206 research outputs found

    #The new university: A special issue on the future of the university

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    This special issue of Krisis deals with the future of the university and academic life more broadly. Is a new university possible and if so, what should it look like and how do we work towards it

    Surveillance at sea: The transactional politics of border control in the Aegean

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    The relationship between vision and action is a key element of both practices and conceptualizations of border surveillance in Europe. This article engages with what we call the ‘operative vision’ of surveillance at sea, specifically as performed by the border control apparatus in the Aegean. We analyse the political consequences of this operative vision by elaborating on three examples of fieldwork conducted in the Aegean and on the islands of Chios and Lesbos. One of the main aims is to bring the figure of the migrant back into the study of border technologies. By combining insights from science and technology studies with border, mobility and security studies, the article distinguishes between processes of intervention, mobilization and realization and emphasizes the role of migrants in their encounter with surveillance operations. Two claims are brought forward. First, engaging with recent scholarly work on the visual politics of border surveillance, we circumscribe an ongoing ‘transactional politics’. Second, the dynamic interplay between vision and action brings about a situation of ‘recalcitrance’, in which mobile objects and subjects of various kinds are drawn into securitized relations, for instance in encounters between coast guard boats and migrant boats at sea. Without reducing migrants to epiphenomena of those relations, this recalcitrance typifies the objects of surveillance as both relatable as well as resistant, particularly in the tensions between border control and search and rescue

    Pregnancy in Advanced Kidney Disease:Clinical Practice Considerations on a Challenging Combination

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    Background:Thanks to the advances in care, pregnancy is now attainable for the majority of young female CKD patients, although it is still a high-risk endeavor. Clinical decision-making in these cases is impacted by a myriad of factors, making (pre)pregnancy counseling a complex process. The complexities, further impacted by limited data and unknown risks regarding outcome, can cause discussions when deciding on the best care for a specific patient. Objectives:In this article, we provide an overview of the considerations and dilemmas we encounter in preconception counseling and offer our perspective on how to deal with them in daily clinical practice. Methods:The main topics we discuss in our counseling are (1) the high risk of pregnancy complications, (2) the risk of permanent CKD deterioration due to pregnancy and subsequent decreased life expectancy, (3) appropriate changes in renal medication, and (4) assisted reproduction, genetic testing, and prenatal or preimplantation genetic diagnostics. Results and Conclusions:In our clinic, we openly address moral dilemmas arising in clinical practice in pregnancy and CKD, both within the physician team and with the patient. We do this by ensuring an interpretive physician-patient interaction and shared decision-making, deliberating in a multidisciplinary setting and, if needed, with input from an expert committee
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