Pulmonary superinfection withStrongyloides stercoralis in an immunocompromised retired coal miner

1994 ◽  
Vol 13 (6) ◽  
pp. 518-519 ◽  
Author(s):  
J. H. T. Wagenvoort ◽  
H. G. J. Houben ◽  
G. L. M. Boonstra ◽  
J. Scherpbier
Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 798
Author(s):  
Ignacio Martin-Loeches ◽  
Adrian Ceccato ◽  
Marco Carbonara ◽  
Gianluigi li Bassi ◽  
Pierluigi di Natale ◽  
...  

Background: Cardiovascular failure (CVF) may complicate intensive care unit-acquired pneumonia (ICUAP) and radically alters the empirical treatment of this condition. The aim of this study was to determine the impact of CVF on outcome in patients with ICUAP. Methods: A prospective, single-center, observational study was conducted in six medical and surgical ICUs at a University Hospital. CVS was defined as a score of 3 or more on the cardiovascular component of the Sequential Organ Failure Assessment (SOFA) score. At the onset of ICUAP, CVF was reported as absent, transient (if lasting ≤ 3 days) or persistent (>3 days). The primary outcome was 90-day mortality modelled through a Cox regression analysis. Secondary outcomes were 28-day mortality, hospital mortality, ICU length of stay (LOS) and hospital LOS. Results: 358 patients were enrolled: 203 (57%) without CVF, 82 (23%) with transient CVF, and 73 (20%) with persistent CVF. Patients with transient and persistent CVF were more severely ill and presented higher inflammatory response than those without CVF. Despite having similar severity and aetiology, the persistent CVF group more frequently received inadequate initial antibiotic treatment and presented more treatment failures than the transient CVF group. In the persistent CVF group, at day 3, a bacterial superinfection was more frequently detected. The 90-day mortality was significantly higher in the persistent CVF group (62%). The 28-day mortality rates for patients without CVF, with transient and with persistent CVF were 19, 35 and 41% respectively and ICU mortality was 60, 38 and 19% respectively. In the multivariate analysis chronic pulmonary conditions, lack of Pa02/FiO2 improvement at day 3, pulmonary superinfection at day 3 and persistent CVF were independently associated with 90-day mortality in ICUAP patients. Conclusions: Persistent CVF has a significant impact on the outcome of patients with ICUAP. Patients at risk from persistent CVF should be promptly recognized to optimize treatment and outcomes.


