Shortage of pediatricians in China and its causes are analyzed,which is contributed to more causes than one.Namely,the cancellation of the pediatrics specialist education from medical schools by the Ministry of Education since 1 998,cancellation of pediatrics as a discipline by hospitals for its poor rate of return,high career risks for the pediatricians,and career promotion difficulties as well.The author suggested such solutions as resuming pediatrics as an independent department in medical schools,better pay,less academic demands on their publication of research papers as a rigid criterion for promotion, attraction of social investment,strengthening multi-site license practice to push up supply of high quality pediatricians,and raising social prestige of pediatricians.All the measures will help fill the gap of supply and demand of pediatricians by joint efforts by both the government and hospitals.

Discussions in the paper on the role of the president of research hospitals in China probe into such ten aspects as hospital strategy,discipline construction,system operation,span of management,financial operation,marketing,quality management,legal compliance,executive capacity and hospital culture. Results of the study provide references for major challenges faced by these presidents.

In carrying out its policy of rejecting gifts and bribes between patients and medical staff,as guided by the National Health and Family Planning Commision of the Peple's Republic of China,Meitan General Hospital had entered into contracts with 6 924 in-patients among the 6 946 in-patients discharged from March to September in 2014,accounting for 99.68 ％.A random questionnaire survey was made on both patients and medical staff of the hospital in the meantime indicated a high and rising recognition of the patients,and a low recognition among the medical staff,yet rising compliance in the course.No gifts and bribes were recorded during the period with patients under the contract.

The paper reviewed the work of the hospital since 1949,especially during the first round of hospital accreditation from 1989 to 1998,and the initiation and milestones of hospital accreditation in other countrics.It pointed out painful lessons of cross infection at the hospital during the SARS period for the lack of hospital management after 1998.On such lessons learnt,the author analyzed the importance,necessity,and current status to start the second hospital accreditation cycle.Research conclusions are summarized from a scientific comparison:China should implement the second round of hospital accreditation in a scientific manner for optimal development of the hospital.

In an effort to achieve the goal of building a healthy China by 2020, the 13th Five-Year Plan of the healthcare system must be compiled on scientific basis.Three breakthroughs must be made as follows:the first is to build a quantitative and qualitative indicator system for Healthy China;the second is breakthrough in management of the primary healthcare system;the third is to break through major roadblocks in the healthcare reform.

At present,most of the physiological teachers of medical university in our country have graduated from medical universities,and have never been trained by special teachers.Because of the influence of medical education training mode and cultural environment factors,teachers' teaching ability and teaching level are different.This paper proposed the full range of skills training for teachers through microteaching.To enhance the in-service teachers' teaching ability and professional level of development,the design procedures of the microteaching training should include the establishment of tutor teaching system,training teachers preparing lessons,after-school peer experts review,self-evaluation and improvement of the video after watching video and questionnaire evaluation,etc.

Objective To investigate the relationship between mine environment and hypertension in miners. Methods 1736 male miners who worked under the ground and 825 on the ground were recruited in this study. Prevalence of hypertension under the ground and on the ground miners was compared. Results Prevalence of hypertension of miners under the ground was 23.91% and on the ground was 15.52% (χ2 = 23.56,P <0.001 ). Compared to miners on the ground, the relative risk of hypertension under the ground workers was 1.71 (95% CI 1.38 - 2.13 ). Prevalence of hypertension was correlated to the years of ground working (χ2 = 37.00, P < 0.001 ). The binary logistic regression showed significant relationship between mine environment and hypertension under the ground miners ( OR = 1.05,95% CI 1.02 - 1.08 ).Conclusion The underground environment is an important risk factor hypertension to the miners.

Thanks to such perspectives as technology continued acceptance and cross-organizational knowledge sharing,and review of existing literature and practice,the authors found the existing literature,both domestic and overseas,with the following shortcomings.In theory,there is little study on the telemedicine continued-acceptance behavior and cross-organizational knowledge sharing model; in methodology,there is little empirical study to build the telemedicine continued acceptance behavior model; in practice,there is little study on the telemedicine service management model in China's medical context.Based on such findings,the authors hold that subsequent studies may proceed individually and organizationally to study the continued acceptance model of telemedicine service users and cross-organizational coordination model of medical institutions.It also proposed countermeasures to optimize China's telemedicine sector.

