Follow-up Study of Retreatment TB Patients with Sputum Smear and/or Culture Positive Two Years after They were Declared Cured with First-line Anti-TB Drugs in Shandong Province

This study aimed to learn the recurrence rate in the retreatment TB patients with sputum smear and/or culture positive （ss＋ and/or c＋） two years after they were declared cured, and to explore causes of recurrence in order to improve long-time treatment outcome. 5 cities were selected as research locations. Recurrence of TB was judged by chest X-ray examination together with sputum smear and culture examination.

Feminists＇ Culture and Ethics at Work-- A Critical Analysis

The male writers＇ intuitive gift and superb insight describe feminine characters, feminine nature, femaleness, and femininity. In the 19th century, the study of the character logical portrait and cultural traits associated with femininity enunciated feminists＇ discourse to justify vindication of rights as regards women＇s cultural anxiety, political identification, and aesthetic experimentation. Similarly, the women writers＇ imaginative powers characterize women＇s emotions either reflecting shrinking subjectivity or elaborating notion of voluntary subjectivity as regards their experiences and existence, their passions and sensations, and their self and life. The 20th century women＇s writings raised inquiry against presentation of gendered self, performance of gender, gender discontent as regards with their sex and gender, which are assigned at birth as well as also for the alignment of biological sex, sexuality, gender identity, and gender roles. In this paper, the study of the four selected novels such as The Scarlet Letter, Tess of the D ＇Urbervilles, Emma, Surfacing, and Inner Line shows how circumstances, strata of time, and externalities of others objectify woman and her domestic space; how a woman perceives her deprivation as regards her own image which seems nobody to herself due to the sense of low perception; in what way sexual difference and gender-specific practices and ideology enforce woman to chide herself in the given environment and surroundings of legal codifications, moral prescriptions, and medical prognostications. The analyses of the novels draw how woman＇s experience as living subject in the vital dimension of human existence and utopian image of human fellowship is potentially undone by way of sexual exploitation, dismemberment, and embodiment. What kind of vulnerable moments force woman to withdraw from her body and fi＇om her essence is the center of concern in this paper？ While discussing the feminists＇ culture and ethics in their works, the focus is on the essentialized notion of gender-specific discrimination as well as on the frustrating double-consciousness that characterizes the cultural position of the other.

Unexpected positive cultures including isolation of Propionibacterium acnes in revision shoulder arthroplasty

Objective Little information is available to guide treatment strategies regarding patients with unexpected positive cultures （UPC）,including Propionibacterium acnes （PA）,without overt signs of infection in revision shoulder arthroplasty （RSA）.The purpose of our study was to analyze the prevalence,clinical meaning,treatment and prognosis of UPC in RSA.Data sources and study selection We performed a systematic review of the literature between 1950 and 2013 for all studies reporting on UPC for PA.Studies with the prevalence and prognosis of patients with UPC in RSA were analyzed.Results Six studies meeting our inclusion criteria yielded data for 1 402 patients who underwent a total of 1405 RSA.Based on the available data,following RSA 235 shoulders had UPCs with a pooled percentage of 16.7％ （235/1405）.The most commonly isolated bacteria from shoulders following RSA with UPCs was PA with pooled percentages of 63.4％ （149/235）.Occurrence of true infection from UPCs after RSA was seen in 24 shoulders （24/235,10.2％）.Antibiotic use did not influence the rate of the occurrence of true infection from UPCs （P=0.498）.Conclusions Our study showed a low risk of having a true infection from UPCs after RSA without clinical signs of preoperative infection at the time of the surgery.Therefore,prolonged antibiotic therapy may not be necessary in these patients.