'My Father’s Daughter': Filial Dislocation in Shirley Geok-lin Lim’s Poetry

Drawing on the father figure and the father–daughter dynamic in Shirley Geok-lin Lim’s poetry, this article examines how the motif of filial dislocation underlines ambivalent and complicated emotions and meanings that can be traced back to the poet’s traumatic childhood experience of her father’s violence. This experience, described here as one of acute psychical and emotional rupture and dislocation, has been imprinted onto Lim’s body and consciousness in the form of embodied memories and emotions, and reenacted in writing and poetic articulation where the father figure is concerned. Through the recurring themes of memory, (dis)connection, distance, and dislocation, Lim’s deeply personal, even autobiographical, poems explore the wounded father–daughter relationship; in so doing, they trouble the ideological premise of filial piety as a cultural concept, which upholds the child’s obligation to the parent through the performance of filial care, respect, and obedience. At the same time, Lim’s poems reflect how embodied memories and emotions are relived and refelt in the process of writing as well as the depth of the poet’s emotional response and subjective interiority in the articulation and performance of filial and gender identity. Weaving through and traversing interior and exterior spaces and landscapes of memory and imagination, body and geography, the poems illuminate complex psychological, emotional, and embodied dimensions of Lim’s mediation of her filial and gender identity as a feminist poet, a daughter, and a gendered individual

Interoperating with heterogeneous Mobile Services

Mobile applications are now developed upon a wide range of service development platforms, commonly referred to as middleware. However, the diversity of those available presents a problem for mobile client development. How can a single client implementation interoperate with heterogeneous service implementations

A Company Profile for Ibis Surabaya City Center Hotel

Company profile is a description of the company history, resources, structure, performance, and reputation. Therefore, company profile is very important for the hotel and it also plays an important role for business communication because it provides the useful information of the hotel that can help the employees to get the product knowledge about the hotel. Also, it will help the customers when they want to stay in the hotel. As we know, ibis Surabaya City Center Hotel did not have the written company profile that can be very useful for the hotel. Therefore, ibis has to make the company profile for the hotel. By having the company profile, the hotel can attract new customers because many people will see the profile of the hotel. Moreover, this company profile will make an impact on the sales of the hotel because it is related with the promotion of the hote

Adhesive and mechanical regulation of mesenchymal stem cell differentiation in human bone marrow and periosteum-derived progenitor cells

It has previously been demonstrated that cell shape can influence commitment of human bone marrow-derived mesenchymal stem cells (hBMCs) to adipogenic, osteogenic, chondrogenic, and other lineages. Human periosteum-derived cells (hPDCs) exhibit multipotency similar to hBMCs, but hPDCs may offer enhanced potential for osteogenesis and chondrogenesis given their apparent endogenous role in bone and cartilage repair in vivo. Here, we examined whether hPDC differentiation is regulated by adhesive and mechanical cues comparable to that reported for hBMC differentiation. When cultured in the appropriate induction media, hPDCs at high cell seeding density demonstrated enhanced levels of adipogenic or chondrogenic markers as compared with hPDCs at low cell seeding density. Cell seeding density correlated inversely with projected area of cell spreading, and directly limiting cell spreading with micropatterned substrates promoted adipogenesis or chondrogenesis while substrates promoting cell spreading supported osteogenesis. Interestingly, cell seeding density influenced differentiation through both changes in cell shape and non-shape-mediated effects: density-dependent adipogenesis and chondrogenesis were regulated primarily by cell shape whereas non-shape effects strongly influenced osteogenic potential. Inhibition of cytoskeletal contractility by adding the Rho kinase inhibitor Y27632 further enhanced adipogenic differentiation and discouraged osteogenic differentiation of hPDCs. Together, our results suggest that multipotent lineage decisions of hPDCs are impacted by cell adhesive and mechanical cues, though to different extents than hBMCs. Thus, future studies of hPDCs and other primary stem cell populations with clinical potential should consider varying biophysical metrics for more thorough optimization of stem cell differentiation.R01 EB000262 - NIBIB NIH HHS; R01 GM060692 - NIGMS NIH HHSPublished versio

