Objective To understand the clinical medicine graduates competency status of Kunming Medical University in the past 5 years and provide important reference for cultivating students in medical university. Methods The questionnaire results in the relevant departments responsible person of Yunnan provincial municipal and district 26 hospitals were system analyzed by fuzzy comprehensive evaluation method. Results In the past 5 years, the graduates occupation competence of clinical medicine in Kunming Medical University is good. Among them, the graduates’core competency gets the lowest score, but the graduates’post competency gets the highest score. Conclusion The graduates’core competency should be strengthened in training of doctor-patient communication skills and quality evaluation of clinical practice for medical students.

Objective:To investigate the relationship between aging,gender and coronary heart disease(CHD) in the elderly and very elderly.Methods:A total of 733 consecutive patients underwent Judkins of coronary angiography for enrolled in this study from April 2002 to Dec.2007.Age and clinical characteristics of non-coronary heart disease group(n=306),single-vessel group(n=211),double-(n=126) and multi-Vessel group(n=90) were compared referred for angiography.Quantitative comparison of age and risk factors were made among patients with 4 ranges of Gensini's score corresponding to quartile cut points.The impact of age,gender on CHD was analyzed in four age groups:

Objective To observe the curative effects of traditional Chinese plus western medicine and west ern medicine on patients with nephropathy(IgAN).Methods 45 cases of IgAN were randondy allocated to two groups.22 cases(control group)were treated with routine western medicine and 23 cages(treatment group)were trea ted based on syndrome differentiation.on a course of treatment.The changes of urine routine;24h urine protein;serum creatinine and BUN were observed in patients with IgAN.Results The total effective rate(91.3%)was significantly higher(65.2%)(x2=6.02,P＜0.05);Treatment after 24h urine protein(0.48±0.32)g,urine BBC count(25.7±13.6)104/ml was significantly lower than before treatment(1.62±1.05)g,(64.4±30.1)104/ml(t=2.889,t=2.945,P＜0.01);two groups after treatment Scr,BUN has dropped,and before treatment had no significant difference (t=1.752,P＞0.05).Conclusion The curative effect of traditional Chinese plus western medicine exerts a better effect than the sole western medicine in patients with IgAN.

Recently,staging,chemoradiotherapy schedule,new chemotherapy agents and application of targeted therapy drugs are widely investigated in small cell lung cancer(SCLC).Some progresses are achieved in prophylactic cranial irradiation of extensive stage and some new chemotherapy agents such as irinotecan,oral topotecan and pemetrexed etc are widely investigated.There are still some disputes about staging,the timing of chemoradiotherapy in localized SCLC and so on.

OBJECTIVE:To provide the analytic results of Xishiyangyan cream for reference of those who engage in production and quality control of the preparationMETHODS:Radix Ginseng,Radix Angelicae sinensis and Radix Angelicae formosanae in Xishiyangyan cream were identified with thin-layer chromatography(TLC),and dual-wavelength TLC scanning(TLCS) method was established for determination of the content of an active component-Ginsenoside Re in the preparationRESULTS:A good linearity was shown in a range of concentrations from 1?g/?l to 6?g/?l of Ginsenoside Re,r=09 998,the average recovery rate was 10028% and RSD 046%CONCLUSION:This method is simple,precise and good in repeatability

Objective To invesligate the treatment of retinal detachment(RD) after silicone oil tamponades(SOT). Methods The records of a consecutive series of 32 eyes with redetachment of retina after SOT surgery between 1998 to 2000 were reviewed retrospectively. The surgical techniques used for these cases included remove of silicon oil,peeling of preretinal membrane, retinotomy, endolaser photocoagutation, secondary vitrectomy and C 3F 8 tamponades. Results In 28 of 32 eyes the retina was reattached (87.6%). The postoperative visual acuity was improved in 12 eyes, redused in 4 eyes and remained no change in 16 eyes. The postoperative complications in 6 eyes included secondary glaucoma(3 eyes), hypotony (1 eye) and hyphema (2 eyes). Conclusion The techniques of preretinal membrane peeling, retinotomy, endophotocoagulation and C 3F 8 tamponades can be effectively used in combination to treat the redetachment of retina after the silicone oil tamponades surgery.

This paper aims to further the management of medical ethics and ethos construction,and review the practice of hospital medical ethics and ethos construction in authors' hospital.The review shows that by expanding the construction organization,strengthening specific instruction for all staff,clearing up communication channels,and strictly carrying out relevant regulations,construction of hospital medical ethics and ethos presents a fine development and makes great social effects.

Objective To investigate the distribution and resistance of non-fermenting bacteria isolated from our hospital and offer a basis for the treatment of bacterial infection.Methods 236 strains of non-fermenting bacteria were isolated from clinical samples between May.2004 and Dec.2006were identified with API identified test (API Inc.France) and Kirby-Bauer (K-B) test used for the antibiotics susceptivity test. Results Totally 236 strains of non-fermenting bacteria were isolated from the 1303 pathogenic strains. The most common bacteria were Pseudomonas auruginosa(57.6%),followed by Acinetobacter baumannii(7.6%)and Pseudomonas putida(6.4%).64%of non-fermenting bacteria were isolated from the sputum. these bacteria had various resistance to all detected antibiotics. Conclusions non-fermenting bacteria had high isolated rate and multi-antibiotic resistance,so antibiotics should be correctly under the guidance of antibiotic susceptibility testing.

Objective To investigate the relation of heparanase expression and DNA content to the clinicopathological characteristic in gastric carcinoma. Methods FCM was used to detect the expression of heparanase and DNA content in 50 gastric carcinoma,25 adjacent carcinoma and 10 normal mucosa.Results FI value of Heparanase in carcinoma group, adjacent carcinoma group and normal mucosa group was 1.86?0.44,1.23?0.45,1.00?0.21,There was a significant difference between them(P

Objective:To analyze the current situation and the problems and influencing factors of TB control from health service providers in rural area of Chongqing city to provide references.Methods:The leaderships of relevant departments,TB patients or suspects,normal residents and doctors were interviewed by qualitative methods such as key information interviews,in-depth interview,focus group discussion.Results:Diagnostic delay,failure in referring or tracing and patients'adherence are the main problems of TB prevention and control in rural area of chongqing city.Health service providers'capacity and attitude impacted its effect.These factors are further related to the implementation of policies,hospital infrastructure,the mechanisms of health financing and management.Conclusion:Greater importance should be attached to the rural doctors.In order to improve the effects on the control of TB,the government should strengthen training,funding and management.