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Many readmissions were due to issues like drug abuse

When too many surgery patients come back to a hospital after being sent home, the hospital can be fined by the federal government.Only about 18 percent of readmissions - about 2 percent of all discharges - were due to potentially avoidable problems following surgery. (Photo: Pixabay) Many readmissions were due to issues like drug abuse or homelessness, the researchers found.The researchers studied the medical records of patients who were discharged from their hospital's general surgery department in 2014 or 2015 and readmitted within 30 days.Being female, having diabetes, having sepsis upon admission, being in the ICU and being discharged to respite care were all tied to an increased risk of readmission, the researchers found. "Health services researchers (need to find) a better marker for surgical quality that is reliably calculable and clinically useful.Some would argue that readmitting patients is a sound medical decision that is tied to lower risks of death, they write. But a new study suggests many of those so-called readmissions are not the hospital's fault. While the results are only from a single hospital, that hospital is also a safety-net facility for the local area - and McIntyre pointed out that all hospitals have some amount of disadvantaged patients. government began fining hospitals in 2015 for surgery readmission rates that are higher than expected.

"Should such an inexact marker of quality be used to financially penalize hospitals " they ask. About 17 percent of readmissions were due to injection drug use and about 15 percent were due to issues like homelessness or difficulty getting to follow-up appointments.". Being female, having diabetes, having sepsis upon admission were tied to an increased risk of readmission. Lisa McIntyre, of Harborview Medical Center in Seattle.Out of the 2,100 discharges during that time, there were 173 Material Handling Equipment Parts wholesale unplanned readmissions."Very few were due to reasons we could control with better medical care at the index admission," said lead author Dr. Less than one in five patients returned to the hospital due to something doctors could have managed better during the first - or index - hospital stay. General surgery includes operations to fix hernias, for example, or to remove a gallbladder or appendix.

Many readmissions were due to issues like drug abuse or homelessness, the researchers found.McIntyre and her colleagues write in JAMA Surgery that the U.Many readmissions were due to issues like drug abuse or homelessness, the researchers found.The results raise the question of whether readmission rates are valuable measures of surgical quality, write Drs. Fines were already being imposed since 2012 for readmissions following treatments for various medical conditions."To be able to affect this rate, there are going to need to be new interventions that require money and a more global care package of each individual patient that doesn’t stop at discharge," said McIntyre, who is also affiliated with the University of Washington. Alexander Schwed and Christian de Virgilio of the University of California, Los Angeles in an editorial.S


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Indians were not a factor in British politics then

John’s Wood in London what I thought of "the Gandhi statue". Its sponsor is the Shrimad Rajchandra Mission Dharampur, whose website sounds devotional to the point of idolatry of the folk Hinduism kind. Neither he nor anyone else around that table had heard of Jackson’s bronze which Osborne had called "a permanent monument to our friendship with India". People who thought Gandhi’s statue was "insulting towards the Kashmiri community" probably had in mind his support for India’s military resistance when Pakistan invaded Kashmir in 1947. The first one, planned appropriately enough for Bow in London’s poor East End where he stayed in 1931, didn’t materialise. Nor was he responsible for a war-weary and bankrupt Britain’s decision to withdraw from an imperial rulership it could no longer sustain. Mary Wilson didn’t ingratiate herself with ethnic South Asian voters by flaunting a sari or salwar-kameez like Theresa May, Samantha Cameron, Sarah Brown and Cherie Blair.

