Ergonomic evaluation of laparoendoscopic single-site surgery ports in a validated laparoscopic training model

Although laparoendoscopic single-site surgery (LESS) is feasible among expert laparoscopic surgeons, it poses many technical challenges not seen in conventional laparoscopy (CL). Recent technological advancements in single-incision instrumentation have created more interest and widespread usage of LESS. However, neither LESS nor its novel instrumentation have been thoroughly studied or evaluated using human factors and ergonomics techniques. Consequently, the aim of this study was to compare the physical performance of LESS to CL using a standardized task. Wrist and elbow angular movements, range of motion and physical discomfort were assessed for 24 novice participants. There were no significant differences for physical comfort/discomfort ratings or elbow and wrist flexion/extension range of motion between CL and LESS. However, wrist radial/ulnar range of motion was significantly greater in LESS compared to CL (p < 0.05). Additionally, wrist radial/ ulnar range of motion was significantly greater using the SILS Port compared to the GelPOINT (p < 0.05). Although further investigation is needed, LESS resulted in greater wrist deviation and range of motion due to the close proximity of the instruments, restrictive nature of the single-port devices, and the need to achieve adequate instrument triangulation and visualization.     

Spracherhalt oder Sprachverlagerung?Language retention or language shift?

Immigrant youth’s disadvantages in second language proficiency are often linked to first language use within the family. Extending the scope of previous studies this paper additionally examines language use across three generations in further contexts of everyday live and examines how these patterns relate to second language competencies. Proficiency in the second language is seen as the result of varying exposure structures and learning motivation. Using data of the German National Educational Panel Study the analyses reveal that the first language is more often used with parents than with siblings. Adolescents predominantly use German to communicate with peers, but use media in both languages. Among pupils from Turkey first language use is more pronounced across all contexts than among pupils from Poland or the former Soviet Union. If German is the only language of communication with parents, this usually applies to other contexts as well. Adolescents who talk in a foreign language to their parents differ significantly with respect to their language use in further contexts. Using German with peers reduces linguistic deficits which are related to a non-German family language.     

Perinatal loss: a qualitative study in Northern Ireland

This article describes the experiences of women in Northern Ireland who have experienced a miscarriage or stillbirth. Pregnancy loss encompasses several dimensions of loss for women, loss of the future, loss of self-identity, and the loss of anticipated parenthood. The study explored how women emotionally responded to loss and the care they received from medical staff. Burial arrangements for the remains of the baby are also explored. The methodology adopted a narrative approach based upon in-depth interviews with 23 women who attended pregnancy loss self-help groups. The women's narratives highlight their emotional responses to loss, the medicalization of perinatal grief, and burial arrangements. Women felt that their experience was emotionally negative in that they had been subjected to a rationalizing process of medicalization. The primary focus for the women was on the need to recover space for their emotions and seek acceptance and recognition of the validity of their grief. The study demonstrated that the women's response to being marginalized led them to make sense of their experiences and to create spaces of resistance to medicalization. The way in which women placed emotion at the center of their narratives is taken to be a powerful indicator that the support they require from professionals should take account of the meanings they have constructed from their experience of loss.     

Contesting neoliberalism through critical pedagogy, intersectional reflexivity, and personal narrative: queer tales of academia

In this article, we use personal narrative to explore allies and alliance building between marginalized people working in and through higher education, with an eye toward interrogating the ways in which ideologies of neoliberalism work to maintain hierarchy through the legitimation of othering. Inspired by Conquergood (1985 ), who calls scholars to engage in intimate conversation rather than distanced observation, we offer our embodied experiences as a way to use the personal to reflect on the cultural, social, and political. Our narratives often recount being out of place, moments of incongruence, or our marked otherness. Through the sharing of these narratives, we will demonstrate the possibility for ally building based in affective connections forged through shared queer consciousness, paying particular attention to the ways in which neoliberal ideologies, such as individualism and postracism, may advance and impede such alliances.     

Human and Nature‐Caused Hazards: The Affect Heuristic Causes Biased Decisions

People are more concerned about the negative consequences of human hazards compared with natural hazards. Results of four experiments show that the same negative outcome (e.g., number of birds killed by an oil spill) was more negatively evaluated when caused by humans than when caused by nature. Results further show that when identical risk information was provided, participants evaluated nuclear power more negatively compared with solar power. The affect associated with the hazard per se influenced the interpretation of the new information. Furthermore, the affect experienced in the situation fully mediated the evaluation of the negative outcomes of a hazard. People's reliance on the affect heuristic is a challenge for acceptance of cost‐benefit analyses because equally negative outcomes are differently evaluated depending on the cause. Symbolically significant information and the affect evoked by this information may result in biased and riskier decisions.     

Shifting categories,changing attitudes: A boundary work approach in the study of attitudes toward migrants

Considerable research exists that examines attitudes toward migrants. Most studies are quantitative, relying on surveys or survey experiments, but a growing body of literature explores such attitudes from a qualitative perspective. At the same time, the study of symbolic boundaries and how people use cultural repertoires of meanings to draw distinctions between “us” and “them” is increasing. This review looks at research, both quantitative and qualitative, which has put these two streams of work into conversation with one another. We organize this work along three dimensions: (1) the micro-level of individuals and their life-worlds; (2) the meso-level of negotiation among the moral communities of civil society; and (3) the macro-level of institutions and policy. We also highlight those studies that cut across levels. By doing so, we help bridge the quantitative/qualitative divide. Studying attitudes toward migrants through the concept of symbolic boundaries allows us to apply a more sensitive and meaning-centered approach toward attitude formation, contestation and change and to explore the linkages to available cultural repertoires.     

The Use and Misuse of SWOT Analysis and Implications for HRD Professionals

This article explores the often-used strategy tool known as the SWOT analysis. The history of this tool is explained as well as common uses. The results of a literature review indicate a clear lack of empirical research on the topic and what little research has appeared is reviewed for the purposes of understanding how to further support and develop this tool. An integrative process for conducting SWOT analyses is provided with recommendations for optimizing SWOT in HRD contexts. Common misuses and pitfalls are also discussed along with suggested research for adding robustness to this classic strategic tool.     

Some Australian Children's Perceptions of Physical Punishment in Childhood

Despite ratification of the United Nations Convention on the Rights of the Child, children remain the only people in Australia against whom violence may be justified as discipline. This article presents findings from qualitative research conducted in the State of Victoria, in which children were invited to contextualise incidents of physical punishment by describing the experience from different standpoints and reflecting on the feelings and motivations of victims and perpetrators. The research provides new insights into children's experiences of childhood ‘discipline’, as children reveal the physical and emotional impact of being hit by a parent, the futility of ‘physical punishment’, parents’ confusing reactions and children's awareness of double standards. Children suggest more positive ways to communicate and to resolve conflict, and provide insightful comments that have the potential to enlighten adults’ thinking about the issue.     

The Perceived Payoff of Education: Do Generational Status and Racial Discrimination Matter?

The purpose of this study was to examine the associations among racial discrimination, generational status, and perceptions of the economic value of education among Latina/o youth. Participants were 400 urban, low‐income, Latina/o students from a large Midwestern U.S. city who completed surveys in both 9th and 10th grades. Results revealed that more perceived racial discrimination was associated with more perceived economic limitations of education. When analyzed by generational status, more racial discrimination in 9th grade was significantly related to lower perceived economic value of education in 10th grade for third‐generation and later participants, but not for first‐ or second‐generation participants. The results provide evidence for the diverse experiences of racial discrimination and perceived economic value of education across generational groups.