Bridges and Barriers: Patients\u27 Perceptions of the Discharge Process Including Multidisciplinary Rounds on a Trauma Unit

Discharge planning is a complex process and ideally begins early in the patient stay. Despite evidence about the importance of discharge readiness, there is limited literature about the patient\u27s view during this transition. The goal of this study was to explore patient perspectives about the discharge process, including multidisciplinary rounds. Multidisciplinary rounding is a process where care providers from various specialties meet to communicate, coordinate patient care, make decisions, and manage responsibilities. The theme found was “bridges and barriers to discharge.” Participants identified timelines and tasks, communication, social support, and motivation as helpful and medical setbacks, insurance limitations, and infrequent communication as hindrances to the discharge. Future research is recommended examining efficacy of various discharge models and examination of communication and support throughout hospitalization

Testing limits to airflow perturbation device (APD) measurements

<p>Abstract</p> <p>Background</p> <p>The Airflow Perturbation Device (APD) is a lightweight, portable device that can be used to measure total respiratory resistance as well as inhalation and exhalation resistances. There is a need to determine limits to the accuracy of APD measurements for different conditions likely to occur: leaks around the mouthpiece, use of an oronasal mask, and the addition of resistance in the respiratory system. Also, there is a need for resistance measurements in patients who are ventilated.</p> <p>Method</p> <p>Ten subjects between the ages of 18 and 35 were tested for each station in the experiment. The first station involved testing the effects of leaks of known sizes on APD measurements. The second station tested the use of an oronasal mask used in conjunction with the APD during nose and mouth breathing. The third station tested the effects of two different resistances added in series with the APD mouthpiece. The fourth station tested the usage of a flexible ventilator tube in conjunction with the APD.</p> <p>Results</p> <p>All leaks reduced APD resistance measurement values. Leaks represented by two 3.2 mm diameter tubes reduced measured resistance by about 10% (4.2 cmH₂O·sec/L for control and 3.9 cm H₂O·sec/L for the leak). This was not statistically significant. Larger leaks given by 4.8 and 6.4 mm tubes reduced measurements significantly (3.4 and 3.0 cm cmH₂O·sec/L, respectively). Mouth resistance measured with a cardboard mouthpiece gave an APD measurement of 4.2 cm H₂O·sec/L and mouth resistance measured with an oronasal mask was 4.5 cm H₂O·sec/L; the two were not significantly different. Nose resistance measured with the oronasal mask was 7.6 cm H₂O·sec/L. Adding airflow resistances of 1.12 and 2.10 cm H₂O·sec/L to the breathing circuit between the mouth and APD yielded respiratory resistance values higher than the control by 0.7 and 2.0 cm H₂O·sec/L. Although breathing through a 52 cm length of flexible ventilator tubing reduced the APD measurement from 4.0 cm H₂O·sec/L for the control to 3.6 cm H₂O·sec/L for the tube, the difference was not statistically significant.</p> <p>Conclusion</p> <p>The APD can be adapted for use in ventilated, unconscious, and uncooperative patients with use of a ventilator tube and an oronasal mask without significantly affecting measurements. Adding a resistance in series with the APD mouthpiece has an additive effect on resistance measurements, and can be used for qualitative calibration. A leak size of at least the equivalent of two 3.2 mm diameter tubes can be tolerated without significantly affecting APD measurements.</p

Federal-State Negotiations over Federal Enclaves in the Early Republic

This article examines practical solutions arrived at by the federal and state governments in resolving early interpretive issues that arose under Article I\u27s Enclave Clause. Focusing on the federal government\u27s creation of federal enclaves for use in a national lighthouse system, the article compares these politically-based solutions with the later development of Supreme Court Enclave Clause jurisprudence