Objective   To explore the clinical efficacy of Sancao Lidan Decoction in treating cholecystitis of liver-gallbladder damp-heat type.Methods   A total of 82 patients with cholecystitis of liver-gallbladder damp-heat type treated in the Dancheng County Hospital of TCM from May 2023 to May 2024 were selected as the research objects.They were divided into the study group(n=41,receiving basic treatment plus Sancao Lidan Decoction) and control group(n=41,receiving basic treatment) according to different treatment methods.The treatment effects and adverse events of the two groups were compared.The traditional Chinese medicine(TCM) syndrome scores,imaging indicators,and serum indicators (total bile acid[TBA],aspartate aminotransferase[AST],gallbladder contractile function,gallbladder wall thickness) before and after treatment,and inflammatory indicators (tumor necrosis factor-α[TNF-α],interleukin-8 [IL-8],interleukin-6[IL-6]) were compared.Results   After 6 weeks of treatment,the total effective rate in the study group was significantly higher than that in the control group (92.68% VS 63.41%,P<0.05).After 6 weeks of treatment,the scores for TCM symptoms,such as bitter taste in the mouth,dry mouth,right flank pain,abdominal distension,and heavy body feeling and fatigue were significantly lower in the study group than the control group(P<0.05).After 6 weeks of treatment,the levels of TBA,gallbladder wall thickness,and AST in the study group were significantly lower than those in the control group,while the gallbladder contraction function was highe(P<0.05).After 6 weeks of treatment,the levels of serum TNF-α,IL-8,and IL-6 in the study group were significantly lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse events between the study group and the control group (9.76% VS 4.88%,P>0.05).Conclusion   For patients with cholecystitis of liver-gallbladder damp-heat type,Sancao Lidan Decoction can improve treatment efficacy and imaging indicators,reduce inflammatory response,and promote rapid recovery.

Objective   To compare the efficacy of percutaneous poking reduction and fixation with open reduction by internal fixation for Sanders type Ⅲ calcaneal fractures.Methods   A total of 90 patients with Sanders type Ⅲcalcaneal fractures treated in the Xinyu People's Hospital from April 2020 to April 2024 were prospectively selected.Patients were randomly assigned to control group (open reduction internal fixation) and study group (percutaneous poking reduction and fixation),with 45 cases per group.They were postoperatively followed up for 1 year.Postoperative excellent-good rate,Bohler's angle,Gissane's angle,surgical metrics,and complications were compared.Results   Postoperative excellent-good rates(88.89% VS 86.67%),and preoperative and postoperative Bohler's angle and Gissane's angle were comparable between groups (all P>0.05).Postoperative Bohler's and Gissane's angles were significantly elevated in both groups compared to preoperative values.The study group demonstrated significantly shorter operative time,less intraoperative bleeding,smaller incisions,and shorter hospitalization than the control group,along with a lower complication rate (4.44% VS 20.00%) (all P<0.05).Conclusion   Both techniques achieve favorable outcomes and functional recovery,while percutaneous poking reduction and fixation demonstrates superior surgical metrics,fewer complications,and enhanced patient recovery potential.

Objective   Based on the mechanisms of Qi and Jin injuries,this study investigated the clinical efficacy of traditional Chinese medicine Shengmai Decoctionin treating gout induced by exercise fatigue.Methods   A total of 132 gout patients induced by exercise fatigue from April 2020 to December 2024 were selected and randomly divided into the control group(65 cases) and study group(67 cases) using the envelope method.Patients in both groups were treated with colchicine and meloxicam,and those in the study group were additionally given oral Shengmai Decoction.The total effective rate,pain severity score,pain duration,fatigue score,and changes in blood uric acid and creatine kinase levels were compared between groups.Results   After treatment,the total effective rate of the study group was significantly higher than that of the control group,and the duration of pain was significantly shorter than that of the control group ([48.95±8.74]h VS [56.32±9.05]h,P<0.05).The scores of pain degree ([1.65±0.61]points VS [2.38±0.76]points) and fatigue degree ([25.45±10.83]points VS [35.69±11.02]points) were significantly lower in the study group than the control group(P<0.05).Blood uric acid ([365.83±64.25]μmmoL/L VS [423.75±69.38]μmmoL/L) and creatine kinase ([172.41±44.63]U/L VS [285.36±59.45]U/L) were significantly lower in the study group than the control group (P<0.05).Conclusion   Qi and Jin injuries are the early pathogenesis of gout attacks after exercise fatigue,and traditional Chinese medicine Shengmai Decoction has shown good clinical efficacy in treating them.

