Producing space, producing China : a critical intervention

The concepts of the production and representation of space and place are receiving an increasing amount of attention in both the humanities and the social sciences. This paper will use the theoretical knowledge that has and continues to be produced on the subject to come to a better understanding of the spatial origins that constitute the place that is Chinese nation state. The analysis of spatial practises should shed light on the question what China is and wherefrom it receives the legitimacy for its social-spatial integrity. It will be argued that the arrival of modernity and its universal measurement of time and space were essential components in the gradual transformation from ethnocentric place to a territorially defined nation state. The political production and organisation of space employed for the formation of the nation state is argued to be the consequence of the same (globalising) logic that is now said to question and undermine its territorial integrity. Modernity and globalisation are in this paper, in other words, considered to be similar, if not identical, spatial-temporal concepts that both help to create and destruct places. This is arguably best visible in the constant production and reproduction of the most sophisticated of spatial organisations: our cities. I will argue that despite the changing face of cities, of which the disputed contemporary "globalisation" is but one of many, the spatial reality that is the modern nation state remains the same. This is not to return to an orthodox realist interpretation but to understand the very "stuff" that space and place are made of

Experiencing China’s verticality and exposing abstractions in altitude

The following contribution explores some of the author’s experiences of living in three of China’s coastal cities, introducing the origins of the ideas that led to his PhD project that examined the Chinese state in both historical and spatial terms and interrogated how state space continues to be imagined as something tangible and real. It reveals some of the difficulties of doing research on a subject which seems to be obvious, but is yet so little explored, writes Marijn Nieuwenhuis

Respiratory negotiations: The elemental biopolitics of medical masks in times of atmospheric crisis

Existing at the intersection of health, politics and affect, medical masks evoke lines and flights of contentions and resistance in everyday lives. They are instruments of negotiation that mediate across bodies, breaths, airs, faces, and lived experiences. Carrying a history that goes back only a few hundred years, masks gained unprecedented traction during the COVID-19 outbreak. The outbreaks of social anxiety, frustration, and anger following mask mandates live beyond immediate concerns of efficacy. In moment of atmospheric crisis masks articulate and give expression to racial, class, environmental, political, and cultural divisions. In this article, we study the development of medical masks through an exploration of three episodes of atmospheric crisis, starting with their earliest recorded appearance at the time of the first edition of Hobbes’ Leviathan to the present day. Using an elemental mode of thinking, which foregrounds embodied entanglement with air, we explore the ways in which masks speak to biopolitical concerns. The episodes we draw from constitute and represent different mask regimes, both in their materiality and design, mirroring historical change as well as evolving biopolitical orders. We show that medical masks are not simply filtering devices against exposure from respiratory viruses; instead, they are biopolitical techniques through which regimes of inclusion and exclusion are enacted. By focusing on masks, we make a broader argument that work on biopolitics could gain insight from elemental thinking

Feeling (y)our way in the dark: An interview with Jenny Perlin

The Long Sleepers, also exhibited in part at Simon Preston Gallery, New York (2017), is a long-term artistic project involving 16 mm film, video, performance, and drawings. The current iteration tracks downwards through a sinkhole to discover a cavern hidden deep beneath the earth's surface. This hole is the line of communication through which affect is able to travel from underground to the surface, through darkness, light, silence, trust, fear, disorientation and transformation. Wandering through this suspended subterranean warren reveals episodes that connect long sleepers in characters from German folktales that find their way into early American literature, elements from Greek myth intersecting with Jean Cocteau's Orpheus, novels by Jules Verne and traces of my own personal history in underground spaces

The predictive performance and impact of pediatric early warning systems in hospitalized pediatric oncology patients-A systematic review

Pediatric early warning systems (PEWS) arewidely used to identify clinically deteriorating patients. Hospitalized pediatric oncology patients are particularly prone to clinical deterioration. We assessed the PEWS performance to predict early clinical deterioration and the effect of PEWS implementation on patient outcomes in pediatric oncology patients. PubMED, EMBASE, and CINAHL databases were systematically searched from inception up to March 2020. Quality assessment was performed using the Prediction model study Risk-Of-Bias Assessment Tool (PROBAST) and the Cochrane Risk-of-Bias Tool. Nine studies were included. Due to heterogeneity of study designs, outcome measures, and diversity of PEWS, it was not possible to conduct a meta-analysis. Although the studies reported high sensitivity, specificity, and area under the receiver operating characteristics curve (AUROC) of PEWS detecting inpatient deterioration, overall risk of bias of the studies was high. This review highlights limited evidence on the predictive performance of PEWS for clinical deterioration and the effect of PEWS implementation

