Chronic obstructive pulmonary diseases related health re-sources allocation in hunan province of China

Information about Chronic obstructive pulmonary diseases [COPD]-related health resources allocation in China is very limited. The aim of the study was to explore the distribution of COPD-related health resources allocation among different levels public hospitals [PHs] in Hunan Province of central south China. We randomly collected data from 57 Public Hospitals [PHs] at 3 different levels in Hunan province as well as 893 pulmonary physicians [PPs] who worked there in 2009. Questionnaires based on the recommendations of COPD guideline were designed, including availability of spirometers, inhaled agents for COPD and COPD-related health education for local residents, as well as PPs' educational levels. Spirometers equipped ratio in 3[rd] level PHs was much higher than 1[st], 2[nd] PHs. The disparity varied vastly form 0% to 100%. The inhaled agents equipped ratio was 5.56%, 70.85% and 100% respectively for the 1[st], 2[nd] and 3[rd] levels PHs. No 1[st] level PHs launched COPD-related healthcare education for local residents, only 10 of 24 for the 2[nd] level PHs and 10 of 15 for the 3[rd] level PHs. PPs of high educational levels concentrate in 3[rd] levels PHs, however, PPs working in 1[st] levels PHs and 2[nd] levels PHs were mainly low and median educational levels PPs' knowledge of COPD of 3[rd] levels PHs was much better than of 1[st] levels PHs and 2[nd] levels PHs. The extreme imbalance and disparity existed in COPD-related health resources allocation at three levels PHs in central south China. Inequity and insufficient in COPD-related health resources in 1[st] and 2[nd] levels PHs should be improved

Measurement of CD4~+CD 30~-Th/CD4~+CD 30 ~+Th subgroup in thrombocytopenic purpura patients by flow cytometer / 中国免疫学杂志

Objective:Investigation about immunological pathogenesis of thrombocytopenic purpura was made.Methods:Th1 and Th2 cell number between thrombocytopenic purpura patients and normal people was detected by flow cemetry.Results:Th2 cell number in thrombocytopenic purpura patients was significantly higher than that in control group,whereas Th2 cell number in thrombocytopenic purpura patients was significantly lower than that in control group.Conclusion:The imbalance between Th1 and Th2 could partly explained the mechanism of thrombocytopenic purprua.