The long-year program for medical education is the major way to train the high level medical professionals.This paper colleeted the research papers on this topic published in Chinese journals in recent years,extracted their key words and counted the high frequent key words According to the co-occurrence of a pair of key words in one paper.these high frequent keywords were clustered into groups.The research structure and main directions of the long-year program were outlined as the study of macro-planning of long-year program,the study of teaching models and teaching system,study of teaching practice.These results could be a useful reference for the medical educational researchers and managers.

Objective To find a new method of tangential view of patello femoral joint. Methods 62 cases of lateral knee radiographs were studied. The knee flexion angles, patello femoral angles, patello tibial angles and frontal patello tibial angles were measured and their relationships analyzed. The knee flexion angles and the patello femoral angles had linear relationship with a linear equation = 2 + 0.8x . The angles of posterior patellar line with tibial long axis and frontal tibial line were 3.3? and 12.7?respectively. According to the measurement results, an accessary positoning table was designed. The patients′ patello femoral joints were examined with the knee flexed at an angle of 30?. The patients were in supine position and the central X ray was angled at 73?vertically toward the film. Results 58 patello femoral joints of 40 patients were radiographically studied (10 males, 30 females) .All radiographs were classified into 4 degrees as Grade A, B, C and D. Eighteen cases were Grade A (31%), 30 cases were Grade B(52%), 8 cases were Grade C(18%)and 2 Grade D(3%).The reason for Grade D was due to small or negtive anterior patellotibial angles. Conclusion This new method of tangential view of patello femoral joint is accurate, comfortable and simple and could be used as routine examination for patello femoral joint diseases.

Objective To analyze multislice CT characteristics of intestinal obstruction transition zone caused by different patholo-gy.Methods 67 cases of intestinal obstruction were collected in our hospital.Multislice spiral CT scan combined with multi-plane re-organization (MPR)of the bowl obstruction transitional zone were analysed.Results Among 67 cases of intestinal obstruction,there were 28 cases of simple mechanical intestinal obstruction,1 7 cases adhesion intestinal obstruction,5 cases paralytic intestinal obstruc-tion,4 cases internal hernias and 4 cases mixed intestinal obstruction.Conclusion Intestinal canal transitional zone and arounding tis-sues of intestinal obstruction have certain characteristics for the same pathology which can be clearly displayed by multislice CT scan combined with MPR.

Objective:To compare the visual quality of patients with astigmatic multifocus intraocular lens (ART IOL) and astigmatic monofocus IOL (Toric IOL) after implantation.Methods:A prospective, non-randomized, controlled study was conducted to include 72 eyes of 72 cataract patients with corneal astigmatism (1.0-2.5 D) who were scheduled to receive phacoemulsification combined with IOL implantation in Chaoju Eye Hospital of Inner Mongolia from July 2017 to October 2018.Patients were divided into ART IOL group (37 eyes) and Toric IOL group (35 eyes) according to different IOLs implanted.All patients were followed up for 1 year after surgery.The main and secondary outcome indicators were compared.The main outcome indicators included distance (5 m), intermediate (80 cm), and near (40 cm) uncorrected visual acuity and best corrected visual acuity, defocus curve, contrast sensitivity, postoperative IOL rotation and residual astigmatism, while the secondary outcome indicators included visual subjective symptoms and spectacle independence rate.The above outcome indicators were compared between the two groups.This study followed the Declaration of Helsinki.The study protocol was approved by the Ethics Committee of Chaoju Eye Hospital of Inner Mongolia (No.CJYKLL202012).Written informed consent was obtained from each patient before surgery.Results:There was no statistically significant difference between the two groups in average uncorrected distance visual acuity and best corrected distance, intermediate and near visual acuity (all at P>0.05).The average intermediate and near visual acuity in the ART IOL group was significantly higher than that in the Toric IOL group, showing statistically significant differences (both at P<0.05).The defocus curve of the ART IOL group presented a double peak, which reached the peak at the far focus (0.0 D) and near focus (-2.5 D), respectively.The visual acuity range from 1.5 to-3.0 D was above 0.2 logarithm of the minimum angle of resolution (LogMAR), and the focus depth range was 4.5 D (1.5 to -3.0 D).The defocus curve of the Toric IOL group had only one crest, which was located at best corrected visual acuity (0.0 D).The visual acuity reached 0.2 LogMAR or above were from 1.0 to -1.0 D, and the focal depth range was 2.0 D (1.0 to -1.0 D).There was no statistically significant difference in contrast sensitivity at different spatial frequencies between the two groups in bright light, bright flashing light and dark light (all at P>0.05), while the contrast sensitivity of the ART IOL group at high dark flashing light frequency was lower than that of the Toric IOL group, showing statistically significant difference ( P<0.05).In the ART IOL group and the Toric IOL group, the average residual astigmatism after surgery was (-0.47±0.51)D and (-0.49±0.42)D, respectively, with no statistically significant difference ( t=0.408, P>0.05).There was no significant difference in postoperative IOL rotation between the two groups ( t=1.906, P>0.05).The total postoperative spectacle independence rate in the ART IOL group was 97.30%(36/37), which was higher than that in the Toric IOL group (17.14%, 6/35), showing statistically significant difference ( χ2=15.320, P<0.05). Conclusions:Both Toric IOL and ART IOL can better correct corneal astigmatism and improve patients' distance visual acuity, but ART IOL implantation can provide better distance, intermediate and near visual acuity, and higher spectacle independence rate.

