During medical activity,there are theory and realism spring of that the right of emergency treatment is in conflict with the right of informed consent.Simply investigating responsibilities is of no avail to solve the conflicts.To Interpret the real reasons of the conflict through legal and ethical aspects.To avoid and reduce conflict,the effective measures are that perfecting the rules of relevant law,elucidating the rights and obligations of hospital and medical staff;regulating the contents of informed consent form and strengthening medical ethics education.

Objective To investigate the association between the gastroesophageal reflux and functional bowel disorder.Methods 168 patients with epigastric symptomswere involved in the survey.A validate questionnaire on gastroesophageal reflux symptoms was performed by the physician.There were 68 patients in the Sc≥12 group and 100 patients in the Sc

Objective To observe the efficacy of Shuilongjian in treating cerebellar infarction, and compare with the pure western medicine. Methods 67 inpatients with cerebellar infarction enrolled were divided into two groups according to the method of random digits table, 36 cases in the treatment group and 31 cases in the control group. The control group was given 500 mL dextran by venoclysis, once a day. The treatment group was given Shuilongjian as an additional drug. The therapeutic effect was evaluated according to the nerve function and the total capability in dealing with daily activities. Result All the 67 cases of cerebellar infarction were included in the analysis. The effective rate of the treatment group was better than that of control group with 83.3% and 58.1% (P

Objective To identify the factors that may influence the risk of relapse.Methods 122 patients were included in the study,and 12 clinicopathologic factors related to the relapse of ulcerative colitis were analyzed by univariate and multivariate Cox regression proportional hazards mode.Results Multivariate analysis showed the exatrointestinal manifestations,Induced factors,irregular therapy and the compliance of patients were independent prognostic factors for the relapse of ulcerative colitis.Conclusion The patients with UC should be treated regularly and avoid inducing factors.When patients have exatrointestinal manifestations,they should be monitored closely to prevent relapse.

Objective To research the quality management technique of medical device that as an important technique of medical engineering department in hospital is a guarantee of the hospital's development.Methods The definition,elements,signification and extension of management technique,elaborated the technique process and requirement of the quality control in hospital were introduced.Results Following an analysis of the quality control system and actualizing methods,perspective and current objective of the accident report system,legal and systemic quality management,as well as the role and responsibility of medical engineering practitioner were discussed.Conclusion The quality level of hospital will be fully improved depending on establishment of the quality management technique for medical device.

Objective The diagnosis and treatment of modern hospital are greatly influenced by medical devices. With the widespread introduction of medical equipment, the scientific management how to carry on the instrument and appliance by the administrative department of hospital becomes an unavoidable problem. Methods Based on the definition of medical equipment, basic attributes and management skills, some key questions which the administrator should notice and solve in the scientific management are introduced, and gives out the principle and method. Results It is pointed out that scientific management can correctly guide the investment of equipment, and gain great benefit with a minimum input. Conclusion Investment according to the developmental strategy is proposed, which provides strong theoretical basis for leadership and administrative departments.

Objective To discuss the procurement managerial technique standard for medical equipment importation.Methods The procurement managerial technique standard for medical equipment importation was studied from the aspects of flows for international bidding,declaration and operation as well as related specifications.Results The imported medical equipment according with the procurement managerial technique standard,gifted with a high cost performance,satisfied the requirements of the nation and the hospital.Conclusion The managerial technique standard can promote the procurement of imported medical equipment.

Objective To analyze the death situation of workers in Anshan iron and steel group corporation, find the main death causes of them and provide scientific evidence for developing strategies for disease control and prevention and health education. Methods The data, came from the annual registration of dead workers of the Group, death registrations of insurance company and death database of Anshan city from 2001 to 2003, were collected and classified with ICD-9. Results Workers over 50 years old accounted for 37.42%, and retired workers over 60 years old nearly 50 000 people. The top five death caused were cerebral-vascular disease (CVD), malignant tumor, coronary heart disease (CHD), chronic obstructive pulmonary disease (COPD), injury and poisoning. The mortality rate were 174.91 / 105, 110.56 / 105, 83.28 / 105, 33.27 / 105, and 29.30 / 105, respectively. The sequence of death cause in male workers was in accordance with that in overall population, and the first and second death cause in female workers was malignant tumor and CVD, others were in accordance with those in overall population. Conclusion Chronic diseases are the main diseases impacting the health and life of the workers.

In this paper, a strain of Thiobacillus denitrificans was isolated from soil The optimal pH for growth was 7 0 In mixed cultivation with SRB, the number of SRB was determined The results show that Thiobacillus denitrificans can restrain the growth of SRB, and decrease the concentration of corrosive metabolic production caused by SRB The corrosion rate reduces as a result So it is propitious to prevent and cure the corrosion caused by SRB

Objective: To examine the effect of mouthwashing before dental procedure on environmental pollution of microorganism in dental clinic. Methods: Air samples in dental clinic after tooth preparation whether using mouthwashes or not pre operationally were collected and cultured with blood agar plates, the bacteria colonies formed on the plates in different groups were counted as the index for air contamination. Results: Environmental contamination from tooth preparation in dental clinic could be reduced significantly by using mouthwash pre operationally( P 0.05), but the size of the colonies formed on the plates in Kou Jie Su group was smaller than that in drinking water group. Conclusion: Environmental contamination from tooth preparation in dental clinic can be reduced by using mouthwash pre operationally. Combination of the pre operational mouthwashing with vacuum aspirator or ventilation installation may be a better way to control the possible cross infection in dental clinic.