This paper summarizes the main achievements and the existing problems of clinical pharmacy in China since establishing the discipline. The cause which accounts for the occurrence of these problems is briefly analysed. On the basis, we suggest the way to develope clinical pharmacy in the future. The following three topics are discussed in detail:establishing related rules and regulations, trainning qualified personnel, and encouraging pharmaceutists to contact clinical work.

OBJECTIVE: To provide reference for the further implementation of national essential drug system in China. METHODS: The establishment of national essential drug system in China was reviewed to find out the problem in the implementation process. Related solutions were proposed. RESULTS & CONCLUSION: The implementation of essential drugs in China demand clarifying the legal status of essential drugs, strengthening popularity of essential drugs, improving awareness of medical staff and the public about essential drugs. Moreover, patients can be benefited in the medical institutions where essential drug system has been carried out to improving the dependence of the public to essential medicines.

Malunion is one of common complications after distal radius fractures.It is indicated that malunion plays an important role in fracture recovery in many studies.This article sums up the research data,from aspects of both biomechanical analysis and follows-up of clinical cases,of domestic and foreign scholars in recent years,and reviews the influences of malunion on wrist joint functional outcome.

Objective:To optimize the flash extraction process of Isatidis Radix by Box-Behnken experimental design. Methods:A flash extraction method was used with the extraction voltage, material-liquid ratio and extraction time as the independent variables. A Hassan’s method was used to calculate the normalized value(OD) of comprehensive evaluation of the dry extract yield and the epi-goitrin extraction rate in order to establish the mathematical relationship between the comprehensive evaluation OD and the independent variables, and the response surface method was used to predict the best process conditions. Results:The optimum process conditions were as follows:voltage of 88 V, material-liquid ratio of 19. 62, and extraction time of 2. 03 min. The rate of dry extract and epigoitrin extraction was 37. 902% and 0. 1887%, respectively. Conclusion:The measured value is close to the predicted one,which indicates the comprehensive flash extraction parameters optimized by Box-Behnken experimental design can be used for the extraction for Isatidis Radix.

OBJECTIVE:To improve the research level of hospital pharmaceutical management in China in order to pro-mote the pharmaceutical care in hospital.METHODS:298published articles on pharmaceutical management between2002and2003were collected and analyzed.The differences were compared between Chinese and American research papers.RESULTS&CONCLUSION:Chinese articles mainly dealt with drug management,including drug use,preparation management and drug purchase,and the research methods used in these articles were less scientific,while the research methodology in U.S studies is worthy of learning.

OBJECTIVE:To study the current situation of development in personnel resources of licensed pharmacists of drug supply enterprises in China and the ways of development.METHODS:The existing problems in the development of per-sonnel resources of licensed pharmacists were analyzed through the ways of questionnaires and interviews.RESULTS&CONCLUSIONS:The drug supply enterprises lacked collocation and application rules of pharmacists and there lacked a system for employing,training,assessing and encouraging the licensed pharmacists.Furthermore,because of the inefficient policy,the supply-demand market of licensed pharmacists was unsatisfactory and the functions of the pharmacists were incomplete.Therefore,the practicing environment for the licensed pharmacists must be optimized.It is recommended that a perfect system of employment and assessment should be established;the full-time practice and the part-time practice should be allowed to coexist;the information network platform for supply-demand of the licensed pharmacists should be set up to improve the management as well as self-discipline function of licensed pharmacist association,better the further education system,and therefore promote the development of personnel resoures.

OBJECTIVE:To provide suggestions for perfecting the laws and rules of drug circulation in China.METHODS:To collect,classify and analyze the current laws and rules for drug manufacturing enterprices,common merchandising concerns,drug wholesale enterprises,drugs retail enterprises and pharmaceutical retail chain enterprises in the field of drug circula?tion.RESULTS&CONCLUSION:We should perfect the current laws and rules,and form the system of law for circulation of drugs applicable for each trade in the field of drug circulation,on the other hand,we should add the rules for chain trans-management,chain affiliation,merger,association,cooperation,drug electronic commerce etc.

OBJECTIVE:To promote the pharmacist-patient communication and make full value added to health care by pharmacists.METHODS:This article discussed the significance,characteristics and models of the communication,and analyzed the factors that obstacle the communication.RESULTS:Several suggestions about the promotion of the communication between pharmacist and patient were put forward.CONCLUSION:The communication between pharmacist and patient is very impor?tant and should be promoted greatly.

OBJECTIVE:This article discusses the development of a new commodity flow pattern,acting delivery,in Chi?nese pharmaceutical circulation.METHODS:Using comparative method to analyze the reasons,the operating framework and the present strategies on developing acting delivery.RESULTS&CONCLUSION:The new pattern of acting delivery is con?ducive to reduce pharmaceutical circulation cost,to strengthen enterprises'competitiveness and to use social resources more rationally.That is an inevitable development tendency for Chinese pharmaceutical circulation market and for following inter?national practice.

OBJECTIVE:To provide reference material for standardization of lice ns ed pharmacist's consultation service METHODS:From the angle of The Law of Pro tecting Consumer's Rights and Interests,the legal relation between pharmacist and customer,rights and duties of the two parties and fair-honest dealings wer e analysed RESULTS & CONCLUSION:In the new pharmaceutical service,the licens ed pharmacists should take public health as the focus of work,carry out consult ation service according to law,so as to promote the development of social healt h undertaking