Subaltern experimental writing: Dalit literature in dialogue with the world

This essay analyses the experimental features of three contemporary novels produced by Dalits in relation to the novels’ approach to caste and national and international audiences. Bama’s Sangati (1994), Sharankumar Limbale’s Hindu (2003), and G. Kalyana Rao’s Untouchable Spring (2000) create fragmented, innovative, and complex narrative structures that are experimental both in their attempts to reflect oral narrative structures that validate the unique communal legacy of Dalit culture and their production of radically new narrative strategies that evoke a world free from caste discrimination. The essay also explores the novels’ complex positioning of multiple readers and the distinctive features of their English translations. The three translations re-code the texts for international consumption but simultaneously try to keep the novels somewhat “strange”; the translations, which attempt to replicate the novels’ innovative features, are also emphatically experimental

Rise and Shine Early Ambulation in Surgical Patients

Abstract An assessment done in a hospital unit established low rates of early ambulation for patients in postoperative care. At the same time, early ambulation after surgery has been shown to improve clinical outcomes and patient satisfaction. Some of the factors for the low rates of early ambulation include inadequate nurse staffing, poor teamwork, and the inability to utilize technology effectively. Consequently, a project was designed to empower nursing staff, promote interprofessional collaboration, and obtain technologies for ambulation. It is expected that the project will improve rates of early ambulation and lower hospital length of stay

The colonial carnivalesque in Mulk Raj Anand's Untouchable and Amitav Ghosh's Sea of poppies

Drawing on the work of Mikhail Bakhtin, this article argues that the novels Untouchable by Mulk Raj Anand and Sea of Poppies by Amitav Ghosh represent the destabilization of traditional, pre-colonial hierarchies, especially those of caste, by employing the mode of the colonial carnivalesque. Their representations of the inversion of caste hierarchies often employ grotesque images involving excrement. This novelistic form of the carnivalesque manifests in images of the world-upside-down, which on the one hand invite laughter or a sense of Schadenfreude towards humiliated high-caste figures, and on the other hand elevate Dalits from the mire and filth with which the upper-castes equate them. The essay analyzes whether the critical representations of Untouchability and caste in these novels amount to a critique of the caste system per se, or whether they are confined to a critique of the practices of Untouchability

Reducing Hospital-Acquired Pneumonia by Educating Patient Care Technicians on ROUTE Bundle Care Measures

Hospital-acquired pneumonia (HAP) is an infection of the lungs that can lead to severe and sometimes fatal outcomes. HAP can be prevented by oral care interventions, but without proper patient care, treatment can be very expensive. Evidence-proven HAP preventative measures such as the ROUTE bundle and increased patient mobility can significantly lower the risk of pneumonia as well as prevent additional hospital costs. Hospital X is a private nonprofit health care organization in the urban suburbs of a large Northern California city with a current HAP rate of 2.3 and with targeted goals of 2.0. By creating a project that places emphasis on the practice of PCTs (Patient Care Technicians), we can decrease HAP rates and hospital costs while improving patient care and patient outcomes. The first step is contributing to evidentiary research by educating PCTs on the ROUTE bundle and metrics such as toothbrushing and sitting up in a chair. Keywords: hospital-acquired pneumonia, ROUTE bundle, oral care, toothbrushing, PCTs, educatio

We Are Still Here: Re-Centring the Quintessential Subject of Intersectionality

This paper argues that “Black woman” should remain the quintessential subject of intersectionality as we are concerned that racialization has been submerged within intersectionality debates. Drawing on research and policy related to violence against women in minoritized communities in the UK, we (re)interrogate the explanatory power and effects of intersectionality

Violence against Women and Ethnicity

This book draws together both: theory and practice on minority/migrant women and gendered violence. The interplay of gender, ethnicity, religion, class, generation and sexuality in shaping the lives, experiences and choices of minority/migrant women affected by violence has not always been adequately theorised within much of the existing writing on violence against women. Feminist theory, especially the insights provided by the concept of intersectionality, are central to the editors’ conceptual frameworks

