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"Neilson, Brett"
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The academy as a logistical institution
Over the past decade, I have conducted a series of research projects on the topic of logistics. Understood as the art and science of moving people and goods in ways that benefit communication and transport efficiencies, logistics has become a key discipline of contemporary economy and society. Funded by the Australian Research Council (ARC), the projects I have led with my colleague Ned Rossiter have asked how logistical techniques and technologies shape labour, lives and the constitution of global space and time. Much of this research has focused on shipping ports, which are key sites of global trade where the material bulk of exchange is manifest and software-driven patterns of optimisation subject labour forces to regimes of surveillance, control and coordination. Our research has not been limited to shipping ports, however, and has extended to many other sites and institutions where logistical practices are evident, including circuit board factories and recycling villages in China, new towns on the edges of Indian cities, special economic zones, Chilean copper mines and data centres in Hong Kong and Singapore.
Journal Article
The logistical episteme
The concept of the ‘logistical episteme’ – the systemic organisation of practices, technologies and discourses geared toward the optimisation of efficiencies and value extraction – is crucial for understanding how contemporary capitalism reconfigures labour and geopolitics around computational power. This article explores the emergence of the logistical episteme by tracing the historical development of location theory and its integration with contemporary supply chain management. It highlights how algorithmic models and software shape the production of space and circulation of capital, with a focus on the case of warehousing industries in Malaysia. This approach allows an analysis of how the logistical episteme functions as a political technology, governing labour forces and mobilities, and corroding traditional notions of place.
Journal Article
Restless sleep is associated with increased anxiety in physical therapy students: a cross sectional survey study
Background
Sleep and mental health are intimately related and shown to impact graduate students enrolled in health sciences programs, including physical therapy education. Doctorate of Physical Therapy (DPT) students’ attitudes and behaviors surrounding sleep and whether these factors are associated with mental health are unknown. This study aimed to describe sleep behaviors and attitudes of entry-level DPT students and to explore the relationship between subjectively reported sleep quality and self-reported symptoms of anxiety in these students.
Methods
A cross-sectional online survey consisting of the Sleep Practices and Attitudes Questionnaire (SPAQ), the Generalized Anxiety Disorder-7 (GAD-7) questionnaire, and demographic questions were used. Analyses investigated sleep behaviors and attitudes, along with the relationship (unadjusted odds ratio) between restless sleep and anxiety in DPT students in hybrid and traditional DPT programs across the United States (US).
Results
A total of 271 DPT students completed the survey. A majority of students reported feeling tired during most days (80.8%,
n
= 219), a quarter of participants (24.7%) reported having a history of trouble sleeping and four (1.5%) reported being diagnosed with a sleep disorder. Of those who reported their sleep duration, participants slept an average of 6.86 h. The mean GAD-7 score was 7.68 (SD = 4.90), suggestive of mild anxiety. Sixty-seven (24.7%) reported having a diagnosed anxiety disorder, with generalized anxiety being the most common diagnosis. Those who reported having restless sleep were 4.09 times more likely to have moderate to severe anxiety [unadjusted odds ratio = 4.09 (95% CI 2.27,7.35;
p
< 0.001)] compared to those who reported restful sleep.
Conclusions
DPT students who rated sleep as restless exhibit signs of poor subjective sleep quality associated with an increased risk of experiencing moderate to severe anxiety compared to students who had restful sleep. Students reported behaviors surrounding sleep that may contribute to anxiety. These findings have implications for including sleep and mental health education and practices within DPT programs.