Objective   To explore the impact of gut microbiota imbalance on the prognosis of decompensated liver cirrhosis.Methods   A total of 100 patients with decompensated liver cirrhosis in the Third People's Hospital of Zhengzhou from June 2021 to June 2024 were selected as the study group.Routine treatment was given to all patients upon admission,and the abundances of gut microbiota(Bifidobacterium,Lactobacillus,Escherichia coli,Enterococcus) were measured before treatment.Additionally,100 patients with liver cirrhosis compensation and 100 healthy individuals who underwent physical examinations during the same period were included as control group 1 and control group 2,respectively.The gut microbiota of the three groups was compared.After 6 months of follow-up,patients were divided into the good prognosis group and poor prognosis group based on their survival status.Baseline data and gut microbiota counts were compared between the two groups,and Cox regression analysis was used to determine the relationship between gut microbiota and the prognosis of decompensated liver cirrhosis.The receiver operating characteristic(ROC) curve was drawn,analyzing the value of gut microbiota imbalance in predicting the prognosis of decompensated liver cirrhosis.Results   The abundances of Bifidobacterium and Lactobacillus in the study group were significantly lower than the control group 1,and those in the control group 1 were significantly lower than the control group 2.The abundances of Escherichia coli and Enterococcus in the study group were significantly higher than the control group 1,and those in the control group 1 were significantly higher than the control group 2(P<0.05).During the 6-month follow-up period,14 out of 100 patients in the study group died,accounting for 14.00% (14/100).The Child-Pugh grading,model of end-stage liver disease(MELD) score,and proportion of combined malnutrition in the poor prognosis group were significantly different from those in the good prognosis group(P<0.05).The abundances of Bifidobacterium and Lactobacillus in the good prognosis group were significantly higher than the poor prognosis group,while the abundances of Escherichia coli and Enterococcus were significantly lower than the poor prognosis group(P<0.05).According to Cox regression analysis,Child-Pugh grading,MELD score,combined malnutrition,Bifidobacterium,Lactobacillus,Escherichia coli,and Enterococcus were significantly correlated with the prognosis of decompensated cirrhosis(P<0.05).ROC curveshowed that the area under the curve(AUC) of abundances of Bifidobacterium,Lactobacillus,Escherichia coli,and Enterococcus in predicting the prognosis of decompensated liver cirrhosis alone or in combination was all greater than 0.7,which had certain predictive value,and the combined predictive value was higher.Conclusion  Patients with decompensated liver cirrhosis have a higher probability of experiencing gut microbiota imbalance,and gut microbiota imbalance can increase the risk of poor prognosis in patients with decompensated cirrhosis,and can predict patient prognosis to some extent.

