Objective   To investigate the application, evaluation and protection of medical natural resources in health resorts and convalescent institutions in our country, and provide scientific basis for scientific planning,rational development,utilization and protection of medical natural resources in health resorts and convalescent institutions.Methods   A random cluster sampling method was adopted for various convalescent institutions and medical institutions across the country.A questionnaire survey was distributed through the Wenjuanxing software network,and 706 valid samples were collected. After screening,85.41% of the staff were engaged in the sanatorium profession for data statistical analysis.Results   At present, the number of sanatoriums in China is decreasing, but the number of institutions with convalescent functions is increasing. The functions of convalescent institutions include treatment and recuperation(85.98%),rehabilitation treatment(84.99%),chronic disease treatment(53.54%),and health management(50.00%). Convalescent institutions covering an area of over 3.33 hectares account for 75.21%,and those with over 200 beds account for 82.86%.Convalescent institutions serve military and civilian personnel as well as the general public.The staff of convalescent institutions have insufficient understanding, mastery, and application of the characteristics of medical natural resources in their sanatoriums.95.19% believe that medical natural resources need to be developed more vigorously,94.76% believe that China's medical resources need to be evaluated regularly, and 80.31% believe that the protection system for medical natural resources needs to be improved.Conclusion   Our country has abundant natural resources in health resorts,and research on the characteristics of medical natural resources in convalescent institutions needs to be strengthened.Scientific planning and rational development are necessary,evaluation and protection mechanisms should be improved,protection systems should be formulated and perfected,and the training of convalescent personnel should be strengthened to enhance the service quality and convalescent effectiveness of medical natural resources in health resorts, and promote the sustainable and healthy development of the convalescent industry.

Objective  To investigate the effect of rosmarinic acid on the balance of T helper cell 17(Th17)/regulatory T cells(Treg) in rats with heart failure (HF) by regulating the phosphatidylinositol 3-kinase/protein kinase B/mammalian target of rapamycin (PI3K/Akt/mTOR) pathway.Methods   A total of 72 male rats in the specific pathogen free(SPF) level were randomly assigned into the control group,HF group,low-dose rosmarinic acid group,high-dose rosmarinic acid group,enalapril group,and high-dose rosmarinic acid+PI3K inhibitor(BKM120) group,with 12 rats in each group.Except for the control group,rats in all other groups were subjected to HF modeling by daily injecting 3 mg/kg isoproterenol hydrochloride into the scapular dorsum for 10 consecutive days.After successful modeling,the rats were administered once a day for 4 weeks.The left ventricular fraction shortening(LVFS),left ventricular ejection fraction(LVEF),and serum atrial natriuretic peptide(ANP) and B-type natriuretic peptide(BNP) were measured in rats.Flow cytometry was used to detect the proportions of Th17,Treg,and Th17/Treg in peripheral blood.The hematoxylin and eosin(H&E) staining was used to detect myocardial tissue pathology.Enzyme-linked immunosorbent assay(ELISA) was used to detect interleukin(IL)-17,transforming growth factor-β(TGF-β),and IL-10 in myocardial tissue.Quantitative reverse transcriptase polymerase chain reaction(qRT-PCR) was used to detect the mRNA expressions of retinoic acid related solitary nuclear receptor γt(RORγt) and forkhead box protein P3(FOXP3) in myocardial tissue.In addition,Western blot was used to detect protein expressions of p-PI3K,p-Akt,and p-mTOR in myocardial tissue.Results   Compared with the control group,rats in the HF group presented myocardial fiber rupture and necrosis in the myocardial tissue,inflammatory cell infiltration in the necrotic area,significantly lower LVFS,LVEF,Treg proportion in peripheral blood,TGF-β,IL-10,mRNA level of FOXP3 and protein levels of p-Akt,p-PI3K,and p-mTOR in myocardial tissue,but significantly higher serum ANP and BNP levels,Th17 proportion in peripheral blood,Th17/Treg,IL-17,and mRNA level of RORγt in myocardial tissue(P<0.05).Compared with the HF group,rats in the low-dose rosmarinic acid group,high-dose rosmarinic acid group and enalapril group presented alleviated myocardial tissue damage,significantly higher LVFS,LVEF,Treg proportion in peripheral blood,TGF-β,IL-10,mRNA level of FOXP3 and protein levels of p-Akt,p-PI3K,and p-mTOR in myocardial tissue,but significantly lower serum ANP and BNP levels,Th17 proportion in peripheral blood,Th17/Treg,IL-17,and mRNA level of RORγt in myocardial tissue (P<0.05).BKM120 attenuated the promoting effect of high-dose rosmarinic acid on Th17/Treg balance in HF rats.Conclusion   Rosmarinic acid may promote Th17/Treg balance in HF rats by activating the PI3K/Akt/mTOR signaling pathway.

