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Anarchival practises : the Clanwilliam Arts Project as re-imagining custodianship of the past
(2023)
Where is the past? It is not really behind us, but with us, constantly imagined and re-imagined in public discourse through historical narrations. Using the Clanwilliam Arts Project as a case study, this volume is founded on the 'anarchive', a conceptual constellation that positions the past in relation to the present, bringing into view strategies to facilitate remembering beyond the colonial archive.
For thirty years, Berlin was the metropole of the German colonial empire. For most German citizens, however, this statement is relatively unknown. Even though there is an increased interest in decolonial praxis within Berlin-based cultural and educational settings, the persistence of such efforts and their implications within larger society is hard to assess in advance. In response, this text proposes a walking tour through Berlin, highlighting places related to this part of German history. In doing so, it demonstrates the presence of many references to colonialism spread through the city and, more significantly, many initiatives and projects seeking to make this past more visible. By offering an overview of four specific locations within the city, this chapter hopes to critically reflect on the extensive trajectory of the ongoing struggles for historical reparations.
Background: Guidelines for the control of hospital-acquired MRSA include decolonization measures to end MRSA carrier status in colonized and infected patients. Successful decolonization typically requires up to 22 days of treatment, which is longer than the average hospital length of stay (LOS). Incomplete decolonization is therefore common, with long-term MRSA carriage as a consequence. To overcome this, we developed an integrated MRSA Management (IMM) by extending MRSA decolonization to the outpatient and domestic setting. The protocol makes use of polyhexanide-based products, in view of reported qac-mediated resistance to chlorhexidine in S. aureus and MRSA.
Methods: This is a prospective, single centre, controlled, non-randomized, open-label study to evaluate the efficiency of the IMM concept. The outcome of guideline-approved decolonization during hospital stay only (control group; n = 201) was compared to the outcome following IMM treatment whereby decolonization was continued after discharge in the domestic setting or in a long-term care facility (study group; n = 99). As a secondary outcome, the effect of MRSA-status of skin alterations was assessed.
Results: The overall decolonization rate was 47 % in the IMM patient group compared to 12 % in the control group (p < 0.01). The continued treatment after hospital discharge was as effective as treatment completed during hospitalization, with microbiologically-confirmed decolonization (patients with completed regimes only) obtained with 55 % for the IMM group and 43 % for the control group (p > 0.05). For patients with skin alterations (e.g. wounds and entry sites), decolonization success was 50 % if the skin alterations were MRSA-negative at baseline, compared to 22 % success for patients entering the study with MRSA-positive skin alterations (p < 0.01).
Conclusions: The IMM strategy offers an MRSA decolonization protocol that is feasible in the domestic setting and is equally effective compared with inpatient decolonization treatment when hospital LOS is long enough to complete the treatment. Moreover, for patients with average LOS, decolonization rates obtained with IMM are significantly higher than for in-hospital treatment. IMM is a promising concept to improve decolonization rates of MRSA-carriers for patients who leave the hospital before decolonization is completed.
Focusing on the specific case of knowledge production in and about Iran, in this chapter, we discuss the risk of reproducing a Northern perspective in the attempts to produce knowledge on and through the Global South(s). We argue that such reproduction leads to cognitive suppression, further peripheralization, or even recolonization of the South(s). We also stress the lasting effects of methodological nationalism among attempts at decolonization and its political consequences, such as in the adoption of nativist discourses historically connected to the 'Islamic' Revolution by scholars focusing on the Global South(s) and in area studies concerning Iran. To avoid these effects, we suggest considering the politics of scale in our recognition and problematization of the hierarchization of Northern and Southern sites of knowledge production and their particularities.
This chapter is a journey of thought exploring decolonial critique as a situated practice while thinking through exilic consciousness and its constitutive conditions. I begin by reflecting on decolonialities to gesture toward varied forms of decolonial projects that need to be situated, given that each location generates different sets of questions/problems that demand different answers. In this way, I reconfigure the exilic condition, and the space of displacement in general, as a plurilingual space that unsettles various colonial forms of epistemic monolingualism predicated on the selfsufficiency of thought. To this end, I reflect on the potentiality of exilic consciousness to generate decolonial critique when thinking from/about the Global South. Finally, this chapter demonstrates the significance of acknowledging the diverse locations and trajectories of decolonial critique and the plurality of thought embedded within the exilic intellectual formation that can potentially undo colonial forms of knowledge-making and being in the world.