Regular Visitors Research Articles

Evaluation of the Interdisciplinary Care Home-bAsed Reablement Program (I-CHARP) for People Living With Cognitive Impairment and Dementia in Care Homes.

Major knowledge and practice gaps exist in aged care home services to support independence of older people with dementia. This research evaluates an adaptation of a community-based rehabilitation model for care homes, namely Interdisciplinary Care Home-bAsed Reablement Program (I-CHARP), by examining whether (and, if so, how) I-CHARP produces its intended effects and how this programme can be practicably implemented, sustained and scaled up across care homes in Australia. I-CHARP is a 4-month bio-behavioural-environmental rehabilitation model of care, integrated in care home services, supported through the deployment of an implementation strategy, the Research Enabled Aged Care Homes (REACH) network. It consists of (1) 8-12 full individual sessions and additional eight brief follow-ups per resident, tailored to the resident's needs, delivered primarily by a team of an occupational therapist, registered nurse and other allied health staff; (2) environmental modifications/assistive devices up to the value of $400 per resident; and (3) engagement of intervention care home staff, managers and regular visitors. An overarching evaluation approach is participatory action research using a cluster quasi-experimental design and mixed methods. It involves testing of the implementation strategy (REACH network and other approaches) while observing/gathering information on the intervention (I-CHARP) and related outcomes in three cycles. Participants include residents (aged ≥ 60 years with early stages of dementia) and care staff from 16 care homes. Care quality indicators, health care costs, field notes and semi-structured interviews/focus groups with intervention site staff, regular visitors and managers will provide further insights into I-CHARP processes and implementation issues. In the final phase of the project, an Agile Implementation Playbook will be developed for the delivery of reablement care that can be used in routine practice across care homes in Australia. The study findings will also inform future policy development and strategic directions for dementia care in care homes. Australian New Zealand Clinical Trial Registry, ACTRN12623000885695 Registered 16 August 2023, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=386088. 1.0 dated 20 July 2023.

Survival strategies of Bar-tailed Godwit in tropical sand beaches: Straight-line and zigzag foraging techniques

The near-threatened Bar-tailed Godwit (Limosa lapponica) makes the longest non-stop endurance flights among shorebirds. They are regular winter visitors to the Kadalundi-Vallikkunnu Community Reserve and adjoining sand beaches along the west coast of India. The research investigates their foraging strategies within sand beaches, observed over six years (2016-2022). Extensive field observations across major sand beaches documented two distinct modes of continuous stitching behaviour; a straight-line mode and a zigzag mode. Despite predation pressure and human disturbances, Bar-tailed Godwits achieved high prey capture rates, likely due to the abundance of benthic invertebrates. The study also revealed the prevalence of this behaviour and its association with rate of prey consumption, particularly focusing on the availability of Cosmonotus crabs, the dominant prey species. The zigzag pattern, was associated with higher prey capture rates, suggesting an adaptive response to prey distribution. Our findings suggest that, this unique foraging strategy allows Bar-tailed Godwits to optimize prey capture while conserving time and energy, especially in resource-scarce environments. Furthermore, the implications of these behaviours are discussed in the context of prey availability, nutrient content, and the energetic demands of long-distance migration, shedding light on to the adaptive mechanisms employed by shorebirds in challenging habitats.

Stakeholder assessment of design quality indicators for community centers: a Delphi approach

PurposeThis paper seeks to establish design quality indicators (DQIs) that can be utilized for assessing the design of community centers, with an emphasis on the technical, functional, and behavioral performance domains.Design/methodology/approachA comprehensive literature review resulted in identifying 79 DQIs for community centers. A three round Delphi evaluation approach was utilized to rate the importance of the DQIs through their relative importance index (RII) values. The assessment of the DQIs involved a diverse group of stakeholders including facilities managers, architects/engineers (A/Es), community centers’ staff, and regular visitors of community centers.FindingsThe majority of the established DQIs were considered to be either “Very Important” or “Important”.Practical implicationsThe established DQIs can be utilized to identify best practices in the design of community centers and benchmark the performance of different community centers.Originality/valueThe design quality of community centers could significantly impact the community's quality of life and user experience. The development of DQIs provides for enhanced accountability and improved service delivery for the communities they serve. This enables community centers to be more effective, efficient, and responsive to the needs of the users they support.

