The paper covered the implementation and social outcomes of the medical relief policy benefiting urban and rural residents in Anhui province. Based on analysis of problems identified, it proposed such recommendations: Enhance government financial support; improve the "safety net"mechanism of community hospitals; build a dynamic management system for those in need of medical relief; and tighten the linkage with social medical insurance.

Surgical resection offers hilar cholangiocarcinoma patients the only chance for cure and long-term survival.Hepatectomy,extrahepatic bile duct resection,regional lymphadenectomy and hepatojejunostomy are the current treatment of choice for most patients with hilar cholangiocarcinoma.Because of the aggressive nature of hilar cholangiocarcinoma and the absence of effective adjuvant therapy,surgical therapy still remains a challenge to hepatopancreatobiliary surgeons even in the precise surgery era.Controversies exist over preoperative assessment and staging,the use of preoperative biliary drainage,preoperative portal vein embolization,the range of hepatic resection,portal vein resection and construction,hepatic arteriectomy and the range of lymphadenectomy.This article reviews the surgical management of hilar cholangiocarcinoma with a focus on these controversies.

Objective To introduce technique and specific operation of a psychotherapy that suited to the Chinese cultural background and psychological characteristics of Chinese people, which can rich modem clinical treatment. Methods Introduce a specific operation of systemic TCM psychotherapy on the basis of treatment experience. Results Imagine therapy in the static state of Qigong is a specific technology of systemic TCM psychotherapy (SPT), which has been gradually standardized and matured with more than two decades of innovation and accumulated experience. Conclusion Imagine therapy in the static state of Qigong has great clinical value.

Objective To introduce a sleep-regulating technique in the static state of Qigong and a way of manipulation which meets to Chinese cultural background and psychological characteristics of Chinese people for the purpose of enriching modem clinical psychotherapies. Methods Based on previous therapeutic experience, we introduce one specific technique of the Systematic Psychotherapy of TCM (SPT) . Results Sleep-regulating technique in the static state of Qigong is a specific and practical technique of SPT, which has been gradually standardized and consummated with more than two decades of innovation and accumulation. Conclusion Sleep-regulating technique in the static state of Qigong has great clinical value.

Objective To introduce a Chinese medical psychological treatment which is suitable for the psychological characteristic of Chinese people under the Chinese culture background and its concrete skill; To enrich the modern clinical psychological therapy. Methods The article introduced the concrete applied skills of systemic psychological treatment (SPT). Results The emotional intervention in the state of Qigong calmness was one of the concrete applied skill of SPT, which has been gradually standardized after its innovation and experience accumulation over the past twenty years. Conclusion The emotional intervention in the state of Qigong calmness has high value for clinical application.

Explore, consummate and develop the retrospect research in TCM psychology clinics. The paper discusses the concept of retrospect research as well as the specific content and similarities and differences such as self-contrast, inter-contrast and elements` comparison. The paper also provides a new train of thought for development of TCM psychology clinic and scientific research.

Objective To explore clinical haracteristics, diagnosis, treatment, prognosis and prevention of mental disorder induced by interferon.Methods Thirty cases of interferon treatment for chronic hepatitis were select-ed as research subjects.The psychotic symptoms of these patients induced by interferon were analysized by clinical statistics.Results The Self-Rating Depression Scale( SDS) and the Self-Rating Anxiety Scale( SAS) scores after treatment were (47.10 ±9.47) points and (43.00 ±10.34) points,these were higher than before treatment and the difference was statistically significant (t=8.39,7.66,all P<0.01).The incidence rates of the psychotic symptoms in this group of interferon-induced were 66.7%(20/30).The occurrence rates of headaches,insomnias,depres-sions,anxieties and personality changes were respectively 36.7%,30.0%,16.7%,10.0%,10.0%.Before and after treatment,the difference was statistically significant (χ2 =15.43,P<0.01).Conclusion The symptoms of mental disorder induced by interferon have high incidence rate and serious consequences,so early detection and early treat-mentcan contribute a better prognosis.

BACKGROUND:Intercondylar eminence fractures of the tibia are often treated by arthroscopic surgery, but the fixation methods are controversial.
OBJECTIVE:To compare curative effect of hol ow screw and suture fixation in treatment of tibial intercondylar eminence fractures under arthroscopy.
METHODS:A total of 46 patients with tibial intercondylar eminence fractures were recruited from the Third People’s Hospital of Yancheng, China from June 2010 to January 2013. According to the patient’s wil ing and physician’s suggestions, the involved patients were divided into hol ow screw group (n=25) and suture fixation group (n=21), undergoing hol ow screw and suture fixation under arthroscopy, respectively.
RESULTS AND CONCLUSION:According to Ikeuchi grade, the excellent and good rate after fixation showed no significant differences between the two groups (P>0.05), but the functional training time in hol ow screw group was significantly shorter than that in suture fixation group (P<0.05). Hol ow screw treatment under the arthroscopy is better than suture fixation in treatment of intercondylar eminence fractures of the tibia.

Objective: To investigate the clinical value of continuous passive motion (CPM) and sodium hyaluronate (SH) in the patellar fracture patients postoperatively. Methods: Seventy - two cases of the patellar fracture were treated with SH and CPM machine postoperatively. Results: All of the patients experienced primary healing. The functions of the knee joint recovered well. All patients were followed up over six months,and none of them were found to have suffered from traumatic arthritis. Conclusion :The application of CPM and SH in the patellar fracture patients postoperatively has the satisfactory results of reducing pain,speeding up the healing of cartilage and improving the functions of knee joint. It is efficient to stop the process of traumatic arthritis following the patellar fracture.

Objective:To investigate the effect of tension-band thread cable internal fixation for the treatment of patellar fracture.Methods:81 cases with patellar fracture were treated by tension-band thread cable internal fixation.Results:Among the follow-up 64 cases,from 1 to 8 years,the rate of excellent and good results was 90.6%.Conclusion:Tension-band cotton thread cable was firm,safe,simple and practical.There is no need for the patients to have the second removal of materials of internal fixation.It is advisable to use it in clinical practice.