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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. 相似文献
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NF Saba JD Sweeney LC Penn JC Lawton RL Yankee CH Huang MS Schanfield 《Canadian Metallurgical Quarterly》1997,37(3):321-324
PURPOSE: We report a case of postoperative reparalysis in the recovery room, following nebulized epinephrine. The patient was pharmacologically reversed with edrophonium after paralysis with rocuronium. CLINICAL FINDINGS: A 12-yr-old girl developed postoperative reparalysis following the intraoperative administration of rocuronium. A total of 0.92 mg.kg-1 rocuronium was administered. After surgery, pharmacological reversal was achieved with 20 mg edrophonium with 0.15 mg atropine sulfate iv 35 min after the last administration of rocuronium. Muscular relaxation was monitored using an ulnar peripheral nerve stimulator (PNS). After reversal, a full train-of-four and sustained tetanus at 50 Hz were present. In the recovery room, following nebulized epinephrine, the patient became apneic. The patient was paralyzed and an ulnar PNS demonstrated only one faint twitch. The paralysis was reversed with 1.5 mg neostigmine with 0.3 mg glycopyrrolate. CONCLUSION: Postoperative reparalysis following rocuronium may be a cause of postoperative respiratory distress. The definitive diagnosis is made using PNS and observing the response to pharmacological reversal. Nebulized epinephrine may have a previously undescribed role in the development of postoperative reparalysis. 相似文献
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Broadline nuclear magnetic resonance measurements have been carried out for the proton resonance in oriented poly(vinylidene fluoride). The spectra in general show two component lines with distinctly different line widths. The broad component shows a high degree of molecular orientation and can be satisfactorily assigned to the crystalline regions of the polymer. The narrow component corresponds to an oriented non crystalline phase which is sufficiently constrained to allow motion about the chain axis only. An appreciable decrease in the value of the rigid mass fraction was observed in both of the samples over the temperature range examined. Our calculations indicate that this could play an important role in the temperature dependence of the pyroelectric response of this material. 相似文献
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Uncooled DBR laser directly Modulated at 3.125 gb/s as athermal transmitter for low-cost WDM systems
Yiran Liu Davies A.R. Ingham J.D. Penty R.V. White I.H. 《Photonics Technology Letters, IEEE》2005,17(10):2026-2028
An uncooled three-section tunable distributed Bragg reflector laser is demonstrated as an athermal transmitter for low-cost uncooled wavelength-division-multiplexing (WDM) systems with tight channel spacing. A /spl plusmn/0.02-nm thermal wavelength drift is achieved under continuous-wave operation up to 70/spl deg/C. Dynamic sidemode suppression ratio of greater than 35 dB is consistently obtained under 3.125-Gb/s direct modulation over a 20/spl deg/C-70/spl deg/C temperature range, with wavelength variation of as low as /spl plusmn/0.2 nm. This indicates that more than an order of magnitude reduction in coarse WDM channel spacing is possible using this source. 相似文献
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In Exp I, 46 male and 51 female undergraduates witnessed a filmed incident and later described the target. Results show that Ss who observed a composite containing misleading information (either incorrect hair or an added moustache) were significantly more likely to misreport hairstyle and the presence of a moustache than those who did not. In Exp II, 210 17–65 yr old Ss observed a filmed incident and were tested for their recall and recognition of the target either immediately or after delays of 2 or 7 days. Significant bias, consistent with the content of the misleading composite, was present for both cued recall and choice of mug shot in a photo spread. The effect did not increase over delay but was greater when the composite was seen just prior to recall than immediately after the incident. Implications concerning interference with the memory of the witness who produced the composite and for other witnesses exposed to the misleading composite are discussed. (33 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
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Roberson Debi; Davidoff Jules; Davies Ian R. L.; Shapiro Laura R. 《Canadian Metallurgical Quarterly》2004,133(4):554
This study unites investigations into the linguistic relativity of color categories with research on children's category acquisition. Naming, comprehension, and memory for colors were tracked in 2 populations over a 3-year period. Children from a seminomadic equatorial African culture, whose language contains 5 color terms, were compared with a group of English children. Despite differences in visual environment, language, and education, they showed similar patterns of term acquisition. Both groups acquired color vocabulary slowly and with great individual variation. Those knowing no color terms made recognition errors based on perceptual distance, and the influence of naming on memory increased with age. An initial perceptually driven color continuum appears to be progressively organized into sets appropriate to each culture and language. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献