Social structure and site fidelity of an oceanic delphinid: the rough‐toothed dolphin (Steno bredanensis) off the southwest Pacific coast of Mexico

AbstractRough‐toothed dolphins (Steno bredanensis) typically inhabit deep oceanic waters from tropical to temperate waters worldwide. However, their ecology and behavior remain poorly understood. We investigated site fidelity and social structure of rough‐toothed dolphins using photo‐identification data collected between 2014 and 2022 in the continental shelf waters of the southwestern coast of Mexico. A total of 133 groups of rough‐toothed dolphins were recorded. Mean group size was 4.9 individuals (SD = 4.5), and dolphins were encountered in waters of a mean depth of 110 m (SD = 188). Of 228 individuals identified, 55% were observed once, 39% were seen between two and four times, and 6% were seen five times or more. Site fidelity analysis suggests three levels of site fidelity: transients, occasional visitors, and regular visitors, which are likely to affect the social structure. Through network analysis, nonrandom social patterns were identified (S = 1.25 ± 0.26) and dolphins exhibited both preferences and avoidances of social partners. Cluster analysis suggested significant divisions within the population (Q = 0.43 ± 0.05). Despite limitations related to sample size and design, this preliminary study suggests that rough‐toothed dolphins are best characterized by a fission‐fusion society, which is similar to most coastal delphinid populations.

Impact of COVID-19 on essential healthcare services at the primary healthcare level in Armenia: a qualitative study

BackgroundThe COVID-19 pandemic has presented significant global healthcare challenges, particularly impacting the continuity of essential health services in low- and middle-income countries. This study investigates the impact of the COVID-19 pandemic on the utilization and provision of essential health services in Armenia.MethodsWe employed a conventional qualitative study design, conducting semi-structured in-depth interviews (n = 17) within public and private primary healthcare (PHC) facilities in Armenia in 2021. Our study participants encompassed physicians providing specialty services in PHC facilities (e.g. endocrinologists, gynecologists/obstetricians, and pediatricians), regular visitors to PHC facilities (e.g. adults with chronic diseases, parents of children), and policymakers. Thematic analysis was conducted, yielding five emergent categories: mobilization and organization of PHC services during COVID-19; PHC visits during COVID-19; worsening of chronic conditions due to the decline in PHC visits; problems with routine childhood vaccinations; and patient-provider communication challenges.ResultsThe number of in-person visits to PHC facilities declined due to adaptations in service delivery, imposed lockdown measures, and the public’s fear of visiting healthcare facilities. Maternal and child health services continued with no major disruptions. PHC providers deliberately limited the number of maternal and child visits to essential antenatal care, newborn screenings, and routine childhood immunizations. Still, children experienced some delays in vaccination administration. The pandemic resulted in a notable reduction in follow-up visits and monitoring of patients with chronic conditions, thereby exacerbating their chronic conditions. Phone calls were the primary method of patient-provider communication during the pandemic.ConclusionsThe COVID-19 pandemic has had a profound impact on the delivery and utilization of essential healthcare services at PHC facilities, especially for those with chronic conditions who needed continuous care. Unified national-level guidance and technical capacity are needed to direct the provision of essential services at the PHC level, promote effective health communication, and implement digital platforms for the uninterrupted provision of essential care during public health emergencies.

Structuring the Museum Audience on the Example of Izhevsk and Votkinsk

Modern sociological research demonstrates the need to comprehend the transformation of the organizational principles of museum work, which implies the intensification of interactivity in various forms and the provision of opportunities for individual involvement and for the activities of public associations. The development of museums presupposes a combination of two factors: firstly, the articulated symbolic value of objects, and secondly, different types of capital of actors who make up a one-time or permanent audience. Museums in provincial cities have difficulties with these factors, as their inhabitants, due to their habitus, are limited in resources and the cultural value of the practice of visiting museums is not obvious to them. In addition, provincial museums as a rule do not have information about the composition of their visitors and their cultural needs. The aim of the article is to determine the structure of the museum audience on the example of two cities of the Udmurt Republic — Izhevsk and Votkinsk. The empirical basis of the research is based on the data of a qualitative study with the staff of museums in Izhevsk and Votkinsk(n = 25), supplemented by surveys in Izhevsk (n = 600) and Votkinsk (n = 330). In accordance with L. Lotina’s typology, five forms of cultural engagement were identified: public, audience, visitors, users (regular visitors), and participants. The analysis of such categories as public and audience allows us to define the place of going to museums as a form of leisure. Differences in leisure preferences of residents of Izhevsk and Votkinsk are related to commercial forms of leisure. Regular visitors of museums and other cultural institutions, among whom middle-aged women, pensioners and families with children predominate, demonstrate a high degree of satisfaction with the content and level of work of these institutions. At the same time, there are difficulties associated with the transition of regular visitors to the category of active participants, which are caused by staffing, resource and organizational limitations of museums, as well as the existing level of differentiation of the museum audience.