The rendering would probably have been anathema to the Mahatma, whose Hinduism needed no disguise but didn’t seek to penalise anyone else either.The controversy over a statue of Mohandas Karamchand Gandhi in Manchester in northwest England is further confirmation of the official determination to redefine India.This would bracket the statue with the obvious public relations exercise of the recent state-sponsored visit nylon rollers to Kashmir of 23 members of the European Parliament in Strasbourg while India’s own Opposition politicians are not allowed into the state. Thirty-seven years later, then British PM Harold Wilson refused pleas to utter a single word for the record when Fredda Brilliant’s statue of a cross-legged Mahatma was unveiled in London’s Tavistock Square. Although "bitten" many times, he "trusted" England and "expected" the English to "be converted one day". Ostentatious devotion to Lord Ram assures the gods that never mind the farmers’ suicides and the incarceration of dissenters in Kashmir, Amit Shah and Narendra Modi preside over a true "ram rajya"..S. Gandhi and pacifism unwittingly provided convenient excuses and alibis all round. Asked whether he believed in England’s good faith, he replied he had faith in England because he had faith in the human race. But critics of the project accuse Gandhi of "anti-black racism and complicity in the British Empire’s actions in Africa". He reasoned that the "Bharatiya" of M. Mary, St. Gandhi’s statue will proclaim benign inclusiveness even while barbaric lynchings and initiatives like the National Register of Citizens and Citizenship (Amendment) Bill trim the idea of India to the logic of numbers. Combining "Hindu" and "Indian", he translated "Bharatiya" as "Hindian". It also enabled Britain to claim the dignity of surrendering to the apostle of peace.Actually, our rulers have in mind a triple identity.Many Gandhi statues abroad seem to be mired in controversy. But independence allowed Indians to invent a reason that reflected credit on the freedom movement and its stalwarts.They will continue to do so as more and more graven Mahatmas stride the world while the domestic economy flounders and India moves closer to the "Hindian" reality that Fox mentioned. George proclaims that a true Gandhian heart beats under Narendra Modi’s fancy waistcoats. Despite that feeble testament, the astute Gandhi must have known that the British connection will continue to flourish as long as Indians nurse worldly ambition and hanker for a slice of the pie of Western affluence and lifestyle. Claiming that the statue — paid for by a Manchester-based Sindhi family selling fashion goods — is non-political, the mission calls it an expression of the "non-violence and compassion" that was also evident during Manchester’s deadly 2017 terrorist attack.As David Cameron’s chancellor of the exchequer, George Osborne, whom the wheel of political fortune has reduced to editing the Russian-owned free Evening Standard, described Philip Jackson’s bronze Gandhi outside the Houses of Parliament in London as "a lasting and fitting tribute to his memory in Britain".

A gigantic Sardar Vallabhbhai Patel promises strong governance, capitalistic opportunity and firmness towards Pakistan and its suspected fifth columnists in this country. A nine-foot bronze Mahatma standing vigil outside Manchester’s Cathedral and Collegiate Church of St. They also say he is being "used as a propaganda tool to cover up human rights abuses by the current Indian government under Modi, which is engaging in an effort to erect Gandhi statues globally to create an image of India as an anti-imperialist state". Some weeks after the installation, a prominent English life peer with an interest in Indian affairs and highly placed friends in New Delhi asked me at a dinner party in St. When I began to say it seemed too tall for the plinth, he cut in with "but Gandhi is sitting cross-legged!" He meant the old Tavistock Square figure. Golwalkar, the Rashtriya Swayamsevak Sangh patriarch, was a device to circumvent any explicit reference to "Hindu" and thereby avoid openly defying the official commitment to secularism. The hospitality paid off when the visitors obligingly agreed that the abrogation of Article 370 was an "internal" Indian matter. Gandhi had already been subjected to what the American scholar, Richard Fox, called "ideological hijacking" when Deen Dayal Upadhyaya borrowed terms like sarvodaya, swadeshi and gram swaraj for his political programme which the Jan Sangh adopted and is now the Bharatiya Janata Party’s creed. Since non-resident Indians were not a factor in British politics then, it was assumed the Prime Minister felt anything he said would be wasted breath. But a chance conversation exposed the falsity of the claim. Denys and St.Gandhi’s comments on that supposed friendship were too enigmatic, woolly and contradictory to be convincing. By blaming the crisis on "terrorism", they also played down the political demand of several million Kashmiri Muslims to determine their future.Strictly speaking, the Manchester statue isn’t the BJP’s handiwork. Of course, that has nothing to do with Gandhi


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All developed nations have their population

"Next time someone says ‘I won’t have children’, feel free to not prod further. In fact, as young as 13, I remember telling my mom I wanted to adopt," she explains. It will only evolve into shaming others.Nothing is forbiddenAwareness is the focus area for Alok Kumar, a computer science tutor and an active YouTuber who runs the channel Varjitsatya (Forbidden Truth).

