Objective To find out the feasibility of rural doctors in Zhejiang province to pursue clinical advanced studies and to have clinical guidance.Methods we have surveyed 84 county(urban,district) Health Bureaus by using self-designed questionnaires on feasibility of rural doctors to pursue clinical advanced studies,then analyzed the data collected.Results Integrated management of rural doctors was conducted in 26 counties.Revenue and expenditure of township health centers(community health centers) in 22 counties was managed separately.Fees and subsidies of rural doctors when pursuing clinical advanced studies were undertook by health center they worked in solely in 4 counties and both health center and the local finance in 22 counties.Rural doctors could work in village clinics during their pursuit of clinical advanced studies in 26 counties.It is thought in 41 counties that rural doctors' clinical advanced studies for 1 to 3 months can replace their registered training every two years.Conclusion Based on integrated management of rural doctors and separate management of revenue and expenditure in township health centers(community health centers),it is feasible for rural doctors to pursue clinical advanced studies,get reimbursement of fees and subsidies.However,clinical advanced studies still can not replace registered training.

Objective To find out the implementation effect of the second round of rural doctors'registered training scheme.Method On-the-spot visit was made in 15 training stations,and questionnaires were given to 2,236 rural doctors in Hangzhou from six aspects about teaching content,curriculum,textbook,teachers,learning effects,and training pattern.Results The second round of rural doctors'registered training work in Zhejiang province has made great achievements,but there were still some problems in the implementation process,and the quality was to be improved.Conclusion Rural doctors'registered training should guarantee practice and training quality,advocate participatory training and focus on clinical advanced studies.

杭州市血吸虫病流行区分布于11个县(市、区)82个乡,902个行政村,流行区人口为115.25万人.历史累计血吸虫病人156 185例,其中晚期病人3 634例,钉螺面积7 642.9hm2,病牛10 248头.

为实现我市2000年消除碘缺乏病阶段性目标,评价干预措施落实情况及防治效果,根据浙地防〔1999〕1号转发卫生部等5部、局《关于下发<实现消除碘缺乏病阶段目标评估方案>的通知》精神,于1999年下半年在全市范围内进行了碘缺乏病检测,现将检测结果报告如下。 材料与方法 1 抽样与调查对象按照《实现消除碘缺乏病阶段目标评估方案》[1](以下简称《方案》)的要求,在全市范围内按东、西、南、北、中五个方位随机抽取5个县(市、区),每县(市、区)随机抽取1个乡镇的中心小学,每所小学抽取80名8～10岁的学生以触诊法检查甲状腺大小,再从这80名学生中随机抽取40名检测尿碘含量,并测其家中盐碘含量。

<span id="ChDivSummary" name="ChDivSummary" class="abstract-text">杭州市区环境碘与儿童碘营养状况调查徐卫民，纪华婷，方必华，朱永嘉，项梦瑞，蔡一华，王玉琴，黄学敏，陈玉满，陈立，杨洋，金行一为实施全民食盐加碘提供科学依据，我们于１９９４年９月～１９９５年５月对杭州市区环境碘及儿童碘缺乏病进行了调查，并参考同期杭州市...</span>