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Social history museums strive to present exhibitions that will connect to their local audience and provoke conversation as well as provide information. The aim of this article is to describe an exhibition about a decommissioned former mental hospital that is still significant for many in the local community. The exhibition consisted of various "collections” of objects and artworks assembled by the researchers in collaboration with museum staff, along with stories collected during our research into the asylum. Some "collections” included historical images and stories from the past alongside others of creative work and technology responding to the present. Community members were keenly interested in the exhibition, but the COVID-19 pandemic and consequent border closures in Australia meant that visitors needed to attend online presentations and virtual tours rather than see the exhibits in person. The use of digital presentations along with physical artefacts brought about a new way of thinking about presenting social history to future audiences.
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Purpose: The introduction in Italy in July 2021 of the "COVID-19 Green Certification”, known as the "Green Pass”, was a particularly important moment in the political and social history of the country. While its use for health reasons is debatable both logically and scientifically, its effects should be measured at the general sociological level. The "Green Pass” allowed Italian social life to be shaped according to a social and political profile that can be traced back to a "society of control”. This paper aims to discuss the aforementioned issue. Design/methodology/approach: This paper, of a theoretical nature, intends to verify such an interpretation through a critical survey of Gilles Deleuze's well-known Post-scriptum sur les sociétés de contrôle (1990) and relating the theories to it from cybernetic science, sociology of social systems and the continental philosophy, specifically Michel Foucault. After a short introduction on the history of the instrument's introduction, the paper, divided into parts reflecting the set-up of Deleuze's text, examines the systemic social effects of the "Green Pass” with regard to its logic, and concludes with a reflection on the program of the instrument's future developments. Findings: The "Green Pass” put into practice a model of a society of control as anticipated by Deleuze, verified with particular reference to some instances of Luhmann's theory of social systems, and in the perspective of a Foucault's "normalizing society” in the process of definition and affirmation. Social implications: The "Green Pass” has been a controversial tool that has caused forms of social discrimination and exclusion and has seriously questioned the architecture of the rule of law. The conceptual paper tries to reflect on the premises and implications of this instrument. Originality/value: The approach to the problem both in a critical key and according to concepts and theories of the sociology of social systems, cybernetics and continental philosophy. © 2023, Emerald Publishing Limited.
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E-vape and e-cigarettes-associated lung injury (EVALI) is a diagnostic dilemma and even more obscure during the coronavirus disease 2019 (COVID-19) pandemic. A rise was seen in EVALI cases at the beginning of the COVID-19 pandemic. Still, the non-specific presentation, or the overlapping symptoms of COVID-19 and EVALI, can negate the possible diagnosis of EVALI because of a clinician's predisposition toward infectious etiologies, and it becomes even more challenging during a viral pandemic. The patient's social history remains the key distinctive point in diagnosing EVALI. Systemic steroids are generally used along with supportive care to treat patients with EVALI. This case report demonstrates the dilemma in diagnosing EVALI in a 19-year-old female during the COVID-19 pandemic.
ABSTRACT
Background Identifying frailty can lead to improvements in patient outcomes through interventions such as CGA and prompt discussions around resuscitation and ACP. [Welsh;International Journal of Clinical Practice;2014;290– 293] Frailty is associated with a higher risk of postoperative mortality and morbidity, and mortality due to COVID-19.[Parmar;Annals of Surgery;2021;709–718, Dumitrascu;Journal of the American Geriatrics Society;2021;2, 419– 2, 429] Our audit considers whether the pandemic had any effect on documentation of frailty, and identifies interventions to improve this process. Method We retrospectively reviewed notes to look for elements of social history which identify frailty including mobility, ADLs, and CFS. We conducted a series of spot audits in February 2020 (pre-pandemic), April 2021 (Wave 2), and November 2021 (Wave 3) across surgical and medical wards. Interventions and Results February 2020 This cohort consisted of 62 patients and showed poor documentation across both medicine and surgery with an average of only 21% relevant social history recorded and 0% CFS scoring. Interventions that followed included an educational series by geriatricians and introduction of triaging tools based on CFS in response to the pandemic e.g. Swansea Hip interrogation Fracture Tool (SHiFT). [Cronin;British Orthopaedic Association;2020] April 2021 The relevant documentation improved to an average of 31% in this cohort of 37 patients. Interventions that followed included further educational sessions on frailty, a surgical liaison service, and the appointment of an orthogeriatrician. November 2021 This cohort consisted of 149 patients, average relevant social history continued to improve to 49%. Subgroup analysis showed 76% of orthopaedics patients had a CFS score, including 100% of NOF patients. Conclusion Frailty is important as it is linked to an increased risk of mortality and morbidity. In the pre-pandemic cohort, the results were poor. Improvements were seen after interventions such as educational sessions, pandemic triaging tools, and the surgical liaison service. However, there are still inconsistencies between teams. Future interventions include a CFS app, expansion of the surgical liaison service, and improved proformas.