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"Li, Wai-yee"
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Women and National Trauma in Late Imperial Chinese Literature
The Ming-Qing dynastic transition in seventeenth-century China was an epochal event that reverberated in Qing writings and beyond; political disorder was bound up with vibrant literary and cultural production. Women and National Trauma in Late Imperial Chinese Literature focuses on the discursive and imaginative space commanded by women. Encompassing writings by women and by men writing in a feminine voice or assuming a female identity, as well as writings that turn women into a signifier through which authors convey their lamentation, nostalgia, or moral questions for the fallen Ming, the book delves into the mentality of those who remembered or reflected on the dynastic transition, as well as those who reinvented its significance in later periods. It shows how history and literature intersect, how conceptions of gender mediate the experience and expression of political disorder. Why and how are variations on themes related to gender boundaries, female virtues, vices, agency, and ethical dilemmas used to allegorize national destiny? In pursuing answers to these questions, Wai-yee Li explores how this multivalent presence of women in different genres provides a window into the emotional and psychological turmoil of the Ming-Qing transition and of subsequent moments of national trauma. 2016 Joseph Levenson Book Prize, Pre-1900 Category, China and Inner Asia Council of the Association for Asian Studies.
eBook
The Zuo Tradition / Zuozhuan Reader
Essential passages from a classic Chinese history, organized topically, introduced, and annotated Zuo Tradition, China's first great work of history, was completed by about 300 BCE and recounts events during a period of disunity from 722 to 468 BCE. The text, which plays a foundational role in Chinese culture, has been newly translated into English by Stephen Durrant, Wai-yee Li, and David Schaberg in an unabridged, bilingual, three-volume set. This reader arranges key passages from that set according to topic, as a guide to the study of early Chinese culture and thought. Chapter subjects include succession struggles; women; warfare; ritual propriety; governance; law and punishment; famous statesmen; diplomacy; Confucius and his disciples; dreams and anomalies; and cultural others. An introduction explains the nature and significance of Zuozhuan and discusses how to read the text. Section introductions and judicious footnoting provide contextual information and explain the historical significance and meaning of particular events. The Zuo Tradition / Zuozhuan Reader will appeal to readers interested in Chinese and world history, claiming a place on library and personal bookshelves alongside other narratives from the ancient world.
eBook
Firework-related hand injuries: A novel classification system
In 2013, the United States Consumer Product Safety Commission reported that an estimated 11,400 people were treated in hospital emergency departments for fireworks-related injuries, representing the highest number since 1998 [1]. Recent data published in the American Journal of Emergency Medicine by Sandvall et al. indicated the proportion of hand injuries may be even higher. In addition to revision amputations of unsalvageable digits, these patients required a combination of other procedures including fixation of fractures, repair of digital nerves, and revascularization of dysvascular digits.
Journal Article
Airway Management in Pierre Robin Sequence: The Vancouver Classification
Background:
Pierre Robin sequence (PRS) is a triad of micrognathia, glossoptosis, and respiratory distress. There is no standard clinical classification used in the management of neonatal airway in patients with PRS. The goal of our study was to review the presentation and management of patients with PRS and formulate a clinical grading system and treatment algorithm.
Methods:
A 10-year retrospective review of all neonates diagnosed with PRS was performed after obtaining institutional ethics approval. Patients were identified using our cleft lip and palate program database. Inclusion criteria were 2 of the following 3 clinical features—glossoptosis, retrognathia, or airway obstruction. We collected demographic data, clinical information (coexisting airway morbidity, maxillary-mandibular discrepancy, type of intervention used, complications, and outcomes (feeding, length of stay, and airway status) during the first year of life.
Results:
Sixty-three patients met our inclusion criteria. Of these, 55 (87%) had cleft palate and 17 (27%) were syndromic. Forty-eight (76%) patients were managed by prone positioning. Of the 15 surgically managed patients, the initial procedure was floor of mouth release in 7, mandibular distraction osteogenesis (MDO) in 4, and tongue-lip adhesion in 4. Five patients with coexisting airway morbidity needed a second surgery; 2 had MDO and 3 tracheostomies (one patient was later decannulated). Seven (47%) of the surgically managed patients required a gastrostomy tube.
Conclusion:
At present, there is no consensus on neonatal airway management in infants with PRS. From our review of 63 patients with PRS, we hereby propose a simple 4-point classification system and treatment algorithm, based on clinical features.
