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1. Atypical Legionnaires' Disease in the Setting of Suspected Recurrent Lung Cancer 2022

   https://ncsu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV09T8MwED1BB8SC-BIUSuUBxJTmy7GTsRQqhlaqaAe2yHYcUYmGqm0G_j1nJ6la2FiyOI6i52ffnf3uDHCf5AxpoaSDUyd2qMJwRzCBA6L8WAs_jJU9Pd_ZzIGoyYWxon0l573ic9Er5h9WW7lcKLfRibmT8QBDDLPwuodwyEO6E6LbjRWPB8jjSuTOeZS4qlzpct0LKGfm4rcwMlkRLNy3RH_cy98qyR2zMzyFk9pfJP3qv87gQBfncDSuT8QvYNLffC8N0GSkjbS4ELiGrR_Jc3XwQuYFQRePTLXVN5OvnExLm12pM_Jm9tpNdSYywilPBoYAq0uYDV9mg1enviXBQThxEVW-CCNTJB1DHy2TjFPmKcap0ILGnlAy1oEfMnO_RS45BhC-MIZLZHGuaMbDayB5zHO0_IliSlNfaikDmUkhcppHyqd-Gx4apNJlVQQjxeDBgJtW4KYW3DZ0GhjTeipgC8MIBr0wL27DVYXo9iPNULSB72G9fcEUv95vQU7YItg1B27-3fMWjgOTymDEi1EHWptVqe-gZTInusird26fT13Lrh8vqtYV

   Haridi, Merna; Hutcheson, Alana; De Faria, Beatriz; Saleh, Mohamed

   Curēus (Palo Alto, Ca), Vol. 14, Issue 5.

   Legionnaires' disease is a type of pneumonia caused by bacteria. This type of bacteria can be found anywhere across the world, mostly in moist environments (e.g., ground soil, rivers, lakes). More ... Read more

   Legionnaires' disease is a type of pneumonia caused by bacteria. This type of bacteria can be found anywhere across the world, mostly in moist environments (e.g., ground soil, rivers, lakes). More importantly, can multiply in water systems such as air conditioners, which is a common source of outbreaks nationwide, particularly during the summer months. We present a unique clinical course of Legionnaires' disease with suspected underlying recurrent lung cancer in a 77-year-old man during an outbreak that originated in a small city near our hospital. The patient presented to Urgent Care and after initial assessment, was admitted to the Internal Medicine Unit. He underwent supportive treatment with antibiotic therapy and oxygen, and was discharged one week after admission with improvement. The patient returned to Urgent Care a few weeks later with worsening dyspnea, where he was then transferred to another hospital for admission to the Intensive Care Unit (ICU), and later died. We report this special case to bring awareness to physicians of the possibility and importance of early detection and prompt management of Legionnaires' disease in lung cancer and critically ill patients with possible environmental risk factors. Prompt detection and management of L allows for a greater chance of a favorable prognosis, particularly in the immunocompromised. Read less

   Journal Article  |  Full Text Online

2. Iconicity, Space, and the Place of Sharon Butala's 'The Prize' 1998

   https://ncsu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV09T8MwED3RsrDwLSgtlVUhWIgaJ26cDAhRRAVSB0Ad2CJ_SkiohaZd-PWc3aS0ILEwZXAGy3c-v3dnvwM4y2yCbqFkgFsnDZhCuiMSgQZRNDWCxqny1fOVZM73K_7SvlVY9LFaT5RLk3eduheyi154_f4RuL5Rrr5aNtGowSaNkM65t-KDp2UsjlPfphS_SJIy10TiR3V5PQRH5bky2IG3akb-OolrYrB6r77rtQy9gEWl2_if2e_Cdok_yc3CYfZgw4z34WhYZi0Lck6GS6Hl4gCuHpTTzkWofkkw9ihDxFgTBI3EX-YiE0uc5PNkTPpzhPHioiAd9DzyOH39NJ1DGA3uRrf3QdlxIVCI82bII0OmeZxYzbLIGit4wjKptegJJlSmEB5IzrUQlCPNcekSHeuQR4YyramMj4HYlFv8LVOJMoxKI2UktRTCMttTlNEGtNctkAtXYcmfMbpEYZwlDWhV65eX-6nInYgqYh0kjw1o_h5eru3Jn6NN2Fo8KXQZlBbUZ9O5OYW6M2obavyl3_be8wXu-9LL

   Adam, Ian

   Studies In Canadian Literature, Vol. 23, Issue 1, p. 178.