Artifex Novus ◽  
2020 ◽  
pp. 58-71
Author(s):  
Jerzy Gorzelik

Utworzenie autonomicznego województwa śląskiego w ramach polskiego państwa narodowego oraz diecezji katowickiej wiązało się z reorganizacją systemu władzy, w którym poczesne miejsce zajęły grupy polsko-śląskich duchownych oraz urzędników i świeckiej inteligencji. Ich wzajemna rywalizacja oraz wspólne dążenie do nacjonalizacji Górnoślązaków w duchu polskim inspirowały dwa odmienne, choć spokrewnione dyskursy, w których wykorzystywano środki obrazowe. Wśród nich znaczącą rolę odgrywały alegoryczne wizualizacje Polski, zakorzenione w tradycjach sztuki polskiej przełomu XIX/XX wieku. W wystrojach gmachów Sejmu Śląskiego i Śląskiego Urzędu Wojewódzkiego oraz starostwa powiatowego w Katowicach zastosowano motyw Polonia Triumphans. W pierwszym z przypadków rzeźbiarz Jan Raszka nadał personifikacji wczesnośredniowieczną stylizację, nawiązującą do piastowskiego „złotego wieku”, a u jej tronu umieścił asystę w osobach hutnika i górnika, stylizowanych na kresowych rycerzy. Inna z płaskorzeźb przedstawia Polonię jako Nike i Wolność prowadzącą do boju powstańca śląskiego, zobrazowanego jako hutnik z młotem, oraz żołnierza walczącego z Czechami o Śląsk Cieszyński. Wątek zbrojnej walki o granice pojawia się także w malowidłach Felicjana Szczęsnego Kowarskiego w budynku starostwa, gdzie ukazaną w postaci greckiej heroiny Polonię z mieczem i tarczą flankują postaci śląskich herosów – całość programu ma jawnie rewizjonistyczną wymowę. Wyraźnie większe bogactwo wątków prezentuje zespół trzech obrazów Józefa Unierzyskiego, zamówionych do kościoła mariackiego w Katowicach. Ich centralną postacią jest Maria Królowa Korony Polskiej, przybierająca cechy Polonii Triumphans. Fundamentem łączności Górnego Śląska z Polską jest tu wspólna katolicka wiara. Górnośląski lud pod przywództwem bliskich mu kapłanów włącza się u stóp Madonny w nurt polskiej historii, określony dziejową misją przedmurza chrześcijaństwa, wnosząc jako wiano żywą religijność i pracowitość. Na zlecenie proboszcza ks. Emila Szramka malarz zaprezentował zrastanie się z polskością jako naturalny i obustronnie korzystny proces. The creation of the autonomous Silesian voivodeship within the borders of the Polish nation state and of the Roman Catholic Diocese of Katowice meant a profound change in the distribution of power, the groups of Polish-Silesian clergy and Polish bureaucrats, as well as secular intelligentsia gaining increasingly in importance. Their rivalry and common effort to polonize Upper Silesians  inspired two different, although interrelated discourses, visual means being involved in both of them. Among the motives, implemented in the propaganda, allegorical depictions of Poland  - rooted in the traditions of the Polish art of the turn of the twentieth century – played a significant role. In the decorations of the edifices of Silesian Sejm and Silesian Voivodeship Office and of the county authorities they were shaped as the personification of Polonia Triumphans. In the former case the sculptor Jan Raszka represented the allegory as an early medieval figure, reminding of a „golden age” of the Piast dynasty, seated on the throne and accompanied by a coal miner and a foundry-worker, stylized as borderland knights. In another bas-relief Polonia was depicted as Victory and Liberty leading into battle a Polish-Silesian insurgent, rendered as a foundry-worker with a hammer in his hands, and a soldier, fighting against Czechs for Teschen Silesia. The strand of military fighting over disputed territories occurs also in the paintings by Felicjan Szczęsny Kowarski in the Katowice County Hall, where Polonia, depicted as a Greek heroine with a sword and a shield, is accompanied by Silesian heroes and the meaning of the decoration is manifestly revisionist, advocating moving Polish border westwards. A conspicuosly wider range of contents is reflected in a series of three paintings by Józef Unierzyski, ordered for St. Mary’s Church in Katowice. Their central figure is Mary the „Queen of the Polish Crown”, assuming the features of Polonia Triumphans. The connection between Upper Silesia and Poland is founded here on the common catholic faith. At the feet of Madonna Upper Silesian folk, led by clergy, that remains faithfull to its popular roots, and bringing its vivid religiosity and dilligence, joins the stream of the Polish history, determined by the historical mission of antemurale christianitatis,. Commissioned by the parson Emil Szramek, the painter represented the growing together of Upper Silesia and Poland as a natural and mutually profitable process.


2020 ◽  
pp. 448-464

Born John Anthony Miller in Long Island City, Queens, New York City, playwright and actor Jason Miller had deep connections to the anthracite coalfields of eastern Pennsylvania. The son of Irish American parents and grandson of a coal miner, Miller was reared in the Lackawana Valley. After earning a BA from the University of Scranton and studying theater at the Catholic University of America, Miller lived in New York City to pursue a career in acting and playwriting....


Urban History ◽  
2019 ◽  
Vol 47 (2) ◽  
pp. 292-310
Author(s):  
Jörg Arnold

AbstractThe article proceeds from the observation that in the contemporary British cultural imagination, the figure of the coal miner tends to be presented as the embodiment of anti-urban and organicist qualities that in continental Europe are more commonly associated with the peasantry. Drawing on the theoretical insights of Raymond Williams, the article traces the genealogy of this ‘structure of feeling’ back to the time of the miners’ strike of 1984/85 and further back in the 1970s. It argues that the ‘ruralized’ miner was one imaginary in a complex power struggle over the ‘real’ identity of miners that was waged between the industry and the state, the National Union of Mineworkers (NUM) and the National Coal Board (NCB), and, crucially, inside the NUM itself. ‘Ruralization’ was most vigorously promoted by union militants who sought to displace an alternative vision, championed jointly by the Coal Board and union moderates, which had situated miners firmly at the heart of industrial modernity. It was only in the wake of the defeat of the miners in the 1984/85 strike, and during the subsequent cultural reworking of this strike, that this structure finally gained dominance.


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