INTRODUCTION OF THE LATEST TECHNOLOGIES IN MUSEUMS: CREATING AN ELECTRONIC ARCHIVE AND DATABASE

In the context of museum communication with visitors, the primary goal is interactive communication. Currently, the most relevant aspect is not the instrumental role of cutting-edge technologies, but rather their potential for enhancing traditional museums. Moreover, it is particularly intriguing to assess whether these technologies can fundamentally impact a conservative museum institution, open new horizons in virtual space, and attempt to envision the museum’s future—undoubtedly closely tied to the overall course of cultural evolution. Introducing people to the museum, fostering their attachment, and making them regular visitors and friends of the museum remain steadfast objectives for its successful existence. The presence of a museum in a social network makes both its virtual and real existence visible and tangible. Museums and their collections can be presented from a new perspective while preserving their individuality and relevance for a new audience. The application of innovative technologies and the implementation of automated systems significantly enhance the efficiency of solving tasks that museums encounter throughout their existence.

Geospatial analysis of the territory for solving urban planning problems

The purpose of the study is to conduct a geospatial analysis of the territory, taking into account urban planning characteristics, for the location of a shopping center. The study characterizes the factors that turn cities into diverse and complex forms of settlements that are constantly changing. The process of urban settlement, which is reflected in their space, is analyzed. It is determined that spatial factors lead to differences in the scale and shape of cities, types of development and methods of spatial planning. The necessity of studying the spatial structure of cities, which has the characteristics of a relatively complete theoretical justification and wide coverage, is established. It is determined that the process of spatial development of cities is multidimensional and complex, which is manifested in spatial planning, transformation of many functions and expansion of the territory. The direction of research on the spatial analysis of the selected city territory is determined. Various characteristics of the site are considered, including views, transport links, access and other constraints that may affect the future development of each approach to the shopping center. A spatial analysis of the shopping center location was conducted. This analysis determines the transport accessibility of the shopping center, the accessible distance to residential development, service areas, etc. It also determines which parts of the territory are suitable for a particular type of use. The results are obtained regarding the location of the shopping center in the city. The estimated number of regular visitors to the projected shopping center is determined, provided that the level of its attractiveness is the same as that of its competitors. The increase in the level of attractiveness of the projected shopping center in comparison with competitors is calculated. Based on the results of the geospatial analysis, the stages of design and survey work were developed to draw up a large-scale topographic basis for the development area.

‘There were days I felt empty’: care, affect, and graphic medicine

There is a world, invisible to many, of terminally ill people being cared for full time by a loving family member or friend. These caregivers are living with burdens and pressures that even regular visitors can miss. Stan Mack (Stan Mack in Sandra Lee Fenster’s (2000), ‘When a Comic Is Taken Seriously,’ The New York Times) Care and labour are inextricably linked, particularly in the context of chronic illness, as caregivers often bear emotional, social, financial, and psychological burdens that can lead to negative consequences. While several studies have examined the physical and psychological impacts of care labour on caregivers, the felt experiences of caregiving (such as fear, guilt, and disappointment, among others) have not received adequate scholarly attention. The present article seeks to closely read selected sections from Sarah Leavitt’s Tangles: A Story About Alzheimer's, My Mother, and Me, a graphic memoir about Alzheimer’s caregiving, to bring to light the complex visceral experiences of unpaid caregivers. Although Tangles is an autobiographical narrative, it also serves as a means to re-examine the conventional notions of care that undervalue and disregard the lived experiences of caregivers. The article investigates how comics medium facilitates the representation of affective forces that shapes the lived experiences of caregivers. Further, the article also examines how exploring such affective realms render a nuanced understanding of care and caring relation. In doing so, this essay not only characterises care as an assemblage of bodies, discourses, performances, and affective relationships, among other things, but also underscores the cultural significance of graphic medicine in critiquing the traditional notions of care.

