The institutional origin of Chinese public hospitals' management system of the budgeted post is the former Soviet Union's national economic budget management system, and the realistic origin is the realistic require-ments since 1949 . The reform experiece of both above suggests that the reform policy about cancelling budgeted posts in the public hospitals was not the result of the different pay, the same work dependeds on whether the budgeted post or not, but rooted in defects in management system of the budgeted post, which include the fracture of the ownership and the responsibility subject, the bottleneck of hospital decision-making ability, the obstacles of the talent flowing and separation of the payment system. This policy is only reform strategy of de-administration, rather than promoting the comprehensive marketization of public hospital. so the policy aboutcancelling budgeted posts is the beginning of comprehensive reforms about hospital corporate governance, medical security system, and medical service compensation. The specific methods of the medical service compensation will become the focus of the further reform. According to the foreign reform experiences and our reform practices, Policymakers would get health insur-ance and government purchase as the main compensation methods in future. However, because of the imbalance of e-conomic development, the diffcult of systematic reform, inertia obstacles of the old management system of the budge-ted post, we should make the comprehensive plans and cautiously advance the measures.

The “golden rice” event reflects the legal defects about juveniles'protection in health-care food feeding test.In the area of Chinese law application ,there is the same legislation on the both.But the legislation is not able to reflect the significant difference in the test benefit and protect the juveniles who can not express their will properly.The legislation of the countries out of China usually distinguish the both.There are three legislative models on the non-therapeutic research in the world which is similar to feeding test , and they are the limited model ,the legal guardian-deciding model and the risk and benefit-assesing model.We should refer to the legislative purpose and spe-cific provisions on the juveniles of the models above.We should perfect the legal model of juveniles'participance in health-care food feeding test by limit in principle with individual exception.

Drug-Related Side Effects and Adverse Reactions ; Humans ; Male ; Middle Aged ; Pinellia ; Plants, Medicinal ; poisoning

ObjectiveTo explore the application value and techniques of vaginal hysterectomy of non-prolapsed uterus lesion in primary hospital. Methods140 cases who suffered from uterine fibroid without adhesion,glandular fibroids,functional bleeding without uterine prolapse and malignant disease were selected and divided into observation group(80 cases with vaginal hysterectomy)and control group(60 cases with routine abdominal hysterectomy).Then the clinical treatment effect was analyzed. ResultsCompared with control group,peri-operative bleeding (150 ±23)ml vs(243 ±41)ml,operation time(65 ± 14.0)min vs(90 ± 27.0)min,body temperature recovery time (3 ±0.5)d vs(4 ±0.8)d,anus exhaust time(14 ± 1.8)h vs(26 ±2.7)h,the length of time(5 ±0.8)d vs(11 ±2.9)d in observation group were all reduced,differences were significant(all P＜0.01)and no case was transferred to opening appendectomy. ConclusionFor these disease including uterine fibroids with no adhesion,glandular fibroid uterine bleeding,the vaginal hysterectomy was safe and feasible,and had the advantage of smaller trauma,less bleeding,shorter hospitalization time,faster recovery etc.It was worthy to be popularized in primary hospital.

Objective:To construct eukaryotic expression vector for anti-human melanoma chimeric antibody,and express the antibody in eukaryotic cells.Methods:Variable regions of the murine antibody were cloned from the anti-human melanoma hybridoma cell line HB8459,HB8760,Mel3,and was inserted them into the chimeric antibody eukaryotic expression vector pMH-CA.The constructed vector was transfected into 293T,the chimeric antibody was expressed,as detected by RT-PCR,ELISA,and Western blot.Results:Eukaryotic expression vectors of the chimeric antibody against human melanoma were successfully constructed,and expressed in eukaryotic cells.The expression of chimeric gene was confirmed by RT-PCR,specificity of the chimeric antibody was proved by ELISA and Western blot.Conclusion:Anti-human melanoma chimeric antibody was expressed successfully.

The developed countries have increasingly used private sector involvement in the practices of developing, financing and providing public health infrastructure and services through public-private partnerships (PPPs) in recent years.The main reasons for this uptake in these countries are manifold ranging from the rising expenditures for refurbishing, maintaining and operating public assets, and the increasing constraints on the governmental budgets stifle because of the economic downturn.As a result, the government needs funds to cover inadequate inputs and seeks innovation through private sector experts and management expertise aiming for better operational risks mitigation.In this paper, 18 risk factors in health sector of China were tracked through the literature research, and the research aims to identify the risk allocation by issuing the questionnaires and conducting interviews with experts from the academia, and public and private sectors.This paper finally provides the scheme about the appropriate risk allocation to focus on improving the mitigation of the existing risks in order to achieve successful PPP projects.

Recently, Public-private Partnerships (PPPs) are being increasingly used in the public facilities and services provision in China.The procurement system ranges from simple contracting of services to the involvement of the private sector in the infrastructure financing, design, construction, operation and maintenance.However, organizing a PPP is not an easy task due to its complexity and long term contractual obligations and this some projects to fail to attract the private sector in the partnership and in the services provision.18 critical success factors of PPP project in the Chinese health sector were undermined by the investigation of this research.The mostly identified CSFs are thorough and realistic benefit assessment, sound policies, appropriate risk allocation and risk mitigation, and the public/private sector responsibilities.This paper finally puts forward the recommendations based on the statistics that are published from the Integrated Information Platform of CPPPC in order to focus on validating them for successful PPP projects achievement.

Under the impact of medical and health system reform and focal events in China, the medical vio-lence policy change is characterized by partial discontinuous equilibrium. It gradually evolves from policymaker-based discontinuity to participatory one, from single decision-making field to the collaborative one, and from the ex-cessive protection of unilateral interest to the maintenance of public interest as a core. In the future, if we want to re-alize the effective minimization of medical violence by public policy, the participation of all parties in the policy deci-sion should be strengthened, the focal events should be analyzed as policy issues, and the policy should be clear in order to overcome the negative influence of the inactivity of old policies.

0.01), but the significant difference was found respectively between group C and B and between group C and A (P

As an independent subject, TCM psychology appeared in 1980s, but it could be traced back to the book, the Inner Canon of Huangdi (Huangdineijing) formed in Qin and Han Dynasties. Physicians in the later generations developed TCM psychology based on that occurred in the Inner Canon of Huangdi, which made it became mature gradually, and Sun Simiao was one representative figure among them. The fundamental features of TCM psychological theory of Sun Simiao are summarized here.