Prognostic factors for multi-organ dysfunction in pediatric oncology patients admitted to the pediatric intensive care unit

Background: Pediatric oncology patients who require admission to the pediatric intensive care unit (PICU) have worse outcomes compared to their non-cancer peers. Although multi-organ dysfunction (MOD) plays a pivotal role in PICU mortality and morbidity, risk factors for MOD have not yet been identified. We aimed to identify risk factors at PICU admission for new or progressive MOD (NPMOD) during the first week of PICU stay.Methods: This retrospective cohort study included all pediatric oncology patients aged 0 to 18 years admitted to the PICU between June 2018 and June 2021. We used the recently published PODIUM criteria for defining multi-organ dysfunction and estimated the association between covariates at PICU baseline and the outcome NPMOD using a multivariable logistic regression model, with PICU admission as unit of study. To study the predictive performance, the model was internally validated by using bootstrap.Results: A total of 761 PICU admissions of 571 patients were included. NPMOD was present in 154 PICU admissions (20%). Patients with NPMOD had a high mortality compared to patients without NPMOD, 14% and 1.0% respectively. Hemato-oncological diagnosis, number of failing organs and unplanned admission were independent risk factors for NPMOD. The prognostic model had an overall good discrimination and calibration.Conclusion: The risk factors at PICU admission for NPMOD may help to identify patients who may benefit from closer monitoring and early interventions. When applying the PODIUM criteria, we found some opportunities for fine-tuning these criteria for pediatric oncology patients, that need to be validated in future studies.</p

Prognostic factors for multi-organ dysfunction in pediatric oncology patients admitted to the pediatric intensive care unit

Background: Pediatric oncology patients who require admission to the pediatric intensive care unit (PICU) have worse outcomes compared to their non-cancer peers. Although multi-organ dysfunction (MOD) plays a pivotal role in PICU mortality and morbidity, risk factors for MOD have not yet been identified. We aimed to identify risk factors at PICU admission for new or progressive MOD (NPMOD) during the first week of PICU stay.Methods: This retrospective cohort study included all pediatric oncology patients aged 0 to 18 years admitted to the PICU between June 2018 and June 2021. We used the recently published PODIUM criteria for defining multi-organ dysfunction and estimated the association between covariates at PICU baseline and the outcome NPMOD using a multivariable logistic regression model, with PICU admission as unit of study. To study the predictive performance, the model was internally validated by using bootstrap.Results: A total of 761 PICU admissions of 571 patients were included. NPMOD was present in 154 PICU admissions (20%). Patients with NPMOD had a high mortality compared to patients without NPMOD, 14% and 1.0% respectively. Hemato-oncological diagnosis, number of failing organs and unplanned admission were independent risk factors for NPMOD. The prognostic model had an overall good discrimination and calibration.Conclusion: The risk factors at PICU admission for NPMOD may help to identify patients who may benefit from closer monitoring and early interventions. When applying the PODIUM criteria, we found some opportunities for fine-tuning these criteria for pediatric oncology patients, that need to be validated in future studies.</p

Prognostic factors for multi-organ dysfunction in pediatric oncology patients admitted to the pediatric intensive care unit

Background: Pediatric oncology patients who require admission to the pediatric intensive care unit (PICU) have worse outcomes compared to their non-cancer peers. Although multi-organ dysfunction (MOD) plays a pivotal role in PICU mortality and morbidity, risk factors for MOD have not yet been identified. We aimed to identify risk factors at PICU admission for new or progressive MOD (NPMOD) during the first week of PICU stay.Methods: This retrospective cohort study included all pediatric oncology patients aged 0 to 18 years admitted to the PICU between June 2018 and June 2021. We used the recently published PODIUM criteria for defining multi-organ dysfunction and estimated the association between covariates at PICU baseline and the outcome NPMOD using a multivariable logistic regression model, with PICU admission as unit of study. To study the predictive performance, the model was internally validated by using bootstrap.Results: A total of 761 PICU admissions of 571 patients were included. NPMOD was present in 154 PICU admissions (20%). Patients with NPMOD had a high mortality compared to patients without NPMOD, 14% and 1.0% respectively. Hemato-oncological diagnosis, number of failing organs and unplanned admission were independent risk factors for NPMOD. The prognostic model had an overall good discrimination and calibration.Conclusion: The risk factors at PICU admission for NPMOD may help to identify patients who may benefit from closer monitoring and early interventions. When applying the PODIUM criteria, we found some opportunities for fine-tuning these criteria for pediatric oncology patients, that need to be validated in future studies.</p