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 Knee osteoarthritis is a common degenerative joint disease in the elderly.In this paper, the diagnosis, rehabilitation assessment and rehabilitation therapy of knee osteoarthritis were reviewed to better guide the clinical practice.

Objective To investigate the clinical effect and complications of candesartan in the treatment of stress-induced hypertension.Methods 60 patients with stress-induced hypertension were randomly divided into experimental group and control group.Experimental group was treated with candesartan,the control group was treated with benazepril.The efficacy of the two groups was compared.Results After the treatment for 4 weeks,8 weeks,SBP/DBP in the two groups had significant differences compared with before treatment (t =5.32/3.76,5.94/3.99,8.61/5.83,2.34/5.67,all P ＜ 0.05).The incidence rate of complications in the experimental group was 6.7％,which was significantly lower than 25.0％ in the control group (x2 =4.32,P ＜ 0.05).Conclusion Candesartan in the treatment of stress-induced hypertension has significant effect,the incidence of complications is lower.

Extrauterine growth restriction (EUGR) is common in very low birth weight infants (VLBWI) during early postnatal life.Parenteral nutrition (PN) management can meet the requirement for these very preterm infants.How to keep the balance between the needs of the catch-up growth and the risks of the metabolism disorder has become a hot topic.This article reviews some issues about PN that are involved in the studies in recent years,such as the initial time and doses,the individual formulation and the tolerance of the amino acids intake,and emphasizes that high dose amino acids is necessary and security for VLBWI used within 24 h (even 2 h) after birth.

Objective The purpose of this study is to understand students' awareness of education quality and provide an important reference for teaching quality assurance and improvement in universities of Yunnan. Methods By using questionnaire, a survey to 1069 students in 5 grades of 5 Yunnan universities was conducted. Results Students have strong sense on awareness of education quality in Yunnan universities, but it is still necessary to increase the propaganda of education quality among students. Conclusion Focus on the idled teaching evaluation results in 5 universities of Yunnan. Clear and definite the importance of establishing improvement mechanism after teaching evaluation.Focus on the problem of low satisfaction from students. Pay more attention to teaching effect and add it as the important indicator in the teachers' performance assessment.

Objective To explore the changes and clinical significance of gestational diabetes mellitus in late pregnancy with fetal ductus venosus blood flow waveform parameters.Methods 23 cases of 24-40 gestational weeks gestational diabetes and 60 cases of normal fetus were selected,color Doppler ultrasonography in the venous catheter into the subarachnoid catheter blood flow waveform was applied to record,including the determination of blood flow parameters:ventricular peak systolic velocity ( DVS) ,left ventricular diastolic peak flow velocity ( DVD) ,atrial systol-ic peak velocity (DVA),and DVRI=(DVS-DVA)/DVS.Results DVS(42.72 ±3.63)cm/s,DVA (12.34 ± 3.11)cm/s and DVRI(0.49 ±0.08) of fetal ductus venosus gestational diabetes group and normal pregnancy group had significant difference (t=3.232,9.664,2.470,all P<0.05),especially the difference between the two groups of DVRI had statistically significant.Conclusion Color Doppler flow spectrum curve of ultrasonic detection of fetal duc-tus venosus have clinical significance in gestational diabetes mellitus.

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 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.

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 accomplish hyperbaric oxygen treatment for infant patients who do not cooperate or move restlessly.Methods According to infant's characteristics,HBO department designed and made an infant oxygen compartment.Results Infant oxygen compartment is very convenient,and the effects of treatment are outstanding.Conclusion Except for convenience,infant oxygen compartment can raise oxygen concentration in Hyperbaric Oxygen Compartment.