Enterococcal bacteremia in a medical center

BACKGROUND: The enterococci have become important nosocomial pathogens. They can cause multiple site infections and enterococcal bacteremia becomes more frequently associated with a high mortality rate. Previous studies of enterococcal bacteremia showed a variety of results. To establish the significance and importance of enterococci as nosocomial pathogens in this hospital, to characterize their clinical pictures and to search for the risk factors for mortality, this retrospective study was performed. METHODS: There were 208 cases of enterococcal bacteremia which occurred from 1988 to 1992. Twenty-seven cases had no medical charts, dismissing possibility of evaluation. Finally, 181 cases of enterococcal bacteremia were analysed. RESULTS: One hundred and eighteen episodes were nosocomial infections. Polymicrobial bacteremia occurred in 68.5% of the patients and the most common co-isolate was Pseudomonas aeruginosa. Those patients (78.5%) with underlying diseases and malignancies were the most common underlying problems. The portal of entry could be found in 69.6 percent of patients, with the gastrointestinal tract the most common sources. Antimicrobial susceptibility testing showed high gentamicin resistance rate (89.5%), and ampicillin still had about 80 percent sensitivity rate. The group who received specific antibiotic therapy for enterococcus showed lower mortality (36.4% versus 47.6%). Only one case had infective endocarditis. Forty-nine patients suffered from septic shock, the cause of 30 deaths. Totally 75 patients died during hospitalization. Besides sepsis, another major cause of death was their underlying diseases itself. CONCLUSIONS: Enterococci have no doubt become important nosocomial pathogens and enterococcal bacteremia were associated with high mortality, especially in elderly patients with underlying diseases such as malignancy or diabetes. When clinically dealing with sepsis from the gastrointestinal or biliary tract, especially when previous cephalosporins therapy showed no response, the possibility of enterococcal bacteremia should always be considered.     

超细Fe3O4粒子表面包覆酞菁钴性质研究

本文研究了合成载氧体的金属有机化学液相淀积法制造工艺，所得产物经ＴＥＭ、ＸＰＳ、Ｍｏｓｓ－ｂａｕｅｒ谱和Ｂ－Ｈ仪等手段，研究了它的结构和磁性能。实验表明，酞青钴以薄层形式包覆在Ｆｅ＿３Ｏ＿４的表面，封闭了Ｆｅ＿３Ｏ＿４的表面孔洞，稳定了Ｆｅ＿３Ｏ＿４的物相，增强了磁性能。     

"网吧"等互联网上网服务营业场所消防安全形势及防火对策

“网吧”等互联网上网服务营业场所 (以下简称网吧 )是集上网聊天、上网冲浪、发电子邮件、查寻资料、休闲娱乐于一体的公共娱乐场所 ,普遍受到人们特别是青少年的欢迎。网吧在给人们工作、学习、生活带来便利的同时 ,也带来了一定的火灾危险 ,震惊全国的北京海淀区“6 .16 -蓝极速”特大火灾事故就是一个典型的案例。网吧存在的突出消防安全问题 ,已经引起公安消防机构的重视 ,并纳入消防监督检查视线 ,部署开展了以网吧为重点的消防安全专项整治。网吧的消防安全现状如何 ,究竟有何火灾危险 ,如何防范 ,笔者谈了以下拙见。　　一、网吧的…     

RSView32软件平台的应用及扩展

概述了RSView32工控软件的特点和使用方法 ,并通过贵溪冶炼厂的一个液位自动控制系统的人机界面设计说明了如何在控制系统中使用RSView32软件。文章特别介绍了如何用VBA程序设计来扩展其功能     

千米桥潜山构造特征及其在油气成藏中的作用

千米桥潜山是黄骅坳陷最典型的新生古储型油气藏，恢复潜山古构造是认识其油气藏特征的重点和难点之一，运用地质力学方法研究潜山内幕构造之后认为，该潜山的形成基础是古生界印支期宽缓复背斜，在燕山期挤压构造作用下形成由逆冲叠瓦扇和反冲断层构成的三角带内幕构造，抬升受侵蚀形成潜山主体，喜马拉雅的两次古旋拉张使潜山掀斜定型。晚第三纪以来发生整体热沉降，潜山两侧凹陷沙三段生成油气向潜山侧向运移成藏。     

α-蒎烯催化加氢反应的研究

以FYX - 2G型高压搅拌釜为加氢反应器 ,测定了在不同搅拌器型式和搅拌转速下高压釜的持气量和反应效果 ,认识到α 蒎烯催化加氢是外扩散控制的反应 ,当搅拌转速为 6 0 0r/min时 ,基本上能消除外扩散的影响。考察了Raney镍和Pd/C催化剂、反应温度在 35 3～ 499K ,压力在 4 0～ 10MPa的条件下对α 蒎烯加氢转化率和选择性的影响 ,结果表明Raney镍更适宜于α 蒎烯催化加氢 ,其转化率随温度、压力增加而提高 ,但选择性下降。采用温度 35 3～ 433K、压力 4 0～ 7 0MPa的操作序列 ,克服了α 蒎烯加氢转化率与选择性互为逆向的缺点 ,缩短了反应时间 ,制得了顺反比高达 18 2∶1的蒎烷 ,并且发现加氢反应从温度 433K开始有副产物对烷生成 ,当温度超过 45 6K时 ,加氢过程还出现飞温现象。     

微晶合金在电流互感器中的应用

从微晶合金的性能特点出发，分析了其在电流互感器中的应用前景。     

On exploring inter-iteration parallelism within rate-balanced multirate multidimensional DSP algorithms

Although the notion of the parallelism in multidimensional applications has existed for a long time, it is so far unknown what the bound (if any) of inter-iteration parallelism in multirate multidimensional digital signal processing (DSP) algorithms is, and whether the maximum inter-iteration parallelism can be achieved for arbitrary multirate data flow algorithms. This paper explores the bound of inter-iteration parallelism within rate-balanced multirate multidimensional DSP algorithms and proves that this parallelism can always be achieved in hardware system given the availability of a large number of processors and the interconnections between them.