Nazneen ali: Staff Announcement: New HRPP Education and Communication Specialist: Institutional Review Board (IRB) Office

Опубликовано: July 8, 2023 в 3:11 pm

Автор:

Категории: Miscellaneous

Staff Announcement: New HRPP Education and Communication Specialist: Institutional Review Board (IRB) Office

April 11, 2022

Dear Northwestern Research Community,

It is with great pleasure to announce that, effective Monday, April 11th, 2022, Nazneen Ali will assume the role of HRPP (Human Research Protection Program) Education and Communication Specialist, a new position within Northwestern University’s IRB Office. 

Nazneen, a valued member of the IRB Office, started her career at Northwestern University in 2019 as a Senior IRB Analyst. In this role, Nazneen coordinated panel meetings, expertly engaged with the research community, and, in addition to other duties, contributed to the development of IRB staff and member training initiatives. Before joining Northwestern, Nazneen held several positions at higher learning institutions. In 2010, Nazneen served as a Teaching Assistant and later transitioned to Instructor within the Teacher Development Program within the Department of Learning, Teaching & Curriculum in the College of Education at the University of Missouri. In 2011, she took on the additional role of Programming and Publicity Coordinator for the University of Missouri, where she overhauled the organization’s image and designed and directed professional, service, and social student programming. Nazneen transitioned to research in 2016, where she held dual roles within the Office of Research at the University of Missouri. As a Compliance Specialist within the Conflict-of-Interest Office, Nazneen coordinated the campus and hospital system employees’ Outside Interest Disclosures and developed educational guidance on the COI processes. As a representative of the Institutional Review Board office, she provided support to two departments. From 2016-to 2019, Nazneen held the position of IRB Analyst within the Office of Research Support & Compliance at the University of Texas before joining Northwestern.

As the HRPP Education and Communication Specialist, Nazneen will collaborate with the IRB Office leadership team to identify educational and process improvement needs related to the IRB educational programs. She will be responsible for designing and implementing educational programming, developing educational tools, and managing the IRB Office’s internal and external communication efforts.  

In addition to her extensive education and human research experience, Nazneen has a Bachelor of Science in Mass Communication in Public Relations, a Master of Public Affairs in Organizational Change, and a Philosophy Doctorate in Educational Leadership & Policy Analysis in Educational Administration. She also further solidified her professional expertise by maintaining her Certified IRB Professional credential since 2019.

We are excited to have Nazneen as the new HRPP Education and Communication Specialist. Please join me in congratulating her!

Warm regards,
Piper

Piper Hawkins-Green, MS, CIP
Associate Director, IRB Compliance and Reliance
Northwestern University
Institutional Review Board Office

Integrating Palliative Care Services in Ambulatory Oncology: An Application of the Edmonton Symptom Assessment System

Save citation to file

Format:

Summary (text)PubMedPMIDAbstract (text)CSV

Add to Collections

  • Create a new collection
  • Add to an existing collection

Name your collection:

Name must be less than 100 characters

Choose a collection:

Unable to load your collection due to an error
Please try again

Add to My Bibliography

  • My Bibliography

Unable to load your delegates due to an error
Please try again

Your saved search

Name of saved search:

Search terms:

Test search terms

Email:

(change)

Which day?

The first SundayThe first MondayThe first TuesdayThe first WednesdayThe first ThursdayThe first FridayThe first SaturdayThe first dayThe first weekday

Which day?

SundayMondayTuesdayWednesdayThursdayFridaySaturday

Report format:

SummarySummary (text)AbstractAbstract (text)PubMed

Send at most:

1 item5 items10 items20 items50 items100 items200 items

Send even when there aren’t any new results

Optional text in email:

Create a file for external citation management software

Multicenter Study

. 2017 Apr;13(4):e401-e407.

doi: 10.1200/JOP.2016.019372.

Epub 2017 Mar 16.

Sherri L Rauenzahn 
1
, Susanne Schmidt 
1
, Ifeoma O Aduba 
1
, Jessica T Jones 
1
, Nazneen Ali 
1
, Laura L Tenner 
1

Affiliations

Affiliation

  • 1 University of Texas Health Science Center at San Antonio; and Cancer Therapy and Research Center San Antonio, San Antonio, TX.
  • PMID:

    28301279

  • PMCID:

    PMC5455154

  • DOI:

    10. 1200/JOP.2016.019372

Free PMC article

Multicenter Study

Sherri L Rauenzahn et al.

