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This article sits at the nexus between two bodies of work, gerontology and migration research, both of which have theorised the body as the locus of stigma. Gerontologists, while acknowledging the significance of perceptions of the ageing body for engagement and participation in society, have often evaded direct engagement with physical and medical understandings of older bodies. In parallel, research which focuses on migration, race and the body has focused on how the migrant body is stigmatised both because of its somatic markers and because of the status of the frail older people whom they tend. Drawing on oral history interviews with UK born and South Asian overseas-trained geriatricians, the article argues that the two bodies, which are usually seen in negative ways, came together in meaningful ways in the development of the specialty of geriatric medicine. Thinking of the body as an assemblage with many elements, some of which are stigmatised but which can nevertheless be recuperated, helps us to think beyond stigma in the context of body work. 相似文献
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Individuals in clinical training programs concerned with critical medical care must learn to manage clinical cases effectively
as a member of a team. However, practice on live patients is often unpredictable and frequently repetitive. The widely substituted
alternative for real patients—high-fidelity, manikin-based simulators (human patient simulator)—are expensive and require
trainees to be in the same place at the same time, whereas online computer-based simulations, or virtual worlds, allow simultaneous
participation from different locations. Here we present three virtual world studies for team training and assessment in acute-care
medicine: (1) training emergency department (ED) teams to manage individual trauma cases; (2) prehospital and in-hospital
disaster preparedness training; (3) training ED and hospital staff to manage mass casualties after chemical, biological, radiological,
nuclear, or explosive incidents. The research team created realistic virtual victims of trauma (6 cases), nerve toxin exposure
(10 cases), and blast trauma (10 cases); the latter two groups were supported by rules-based, pathophysiologic models of asphyxia
and hypovolemia. Evaluation of these virtual world simulation exercises shows that trainees find them to be adequately realistic
to “suspend disbelief,” and they quickly learn to use Internet voice communication and user interface to navigate their online
character/avatar to work effectively in a critical care team. Our findings demonstrate that these virtual ED environments
fulfill their promise of providing repeated practice opportunities in dispersed locations with uncommon, life-threatening
trauma cases in a safe, reproducible, flexible setting. 相似文献