Objective To compare the effects of remifentanil and fentanyl in urologic surgery under endoscopic anesthesia and the incidence of adverse reactions in patients.Methods A total of 170 patients undergoing urological surgery admitted to the Second People 's Hospital of Jinzhong from February 2015 to April 2016 were randomly divided into the study group and control group according to the digital table ,with 85cases in each group. Remifentanil and fentanyl was used in the study group and control group respectively .The preoperative anesthesia was performed in the patients who received anesthesia before and after tracheal intubation and before and after tracheal intubation,and the time of induction of anesthesia ,the operation time and the time of postoperative wakefulness were compared between the two groups.Pressure and heart rate changes ,the incidence of adverse reactions were recorded and compared between the two groups.The amount of anesthesia ,anesthesia surgery costs and the amount of bleeding during surgery were compared.Results The induction time of anesthesia in the study group was significantly shorter than that in the control group (9.8min vs.6.9min,t＝12.029,P＜0.05).The mean arterial pressure and heart rate in the study group were significantly larger than those in the control group ( all P＜0.05).The incidence rate of adverse reactions in the study group was significantly lower than that in the control group (5.9% vs.12.9%,χ2＝7.935,P＜0.05).The cost and blood loss of the study group were significantly lower than those of the control group (2 871.4 CNY vs.3 014.9 CNY;23.4mL vs.32.7mL,t＝20.391,17.907,all P＜0.05).Conclusion The application of remifentanil in preoperative anesthesia of urologic surgery can save time ,reduce the economic burden of patients and the incidence of adverse reactions in patients.It is worthy of widely recommended in clinic.

the paper discussed the unavoidable ethical conflicts during disaster medical treatment:Equal right to treatment enjoyed by everyone vs.priority for those who need emergency treatment;Humanity principle vs.relinquishment of invalid treament;Informed consent principle vs.emergency treatment;Life rescue vs.life quality improvement during treatment.

Honest-trust plays an important role in the Chinese outstanding morals and culture, however the credit crisis is an outstanding problem in the professional ethics construction. Honest-trust is the soul of professional ethics construction, which is accountable, self-disciplining, honorable and extensive, therefore it should become the important category of the modern medical theory. And it is an effective way to disclose information and set up the honest-trust file for promoting the professional ethics construction.

This paper makes an inquiry into the form development mission and the role etc. about army medical ethics, expecting to exert little strength for the professional moral conutruc-tion of army medical units.

In the evaluation procedure of medical ethics,it is important to inspect and estimate objectively medical staff's correlated information showed in medical events.Satisfying evaluation of medical ethics can be attributed to the following premises including scientific evaluation regimes,just administration,objective and comprehensive evaluation procedures,just evaluation criteria and archives of medical ethics evaluation.

This article discusses the basic characteristics and essential ingredients of linguistic skills,furthermore it illustrates the special linguistic requirements of clinical medicine,such as properly encourging,respectfully listening,sincerely smiling etc.Medical staff should pay attention to the following details: (1)using rational and heartful language to express carefulness and friendship;(2)severing honestly;(3)using“body languge”correctly

The construction of medical morality is linked closely with medical management.The foundation of micro-regulating model of medical morality can strengthen the management of medical morality,and make up for the deficiencies of the construction of medical morality;meanwhile,it can also enlarge the connatation of medical morality construction.

This article discusses the relevant premise which builds up the ethical principles of medical language.It advances that a sense of giving respect,sympathy,protection and convenient to patients should be established under the guide of the basic principles of the socialist medical ethics and the ethical principles of medical practice.The article also proposes that amicable,scientific,civilized,common and prudent words be used as far as possible in spoken,written and body language during the course of medical treatment.If we do that,a harmonious doctor-patient relationship is likely to be built up and the qualities of medical treatment will be improved.

The educational evaluation of humanistic quality of medical universities and colleges has many characteristics, that the content is abundant, the methods are various, the mechanism is intructive, the objects are self-disciplined, the effects are obscure and the indication is diverse and ambiguous The study of the content, the purpose, the function and the principle of the educational evaluation of humanistic quality of medical universities and colleges is vital important to establishing operable system of the educational evaluation. The study also plays an important role in enhancing full-scale, coordinative, sustained development of the evaluation.

The paper introduces microcosmic control model for medical morals construction.The function of the model includes explanation,operation and evaluation.The author holds that the key to the morals construction is scientific management,and the decision maker should have the social responsibility and the love-patient consciousness.