J Oncol Pract.

2017 Apr.

Free PMC article

. 2017 Apr;13(4):e401-e407.

doi: 10.1200/JOP.2016.019372.

Epub 2017 Mar 16.

Authors

Sherri L Rauenzahn 
1
, Susanne Schmidt 
1
, Ifeoma O Aduba 
1
, Jessica T Jones 
1
, Nazneen Ali 
1
, Laura L Tenner 
1

Affiliation

  • 1 University of Texas Health Science Center at San Antonio; and Cancer Therapy and Research Center San Antonio, San Antonio, TX.
  • PMID:

    28301279

  • PMCID:

    PMC5455154

  • DOI:

    10.1200/JOP.2016.019372

Abstract


Purpose:

Research in palliative care demonstrates improvements in overall survival, quality of life, symptom management, and reductions in the cost of care. Despite the American Society of Clinical Oncology recommendation for early concurrent palliative care in patients with advanced cancer and high symptom burden, integrating palliative services is challenging. Our aims were to quantitatively describe the palliative referral rates and symptom burden in a South Texas cancer center and establish a palliative referral system by implementing the Edmonton Symptom Assessment Scale (ESAS).


Methods:

As part of our Plan-Do-Study-Act process, all staff received an educational overview of the ESAS tool and consultation ordering process. The ESAS form was then implemented across five ambulatory oncology clinics to assess symptom burden and changes therein longitudinally. Referral rates and symptom assessment scores were tracked as metrics for quality improvement.


Results:

On average, one patient per month was referred before implementation of the intervention compared with 10 patients per month after implementation across all clinics. In five sample clinics, 607 patients completed the initial assessment, and 430 follow-up forms were collected over 5 months, resulting in a total of 1,037 scores collected in REDCap. The mean ESAS score for initial patient visits was 20.0 (standard deviation, 18.1), and referred patients had an initial mean score of 39. 0 (standard deviation, 19.0).


Conclusion:

This project highlights the low palliative care consultation rate, high symptom burden of oncology patients, and underuse of services by oncologists despite improvements with the introduction of a symptom assessment form and referral system.

Figures

Fig 1.

Box and whisker plots showing…

Fig 1.

Box and whisker plots showing distribution of total Edmonton Symptom Assessment Scale (ESAS)…


Fig 1.

Box and whisker plots showing distribution of total Edmonton Symptom Assessment Scale (ESAS) score by cancer type at (A) initial and (B) follow-up visits.

Fig 2.

No. of palliative consults per…

Fig 2.

No. of palliative consults per month. Arrow indicates implementation of Edmonton Symptom Assessment…


Fig 2.

No. of palliative consults per month. Arrow indicates implementation of Edmonton Symptom Assessment Scale and referral process; dashed lines indicate average No. of consults per month.

Fig A1.

Percentage of patients reporting severe…

Fig A1.

Percentage of patients reporting severe symptom burden (n = 607). ESAS, Edmonton Symptom…


Fig A1.

Percentage of patients reporting severe symptom burden (n = 607). ESAS, Edmonton Symptom Assessment Scale.

See this image and copyright information in PMC

Similar articles

  • The impact of automated screening with Edmonton Symptom Assessment System (ESAS) on health-related quality of life, supportive care needs, and patient satisfaction with care in 268 ambulatory cancer patients.

    Diplock BD, McGarragle KMC, Mueller WA, Haddad S, Ehrlich R, Yoon DA, Cao X, Al-Allaq Y, Karanicolas P, Fitch MI, Myers J, Mitchell AJ, Ellis JWM.

    Diplock BD, et al.
    Support Care Cancer. 2019 Jan;27(1):209-218. doi: 10.1007/s00520-018-4304-0. Epub 2018 Jun 21.
    Support Care Cancer. 2019.

    PMID: 29931490

  • Symptom Burden and Palliative Referral Disparities in an Ambulatory South Texas Cancer Center.

    Cervantez SR, Tenner LL, Schmidt S, Aduba IO, Jones JT, Ali N, Singh-Carlson S.

    Cervantez SR, et al.
    Front Oncol. 2018 Oct 15;8:443. doi: 10.3389/fonc.2018.00443. eCollection 2018.
    Front Oncol. 2018.

    PMID: 30374422
    Free PMC article.

  • Predictors of high symptom burden in gynecologic oncology outpatients: who should be referred to outpatient palliative care?

