A 35 year old man with a fatal Campylobacter jejuni infection is described. He had HbE/beta zero thalassaemia and had undergone splenectomy nine months previously for hypersplenism; he also had chronic hepatitis C infection. He presented with high grade fever but no gastrointestinal symptoms and rapidly progressed to septicaemic shock and hepatic encephalopathy despite treatment with penicillin, gentamicin, and, later, chloramphenicol and ceftazidime. Only one case of Campylobacter jejuni septicaemia occurring post-splenectomy has been reported previously, also in an iron overloaded thalassaemia patient. Unusual Gram negative bacilli must be covered by the chosen antibiotic regimen when splenectomised thalassaemic patients present with high grade fever. 相似文献
Three experiments examined the relationship between prejudice and processing of stereotypic information. Higher levels of prejudice were associated with greater attention to and more thorough encoding of stereotype-inconsistent than stereotype-consistent behaviors but only when processing capacity was plentiful (Experiments 1 and 3). High-prejudice participants attributed consistent behaviors to internal factors and inconsistent behaviors to external forces (Experiment 2). Together, these results suggest that high-prejudice people attend carefully to inconsistent behaviors to explain them away but only if they have sufficient resources to do so. Results also showed that low-prejudice but not high-prejudice participants formed individuated impressions by integrating the implications of the target's behaviors (i.e., individuating). High levels of prejudice appear to be associated with biased encoding and judgment processes that may serve to maintain stereotypes. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
Evaluation of crash-related injuries by medical specialists in hospitals is believed to be more exact than rather a cursory evaluation made at the crash scene. Safety analysts sometimes reach for hospital data and use them in combination with the police crash data. One issue that needs to be addressed is the, so-called, selectivity (or selection) bias possible when data used in analysis are not coming from random sampling. If not properly addressed, this issue can lead to a considerable bias in both the model coefficient estimates and the model predictions. This paper investigates pedestrian injury severity factors using linked police-hospital data.A bivariate ordered probit model with sample selection is used to check for the presence of the selectivity bias and to account for it in the MAIS estimates on the Maximum Abbreviated Injury Scale (MAIS). The presence of the sample selection issue has been confirmed. The selectivity bias is considerable in predictions of low injury levels.The pedestrian injury analysis identified and estimated several severity factors, including pedestrian, road, and vehicle characteristics. Male and older pedestrians were found to be particularly exposed to severe injuries. Rural roads and high-speed urban roads appear to be more dangerous for pedestrians, particularly when crossing such roads. Crossing a road between intersections was found to be particularly dangerous behavior. The size and weight of the vehicle involved in a pedestrian crash were also found to have an effect on the pedestrian injury level. The relevant safety countermeasures that may improve pedestrian safety have been proposed. 相似文献
In this paper, a resubmitted sampling-based successive sampling over two successive occasions control chart is proposed to monitor the underlying characteristic of interest. Auxiliary information of the first occasion is utilized to monitor the relative change in the study variable over the second occasion successively despite high degree of correlation. The structural and operational design is presented along with the comparative performance evaluation. The average run length is used as a performance evaluation measure and proved the argument in favor of the presented concept in comparison with the other auxiliary data control charts. The implementation is explained through two real examples. 相似文献
Sodium potassium niobate (KNN) is the most promising candidate for lead-free piezoelectric material, owing to its high Curie temperature and piezoelectric coefficients among the non-lead piezoelectric. Numerous studies have been carried out to enhance piezoelectric properties of KNN through composition design. This research studied the effects of yttrium concentrations and lattice site occupancy preference in KNN films. For this research, the yttrium-doped KNN thin films (mol% = 0, 0.1, 0.3, 0.5, 0.7 and 0.9) were fabricated using the sol-gel spin coating technique and had revealed the orthorhombic perovskite structures. Based on the replacement of Y3+ ions for K+/ Na+ ions, it was found that the films doped with 0.1 to 0.5 mol% of yttrium had less lattice strain, while films with more than 0.5 mol% of Y3+ ions had increased strain due to the tendency of Y3+ to occupy the B-site in the perovskite lattice. Furthermore, by analysing the vibrational attributes of octahedron bonding, the dopant occupancy at A-site and B-site lattices could be identified. O-Nb-O bonding was asymmetric and became distorted due to the B-site occupancy of yttrium dopants at high dopant concentrations of >0.5 mol%. Extra conduction electrons had resulted in better resistivity of 2.153× 106 Ω at 0.5 mol%, while higher resistivity was recorded for films prepared with higher concentration of more than 0.5 mol%. The introduction of Y3+ improved the grain distribution of KNN structure. Further investigations indicated that yttrium enhances the surface smoothness of the films. However, at high concentrations (0.9 mol%), the yttrium increases the roughness of the surface. Within the studied range of Y3+, the film with 0.5 mol% Y3+ represented a relatively desirable improvement in dielectric loss, tan δ and quality factor, Qm.相似文献
We have investigated strain-induced spin lattice coupling in the CoFe2O4/0.65Pb (Mg1/3Nb2/3)O3–0.35PbTiO3(PMN-PT) composite system, evident by temperature-dependent Raman spectroscopy and magnetization measurements. The strain interactions lead to magneto-electric coupling, and the measured magneto-electric voltage coefficient is 40 mV/cm?1Oe?1 for the CoFe2O4/PMN-PT composite samples. X-ray magnetic circular dichroism (XMCD) analysis establishes modified spin structure in the electrically poled CoFe2O4/PMN-PT composite, further validating the coupling between magnetic and electric ordering in the composite. The magneto-electric coupling coefficient α vs dc magnetic field curves revealed hysteretic behavior and enhanced α values after electric poling, which originates from the strain-induced modifications in the magnetic structure of composite in the electrically poled samples. These findings suggest that the existence of spin lattice coupling may lead to the mechanism of strong magneto-electric effects via strain interactions in CoFe2O4/PMN-PT composite.
Our previous reports have shown that two thirds of 4-nitroquinoline-1-oxide (4NQO)-induced murine oral squamous cell carcinomas (SCC) have Hras1 mutations. Loss of heterozygosity (LOH) involving the distal portion of chromosome (Chr) 7 occurred in half of the tumors with Hras1 mutations. Here, we demonstrate that five of six tumors with LOH have 4-8-fold amplification involving the distal portion of Chr 7 (7F4). Ccnd1. Fgf4 and Fgf3, within the most telomeric region of Chr 7 (70.5 cM), are co-amplified. The region is syntenic to a previously identified human amplicon at 11q13. Only one out of eight tumors without LOH at Chr 7 had twofold amplification; the other seven had no detectable amplification. Significant amplification is restricted to the chromosome with the Hras1 mutation. Gene amplification occurred without overexpression since only one of five tumors with amplification and one of six tumors without Ccnd1 amplification expressed increased protein. Although amplification of 11q13 occurs rather frequently in human tumors, 4NQO-induced oral cavity tumors in inbred mice are the first example of a murine tumor with consistent amplification. Our observations are strikingly similar to human head and neck SCC where overexpression of genes within the 11q13 amplicon is inconsistently detected. The amplification of genes localized to human 11q13 and the syntenic region on murine Chr 7 during tumorigenesis suggests that similar structural elements are present which predispose these regions to amplification during malignant transformation. 相似文献
Analysis of the function of the nervous system, based on clinical, neurological, and psychological studies in 78 patients with generalized periodontitis, revealed central regulation disorders without signs of organic lesions of the brain in 76% patients. The authors claim that stress and a high level of personal anxiety may be responsible for the development of these disorders, which was confirmed by the results of psychological testing. 相似文献