Investiga tions into social imaginaries have burgeoned in recent years. From 'the capitalist imaginary' to the 'democratic imaginary', from the 'ecological imaginary' to 'the global imaginary' -and beyond -the social imaginaries fi eld has expanded across disciplines and beyond the academy. Th e recent debates on social imaginaries and potential new imaginaries reveal a recognisable fi eld and paradigm-in-the-making. We argue that Castoriadis, Ricoeur, and Taylor have articulated the most important theoretical frameworks for understanding social imaginaries, although the fi eld as a whole remains heterogeneous. We further argue that the notion of social imaginaries draws on the modern understanding of the imagination as authentically creative (as opposed to imitative). We contend that an elaboration of social imaginaries involves a signifi cant, qualitative shift in the understanding of societies as collectively and politically-(auto)instituted formations that are irreducible to inter-subjectivity or systemic logics. After marking out the contours of the fi eld and recounting a philosophical history of the imagination (including deliberations on the reproductive and creative imaginations, as well as consideration of contemporary Japanese contributions), the essay turns to debates on social imaginaries in more concrete contexts, specifi cally political-economic imaginaries, the ecological imaginary, multiple modernities and their intercivilisational encounters. Th e social imaginaries fi eld imparts powerful messages for the human sciences and wider publics. In particular, social imaginaries hold signifi cant implications for ontological, phenomenological and philosophical anthropological questions; for the cultural, social, and political horizons of contemporary worlds; and for ecological and economic phenomena (including their manifest crises). Th e essay concludes with the argument that social imaginaries as a paradigm-in-the-making off ers valuable means by which movements towards social change can be elucidated as well providing an open horizon for the critiques of existing social practices.

No abstract

Background Ileus is common after elective colorectal surgery, and is associated with increased adverse events and prolonged hospital stay. The aim was to assess the role of non‐steroidal anti‐inflammatory drugs (NSAIDs) for reducing ileus after surgery. Methods A prospective multicentre cohort study was delivered by an international, student‐ and trainee‐led collaborative group. Adult patients undergoing elective colorectal resection between January and April 2018 were included. The primary outcome was time to gastrointestinal recovery, measured using a composite measure of bowel function and tolerance to oral intake. The impact of NSAIDs was explored using Cox regression analyses, including the results of a centre‐specific survey of compliance to enhanced recovery principles. Secondary safety outcomes included anastomotic leak rate and acute kidney injury. Results A total of 4164 patients were included, with a median age of 68 (i.q.r. 57–75) years (54·9 per cent men). Some 1153 (27·7 per cent) received NSAIDs on postoperative days 1–3, of whom 1061 (92·0 per cent) received non‐selective cyclo‐oxygenase inhibitors. After adjustment for baseline differences, the mean time to gastrointestinal recovery did not differ significantly between patients who received NSAIDs and those who did not (4·6 versus 4·8 days; hazard ratio 1·04, 95 per cent c.i. 0·96 to 1·12; P = 0·360). There were no significant differences in anastomotic leak rate (5·4 versus 4·6 per cent; P = 0·349) or acute kidney injury (14·3 versus 13·8 per cent; P = 0·666) between the groups. Significantly fewer patients receiving NSAIDs required strong opioid analgesia (35·3 versus 56·7 per cent; P < 0·001). Conclusion NSAIDs did not reduce the time for gastrointestinal recovery after colorectal surgery, but they were safe and associated with reduced postoperative opioid requirement.

No abstract

No abstract