    Lefkowits C, W Rabow M, E Sherman A, K Kiet T, Ruskin R, Chan JK, Chen LM.

    Lefkowits C, et al.
    Gynecol Oncol. 2014 Mar;132(3):698-702. doi: 10.1016/j.ygyno.2014.01.038. Epub 2014 Jan 25.
    Gynecol Oncol. 2014.

    PMID: 24472408

  • Incorporating palliative care into oncology practice: why and how.

    Hussaini Q, Smith TJ.

    Hussaini Q, et al.
    Clin Adv Hematol Oncol. 2021 Jun;19(6):390-395.
    Clin Adv Hematol Oncol. 2021.

    PMID: 34106913

    Review.

  • Integrating palliative care into active cancer treatment.

    Mazanec P, Prince-Paul M.

    Mazanec P, et al.
    Semin Oncol Nurs. 2014 Nov;30(4):203-11. doi: 10.1016/j.soncn.2014.08.002.
    Semin Oncol Nurs. 2014.

    PMID: 25361872

    Review.

See all similar articles

Cited by

  • Impact of an outpatient palliative care consultation and symptom clusters in terminal patients at a tertiary care center in Pakistan.

    Rafaqat W, Syed AR, Ahmed IM, Hashmi S, Jabeen I, Rajwani S, Qamar U, Waqar MA.

    Rafaqat W, et al.
    BMC Palliat Care. 2023 Jun 21;22(1):75. doi: 10.1186/s12904-023-01195-4.
    BMC Palliat Care. 2023.

    PMID: 37344868
    Free PMC article.

  • Development of the palliative care referral system: proposal of a tool for the referral of cancer patients to specialized palliative care.

    Pigni A, Alfieri S, Caraceni AT, Zecca E, Fusetti V, Tallarita A, Brunelli C.

    Pigni A, et al.
    BMC Palliat Care. 2022 Nov 28;21(1):209. doi: 10.1186/s12904-022-01094-0.
    BMC Palliat Care. 2022.

    PMID: 36443700
    Free PMC article.

  • Outpatient palliative care referral system (PCRS) for patients with advanced cancer: an impact evaluation protocol.

    Brunelli C, Zecca E, Pigni A, Bracchi P, Caputo M, Lo Dico S, Fusetti V, Tallarita A, Bergamini C, Brambilla M, Raimondi A, Niger M, Provenzano S, Sepe P, Alfieri S, Tinè G, De Braud F, Caraceni AT.

    Brunelli C, et al.
    BMJ Open. 2022 Oct 28;12(10):e059410. doi: 10.1136/bmjopen-2021-059410.
    BMJ Open. 2022.

    PMID: 36307164
    Free PMC article.

  • The Association Between Area Deprivation Index and Patient-Reported Outcomes in Patients with Advanced Cancer.

    Rosenzweig MQ, Althouse AD, Sabik L, Arnold R, Chu E, Smith TJ, Smith K, White D, Schenker Y.

    Rosenzweig MQ, et al.
    Health Equity. 2021 Jan 19;5(1):8-16. doi: 10.1089/heq.2020.0037. eCollection 2021.
    Health Equity. 2021.

    PMID: 33564735
    Free PMC article.

  • Symptom burden among Northern Alberta radiotherapy patients with advanced cancer: mapping needs and gaps.

    Spence W, Ghosh S, Palen M, Liska A, Ha V, Wong R, Huang F.

    Spence W, et al.
    Support Care Cancer. 2020 Oct;28(10):4963-4969. doi: 10.1007/s00520-020-05330-2. Epub 2020 Feb 7.
    Support Care Cancer. 2020.

    PMID: 32034512

Publication types

MeSH terms

Grant support

  • KL2 TR000118/TR/NCATS NIH HHS/United States
  • KL2 TR001118/TR/NCATS NIH HHS/United States
  • TL1 TR001119/TR/NCATS NIH HHS/United States
  • UL1 TR001120/TR/NCATS NIH HHS/United States

Full text links

Atypon

Free PMC article

Cite

Format:

AMA

APA

MLA

NLM

Send To

Read Brick Lane Online (Full and Free) by Monica Ali

Brick Lane is the debut novel by Monica Ali, an English writer of Bangladeshi origin (born in Dhaka).