   Icons can be classified variously and virtually indefinitely. A project might be a taxonomy of icons as set out In general usage: icons as flat representations (as in devotional paintings or carvin... Read more

   Icons can be classified variously and virtually indefinitely. A project might be a taxonomy of icons as set out In general usage: icons as flat representations (as in devotional paintings or carvings), icons as indexes (as in family names), icons as diagrams (as in geometry), icons as replicas (as in holographs), icons as cultural totems (as in John Diefenbaker). My own focus will be on iconicity in two major senses. First, I will focus on the icon in literary and especially narratological manifestations (particularly in the [Sharon Butala] story of my title), whether as symbol, metaphor, metonym, or any other forms of parallelism or analogy. Second, I will be considering the icon as a broad cultural symbol - as what, so to speak, these particular literary phenomena examined "add up to" In a broader cultural context, in this case that of Western Canadian and Canadian literature. As I have suggested above, the icons of the dinosaur and the great author are as much means of recall as emblems of loss. Such presences and their latencies are common enough in prairie literature, and they are not always as spectral as a stain in a roof or some dinosaur bones: they may be living beings. Their rationale in a context of absence and space is that they somehow embody these: they are local presences as opposed to alien or foreign ones. They are genii loci, with privileged access to the mysteries of place as well as a high degree of implicit or explicit guardianship over it. Place becomes analogue, or embodiment, or (to use the old-fashioned word) symbol. The genii loci may be some kind of animal totem, like the coyote that follows Robert in a brief passage in Timothy Findley's The Wars (I have always thought of that section [29-32] as a beautiful prairie short short story), or like a talking crow. Even more frequently, however, the icon is human: a parent, a hired man, a Chinese restaurant owner, or the healing stranger in several of [Margaret Laurence]'s novels. In David Carpenter's fine essay, "Shelf Life," it is the "keeper of lost memories." Stan Foster, manager of the General Store in Borden, Saskatchewan. The effort to create a local or native icon frequently leads to the choice of the indigene as spirit of place: the outstanding examples to my mind are the figures of Almighty Voice in Rudy Wiebe's "Where is the Voice Coming From" and Jules Tonnerre in The Diviners. The title of Wiebe's story underlines a connection between the icon and voice; it may not literally articulate but it promises and often delivers the authentic accent and idiom of locale.(f.7) Even in such an apparently minor matter as calling Western literature prairie literature" (by analogy with the equally misleading name of "prairie provinces"), the south is established as topographical paradigm. Such a paradigm overlooks not only the Canadian Shield to the North and the mountain barrier to the West - it also slights other regions, the Parklands, Peace River Region, and Northern boreal areas - of far greater extent than the prairies proper. It is notable that even where Western writing is set in such regions - in Laurence, [Robert Kroetsch], Merna Summers, Wiebe, [Edna Alford], Gunnars - the prairie icon tends to overwrite them in many readers' minds. We cannot see the trees for the plains. Witness the titles of some scholarly texts: Vertical Man/Horizontal World (Ricou), Plainspeaking: Interviews with Saskatchewan Writers (Hillis), The Great Prairie Fact and Literary Imagination (Thacker); of Dennis Cooley's and Daniel Lenoski's anthologies, Inscriptions: A Prairie Poetry Anthology and A/Long Prairie Lines - even Sproxton's Trace has "prairie" in its subtitle. And such volumes as Mark Vinz and Dave Williamson's Beyond Borders echo [Wallace Stegner] in emphasizing the West as an homogeneous international unit, again at the expense of what lies to its north.(f.8) Read less

