Objective:To explore the significance of ethical issues in emergency medicine.Method:Literature review combined with specific features of emergency department in author's hospital is employed to explore the ethical issues in current emergency medicine,and the necessity to emphasize ethical issues.Related countermeasures are also come up with according to a small sample investigation among emergency residents in author's hospital.Result:Due to the unique characteristics of emergency medicine,there are specific ethical issues arising in emergency department.Conclusion:Enough emphasis should be attached to the reasons for ethical issues in emergency medicine.Relevant regulations and patients triage should be improved in emergency medical treatment.It is also called for to value patients' legal rights,strengthen physician-patient communication,and protect patients' life safety after emergency treatment.Meanwhile,it is also significant to relieve emergency doctors' stress at work,and strengthen sustainable on-job training and team-work of emergency doctors.

Objective:To investigate the current status of periodontal diseases in the population at the age of 12,35~44 and 65~74 years in Chongqing,to provide information for the establishment of oral health care policies in Chongqing. Methods:A stratified equal-sized randomly sampling design was applied to obtain 751 objects aged at 12 years old,723 objects aged at 35~44 years old and 722 objects aged at 65~74 years old of three cities and three rural areas in Chongqing. The status of gingival bleeding,dental calculus,periodontal pocket and loss of attachment were assessed according to "The Guidline for the Third National Oral Health Survey" by using a CPI prode.The detection rates were calculated and were compared in aspect of area and gender. Results:In the group aged 12,the detection rates of gingival bleeding and dental calculus were 79.49% and 86.68% respectively and the detection rates of dental calculus in rural areas were higher than that of urban residents(P

Chronic constipation (CC) is one of the most common digestive diseases with high prevalence and long course.CC patients often suffer from sleep disorders and psychological problems such as anxiety and depression.Somatic and mental symptoms may affect with each other, so a vicious circle will develop to impair patients′ quality of life (QOL) and increase their economic burden.The article reviews the impact of chronic constipation on QOL and economic burden of patients, indicating that clinician should pay sufficient attentions on chronic constipation.

The authors analyze the theory of four-season health-preserving in Inner Canon of Yellow Emperor 《黄帝内经》).Combined with the unique natural climatic condition and the physical characteristics of population in the Lingnan area (the area south of the Five Ridges),the health-preserving concepts of local people and local famous Chinese medical physicians are explained from four seasons of spring,summer,autumn and winter.The four-season health-preserving concept in Inner Canon of Yellow Emperor has important guiding significance on the health care of people in Lingnan area.

Objective To study the correlation between expression of mannose-ligand receptor(MR) on capacitated human sperm in vitro and acrosome reaction induced by zona pellucida(ZP). Methods The swimming-up sperms were incubated in capacitating medium BWW for 6 hours at 37℃, and then treated with solubilized mouse zona pellucida(mZPS).After an hour, the percentages of spermatozoa labeled with FITC-DMA were counted and used to show the expression of MR; the percentages of acrosome-reacted sperm visualized with fluoresceinated Pisum sativum agglutinin(PSA) were recorded. Results There is no correlation between expression of MR on capacitated human sperm in vitro and acrosome reaction induced by mZPS.Conclusion Expression of MR on capacitated human sperm in vitro might not be the essence of capacitation.;

Objective:To obtain the morphological data of permanent teeth excavated from the Long County in Shaanxi Province about 2 000 years ago.Methods:Morphological methods were used to measure all teeth of 59 human skulls excavated from the Long County in Shaanxi Province about 2 000 years ago and conserved in Chinese Academy of Science.The information included length of tooth,height of dental crown,length of dental root,breadth of the dental crown,thickness of the dental crown,breadth of the dental neck and thickness of the dental neck.The data were analyzed by SPSS 13.0 software.Results:Length of tooth,height of dental crown,length of dental root,breadth of the dental crown,thickness of the dental crown,breadth of the dental neck and thickness of the dental neck of all teeth of 59 human skulls were reported.Conclusion:It suggests that the measured data may be useful in anthropological research.

AIM: To establish the co-culture mode of tissue-engineered tracheal seeding cells, and compare with the routine culture, so as to provide the fundament of tissue-engineered trachea construction by cell compound materials. METHODS: The experiment was completed at the laboratory, Department of Respiratory Diseases, Tangdu Hospital, the Fourth Military Medical University of Chinese PLA from May 2006 to May 2007.①Three healthy New Zealand male rabbits, weighed (250.00?0.75) g, were used in this study.②Co-culture mode: The tracheal epithelial cells and fibroblasts were isolated and then co-cultured for 7-10 days. The two kinds of cells were distinguished according to their different tolerances to trypsin. Subsequently, A hole received 0.5 g/L trypsinization, cells were suspended in DMEM medium containing 0.05 volume fraction of CO2 and then transplanted into B hole (fibroblasts); again, A hole was added with 2.5 g/L trypsin for digestion, afterwards cells were suspended with K-FSM medium and transplanted into C hole (tracheal epithelial cells). Routine culture: after isolation, tracheal epithelial cells were cultured and fibroblasts were purified, respectively.③The co-cultured cells and the traditionally cultured cells were compared via cell growth curve and cell proliferation detected by 3-(4,5-dimethylthiazo-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT) assay. RESULTS: ①Cell growth: Co-cultured cells grew well, those in A hole increased intercellular apace after trypsinization, while cells in B hole were shaped as fusiform, without the manifestation of typical road stone-like cells, and cells in C hole were apposite, showing lamellar road stone-like morphology.②Cell growth curve: The growth curve of co-cultured cells was identical with that of cells by routine culture method.③Cell proliferation: MTT detection revealed no significant difference in the proliferation of co-cultured cells and cells cultured by traditional method (P

Objective To optimize the processing parameters for the extraction of chlorogenic acid in Fule Granula by Box-Behnken experimental design.Methods The content of chlorogenic acid in Fule Granula was determination.The separation was performed on a Agilent ZORBAX Eclipse XDB C18 column(4.6 mm ×250 mm, 5 μm), and column temperature 30 ℃.Aetonitrile-0.2% H3PO4 was used as the mobile phase.The detection wavelength was at 327 nm.A three-factor and three-level Box-Behnken experimental design was employed to investigate effects of extraction time, solid-liquid ratio and extraction times on composite score of extracting amount of chlorogenic acid.Results Optimum process conditions were as follows:12 times the amount of water extracted three times, each time 60 min; chlorogenic acid extraction rate of 3.379%.Conclusion This optimized extraction technology has good predictability by Box-Behnken experimental design, and overall desirability, it provides a reference for application of Fule Granula.

Young Cadre talents in the hospital will be the most important influence factor of the future of the development of Medical care .Their training must includes management , medical skill , science study and so on and be different from the other professions .This study selected the Young Cadre talents of a hospital as the object .And we got the basic condition of the personal , training requirement and the development situation of them , then put for-ward some proposals and methods on how to foster and develop them by these methods below : literature research , questionnaire survey , field survey , statistical analysis , case analysis , interviews with 360 degree and so on .

OBJECTIVE:To establish the quality standard of New Tongzhi surunjiang capsule. METHODS:Qualitative identification of Folium Sennae,Crocus sativus and Colchicum autumnale was conducted by TLC method. The content of gallic acid in the formulation was determined by HPLC. RESULTS:The TLC spots of Folium Sennae,Crocus sativus and Colchicum autumnale were clear and well-isolated. The linear range of gallic acid was 0.155 7～1.401 3 ?g(r=0.999 8) with a mean recovery rate of 101%(RSD=1.64%,n=9).CONCLUSION:The established standard is suitable for the quality control of New Tongzhi surunjiang capsule.