Objective: From the two prospective of hospital quantity and hospital market shares, to analyze the influences of profitmaking hospital’s competition on medical expenses and medical quality. Methods: The sample of provincial panel data from 2003 to 2011 is used, the fixed effect model is applied. Conclusion: For the competitive effect, the expanding of relative scale of profit-making hospitals increased outpatient expenses and reduced hospitalization expenses; for the quality effectiveness, the expand of relative scale of profit -hospitals improved the quality of outpatient service; the simple increase of the quantity of profit -making hospitals had no significant influences on medical expenses and quality of medical care.

This paper reports a cecal hookworm patient whose main symptoms are dry cough,dyspnea and eosinophilia.

Objective:To develop an HPLC method for the determination of valacyclovir hydrochloride capsules. Methods: An Inertsil ODS (250 mm × 4. 6 mm,5μm) column was employed with methanol-0. 02 mol·L-1 potassium dihydrogen phosphate solution (20∶80) as the mobile phase, the flow rate was 1. 0 ml·min-1, the detection wavelength was at 251 nm, the column temperature was 30℃,and the sample size was 20μl. Results:The linear range of valacyclovir hydrochloride was 2-40μg·ml-1 , the correlation coeffi-cient was 0. 999 9 and the average recovery was 99. 8%(RSD=0. 16%,n=9). Conclusion:The analytical method is simple, accu-rate and special, which can be used in the content determination and quality control of valacyclovir hydrochloride capsules.

Anatomic structures and their relative position of the target and organs at risk surrounded will change more or less during fractional radiotherapy.These uncertainties will affect the practice of treatment planning correctly.The degree of these uncertainties can be investigated by imaging verification system during clinical practice.The possible reasons of these uncertainties may be tumor volume variations,organ motions orshape changes,patients weight or form changes and set-up errors.The development and practice of imageguided radiotherapy,dose guided radiotherapy and adaptive radiotherapy can offer rational approaches to over-come the uncertainties of the target and organ at risk surrounded during radiotherapy.

Financial departments of hospitals should widen their horizons .Workers responsible for financial affairs should transform their functions and make the transition from the traditional business accountants to the value managers.The idea of macro financeis proposed in this paper to penetrate the financial ideas into every economic and business activity, every element of the workflows and every member of the staff .In practice, fine management of hospitals can be done jointly by using information platforms , employing financial management tools and organizing ef-ficient financial teams .By doing this , both financial management and operation efficiency of hospitals can be im -proved continuously .

Objective: To predict the growth trend of total health expenditure in China based on the dynamic relationship between total health expenditure and economic growth. Methods: First, analyze the relationship between total health expenditure and economic growth from 1978 to 2011 with the state space model, evaluate the accuracy of the model and predict total health expenditure range from 2012 to 2016 with the status space mode. Results: Up to 2016, the total health expenditure would reach to 5.681 trillion yuan, and the ratio of the expenditure to gross domestic product(GDP) would increase to 5.692%. Conclusion: It is needed to balance the relationship between total health expenditure and economic growth.

To get information about the status of use of oral hypoglycaemic agents in an inland and coastal hospitals,the ordes of total cost and DDDs were employed to compare the use of oral hypoglycaemic agents in an inland hospital and a coastal hospital.Our results showed that the much less biguanides were used in the coastal hospital as compared with the inland hospital.It is conclinical practice included dimethyl biguanide,glipizide,gliclazide and glibenclamide.

Objective: To describe the non-linear relationship between out-of-pocket ( OOP ) payment and economic growth . Methods: Using logistic smooth transition regression model to analyze the impact of government health expenditure on the non-liner relationship between OOP payment and economic growth. Results:The impact of economic growth on OOP health expenditure is divided into 3 stages:from 1978 to 1996, the influence of economic growth on out-of-pocket payment approaches to highly-efficient mechanism operation;from 1997 to 2008 belongs to the transition period, it stays as low-efficient mechanism operation since 2009. Conclusion: To continue deepening the medical and health system reform and reduce the burden of personal health expenditure.

Objective To investigate the effect of rivaroxaban on HIF-α, P-selectin and TNF-αin patients with lower extremity venous thrombosis.Methods 41 cases from May 2014 to February 2015 were selected and randomly divided into two groups, 21 cases in the control group were treated by routine treatment, 20 cases in the experiment group were treated on the base of the control group with ivaroxaban.Serum HIF-α, P-selectin and TNF-αwere detected before and after the treatment.ResuIts Compared with the control group, the clinical effect were higher ( P<0.05 ) , the adverse reactions occur rate was no difference (P>0.05).HIF-α, P-selectin and TNF-αwere lower(P<0.05),HIF-αwas positively correlated with TNF-α(r =-0.468,P<0.05), and was not correlated with P-selectin, P-selectin was not associated with TNF-α.ConcIusion Rivaroxaban can effectively improve the lower limb venous thrombosis in patients with clinical symptoms, reduce serum HIF-α, P-selectin and TNF-αexpression, has better clinical curative effect, for clinical treatment of lower limb venous thrombosis has important significance.

The National Health and Family Planning Commission of China together with State Administration of Traditional Chinese Medicine jointly issued Regulations on Cost Accounting for Public Hospitals at County Level in order to promote the comprehensive reforms of county level public hospitals and regulate cost accounting.The issu-ance of the Regulations provides operation guidance on cost accounting at county level public hospitals, specifies divi-sion of responsibility for cost accounting, lays out details of implementation, and emphasizes the importance of achie-ving cost accounting through the use of information technologies.The Regulations incorporates many impressive terms, forming the foundation for effective cost accounting at county level public hospitals.