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Jan Willem Duyvendak and Josip Kesic, with Timothy Stacey, explore how nativist logics have infiltrated liberal settings and discourses, primarily in the Netherlands as well as other countries with strong liberal traditions like the US and France. They deconstruct and explain the underlying logic of nativist narratives and show how they are emerging in the discourses of secularism (a religious nativism that problematizes Islam and Muslims), racism (a racial nativism that problematizes black anti-racism), populism (a populist nativism that problematizes elites), and left-wing politics (a left nativism that nativists themselves as a threat to national culture). By moving systematically through these key iterations of nativism, the authors show how liberal ideas themselves are becoming tools for claiming that some people do not belong to the nation. This book illuminates the resurgence of the figure of the "native," who claims the country at the expense of those perceived as foreign.
BACKGROUND: Increasing evidence indicates the potential benefits of restricted fluid management in critically ill patients. Evidence lacks on the optimal fluid management strategy for invasively ventilated COVID-19 patients. We hypothesized that the cumulative fluid balance would affect the successful liberation of invasive ventilation in COVID-19 patients with acute respiratory distress syndrome (ARDS).METHODS: We analyzed data from the multicenter observational 'PRactice of VENTilation in COVID-19 patients' study. Patients with confirmed COVID-19 and ARDS who required invasive ventilation during the first 3 months of the international outbreak (March 1, 2020, to June 2020) across 22 hospitals in the Netherlands were included. The primary outcome was successful liberation of invasive ventilation, modeled as a function of day 3 cumulative fluid balance using Cox proportional hazards models, using the crude and the adjusted association. Sensitivity analyses without missing data and modeling ARDS severity were performed.RESULTS: Among 650 patients, three groups were identified. Patients in the higher, intermediate, and lower groups had a median cumulative fluid balance of 1.98 L (1.27-7.72 L), 0.78 L (0.26-1.27 L), and - 0.35 L (- 6.52-0.26 L), respectively. Higher day 3 cumulative fluid balance was significantly associated with a lower probability of successful ventilation liberation (adjusted hazard ratio 0.86, 95% CI 0.77-0.95, P = 0.0047). Sensitivity analyses showed similar results.CONCLUSIONS: In a cohort of invasively ventilated patients with COVID-19 and ARDS, a higher cumulative fluid balance was associated with a longer ventilation duration, indicating that restricted fluid management in these patients may be beneficial. Trial registration Clinicaltrials.gov ( NCT04346342 ); Date of registration: April 15, 2020.
