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As Puerto Rico rapidly industrialized from the late 1940s until the 1970s, the social, political, and economic landscape changed profoundly. In the realm of heath care, the development of medical education, new medical technologies, and a new faith in science radically redefined childbirth and its practice. What had traditionally been a home-based, family-oriented process, assisted by women and midwives and "accomplished" by mothers, became a medicalized, hospital-based procedure, "accomplished" and directed by biomedical, predominantly male, practitioners, and, ultimately reconfigured, after the 1980s, into a technocratic model of childbirth, driven by doctors' fears of malpractice suits and hospitals' corporate concerns. Pushing in Silence charts the medicalization of childbirth in Puerto Rico and demonstrates how biomedicine is culturally constructed within regional and historical contexts. Prior to 1950, registered midwives on the island outnumbered registered doctors by two to one, and they attended well over half of all deliveries. Isabel M. Córdova traces how, over the next quarter-century, midwifery almost completely disappeared as state programs led by scientifically trained experts and organized by bureaucratic institutions restructured and formalized birthing practices. Only after cesarean rates skyrocketed in the 1980s and 1990s did midwifery make a modest return through the practices of five newly trained midwives. This history, which mirrors similar patterns in the United States and elsewhere, adds an important new chapter to the development of medicine and technology in Latin America.
As Puerto Rico rapidly industrialized from the late 1940s until the 1970s, the social, political, and economic landscape changed profoundly. In the realm of heath care, the development of medical education, new medical technologies, and a new faith in science radically redefined childbirth and its practice. What had traditionally been a home-based, family-oriented process, assisted by women and midwives and “accomplished” by mothers, became a medicalized, hospital-based procedure, “accomplished” and directed by biomedical, predominantly male, practitioners, and, ultimately reconfigured, after the 1980s, into a technocratic model of childbirth, driven by doctors’ fears of malpractice suits and hospitals’ corporate concerns. Pushing in Silence charts the medicalization of childbirth in Puerto Rico and demonstrates how biomedicine is culturally constructed within regional and historical contexts. Prior to 1950, registered midwives on the island outnumbered registered doctors by two to one, and they attended well over half of all deliveries. Isabel M. Córdova traces how, over the next quarter-century, midwifery almost completely disappeared as state programs led by scientifically trained experts and organized by bureaucratic institutions restructured and formalized birthing practices. Only after cesarean rates skyrocketed in the 1980s and 1990s did midwifery make a modest return through the practices of five newly trained midwives. This history, which mirrors similar patterns in the United States and elsewhere, adds an important new chapter to the development of medicine and technology in Latin America.
CAST IN SILENCE A member of the elite Hawk force that protects the City of Elantra, Kaylin Neya has sacrificed much to earn the respect of the winged Aerians and immortal Barrani she works alongside. But the mean streets she escaped as a child aren't the ones she's vowed to give her life guarding. Those were much darker… Kaylin's moved on with her life—and is keeping silent about the shameful things she's done to stay alive. But when the city's oracles warn of brewing unrest in the outer fiefdoms, a mysterious visitor from Kaylin's past casts her under a cloud of suspicion. Thankfully, if she's anything, she's a survivor… Previously Published in 2009
Jacob Horowitz, a worn and bitter business tycoon, has never spoken to anyone about his experience of Nazi persecution during World War II -- not even his recently deceased wife, Liza. Suddenly stricken with terminal cancer, the aging Jew receives an invitation from his old friend Pierre, a Gentile Christian and former Belgian underground operative, to pay him one last visit in Belgium. Jacob accepts, and determines to take along his estranged son Isaac. In this fast-paced, vivid historical account set alternately in war-torn Europe and today's United States, the consequences of war become clear. Momentous events push the hardened Horowitz toward reconciliation with his youngest son, with his past, with God, and with himself.
My name is Tess Turner--at least, that's what I've always been told. I have a voice but it isn't mine. It used to say things so I'd fit in, to please my parents, to please my teachers. It used to tell the universe I was something I wasn't. It lied. It never occurred to me that everyone else was lying too. Fifteen-year-old Tess doesn't mean to become mute. At first, she's just too shocked to speak. And who wouldn't be? Discovering your whole life has been a lie because your dad isn't your real father is a pretty big deal. Terrified of the truth, Tess retreats into silence. Reeling from her family's betrayal, Tess sets out to discover the identity of her real father. He could be anyone--even the familiar-looking teacher at her school. Tess continues to investigate, uncovering a secret that could ruin multiple lives. It all may be too much for Tess to handle, but how can she ask for help when she's forgotten how to use her voice? In a brilliant study of identity, betrayal, and complex family dynamics, award-winning author Annabel Pitcher explores the importance of communication, even when we're faced with unspeakable truths.