The Double Jeopardy in high street footfall

PurposeCalls for empirical and theory-based outcome measures in the place marketing literature are made more pressing as policymakers manage post-COVID high street recovery. This study aims to evaluate how knowledge of repeat buying established in the consumer marketing domain might be adapted to benchmark place marketing effectiveness, applying the Law of Double Jeopardy to capture the predictable relationship between footfall and visit frequency on competing high streets.Design/methodology/approachThe authors match footfall and survey data collected simultaneously on nine local high streets in one London borough to ask if a predictable Double Jeopardy relationship exists. The authors then test the theoretical assumptions of independence that underpin the Law in patterns of switching; the predictable distribution of regular, infrequent and new visitors; and the absence of user segmentation.FindingsThe authors observe that Double Jeopardy constrains behavioural outcomes, that a simple model fits high street footfall data well and that its theoretical assumptions are supported.Originality/valueThis paper makes several practical and theoretical contributions. The authors demonstrate a method to model expected repeat visit frequency from footfall density and elaborate footfall data into its frequency classes. The authors also locate the effects of loyalty over time within existing knowledge of spatial competition for high street patronage and demonstrate how place marketing insights can be derived from applications of this useful law.

Pengaruh Kualitas Pelayanan, Kepercayaan, Citra Perusahaan Terhadap Kepuasan Nasabah Di BCA EXPRESS Met Mall Cibubur

The purpose of this study was to determine how the influence of service quality, trust, and company image on customer satisfaction at BCA EXPRESS Met Mall Cibubur. The population of this study consisted of regular visitors to BCA EXPRESS Met Mall Cibubur. The sampling method used is purposive sampling, with a total of 100 respondents. Multiple linear regression analysis was performed using IBM SPSS 25 software. The results showed that service quality and trust has a significant effect on customer satisfaction, but corporate image have no effect. However, service quality, trust, and corporate image all have an influence on customer satisfaction.

Implementation of additional services at tourist and entertainment complexes according to international hospitality standards

Hospitality technologies are developing very rhythmically. Today, accommodation establishmentsface the main task: to attract the attention of a more significant number of guests who would become regular visitors. The hotel business is multifunctional, and its management is a complex task requiring newtechnologies. It is only possible to carry out these tasks with innovative solutions, which need to modernizethe accommodation enterprises and be guided by international standards of hospitality. A comprehensiveapproach to the definition of tourist services necessitates expanding additional services. In the conditions ofEuropean integration, other services acquire specific features, affecting the market attractiveness of thehotel enterprise. Remaining the main one, the accommodation service is characterized by stability. Theservices that distinguish this accommodation facility from others are of increased interest. The articleshows the expediency of organizing tourist and festival events as additional services of tourist and entertainment complexes, which will positively impact the development of the southern region of Ukraine.

The Influence of Participation in Pregnancy Courses and Breastfeeding Support Groups on Attitudes and Knowledge of Health Professionals about Breastfeeding.

Numerous factors affect the behavior, attitudes, and knowledge of health professionals about breastfeeding. The aim of this paper is to determine the impact of participation in pregnancy courses and breastfeeding support groups on the attitudes and knowledge of health professionals about breastfeeding. The study compares two groups of health professionals according to the results they achieved on a validated questionnaire of behavior, attitudes, and knowledge about breastfeeding. The authors did not make personal contact with the respondents, as the questionnaires were filled out online. The two groups of respondents differed according to the frequency of participation in pregnancy courses, that is, groups for breastfeeding support. The results are presented tabularly and graphically (frequencies and percentages), while differences in the results between the infrequent and regular participants are shown with the Mann-Whitney U test (asymmetric distribution). Better results on the questionnaire were achieved by those who regularly attended breastfeeding support groups (Mdn = 149, IQR = 11) in comparison to infrequent visitors (Mdn = 137, IQR = 23). The same is found for regular visitors of pregnancy courses (Mdn = 149, IQR = 15.75) in comparison to infrequent visitors (Mdn = 137, IQR = 23). The differences are statistically significant (p < 0.00). Partial correlation confirms a more significant influence of breastfeeding support groups (<0.00) than pregnancy courses (p = 0.34). Working in breastfeeding support groups had a statistically significant positive effect on the attitudes and knowledge of health professionals about breastfeeding. The topic of breastfeeding should be given more space and importance during pregnancy courses as well. Personal experience working in breastfeeding support groups and pregnancy courses should be incorporated into the training of medical students.