A poor farmer might look at having kids as an asset or an investment."Though firm on their decision, the couple accepts others’ choices to have kids. The world we live in is skewed dramatically, but we should use our privileges to create a platform for the world to be a tad fairer when we leave it. "Relatives shunned me and the girls I proposed to were not courageous enough to make a decision."No to anti-green actsSumedh, an insurance professional in Goa, too wouldn’t want to be tagged with any ‘ism’ for living child-free and not adding to environmental stress."Bombarded with queries and doubts, Alok launched the YouTube channel, where he made videos to clear all misconceptions on child-free lifestyle.Rheea finds labels like ‘anti-natalists’ flawed, "Blanket stereotyping of people who have or don’t have kids is silly and myopic.I am 35 and have never been inclined to have a baby. It’s high time people realise that the purpose of life is not only to bring in more life. Despite putting pressure on others, deep down, most people want to enjoy their life and don’t want to spend life raising children," he says. Though their love story was hailed by social media, their family cut off all the ties with the couple, who has decided that nothing would deter or demotivate them.

"It is utterly sad, rude and unbelievably hilarious that people think they have the ‘right’ to feel offended at a couple’s choice," she says. I would like to see the future that will be less populated," says Sumedh, who would undergo vasectomy to not let his partner suffer any invasive procedure.Vidhya, on the other hand, feels bad for all the people who are being judged, prodded and ridiculed for living life on their own terms. We can do better by not defining ourselves by what we hate. Parenthood has to be a choice; most people just yield to the social pressure to reproduce even though they aren’t ready for it."Raeesa adds, "People should be able to reach quality gynecological and contraceptive care. "People think we are crazy, but we try our best to utilise all rubber wheels Factory available platforms to tell the world why we don’t want to impose suffering on someone by giving birth; it’s immoral."People find it very hard to even digest the idea that it’s alright for someone to not have children," observes Deepak, adding, "Acceptance will ease the pressure so much on people who are tortured for their inability to have children – women put on steroids for years and men shamed for immasculinity, even in educated and affluent households. We need to work towards empowering women medically and emotionally, educating them about their choices. Do respect their choice!. Religion, too, is largely responsible. "I interview people from various walks of life who talk about taboo topics like ***ual needs of the differently-abled, anti-natalism etc. Alok and like-minded friends recently organised in New Delhi a meet-up ‘Stop Making Babies’, coordinating child-free proponents, anti-natalists, efilists and members of Voluntary Human Extinct-ion Movement.

We have so many ways of interpreting the world and commanding the space. For some, the things they do are benefited by not having kids, for others, raising a child to be kind can be a powerful act. "If I ever marry, I will choose someone who prefers to live child-free." Having grown up in a progressive and liberal background has helped shape up his thoughts."Not just lack of awareness, poverty too matters, observes Tom. Only with proper education will people see the truth.As he has been quite vocal about his philosophy, Alok had a hard time finding a life partner. I was advised not to go public about such matters, but I wasn’t ashamed, even when people started asking me if I was impotent. "I believe that humans are the most destructive species as they encroach upon the earth and endanger lives, eliminating many species. Says Deepak, "All developed nations have their population under control. But with education, access to contraceptives and better awareness of rights, many problems can be solved," he hopes. Over-population is not as much a problem as shared distribution of resources."Open about his views, he feels it’s very important to sensitise people, "Especially the lakhs of underprivileged men and women who never know that they have a choice. No social pressure will affect us.Spread the wordAll these child-free individuals know their choice is a prerogative and agree that awareness is very crucial among people who thoughtlessly engage in the process of multiplying. Now that more non-parents are revealing themselves, they are hopeful of the idea gaining momentum.," explains Alok, who fell in love with wheel-chair-bound Shweta, who too was against the idea of childbirth. "Poverty, illiteracy and rapid population growth reinforce each other. She says, "Everyone uses their social and economic privileges in their unique circumstances for a better life


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This aspect also enhances reading pleasure