Journal Article
Gardens and Illusions from Late Ming to Early Qing
Noting that gardens are closely tied with various art forms and genres and yet have very real social and sometimes economic functions, Wai-Yee Li ruminates on the boundaries between representations and reality, and between subjective projections and objective constraints. After exploring the social and political meanings of various accounts celebrating non-existent gardens from late Ming to early Qing, Li discusses the aesthetics of illusion in actual gardens in that same period, dealing with such issues as miniaturization and the play with perspectives. With the political turmoil of the Ming-Qing transition, the discourse on gardens and illusions changed, and the tension between aesthetic and ethical values deepened: even as charges of frivolity and self-indulgence arose, many reaffirmed the necessity of illusion as the locus of memory and nostalgia in the midst of ruins and devastation.
Journal Article
The Columbia anthology of Yuan drama
This anthology features translations of ten seminal plays written during the Yuan dynasty (1279–1368), a period considered the golden age of Chinese theater. By turns lyrical and earthy, sentimental and ironic, Yuan drama spans a broad emotional, linguistic, and stylistic range. Combining sung arias with declaimed verses and doggerels, dialogues and mime, and jokes and acrobatic feats, Yuan drama formed a vital part of China's culture of performance and entertainment in the thirteenth and fourteenth centuries. To date, few Yuan-dynasty plays have been translated into English. Well-known translators and scholars have supervised the making of this collection and add a short description to each play. A general introduction situates all selections within their cultural and historical contexts.
eBook
Psychometric Assessment of the Chinese Version of the Supportive Care Needs Survey Short-Form (SCNS-SF34-C) among Hong Kong and Taiwanese Chinese Colorectal Cancer Patients
Accurate assessment of unmet supportive care needs is essential for optimal cancer patient care. This study used confirmatory factor analysis (CFA) to test the known factor structures of the short form of Supportive Care Need Survey (SCNS-34) in Hong Kong and Taiwan Chinese patients diagnosed with colorectal cancer (CRC).
360 Hong Kong and 263 Taiwanese Chinese CRC patients completed the Chinese version of SCNS-SF34. Comparative measures (patient satisfaction, anxiety, depression, and symptom distress) tested convergent validity while known group differences were examined to test discriminant validity.
The original 5-factor and recent 4-factor models of the SCNS demonstrated poor data fit using CFA in both Hong Kong and Taiwan samples. Subsequently a modified five-factor model with correlated residuals demonstrated acceptable fit in both samples. Correlations demonstrated convergent and divergent validity and known group differences were observed.
While the five-factor model demonstrated a better fit for data from Chinese colorectal cancer patients, some of the items within its domain overlapped, suggesting item redundancy. The five-factor model showed good psychometric properties in these samples but also suggests conceptualization of unmet supportive care needs are currently inadequate.
Journal Article
Attributing Variance in Supportive Care Needs during Cancer: Culture-Service, and Individual Differences, before Clinical Factors
Studies using the Supportive Care Needs Survey (SCNS) report high levels of unmet supportive care needs (SCNs) in psychological and less-so physical & daily living domains, interpreted as reflecting disease/treatment-coping deficits. However, service and culture differences may account for unmet SCNs variability. We explored if service and culture differences better account for observed SCNs patterns.
Hong Kong (n = 180), Taiwanese (n = 263) and Japanese (n = 109) CRC patients' top 10 ranked SCNS-34 items were contrasted. Mean SCNS-34 domain scores were compared by sample and treatment status, then adjusted for sample composition, disease stage and treatment status using multivariate hierarchical regression.
All samples were assessed at comparable time-points. SCNs were most prevalent among Japanese and least among Taiwanese patients. Japanese patients emphasized Psychological (domain mean = 40.73) and Health systems and information (HSI) (38.61) SCN domains, whereas Taiwanese and Hong Kong patients emphasized HSI (27.41; 32.92) and Patient care & support (PCS) (19.70; 18.38) SCN domains. Mean Psychological domain scores differed: Hong Kong = 9.72, Taiwan = 17.84 and Japan = 40.73 (p<0.03-0.001, Bonferroni). Other SCN domains differed only between Chinese and Japanese samples (all p<0.001). Treatment status differentiated Taiwanese more starkly than Hong Kong patients. After adjustment, sample origin accounted for most variance in SCN domain scores (p<0.001), followed by age (p = 0.01-0.001) and employment status (p = 0.01-0.001). Treatment status and Disease stage, though retained, accounted for least variance. Overall accounted variance remained low.
Health service and/or cultural influences, age and occupation differences, and less so clinical factors, differentially account for significant variation in published studies of SCNs.
Journal Article