Working Class Formation in China Since 1920

In the 20th century, the Chinese working class did have the opportunity, and from time to time it looked like they had might be turning the trick. But in the end, they lost. Why? Chinese workers have been the subjects of a great deal of analysis by scholars, documentation by journalists and activists, and portrayal by writers, filmmakers and artists. Light has been shone on the rich tapestry of economic, social, cultural and political forces driving them into low-paid, dangerous, degrading, alienating, mind-numbing, transient employment, on the obstacles to improvement, on workers’ understandings of their world and their lives in it, on their passivity and resistance, and on the effects of their responses. A World to Lose seeks the foundation for all this in three questions: what kind of class is the Chinese working class?; what are the historical forces and processes that have formed it?; and how does the pattern of class formation help explain the working class’s reactions historically, presently and even prospectively

The Responsibility System in Agriculture

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/69144/2/10.1177_009770048200800102.pd

The Politically Engaged Society, the State, Policy, Comparison

Summaries Gordon White's contributions to the study of China fall under at least four major rubrics. Most important was his analysis of political engagement by a breathtaking range of social classes and groups in both the Maoist and Dengist periods. Second, he appreciated the role of the state analytically in shaping society's political engagement, and normatively because he thought it had essential social and economic responsibilities. Third, he hoped to influence policy indirectly, by providing cautionaries for policy?makers and by writing for and collaborating with social scientists in other countries, especially China. Fourth, he placed China squarely in comparative contexts, first of revolutionary socialist states, and then of East Asian developmental states

Risks of Colon Injuries in Extreme Lateral Approaches to the Lumbar Spine: An Anatomical Study.

Introduction The extreme lateral interbody fusion technique (XLIF) is a modification of the retroperitoneal approach to the lumbar spine. This is a minimally invasive technique allowing direct access to the disc space without peritoneal or posterior paraspinal musculature damage. Nevertheless, the retroperitoneal part of the colon can be injured in this operative technique. To our knowledge, a study analyzing the anatomical considerations of the extreme lateral interbody fusion technique with regards to potential colon injuries has not been previously performed. Therefore, the aim of this study was to evaluate the potential risk of colon injuries during the extreme lateral approach to the lumbar spine. Materials and Methods The extreme lateral approach to the lumbar spine was performed on four fresh-frozen cadaveric sides. K-wires were placed into the intervertebral discs and positioned at L1/L2, L2/L3, L3/L4, and L4/L5 levels. Next, the distances from the wires to the most posterior aspect of the adjacent ascending or descending colon were measured. Results The mean distance from the intervertebral disc space to the ascending or descending colon was 23.2 mm at the L2/L3 level, 29.5 mm at the L3/L4 level, and 40.3 mm at the L4/L5 level. The L1/L2 level was above the colon on both sides. Conclusion Our study quantified the relationship of the retroperitoneal colon during an extreme lateral interbody fusion approach. Our results, as well as previously described cases of bowel perforations, suggest a greater risk for colon injuries at the L2/3 and L3/4 levels.

The Persistent Problem: Inequality, Difference, and the Challenge of Development

This report highlights the complex, multidimensional nature of inequality in the era of globalization. It documents that despite the impressive strides by nations like China and India, absolute inequality between the richest and poorest countries is greater than ever before in history. It demonstrates that the rise of China and India creates a new dimension to the persistent problem of inequality

The Australasian Resuscitation In Sepsis Evaluation : fluids or vasopressors in emergency department sepsis (ARISE FLUIDS), a multi-centre observational study describing current practice in Australia and New Zealand

Objectives: To describe haemodynamic resuscitation practices in ED patients with suspected sepsis and hypotension. Methods: This was a prospective, multicentre, observational study conducted in 70 hospitals in Australia and New Zealand between September 2018 and January 2019. Consecutive adults presenting to the ED during a 30-day period at each site, with suspected sepsis and hypotension (systolic blood pressure <100 mmHg) despite at least 1000 mL fluid resuscitation, were eligible. Data included baseline demographics, clinical and laboratory variables and intravenous fluid volume administered, vasopressor administration at baseline and 6- and 24-h post-enrolment, time to antimicrobial administration, intensive care admission, organ support and in-hospital mortality. Results: A total of 4477 patients were screened and 591 were included with a mean (standard deviation) age of 62 (19) years, Acute Physiology and Chronic Health Evaluation II score 15.2 (6.6) and a median (interquartile range) systolic blood pressure of 94 mmHg (87–100). Median time to first intravenous antimicrobials was 77 min (42–148). A vasopressor infusion was commenced within 24 h in 177 (30.2%) patients, with noradrenaline the most frequently used (n = 138, 78%). A median of 2000 mL (1500–3000) of intravenous fluids was administered prior to commencing vasopressors. The total volume of fluid administered from pre-enrolment to 24 h was 4200 mL (3000–5661), with a range from 1000 to 12 200 mL. Two hundred and eighteen patients (37.1%) were admitted to an intensive care unit. Overall in-hospital mortality was 6.2% (95% confidence interval 4.4–8.5%). Conclusion: Current resuscitation practice in patients with sepsis and hypotension varies widely and occupies the spectrum between a restricted volume/earlier vasopressor and liberal fluid/later vasopressor strategy