Piperacillin/tazobactam‐induced neurotoxicity in a hemodialysis patient: A case report

Antibiotics are potentially a cause of neurotoxicity in dialysis patients, the most common are the beta‐lactams as ceftazidime and cefepime, and few cases have been reported after piperacillin/tazobactam use. This report presents a case of a hypertensive and diabetic 67‐year‐old woman in regular hemodialysis, which previously had a stroke. She was hospitalized presenting pneumonia, which was initially treated with cefepime. Two days after treatment, she presented dysarthria, left hemiparesis, ataxia, and IX and X cranial nerves paresis. Computed tomography showed no acute lesions and cefepime neurotoxicity was hypothesized, and the antibiotic was replaced by piperacillin/tazobactam. The neurologic signs disappeared; however, 4 days after with piperacillin/tazobactam treatment, the neurological manifestations returned. A new computed tomography showed no new lesions, and the second antibiotic regimen withdrawn. After two hemodialysis sessions, the patient completely recovered from neurological manifestations. The patient presented sequentially neurotoxicity caused by two beta‐lactams antibiotics. This report meant to alert clinicians that these antibiotics have dangerous neurological effects in chronic kidney disease patients.     

X70配套埋弧焊丝用H08D盘条的研制

介绍了北营公司X70配套埋弧焊丝用H08D盘条的开发研制情况.其生产工艺的关键点为:转炉采用“双渣法除磷”,脱氧合金化在转炉和LF炉两个阶段完成,连铸采用结晶器电磁搅拌及末端电磁搅拌、恒定拉速;盘条采用控冷控轧及轧后延迟型斯太尔摩冷却工艺等措施.生产的成品盘条成分、力学性能、金相组织等指标均满足客户拉拔工艺要求.     

Influence diagnostics in multiple discriminant analysis

Various influence diagnostics in Multiple Discriminant Analysis can be found in the literature. Almost all of them are based on the overall probability of misclassification. Two case-deletion diagnostics which evaluate the effect of the omission on the linear functions which determine Fisher’s Linear Discriminant Rule are proposed in this paper. Both measures are based on the L ₂-norm: The first diagnostic is calculated from the data set and the second diagnostic is calculated in the minimum hypercube which covers it.     

Autoimmune hemolytic anemia and posthepatitis-C liver cirrhosis

Here we are presenting the case of a 70-years-old woman who has hepatic cirrhosis anti-HCV and insulin-dependent diabetes mellitus, without relevant epidemiologic ascendants or previous transfusions and HBV, HIV negatives. On admission to our hospital she showed signs of autoimmune hemolytic anaemia (AHA) which was confirmed by positive direct Coombs test and an improvement in blood test after corticoid treatment. Having discarded other possible causes such as drugs infectious diseases or essential mixed cryoglobulinemia (CME), we put forward the possible association between AHA and infection by HCV, where AHA was an extrahepatic immunological manifestation of HCV. This fact has never been brought to light in previous medical literature.     

聚六亚甲基碳酸酯二醇增韧环氧树脂的结构与性能

采用羟基封端的脂肪族碳酸酯－聚六亚甲基碳酸酯二醇对环氧树脂进行了增韧，通过扫描隧道显微镜，扫描电子显微镜，差示扫描量热分析以及动态力学性能分析等方法研究了增韧ＥＰ的结构与性能的关系。     

BOPP薄膜生产中的功能母料

简述了BOPP薄膜生产过程中所需要的抗静电母料、防粘连母料和爽滑母料等功能母料，并分析了它们的作用、机理以及在生产中的应用特点。     

加固改造中的结构承重体系转换

从加固改造工程的实践出发 ,探讨了混合结构向框架结构体系转换的方法和构造措施 ,为实际工程提供了新的技术思路