Does anticholinergics drug burden relate to global neuro-disability outcome measures and length of hospital stay?

Primary objective: To assess the relationship between disability, length of stay (LOS) and anticholinergic burden (ACB) with people following acquired brain or spinal cord injury. Research design: A retrospective case note review assessed total rehabilitation unit admission. Methods and procedures: Assessment of 52 consecutive patients with acquired brain/spinal injury and neuropathy in an in-patient neuro-rehabilitation unit of a UK university hospital. Data analysed included: Northwick Park Dependency Score (NPDS), Rehabilitation complexity Scale (RCS), Functional Independence Measure and Functional Assessment Measure FIM-FAM (UK version 2.2), LOS and ACB. Outcome was different in RCS, NPDS and FIM-FAM between admission and discharge. Main outcomes and results: A positive change was reported in ACB results in a positive change in NPDS, with no significant effect on FIM-FAM, either Motor or Cognitive, or on the RCS. Change in ACB correlated to the length of hospital stay (regression correlation = −6.64; SE = 3.89). There was a significant harmful impact of increase in ACB score during hospital stay, from low to high ACB on NPDS (OR = 9.65; 95% CI = 1.36–68.64) and FIM-FAM Total scores (OR = 0.03; 95% CI = 0.002–0.35). Conclusions: There was a statistically significant correlation of ACB and neuro-disability measures and LOS amongst this patient cohort

Resistance and the "Post-Recognition" Turn in Organizations

I will draw on the contributions of Courpasson (2016) and Hardy (in press) to reflect on the nature of resistance in contemporary organizations and extend the discussion by focusing on why and how actors might resist today. In particular, I propose that some types of resistance are motivated by what I label post-recognition politics rather than traditional struggles to be recognized, heard, and listened to. Hence the prominent theme of exit, escape, and social independence in emancipatory discourses designed to refuse work and employment today

The poetics of justice: aphorism and chorus as modes of anti-racism

This article revisits accounts of the black radical tradition as a critique and alternative to institutionalised modes of knowledge and learning, reprising Harney and Moten’s concept of the undercommons to think about the constraints of the university and the possibility for thinking differently together. The deployment of linguistic and conceptual difficulty as a tactic of political speech is linked to Sutherland’s discussion of Marx’s poetics, leading to the suggestion that the repetitive interspersing of poetic or theoretical fragments in the public speech of social justice actors operates to create a shared rhythm that establishes mutuality. The piece ends with a discussion of the refashioning of Audre Lorde as a voice punctuating the assertion of anti-racist and intersectional consciousness via social media

Strike, occupy, transform! Students, subjectivity and struggle

This article uses student activism to explore the way in which activists are challenging the student as consumer model through a series of experiments that blend pedagogy and protest. Specifically, I suggest that Higher Education is increasingly becoming an arena of the postpolitical, and I argue that one of the ways this student-consumer subjectivity is being (re)produced is through a series of ‘depoliticisation machines’ operating within the university. This article goes on to claim that in order to counter this, some of those resisting the neoliberalisation of higher education have been creating political-pedagogical experiments that act as ‘repoliticisation machines’, and that these experiments countered student-consumer subjectification through the creation of new radical forms of subjectivity. This paper provides an example of this activity through the work of a group called the Really Open University and its experiments at blending, protest, pedagogy and propaganda