The United Kingdom is the longest-serving community in the welfare states, and has been serving for more than sixty years so far. The construction of community care service supply model in the United Kingdom is deeply influenced by the neo-liberalism and neo-managerialism, which dominated the reform and development of pur-chasing community care services. Presently, China is actively promoting the government to purchase pension services of public health care combined with the long-term care, especially policy and determination of community-based de-velopment of an elders' service model. Based on the purchased services experience of the United Kingdom combined with the situation in China, this paper puts forward some suggestions such as the repositioning the role of the govern-ment, actively supporting the development of civil service organizations and perfecting the legal system of care serv-ices to be purchased, supporting the development of proposals to reduce the burden on the government and enhance the efficiency of care services through improving their quality.

Purpose To evaluate the quality assessed by iconographic diagnostic test system using ROBIS. Materials and Methods"Diagnostic tests, system evaluation, Meta analysis, diagnoses*test, diagnoses*trial, systematic review, meta-analysis" were used as search term to retrieve relevant literatures recorded in CBM, CNKI, Wanfang Data, PubMed, Embase, and Cochrane Library from January. 1, 2014 to December. 31, 2016. After two independent researchers screened the literature and extracted the information, the quality of included literatures was evaluated using ROBIS. Results Totally 219 articles were included in the study, including 93 Chinese literatures and 126 English literatures. The results of subgroup analysis showed that the quality difference between Chinese and English documents was statistically significant (P=0.018); the quality difference between the Chinese literatures and those of other regions was statistically significant (P<0.001); there was no statistical significance in quality difference regarding the year of publication (P=0.34). The ROBIS evaluation results showed that there were only 15 literatures (6.85%) with low-risk, including 2 Chinese literatures and 13 English literatures. Conclusion The quality evaluated by Chinese and English diagnostic test system, which is publicly published in iconographic diagnostic test from 2014 to 2016, is generally low, and the quality of literatures published by domestic scholars and in Chinese is still behind international levels. The maker of system evaluation in this field should prepare their research plans in advance and fully report them in future research, adequately obtain evidence, minimize bias in respects of document screening, information extraction, and evaluation of original research bias, and take into account of results stability, based on which the quality of system evaluation in this field should be further improved.

Objective ToevaluatethereportingqualityofChineseimagingdiagnosticaccuracystudiesbyStandardsforReporting DiagnosticAccuracyStudies (STARD)2015.Methods AticalspublishedinChina,whichoriginatedfrom ChinaBiology Medicine (CBM),ChinaNationalKnowledgeInfrastructure(CNKI)andWanfangDatabasefromJanuary12014toApril82016wereretrievedfor statisticalanalysis.Keywordswereasfollows:"Ultrasound","CT","MRI","X-ray"and"diagnosticstudy".Tworeviewersindependently screenedtheliteraturesandassessedtheincorporatedstudies.Excel2016wasusedtofigureouttheaccordancerateandSPSS (version 17.0)wasusedtoanalyzethedata.Results 152studieswerefinallyincluded.Thenumberandproportionofstudiesonimagingdiagnostic methodswere84 (55.26%)ultrasound,29 (19.08%)CT,16 (10.53%)MRI,and23 (15.13%)withthecombinationoftwoand moremethods.Thecoincidencerateandcorrespondingnumberofsingledocumentreportswereasfollows:0%－10%,1report;11%－20%,4reports;21%－30%,45reports;31%－40%,74reports;41%－50%,24reports;51%－60%,3reports;and61%－70%,1 report.Therewasnosignificantdifferenceofcoincidencerate (P＝0.09)betweendifferentimagingdiagnosticmethods.Also,there wasnosignificantdifferenceofcoincidenceratebetweentheoldentriesinSTARD2003andnewentriesinSTARD2015(P＝0.34). Conclusion ThisstudyprovidesareferencebaselinefortheresearchersandthecliniciansonthequalityofChinesetestreportson imagingdiagnosticaccuracy.Itisshowedthat,thereportsondiagnosticaccuracyofUltrasound,CT,MRIandX-raypublishedbetween January1,2014andApril8,2016aregenerally middleandlow level.

Objective:To explore the application and value of metagenomic next-generation sequencing (mNGS) in refractory infection after organ transplantation.Methods:A case report discussed about a patient with lumbar spine infection after kidney transplantation and the relevant literature was reviewed. The recipient was a 63-year-old man with low back pain after kidney transplantation. Lumbar spine magnetic resonance imaging showed lumbar spine infection. Multiple operations plus antibacterial and antituberculosis treatments were ineffective. Before and after treatment, numerous tests of traditional pathogenic microorganisms failed to detect any positive bacteria.Results:The detection of lumbar secretion by mNGS suggested aspergillus infection. The symptoms improved after dosing of voriconazole.Conclusions:The incidence of fungal infection of lumbar spine is low. The imaging manifestations are non-typical so that it is easy to misdiagnose. mNGS helps to timely diagnose and guide treatment. With a review of the literature, mNGS has some application value for some difficult and rare infectious diseases.