Reality remodeled: Practical fictions for a more-than-empirical world

Most ethnographers have little use for models and other formal abstractions, yet even a staunch empiricist such as Franz Boas could appreciate the “aesthetic” advantages of idealization and simplification. These advantages have been largely ignored in recent decades, as anthropologists have come to favor ever more intricate and encompassing accounts. The resulting “ethnographic involution,” I suggest, has steadily diminished anthropology as a source of usable, socially shared knowledge. Much the same problem, interestingly, was confronted long ago by Max Weber, who developed the method of “ideal types” precisely as a way to grasp, represent, and investigate the complexity of historical reality. Weber converged in this regard with his contemporary at Halle, the neo-Kantian philosopher Hans Vaihinger (1852–1933). Since the late twentieth century, Vaihinger’s “fictionalism” has attracted renewed interest within philosophy and beyond. Yet his notion of “as-if” reasoning—a via media, I would argue, between particularism and positivism—remains virtually unknown within anthropology

Travel and transcendence: Lamaist expansion in the Himalayan kingdoms.

Buddhist institutions often form vast networks overlaying the ethnic and political divisions of South and Central Asia. This dissertation considers how such a transnational network expands historically--how it feeds on centers of more intensive power such as chiefdoms and states even as it transcends their boundaries and lives on after they are gone. The shock troops of this process, it is argued, are certain strategically situated travelers--especially religious teachers and missionaries--who develop wide personal networks yet remain detached from local political and kinship institutions. When such networks are infused with the patronage of a king or other central authority, new religious institutions linking local communities are often founded. This may be an important mechanism promoting social and economic integration of large geographic areas in pre-modern settings. Much of the history of modern Bhutan, Sikkim, and Nepal may be understood as a series of structured conjunctures between Hindu kings and Buddhist lamas. Between 1600 and 1900, two distinct expansionist systems--one Hindu, the other Buddhist--met on the southern flank of the Himalayas. Hindu expansion in the Himalayas is argued to depend on military conquest, with the Brahman often acting as an intelligence agent. Buddhist expansion, on the other hands, depends more on the conversion of foreign rulers. The present work explores the founding of religious kingdoms in light of the foregoing model, with special reference to the Tibetan Buddhist enclaves of the Kathmandu Valley. Beginning in the early seventeenth century, Hindu kings attempted to expand into Tibet, without success. About the same time, however, Buddhist lamas were able to found Lamaist kingdoms in Bhutan and Sikkim by converting the local tribal leaders and warlords. Later, Hindu kings would bestow patronage upon Buddhist lamas in an effort to gain influence over frontier regions that could not be conquered militarily. Ethnographic research in the Kathmandu Valley suggests that the key religious and political institutions of Tibetan Buddhist ethnic communities were created through patronage from Hindu kings.Ph.D.Asian historyCultural anthropologyPhilosophy, Religion and TheologyReligionSocial SciencesUniversity of Michigan, Horace H. Rackham School of Graduate Studieshttp://deepblue.lib.umich.edu/bitstream/2027.42/129087/2/9319623.pd

Cultura e inteligência: reflexões antropológicas sobre aspectos não físicos da evolução em chimpanzés e humanos Culture and intelligence: anthropological reflections on non-physical aspects of evolution in chimpanzees and humans

Trata da história recente dos estudos sobre o comportamento de chimpanzés, enfatizando os resultados das pesquisas, as proposições acerca da existência de 'culturas de chimpanzés' e sua validade. O trabalho problematiza a ideia a partir dos mecanismos de transmissão e aprendizado social bem como de concepções antropológicas e paleoantropológicas de cultura que associam tal fenômeno, entre humanos modernos, às suas capacidades simbólicas e cognitivas.<br>The scope of this work is the recent history of studies on the behavior of chimpanzees, emphasizing research results, propositions about the existence of 'chimpanzee cultures' and their validity. The work discusses the idea based on transmission mechanisms and social learning as well as anthropological and paleoanthropological concepts of culture that associate such phenomena, among modern humans, to their symbolic and cognitive abilities

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London

The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis

© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine