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     

氨气提工艺尿素生产中操作的改进

中原大化集团公司尿素装置在操作上使用的是Ｓｎａｍ公司提供的尿素操作手册 ,在运行过程中 ,发现有许多地方与实际状况出入很大 ,经过不断的总结经验 ,并在工艺操作中进行改进、优化 ,使装置达到安全、稳定、经济运行的目的。1　二氧化碳压缩机操作方式的改进二氧化碳压缩机自开车以来 ,防喘振系统一直未投用。由于Ｓｎａｍ公司提供的防喘振曲线富裕度较大 ,操作人员对实际喘振点不清楚 ,正常生产中转速控制较高 ,操作盲目性很大 ,在 1 0 0 %负荷下 ,防喘振阀仍有 1 0 %左右的开度 ,造成蒸气消耗偏高。1 999- 0 3- 31 ,对二氧化碳压缩机各…     

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.     

大朝山水电站地下洞室安全监测资料分析

大朝山水电站引水发电系统为地下工程，根据各项安全监测物理量的主要观测成果，对最大观测值分析其对工程的安全影响，为保证其安全运行具有重要意义。为此，分别对大朝山水电站的主要地下建筑物，包括压力引水隧洞、地下厂房、尾水调压室的最大观测值进行了分析研究，并提出了一些建议，有较大的参考价值。     

浅议铵梯炸药质量检验中的三个问题

文章探讨了GB 12437-2000标准规定的产品检验项目中,中包浸水试验的科学性问题和对批产品进行抽样时的样本代表性问题以及使用多段爆速仪测试爆速时应注意的样本量问题.