Year in review in Intensive Care Medicine 2012. II: Pneumonia and infection, sepsis, coagulation, hemodynamics, cardiovascular and microcirculation, critical care organization, imaging, ethics and legal issues.

Journal ArticleSCOPUS: re.jSCOPUS: re.jinfo:eu-repo/semantics/publishe

Тарикъатлар хусусиетлери

В статье проанализированы в историко-хронологическом и диахроническом аспектах весьма важный социальный институт – суфийские братства и их деятельность. Работа посвящена по преимуществу особенностям и характерным чертам практического (прагматического, или рефлекторного) суфизма, который функционально осуществляется через братства, а не специфике суфизма интеллектуального, то есть не его религиозно-философским и этико-моральным доктринам и положениям

Внутригодовые (сезонные) изменения общего содержания биогенных элементов и кислорода в различных районах Севастопольской бухты

Для каждого месяца в период май 1998 г. – май 1999 г. рассчитано абсолютное содержание биогенных элементов и кислорода в пяти различных районах Севастопольской бухты и для всей бухты в целом. Показано, что наиболее чистый (возле входа в бухту) и наиболее грязный (Южная бухта) районы отличаются по динамике накопления и расходования биогенных элементов. Максимальный запас неорганических форм азота, фосфора, и кремнекислоты во всех районах Севастопольской бухты, за исключением района Инкерманской бухты, приходится на январь.Total content of biogenic elements and oxygen in five different areas of the Sevastopol Bay and for the whole bay in general is estimated for each month starting from May, 1998 up to May, 1999. It is shown that the purest (near the bay entrance) and the dirtiest (the Southern Bay) areas are distinguished for dynamics of biogenic elements accumulation and expense. Maximum storage of inorganic forms of nitrogen, phosphorus and silicic acid in all the areas of the Sevastopol Bay, excepting the Inkerman Bay area, falls on January

REVISITING ANNA MOSCOWITZ\u27S KROSS\u27S CRITIQUE OF NEW YORK CITY\u27S WOMEN\u27S COURT: THE CONTINUED PROBLEM OF SOLVING THE PROBLEM OF PROSTITUTION WITH SPECIALIZED CRIMINAL COURTS

This article explores New York City\u27s non-traditional, judicially based response to prostitution. This article first recounts the history of New York City’s Women’s Court. It then examines the work of the Midtown Community Court, the “problem-solving court” established in 1993 to address criminal issues, like prostitution, in Midtown Manhattan. It also discusses the renewed concerns about sex work in New York and describe the movement, propelled by modern reformers, to address prostitution through specialty courts. It then contrasts the shared features and attributes of the Women’s Court and Midtown Court models. Finally, the article urges modern reformers to step back from the problem-solving court movement and their call for the creation of more such specialized criminal courts

Temporal variability in trace metal solubility in a paddy soil not reflected in uptake by rice (Oryza sativa L.)

Alternating flooding and drainage conditions have a strong influence on redox chemistry and the solubility of trace metals in paddy soils. However, current knowledge of how the effects of water management on trace metal solubility are linked to trace metal uptake by rice plants over time is still limited. Here, a field-contaminated paddy soil was subjected to two flooding and drainage cycles in a pot experiment with two rice plant cultivars, exhibiting either high or low Cd accumulation characteristics. Flooding led to a strong vertical gradient in the redox potential (Eh). The pH and Mn, Fe, and dissolved organic carbon concentrations increased with decreasing Eh and vice versa. During flooding, trace metal solubility decreased markedly, probably due to sulfide mineral precipitation. Despite its low solubility, the Cd content in rice grains exceeded the food quality standards for both cultivars. Trace metal contents in different rice plant tissues (roots, stem, and leaves) increased at a constant rate during the first flooding and drainage cycle but decreased after reaching a maximum during the second cycle. As such, the high temporal variability in trace metal solubility was not reflected in trace metal uptake by rice plants over time. This might be due to the presence of aerobic conditions and a consequent higher trace metal solubility near the root surface, even during flooding. Trace metal solubility in the rhizosphere should be considered when linking water management to trace metal uptake by rice over time

An International Prospective Cohort Study To Validate 2 Prediction Rules for Infections Caused by Third-generation Cephalosporin-resistant Enterobacterales

Background The possibility of bloodstream infections caused by third-generation cephalosporin-resistant Enterobacterales (3GC-R-BSI) leads to a trade-off between empiric inappropriate treatment (IAT) and unnecessary carbapenem use (UCU). Accurately predicting 3GC-R-BSI could reduce IAT and UCU. We externally validate 2 previously derived prediction rules for community-onset (CO) and hospital-onset (HO) suspected bloodstream infections. Methods In 33 hospitals in 13 countries we prospectively enrolled 200 patients per hospital in whom blood cultures were obtained and intravenous antibiotics with coverage for Enterobacterales were empirically started. Cases were defined as 3GC-R-BSI or 3GC-R gram-negative infection (3GC-R-GNI) (analysis 2); all other outcomes served as a comparator. Model discrimination and calibration were assessed. Impact on carbapenem use was assessed at several cutoff points. Results 4650 CO infection episodes were included and the prevalence of 3GC-R-BSI was 2.1% (n = 97). IAT occurred in 69 of 97 (71.1%) 3GC-R-BSI and UCU in 398 of 4553 non–3GC-R-BSI patients (8.7%). Model calibration was good, and the AUC was .79 (95% CI, .75–.83) for 3GC-R-BSI. The prediction rule potentially reduced IAT to 62% (60/97) while keeping UCU comparable at 8.4% or could reduce UCU to 6.3% (287/4553) while keeping IAT equal. IAT and UCU in all 3GC-R-GNIs (analysis 2) improved at similar percentages. 1683 HO infection episodes were included and the prevalence of 3GC-R-BSI was 4.9% (n = 83). Here model calibration was insufficient. Conclusions A prediction rule for CO 3GC-R infection was validated in an international cohort and could improve empirical antibiotic use. Validation of the HO rule yielded suboptimal performance

Barriers and bridges to infection prevention and control: results of a qualitative case study of a Netherlands' surgical unit

The objectives of the study are to observe the overall work environment including infection prevention and control (IP&C) practices on the target surgical unit; to analyse the policies and procedures in the hospital and unit environments; to analyse the barriers and bridges to IP&C that practitioners identify in visual narratives of their unit environment and to collect monthly specific IP&C-related anonymised data

Язык современных СМИ как механизм интерпретации в контексте национальной культуры

Автор, опираясь на различные труды по лингвокультурологии, риторике, социальной информациологии и информационной политике, рассматривает язык современных средств массовой информации России как механизм интерпретации национальной культуры. В работе раскрыты понятия интертекстуальности и интерпретации в языке СМИ, обозначена специфика речевого поведения современных журналистов, показаны особенности языковых моделей массовой и качественной прессы.Автор, звертаясь до різноманітних трудів по лінгвокультурології ріторіки, соціальної інформаціології та інформаційної політики, розглядає мову сучасних засобів масової інформації Росії як механізм інтерпретації національної культури. В роботі відкрити поняття інтертекстуальністі в мові ЗМІ, визначена специфіка речової поведінки сучасних журналістів, відображені особистості мовних моделей масової та якісної преси.Drawing on various works on linguistic culturology, rhetorics, social informatiology and information policy, the author examines the language of modern mass media on Russia as a mechanism for interpreting national culture. The paper dwells on the concepts of intertextuality and interpretation in the language of mass media, peculiarities of modern journalists' speech behaviour and characteristic features of language models of mass and specialized media