Objective To analyze the dietary habits, energy intake and expenditure, anthropometrics, and body composition of the outpatients visiting the weight loss clinic of Beijing Hospital.Methods We pro-spectively enrolled 89 consecutive patients with body mass index ( BMI) ≥24 kg/m2 from November 2014 to August 2015 in the weight loss clinic of Beijing Hospital.There were 35 male and 54 female, with the mean age of (45.8 ±16.4) years.We divided them into two groups:the diabetes group (n=35) and the non-diabetes group (n=54), and compared the dietary habits, energy intake and expenditure, anthropometrics and body composition between the two groups.Results Regardless of diabetes, the overweight and obese patients all ate fast, mostly finishing a meal in about 10 minutes.They preferred Chinese food and meat, and disliked hot food.The frequency of dinning out in the non-diabetes group (3-5 times per week) was higher than that in the diabetes group (1-2 times per week) .Compared with the diabetes group, the non-diabetes group had higher fat-to-energy ratio [(34.9 ±7.6)%vs.(30.8 ±5.9)%], but lower carbohydrate intake [(232.2 ±59.7) g vs.(283.6 ±89.5) g], carbohydrate-to-energy ratio [ (47.9 ±8.3)%vs.(53.4 ±7.1)%], and the ratio of resting metabolic rate to body weight [ (66.9 ±9.6) kJ/(d? kg) vs.(71.1 ±7.9) kJ/(d? kg)] (all P<0.05).There were no statistically significant differences between the two groups in total energy intake, pro-tein intake, high quality protein intake, fat intake, protein-to-energy ratio, and resting metabolic rate (all P>0.05).Anthropometrics showed that the mean BMI of the patients was (32.8 ±4.4) kg/m2, with the maxi-mum being 53.5 kg/m2.The hip circumference [ (117.15 ±9.9) cm vs.(111.1 ±8.2) cm], upper arm circumference [ (36.4 ±3.8) cm vs.(34.0 ±3.3) cm], and triceps skinfold thickness [ (36.1 ±8.9) mm vs.(31.6 ±8.8) mm] were larger in the non-diabetes group than in the diabetes group (all P<0.05), but the mean age was lower in the non-diabetes group [ (41.7 ±16.9) years vs.(52.9 ±13.1) years) (P=0.01).There were no statistically significant differences between the two groups in body weight, BMI, waist circumference, neck circumference, and bilateral hand grip strength (all P>0.05).According to body compo-sition analysis, the body weight [ (94.8 ±18.3) kg vs.(86.9 ±17.2) kg], body fat mass [ (39.7 ± 11.3) kg vs.(33.5 ±8.9) kg], body fat percentage [ (41.7 ±6.5)%vs.(38.5 ±6.7)%], and visceral fat area [ (145.3 ±24.8) cm2 vs.(130.7 ±27.5) cm2 ] were larger in the non-diabetes group than in the di-abetes group ( all P<0.05) .There were no statistically significant differences between the two groups in BMI and skeletal muscle mass (both P>0.05).Conclusion Compared with diabetes patients, overweight and obese non-diabetes patients may be younger, having worse dietary habits, and having larger body fat mass, body fat percentage, and visceral fat area.

Objective To evaluate the prevalence of depression and anxiety in the middle and elderly patients with chest pain from department of emergency.Methods Totally 1200 patients suffering from chest pain were enrolled from July 2009 to August 2009.All patients were scored by self-rating depression scale (SDS) and self evaluation anxious scale (SAS).Results 383 cases of 912 patients(42.0％) with coronary heart disease (CAD) and 58 of 288 patients (20.1％) without CAD had depression,with a statistically significant difference (x2 =44.98,P=0.002).Odds ratio (OR) for CAD in patients with depression was 2.5,with 95 ％ confidence interval (CI) of 1.0-5.0 (P ＜0.05).Conclusions There is high prevalence of depression and anxiety as independent risk factors for CAD.