医院成本核算的实践与思考

文章指出加强医院经济管理开展成本核算的十分重要和必要,分析了现状和存在的问题,提出了加强工作的几点建设.要求更新观念,加强基础性工作,做好计算机网络化建设,规范实物管理,加强法规建设等。     

柄果花椒酰胺的化学结构

前文报道从湖南地区采集的芸香科植物柄果花椒(Zanthoxylum podocarpum Hemsl.)树皮中分离并经鉴定的结晶有β-香树脂醇、β-谷甾醇、ι-芝麻素、ι-细辛素、新棒状花椒酰胺、新木脂体柄果脂素和山萮酸为主的混合脂肪酸等。并从该植物中分得另一结晶(Ⅸ),本文报道结晶(Ⅸ)的化学结构。     

The incidence and evolution of cardiomyopathy in Duchenne muscular dystrophy

To assess the incidence, nature and evolution of cardiac disease in Duchenne muscular dystrophy, 328 patients were studied between 1976 and 1987 for periods varying from 3 to 11 years. Patients underwent regular clinical examination, electrocardiography, echocardiography and radiological assessment. Pre-clinical cardiac involvement was found in 25% of patients under 6 years old increasing to 59% between the ages of 6 and 10 years and then declining in incidence with age. Clinically apparent cardiomyopathy is first evident after 10 years of age and increases in incidence with age, being present in all patients over 18 years of age. Its clinical impact is discussed.     

Ejaculatory incompetence and infertility

Ejaculatory incompetence is a relatively uncommon cause of infertility but a potentially treatable one. We report on 11 men with anejaculation, 2 of whom presented with complaints of sexual dysfunction and 9 with infertility. Psychologic factors were considered the major cause in all patients. Sexual counseling was carried out in four couples; in three of these couples, subsequent intravaginal ejaculation occurred. Two couples achieved pregnancy by intravaginal ejaculation. Two of another three couples achieved pregnancy by artificial insemination with the husbands' semen (AIH); therefore, four of seven couples achieved pregnancy by either sexual therapy or AIH. These data indicate that ejaculatory incompetence should be inquired after in cases of infertility and that sexual therapy as opposed to prolonged psychoanalysis or AIH is an effective form of treatment.     

轴型皮瓣移植在眼部成形术中的应用

目的研究颜面大片疤痕形成,全眼睑缺损整形修复的方法。方法应用前臂轴型皮瓣和颞浅动脉岛状皮瓣移植修复全眼睑缺损,眉毛、睫毛缺如及结膜囊成形术。结果两例典型病例均获得满意的矫治,安装了义眼,改善了外观。结论轴型皮瓣矫正颜面大片疤痕畸形和全眼睑缺损是一种很好的方法。     

茜草中萘酸酯类成分的研究

从茜草根中分离出四个萘酸甲酯化合物。经光谱分析及化学方法鉴定,化合物Ⅰ为一新成分,命名为茜草内酯(rubilactone,Ⅰ),化合物Ⅱ～Ⅳ分别为已知物3’-甲氧羰基-4’-羟基-萘骈[1’,2’-2,3]呋喃(furomollugin,Ⅱ),二氢大叶茜草素(dihydromollugin,Ⅲ),2-(3’-羟基)异戊基-3-甲氧羰基-1,4-萘氢醌-1-O-β-D-吡喃葡萄糖甙(Ⅳ)。其中Ⅱ系自茜草属中首次分得。