Interview with director Jayan K. Cherian

In this interview with Judith Misrahi-Barak and Nicole Thiara, Jayan K. Cherian discusses his work as an independent filmmaker in India and the USA, his artistic and political commitment, and the challenges he has faced with the Central Board of Film Certification in India after the release of his first feature film Papilio Buddha (2013), which focuses on Dalit land struggles in Kerala, and again with his second feature film KaBodyscapes (2016). The interview explores how holding a dual status as an American citizen and an Overseas Citizen of India makes his situation more complex because it offers him both the freedom and constraints of being a permanent outsider. The discussion of Papilio Buddha and its representation of the Dalit land struggle is the focus of the interview. He also speaks about his intended audience(s) and the way he works on location with his crews. Since Cherian is a poet and a writer as well as a filmmaker, he explains his choices for specific media, in the particular contexts in which he positions himself

Trauma abdominal fechado: manejo na unidade de terapia intensiva em um hospital pediátrico terciário

Dissertação (mestrado profissional) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Cuidados Intensivos e Paliativos, Florianópolis, 2015.Objetivo. Analisar o perfil epidemiológico e o manejo de crianças vítimas de trauma abdominal fechado na Unidade de Terapia Intensiva em um hospital pediátrico terciário. Metodologia. Trata-se de um estudo observacional, de coorte histórico, descritivo, por meio de análise de prontuários. Resultados. Foram analisados 58 prontuários. Trinta e cinco crianças (60% do total) foram do sexo masculino. A idade média foi de 8,6 anos e a mediana de 9 anos. O tipo de lesão mais comum foi a esplênica com 35% dos casos, seguida da hepática, com 26%. A associação de lesões foi encontrada em 26% dos casos, sendo que o baço foi o principal órgão acometido dentre as associações. Os acidentes com veículos automotores foram os principais mecanismos de lesão, sendo responsáveis por 57% do total. Queda foi a segunda causa de lesão, em 31% dos casos. O tempo de permanência hospitalar médio foi de 12,8 dias, enquanto que o tempo médio aproximado de permanência na unidade de terapia intensiva foi de 37 horas. Treze crianças (22% do total) chegaram hemodinamicamente instáveis ao hospital. A chance de uma criança que chegou hemodinamicamente instável ao hospital ser submetida à cirurgia foi 7 vezes maior do que uma criança que chegou estável. Oito crianças mantiveram a instabilidade hemodinâmica mesmo após a ressuscitação volêmica. A chance de um paciente que manteve instabilidade hemodinâmica ser submetido à cirurgia foi 18 vezes maior do que uma criança que se tornou estável hemodinamicamente.Abstract : Objective. To analyze the epidemiology and management of patients with blunt abdominal trauma in the intensive care unit in a tertiary care pediatric hospital. Methodology. This is an observational, cross-sectional, descriptive, through analysis of medical records. Results. Fifty-eigth records were analyzed. Thirty-five children (60% of total) were male. The mean age was 8.6 years old and the median was 9 years old. The splenic injury was the most common type of injury, with 35% of cases, followed by the liver injury, with 26%. The injury association was found in 26% of cases, and the spleen was the main organ affected among the associations. The motor vehicle accidents were the main mechanisms of injury, accounting for 57% of the total. Fall was the second cause of injury (31% of cases). The mean length of stay in the hospital was 12.8 days, while in the intensive care unit was approximately 37 hours. Thirteen children (22% of the total) came with hemodynamic instability to the hospital. The chance of a child who came with hemodynamic instability to the hospital undergoing surgery was 7 times greater than a child who came with hemodynamic stability. Eight children maintained hemodynamic instability even after resuscitation. The chance of a patient that remained hemodynamically unstable to undergo surgery was 18 times greater than of a child who became hemodynamically stable