Objective:To evaluate the clinical effects of warm needling for scapulohumeral periarthritis (SP). Methods:Eighty-six patients with SP due to wind, cold and dampness in conformity with the research criteria were randomly divided into an observation group and a control group. The control group was given the routine acupuncture treatment and the observation group was treated by warm needling. The treatment was given once every day and ten sessions made one course. After two courses, the therapeutic effects and the changes in the scores of visual analogue scale (VAS) were observed. Results:After treatment, VAS scores were statistically different from those before treatment in the two groups (P<0.05); and VAS score was lower in the observation group than that in the control group, with a statistical difference between the two groups (P<0.05). The curative and remarkable effective rate was 74.4% in the observation group and 44.2% in the control group. The difference in the curative and remarkable effective rate was statistically significant between the two groups (P<0.01). But, the difference in the total effective rate was not statistically significant between the two groups (P>0.05). Conclusion:The warm needling has the dual effect of acupuncture and moxibustion in the treatment of SP due to wind, cold and dampness, and its clinical effect is better than routine acupuncture treatment.

Objective:To study the preparation technology of ambroxol hydrochloride double-layer tablets and evaluate the drug re-lease in vitro. Methods:The best technology was screened by orthogonal design, and the drug release in vitro was evaluated by UV spectrophotometry. Results:The drug release in vitro was in accordance with the corresponding standard. Conclusion:The preparation technology is simple and the quality is stable for industrial production.

Establishing harmonious physician-patient relationship is importamt to set up the harmonious society.Some hospitals try in recent years a line the single disease grows the price control charges,which suggest its importamt role in seting up harmonious physician-patient relationship,and greatly attract public's concern as the new measure in this aspect.

It is the traditional virtue of Chinese to be honest, and honest-trust is the foundation of the development of market economy. The phenomenon of honest-trust lacking in the field of medical care is a comprehensive result for many factors. It's a new subject to advocate sincere service and spread honest-trust culture for the construction of medical ethics. Therefore, we should put emphasis on the medical ethics education, strengthen the consciousness of sincere service, perfect the criteria of medical ethics, and set up the credit system of medical organization and medical staff.

Proceeding from the needs of the reform in the medical and health system and in view of the fact that bringing community health service into line with urhan workers basic medical insurance has become an explicit macro policy of the State, the authors, on the basis of the actual conditions and reform activities in various parts of the country, studied specific and viable policies for the implementation of the macro policy. They explored items of community health service that could be brought into the scope of basic medical insurance, methods of implementation, and control measures, thus offering suggestions to most regions in the country on the adoption of policies for linking community health service with workers basic medical insurance. The paper outlines the background, objective, perspective, methods and conclusion of the studies.

Objective To provide health administrative departments with parameters for formulating community health service policies. Methods An analysis was made by conducting practical surveys and downloading from data banks. Results With the use of district hospitals, community health service centers and family beds, the average expenses per case for cerebral infarction and secondary infection of chronic bronchitis, the first two of 10 diseases analyzed, were respectively 7 074 57 and 8 730 27 yuan, 7 129 20 and 4 790 32 yuan, and 709 45 and 645 27 yuan. Conclusion Treatment of clearly diagnosed chronic noninfectious diseases in medical institutions of different tiers and by different means will incur different medical expenses and the rational use of family beds is a three win policy for the hospital, the insurance company and the patient.

ObjectiveTo obsrve the clinical efficacy of acupuncture, herbal medicine, plus Ethinylestradiol and Cyproterone Acetate tablets in treating infertility due to obesity-type polycystic ovary syndrome (PCOS).MethodA hundred elegible patients were divided into a treatment group and a control group according to their visiting sequence and random number table. The two groups both received oral administration of Ethinylestradiol and Cyproterone Acetate tables for 3 months. Afterwords, the treatment group was given Chinese herbal medication and acupuncture, while the control group received oral administration of Metforminand Clomiphene plus muscular injection of human menopausal gonadotropin(HMG) and human choionic gonadotropin (HCG). Both groups received a 3-month course. Before and 3 months after the intervention, serum sex hormones were detected, including:follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T), estrodiol (E2), and prolactin (PRL); fasting sugar, sugar tolerance, and insulin release were measured; ovulation, pregnance rate, and total effective rate were calculated.ResultAfter intervention, there were significant differences in comparing LH, LH/FSH, ovulation, and the incidence of follicle hyperstimulating syndrome between the two groups (P<0.05); there were no significant differences in comparing sugar metabolism, insulin release, comprehensive efficacy, dominant follicle count, and pregnancy rate(P>0.05). After intervention, the LH and LH/FSH levels were significantly changed in the treatment group, while the LH and LH/FSH levels, ovulation, and dominant follicle count were significantly changed in the control group (P<0.05), but pregnancy rate and follicle hyperstimulating syndrome were insignificantly changed in both groups (P>0.05).ConclusionCombination of acupuncture, Chinese herbal medicine, and Ehinylestradiol and Cyproterone Acetate tablets can down-regulate the LH and LH/FSH levels, andenhance ovulation, without causing follicle hyperstimulating syndrome.

0.05).At the same time,loss of ranges of neck motion was 4.6??4.0?in group A and 11.6??7.8?in group B,significant difference was also seen(P

Objective To determine in vitro susceptibility of itroconazole,voriconazole,caspofungi,and amphotericin B against 82 clinical strains of filamentous fungi.Methods Etest method was used to test the in vitro susceptibilities of itroconazole,voriconazole,caspofungi,and amphoteriin B against aspergillus fumigatus,A.flavus,A.niger,A.terreus,A.nidulans,et al.Results The MIC range of 4 antifungal agents were 0.03~2.00 mg/L and 0.01~32.00 mg/L against A.fumigatus and A.flavus,respectively.But amphotericin B had higher MIC90 value which was 16mg/L against A.flavus than A.terreus(MIC90 3.00 mg/L),A.fumigatus(MIC90 0.75 mg/L),and A.niger(MIC90 0.25 mg/L).Conclusion Itroconazole,voriconazole,caspofungi,and amphotericin B have different susceptibility patterns against various types of filamentous fungi.It's necessary to identify fungi to level of species and perform antifungal susceptibility test in serious patients.

Objective To study the mutations of Pseudomonas aeruginosa oprD gene in Imipenem-resistant clinical isolates. Methods Random amplified polymorphic DNA typing(RAPD) was carried out to analyse the homology in 10 Imipenem-resistant clinical isolates. Pseudomonas aeruginosa oprD gene in 10 Imipenem-resistant clinical isolates were amplified by polymerase chain reaction and sequenced. Results Ten Imipenem-resistant clinical isolates were divided into four different clones which can not produce metallo ?-lactamase. As compared with sequence X63152, oprD gene of Pseudomonas aeruginosa varied greatly. The aberration rates exceed 50%. There were multiple point mutations within 276～387 bp coding region of 30, 11, 9, 20, 31 strains. Due to the mutations of 308 bp G→C and 344 bp C→A, threonine and diaminocaproic acid were replaced by serine and threonine respectively. The DNA deletion of 393～412 bp in oprD gene contributes to the frame shift mutation in the following nucleotide sequence. The deletion of 264～273 bp in the coding region of oprD gene in 13 and 21 clone strains leads to frame shift mutations forming terminal codon TAA(319～321 bp).Base substitutions and multiple point mutations were obvious in the coding regions of 1 and 22 clone strains. Their aberration rates were 54.03% and 74.89% respectively. Conclusions The mutations of Pseudomonas aeruginosa oprD gene in Imipenem-resistant clinical isolates are various.