Objective   To analyze the comprehensive rehabilitation effect of Dandong Wulongbei Hot Spring combined with Tai-Chi therapy on hypertension patients.Methods   A total of 254 hypertension patients who participated in the rehabilitation in Wulongbei Sanatorium Area of Dalian Rehabilitation and Sanatorium Center from April 2022 to April 2024 were selected.They were randomly divided into the control group and experimental group using a random number table method,with 127 cases in each group.Patients in both groups were medicated with oral amlodipine tablets,while those in the experimental group were additionally treated with hot spring combined with Tai-Chi therapy.Blood pressure levels,anxiety scores,body mass index(BMI),and sleep latency,sleep duration,subjective sleep quality and use of sleeping medication in the Pittsburgh sleep quality index(PSQI) after 3 months of treatment were compared between groups.Results   There was no significant difference in the pre-treatment blood pressure between groups(P>0.05).After three months of intervention,the systolic blood pressure ([125.61±7.14]mmHg VS [137.65±5.32]mmHg,1 mmHg=0.133 kPa) and diastolic blood pressure ([75.30±4.10]mmHg VS [83.80±3.40]mmHg) in the experimental group were significantly lower than the control group(P<0.05).The self-rating anxiety scale (SAS) score was significantly lower in the experimental group than the control group ([32.19±4.72]points VS [39.29±5.45]points, P<0.05).After interventions,the sleep duration score in the control group was significantly lower than the pre-treatment value ([2.23±0.69]points  VS  [2.72±0.34]points,P<0.05).In the experimental group,post-treatment scores of sleep latency ([1.68±0.19]points VS [2.71±0.46]points),sleep duration ([1.78±0.43]points VS [2.67±0.85]points) and sleep quality ([1.56±0.72]points VS [2.52±0.26]points) were significantly decreased(P<0.05).Post-treatment scores of sleep latency and sleep quality were elevated in the control group,although no significant differences were detected.Post-treatment outcomes were more reduced in the experimental group than the control group(P<0.05).Pre-treatment BMI was comparable between groups(P>0.05),and it was reduced in both groups after treatment,but no significant difference was detected between groups(P>0.05).Dosages of sleep medications after treatment were significantly lower in the experimental group than the control group([4.08±1.43]mg VS [5.35±1.74]mg,P<0.05).Conclusion   Dandong Wulongbei Hot Spring combined with Tai-Chi therapy shows pronounced outcome of comprehensive rehabilitation of hypertension.

Objective   To explore the application value of suspension techniques combined with functional training in the rehabilitation of staff for special services with knee joint injuries.Methods   A total of 110 patients with knee joint injuries treated from December 2023 to December 2024 were selected.They were randomly divided into two groups, each consisting of 55 patients.Patients in the control group received routine care,while those in the observation group underwent suspension techniques combined with functional training.Knee function, pain level and quality of life before and after treatment were compared between groups.Results   Before interventions,there were no significant differences in the scores of pain, function,range of motion,muscle strength, flexion deformation,and stability between the two groups(all P>0.05).After interventions,the HSS scores of the observation group were higher than those of the control group, and the differences were statistically significant(P<0.05).Before interventions,there was no difference in the numerical rating scale(NRS) scores between the two groups(P>0.05).NRS score after interventions was significantly lower in the observation group than the control group([2.11±0.24]points VS [4.08±0.23]points, P<0.001).The score of quality of life before interventions was comparable between group(P=0.104), which, after interventions, was significantly higher in the observation group than the control group(t=68.773,P<0.001).Conclusion   The combination of suspension techniques and functional training is effective in treating knee joint injuries.It not only significantly improves knee joint function but also helps to alleviate pain and enhance quality of life,making it a recommended approach.

Objective   To investigate the effect of one-piece ultrasonic concentric puncture in percutaneous nephrolithotomy(PCNL).Methods   A total of 120 patients with upper urinary tract stones who received PCNL in Fuzhou Dongxiang District People's Hospital from January 2024 to March 2025 were selected.They were randomly divided into two groups with 60 cases in each group according to random number table method.Non-concentric puncture was performed in the control group,and one-piece ultrasound concentric puncture was performed in the study group.The perioperative indexes,hemostasis under blood transfusion and intervention,puncture accuracy,puncture time and postoperative complications were compared between the two groups.Results   The operation time ([27.44±4.36]min VS [37.25±4.51]min) and the total hospital stay ([4.03±1.06]d VS [5.12±1.12]d) of the study group were both significantly shorter than those of the control group(P<0.05).Postoperative blood loss within 24 h ([9.55±2.12]g/L VS [13.35±2.62]g/L) and intraoperative blood loss ([9.55±1.65]mL VS [16.25±2.35]mL) were significantly less in the study group than those of the control group(P<0.05).Blood transfusion treatment and hemostasis under intervention were not reported in the study group,showing no significant differences than the control group (3.33% and 1.67%,respectively),P>0.05.The one-time puncture success rate (90.00% VS 75.00%) and the total puncture success rate (100% VS 90.00%) of the study group were significantly higher than those of the control group(P<0.05).Significantly shorter duration of puncture ([4.81±0.66]min VS [6.25±1.21]min) and lower incidence of postoperative complications (5.00% VS 16.67%) were detected in the study group than the control group(P<0.05).Conclusion   One-piece ultrasound concentric puncture during PCNL operation can reduce blood loss,improve puncture accuracy,shorten puncture time,reduce the incidence of postoperative complications and promote rehabilitation.