Objective   To investigate the status quo of psychological distress and social support in elderly inpatients with chronic obstructive pulmonary disease(COPD),and to analyze the correlation between the two,so as to provide reference for clinical intervention.Methods   In March 2023,306 elderly patients with COPD were randomly selected by convenient sampling method from 5 Level Ⅲ Grade A general hospitals in the southeast and northwest of Chengdu City.General data questionnaire,the distress thermometer(DT) and problem list(PL),and the social support rating scale(SSRS) were used to investigate the included subjects.The scores of psychological distress and social support in elderly patients with COPD carrying different characteristics were compared,and the influencing factors of psychological distress in elderly patients with COPD were analyzed by multiple linear regression.Results   A total of 306 valid questionnaires were collected from 340 questionnaires,with an effective rate of 90%.The psychological distress score of the elderly patients with COPD was (5.15±2.16)points,and the incidence of DT≥4 score was 78.76%.The social support score was (35.65±7.18)points.Psychological distress was negatively correlated with social support (r=-0.922,P<0.01).The results of multiple linear regression analysis showed that educational level,number of chronic diseases,course of disease,severity of COPD and social support were the main influencing factors of psychological distress in the elderly patients with COPD.Conclusion   Elderly patients with COPD have moderate level of psychological distress and high incidence,and social support can effectively alleviate their psychological distress.Clinical medical staff should attach great importance to the mental health status of elderly COPD inpatients with low educational level,multiple chronic diseases,long course of disease and serious illness,and actively play the effect of social support to improve their clinical rehabilitation.

Objective   To explore the influencing factors for acute kidney injury (AKI) in patients with severe acute pancreatitis (SAP),and to build a nomogram to predict the risk of AKI based on the influencing factors.Methods   This was a prospective study involving a total of 200 SAP patients admitted in Jiaozuo Second People's Hospital from January 2020 to February 2024.The occurrence of AKI in SAP patients during hospitalization was statistically analyzed,and they were divided into the AKI group and non-AKI group according to whether AKI occurred.The general and clinical data of the two groups were compared,and the influencing factors for AKI occurrence in SAP patients during hospitalization were analyzed by Lasso-Logistic regression.A nomogram was constructed to predict the risk of AKI in SAP patients based on the identified influencing factors.Results   The incidence of AKI in SAP patients during hospitalization was 28.50%(57/200).The age,the acute physiology and chronic health evaluation II (APACHE II) score,peripheral blood triglyceride (TG),total cholesterol(TC),blood glucose,blood calcium,serum interleukin-33(IL-33),and leucine-rich alpha-2-glycoprotein 1(LRG1) levels in the AKI group were significantly higher than those in the non-AKI group,while the peripheral blood albumin(ALB) and serum milk fat globule epidermal growth factor-8(MFG-E8) levels were significantly lower than those in the non-AKI group(P<0.05).Lasso-Logistic regression analysis showed that age,APACHE II score,peripheral blood ALB,serum IL-33,MFG-E8,and LRG1 levels were all factors affecting the occurrence of AKI during hospitalization in patients with SAP (P<0.05).Based on the influencing factors,a nomogram prediction model was constructed.The area under the curve (AUC) of the nomogram in predicting the risk of AKI during hospitalization in SAP patients was 0.849(95%CI:0.786,0.913),and the correlation between the predicted value and the actual value was Dxy=0.699,indicating high predictive performance and joint calibration.  Conclusion   The incidence of AKI in patients with SAP during hospitalization is high,and its influencing factors include age,APACHE II score,and other aspects.Constructing a nomogram based on these influencing factors can provide reliable clinical evidence for predicting the occurrence of AKI in clinical practice.

