Study probes strengths of stockless inventory

Preliminary results of a study on stockless inventory emphasize that potential savings aren't built into the distribution method. Rather, the groundwork done by hospitals before starting a stockless program may determine its success.     

I型糖尿病患者单个核细胞对大鼠胰岛素分泌的影响

目的：探讨Ⅰ型糖尿病患者发病过程中的细胞免疫变化。方法：采集新发病及病程较长的Ⅰ型糖尿病患者和Ⅱ型糖尿病患者的外周血单个核细胞(PBMCs)与新生大鼠的胰岛细胞共同培养24 h,观察PBMCs对胰岛素分泌的影响。用正常人的PBMCs作对照。结果：只有初发病的Ⅰ型糖尿病患者的PBMCs对大鼠胰岛素的分泌有抑制作用,表现为刺激后胰岛素分泌减少((127.4±26.3)mU／L(n=12)Vs(209.6±41.8)mU／L(空白对照n=6)及(200.9±41.7)mU／L(健康对照n=5),P＜0.05)。结论：初发病的Ⅰ型糖尿病患者存在细胞免疫的异常;且这种异常主要存在于发病前后的较短的时间内;这种异常可能是机体胰岛功能减退的原因之一。     

Ⅰ型糖尿病患者单个核细胞对大鼠胰岛素分泌的影响

目的 :探讨Ⅰ型糖尿病患者发病过程中的细胞免疫变化。方法 :采集新发病及病程较长的Ⅰ型糖尿病患者和Ⅱ型糖尿病患者的外周血单个核细胞 (PBMCs)与新生大鼠的胰岛细胞共同培养 2 4h ,观察PBMCs对胰岛素分泌的影响。用正常人的PBMCs作对照。结果 :只有初发病的Ⅰ型糖尿病患者的PBMCs对大鼠胰岛素的分泌有抑制作用 ,表现为刺激后胰岛素分泌减少 ((12 7 4± 2 6 .3)mU/L(n =12 )Vs(2 0 9.6± 41.8)mU/L(空白对照n =6 )及(2 0 0 9± 41 7)mU/L(健康对照n =5 ) ,P <0 .0 5 )。结论 :初发病的Ⅰ型糖尿病患者存在细胞免疫的异常 ;且这种异常主要存在于发病前后的较短的时间内 ;这种异常可能是机体胰岛功能减退的原因之一。     

Cytokeratin expression in botryoid odontogenic cyst. A rare differential keratocyst and ameloblastoma diagnosis]

The botryoid odontogenic cyst (BOC) is considered a rare multilocular variant of the lateral periodontal cyst. The origin of the BOC can be seen in aberrant odontogenic tissue. The BOC is found especially in the premolar region of the mandible, as well as in the frontal region of the maxilla of patients aged between 60 and 70 years. Most of the 11 published articles of BOC have shown high rates of recurrence. Histopathologically the BOC is marked by multilocular cysts lined by a thin, nonkeratinized epithelium. Clusters of glycogen-rich epithelial cells may be noted in nodular thickenings of the cyst lining. For the clinician, the differentiation of the BOC from the keratocyst and ameloblastoma is relevant. One case of a large BOC (65-year-old male, BOC regio 33-45, diameter 5 cm, radiographically and histologically multilocular) is presented with a review of the literature, including the therapeutic management, and the possible diagnostic criteria are discussed. The immunohistochemically determined expression of cytokeratin (CK) 13 implicates the histogenetic origin of the BOC from the squamous epithelium of the oral cavity and excludes the origin from the small salivary glands. The expression of CK 19 and the lack of expression of p53, as well as the higher proliferation rate of the basal epithelial cell layer by the BOC, may be useful for distinction between the keratocyst.     

伴抑郁症状的焦虑症与伴焦虑症状的抑郁症的临床对照分析

目的：研究们焦虑症状的抑郁症与伴抑郁症状的焦虑症各自临床特征。方法：采用ＨＡＭＤ、ＨＡＭＡ、ＤＡＳ、ＷＳＰ对２８例伴抑郁症状的焦虑症与３２例伴焦虑太的抑郁症进行临床对照分析。结果：伴抑郁症状的焦虚症与伴焦虑症状的抑郁症在临床症状、认知、应激、自知力等方面均存在明显差异,结论：伴焦虑症状的抑郁症存在更多的认知曲解、自知力缺乏,而两者的区别有助于临床的鉴别诊断。