Nazneen, born in a Bangladeshi village, is married off to a man twice her age and taken to England. In London, she does what is expected of her: runs the household and raises children, constantly balancing between her husband’s conviction in the correctness of the traditional Muslim way of life and the desire of her daughters for modern European life. This delicate balance is broken by Karim, a young activist of the radical Bengal Tigers movement. Karim makes Naznin think about the justice of the social order and the correctness of marital status, but the traditional conflict of duty and passion is resolved in a way that is completely unexpected for both of them.

Shortlisted for the 2003 Booker Prize.

Contents:

  • Monica Ali – BRICK LANE 1

    • Chapter One 1

    • Chapter Two 4

    • 90 011

      Chapter Three 8

    • Chapter Four 13

    • Chapter Five 18

    • Chapter Six 20

    • Chapter Seven 25

    • Chapter Eight 31

    • Chapter nine 35

    • Chapter ten 37

    • Chapter eleven 41

    • Chapter twelve 43

    • Chapter thirteen 49

    • Chapter fourteen 51

    • Chapter fifteen

    • Chapter Sixteen 63

    • Chapter Seventeen 69

    • Chapter Eighteen 73

    • Chapter nineteen 77

    • Chapter twenty 77

    • Chapter twenty one 83

  • 9001 1

    Notes 87

Monica Ali

BRICK LANE

Pape, love

Strictly and indifferently fate guides each of us – and only at first we, preoccupied with all sorts of accidents, nonsense, with ourselves, do not feel its callous hand.

I. S. Turgenev

Character is destiny.

Heraclitus

Chapter One

Mymansingh District, East Pakistan, 1967

900 02 Exactly one hour and forty-five minutes before Nazneen’s life began (it seemed to start for a minute, and it was not clear whether it would continue), her mother Rapban felt as if her stomach was being squeezed with an iron fist. Rapban crouched on a low stool with three legs. Near the kitchen hut, she was plucking a chicken for a feast in honor of the arrival of Hamid’s cousins ​​from Jessur.

– Chick-chick, old, bony, – Rapban said, – oh, and I’ll sing you, even if there is some indigestion! And then tomorrow again boiled rice, no paratha.

Pulling out a few more feathers and watching how they fall smoothly at her feet, Rapban suddenly screamed:

– Aaaa… Aaaa.. . Aaaa…

And guessed it. For seven months now it has been pouring like a fruit on a mango tree. But it’s only seven months! And she pushed the guesswork aside. And for an hour and a half, or maybe more, squeezing Chick’s soft and skinny neck, she repeated to all questions about the chicken: “Soon, soon.” Stroking their bellies, the dusty men returned from the fields. The shadows of the children who played marbles and fought became longer and sharper. The scent of cardamom and roasted cumin wafted through the village. The goats bleated thinly, faintly. And Rapban screeched red-hot and bloody and white hot.

Hamid rushed out of the bathroom without finishing his business. He ran towards the house past tall stacks of rice straw (the tallest buildings and those below), along a muddy road, and along the way picked up a healthy stick to kill the one who raised a hand against his wife. Hamid recognized her voice. Only she squeals so that the windows burst.

Rapban was in the bedroom. The bed was made, but she did not lie down – she stood, squeezing Mamtaz’s shoulder with one hand, and the half-plucked chicken with the other.

Mamtaz waved Hamid away:

– Go call Banesa. What do you want, a rickshaw to serve? Come on, come on, walk.

Banesa lifted Naznin by her ankle and puffed out her cheeks with disdain, exhaled on a tiny bluish body:

– She can’t even breathe. If people count every taka, why call a midwife?

Banesa shook her bald, wrinkled head. She claimed to be one hundred and twenty years old; for ten years now she has been repeating this especially insistently. In the village, no one remembers the day she was born, Banesa herself is drier than an old coconut, and it never occurs to anyone to doubt her age. She claimed to have adopted a thousand children, of which only three were disabled, two mutants (one hermaphrodite and one hunchback), one stillborn, and another sin-against-god-hybrid-monkey-lizard-who-was-buried-far-out-in-the-forest -a-mother-sent-away-we-know-where. Nazneen was not included in the list of these failures, because she was born a couple of minutes before Banesa dragged herself into the hut.

“Your daughter,” said Banesa Rapban. – See how good it is. All she needed was help on her way to this world.

Banesa looked at Tsypa near the unfortunate mother, drew in her cheeks, and her eyes, buried under wrinkles, widened with hunger. Because of two young girls who also decided to become midwives (it was necessary to strangle them at birth), she has not had a piece of meat in her mouth for many months now.