For a long time,there have been problems such as unscientific,incomplete and many injuries in the physical training of firefighting and rescue teams.On the basis of fully investigating the current status of physical training of firefighting and rescue teams,this paper draws on advanced physical training theories and combines the actual situation of firefighting and rescue teams,and puts forward a complete professional physical training system for firefighting and rescue personnel from the actual fire rescue combat.Based on the advantages of military physical fitness and modern physical fitness training,the preparation activities,basic physical fitness training,fire application physical training,physical functional strength training and recovery and regeneration activities of physical fitness training were scientifically optimized,and specific training programs were put forward.The whole training system has designed detailed training ideas and training movement library,in order to provide reference for the firefighting vocational physical training,so as to optimize the training content,improve the training system,reduce training injuries,improve training quality,and promote the scientific physical training of firefighting and rescue teams.

Abstract: After the reform and transformation, the fire rescue team assumes the important responsibility of preventing and resolving major safety risks and dealing with various disasters and accidents. The author as a medical professional background of fire rescue personnel, combined with the status quo of the current medical aid for fire rescue team, the contrast analysis of the fire department at home and abroad to undertake the task of emergency medical situation, to the responsibility of the national comprehensive fire rescue team tasks, aims at providing a fire rescue team construction and development of medical and rescue work to provide a train of thought.

The fire rescue team is the main and standing force of emergency rescue, undertaking the tasks of disaster rescue and emergency management, and standing on the front line of emergency rescue.During the process of rescue, they usually face a dangerous, complex and changeable environment, resulting in inevitable injuries. Timely, accurate and efficient protection of their health and safety,prevention of the occurrence and spread of diseases, maintaining good psychological literacy,and the best combat condition are the primary responsibilities of our health and logistics support work. It is very important to ensure the health of fire and rescue personnel.This paper reviewed the relevant literatures, sorted out the current medical quality management-related systems and norms, and discussed the mode and mechanism of health and service support,aiming to achieve better rescue results, avoid fire rescue team members being injured in rescue, enhance the rate of healing and return to the team,reduce the disability rate and mortality rate, strengthen the rescue ability of fire rescue teams at the scene of disasters and accidents,and improve the fire rescue system in China.

Objective   To explore the intervention effect of Baduanjin combined with Wuyin therapy in insomnia of patients with chronic hepatitis B.Methods   A total of 126 patients with chronic hepatitis B and insomnia admitted to the First Affiliated Hospital of Nanchang University from February 6, 2023 to January 31, 2024 were selected as the study objects, and were divided into the observation group and the control group with 63 patients in each group by random number table method.The control group received routine nursing intervention,and the observation group received Baduanjin combined with Wuyin therapy on the basis of the control group. Sleep quality, negative emotion score, quality of life, comfort degree and satisfaction degree were assessed in both groups.Results   After intervention, the sleep quality of the observation group was higher than that of the control group, and the difference was statistically significant(P<0.05).The negative emotion score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05), and the quality of life scores of the observation group were higher than that of the control group,the difference was statistically significant(P<0.05).After intervention, the scores of the comfort scale in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05).The total nursing satisfaction in the observation group was 92.06%, higher than that in the control group 79.37%,and the difference between groups was statistically significant(P<0.05).Conclusion   The intervention effect of Baduanjin combined with Wuyin therapy in insomnia patients with chronic hepatitis B is good,which can improve the sleep quality of patients,reduce the negative emotions of patients,improve the quality of life, comfort and nursing satisfaction.

Objective To study the effect exploration of extracorporeal shock waves combined with static balance meter training on old ankle sprains. Methods: Patients with old ankle sprains (104 cases) admitted to the Department of Sports Rehabilitation were taken as the study subjects. Randomly divide into two groups . Respectively an experimental group (52 cases) and a control group (52 cases). On the one hand, the control group, proprioception training. On the other hand, extracorporeal shock wave therapy was added to Static balance meter training. Statistical analysis was conducted using the visual simulation score (VAS) scale, ankle function score (AOFAS) scale, and the degree of ankle swelling (i.e. the difference in ankle circumference) to compare the clinical efficacy of the two groups. Results Before and 2 and 4 weeks after treatment, the ankle score of VAS and score of AOFAS , experimental group was lower than that of the control group, the experimental group was better than that of the control group, and the ankle swelling degree difference of the experimental group was higher than that of the control group. The differences were all statistically significant (P<0.05). Conclusion Extracorporeal shock waves combined with static balance meter training can have obvious effects on treating old ankle sprains, You can choose this plan first.