The gripping, moving story of a mother and daughter's quest to uncover a dark secret in the Alaskan wilderness, from the New York Times bestselling author of Sister and Afterwards. Thrillingly suspenseful and atmospheric, The Quality of Silence is the story of Yasmin, a beautiful astrophysicist, and her precocious deaf daughter, Ruby, who arrive in a remote part of Alaska to be told that Ruby's father, Matt, has been the victim of a catastrophic accident. Unable to accept his death as truth, Yasmin and Ruby set out into the hostile winter of the Alaskan tundra in search of answers. But as a storm closes in, Yasmin realizes that a very human danger may be keeping pace with them. And with no one else on the road to help, they must keep moving, alone and terrified, through an endless Alaskan night.
When The Silence was released in 1963, Bergman's stature allowed the film's depiction of sexuality to challenge the boundaries of the censorship boards in Sweden and the U.S. Yet, Swedish film critic Maaret Koskinen - one of the first scholars given access to Bergman's private papers - found his notebooks revealed his tendency to self-censorship, as well as the difficulties he experienced in writing for the medium of moving images. She draws a picture of Berman that reveals his attempts to make his work relevant to a new generation of filmgoers.
The thrilling finale to the Revenger Trilogy tells a desperate tale of greed, piracy, shadow governments, and ancient secrets that could unravel all of civilization The Ness sisters ran away from home to become the most fearsome pirates in the twenty thousand worlds of the Congregation. They've plundered treasures untold, taken command of their own ship, and made plenty of enemies. But now they're being hunted for crimes they didn't commit by a fleet whose crimes are worse than their own. To stay one step ahead of their pursuers and answer the questions that have plagued them, they'll have to employ every dirty, piratical trick in the book.... Read more by Alastair Reynolds! The Revenger Trilogy:RevengerShadow CaptainBone Silence
I've spent years hoping someone would finally hear me. It's easier not to try anymore... Ten years after leaving his small Minnesota hometown in his rearview mirror for what Nolan Grainger was sure would be the last time, life has decided to throw the talented musician a curveball and send him back to the town he lived in but was never really home. At twenty-eight, Nolan has traveled the world as a successful concert violinist with some of the best symphonies in the country. But success breeds envy, and when Nolan's benefactor and lover decides Nolan has flown high enough, he cruelly clips Nolan's wings. The betrayal and ensuing scandal leaves the violinist's career in shambles and with barely enough money to start fresh somewhere beyond his vindictive ex's powerful reach. But just as he's ready to get his life back on track, Nolan gets the call he's been dreading. After a stroke leaves his father a partial invalid, duty-bound Nolan returns to Pelican Bay and a life he's spent years trying to forget. When he's forced to use the last of his own money to keep from losing the family home, desperation has him turning to the one man he'd hoped never to see again... Even if I could speak, there wouldn't be anyone there to listen... Pelican Bay's golden boy, Dallas Kent, had the quintessential perfect life. Smart, gorgeous, and popular, the baseball phenom was well on his way to a life filled with fame and fortune. But more importantly, he had a one-way ticket out of Pelican Bay and far away from the family who used love as currency and whose high expectations were the law of the land. But a stormy night, sharp highway curve and one bad decision changed everything, leaving Dallas with nothing. Because the accident that took his parents, his future and his crown as the boy who could do no wrong, also stole his voice. Despised for the horrific wreck that ended the lives of two of Pelican Bay's most respected residents, Dallas has retreated to a secluded stretch of land where he's found refuge in a menagerie of unwanted animals that don't care that he once had the world at his feet or that he'll never speak again. But when the quiet, bookish boy he wasn't allowed to notice in school suddenly reappears ten years later at Dallas's wildlife rehab center in desperate need of a job, Dallas is thrust back into a world he's worked hard to escape. Dallas's silence was supposed to send Nolan scurrying, but what if Nolan ends up being the one person who finally hears him? Will two men who've been fleeing from the past finally come home to Pelican Bay for good or will the silence drive them apart forever?
Nine years she suffered, but no more. Her new name is Mia Harlow, and she is ready to live again.It took a near death experience, but Mia got away. She's rebuilt her life from the ground up, and after three long years, she's found a reason to live again. Everything is going great until her neighbor is attacked, and the past threatens to engulf Mia again. Just when she thinks all is lost, three amazing men waltz into her life. Their complementary personalities and differing strengths bind the broken pieces that her ex-husband left behind.While Mia is healing and learning what love is supposed to be, a serial killer is on the prowl. Molly Manhunter stalks the city looking for rapists. She ensnares them with the one thing they've been accused of abusing - sex, and uses it to extinguish their lives. Molly is determined to fight against the silence that gets swept under the rug of justice, and Mia is caught up in the search for her neighbor's abuser. Will the two women cross paths? When push comes to shove, will Mia's newfound bonds weather the storm? Can one woman break the Deafening Silence, or will she become another victim to the system?Deafening Silence book one in the Manhunter trilogy. It is a dark reverse harem romance about an abuse survivor. The MC will not choose between her love interests. Expect dark elements and explicit scenes. If such scenes will offend or trigger you, please do not buy this book.