This paper probes into problems about the change of hospital economic interest and moral relation etc. brought by trying out medical insurance system in Zhengjiang, Jiujiang City. Also in points out that economic states have influence on ethical concept. Ethical concepts have a role on economic behaviour, which are two sides of cause and effect chain. For these reasons, medical insurance system is mutual movement results of economic & ethical factors, It can coordinate the relationships between hospital economic interest and morality embody medical service fairness and economic moral principles.

The roles that DNA methylation play in the congenital heart disease have recently begun to come to light.The abonormal DNA meghylation pattern on key regulation gne during heart development,such as T-box,CHD7,LINE1,methylenetrahydrofolate reductase,changed the expression of those gene,and increased the incidence of the congenital heart disease.The DNA methylation could be determined by sequencing,methylationsensitive PCR and combined bisulfate restriction anylysis.To study the DNA methylation will not only reveal the mechanism of congenital heart disease,but also provide a new strategy for clinical diagnosis and treatment.

To set up a health insurance program to facilitate a rational allocation of health re- sources,a scientific theory of health economics must be founded as a guidance and the percentage of the supply of health resources must be fixed in the GNP Consideration should be given to the ways in which the limited health resources are to be well allocated with the financial performance of the service units guaranteed at the same time.The current allocation of China's health resources indicates that the insuf- ficiency of national input go hand in hand with the false appearance of the ouersupply of such resources, which is called the"False Appearance Demand relationship"or"Nonensuring Line Demand Relationship".The divergence between the ensuring line and the nonensuring line shows the irrational waste-causing allocation of health resources.To help the establishment and improvement of China's health security system and make full and rational use of the health resouces,a social insuring line show- ing the regular total input of health resources muse be plotted;the macro—control function of the gov- ernment given full play;the reimbursement mechanism of medical cost improved;and the application of the law of value to the allocation of health resources instituted under the principle of fairness.

Systemic lupus erythematosus is a typical autoimmune disease commonly seen in childhood, the immunnopathogenesis of which is complicated. Along with the rapid advances of immunology and molecular biology, all the associated research has found that the onset of systemic lupus erythematosus is associated with dysfunction of T cells and B cells. They focus on the break of the normal autoimmune immunity and the form of malgenic autoantibody. It is also connected with primary immunodeficiency. The dysfunction of inherent immunity contributes to the break of autoimmune and the progression of the disease.

Objective:To analyze the relationship between PPD and MF on the basis of the surface antigen CD4,CD8 and receptor ? of T cell,so as to provide if PPD can represent a cutaneous lymphoid dyscrasia.Methods:The expression of CD4 and CD8 was measured by immunohistochemical technique in specimens obrained from lesional skin of 23 cases of PPD,20 cases of MF and skin of 20 cases of normal persons.The TCR-gamma gene rearrangement was detected with PCR.Results:15 cases of PPD have obvious migrations of lymphocytes to the epidermis.Their 5 cases and 20 cases of MF show T cell epidermotopism;18 cases of PPD,20 cases of MF and 6 cases of normal persons show a dominance of CD4+.In the dermis,the numbers of CD4+ between PPD and MF are 38.2?30.6 and 68.8?47.6(P

Humans ; Precursor Cell Lymphoblastic Leukemia-Lymphoma ; therapy

The theory of multiple intelligences put forward by Gardner has brought us enlightenment in different aspects.The theory maintains that every individual has eight intelligences,among which the advantageous one may be transferred to the others in a certain situation,and this greatly inspires multimedia EFL teaching at college.

Objective To investigate the correlation between phlegm and humid type and blood lipid and blood glucose, and the countermeasures.Methods From August 2014 to September 2016, 162 patients with physical identification were selected as the subjects.According to the screening criteria, the patients were divided into phlegm constitution group and flat body constitution group.Fasting blood glucose(FPG), total cholesterol(TC), triglyceride(TG), high density lipoprotein cholesterol(HDL-C) and low density lipoprotein(HDL-C) were measured for all patients after fasting for 10-12 hours Cholesterol(LDL-C), and for analysis and comparison.Results The score of spleen deficiency was lower than that of phlegm constitution group, the difference was statistically significant(P<0.05).The level of blood glucose and blood lipid in the group was significantly better than that in phlegm constitution group(P<0.05).Conclusion The blood lipid, blood glucose level and spleen and stomach function of phlegm constitution are relatively poor, and the phlegm constitution can be improved by developing good living habits and combining spleen and dampness medicine.

Objective To study the expression-mode and dynamic transmutation of high mobility group box-1 (HMGB1) in hepatocytes of the mouse model with acute hepatic failure and to study the interaction beween HMGB1 and tumor necrosis factor-α (TNF-α), interleukin-1β (IL-1β). Methods The mouse model of acute hepatic failure was established by injecting D-galactosamine (D-GalN) and lipopolysaccharide(LPS). Immunohistochemistry SABC method was used to detect the HMGB1 expression at 6 time points. The enzyme linked immunosorbent assay (ELISA) was used to determine serum TNF-α. IL-1β levels. Paired t test was used for statistical analysis. Results The HMGB1 expression was detectable at 2 hours after injection, which dramatically increased over time and peaked at 24 hours after injection. The serum TNF-a level and IL-1β level increased right after injection. The TNF-a level peaked at 8 hours after injection with a maximum value of (473.42±22. 99) pg/mL. The IL-1β level peaked at 2 hours after injection with a maximum value of (724. 49±34. 24) pg/mL. Both cytokine levels slowly decreased after peaking. IL-1β level returned normal with (51. 49±36. 87) pg/mL. Conclusions HMGB1 is one of the most important factors during the development of acute hepatic failure, which can promote the secretion of TNF-α and IL-1β at early stage and be abundantly expressed under the effect of these cytokines at middle and late stages with the result of liver damage. This process is directly correlated with the development and severity of hepatic failure.

Objective To compare the differences of self-imposed delay of gratification and the characteristics of delay strategy between aggressive children and normal children, in order to provide evidence-based basis for aggressive children's education and behavior modification. Methods Using the classical self-imposed delay of gratification task to compare the ability of delay of gratification between 24 aggressive children and 24 class-, age-, gender-matched normal controls. Recording children' s delay behavior coding to compare their differences of delay strategy by using the time sampling observation method. The differences of purpose of delay of gratification was analyzed with χ2 test. The differences of their delay strategy was analyzed with the independent sample t -test. Results A significant difference was found between two groups on delay of gratification(χ2 = 13. 50, P ＜0.01). The controls showed more purpose during the waiting process than the aggressive children whose waiting was mostly without purpose or they simply gave up. The problem-solving strategy was hightlighted in the use of delay strategy for both the aggressive children(22. 38 ±11. 29) and the controls( 28. 21 ± 3. 05). The control group children used more problem-solving strategy(28.21 ±3.05) and self-control strategy(0. 71 ± 1.08) during the waiting task. Their level of delay strategy was higher than the aggressive groups ( (22. 38 ± 11. 29), (0. 13 ± 0. 45) ) (P ＜ 0. 05). Conclusion The aggressive children are less capable of self-imposed delay of gratification,the purpose of behavior is weaker and the level of delay strategy is lower than normal children.