Objective   To investigate the effects of nursing intervention based on the integrated theory of health behavior change (ITHBC) on frailty,cardiac function indexes and self-care behaviors in elderly patients with chronic heart failure and frailty.Methods   Literature review, expert group meetings and Delphi method were used to construct a nursing intervention plan.A total of 100 elderly patients with chronic heart failure and frailty who were hospitalized in the Department of Cardiology from September 2023 to March 2024 in a tertiary hospital in Heilongjiang Province were selected as the research objects,and they were randomly divided into two groups: the experimental group and the control group.Routine nursing care was given to patients in both groups,and ITHBC-based nursing intervention was additionally performed in the experimental group.Before the intervention,1 month and 3 months after the intervention,the Tilburg frailty indicator,the self-care of heart failure index,the grip strength device,and the N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels were assessed and compared between groups.Results   ①Using the Delphi method,15 experts were consulted,and the effective recovery rates of the two rounds of expert consultation were 88% and 100%,respectively.The expert authority coefficients were 0.903 and 0.924,respectively.The coordination coefficients of the first round were 0.236,0.217,and 0.265,which,in the second round were 0.278,0.235,and 0.319,respectively (P<0.05).②A total of 98 patients completed the intervention,including 49 in the experimental group and 49 in the control group.The frailty and NT-proBNP values in the experimental group were significantly lower than those in the control group at 1 month and 3 months after intervention (P<0.01),and the scores of self-care management behavior and grip strength in the experimental group were significantly higher than those in the control group (P<0.05).Conclusion   ITHBC-based nursing intervention for elderly patients with chronic heart failure and frailty can improve their frailty,cardiac function indicators (NT-proBNP),self-care management behaviors,grip strength levels,and the establishment and maintenance of healthy behaviors,which has clinical reference significance.

Objective   To provide health management services for police academy students by Teach-Back model,to analyze its prevention and control effect on training injuries,so as to provide reference for the prevention of police training injuries.Methods   A total of 2 412 college students who participated in Teach-Back health management training in China People's Police University from September 2021 to November 2024 were set as the observation group,and 2 390 college students in the same grade were set as the control group.Students in both groups participated in intensive military training for enrollment,and the general situation of the two groups was recorded.The knowledge of training injury protection,the degree of training injury knowledge transformation (warm-up rate before training,relaxation rate after training,active participation rate in rehabilitation treatment) and the incidence of training injury were compared between the two groups.Results   There was no significant difference in the distribution of age and gender between the two groups.After Teach-Back health management,the health knowledge mastery of the observation group was better than that of the control group.The excellent rate (71.6% VS 50.2%) and good rate (24.5% VS 20.3%) of the training questionnaire score of the observation group were higher than those of the control group.The medium rate(2.2% VS 25.2%) and the poor (1.7% VS 4.3%) rate were lower than those of the control group,with difference of high statistical significance (P<0.001).The transformation degree of training injury knowledge in the observation group was higher than that in the control group.The warm-up rate before training (75.3% VS 51.2%),the relaxation rate after training (72.6% VS 50.3%),and the active participation rate of rehabilitation treatment (80.5% VS 56.2%) were different with high statistical significance between the two groups (P<0.001).The incidence of training injury in the observation group was lower than that in the control group,and the incidence of bone and joint injury (16.5% VS 35.2%) and soft tissue injury (18.2% VS 38.6%) were different with high statistical significance between the two groups(P<0.001).Conclusion   Teach-Back health management can significantly improve the cognition and behavioral transformation of police academy students to training injuries,reduce the incidence of training injuries,and provide a new idea for the prevention and control of military training injuries.

Objective   To observe the effects of acupoint application of evodia powder combined with Benson relaxation on sleep disorders and fatigue state in patients with chronic renal failure.Methods   A retrospective analysis was conducted on the data of 108 patients with chronic renal failure diagnosed and treated in Nantong Hospital of Traditional Chinese Medicine from April 2023 to April 2024.All patients had sleep disorders and fatigue symptoms.According to different intervention methods,they were divided into control group and observation group,with 54 cases in each group.The control group was treated with Benson's relaxation method,and the observation group was treated with acupoint application of evodia powder combined with Benson's relaxation method.The degree of sleep disorder,fatigue state,quality of life and patient satisfaction after intervention were compared between the two groups.Results   After intervention,the scores of self-rating scale of sleep(SRSS) and Pittsburgh sleep quality index(PSQI) in the observation group were lower than those in the control group; After intervention,the multidimensional fatigue symptom invento'ry-short form(MFSI-SF) and functional assessment of chronic illness therapy(FACIT) scores in the observation group were better than those in the control group.After intervention,the scores of SF-36,kidney disease-targeted areas(KDTA) in the observation group were higher than those in the control group.The total satisfaction rate of intervention in the observation group was 94.44%,higher than that in the control group 79.63%,with difference of statistical significance (P<0.05).Conclusion   Acupoint application of evodia powder combined with Benson's relaxation can improve sleep disorder and fatigue of patients with chronic renal failure,and can improve the quality of life and satisfaction of patients.