The grandmaster of a medieval matth in Kashi, a strapping young man Satyavrata Manu who emerges as the saviour of humankind, an extinction level great flood, cannibals and taantrics, Gods and demons.THE ANALYSISFirst- the classification; this trilogy can be classified under the mythological fiction and fantasy genre due to the presentation of main characters as nearly supernatural, and the rich dose of black magic, of curses and of demons and gods.you have it all in this racy trilogy... An ancient prophecy, a giant Ark, a barbarian king, a woman in love, a religious cult, the 14th century Black Plague, the East India Company, a sinister global brotherhood and the great Aryan-invasion debate. That said – the overall gist and significant portions of the books have strong factual underpinning. The author has succeeded in knitting a complex story with dexterity and introduces complex characters, each with his or her shade of grey.The modern timeline is around a young, Delhi-based entrepreneur, Vidyut Shastri, and his great grandfather Dwarka Shastri, who is the 108-year-old chieftain of a haunting, mysterious monastery in Banaras.But above all of this, is the imagination of the author and his superb skill in mixing several ancient histories to create one magnificent vision of an imaginary land. THE SERIESThis is a story spanning two timelines, 1700 BCE Harappa and 2017 Banaras, with snippets from various other timelines woven into them. It is also a story of the folly of anger, and the falling of a wronged demi-God to human status due to it, from which flows the rest of the story. The story during this timeline in 1700 BCE, centred around the ancient metropolis of Harappa, revolves around how Vivasvan Pujari rises from the ashes to wreak retribution on the magnificent city and its people.Kashi: Secret of the Black Temple By Vineet Bajpai TreeShade Books pp 416; Rs 295. The author succeeds in pulling out both the darkness as well as the light that resides in human hearts. Vidyut, prophesied to be the last devta on planet earth, has been kept away from Kashi for a reason – his bloodline bears a chilling, primordial curse. In fact, the characters get more strongly defined with each book, with much better clarity, clearly defined edges, shades and etches.

A series of three books that defy classification – with its mix of history, fiction, fantasy, religion, intrigue, mythology and crime…a reader could barely ask for more in any one series. For example, the Aryan migration theory, and its rebuttal is reasonably justified; as is the hint at fictionalization of Indian history by western historians. India, with its rich culture and unmatched heritage has a veritable treasure of stories just waiting to be told. The first story is one of Vivasvan Pujari, and his son Satyavrata Manu. This is a story of China caster wheels human greed, the abject blindness of the evil and that of raw courage; of sacrifice and of the bravery of the forces of Good.. . Both these aspects of my work-life offer a very different channel to my executive and creative energies..The most attractive aspect of this series is that the characters, their personalities and their overall plotting blends seamlessly across the three books

‘Wrote my first book at 25’How do you manage the two lives you have, one as an entrepreneur and another as a writer?To be honest, I feel I am blessed to have this combination of building companies and writing books available to me. Off late, many authors have gone down this path.Harappa, Pralay and now Kashi – author Vineet Bajpai’s trilogy has taken the country by storm.Complicating factors are the presence of an equally ancient order of evil that has a nefarious design for the entire human race…and the secret to which only Vidyut holds the key. And if you take the time to ponder over some segments, lines or statements, you are sure to find pearls of wisdom like this one – It is in the times of the starkest adversity that a true leader of men stands tall, above material greed, above individual preservation, and even above the fear of grave personal loss. Therefore, in that sense the book is also correctly aligned with historical thrillers.you will find all this and more in this trilogy.Vivasvan Pujari, the designated chief priest and demi-God of Harappa, as a result of being grievously betrayed by those he once trusted, is consumed with his desire for revenge. This aspect also enhances reading pleasure, as the story is not a superhero story, but rather that of a human effort of good against evil, just as laid out in the rich Indian scriptures and ancient tales, when Avatars fought beside and with humans. Harappa — Curse of the Blood River By Vineet Bajpai VB Performance LLP pp 328; Rs 250. Further, this is not a one or two-character story; there are four or five very strongly defined characters with strong roles, which makes for a classic tale. So, what is it about the Harappa trilogy that sets it apart from the rest? What has made it an instant bestseller and given it almost a cult-status (a quick glimpse of its reviews online would elucidate this point)? This is what we will attempt to discover in this review of the three books. It is a captivating story of hate, of rage, of greed, of unbridled ambition – and their cataclysmic outcomes.


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