With the advancement of the information and digital waves,digital health,as a product of the deep integration of information technology and medical and health care,has developed rapidly,and the importance of digital health literacy has become increasingly prominent.This article,through a systematic review of relevant literature,explores the current situation of digital health literacy among Chinese residents and its influencing factors.At present,the gap in digital health literacy between urban and rural areas in China is gradually narrowing,but there are still regional and population differences.The digital health literacy level of urban residents is generally higher than that of rural residents.Personal factors(such as age,family situation,job differences,educational attainment and economic level),social environmental factors(such as medical security conditions and regional economic and medical information differences),as well as digital resource factors(including the accessibility of digital resources and residents' attitudes towards digital health information) all have a significant impact on digital health literacy.In the future,multi-center,large-sample cross-sectional surveys and longitudinal studies need to be carried out to comprehensively assess residents' digital health literacy,and based on this,targeted intervention strategies should be developed to enhance the digital health literacy level of the entire population.

Hot springs serve as a pivotal avenue for human exploitation of geothermal resources.Their distinctive physical and chemical properties exhibit significant comprehensive benefits in the aspects of power generation,heating,agriculture,daily life and production,tourism,health,and wellness.Hot springs are strategic resource imbued with natural,economic,health,and cultural significance.China has various hot spring resources,with a broad distribution and significant economic value.Mastering the distribution of hot spring resources in China,understanding the mechanisms,main effects,discomfort and prevention of hot spring health care,and looking forward to the development trend of hot spring health care contribute to better development and use of hot spring resources.It also favors regional economic development,the implementation of the Healthy China Action,and harmonious coexistence between man and nature.Hot spring healthcare presents novel treatment alternatives for numerous diseases.As a non-pharmaceutical therapy,hot spring is developed towards differentiation and personalization.The development and utilization of hot spring resources can start from formulating reasonable industrial plans,improving public awareness,enhancing the added value and competitiveness of the hot spring industry,driving the development of related industries,and exploring and inheriting Chinese hot spring culture.

Patients with chronic kidney disease(CKD) progressing to end-stage renal disease rely on maintenance hemodialysis(MHD) for survival.However,long-term dialysis is often accompanied by multidimensional functional decline,including muscle atrophy,reduced cardiopulmonary function,and psychological disorders,severely impairing quality of life.This study systematically elucidates the mechanisms of a functionally stratified,stepwise exercise intervention in delaying functional decline among MHD patients and establishes a standardized clinical practice pathway.Using tools such as the modified Barthel index(MBI),6-minute walk test,and grip strength test,patients are stratified into three functional tiers:bedridden,semi-bedridden,and self-care.Tailored exercise prescriptions are then implemented:bedridden patients receive active/passive joint mobilization and respiratory training to prevent pressure ulcers and contractures;semi-bedridden patients undergo balance and transfer training to restore basic mobility;self-care patients engage in aerobic and resistance exercises to mitigate sarcopenia and cognitive decline.Evidence demonstrates that this stepwise intervention significantly enhances muscle mass and strength(via resistance training),improves cardiopulmonary endurance and metabolic regulation(via aerobic exercise),and alleviates anxiety and depression by modulating neurotransmitter release(e.g.,endorphins) and cerebral blood flow,thereby disrupting the "fatigue-reduced activity-functional decline" vicious cycle.The protocol integrates physiological and psychological interventions,emphasizing dynamic assessments and adaptive strategies(e.g.,adjusting exercise prescriptions every 3-6 months),optimizes exercise timing and intensity relative to dialysis cycles,and ensures safety and efficacy.Future multicenter,long-term studies are warranted to validate cost-effectiveness and broader applicability,providing evidence-based strategies for preserving functional capacity in MHD patients.