Objective   To explore the effect of perioperative exercise prescription in elderly patients with lung cancer undergoing thoracoscopic surgery.Methods   According to the random number table, 200 elderly patients with lung cancer undergoing thoracoscopic surgery treated in Guangdong People's Hospital Affiliated to Southern Medical University from October 2023 to March 2024 were divided into control group (100 cases) and exercise group (100 cases). The control group was given routine nursing, and the exercise group was given perioperative exercise prescription on the basis of the control group. The inflammatory indexes, thoracic drainage, pulmonary infection, disease outcome, nursing quality and exercise self-efficacy scores were compared between the two groups.Results   The C-reactive protein (52.21±14.21)mg/L and white blood cell count (10.32±2.18)109/L in the exercise group 24 h after surgery were lower than those in the control group (57.23±15.64)mg/L and (11.82±2.76)109/L(P<0.05). Thoracic drainage volume 24 h after surgery in the exercise group (257.50±50.37)mL was higher than that in the control group (190.11±39.73)mL(P<0.05). The drainage tube bearing time in the exercise group (3.60±1.20)d was shorter than that in the control group (4.40±1.50)d(P<0.05). The pulmonary infection in the exercise group was lower than that in the control group (P<0.05). The rates of ICU transfer and sputum aspiration in the exercise group were 3.00% and 5.00% respectively, lower than those in the control group (10.00% and 13.00%, P<0.05). The length of hospitalization in the exercise group (5.86±2.17)d was shorter than that in the control group (6.91±1.83)d(P<0.05). The nursing quality scores (86.26±5.30) and self-efficacy scores (71.60±15.35) in the exercise group were better than those in the control group (78.65±10.37) and (57.17±15.41),P<0.05.Conclusion   Perioperative exercise prescription can improve inflammatory indexes, shorten hospital stay and improve exercise self-efficacy in elderly patients with lung cancer undergoing thoracoscopic surgery.

Objective   To investigate the therapeutic effect of the combined treatment of pattern visual evoked potential-CD(PVEP-CD) and visual virtual reality training on children with severe amblyopia.  Methods   A total of 286 children(526 eyes) with severe amblyopia who were treated in Jiaozuo Maternal and Child Health Hospital and Henan Eye Hospital & Henan Eye Institute from June 2020 to July 2024 were selected as the research subjects.They were randomly divided into two groups using a random number table method,namely the control group(143 cases,259 eyes) and the observation group(143 cases,267 eyes).Patients in the control group were given visual virtual reality training,and those in the observation group were given PVEP-CD treatment plus visual virtual reality training.Patients in both groups were treated for 6 months.The efficacy,binocular near stereoscopic acuity grading,best corrected visual acuity(BCVA),foveal thickness,thickness of the outer nuclear layer of the parafovea,P100 latency,and amplitude were compared between the two groups.  Results   The total effective rate of patients in the observation group was significantly higher than that of the control group(96.63% [258/267] VS 89.58%[232/259],P<0.05).After 6 months of treatment,the binocular near stereopsis acuity grading of both groups was improved than the pre-treatment value,which was significantly better in the observation group than the control group(P<0.05).After 3 and 6 months of treatment,the LogMAR scores of both groups were reduced than pre-treatment values.The LogMAR scores after 3(0.72±0.10) VS (0.82±0.12) and 6 months of treatment(0.62±0.07) VS (0.74±0.10) were significantly lower in the observation group than the control group(both P<0.05).After 6 months of treatment,the latency of P100 wave in both groups was reduced than the pre-treatment value.It was significantly lower in the observation group than the control group(105.85±9.08)ms VS (110.45±10.41)ms,P<0.05.The amplitude of P100 wave was elevated after treatment than the pre-treatment value in both groups,which was significantly higher in the observation group than the control group(14.95±3.23)μV VS(13.37±3.01)μV(P<0.05).After 6 months of treatment,the thickness of the fovea centralis and the outer nuclear layer of the fovea paracentralis in both groups were elevated than the pre-treatmentvalue(P<0.05).However,there was no significant difference between the groups(P>0.05).  Conclusion   The treatment of PVEP-CD combined with visual virtual reality training for children with severe amblyopia has good effects,which can adjust the transmission and processing path of visual information,enhance the binocular near stereoscopic acuity,and improve the vision level of children.

