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

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 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.

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.

Humans ; Precursor Cell Lymphoblastic Leukemia-Lymphoma ; therapy

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.

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.

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 chemical constituents from the flower buds of She Medicine Magnolia liliflora. Methods: The compounds were isolated and purified by chromatography on silica gel and Sephadex LH-20 columns. Their structures were elucidated by the physicochemical and spectroscopic evidences. Results: Seven compounds were isolated from the methanol extracts in the flower buds of M. liliflora and were identified as monolignol glucosides (1), (1S, 3R)-1-(3, 4-dimethoxy-phenyl)-2-[4-(3-hydroxy-propyl) - 2-methoxy-phenoxy]-propane-1, 3-diol (2), 3', 4-O-dimetbylcedrusin (3), 4-O-metbylcedrusin (4), β-daucosterol (5), β-sitosterol (6), and kaempferol-3-O-(6″-trans-p-coumaroyl) - α-D-mannosepyran-glucoside (7). Conclusion: All of these compounds are isolated from the flower buds of M. liliflora for the first time. Compounds 3, 4, and 7 are first isolated from the plants in Magnolia L. Compound 1 is isolated from the natural products for the first time, and the 13C-NMR data of compound 1 are expounded for the first time.

Objective To observe the difference in therapeutic efficacy between acupuncture with distant acupoints selection and proximal acupoints selection in treating acute headache.Method Sixty patients with acute headache were randomized into group A and group B, 30 cases in each group. Group A was intervened by acupuncture with distant acupoints selection, while group B was by acupoints with topical acupoints selection. The Visual Analogue Scale (VAS) and Present Pain Intensity (PPI) from McGill Pain Questionnaire (MPQ) were observed before and after intervention, and the clinical efficacies were compared between the two groups. Result After treatment, the VAS and PPI scores were significantly different from that before treatment in both groups (P<0.01). The changes of VAS and PPI scores in group A after intervention were significantly different from that in group B (P<0.01). The total effective rate was 90.0% in group A versus 73.3% in group B, and the difference was statistically significant (P<0.01). Conclusion Acupuncture with distant acupoints selection can produce a better therapeutic efficacy than acupuncture with topical acupoints selection.