scholarly journals Outbreak of legionellosis in Stavanger, Norway – final report

2001 ◽  
Vol 5 (47) ◽  
Author(s):  
H Blystad ◽  
E Bjorlow ◽  
P Aavitsland ◽  
J Holm
Keyword(s):  
Legionella Pneumophila ◽  
West Coast ◽  
Final Report ◽  
Urinary Antigen ◽  
The West ◽  
Legionnaires Disease ◽  
The City

Eurosurveillance Weekly has previously reported a community outbreak of legionnaires' disease in Norway, in the city of Stavanger, on the west coast of the country (1). Twenty-six confirmed cases and two probable cases were identified in this first reported outbreak of legionellosis in Norway. The first patient presented with symptoms on 18 July, the last on 7 September. All confirmed cases had urinary antigen detected. In addition, Legionella pneumophila serogroup 1 was cultured from nine patients.

scholarly journals Numizmatički nalazi s arheološkog lokaliteta Pakoštane - Crkvina

2010 ◽  
Vol 4 (1) ◽  
Author(s):  
Josipa Baraka ◽  
Jure Šućur
Keyword(s):  
West Coast ◽  
Mediterranean Region ◽  
The West ◽  
The Road ◽  
Commercial Activities ◽  
The University ◽  
The City ◽  
Archaeological Objects

The site of Pakoštane-Crkvina, situated at the position called Košević at the west coast of the Vrana Lake, in the immediate vicinity of the road connecting Pakoštane and Vrana, has been systematically excavated by the Department of Archaeology of the University of Zadar. On this occasion the authors selected numismatic finds which were recovered during the last five research campaigns out of multitude of archaeological objects. Total of 11 coins were found so far, covering wide chronological range from the 4th to 18th centuries. Numismatic finds from the site of Pakoštane – Crkvina were poorly preserved. However after cleaning and conservation it was possible to determine with certainty dating of ten preserved numismatic finds. This numismatic material represents a reflection of historical-commercial activities of the wider Mediterranean region, including the city of Zadar and its wider surrounding which comprises the site of Pakoštane-Crkvina as its inseparable part.

scholarly journals Legionnaires' Disease - Results of a Multicenter Canadian Study

2003 ◽  
Vol 14 (3) ◽  
pp. 154-158 ◽  
Author(s):  
Thomas J Marrie ◽  
Emidio de Carolis ◽  
Victor L Yu ◽  
Janet Stout ◽  
Keyword(s):  
Legionella Pneumophila ◽  
Tertiary Care ◽  
Community Acquired Pneumonia ◽  
The Other ◽  
Urinary Antigen ◽  
Serum Samples ◽  
Eastern Canada ◽  
Legionnaires Disease ◽  
Canadian Provinces ◽  
A Prospective Study

BACKGROUND: There has never been a cross-Canada surveillance project to determine the rate ofLegionellaspecies as a cause of community-acquired pneumonia requiring hospitalization and to determine whether there are any regional differences in the rates of Legionnaires' disease in Canada. Anecdotally, Legionnaires' disease is thought to be uncommon in Western Canada.METHODS: From January, 1996 through to October 31, 1997, a prospective study of the etiology of community acquired pneumonia requiring admission to 15 tertiary care hospitals in eight Canadian provinces was conducted. A urine sample from each patient was tested forLegionella pneumophilaserogroup 1 antigen using a commercially available ELISA assay. A culture of sputum or other respiratory specimens for Legionellaceae was carried out at the discretion of the attending physician. Two hundred thirty-four patients had acute and 6-week convalescent serum samples tested for antibodies toL pneumophilaserogroups 1 through 6 using an ELISA method.RESULTS: 28 of the 850 patients (3.2%) had Legionnaires' disease; 18 of 823 (2.1%) were positive forL pneumophilaserogroup 1 by urinary antigen testing. The rate of Legionnaires' disease, based on urinary antigen, at the Halifax site was higher than that at the other sites (seven of 163 patients versus 11 of 660 [P=0.04]). Of the 28 cases of Legionnaires' disease identified using all methods, 11 of 277 patients (3.9%) were enrolled from Western provinces versus 17 of 573 patients (2.9%) from Eastern provinces (P=nonsignificant).CONCLUSIONS: Legionnaires' disease is just as common in Western as in Eastern Canada.L pneumophilaserogroup 1 may be more common in Halifax than at the other sites studied.

