OBJECTIVE:To promote the implementation of drug“zero profit”,and ensure the interests of both doctor and pa-tient. METHODS:Through introducing the related information of drug management and compensation mechanism of drug“zero profit”,the advices were put forward for the heavy financial burden,shortage of hospital income and medical accessibility,etc. RESULTS&CONCLUSIONS:Drug“zero profit”could promote the reform of public hospital. If both doctor and patient could ob-tain benefits,it is very important to strictly enforce compensation mechanism and increase the government investment. Meanwhile, medical service price should be appropriately adjusted to reflect technical value,knowledge value and risk value of medical staff;preparyment of the total amount should be propeled by project,disease,head and other payment methods to control unreasonable medical expenses growth;mechanical of the hospital operating service should be improved to consciously reduce the dependence on drug profits.

By combining WGA-HRP retrograde tracing and immunohistochemical methods,the characteristics of the vasopressin(VP)-like immunoreactive neurons, which project to the posterior pituitary were studied. They were located subependymally, and predominately along:(1) the dorsal wall of the third ventricle at the preoptic area and posterior magnocellular paraventricular nucleus levels, (2) the ventral wall of the third ventricle at the suprachiasmatic nucleus level, and (3) at the floor of the third ventricle. Four types of the cells could be distinguished. They were found to squeeze in between the ependymal cells, bring themselves very close to the cerebrospinal fluid (CSF),or to be situated in the subependymal layer, sending some of their processes into the ependyma. The double labelled neurons were also detected subpially in the supraoptic nucleus (SON) and the retrochiasmatic nucleus. A large number of dendrites from the neurons in the SON extended toward the CSF in the subarachnoidspace. In summary, the VP-like immunoreactive neurons which projected to the posterior pituitary were very close to the CSF. It is, therefore, proposed that these neurons may monitor changes in the CSF and adjust the secretion of VP in the posterior pituitary. They may also release VP directly into the CSF.

The periventricular oxytocin(OXT)-immunoreactive neurons of the 3 third ventricle in the rat were studied under electron microscope by using pre-embedding PAP immunocytochemistry. Special attention was payed to the relationship between OXT-containing neurons and ependymal cells and the synaptic architecture of these neurons in the periventricular neuropil. The results revealed that the positively immunostained cell bodies and larger, dendrites of neurons were just beneath ependyma and contacted directly with ependymal cells. Typical Gray Ⅰ type or untypical axon-dendrite synapses were found between the immunolabelled neurons and unlabelled axon terminals. A cross section of a immunoreactive process was seen on the luminal surface of ependymal cells in one case. In the subependymal neuropil many synapses formed by OXT-immunoreactive dendrites and non-immunoreactive axon terminals which contained different kinds of synaptic vesicles were encountered. It is suggested that the subependymal neurons may be important in signal integation between cerebrospinal fluid and neuronal inputs. It is also possible that the subependymal neurons may release peptides,i, e. oxytocin into CSF.

AIM: To assess if endogenous arginine vasopressin is involved in normal thermoregulatory processes. METHODS: Core temperature was monitored in undisturbed rats using radiotelemetry. Effect of AVP V 1 antagonist on normal body temperature were observed in rats under a 12:12 light-dark cycle. RESULTS: Intraperitoneal injection of AVP V 1-receptor antagonist in rats induced a increase in normal body temperature. Under normal light (light on at 6:00 AM-6:00 PM), AVP V 1 antagonist induced a increase in body temperature persisting for about 6 hour, but male rats had higher hyperthermia than female. Under normal dark exposure (light off at 6:00 PM- 6:00 AM), AVP V 1-receptor antagonist caused a increase in body temperature persisting for about 2 hour at the start of the dark phase, but no difference was found between sexes. CONCLUSION: Intraperitoneal injection of AVP V 1-receptor antagonist caused a increase in normal body temperature. The data indicated that endogenous vasopressin could be involved in tonic thermoregulatory process.