Objective To observe the effect of Juanbi granulae on rheumatoid arthritis belonging to cold dampness obstruction and kidney yang qi deficiency syndrome.Methods All 120 RA patients in accordance with the inclusion criteria were divided into a 80 cases of study group,and a 40 cases of control group,by random table method.Methotrexate,10mg once a week,was given orally,as a basis for treatment.The treatment group given Juanbi granulae,15g for each time,3 times a day; while the control group was Zhenqingfengtongning sustained-release tablets,60mg for each time,twice daily.Both groups have adopted a one-month course of treatment.Statistics effect was evaluated after 4-week course of treatment.Results ①There was significant difference between the two group in terms of therapeutic effects and symptom effects after the treatment (the total effective rate of study group and control group was 100.0％,86.7％,U value was-4.071,-3.232 respectively,P＜0.05).② The treatment effects and the symptom effect of the cold dampness syndrome and the kidney yang qi deficiency syndrome in the same group showed statistical difference after the treatment (the total effective rate of study group and control group was 88.0％,80.0％,The U value of treatment effect was-5.50,-3.67 respectively,P＜0.01 or P＜0.05).(U value of syndrome effect was-2.909,-3.992 respectively,P＜0.05).③ Study group of after treatment ESR (17.05±7.15) mm/h,RF (32.46± 14.22) U/L,compared with the control group of after treatment,the difference was statistically significant (P＜0.05).Conclusion Juanbi granulae was effective in treating rheumatoid arthritis of both kidney yang qi deficiency syndrome and cold dampness obstruction syndrome,the effects were especially better for cold dampness obstruction syndrome.

General rules for infant formula for special medical purposes were published by National Health and Family Planning Commission of the People’s Republic of China in 2010. Lactose-free or low lactose formula is suggested to be a part of treatment in bottle-fed infants with acute diarrhea. Lactase is suggested to be taken before each feeding in breastfeeding infants with acute diarrhea. Partial hydrolyzed formula (pHF) can be added when the breast milk is insufifcient and it is mainly used during the transition from extensively hydrolyzed formula to standard formula during allergy treatment. Extensively hydrolyzed formula should be suggested as the nutritional support during milk avoidance for most of cow’s milk allergy infants. Amino acid formula is the clinical tool to diagnose the cow’s milk allergy and provides the nutritional support to severe cow’s milk allergy infants. Although preterm/low birth weight formula can decrease the rate of the extrauterine growth retardation and sustain the fast growth of preterm babies with insufifcient breast milk, Breast-milk with fortiifer is strongly recommended as the main nutritional support to keep preterm and low birth weight infants’ growth. Infants with disorders of amino acid catabolism should choose speciifc formula.