Two Notes on Ptolemy's Geography of India

1941 ◽  
Vol 73 (3) ◽  
pp. 208-222 ◽  
Author(s):  
E. H. Johnston
Keyword(s):  
West Coast ◽  
Western Ghats ◽  
The West ◽  
Market Town ◽  
The City ◽  
The Town ◽  
Good Access ◽  
The Western Ghats ◽  
Market Towns

The Periplus Marts Erythræ describes the seaports below Barygaza in the following way according to Schoff's translation: “The market-towns of this region are, in order, after Barygaza: Suppara, and the city of Calliena, which in the time of the elder Saraganus became a lawful market-town; but since it came into the possession of Sandares [an unjustified conjecture for the text's Sandanes] the port is much obstructed, and Greek ships landing there may chance to be taken to Barygaza under guard. Beyond Calliena there are other market-towns of this region; Semylla.…” Suppara is now Sopara on the coast above Bassein, Semylla is Cemūla of two inscriptions, now Chaul, and Calliena is Kalyāṇa. This last, situated at the foot of the two regular ascents of the Western Ghats leading towards Nasik and Poona respectively and with good access to the sea, was the natural outlet for the commerce of the Andhra dominions on the west coast, and the notice, just quoted, shows how its trade was stifled, as the Kṣaharātas extended their rule southwards from Broach. It is unnecessary here to consider who are the kings alluded to in this passage or in the earlier one mentioning Nambanus (a conjecture for the text's Mambarus), but clearly we are dealing with the rivalry of the Western Satraps and the Andhra kings. That the former were successful in their policy towards Kalyāṇa is shown by Ptolemy's omission of the town. The order he gives (taking Renou's text) is Souppara mouth of the River Goaris, Dounga, mouth of the River Bêndas, Semyla.

scholarly journals Immune-Mediated Encephalopathy in the Setting of Legionnaires Disease: A Case Report and Review of the Literature

2021 ◽  
Vol 4 (1) ◽  
pp. 54-59
Author(s):  
Abdel-Rahim M ◽  
Chow J ◽  
Singhal M
Keyword(s):  
Legionella Pneumophila ◽  
Signs And Symptoms ◽  
Advanced Heart Failure ◽  
Negative Bacterium ◽  
Review Of The Literature ◽  
Urinary Antigen ◽  
Laboratory Findings ◽  
Gram Negative ◽  
Immune Mediated ◽  
Legionnaires Disease

Background: Legionnaires disease is the systemic manifestation of an infection by the gram-negative bacterium Legionella pneumophila. It most commonly presents with pneumonia, but can also cause extrapulmonary manifestations like cardiac, renal, gastrointestinal as well as neurologic symptoms like encephalopathy. It tends to occur in people who are elderly, immunocompromised and those with impaired respiratory (smokers) or cardiac (advanced heart failure) functions. The Legionella Urinary antigen is commonly used to diagnose Legionella infection. Almost half of the patients diagnosed with Legionnaires disease exhibit neurologic signs and symptoms. These neurologic abnormalities are usually not evident on neuroimaging, laboratory findings, and neuropathology.

scholarly journals Gubernur Jenderal VOC Jan Pieterszoon Coen dan Pembangun Kota Batavia (1619-1629)

Sosio e-kons ◽  
2017 ◽  
Vol 9 (1) ◽  
pp. 54
Author(s):  
Rani Noviyanti
Keyword(s):  
West Coast ◽  
North Coast ◽  
The West ◽  
The North ◽  
The Social ◽  
The City