Objective   To study the effects of acupoint application combined with time-selected thunderfire moxibustion on negative emotion， pain degree， gastrointestinal hormone level and quality of life in patients with spleen-stomach asthenic cold stomach epigastric pain.Methods   A total of 82 patients with spleen and stomach asthenic cold type epigastric pain were selected from Zhengzhou Hospital of Traditional Chinese Medicine from July 2023 to September 2024， and divided into groups by random number table. 41 cases in the conventional group were given acupoint application treatment， and 41 cases in the combined group were given combined treatment with timed fire moxibustion. Negative emotions， pain degree， gastrointestinal hormone level and quality of life of the two groups were compared.Results   After treatment， the serum levels of motilin(MLT) and gastrin(GAS) in the combined group were (290.53±16.33)ng/L and (52.18±5.90)pg/mL， respectively. It was higher than that in conventional group (278.41±13.37)ng/L and (48.56±4.41)pg/mL(P<0.05). After treatment， the visual analogue score(VAS) of the combined group was (1.97±0.35)points， lower than that of the conventional group (2.63±0.49)points (P<0.05). After treatment， the HAMA and HAMD scores of the combined group were (8.32±2.50)points and (8.07±1.99)points， which were lower than those of the conventional group (10.83±2.43)points and (10.56±2.47)points， respectively. The score of GQOL-74 in the combined group was (87.54±4.94)points， which was higher than that in the conventional group (83.88±5.67)points(P<0.05).Conclusion   Acupoint application combined with timing lightning fire moxibustion can effectively regulate the level of gastrointestinal hormone， relieve pain degree， improve negative emotion and improve quality of life in patients with spleen and stomach deficiency and cold type gastric epigastric pain.

Objective   To analyze and sort out the current status, hot spots and trends in the field of  psychological resilience of diabetic patients in China,and provide reference for the in-depth development and practice of the field of psychological resilience of diabetic patients in the future.Methods   A comprehensive search was conducted for the relevant studies on the psychological resilience of diabetic patients in the CNKI(China National Knowledge Infrastructure) database from the establishment of database to August 6 2024.Relevant data were extracted and imported into CiteSpace software,and data such as authors, institutions and keywords of the included literatures were clustered and co-occurrence analyzed.Results   A total of 191 literatures were obtained through searching, and 141 valid literatures were obtained. The high-frequency keywords are "mental toughness" "diabetes" and "psychological resilience", and the newer mutant words are "empowerment education""social support" and "intermediary role".The research focus and frontier in the field of psychological resilience of diabetic patients are mental toughness, diabetes, psychological resilience, quality of life,self-efficacy and so on.Conclusion   China's diabetic patients pay more attention to psychological resilience,but the relevant research on psychological resilience started late. Universities and hospitals should strengthen cooperation, comprehensively study the relationship between diabetic patients and psychological resilience,combine it with clinical treatment,and establish a complete psychological resilience related treatment system, so as to improve the mental health and quality of life of diabetic patients, and further promote the improvement of diabetes treatment effect.

Objective   To thoroughly analyze the hotspots and cutting-edge trends of palliative care in cancer research at home and abroad, thus providing valuable references in domestic research, promoting the development of palliative care in China,and offering better nursing care to cancer patients and their family members.Methods    Relevant literatures were searched from the Web of Science Core Collection and CNKI, and analyzed using CiteSpace for information mining.Results   A total of 2 086 English-language articles and 817 Chinese-language articles were included. The research hotspots and frontiers focused on pain management, psychological care, advance care planning, shared decision-making, and quality assessment of palliative care for cancer patients.Conclusion   The number of studies on palliative care in the field of cancer treatment shows a gradually increasing trend, especially in China, where the current level of research is still in its infancy but has already attracted widespread attention and emphasis. To further promote the development of palliative care for cancer patients in our country, we can draw on advanced experiences and research findings in this field from abroad, combine them with the actual situation in China, and explore and develop a set of palliative care models suitable for our national conditions.