Prevalence and determinants of chronic illness and quality of life among rural residents of Pondicherry - A descriptive cross-sectional study

Objectives: The lifestyle diseases which are becoming chronic noncommunicable disorders contribute to about 53% of death rate in India affecting the DALY to a greater extent. These lifestyle illnesses are proving to be a great challenge in public health as they are necessitating for the advanced modalities of screening techniques that have to be in place for early detection. The objectives of the study were to assess the prevalence and determinants of chronic illness and quality of life among rural residents of Pondicherry. Materials and Methods: The study is a descriptive observational study using a validated structured questionnaire among rural residents who have crossed the adolescent period. Results: The subjects included people aged above 18 years. It is observed that about 45.5% of the study population are between 38 and 58 years and about 24% of the study population were skilled, 10.6% are illiterate and 59.8% of the study population are not regular visitors to any health center, about 72% of them attend a health facility once in 3- 5–7 months/year. It is observed that about 24.6% have had the disease for 6–10 years. Among them, 25.9% are diabetic, 7.3% are hypertensive, 8% have both, 3.7% had asthma, 0.3% are CAD, and 0.7% had a stroke. According to physical (median = 26), psychological (median = 21), social (median = 11), and environmental (median = 29) domains, quality of life was moderately good. Conclusion: This study revealed that all the domains are affected in the quality of life even in a rural area where urbanisation and industrialisation is not establihed.

The Landscape of Fear as a Safety Eco-Field: Experimental Evidence.

The online version contains supplementary material available at 10.1007/s12304-023-09522-1.

МЕТОДИКА ОЦЕНКИ ТУРИСТСКО-РЕКРЕАЦИОННОГО ПОТЕНЦИАЛА РОДНИКОВ РЕГИОНА

Springs are an important object in human economic activity and a place of attraction for regular and random visitors. The tourist and recreational potential of springs in Russia is poorly exploited, and only at individual sites. This research provides a methodology for determining the tourist and recreational potential of springs in regions, which can be helpful in choosing the most promising springs for the purposes of tourism. The study was based on field research at 202 springs of the Republic of Mordovia carried out in 2021. The authors identified 25 criteria combined into 5 blocks: natural attractiveness, cultural and educational attractiveness, infrastructure, landscaping, sanitary and ecological condition. The criteria are rated and given 3–5 points, and the blocks of criteria up to 10 points. The significance of the criteria in the blocks is different and varies from 0.1 to 0.3. The most important criteria are landscape composition and diversity, remoteness from large settlements, federal and regional roads, captage arrangement, physical and chemical properties of the water. For each criterion, description and ranking by characteristic properties are provided. The results of the general assessment of springs are ranked by the sum of points from low to very high tourist and recreational attractiveness. The paper provides detailed examples of the evaluation of springs according to the proposed methodology.

Pengaruh Kualitas Pelayanan, Harga dan Lokasi Terhadap Keputusan Menginap

Service quality is very important in the development of a hotel, namely to attract guests who come and become regular visitors, as well as price and location. Price and location is one of the keys to the success of a business, especially in the hospitality sector. Currently every hotel has the goal of ensuring an adequate level of profitability from its core activities, which can be achieved not only by reducing the cost of providing hotel services, but also by setting an optimal price for their services. and the location at the Hotel Pansur Gading Ressort. The respondents of this study were 20% of all hotel guests, namely 40 people. This research method used SPSS 25, the data analysis method was descriptive quantitative, and this study used multiple linear regression analysis mode. The results of this study explain that the better the quality of service, price and location, the higher the level of visitors. Partially, the service quality and price variables of this study have no effect on the dependent variable And Resort. However, the location variable has a positive and significant effect on the purchasing decisions of visitors at Pancur Gading Hotel And Resort.

The Effectiveness of the Combination of Play Therapy and Speech Therapy on the Behavioral Development of Children With Autism Spectrum Disorder (ASD)

This study aims to analyze whether the combination of play therapy and speech therapy effectively affects the behavioral development of children with Autism Spectrum Disorder (ASD). This study uses a quantitative method with the population in this study are all children with autism who are regular visitors of speech therapy at NU_Kids Integrated Therapy 1 and 2. The collection of samples in this study used purposive sampling method. The results showed that most of the children who were given treatment only with speech therapy (Group I) had severe autism, namely 11 people (68.8%) then most of the children who were given combination treatment, namely combined speech therapy with play therapy (flash cards and puzzles). ) (Group II) also experienced severe autism, namely 9 people (56.3%). This shows that children with severe autism really need speech therapy to deal with the behavior disorders they experience.