<p>ABSTRACT</p><p>The establishment of the city of Batavia on the west coast of the north coast of Java, cannot be separated from the role of a figure named Jean Pieterzoon Coen. Although previously Jayakarta (the name before Batavia), was controlled and built by Pangeran Fatahillah, the situation and conditions in the social and economic fields of Jayakarta were not like the management of J.P. Coen. After Jayakarta was controlled by the VOC, through a military expedition policy designed by JP. Coen, the condition of the city of Jayakarta slowly gradually increased in the social and economic fields. The increase in the city of Batavia in the social and economic fields was based on three JP policies. Coen was quite brave, namely increasing trade activities in the Sunda port of Kalapa, revitalizing the position of the islands in northern Batavia as a base of administration and defense and security, and opening the widest door for Chinese traders and immigrants. The three policies, in fact, were purely based on the thoughts outlined by JP. Coen, after taking over the Jayakarta area from the mastery of Prince Fatahillah.</p><p>Keywords: J.P. Coen, Kota Batavia.</p><p><strong><em>ABSTRAK</em></strong></p><p>Pendirian kota Batavia di sebelah barat pesisir pantai utara Jawa, tidak dapat dipisahkan dari peran seorang tokoh yang bernama Jean Pieterzoon Coen. Meskipun sebelumnya Jayakarta (nama sebelum Batavia), dikuasai dan dibangun oleh Pangeran Fatahillah, akan tetapi situasi dan kondisi dalam bidang sosial dan ekonomi Jayakarta tidak seperti pada masa pengelolaan J.P. Coen. Setelah Jayakarta dikuasai oleh VOC, melalui kebijakan ekspedisi militer yang dirancang oleh JP. Coen, keadaan kota Jayakarta perlahan demi perlahan semakin meningkat dalam bidang sosial dan ekonomi. Peningkatan kota Batavia dalam lapangan sosial dan ekonomi dilatari oleh tiga kebijakan JP. Coen yang cukup berani, yakni meningkatkan aktivitas perdagangan di pelabuhan Sunda Kalapa, merevitalisasi kedudukan pulau-pulau di utara Batavia sebagai basis adiministrasi dan pertahanan dan keamanan, serta membuka pintu seluas-luasnya bagi pedagang dan pendatang etnis Tionghoa. Tiga kebijakan tersebut, sejatinya meurpakan murni hasil pemikiran yang dituangkan olh JP. Coen, setelah mengambil alih wilayah Jayakarta dari penguasaan pangeran Fatahillah.</p><p>Kata Kunci : J.P. Coen, Kota Batavia.</p>

scholarly journals Yachts Passing by the West Coast of Portugal – What to Do to Make the Marina and the Destination of Figueira da Foz a Nautical Tourism Reference?

Pomorstvo ◽  
2018 ◽  
Vol 32 (2) ◽  
pp. 182-190 ◽  
Author(s):  
Luís silveira ◽  
Norberto Santos ◽  
Fernando Perna
Keyword(s):  
Social Development ◽  
West Coast ◽  
City Centre ◽  
Delphi Panel ◽  
The West ◽  
Maximum Capacity ◽  
Tourist Destinations ◽  
The City

Yachting appears as a tourism segment with proven and specific importance for the economic and social development of tourist destinations Every year, thousands of yachts cross the Portuguese waters. Figueira da Foz is a seaside city and a destination with a history connected to tourism activities. Despite having a marina located in the city centre, the number of yachts stopping by is still far from this nautical port maximum capacity. As a reaction, and to change this reality, both local and regional stakeholders have participated in a Delphi panel to find out if yacht tourism has the potential to increase. It has been found that both the destination and its marina have the resources to attract and make this territory a nautical reference, and a strategy has been created. This model may serve as a basis for application in other nautical ports.

Miletus

2003 ◽  
Author(s):  
Clyde E. Fant ◽  
Mitchell G. Reddish
Keyword(s):  
Black Sea ◽  
West Coast ◽  
Ancient World ◽  
Asia Minor ◽  
The Black Sea ◽  
The West ◽  
Major Player ◽  
Strategic Location ◽  
Peace And War ◽  
The City

Originally famed for its philosophers of nature, Miletus became one of the great cities of commerce of the ancient world. Its four harbors and strategic location on the west coast of Asia Minor gave the city unique advantages as a vital port in both peace and war. Yet these factors also were the cause of repeated periods of invasion and destruction. Eventually Miletus ceased to be a major player in world affairs, not because of the fortunes of war, but because of the slower but deadlier effects of the gentle Meander River, which silted its harbors and created malaria-ridden marshes. Miletus is easily reached from Izmir by taking E87 south to Selçuk, then proceeding on highway 525 through Söke to Akköy, then north through Balat to the site of Miletus. Today it is difficult to imagine that Miletus once was situated on a narrow peninsula and boasted of four harbors, three on the west and one on the east. Due to the continual silting effects of the Meander River, the ruins of Miletus now are situated in a broad plain some 5 miles from the sea. The island of Lade, where the Persian armada burned and destroyed the Ionian fleet in 494 B.C.E., was once to the west of the coast of Miletus. Now it is merely a hill 4 miles west of Miletus. A Mycenaean colony that had cultural contacts with Crete and Greece existed in this location from 1400 B.C.E. Greeks settled in the area by at least the 10th century B.C.E. The city prospered and grew wealthy from its colonies on the Mediterranean, the Black Sea, and even in Egypt. It was one of the first cities in the ancient world to mint coins. Soon Miletus became the most important of the twelve cities of the region of Ionia. The city came under Persian control in 546 B.C.E. and later opposed them in the Battle of Lade, but the result was the loss of their fleet and the complete destruction of their city in 494 B.C.E. Herodotus, in fact, said that Miletus was reduced to slavery. Subsequently, Ephesus surpassed Miletus as the first city of the region.

