Medical ethics has its own characteristics on curriculum setup,teaching goals,the structure of teaching staff in America,France and China,It is beneficial for our feform in education in medical ethics to learn and refer to the experiencs of the success abroad.

Animals ; Cerebral Cortex ; cytology ; physiology ; Delayed Rectifier Potassium Channels ; physiology ; Neurons ; physiology ; Patch-Clamp Techniques ; Rats ; Rats, Sprague-Dawley

The rational design of teaching contents of physical pharmacy plays an important role in the class teaching.Some practices of designing teaching contents are expounded in detail,including the combination with teaching cases,the integration of the teaching contents,the combination with the research results of the physical pharmacy,and the combination with the pharmaceutical experiments of traditional Chinese medicine.The innovation of this research is the combination of theory and practice and the infiltration between teaching and scientific research.It also puts forward some measures such as continually accumulating and improving the related material,and constructing a rich,shared source material storehouse,etc..

Objective:To make clear which drugs can cause drug eruption.Methods:Clinical analysis was made based on the patients data regarding the types of the drup eruption and the severity of liver impairment.Results:There are four types of drugs which can cause drug eruption:antibiotics (55.3%),antipyretic analgesic(26.6%)，Chinese medicine (9.6%) and biological preparations (8.5%).The drug eruptions usually manifested as unticaria,measles-like eruption,multiform erythma and stable eruption.Conclusion:The main allergic drugs are antibiotics and antipyretic analgesic.However,attention should also be payed to the Chinese medicine and biological preparations.

Thyroid carcinoma is one of the most common diseases in the head and neck area. With the advance of innovative technologies like ultrasound ,fine-needle aspiration and PET-CT, the number of patients diagnosed as thyroid carcinoma has grow rapidly during the past ten years. As a special structure in papillary tumors and appearing as microcalcification in the imaging examination, psammoma body has been considered of great significance in the diagnosis of thyroid carcinoma. Psammoma body has unique features in terms of pathology, cytology and imageology.The study of the mechanism of psammoma body formation is very important for the clinic to differentiate the disease from others. In this article, we summarized the role of psammoma body in the study of thyroid cancer.

Objective To investigate the efficacy of pulse index continuous cardiac output (PICCO) monitoring in maintaining adequate blood volume in patients undergoing off-pump coronary artery bypass grafting (OP-CABG).Methods Forty-seven ASA Ⅰ-Ⅲ patients aged 43-64 yr weighing 50-85 kg undergoing OP-CABG were included in this study. Global end-diastolic volume (GEDV), extravascular lung water (EVLW), global end-diastolic volume index (GEDVI), MAP, cardiac output (CO) and cardiac index (CI) were monitored by using PICCO monitor before induction of anesthesia (baseline), at the end of operation and at 4 and 8 h after operation. Blood volume was maintained during operation by adjusting the volume and infusion rate of succinyl gelatin and lactated Ringer's solution according to volume indexes and hemodynamic indexes. GEDVI was maintained at 600-800 ml/m2 and Hct≥30% by transfusion of whole blood or erythrocyte suspension;MAP was maintained at 70-90 mm Hg by intravenous infusion of nitroglycerine (0.5-1.0 μg·kg-1·min-1) or diltiazem (2-6 μg·kg-1·min-1); HR was maintained at≤75 bpm by intravenous dopamine infusion (3-5 μg·kg-1·min-1). The oxygen delivery index(DO2 I) and oxygen consumption index (VO2 I) were calculated. Arterial blood samples were taken for blood gas analysis. Results The CI, DO2I and VO2I were increased at the end of operation, and at 4 h and 8 h after operation as compared with the baseline values before induction of anesthesia (P<0.05 or 0.01). Conclusion Perioperative blood volume can be well maintained with PICCO monitoring in patients undergoing off-pump coronary artery bypass grafting.

Heart Defects, Congenital ; complications ; surgery ; Humans ; Hypertension, Pulmonary ; etiology ; surgery

OBJECTIVE:To establish an elementary criteria system for the access qualifications of hospital pharmacists to serve as a basis for the setting up of training goals of pharmaceutical education in school of higher learning and in-service edu_cation of hospital pharmacists,and to provide references for related policy makers in formulating qualification criteria for hospital pharmacists at different professional level and to provide references for the professional tests and assessments of hospital pharmacists at different professional level.METHODS:The criteria system of access qualifications of the pharmacists in medical institutions was raised referenced by the trend of overseas hospital pharmacy and the status quo of hospital pharmacy in China. RESULTS & CONCLUSIONS:Access qualifications of pharmacists,pharmacists-in-charge,chief pharmacists were brought forward from the following aspects:professional knowledge,work experience & capability,capability in teaching and scientific research.The higher professional level the pharmacists are,the stricter in the demands of their capabilities including management of organization,promotion of rational use of drugs and doing pharmaceutical research.

OBJECTIVE: To explore the working pattern of clinical pharmacists in participating in clinical medicine treatment.METHODS: The working pattern and working contents of clinical pharmacists in participating in clinical medicine treatment were come up with based on hospital pharmacy and the traditional working pattern of pharmacists in China as well as the working pattern of the students in the clinical pharmacist training pilots.RESULTS & CONCLUSION: To participate in clinical medicine treatment,pharmacists should possess certain professional background and have occupational orientation,and attach great importance to the continuing education of clinical pharmacy expertise and medicine-related expertise.

OBJECTIVE:To unify the understanding on hospital pharmacy,clinical pharmacy and the pharmaceutical talents in hospital.METHODS:The perspectives of hospital pharmacy authorities and some related academic institutions on hospital pharmacy and pharmaceutical talents were investigated,and the new requirements that social progress,scientific and technological development proposed for medical and health works as well as the responsibilities and tasks of hospital pharmacy and pharmacists were analyzed.RESULTS & CONCLUSIONS:Hospital pharmacy authorities and the related academic institutions should attach great importance to and unify their cognition on the orientations of hospital pharmacy,clinical pharmacy and pharmaceutical talents so as to facilitate the development of hospital pharmacy,help the pharmacists play their role in hospital,and preserve patients' rights and interests in drug use.