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3. The late Quaternary vegetation history of the south-central highlands of Victoria, Australia. II.... 2002

   https://ncsu.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3JbtRAEC2hREhcSAJImCV0JMQJD7Z7cfsYoskipEiIJcCl1YsdRYRMNJOBzI1P4Bv5EqraSzIHEELcrJF7LFdX2a-7nt8DeFo1CtPCuxRLR6fC43LHKosT4nNd25xrH7vn1zZzYL__FqbVhxg23Kgy4vOaCty61oVk6EoWKcIbHnkGI4I2ckRoEjENeTi8_HglG65VtM7rhmjZUXr-9EdL76lVCvkl8SbtDEPXtJ4XS6B0gLa8ezftrsFFf1eRkkJGCNe5-S-iHmIUwei1H_9HBNbhdodl2XabfBtwoz67Azdbd8sFHo2jIvbiLswxGdkpolr2em7jDuR0wb7Wxx3VkbWixws2aRjiUTYjW7-f3390xFFGksrxk2Q64f0JtRlO7HM2bNOM2MHBiL1B8Dxjrj6dfGNVlrEv9-Dd7vjtzn7a-T2kXigl05B5GUJFrNYQypI7jms1jxAyIDALorKyzHLLJWnWW90EF0r6XapSOK2s5_eBNbpsEMRUXvla5K52rnDBWduIRvpc5Ank_bSa81bPw8Q-vFBxHSQKQxEld87CxIiaywSexfkfBtjpZ-LDldIcHe6ZV4efjj5wrcxeAptLCXJ1BS4QBRRZAk_6jDFYxtSbsWf1ZD4zpNMpClEmsPW7M3BlqRU14BNQMS3--gbM9niHjh7868CHcCu64ES2-iNYuZjO68ewQpm8GSvtF2kiKAM

   McKenzie, G. Merna

   Austral Ecology, Vol. 27, Issue 1, pp. 32 - 54.

   The late Quaternary vegetation communities of the south‐central highlands of Victoria are constructed from analyses of pollen and charcoal, and macroscopic plant remains preserved in Sphagnum bogs.... Read more

   The late Quaternary vegetation communities of the south‐central highlands of Victoria are constructed from analyses of pollen and charcoal, and macroscopic plant remains preserved in Sphagnum bogs. The sites, located in eucalypt forest or woodland, form an altitudinal sequence with the component Eucalyptus species varying with altitude and with small pockets of Nothofagus cunninghamii (Hook.) Oerst. in close proximity to the higher sites. The record from the sites above 900 m covers the last 32 000 years, and the record from the lower sites extends from at least 12 000 BP. Around 32 000 BP the region was predominantly covered by a mosaic of alpine feldmark and herbfield, with small patches of Eucalyptus and Nothofagus woodland close to sea level when summer temperatures were probably 5°C lower than present. Lowest values, probably 7°–8°C below present, occurred between 19 800 and 16 900 BP, when alpine communities were most widespread and much of the Central Highlands was treeless. Around 12 000 BP alpine taxa disappeared or were greatly reduced, first at the lower sites. There was an associated rise in the treeline with the movement upslope of Nothofagus and eucalypt forest as a result of a general increase in temperature and probably effective precipitation. By 6000 BP wet eucalypt forest and Nothofagus reached their maximum postglacial extent at all sites, possibly related to a further increase in temperature, at least 2°C lower than present, and higher effective precipitation. A continuing increase in temperature, or an increase in continentality, and a decrease in effective precipitation led to increased fire hazard and retraction of rainforest and wet sclerophyll or tall open forest toward present‐day values. Nothofagus disappeared from the sites below 900 m. The activities of humans pose further threats to remaining forest communities. The record of vegetation and environmental change derived from the local and regional picture from eight sites reinforces and complements that from the individual sites. For example, combining the records overcomes to some extent taphonomic problems such as the effect of streams that flow close to all sites, and other limitations including problems of dating, poor preservation and variable sedimentation rates. Read less

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