Journal Article
Measures of sleep disturbance are not routinely captured in trials for chronic low back pain: a systematic scoping review of 282 trials
Study Objectives:To investigate the extent to which sleep measures are reported in intervention trials for chronic low back pain.Methods:A systematic scoping review was conducted. Ovid MEDLINE, Cochrane CENTRAL, and CINAHL were queried for trials published between January 2010 and December 2022 using keywords related to chronic low back pain. Two reviewers screened and reviewed abstracts and full texts for eligibility criteria and extracted data. Randomized intervention trials with the aim to treat pain or disability related to chronic low back pain in adults were included. Data were pooled and synthesized from trials that included a measure of sleep.Results:Two hundred eighty-two trials conducted in 40 different countries were included in the final review. Twenty-six trials (9.2%) assessed any sleep measure, and 13 (4.6%) collected a formal sleep disturbance measure at multiple time points. Three trials analyzed the mediating effects of sleep disturbance on pain. Reporting of sleep measures was no better in more recently published trials; trials published in 2010 (22%; n = 2/9) and 2022 (23%; n = 3/13) had the highest reporting rates.Conclusions:The poor adherence to guideline recommendations for capturing measures of sleep quality or disturbance limits clinicians’ and researchers’ understanding of how sleep may influence treatment effects for chronic low back pain. There is an opportunity to improve the understanding of the relationship between sleep and pain with improved collection and reporting of sleep disturbance measures.Citation:Neilson BD, Dickerson C, Young JL, Shepherd MH, Rhon DI. Measures of sleep disturbance are not routinely captured in trials for chronic low back pain: A systematic scoping review of 282 trials. J Clin Sleep Med. 2023;19(11):1961–1970.
Journal Article
The world seen from a taxi : students-migrants-workers in the global multiplication of labour
In April 2008, after the stabbing of one of their fellow workers, taxi drivers in the Australian city of Melbourne, many of them from India, blockaded the city. They chanted, removed their shirts, refused the ministrations of police and government, and through their actions forced an acceptance of their demands. The article takes this event as a point of departure to analyse new forms of political practice, experience and subjectivity that emerge in a world where international borders are no longer the only or necessarily the most relevant barriers for dividing or restricting the mobility of labour. Of particular interest is the fact that most of the drivers who participated in the strike are also international students. At stake is the emergence of a new kind of labour politics whose organisational forms are at once more flexible and more unstable than those of the trade union movement. [Author abstract]
Journal Article
Data centres as logistical facilities: Singapore and the emergence of production topologies
Data centres mobilise server-client architectures to disperse and draw in labour from across industries and nations. In doing so, they provide an infrastructural fix for capitalist actors seeking to bypass traditional labour actions, by designing logistical routes around which to redirect production processes. In this article, we build on research that investigates the data centre industry in Singapore to consider how these facilities drive processes of global circulation and establish new kinds of labour relations and processes. We point to limits in conceptualising these relations according to dominant models of the supply chain or the production network. We argue that understanding the client footprint enabled by data centres as a form of territory allows us to approach these facilities as political institutions that influence the operations of power across wide geographical vistas.
Journal Article
Effect of Lumbar Progressive Resistance Exercise on Lumbar Muscular Strength and Core Muscular Endurance in Soldiers
Low back pain is common, costly, and disabling for active duty military personnel and veterans. The evidence is unclear on which management approaches are most effective. The purpose of this study was to assess the effectiveness of lumbar extensor high-intensity progressive resistance exercise (HIPRE) training versus control on improving lumbar extension muscular strength and core muscular endurance in soldiers.
A randomized controlled trial was conducted with active duty U.S. Army Soldiers (n = 582) in combat medic training at Fort Sam Houston, Texas. Soldiers were randomized by platoon to receive the experimental intervention (lumbar extensor HIPRE training, n = 298) or control intervention (core stabilization exercise training, n = 284) at one set, one time per week, for 11 weeks. Lumbar extension muscular strength and core muscular endurance were assessed before and after the intervention period.
At 11-week follow-up, lumbar extension muscular strength was 9.7% greater (p = 0.001) for HIPRE compared with control. No improvements in core muscular endurance were observed for HIPRE or control.
Lumbar extensor HIPRE training is effective to improve isometric lumbar extension muscular strength in U.S. Army Soldiers. Research is needed to explore the clinical relevance of these gains.
Journal Article
Ageing and globalisation in a moment of so-called crisis
The global economic turmoil that has unfolded since August 2007 promises to change methods for the governance of ageing in ways yet unknown. Against this background, this paper asks how the demographic shifts associated with population ageing interact with other aspects of globalisation: the financialisation of economic systems, changing patterns of migration and transformations to health provision. The emphasis is on understanding the complex interplay between these processes and their relevance for rethinking approaches to population ageing in a time of uncertain transition. Questioning the tendency to understand these fields of change as precipitating distinct crises, the paper suggests that the relative predictability of global population ageing makes it an appropriate area in which to begin a reassessment of wider policy directions.
Journal Article