Total Expenditure on Health (TEH) is an important instrument for evaluating policies of medical reform. To analyze the results and characteristics of TEH under the new medical reform, and prospect the changing trends of TEH during the 12th Five-Year Plan in Jiangsu, reflect the health related policies tend of increasing the government input on health, reduce the household’s out-of-pocket proportion in recent years. Suggestions were proposed for the future changing trends of health economic policies which require attention.

Pathology is an important bridge subject in medicine.It has many knowledge and abstract content.Micro class is a new form of expression,it has Situation reality,topic prominent,diversified resources,Flexible form,interactive strong,dynamically generated,easy to spread and easy to use advantages,etc.The micro course is applied in pathology teaching,refer to the teaching syllabus for the design and production of micro courses,comb through the knowledge points,heavy and difficult explanation and systematic summary to carry out classroom teaching.Practice shows,micro class can stimulate students' interest in learning,improve learning efficiency,and then achieve the purpose of improving pathological scores.

With the development of implant,more reliable way of the treatment of posterior teeth loss can be acheived.Dental implants present different biological and biomechanical characteristics from natural teeth and natural teeth with crown.It is important to realize these differences and occlusal adjustment accurately for the improvement of the treatment and prolongation of implant service life.This paper re-views the critical point with a clinical case.

Objective To investigate the influence of CD146-siRNA on epithelial-mesenchymal transition in human ovarian cancer cell line A2780.Methods The influence of loss of CD146 on the mRNA and protein expressions of E-cadherin,vimentin,and fibronectin was evaluated by real-time polymerase chain reaction (RT-PCR) and Western blotting.Results Compared to non-transfected (control group) and those transfected with RNAi-NC (RNAi negative control group),the mRNA and protein expressions of Ecadherin were significantly increased in A2780 cell lines transfected with RNAi-CD146.The loss of CD146 expression down-regulated the mRNA and protein expression of vimentin and fibronectin(P ＜ 0.05).Conclusions CD146-siRNA can suppress epithelial-mesenchymal transition in human ovarian cancer cell line A2780.

Objective:To establish the competency model for medical representatives in China. Methods:Firstly, the competen-cy elements for medical representatives were defined through the literature research and logic analysis, the importance of each element was then evaluated by a questionnaire, and the survey results were analyzed by a factor analysis approach. Lastly, the weight of each factor was confirmed by analytic hierarchy process. Results & Conclusion: The competency model, which consists of 5 dimensions ( professional quality, professional ethics, knowledge, personal characteristics and relationship management) , 26 competency elements and the weight of each factor, is established successfully.

Objective To analyze the association between type 2 diabetes and lung cancer and study their clinical features.Methods 76 lung cancer patients admitted in Shengjing hospital from June 2006 to June 2008 and their neighbors(or their colleagues)were enrolled to conduct a 1∶1 matched case control study.Results 27.63% of lung cancer patients had type 2 diabetes.Adenocarcinoma was the most common type associated with type 2 diabetes,accounting for 47.62%.There was no statistical significance in ages and gender between cases and their matched control.The symptoms of type 2 diabetes with lung cancers were not typical.Conclusion Type 2 diabetes is significantly correlated with lung cancers.The incidence of type 2 diabetes in lung cancer patients is higher than that in subjects without lung cancers.Early diagnosis and strict blood glucose control are critical for good prognosis.

Objective:To investigate the infiltration of CD45RO+ T cells and CD68+ cells in the lesions of non-neoplastic epithelial disorder and in vulva cancer.Methods:The infiltration of CD45RO+ T cells and CD68+ cells was detected with S-P immunohistochemistry in the lesions of 20 non-neoplastic epithelial disorders,including vulvar squamous cell hyperplasia(SH) and vulvar lichen sclerosus(LS)) and vulvar cancer,respectively.The vulvar skins from 10 healthy individuals were selected as the control.Results:The infiltration of CD45RO+ T cells and CD68+ cells in healthy vulvar skin was very low and significantly lower than that in SH,LS and vulvar cancer(P0.05).The number of both cells were significantly higher than that in SH,poorly vulvar cancer and early stage of LS(P0.05).The infiltration of CD68+ cells was shown in a positive correlation with CD45RO+ T cells in the different lesion of vulva,the correlation coefficient was 0.742(P

NK cells can be divided into two subsets based on CD27 expression:CD27hiNK cells and CD27loNK cells.NK cells can be further divided into four subsets based on CD27 and CD11b: CD11bloCD27lo,CD11bloCD27hi,CD11bhiCD27hi and CD11bhiCD27lo.These subsets in different development stages have their own phenotypes and functions.In mice,NK cell developing pathway is through CD11bloCD27lo→CD11bloCD27hi→CD11bhiCD27hi→CD11bhiCD27lo.CD27 can also be used to divide human NK cells into two subsets which are comparable to those of mice.

Objective To study the therapeutic effect of mulitifunctional catheter to aspirate pus and lavage on pulmonary abscess.Methods 28 cases of acute pulmonary abscess were treated by inserting multifunctional catheter into vomica to aspirate pus and lavage under X ray monitoring.Results Among 28 cases,26 were cured and 2 were improved.None complication was found.Conclsion This therapy can improve the curing effect and shorten the period of treatment.It is simple and safe.

Objective For arising recognition to HIE of neonate.We made a summary and a retrospective studied to CT material of 130 cases for neonate suffering HIE,combined with clinical diagnosis and documents.Methods 130 cases for neonate suffering HIE diagnosed by CT and clinic,all underwent unenhanced CT scan.Results Appearance of HIE:Normal involved 1～4 brain′s lobe,often involved frontal lobe;can be accompanied by kinds of intracranial hemorrhage;can be accompanied by infarction.Conclusion Among HIE cases,hypoxia and ischiemia were cause and result each other;difference among clinical symptoms and CT apearances are possible;the neonate with moderate and sereve asphyxia can be accompanied by intracranial hemorrhage more easier;to the injury of parasagittal region,CT and USG can not make a diagnosis.