Objective To understand the clinical medicine graduates competency status of Kunming Medical University in the past 5 years and provide important reference for cultivating students in medical university. Methods The questionnaire results in the relevant departments responsible person of Yunnan provincial municipal and district 26 hospitals were system analyzed by fuzzy comprehensive evaluation method. Results In the past 5 years, the graduates occupation competence of clinical medicine in Kunming Medical University is good. Among them, the graduates’core competency gets the lowest score, but the graduates’post competency gets the highest score. Conclusion The graduates’core competency should be strengthened in training of doctor-patient communication skills and quality evaluation of clinical practice for medical students.

Objective To investigate the superiority of augmentation rhinoplasty by using ear cartilage.Methods We excised ear cartilage from patient's unilateral ear.106 cases were performed through suitable ear cartilage that was carved to some shape and then transplanted to nasal tip and columella,and two alar cartilages were sutured and implant was used for rhinoplasty.Results All cases were followed up for one year after operation without implant slipping and malposition of implant,with better figure after enhancing and lengthening nasal tip.Conclusions This method of augmentation rhinoplasty using ear cartilage can avoid complications such as slipping,malposition and exposure of implant.Therefore,it is deserved to recommend clinical application.

OBJECTIVE:To provide the analytic results of Xishiyangyan cream for reference of those who engage in production and quality control of the preparationMETHODS:Radix Ginseng,Radix Angelicae sinensis and Radix Angelicae formosanae in Xishiyangyan cream were identified with thin-layer chromatography(TLC),and dual-wavelength TLC scanning(TLCS) method was established for determination of the content of an active component-Ginsenoside Re in the preparationRESULTS:A good linearity was shown in a range of concentrations from 1?g/?l to 6?g/?l of Ginsenoside Re,r=09 998,the average recovery rate was 10028% and RSD 046%CONCLUSION:This method is simple,precise and good in repeatability

Objective To invesligate the treatment of retinal detachment(RD) after silicone oil tamponades(SOT). Methods The records of a consecutive series of 32 eyes with redetachment of retina after SOT surgery between 1998 to 2000 were reviewed retrospectively. The surgical techniques used for these cases included remove of silicon oil,peeling of preretinal membrane, retinotomy, endolaser photocoagutation, secondary vitrectomy and C 3F 8 tamponades. Results In 28 of 32 eyes the retina was reattached (87.6%). The postoperative visual acuity was improved in 12 eyes, redused in 4 eyes and remained no change in 16 eyes. The postoperative complications in 6 eyes included secondary glaucoma(3 eyes), hypotony (1 eye) and hyphema (2 eyes). Conclusion The techniques of preretinal membrane peeling, retinotomy, endophotocoagulation and C 3F 8 tamponades can be effectively used in combination to treat the redetachment of retina after the silicone oil tamponades surgery.

This paper aims to further the management of medical ethics and ethos construction,and review the practice of hospital medical ethics and ethos construction in authors' hospital.The review shows that by expanding the construction organization,strengthening specific instruction for all staff,clearing up communication channels,and strictly carrying out relevant regulations,construction of hospital medical ethics and ethos presents a fine development and makes great social effects.

Objective Knee osteoarthritis is a common degenerative joint disease in the elderly.In this paper, the diagnosis, rehabilitation assessment and rehabilitation therapy of knee osteoarthritis were reviewed to better guide the clinical practice.

Recently,staging,chemoradiotherapy schedule,new chemotherapy agents and application of targeted therapy drugs are widely investigated in small cell lung cancer(SCLC).Some progresses are achieved in prophylactic cranial irradiation of extensive stage and some new chemotherapy agents such as irinotecan,oral topotecan and pemetrexed etc are widely investigated.There are still some disputes about staging,the timing of chemoradiotherapy in localized SCLC and so on.

Objective To establish monitoring indicators to predict the pregnancy outcome of threatened abortion. Methods In one hundred and five pregnancy patients, normal pregnancy was 35 cases ( normal pregnancy group), continued pregnancy was 35 cases(continued pregnancy group ), failure abortion was 35 cases (failure abortion group).The levels of cancer antigen 125(CA125),progesterone,estradiol, β -hunan chorionie gonadotrophin( β -hCG) were monitored and compared among three groups. Results The levels of progesterone,estradiol, β-hCG were lower in failure abortion group than those in normal pregnancy group and continued pregnancy group (P＜ 0.05); CA125 in failure abortion group was higher than that in normal pregnancy group and continued pregnancy group (P ＜0.05). The accuracy of combination progesterone,CA125,estradiol and β-hCG was 100.00% (28/28). Conclusion The integrated method which combination monitoring CA125, progesterone, estradiol, β -hCG can improve the prediction accuracy of the early outcome of abortion.

Objective To investigate the distribution and resistance of non-fermenting bacteria isolated from our hospital and offer a basis for the treatment of bacterial infection.Methods 236 strains of non-fermenting bacteria were isolated from clinical samples between May.2004 and Dec.2006were identified with API identified test (API Inc.France) and Kirby-Bauer (K-B) test used for the antibiotics susceptivity test. Results Totally 236 strains of non-fermenting bacteria were isolated from the 1303 pathogenic strains. The most common bacteria were Pseudomonas auruginosa(57.6%),followed by Acinetobacter baumannii(7.6%)and Pseudomonas putida(6.4%).64%of non-fermenting bacteria were isolated from the sputum. these bacteria had various resistance to all detected antibiotics. Conclusions non-fermenting bacteria had high isolated rate and multi-antibiotic resistance,so antibiotics should be correctly under the guidance of antibiotic susceptibility testing.

Extrauterine growth restriction (EUGR) is common in very low birth weight infants (VLBWI) during early postnatal life.Parenteral nutrition (PN) management can meet the requirement for these very preterm infants.How to keep the balance between the needs of the catch-up growth and the risks of the metabolism disorder has become a hot topic.This article reviews some issues about PN that are involved in the studies in recent years,such as the initial time and doses,the individual formulation and the tolerance of the amino acids intake,and emphasizes that high dose amino acids is necessary and security for VLBWI used within 24 h (even 2 h) after birth.