BACKGROUND Leptospira is an uncommon pathogen for adult severe community-acquired pneumonia and its nonspecific manifestations and limited diagnostic tests make it difficult to identify.Although conventional penicilli...BACKGROUND Leptospira is an uncommon pathogen for adult severe community-acquired pneumonia and its nonspecific manifestations and limited diagnostic tests make it difficult to identify.Although conventional penicillin remains efficacious to treat leptospirosis,failure in early diagnosis and treatment can lead to progression into a deadly syndrome with multiple organ dysfunction.Next generation sequencing is of great value to understand cases with infection of unknown cause,which could help in the diagnosis of uncertain Leptospira infection.CASE SUMMARY We recently managed a patient with fever,cough and dyspnea on admission that progressed into persistent adult respiratory distress syndrome,hemoptysis and hematuria after admission.In this case,the rare Leptospira infection was clouded by the positive influenza tests at admission,delaying early Leptospira-targeted antibiotics administration.Next generation sequencing,a novel molecular diagnostic tool,provided a key hint to uncover the crucial pathogen,Leptospira interrogans,further supported by the possible occupational exposure history.Subsequent conventional penicillin and mechanical respiratory support were administrated to cure the patient successfully without any sequela.CONCLUSION Clinicians must pay attention to possible exposure history and keep uncommon Leptospira in mind when managing pneumonia with unknown causes.展开更多
Reduction kinetics of fine iron ore powder in different gas mixtures were investigated in high-temperature fluidized bed at a scale of kilograms. Influence of processing parameters, such as particle size, gas flow vel...Reduction kinetics of fine iron ore powder in different gas mixtures were investigated in high-temperature fluidized bed at a scale of kilograms. Influence of processing parameters, such as particle size, gas flow velocity, height of charge, temperature, compositions of gas mixture, and percentage of inert components, on reduction ki- netics was experimentally determined under the condition of fluidization. The equations for calculating instantaneous and average oxidation rates were deduced. It was found that an increasing H2 O percentage in the gas mixture could obviously decrease the reduction rate because the equilibrium partial pressure of H2 decreased with increasing content of Hz O in the gas mixture and then the driving force of reduction reaction was reduced. When the H2 content was high, .the apparent reaction rate was so rapid when the average size of iron ore fines was less than 1 mm that the re- action temperature can be as low as 750 ℃ ; when the average size of iron ore fines was more than 1 mm, a high re- action temperature of 800 ℃ was required. In addition, it was also found that the content of H2O should be less than 10% for efficient reduction.展开更多
基金Basic Public Welfare Research Scheme of Zhejiang Province,No.GF19H030001.
文摘BACKGROUND Leptospira is an uncommon pathogen for adult severe community-acquired pneumonia and its nonspecific manifestations and limited diagnostic tests make it difficult to identify.Although conventional penicillin remains efficacious to treat leptospirosis,failure in early diagnosis and treatment can lead to progression into a deadly syndrome with multiple organ dysfunction.Next generation sequencing is of great value to understand cases with infection of unknown cause,which could help in the diagnosis of uncertain Leptospira infection.CASE SUMMARY We recently managed a patient with fever,cough and dyspnea on admission that progressed into persistent adult respiratory distress syndrome,hemoptysis and hematuria after admission.In this case,the rare Leptospira infection was clouded by the positive influenza tests at admission,delaying early Leptospira-targeted antibiotics administration.Next generation sequencing,a novel molecular diagnostic tool,provided a key hint to uncover the crucial pathogen,Leptospira interrogans,further supported by the possible occupational exposure history.Subsequent conventional penicillin and mechanical respiratory support were administrated to cure the patient successfully without any sequela.CONCLUSION Clinicians must pay attention to possible exposure history and keep uncommon Leptospira in mind when managing pneumonia with unknown causes.
基金Item Sponsored by National Environmental Protection Public Welfare Profession Scientific Special Plan of China(201209023)
文摘Reduction kinetics of fine iron ore powder in different gas mixtures were investigated in high-temperature fluidized bed at a scale of kilograms. Influence of processing parameters, such as particle size, gas flow velocity, height of charge, temperature, compositions of gas mixture, and percentage of inert components, on reduction ki- netics was experimentally determined under the condition of fluidization. The equations for calculating instantaneous and average oxidation rates were deduced. It was found that an increasing H2 O percentage in the gas mixture could obviously decrease the reduction rate because the equilibrium partial pressure of H2 decreased with increasing content of Hz O in the gas mixture and then the driving force of reduction reaction was reduced. When the H2 content was high, .the apparent reaction rate was so rapid when the average size of iron ore fines was less than 1 mm that the re- action temperature can be as low as 750 ℃ ; when the average size of iron ore fines was more than 1 mm, a high re- action temperature of 800 ℃ was required. In addition, it was also found that the content of H2O should be less than 10% for efficient reduction.
