S, Ca, Ti, Cr, Mn, Fe, Ni, and Zn, as well as for the trans-iron elements Ga, Sn, and Pb. In addition, we derive upper limits for the C, N, O elements and find HD 188112 to be strongly depleted in carbon. We find evidence of non-LTE effects on the line strength of some ionic species such as Si II and Ni II. The metallic abundances indicate that the star is metal-poor, with an abundance pattern most likely produced by diffusion effects.Comment: Accepted for publication in A&

Actors and networks or agents and structures: towards a realist view of information systems

Actor-network theory (ANT) has achieved a measure of popularity in the analysis of information systems. This paper looks at ANT from the perspective of the social realism of Margaret Archer. It argues that the main issue with ANT from a realist perspective is its adoption of a `flat' ontology, particularly with regard to human beings. It explores the value of incorporating concepts from ANT into a social realist approach, but argues that the latter offers a more productive way of approaching information systems