It is suggested to explore the practice of doctors at different edical institutes in the Project of Medical Reform in 2009.There will be a series of problems when the practice is carried out.The methods to solve these problems would be studied in the aspects of defining the nature of doctors′ practice at different medical institutes,improving system building and transferring conception.

The community health institution of our country can't take effect really because of some restrictive factors. We have analyzed the issue and the countermeasure in this paper.

Objective:To construct the standard curve for real-time PCR detecting the tissue expression level of Angptl3 in SD rat.Methods:The total RNA of the SD rat's liver was the template.We got lots of the Angptl3 partial DNA sequence by RT-PCR.The products were cloned into the pUCm-T vector,Then we diluted the solution of plasmid and used real-time PCR(SYBR GreenⅠ)to construct the standard curve.Results:The correlation coefficient of the standard curve was 0.997 6.The reaction efficiency was 0.862 3.The correlation and the amplify efficiency were good.Conclusion:It is successful to construct the standard curve for real-time PCR detecting the tissue expression level of Angptl3 in SD rat.

Objective To evaluate the new colposcopy combined cytology thinprep pap test(TCT) in cervical screening in the diagnosis of disease. Methods 1 266 patients detected by gynecologic cervical cytology were conducted on colposcopy and liquid-based thin-layer cytology of the Joint Inspection. Results 1 266 cases in which seized 169 cases of abnormal cervical lesion detection rate of 13. 35%,abnormalities in cervical squamous intraepithelial lesions and 126 cases,accounting for 9.99%. The incidence of cervical intraepithelial lesions detected no difference between age groups was statistically significant(P＞0.05). Conclusion Thinprep cytology combined colposcopy cervical precancerous lesions was a reliable method for early diagnosis.

In allusion to the practical feature of acupuncture and Tuina,by exerting the characteristic and advantages of modern teaching technique,the author carried out internet teach-ing based on Blackboard,visualized the contents of the book by effective teaching design,such as pictures,images,cartoons,voice,videos,etc.and developed video’s controlling route for teaching quality after lessons to know about students’mastery of the knowledge of cervical spondylosis and guarantee the teaching effect.

OBJECTIVE:To establish a method for content determination of baicalin in Scutellaria baicalensis Georgi extract and to optimize the extraction technique.METHODS:The content of baicalin was adopted as index and was deter?mined by HPLC;Single factor test and orthogonal test were employed to optimize the extraction technique.RESULTS:The detected concentration of baicalin showed a good linear relation in the range of0.05912～0.02956mg/ml(r=0.99974),the average recovery was99.5%,RSD=1.10%(n=5);The optimal technique was twice recirculation in water solvent14times the amount of Scutellaria baicalensis Georgi flour,each time for1hour.CONCLUSION:The established method is conve?nient,and the extraction technique is stable,reasonable and practicable.

Recenly,the incidence of posttransplatation lymphoproliferative disorder(PTLD) is rising,Immunodeficiency and EBV-infection are risk factors of pathogenesis related. The majority of PTLD originates from malignant proliferation of B-cell.Typical pathologic findings of PTLD are large number of plasmacytoid B cells in lymphotic tissue and often with necrosis in regional areas. Molecular biology findings are ras or p53 gene mutation and c-myc?bcl-6 gene rearrangement. Highly immunosuppressed patients may present with diffuse infiltration and functional failure of multiple organs,the prognosis is poor. Except for the decrease or discontinuation of the immunosuppressive therapy,antiviral agents and interferon- ?,anti B-cell monoclonal antibodies,autologous EBV-specific cytotoxic T cell and combination chemotherapy may achieve better responses.

Objective To analyze the characteristics of clinical cases of children mycoplasma pneumonia (CMP) complicated by cardiac damage. Methods Eighten cases of CMP (MP group) and eighten children without CMP (NMP group) were selected to do electrocardiogram (ECG) and to evaluate serum myocardium zymogram. Results Compared with NMP group, MP group showed high incidence rate of abnormal electrocardiographic pattern, suach as ST - T change, sinus tachycardia, premature beat and high serum level of LDH,CK - MB,HBDH. Both presented statistical difference. Conclusion CMP easily causes cardiac damage of children.

Sidenafil, a potent inhibitor of phosphodiesterase Ⅴ, has been used to treat clinical erectile dysfunction(ED) and brings hope for them. But it is not effective for all ED patients, especially for some special types of ED, and the side effects, complications and contraindications exist still. Recent years, with the development of life qualities and medical conditions, patients of ED hope the doctor can treat them appropriately according to the type of ED. However, in order to treat ED appropriately, the etiology of every type of ED must be further explored. The specialists of andrology have made endeavor in the fields, and obtained some new knowledges.

In the 46th annual meeting of the American Society of Hematology, the advance in the treatment of maligmant hematological disease concentrats on targeted therapies, including oblimersen,combination therapy rituximab with the chemotherapeutic agent, proteasome inhibitor bortezomid, flavorpiridol and radioimmunotherapy. Hematopoietic cell transplantation (HCT) is an effective therapy of maligmant hematological disease. The foremost advantage of the nonmyeloablative or reduced-intensity HCT is the reduction of treatment-related mortality .