Low back pain(LBP) is one of the common diseases in the department of orthopedics and rehabilitation, which can be divided into specific low back pain(SLBP) and nonspecific low back pain(NSLBP) according to the etiology.Among them, NSLBP accounts for about 85% of LBP,which not only seriously affects the quality of life of patients,but also leads to the loss of work ability of patients and increases the economic burden of family and society.Therefore,the treatment of NSLBP has been a hot spot in clinical research.Comprehensive rehabilitation therapy such as medicine,physics, traditional Chinese medicine and exercise is the main means of NSLBP treatment. Seeking safe and effective methods among various rehabilitation treatment means is the focus of clinical research,which is worthy of further discussion.To this end,the author consulted the relevant literature in recent years,and summarized the rehabilitation therapy of NSLBP from the aspects of drug therapy,traditional Chinese medicine rehabilitation therapy,physical therapy,exercise therapy and multidisciplinary comprehensive rehabilitation therapy,in order to provide certain reference for the rehabilitation therapy of NSLBP.

Insomnia is a common clinical problem with a strong tendency towards recurrence and chronic persistence,which seriously damages the physical and mental health of patients and leads to mental and physical illnesses.Clinical interventions such as drug therapy,physical therapy,and psychological therapy used to be conventional treatment approaches of insomnia.However,the overall effect is not ideal,and long-term medication can easily cause varying degrees of adverse reactions and even drug resistance.Traditional Chinese medicine(TCM) therapy in China has a long history and a wide range of clinical applications,reflecting good application advantages.Acupuncture is a common type of TCM external treatment that is widely used in clinical practice because of the simple operation,safety and reliability.It can effectively treat insomnia,with an acceptable curative effect.Through sorting out and analyzing the relevant literatures,this review briefly explored the understanding of insomnia in TCM,described the TCM syndrome type of insomnia,and summarized research progress in acupuncture treatment of insomnia,thus illustrating the scientific basis for acupuncture in treating insomnia,and providing practical treatment methods for clinical treatment of insomnia.

In frigid plateau regions,the unique geographical environmental characteristics of high-altitude,cold temperature,low pressure,hypoxia,and dry climate,there are numerous challenges in the treatment of combat trauma patients that significantly affect the success rate of medical interventions.Environmental stress and trauma-induced stress synergistically exacerbate metabolic disorders,leading to impaired physiological functions,severe inflammatory responses,and compromised immunity and tolerance in patients.These factors collectively delay wound healing and prolong the recovery process.An appropriate nutritional support plays a crucial role in maintaining intestinal mucosal barrier function,reducing bacterial translocation,alleviating metabolic disorders,preserving organ function,enhancing immune responses,and ultimately promoting favorable trauma recovery outcomes.Therefore,this review examined the impact of environmental factors,trauma types,injury locations and severity,and nutritional protocols on the implementation of nutritional support.The aim is to provide a reference for the development of scientifically sound nutritional support strategies and post-trauma nutritional management protocols for combat trauma patients in frigid plateau regions.

Adolescent idiopathic scoliosis（AIS） is a three-dimensional spinal deformity, which is a kind of non-structural scoliosis, and the clinical manifestations are scoliosis syndrome. Due to the reversibility of non-structural scoliosis, the pelvis is anatomically the base of the entire spine and is connected by muscles and ligaments, and from a biomechanical point of view, the spine-pelvis-hip is the biomechanical basis of the human body for upright walking and balance movement, and the two affect each other. This article emphasizes that in the treatment of adolescent idiopathic scoliosis, starting from the pelvis, it provides a new treatment idea.

In the realm of modern medicine, artificial intelligence(AI) technology has brought revolutionary changes to the field of chronic disease management with its rapid development momentum.The combination of traditional Chinese medicine(TCM), a medical wisdom that has been sedimented for thousands of years,and AI technology heralds a trans-era medical innovation. The author aims to deeply discuss the application status,potential value and challenges of AI in TCM chronic disease management, so as to provide theoretical reference for future research and practice.By analyzing the application of AI technology in improving diagnostic accuracy,personalized treatment plan, patient monitoring and management,this paper reveals the great potential of the combination of AI and TCM, and puts forward opinions on the challenges of intelligent TCM syndrome differentiation and treatment and optimization of TCM formula.Finally,this paper calls for strengthening interdisciplinary cooperation to realize the intelligence and precision of chronic disease management and bring better medical services to patients.

