医疗保险总额预付试点三级医院患者就医感受调查

目的 调查上海市实行医疗保险总额预付的三级医院中患者的就医感受。方法 经培训的调查员应用结构式调查问卷对上海市10家实行医疗保险总额预付的三级医院的699名患者进行面对面访谈，数据分析主要采用描述性统计。结果 城保患者对门诊医生明显减少处方金额（或处方天数）的感受强于非城保患者，城保和非城保患者的住院就医感受差异无显著统计学意义。结论 医疗保险总额预付对上海三级医院患者就医感受的总体效应似偏弱，而且有限的影响主要集中于门诊而非住院环节。     

Functional Casein-Poly saccharide Conjugates Prepared by Controlled Dry Heating

Casein was conjugated with dextran and galactomannan in a controlled dry state at a relative humidity of 79% and at 60°C for 24 hr. The covalent attachment of polysaccharides to casein was confirmed by SDS-PAGE and HPLC. The emulsifying activity of the casein-dextran and casein-galactomannan conjugates was 1.5 times higher than that of casein. The emulsion stability of the casein-dextran and casein-galactomannan conjugates was 10 times higher than that of casein. The improvement in these emulsifying properties reached a steady state when the conjugation of casein with polysaccharide was done for 24 hr in a controlled dry state, suggesting the rapid formation of conjugates through a Maillard reaction in the case of casein. Compared to commercial emulsifiers, the casein-polysaccharide conjugates showed better emulsifying properties in acidic and high-salt concentration systems.     

Obligation and the new naturalism

Although it has become increasingly evident that an adequate theory of obligation must rest on evolutionary biology and human ethology, attempts toward this end need to explore the full range of personal, cultural, and political obligations observed in our species. The new naturalism reveals the complexity of social behavior and the defects of reductionist models that oversimplify the foundations of human duties and rights. Ultimately, this approach suggest a return to the Aristotelian concept of natural justice.     

Characteristics of action potentials in Helianthus annuus

The action potentials induced by nondamaging electrical stimuli in 16- to 22-day-old plants of Helianthus annuus were examined. Typical recordings are presented. Mean values of their amplitudes and conduction velocities in the stem, the strength-duration relation, the 'all-or-none' law and the refractory periods have been determined. The amplitude and velocity of propagation were essentially identical in the upward and downward direction, but greater in the upper than in the lower half. In 'electrically active' plants, the rheobase value is 2 V, the minimum period for stimulation is 1.8 s. and the chronaxie 2.3 s. It is noted that the excitability level between similar plants on the same day and in the same plant on different days is highly variable and undergoes periodic changes.     

Neotypification of the genusTrichosporon

The currently accepted type species of the genusTrichosporon Behrend isT. beigelii. This species has formerly been regarded as identical toT. cutaneum. However, these fungi are now known to represent separate species with different ecology. The first species described inTrichosporon wasT. ovoides, an agent of human white piedra. A neotype strain is designated for this species, while a lectotype strain is indicated forT. cutaneum. The nameT. beigelii is considered as doubtful and consequently cannot be maintained.     

Heterogeneity of soil and soil solution chemistry under Norway spruce (Picea abies Karst.) and European beech (Fagus silvatica L.) as influenced by distance from the stem basis

The present study aims at characterizing plant water status under field conditions on a daily basis, in order to improve operational predictions of plant water stress. Ohm's law analog serves as a basis for establishing daily soil-plant relationships, using experimental data from a water-limited soybean crop: 227-1. The daily transpiration flux, T, is estimated from experimental evapotranspiration data and simulated soil evaporation values. The difference, 227-2, named the effective potential gradient, is derived from i) the midday leaf potential of the uppermost expanded leaves and ii) an effective soil potential accounting for soil potential profile and an effectiveness factor of roots competing for water uptake. This factor is experimentally estimated from field observation of roots. G is an apparent hydraulic conductance of water flow from the soil to the leaves. The value of the lower potential limit for water extraction, required to assess the effective soil potential, is calculated with respect to the plant using the predawn leaf potential. It is found to be equal to –1.2 MPa. It appears that over the range of soil and climatic conditions experienced, the daily effective potential gradient remains constant (1.2 MPa), implying that, on a daily basis, transpiration only depends on the hydraulic conductance. The authors explain this behaviour by diurnal variation of osmotic potential, relying on Morgan's theory (1984). Possible generalization of the results to other crop species is suggested, providing a framework for reasoning plant water behaviour at a daily time step.     

Ethical obligation and legal requirements: On informed consent practices in Bangladesh

Informed consent to medical intervention is fundamental in both ethics and law. But in practice it is often not taken seriously in developing countries. This paper provides an appraisal of informed consent practices in Bangladesh. Following a review of the ethical and legal principles of informed consent, it assesses the degree to which doctors adhere to it in Bangladesh. Based on findings of non-compliance, it then investigates the reasons for such non-compliance through an appraisal of informed consent practices in Bangladesh and provides recommendations aimed at improving such practices. The significance of this paper lies in unveiling the interdependence between the ethical and legal traits of informed consent and their ramifications on strengthening the patient-oriented approach of duty to care.     

人体超微弱发光图像中的信号检验

用近期研制的具有单光子探测能力的超高灵敏度成像系统获得了人体体表生物超微弱发光的强度数据。为分析图像中的信号检验,二项分布被用于人手不同时间累积发光图像中的信号显著性检验,证实人手存在超微弱生物发光,手指的发光强度在３００～５５０ｐｈｏｔｏｎｓ／ｓ范围内,全手的发光强度在８５０～１２００ｐｈｏｔｏｎｓ／ｓ范围内。     

豆田刺吸类害虫、天敌自然种群消长规律及其群落结构的研究

在豆田群落中,常见的天敌昆虫及有益生物为12科13种,它们对寄主均有很强的选择性．小花蝽是大豆蚜的主要天敌,系优势种,其次是龟纹瓢虫．大青叶蝉的主要天敌是蜘蛛类,三突花蛛和草间小黑蛛为优势种．在长期不施用农药的环境下,天敌自然种群对控制害虫发生危害的作用明显．经数学分析,建立了12个数学模型,进一步揭示了两种刺吸类害虫与其天敌之间的关系;天敌种群消长、害虫种群消长与时间变动的关系．尤其通过对豆田群落生物的多样性、稳定性动态分析,表明豆田群落在8月9日至8月29日多样性指数和稳定性指数最大;同时亦表明豆田群落的多样性指数愈高,群落的稳定性愈强．