Objective To study the effectiveness of integrative therapy on serum IL-8 and IL-17 in patients with chronic urticaria.Methods According to the digital table,126 patients with chronic urticaria were randomly divided into the two groups,the control group (n =63 cases) and the observation group (n =63 cases).The patients in the control group were treated through cetirizine hydrochloride and ebastine,while the patients in the observation group were treated through cetirizine hydrochloride and ebastine plus traditional chinese medicine.They were treated for 4 weeks.Serum IL-8 and IL-17 were detected before and after treatment.Results The effective rates were 77.8％ in control group and 9 5.2 ％ in the observation group with a significant difference between the two groups (x2 =4.78,P ＜ 0.05).Serum IL-8 and IL-17 in two groups were significantly reduced,and after treatment,the observation group decreased more significantly(t =2.92,3.06,both P ＜ 0.05).Conclusion Integrative therapy can significantly decrease serum IL-8 and IL-17 in patients with chronic urticaria.

Objective To study the effect of mycophenolate mofetil(MMF) on primary nephrotic syndrome and the impact on urinary protein.Methods According to the digital table,136 cases of nephrotic syndrome were randomly divided into MMF group and control group,68 cases in the control group were dealed with conventional treatment,MMF group was treated with MMF.After 6 months,the treatment effects of both groups were evaluated.Results The overall response rate of MMF group was 82.8％,higher than that of control group 60.6％ with statistically significant difference (x2 =10.86,P ＜ 0.05),;Blood urea nitrogen(BUN),serum creatinine(Scr),24 h urinary protein of two groups had varying degree of reduction,the indexes of MMF group decreased even more significant (t =2.50,4.59,11.12,all P ＜ 0.05).Serum albumin of the two groups had risen,but MMF group increased more significantly (t =3.09,P ＜ 0.05).Conclusion The advantages of MMF are significant effect,reduction in side effects,safe and reliable on nephrotic syndrome and urinary protein,which is worthy of clinical use.

Objective To analyze the risk factors of chronic kidney disease complicated with acute kidney injury and its treatment efficacy.Methods 180 chronic kidney disease patients complicated with acute kidney injury were divided into the elderly group and the young group.The underlying diseases,risk factors of acute kidney injury and clinical efficacy were compared between the two groups.Results The proportions of chronic glomerulonephritis,nephrotic syndrome and lupus nephritis in young and middle-aged group were 37.8％,15.6％ and 20.0％,which were significantly higher than those in the elderly group (17.8％,8.9％,2.2％) (P ＜ 0.05).The proportions of diabetic nephropathy and hypertensive renal injury in elderly patients were 31.1％ and 24.4％,which were significantly higher than those in the young and middle-aged group (6.7％,4.4％) (P ＜ 0.05).In the old age group,the proportions of infections and renal toxicity drugs were 28.9％ and 22.2％,which were significantly higher than those in the young group.In the young and middle-aged group,the proportions of malignant hypertension and deterioration of the primary disease were 22.2％ and 26.7％,which were significantly higher than those in the elderly group (P ＜0.05).The total effective rate of the young group was 88.9％,which was significantly higher than 71.1％ of the elderly group (x2 =6.846,P ＜ 0.05).Conclusion Elderly and young and middle-aged chronic kidney disease patients complicated with acute kidney injury have differences in risk factors and clinical efficacy.

Objective To study the effects of containing bismuth sequential therapy on interleukin-10 (IL-10) and interleukin-17 (IL-17) in patients with peptic ulcer.Methods 162 patients with peptic ulcer were randomly divided into two groups,the observation group(n =81 cases) and the control group (n =81 cases).The patients in the observation group were treated through containing bismuth sequential therapy,while the patients in the control group were treated through traditional triple therapy.IL-10 and IL-17 were detected before and after treatment.Results The total effective rates were 97.5% in the observation group and 87.7% in the control group,which of the two groups had significantly difference (x2 =3.96,P ＜ 0.05).Hp eradication rate of the observation group was 96.3 %,and which of the control group was 80.2%,and there was significant difference between the two groups (x2 =4.17,P ＜ 0.05).IL-10 and IL-17 in both groups were significantly decreased after treatment.There was a significant difference between two groups after treatment (t =3.7244,9.3422,all P ＜ 0.05).Conclusion Bismuth-containing sequential therapy can significantly reduce IL-10 and IL-17 in the serum of patients with peptic ulcer.