Objective To analyze the genetic diversity of eight species of Caragana Fabr. in Ordos Plateau. Methods To study the genetic diversity of the eight species with ISSR method. Results The total percentage of polymorphic bands (PPB) of the eight species was up to 100%, which was extremely high and showed an abundant genetic diversity. However, the genetic diversity of different species was not the same. The genetic diversity of C. tibetica, C. korshinskii, C. stenophylla, C. roborovskyi, and C. intermedia was higher, while that of C. opulens and C. purdomii was lower, and that of C. brachypoda was the lowest. The analytic results of the Nei′s gene diversities and the Shannon′s information index were similar. Different species could be differentiated through UPGMA method and characteristic banding pattern of ISSR. Conclusion ISSR Molecular marker could be used in molecular authentication and hereditary background study of the species of Caragana Fabr. These results provide the scientific basis of developing effective protection measures for these species.

No abstract available.

OBJECTIVE: This study was performed to evaluate the clinical efficacy of high-risk HPV DNA test using Hybrid Capture System in the detection of high-grade cervical intraepithelial neo- plasia(CIN II, III) from patients with atypical squamous cells of undetermined significance(ASCUS) or a low-grade squamous intraepithelial lesion(LGSIL) on referral Papanicolaou smear. STUDY DESIGN: Fifty-four patients referred to our hospital with a Papanicolaou smear report of atypical squamous cells of undetermined significance or a low-grade squamous intraepithelial lesion underwent repeat Papanicolaou smear, cervical colposcopy and directed cervical biopsy. In addition, high-risk human papillomavirus(HPV) test by Hybrid Capture System was done. A comparison of detection rate of the high-grade CIN between positive and negative results of HPV test according to repeat Papanicolaou smear report was done. Biopsy result according to HPV test result in total patients was also compared. RESULTS: HPV of high-risk type was detected in 22 of 54 women(40.7%) by Hybrid Capture System. Prevalence rate of high-risk HPV in no CIN, CIN I, and CIN II, III was 13.6%, 18.2% and 68.2% respectively. As expected, high-risk HPV was detected with greater frequency in relation to increasing severity of CIN. In 18 women, the repeat smear obtained in our clinic was reported as negative. High-risk HPV types were found in 16.7% of theses women. In the HPV-negative women, 40% had CIN II or III confirmed on cervical biopsy. In comparison, 66.7% of those with a positive result of the HPV test had CIN II or III on biopsy(P<0.05). Among the women with ASCUS or LGSIL on repeat smear, there was no significant difference in the frequency of biopsy-proved CIN II or III between positive and negative results of high-risk HPV test. In total patients, the group that had positive results for high-risk HPV showed higher incidence of CIN II or III than group with negative results(P<0.05). CONCLUSION: From these results testing women with Papanicolaou smears showing ASCUS or LGSIL for infection with high-risk HPV types would identify the patients who are at risk for HGSIL or invasive carcinoma and who require aggressive intervention. High-risk HPV DNA test using Hybrid Capture System may be a usefule method in supplement the pitfalls of cervical cytology. This test might also have prgnostic value in the management of patients with cervical intraepithelial lesions.
Biopsy ; Colposcopy ; Female ; Human Papillomavirus DNA Tests ; Humans* ; Incidence ; Papanicolaou Test ; Papilloma* ; Prevalence ; Referral and Consultation

No abstract available.
Myocutaneous Flap* ; Pressure Ulcer*

No abstract available.
Hyperthyroidism*

We describe a modified technique for the in vitro study of human spermatozoal penetration into hamster oocytes which is easier to master and more simple to perform and needs no complicated facilities.It comprises the following aspects:1 The hamster oviduct is stained with 1％ neutral red agar slics, so that the opening of the oviduct is easy to find and easy to be inserted with needle for flushing eggs.2. A special small tube,3 cm long with a diameter of 0.5 cm is used for fertilization instead of plastic dish with paraffin oil covering the media.3. Ordinary incubator is used rather than CO_2 incubator. With these procedures, the sperm penetration rates we got were 75％, 25％, 40％, 80％ and 46％ respectively in 5 experiments. It could meet the needs to evaluate the fertilizing capacity of human spermatozoa.