– Let me wash her and dress her for the funeral, – said Banesa. – For free. Except perhaps this chicken for worrying. She’s so old and skinny.

– Let me hold the girl, – said, crying, Mamtaz, aunt Naznin.

– I thought I had indigestion, – said Rapban and started crying too.

Mumtaz took Nazneen, who was still hanging upside down, and suddenly a small flimsy body slipped out of her hands and flopped onto the bloody mattress. Howl! Scream! Rapban grabbed Naznin and gave her a name, in case the girl dies again and again – without a name.

Banesa puffed and wiped saliva from her chin with the edge of her yellowed sari.

– These are death rattles.

All three women bent over the baby. Naznin waved her hands frantically, as if horrified at the sight. The blueness began to fade, giving way to brown and purple.

– The Lord brought her back to earth, – Banesa said with disgust.

Mamtaz, doubting Banesa’s initial diagnosis, answered:

– He himself sent her here five minutes ago. What do you think, does he change his mind every three seconds?

Banesa muttered something unintelligible. She put her hand on Nazneen’s chest, her hooked fingers like the roots of an old tree crawling out.

– The baby is alive, but very weak. You have two options, – she said, referring only to Rapban, – take him to the city to the hospital. There he will be given all sorts of tubes and medicines. This is a very expensive way out. You will have to sell the jewels. The second way out is to wait for the decision of Fate itself.

Banesa barely perceptibly turned to Mumtaz, addressing her last remark to her, then turned to Rapban again:

– Fate will decide in the end, no matter what you choose.

“We’ll take the baby to the city,” Mumtaz said, and red spots appeared on her cheeks from the desire to resist.

But Rapban, still crying, pressed her baby to her chest and shook her head.

– No, she said, you can’t resist Fate. I will accept whatever happens. I won’t let my girl waste her energy fighting Fate. She still needs them.

– Well, then it’s decided, – said Banesa.

Banesa stomped – from hunger it is just right to eat a child, but under the gaze of Mamtaz shuffled into her shack.

Hamid came and looked at Naznin. Wrapped in rough gauze, she lay on an old jute bag placed over a rolled-up mattress. Her eyes were closed and swollen, as if they had been hit hard.

“A girl,” said Rapban.

– I know. Nothing, – answered Hamid, – what could you do.

And went out again.

Mamtaz returned with rice, dal and chicken curry on a tin tray.

– She won’t eat, Rapban said, she doesn’t know what to do with her breasts. Maybe she was destined to starve to death.

Mamtaz rolled her eyes:

– Will eat in the morning. As long as you eat. Otherwise, too, at the behest of Fate, you will die of malnutrition.

And Mamtaz smiled, looking at her sister-in-law, at her sad face, full of grief both about what had already happened and about what would be.

But the next morning Naznin did not take her breast. And the next day. A day later, she spat out her nipple and gurgled something cunningly. Rapban, who always liked to cry, could not resist the temptation again. People came: aunts, uncles, brothers, nephews, nieces, relatives by husband, women from the village and – Banes. Dragging her bent legs over the trampled dirt of the hut, the midwife approached the girl: 9

Monica Ali – Brick Lane read online

12 3 4 5 6 7 . ..126

Monica Ali fate leads each of us – and only at first, we, preoccupied with all sorts of accidents, nonsense, ourselves, do not feel her callous hand.

IS Turgenev

Character is destiny.

Heraclitus

Chapter One

Mymansingh District, East Pakistan 1967

Exactly one hour and forty-five minutes before Naznin’s life began (it seemed to start for a minute, and it was not clear whether it would continue), her mother Rapban felt as if her stomach was squeezed with an iron fist. Rapban crouched on a low stool with three legs. Near the kitchen hut, she was plucking a chicken for a feast in honor of the arrival of Hamid’s cousins ​​from Jessur.

“Chick-chick, old, bony,” Rapban kept saying, “oh, and I’ll sing you, even if there’s some indigestion!” And then tomorrow again boiled rice, no parathas[1].