scholarly journals Unusual clinical picture in an overweight patient with Legionella pneumophila: A case report

2017 ◽  
Vol 4 (3) ◽  
pp. 31
Author(s):  
Leonidas Grigorakos ◽  
Daria Lazarescu ◽  
Anthi Georgiadou ◽  
Maria Bikou ◽  
Magda Gkouni ◽  
...  
Keyword(s):  
Case Report ◽  
Legionella Pneumophila ◽  
Clinical Picture ◽  
Clinical Condition ◽  
Antigen Test ◽  
Overweight Patient ◽  
Urinary Antigen ◽  
Urinary Antigen Test ◽  
Legionnaires Disease ◽  
Continue Therapy

This case report describes a case of a patient with Legionnaires’ disease (LD) manifested three days upon his return from a medical conference, which took place in a hotel close to the seaside. Our patient presented to the hospital febrile, weak, confused and with mild difficulty in breathing. After being subjected to several tests, he was diagnosed with LD. Even though his initial urinary antigen test (UAT) was negative, subsequent immunofluorescent assays (IFA) were positive for Legionella pneumophila (LP). The patient was immediately initiated specific antibiotics therapy and supportive measures. After 11 days he was released from the hospital with considerable melioration of his clinical condition and with specific instructions to continue therapy at home.

scholarly journals Comparison of the Novel Immunocatch Legionella Test with Sofia Legionella FIA Assay and with BinaxNOW Legionella Card Assay for Detection ofLegionella pneumophila(Serogroup 1) Antigen in Urine Samples

2019 ◽  
Vol 57 (8) ◽  
Author(s):  
F. Congestrì ◽  
M. Morotti ◽  
R. Vicari ◽  
M. F. Pedna ◽  
M. Sparacino ◽  
...  
Keyword(s):  
Legionella Pneumophila ◽  
Signs And Symptoms ◽  
Laboratory Diagnosis ◽  
Antigen Detection ◽  
Urine Samples ◽  
Urinary Antigen ◽  
Content Type ◽  
High Clinical Suspicion ◽  
Legionnaires Disease ◽  
Urinary Antigen Detection

ABSTRACTLegionnaires’ disease (LD) refers to a serious form of acute pneumonia caused byLegionellaspecies. LD can be difficult to diagnose because the signs and symptoms are nonspecific, and therefore a rapid laboratory diagnosis is of paramount importance. In this study, a recently introduced immunochromatographic test (Immunocatch Legionella; Eiken Chemical Co., Ltd.) forLegionella pneumophila(serogroup 1) urinary antigen detection was compared with the Sofia Legionella fluorescent immunoassay (FIA) (Quidel) (routinely used in our laboratory) and with the widely used BinaxNOW Legionella assay (Alere). A total of 248 urine samples (60 frozen and 188 fresh) were evaluated. All of the samples were collected from patients with high clinical suspicion of Legionnaires’ disease. The three assays were performed simultaneously according to the manufacturers’ instructions. A total of 180 concordant negative and 66 concordant positive results were obtained. Only 2 discrepant results were registered. The sensitivity and specificity of Immunocatch compared with Sofia were, respectively, 98.5% and 99.4%. Cohen's kappa coefficient and overall percent agreement between Immunocatch and Sofia were also calculated and resulted in, respectively, 0.97 and 99.2%. These performances suggest that the Immunocatch test is a useful tool forLegionella pneumophila(serogroup 1) urinary antigen detection.

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