9 research outputs found

    Alienated Social Reproduction: A study on the politics of neoliberal urban restructuring in Leipzig, East Germany

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    This thesis untangles the influence of neoliberal urban restructuring on political polarization in Leipzig, East Germany, and demonstrates how in turn the local, politicized relations of tenants marked by solidarities, fragmentation and authoritarianism, impact urban restructuring. Uncovering the interrelation of housing privatization and financialization driven urban change since the end of state socialism with tenants’ political subjectivation, it offers an interdisciplinary contribution to urban political economy and the political, sociological, and geographical study of the formation of political subjectivities. Through retroductive research based on a qualitative and ethnographic empirical case study, it proposes a relational lens to inquire the interdependence of neoliberal urban restructuring and emergent relations of, among and between tenants. After illustrating the affectively mediated patterns of housing financialization at the base of the neoliberal restructuring of an exceptional, East German boomtown, the thesis then shows how this structural process is reproduced through the stratified effects of residential alienation. Therewith, a multi-scalar theorization of residential alienation is developed in its dialectical counterpart with appropriation. The analysis of its structural, stratified psychosocial, and meso-relational aspects reveals that neoliberal urban restructuring reproduces hierarchical class divisions among tenants. These interplay with tenants’ spatialized (dis)identification and temporalities of belonging and constitute a context favourable for the emergence of fragmentations between tenants and groups of tenants. Introducing this concept as a pivotal part of residential alienation, it is demonstrated how fragmentations (a) shape the politically polarized climate of Leipzig by limiting solidarities and nurturing authoritarian divisions, and (b) tendentially reproduce neoliberal urban restructuring

    Was heißt hier – und dort – Widerstand?

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    Der Beitrag illustriert, wie der lokale Kontext darüber entscheidet, was unter Widerstand gegen autoritären Urbanismus zu verstehen ist. Anhand von Beispielen aus den Städten Gera und Leipzig diskutiert er insbesondere die affektiven Aspekte von Widerstand sowie dessen Verschränkung mit Anpassung, die so weit gehen kann, dass Widerstand gegen autoritären Urbanismus selbst Autoritarismus reproduziert

    Mortality after surgery in Europe: a 7 day cohort study

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    Background: Clinical outcomes after major surgery are poorly described at the national level. Evidence of heterogeneity between hospitals and health-care systems suggests potential to improve care for patients but this potential remains unconfirmed. The European Surgical Outcomes Study was an international study designed to assess outcomes after non-cardiac surgery in Europe.Methods: We did this 7 day cohort study between April 4 and April 11, 2011. We collected data describing consecutive patients aged 16 years and older undergoing inpatient non-cardiac surgery in 498 hospitals across 28 European nations. Patients were followed up for a maximum of 60 days. The primary endpoint was in-hospital mortality. Secondary outcome measures were duration of hospital stay and admission to critical care. We used χ² and Fisher’s exact tests to compare categorical variables and the t test or the Mann-Whitney U test to compare continuous variables. Significance was set at p<0·05. We constructed multilevel logistic regression models to adjust for the differences in mortality rates between countries.Findings: We included 46 539 patients, of whom 1855 (4%) died before hospital discharge. 3599 (8%) patients were admitted to critical care after surgery with a median length of stay of 1·2 days (IQR 0·9–3·6). 1358 (73%) patients who died were not admitted to critical care at any stage after surgery. Crude mortality rates varied widely between countries (from 1·2% [95% CI 0·0–3·0] for Iceland to 21·5% [16·9–26·2] for Latvia). After adjustment for confounding variables, important differences remained between countries when compared with the UK, the country with the largest dataset (OR range from 0·44 [95% CI 0·19 1·05; p=0·06] for Finland to 6·92 [2·37–20·27; p=0·0004] for Poland).Interpretation: The mortality rate for patients undergoing inpatient non-cardiac surgery was higher than anticipated. Variations in mortality between countries suggest the need for national and international strategies to improve care for this group of patients.Funding: European Society of Intensive Care Medicine, European Society of Anaesthesiology

    Mortality after surgery in Europe: a 7 day cohort study.

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