Pulling out a few more feathers and watching how they fall smoothly at her feet, Rapban suddenly screamed:

— Aaaah… Aaaah… Ahhh…

And guessed it. For seven months now it has been pouring like a fruit on a mango tree. But it’s only seven months! And she pushed the guesswork aside. And for an hour and a half, or maybe more, squeezing Chick’s soft and skinny neck, she repeated to all questions about the chicken: “Soon, soon.” Stroking their bellies, the dusty men returned from the fields. The shadows of the children who played marbles and fought became longer and sharper. The scent of cardamom and roasted cumin wafted through the village. The goats bleated thinly, faintly. And Rapban screeched red-hot and bloody and white hot.

Hamid rushed out of the bathroom without finishing his business. He ran towards the house past tall stacks of rice straw (the tallest buildings and those below), along a muddy road, and along the way picked up a healthy stick to kill the one who raised a hand against his wife. Hamid recognized her voice. Only she squeals so that the windows burst.

Rapban was in the bedroom. The bed was made, but she did not lie down – she stood, squeezing Mumtaz’s shoulder with one hand, and the half-plucked chicken with the other.

Mamtaz waved Hamid away:

– Go call Banesa. What do you want, a rickshaw to serve? Come on, come on, walk.

Banesa lifted Naznin by her ankle and puffed out her cheeks with disdain, exhaled on a tiny bluish body:

— And she can’t breathe. If people have every taka[2] on the account, why call a midwife?

Banesa shook her bald, wrinkled head. She claimed to be one hundred and twenty years old; for ten years now she has been repeating this especially insistently. In the village, no one remembers the day she was born, Banesa herself is drier than an old coconut, and it never occurs to anyone to doubt her age. She claimed to have adopted a thousand children, of which only three were disabled, two mutants (one hermaphrodite and one hunchback), one stillborn, and another sin-against-god-hybrid-monkey-lizard-who-was-buried-far-out-in-the-forest -a-mother-sent-away-we-know-where. Nazneen was not included in the list of these failures, because she was born a couple of minutes before Banesa dragged herself into the hut.

“Your daughter,” said Banesa Rapban. – See how good it is. All she needed was help on her way to this world.

Banesa looked at Tsypa near the unfortunate mother, drew in her cheeks, and her eyes, buried under wrinkles, widened with hunger. Because of two young girls who also decided to become midwives (it was necessary to strangle them at birth), she has not had a piece of meat in her mouth for many months now.

“Let me wash her and dress her for the funeral,” said Banesa. – For free. Except perhaps this chicken for worrying. She’s so old and skinny.

“Let me hold the girl,” said Mumtaz, aunt Naznin, crying.

“But I thought I had indigestion,” said Rapban and also began to cry.

Mumtaz took Nazneen, who was still hanging upside down, and suddenly a small flimsy body slipped out of her hands and flopped onto the bloody mattress. Howl! Scream! Rapban grabbed Naznin and gave her a name, in case the girl dies again and again – without a name.

Banesa puffed and wiped saliva from her chin with the edge of her yellowed sari.

– These are death rattles.

All three women bent over the baby. Naznin waved her hands frantically, as if horrified at the sight. The blueness began to fade, giving way to brown and purple.

“The Lord brought her back to earth,” Banesa said with disgust.

Mamtaz, doubting Banesa’s initial diagnosis, answered:

— He himself sent her here five minutes ago. What do you think, does he change his mind every three seconds?

Banesa muttered something unintelligible. She put her hand on Nazneen’s chest, her hooked fingers like the roots of an old tree crawling out.

– The baby is alive, but very weak. You have two options,” she said, addressing only Rapban, “to take him to the city to the hospital. There he will be given all sorts of tubes and medicines. This is a very expensive way out. You will have to sell the jewels. The second way out is to wait for the decision of Fate itself.

Banesa barely perceptibly turned to Mumtaz, addressing her last remark to her, then turned to Rapban again:

– Fate will decide in the end, no matter what you choose.

“We’ll take the little girl to the city,” Mumtaz said, and red spots appeared on her cheeks from the desire to resist.

But Rapban, still crying, pressed her baby to her chest and shook her head.

“No,” she said, “you can’t resist Fate. I will accept whatever happens. I won’t let my girl waste her energy fighting Fate. She still needs them.

“Okay, so it’s decided,” said Banesa.

Banesa stomped around – from hunger it is just right to eat a child, but under the gaze of Mamtaz she shuffled into her shack.

Hamid came and looked at Naznin. Wrapped in rough gauze, she lay on an old jute bag placed over a rolled-up mattress. Her eyes were closed and swollen, as if they had been hit hard.

“Girl,” said Rapban.

– I know. Nothing,” said Hamid, “what could you do.