Objective To investigate the chronic disease prevention and control literacy level of young officers and soldiers of a military branch，and analyzing the influencing factors so as to provide a basis for the formulation of health policies and health intervention measures on chronic diseases. Methods The Chinese Citizen Health Literacy Questionnaire compiled by China Health Education Center was issued to ordinary officers and soldiers to find out their chronic disease prevention and control literacy in 2021. Based on χ2 test and multivariate unconditional logistic regression analysis, the influencing factors were identified. Results A total of 20210 officers and soldiers were surveyed and 18798 valid questionnaires were collected. The level of chronic disease prevention and control literacy of this branch was 25.49%, lower than the national level in the same year (26.67%). “Children and adolescents may also suffer from depression” had the highest awareness rate as 88.61%. “Early warning signs of cancer” has the lowest awareness rate as 22.52%. The differences among different gender (χ2=35.915), age (χ2=4157.847), education level (χ2=427.373), father’s education level (χ2=12.030), hometown (χ2=4.112), smoking condition (χ2=162.270), drinking condition (χ2=10.927), suffering from chronic diseases (χ2=5.142) and self-assessed health status (χ2=18.914) were statistically significant (P<0.05). Multivariate logistic regression analysis showed that age, education level, smoking , suffering from chronic diseases, self-assessed health status were the main factors affecting the level of chronic disease prevention and control literacy. Conclusion The literacy of chronic disease prevention and control should be improved urgently, and the population with younger age, lower education level, smoking, chronic diseases and low self-assessed health status should be taken as the target groups for chronic disease prevention and control.

Objective   To explore the current situation of work-related musculoskeletal disorders (WMSDs) among manufacturing workers in Zhaoqing and influencing factors.Methods   A total of 500 manufacturing workers who underwent physical examination in Zhaoqing Dermatological Hospital and the First People's Hospital of Zhaoqing from November 2023 to September 2024 were selected to investigate the occurrence of WMSDs, and the risk factors of WMSDs in manufacturing workers were analyzed.Results   The incidence of WMSDs among 500 manufacturing workers was 77.20% (386/500). The prevalence rate of WMSDs in the neck, shoulder, elbow, wrist/hand, upper back, lower back, hip/thigh, knee and ankle/foot was 53.60%, 42.40%, 16.60%, 34.40%, 37.20%, 61.20%, 16.80%, 8.40% and 26.20%, respectively. Multivariate analysis showed that female sex, improper working posture, weight of heavy objects >5 kg, exposure to vibration, large bending or turning, frequent overtime work, post shift fatigue, no work autonomy, cold wind or temperature involved in work were the high-risk factors for the occurrence of WMSDs in Zhaoqing manufacturing workers (P<0.05). Physical exercise≥1 time/week and shift work were the protective factors (P<0.05).Conclusion   WMSDs of Zhaoqing manufacturing workers are more likely to occur in the neck and shoulder. The occurrence of WMSDs is the result of a variety of factors. According to the factors, the corresponding intervention measures are formulated, which is expected to prevent or reduce the occurrence of WMSDs.

Objective   To explore the aeromedical evaluation of benign paroxysmal positional vertigo (BPPV) in civil aviation flight trainees，to enhance the understanding and identification of common peripheral vertigo diseases， and to provide a basis for the standards and guidelines of aeromedical evaluation in civil aviation.Methods   By retrospectively analysing the clinical diagnosis， treatment and aeromedical evaluation of 2 cases of BPPV and 1 case of misdiagnosed BPPV，and combining with the literature，we put forward the ideas and suggestions for the medical evaluation of BPPV in civil aviation pilots.Results   The conclusion of aeromedical evaluation of 2 cases of BPPV flight trainees was as follows:1 case was qualified for licensing identification; 1 case voluntarily applied for grounding and change of speciality;1 case misdiagnosed as BPPV was diagnosed as superior canal dehiscence syndrome，and the identification was unqualified.Conclusion   The aeromedical evaluation of BPPV should be based on detailed medical history，combined with specialised physical examination and comprehensive vestibular function assessment，while other diseases should be excluded for scientific evaluation according to the specific situation，and psychological assessment should be conducted when necessary.