The Effectiveness of the Combination of Play Therapy and Speech Therapy on the Behavioral Development of Children With Autism Spectrum Disorder (ASD)

This study aims to analyze whether the combination of play therapy and speech therapy effectively affects the behavioral development of children with Autism Spectrum Disorder (ASD). This study uses a quantitative method with the population in this study are all children with autism who are regular visitors of speech therapy at NU_Kids Integrated Therapy 1 and 2. The collection of samples in this study used purposive sampling method. The results showed that most of the children who were given treatment only with speech therapy (Group I) had severe autism, namely 11 people (68.8%) then most of the children who were given combination treatment, namely combined speech therapy with play therapy (flash cards and puzzles). ) (Group II) also experienced severe autism, namely 9 people (56.3%). This shows that children with severe autism really need speech therapy to deal with the behavior disorders they experience.

Regular Visitors

Regular Visitors Monica Ferrell (bio) inside every body is a blue wardrobe, and inside the wardrobe is an unremarkable lockbox, and inside Mila's was a picture of the man behind the counter at the café called Regular Visitors. His skin resembled a lamb's—that is, if you took a lamb and butchered it, then sheared it free of hair and massaged into it expensive toners and those moisturizers from Korea or Kiehl's that even the straight men among millennials seemed to wear. About as long ago as this man was old, she and her college friends used to play a game called Killed in the Initial Attack. There was nothing to the game beyond a mean-spirited hypothetical conjecture in which you imagined a scenario like the one from that movie Red Dawn, where America was being invaded by a foreign enemy. Who among them would go down first, stupidly wounded by the first tank, innocently stepping on the first grenade? Now Mila had a good answer for a game she no longer played. The man [End Page 5] behind the counter at Regular Visitors would. His teeth, presented in a smile each time he slid a coffee across the marble toward her, were guileless. "What will you have?" That's the way he took an order. It was so deferential, so Old World, especially in combination with the starched white apron he always wore, the half pencil he'd occasionally lift from the nook above his ear to jot down complex instructions on a little flip-top book of graph-lined paper, furrowing his fine forehead with the effort. He seemed to self-identify as a kind of writer; now and then she'd spotted him putting that poor mustard-colored notebook through its paces even when only she was around, and this one time when she rested a novel she was reading on the countertop as she poked in her wallet for her regular-visitor punch card, he'd twisted his long torso around to her side to read its title, sounding its words out with effort like a child. "Is this a good book?" She could see the bluish muscle working in his neck as he spoke. "He's Norwegian," she said, idiotically. Puckering his lips, the man on the other side of the counter put his hands to either side of the cover and studied it as though it were going to be on a test. "I've heard of him. Do you pronounce the K?" "Yes," she'd breathed. He nodded. "I thought so," he said, and grinned, a gymnast who'd stuck his landing. When her college friends used to play Killed in the Initial Attack, they'd rank Mila among the last to go, as she remembered, one of the final survivors. They said something about her spying—no, it was that she would turn double agent, using her sexual wiles to save herself with whichever side won. Mata Hari, they'd called her. It was vaguely dishonorable, the light they'd cast her in, tinged with a generalized racism made worse by the fact they clearly didn't know Mata Hari wasn't Indian, or even a real Asian at all. Odd to think how she had lost her wiles so thoroughly that she was now beneath the invaders' notice and could escape their bullets by simply not being seen. She had attained the fabled power of [End Page 6] cockroaches, she guessed, since like them she had become imperishable, a survivor who would persist through anything. ________ on tuesday mornings, Mila made breakfast for and dressed her five-year-old son and one-year-old daughter, then gathered them into coats, hats, gloves, and shoes and carried the littler one while holding hands with the bigger one down two flights of stairs. On her arms were threaded five bags: bag for Lily's daycare, bulging with diapers and wipes; bag for Jeet's school, heavy with lunch and snacks; bag with the breast pump, adapter, brick-sized ice pack, and bottles; her own work bag filled with books and papers; and her handbag. Sometimes Jeet would pretend to...