26 research outputs found

    Enactments of a Minor Inquiry

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    In this article, we map conditions and enactments for a new plane of inquiry, what Mazzei named a minor inquiry. Informed by our collective thinking with Deleuze and Guattari’s discussion of a minor literature and its attendant characteristics, deterritorialization, political immediacy, and collective assemblage of enunciation, we present the conditions for inquiry on this new plane, provide enactments from our individual projects, and conclude with incitements for escaping the dogma of prescribed method

    Genetic mechanisms of critical illness in COVID-19.

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    Host-mediated lung inflammation is present1, and drives mortality2, in the critical illness caused by coronavirus disease 2019 (COVID-19). Host genetic variants associated with critical illness may identify mechanistic targets for therapeutic development3. Here we report the results of the GenOMICC (Genetics Of Mortality In Critical Care) genome-wide association study in 2,244 critically ill patients with COVID-19 from 208 UK intensive care units. We have identified and replicated the following new genome-wide significant associations: on chromosome 12q24.13 (rs10735079, P = 1.65 × 10-8) in a gene cluster that encodes antiviral restriction enzyme activators (OAS1, OAS2 and OAS3); on chromosome 19p13.2 (rs74956615, P = 2.3 × 10-8) near the gene that encodes tyrosine kinase 2 (TYK2); on chromosome 19p13.3 (rs2109069, P = 3.98 ×  10-12) within the gene that encodes dipeptidyl peptidase 9 (DPP9); and on chromosome 21q22.1 (rs2236757, P = 4.99 × 10-8) in the interferon receptor gene IFNAR2. We identified potential targets for repurposing of licensed medications: using Mendelian randomization, we found evidence that low expression of IFNAR2, or high expression of TYK2, are associated with life-threatening disease; and transcriptome-wide association in lung tissue revealed that high expression of the monocyte-macrophage chemotactic receptor CCR2 is associated with severe COVID-19. Our results identify robust genetic signals relating to key host antiviral defence mechanisms and mediators of inflammatory organ damage in COVID-19. Both mechanisms may be amenable to targeted treatment with existing drugs. However, large-scale randomized clinical trials will be essential before any change to clinical practice

    High-resolution CT phenotypes in pulmonary sarcoidosis: a multinational Delphi consensus study

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    One view of sarcoidosis is that the term covers many different diseases. However, no classification framework exists for the future exploration of pathogenetic pathways, genetic or trigger predilections, patterns of lung function impairment, or treatment separations, or for the development of diagnostic algorithms or relevant outcome measures. We aimed to establish agreement on high-resolution CT (HRCT) phenotypic separations in sarcoidosis to anchor future CT research through a multinational two-round Delphi consensus process. Delphi participants included members of the Fleischner Society and the World Association of Sarcoidosis and other Granulomatous Disorders, as well as members' nominees. 146 individuals (98 chest physicians, 48 thoracic radiologists) from 28 countries took part, 144 of whom completed both Delphi rounds. After rating of 35 Delphi statements on a five-point Likert scale, consensus was achieved for 22 (63%) statements. There was 97% agreement on the existence of distinct HRCT phenotypes, with seven HRCT phenotypes that were categorised by participants as non-fibrotic or likely to be fibrotic. The international consensus reached in this Delphi exercise justifies the formulation of a CT classification as a basis for the possible definition of separate diseases. Further refinement of phenotypes with rapidly achievable CT studies is now needed to underpin the development of a formal classification of sarcoidosis

    An impossibly full voice

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    Inhabited silence in qualitative research: putting poststructural theory to work

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    Inhabited Silence in Qualitative Research demonstrates, or 'puts to work' poststructural theory in the doing of qualitative research. Using this theoretical approach, the book proposes a data set lacking in the methodological literature, namely silence. It highlights the need for qualitative researchers not to dismiss silence as an omission or an absence of empirical materials, but rather to engage silence as meaningful and purposeful

    Silence speaks: whiteness revealed in the absence of voice

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    In this hybrid article, the author attempts to weave together the theoretical implications of whiteness theory and a theorizing of silence on teacher education practices, research with her own students that explored these implications, and reflections on her own pedagogical practices and location as a white teacher educator teaching about race and diversity. In teacher education courses intended to explore issues regarding the implications of diversity in schools, silence is often encountered in work with white students who have not examined their identity in the context of a racial discourse. This article explores the nature and intent of these racially inhabited silences that emerged in two teacher education courses comprised predominately of white preservice teachers

    Inhabited silences: in pursuit of a muffled subtext

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    Qualitative researchers should not ignore the silences that occur during the conversations especially in those conversations related to issues of race and culture in education, as these silences could provide meaningful and purposeful information. The researchers should examine the importance of silences, which are present in the conversations that take place during a discourse-based research

    Voice in qualitative inquiry: challenging conventional, interpretive, and critical conceptions in qualitative research

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    Voice in Qualitative Inquiry is a critical response to conventional, interpretive, and critical conceptions of voice in qualitative inquiry. A select group of contributors focus collectively on the question, "What does it mean to work the limits of voice?" from theoretical, methodological, and interpretative positions, and the result is an innovative challenge to traditional notions of voice. The thought-provoking book will shift qualitative inquiry away from uproblematically engaging in practices and interpretations that limit what "counts" as voice and therefore data. The loss and betrayal of comfort and authority when qualitative researchers work the limits of voice will lead to new disruptions and irruptions in making meaning from data and, in turn, will add inventive and critical dialogue to the conversation about voice in qualitative inquiry

    Experience and "I" in autoethnography: a deconstruction

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    The purpose of this paper is to deconstruct the "researcher as subject" (Ellis & Bochner, 2000) imperative in authoethnography in order to confront the limits of a reliance on experience and a narrative voice in the genre. We use poststructural theories of experience and language (i.e., voice) to analyze the assumptions of each and how these constructs are employed in autoethnography. We argue that in an attempt to engage the crises of representation by transgressively blurring genres and writing against the disembodied voice of objectivism, autoethnographers run the risk of simply replacing one privileged center with another, making similarly narrow claims to truth, authority, and authenticity as objectivism: autoethnography has exchanged transcendency for transparency. To keep autoethnographic practices "vigilant," as Spivak (1984-85) would have us do, we explore ways in which experience and the narrative "I" may be reconstituted in narrative research
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