The paper introduced the framework of the employee satisfaction indicator system of NHS hospitals,and summarized its difference with the equipment system in China,proposing Chinese hospitals to prioritize the synergy of staff development and hospital development,as well as its consistence between the indicator system building and health policies; emphasis of employ service,employee incentive mechanism,reform and innovation,making employee satisfaction a key strategic tool for performance improvement.

Objective To improve recognition of sacroiliacpathy in patients with rheumatoid arthritis (RA). Methods Clinical features and laboratory markers of 13 patients with RA combined sacroiliacpathy were compared with 67 RA patients without sacroiliacpathy. Results Male was predominate in RA patients with combined sacroiliacpathy. HLA-B27 or/and RF positive was higher in combined case. Radiocarpal onset and unsymmetrical lower extremity arthritis was more frequent in combined cases. Conclusion When RA patients have buttocks and/or lumbar symptoms, sacroiliacpathy should be considered. HLA-B27 typing and CT should be applied to find early changes.

Through demonstrating the satisfaction evaluation system of Singapore hospitals,the article analyzed the differences between the satisfaction evaluation system of Singapore and the system made by Shanghai Municipal Commission of Health and Family Planning.It was concluded that the humanized evaluation methods should be highlighted,the conformity of establishment of evaluation system and policy be focused on,staff incentive mechanism be focused on and perfected,and patients' expectation indicator and perceived quality be considered as strategic tools to improve the healthcare system performance.

Vesicants are the main agents used to fill chemical weapons, and chemical weapons abandoned by the Japa-nese Army in China.The mustard-lewisite mixture, which was developed for cold weather or high-altitude use due to its lower freezing point, is a special and important agent.The toxicology, emergency treatment and clinical management of mustard-lewisite mixture poisoning are introduced in this paper.

Various hypotheses have been put forward to explain the pathogenesis of hemorrhoidal diseases. However, the etiology and mechanisms of hemorrhoids are far from clear, and as a consequence the present therapeutic objective is just to relieve or abolish the symptoms of hemorrhoids. In this review, the recent research advances on the pathophysiological characteristics that are closely associated with hemorrhoids are analyzed and discussed, which include constipation, high anal resting pressure, anal mucosa damage, aging of the anal cushion supporting tissue, blood and vessel alterations, obstruction of microcirculation and biochemical changes.

Objective To investigate the effectiveness and safety in pediatric patients (Age≤14 years) with hypertrophic obstructive cardiomyopathy (HOCM) treated by percutanous transluminal septal myocardial ablation (PTSMA). Methods Retrospectively analyzed the data from four pediatric(age≤14 years) patients with HOCM treated by PTSMA from March 2004 to June 2012, including their clinical data, coronary angiography and the results of PTSMA to evaluate the complication and clinical outcome after PTSMA. Results The left ventricular outlfow tract pressure gradient (LVOTPG) at rest decreased after operation when compared with pre-lablation level (32.0 mm Hg vs 80.0 mm Hg, P>0.05). The LVOTPG after premature beat decreased with signiifcant difference after ablation (40.0 mm Hg vs 122.5 mm Hg, P<0.05). During opration and hospitalization, 1 patient developed right bundle branch block, and another patient developed complete atrioventricular block, Both patients’ arrhythmia received after temporary pacing and medical treatment. No death and major clinical adverse event recorded after operation and during the 12 months follow up. Conclusions PTSMA was effective and safe for children with HOCM.

Particulate matter is one of the important factors that have adverse effects on human health. It is generally known that the fine particles are more toxic than coarse ones, but some researchers have different opinion. Based on the analysis of the opinions, the factors that may influence the adverse effects of particulate matter on human health, including surface characteristics and adsorbed components, were discussed in the present paper. This paper will be helpful for the assessment of the toxicity of particulate matter.

ve To develope a new graphite furnace atomic absorption spectrophotometric (GFAAS) method for determination of cobalt in cosmetics. Methods Samples were digested by HNO3-HCl and microwave. The use of a new matrix modifier, (NH4)2 HPO4-ascorbic acid as a matrix, could effectively improve the shape of peak and eliminate the matrix interferences.The best determination conditions, such as the procedure of sample digestion, the measurement parameters were defined in this assay. Results The characteristic concentration, linear range, re-covery rate and coefficient of variation were 1.2?g/L, 0 -40?g/L, 100.16% ~102.01% and 1.82%-3.26% re-spectively. Conclusion Application of matrix modifier (NH4)2 HPO4-ascorbic acid for determination of Co with GFAAS, was easy and presented good repeatibility.

Small ubiquitin-like modifiers(SUMO) are ubiquitin-related proteins that can be covalently conjugated to cellular target proteins.Frequently,this modification has a key role in regulating the activities of those targets and,hence,their cellular functions.Researches show that some oncoproteins,tumor suppressors,DNA repair proteins and cyclins are target proteins of SUMO modification and the altered expression of some enzymes related to SUMO conjugation occurs in some neoplasm.It is indicated that sumoylation is important in tumor origination,development and metastasis.

Objective To explore the entrapment to the deep branch of the ulnar nerve at the wrist,to assist the surgeon in diagnosis and treatment of Guyon canal syndrome.Methods Twenty fresh upper limbs were dissected on loupe(?5),to record the relationship between the ulnar nerve and the hypothenar muscles,the course of the ulnar nerve at the wrist.Results The deep branchs of the ulnar nerve go through an intermuscular space after runing out of the Guyon canal.The intermuscular space consisits of the superficial and deep head of the opponens digiti minimi and the hook of the hamate,which has one entrance and one exit.We named the intermuscular space as the hiatus of opponens digiti minimi,and named the proximal edge of the superficial head of the opponens digiti minimi as the fascial arch of the opponens digiti minimi.Conclusion We found that the fascial arch of the opponens digiti minimi can compress the deep branch of the ulnar nerve causing motor deficit of the intrinsic muscles of hands.