OBJECTIVE:To provide references for the elevation of the inconsistency between the accounts and the numbers of drugs by computer management in inpatient dispensary in our hospital.METHODS:Three stages including drug checking,stockout and stockin were analyzed to find out the causes for the inconsistency between the accounts and the numbers of drugs,aimed at which the countermeasures were put forward.RESULTS & CONCLUSIONS:The consistency between the accounts and the numbers of drugs could be greatly elevated by adopting special messenger responsible system,arranging reasonable drug stocktaking time,evolving stockin and stockout system as well as strengthening the responsibility of the concerned personnel.

OBJECTIVE:To investigate the use of drugs in the inpatients undergoing oral and maxillofacial surgery in our hospital for references of rational drug use.METHODS:The drugs used in the inpatients undergoing oral and maxillofacial surgery in our hospital during 2006 were analyzed statistically in respect of sum of money,the quantities of drugs and DDDs etc.RESULTS:Narcotics,anti-infectives and drugs affecting electrolyte balance and acid-base balance ranked among the first in terms of consumption sum,accounting for 30.18%,24.60%,and 16.12%,respectively.Leading the first 3 places in terms of co-nsumption sum were propofol injection,cefuroxime sodium for injection and sodium chloride injection.Vitamin C injection,benz-ylpenicillin sodium for injection and sodium chloride injection ranked at the top 3 in terms of DDDs.CONCLUSION:Only a few kinds of drugs were used for the inpatients undergoing oral and maxilla facial surgery in our hospital.Of which,narcotics,anti-infectives and drugs affecting electrolyte balance and acid-base balance were predominantly used,and intravenous administration was the chief route of administration.It is necessary to strengthen the rational use of anti-infectives in our hospital.

Objective To investigate the effect of cognitive behavior therapy (CBT) on the conversion of individuals with ultra-high-risk (UHR) of schizophrenia,and to find out the related influence factors.Methods Patients were randomly divided into study group (50 cases) and control group (49 cases) by the digital random table method.The study group received cognitive behavioral therapy,and the control group only got follow-up questionnaire.Structured Interview for Prodromal Syndromes (SIPS) was used to evaluate psychosis risk symptoms of each UHR individuals at baseline,3 months,6 months,12 months and 18 months respectively and the effects of CBT on conversion and related influencing factors were analyzed.Results There was no significant difference in the conversion rate (P＞ 0.05) between study group and control group after 3 months,but the conversion rate of study group was significantly lower than the control group after 6 months(6.00％ vs 20.41％,P＜0.05),12 months(10.00％ vs 24.49％,P＜0.05)and 18 months(10.00％ vs 28.57％,P＜0.05).CBT could effectively improve conditions for individuals with positive symptom (study group:5.30±3.62,5.04±3.89,4.38±4.13,5.26±3.65,5.94±4.19,control group:5.59±3.62,6.33±5.29,6.98 ±4.96,7.02±5.02,8.39±6.42,F=4.326,P=0.000) of UHR,but the improvement was not significant for negative individuals (F=1.555,P=0.215).CBT could be effective for disorganized symptom (F=6.901,P =0.010) and general symptom (F=7.752,P=0.006) as well.The poor family relationship was the risk factor of conversion to the schizophrenia (OR=3.411,95％CI=1.016-11.453,P=0.047).Conclusion CBT can effectively reduce the conversion rate of UHR individuals.CBT has a good remission effect on the positive symptoms,disintegrating symptoms and general symptoms of UHR.Family relationship affects prognosis of UHR individuals.