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.     

深亚微米MOSFET衬底电流的模拟与分析

利用器件模拟手段对深亚微米ＭＯＳＦＥＴ的衬底电流进行了研究和分析，给出了有效的道长度，栅氧厚度，源漏结深，衬底掺杂浓度以及电源电压对深亚微米ＭＯＳＦＥＴ衬底电流的影响，发现电源电压对深亚微米ＭＯＳＦＥＴ的衬底电流有着强烈的影响，热载流子效应随电源电压的降低而迅速减小，当电源电压降低到一定程度时，热载流子效应不再成为影响深亚微米ＭＯＳ电路可靠性的主要问题。     

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。     

预处理工艺对硬质合金与金刚石膜间粘结力的影响

在两种经不同预处理的硬质合金YG8基底上，采用微波等离子体化学气相沉积法，在微波功率2kW，压强4.0kPa和6.5kPa，CH4和H2流量分别为1.6cm/s和100.0cm/s的条件下生长金刚石薄膜。利用X射线衍射检测了金刚石薄膜是否存在，用拉曼光谱分析了薄膜的质量，用金相显微镜观察了薄膜的洛氏硬度压痕，标定并比较了不同预处理工艺膜与基底的结合力。实验结果表明，不同的预处理方法对于粘结力的影响不大，最主要的因素是钴含量的多少。     

"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…     

孤岛油田西区聚合物驱开发研究

孤岛油田西区注聚区1997年3月投入注聚后，高渗层得到有效封堵，吸水剖面得到明显改善。注聚期间，通过实施注聚区外围水井降水或停注、油井放大生产压差和调整注聚井注入速度等开发措施，扩大了聚合物波及体积，聚合物驱取得了明显效果。     

铁路冷藏运输运价分析

本文对各种运输方式易腐货物的运价进行了比较分析,对铁路冷藏运输的现行运价和保本运价进行了讨论,提出了铁路冷藏运输运价改革的若干建议,可供铁路进行冷藏运输改革参考。     

液压系统广义可靠性设计

介绍了广义可靠性和有效度的基本概念，简要论述了对液压系统进行广义可靠性设计的重要性，并从可靠性设计和维修性设计两方面提出了提高液压系统有效度的具体措施。／     

纳米α-FeOOH颗粒的形态和结构

以硫酸法钛白的副产物绿矾为原料，采用滴加法制备纳米铁黄（α－FeOOH）颗粒。研究了反应体系的pH值、反应温度、通氧速率、搅拌速率和添加剂等对铁黄颗粒形态结构的影响，采用XRD、TEM等分析手段对颗粒进行表征。结果表明，调节体系pH值能控制铁黄晶型结构和色相；改变通氧速率、搅拌速率、添加剂种类以及反应温度等可以调节纳米α－FeOOH的大小和分散性。     

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