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.     

HNO3和有机介质中U（Ⅳ）的稳定性研究

研究了ＨＮＯ＿３和ＴＢＰ－煤油介质中Ｕ（Ⅳ）的稳定性。测定了两种介质中Ｕ（Ⅳ）、ＨＮＯ＿３、ＴＢＰ浓度和气相中氧浓度对Ｕ（Ⅳ）氧化速率的影响。Ｕ（Ⅳ）的氧化速率都随温度提高而明显增加．其表观活化能分别为９１ｋＪ／ｍｏｌ（ＨＮＯ＿３介质）和４２ｋＪ／ｍｏｌ（ＴＢＰ－煤油介质）。对两种介质中Ｕ（Ⅳ）的氧化速率规律进行了比较。     

乘累加运算器的高性能解决方案

在设计数字信号处理器时我们经常要设计高性能的乘累加运算器，文章详细分析了乘累加运算器的结构，提出了其高性能设计方案并采用标准单元进行了实现，同时提出了DCT运算单元的高性能解决方案。     

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。     

三峡水库减淤增容调度方式研究——多汛限水位调度方案

本文建议在汛期中小流量时（Q<35000m3/s），将坝前水位维持在148～151m；出现汛情且流量更较大后，将坝前水位降低到143m；入库流量大于35000m3/s且短期预报将出现大于十年一遇洪水时，预泄洪水到135m.按这一调度，汛期约80％时间可以维持在较高水位，一般洪水期。汛限水位143m不影响坝区通航，135m水位迎洪可大量增加防洪库客。到100年后可减淤30亿m3，增加防洪库容约40亿m3.变动回水区减淤40%，优化了坝区水沙搭配，可改善通航条件。降低库区洪水位，缓解防洪与移民的矛盾。可对发电带来较大好处：提高发电效益，减少粗沙过机。初期水库排沙比大于原方案，可减轻下游冲刷。同时，可减小三峡汛初泄水与鄱阳湖防洪的矛盾。     

"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…     

Conductive Mechanism of Organic Conductor

Organic conductor is a kind of organic compound which has special electronic and magnetic properties. The research of the organic compounds has received considerable attention because of their potential applications in many areas. The molecular conductive units are theoretically investigated as well as their energy gap and charge distribution. The relationship of conductivity and micro-mechanism is discussed.     

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     

焊接领域中 AutoCAD的二次开发

应用AutoCAD已有的二次开发工具:AutoLISP、块和形定义及菜单开发对CAD在焊接领域应用进行了开发与定制。     

无线收、发信机的设计

主要讲述移动通信中收、发信机的工作原理、基本结构和组成.在给出收、发信机原理框图的同时,着重分析了锁相环路的设计.