Objective   To analyze the current state,primary areas of interest,and emerging trends in pressure injury research,both domestically and internationally over the past decade,thus providing references for clinical nursing practice.Methods   Publications about pressure injuries from January 2013 to December 2023 were systematically searched in the China National Knowledge Infrastructure(CNKI),Wanfang Data Knowledge Service Platform,VIP Information Chinese Journal Service Platform and Web of Science.CiteSpace version 6.2.R3 software was used to conduct a visualization analysis including authors,institutions,countries,and keywords.Co-occurrence maps for authors,institutions,and countries,as well as co-occurrence,clustering,time zone,and burst word maps for keywords were generated.Results   A total of 5 152 Chinese-language articles and 4 178 English-language articles about pressure injury were searched.The results indicated a consistent increase in publication volume both nationally and internationally since 2013.The domestic publication trend displayed an inverted "V" shape,characterized by an initial increase followed by a subsequent decline,while the international trend revealed a steady upward trajectory.The primary research focal points,both domestically and internationally,encompassed the early identification of risk factors for pressure injuries,a widely acknowledged area of inquiry,and precision-customized prevention strategies for pressure injuries,which exhibited varying emphases across domestic and international contexts.The frontiers of research on pressure injuries were continually evolving,necessitating increased attention to orthopedics and innovative dressing materials.Conclusion   The research on pressure injuries both nationally and internationally,indicate a general increase in its prevalence.It is essential for clinical nursing personnel to incorporate contemporary research trends to formulate targeted prevention strategies for pressure injuries.Furthermore,they should become acquainted with the utilization of innovative wound dressings to reduce the risk of these injuries.

Rapid analgesia plays a crucial role in battlefield treatment and is of vital importance for maintaining the stability of the vital signs of the wounded.After trauma occurs, the vital signs of the injured often fluctuate due to pain.Timely pain relief can effectively prevent the deterioration of vital signs caused by pain.Meanwhile,pain is one of the important inducing factors of post-traumatic stress disorder (PTSD),and rapid analgesia can significantly reduce the risk of PTSD occurrence.In addition,rapid and effective analgesia can enable the wounded to better cooperate with treatment and improve the efficiency of battlefield treatment.This article provides an in-depth and systematic review of the neurobiological mechanisms of pain,analyzing the principles of pain generation from aspects such as neural conduction pathways.Meanwhile, the biochemical assessment indicators of war trauma pain,such as inflammatory factors, and their association with pain are elaborated in detail.It also combines advanced analgesic drugs and technologies of modern medicine,as well as characteristic treatment methods of traditional Chinese medicine such as acupuncture and herbal medicine,to comprehensively explore the application prospects of multimodal analgesic strategies in the treatment of war trauma pain.By integrating existing research results and clinical practice experience, the aim is to provide solid theoretical support and practical guidance for rapid analgesia of war trauma.

Objective  To investigate the value of plasma heme oxygenase-1(HO-1),apolipoprotein B(ApoB),homocysteine(Hcy) combined with real-time shear wave elastography(SWE) in evaluating the lesion degree of nonalcoholic fatty liver disease(NAFLD).Methods   A total of 150 patients diagnosed with NAFLD in Henan Provincial People's Hospital from May 2022 to May 2024 were selected as the NAFLD group,and another 150 healthy volunteers were selected as the control group.The parameters of HO-1,ApoB,Hcy and SWE of the two groups were compared,and stratified comparative analysis was performed according to the degree of fatty liver lesions.Results   Serum alanine aminotransferase(ALT),aspartate aminotransferase(AST),triglycerid(TG),and total cholesterol(TC),liver hardness and spleen hardness in the NAFLD group were significantly higher than the control group(P<0.05).The measured values of HO-1,ApoB and Hcy in NAFLD group were significantly higher than the control group(P<0.05).Among 150 NAFLD patients,41 had mild disease,63 had moderate disease,and 46 had severe disease.Serum ALT,AST,TG,TC,LDL-C,liver hardness and spleen hardness in the severe NAFLD group were significantly higher than the moderate and mild groups(P<0.05).Serum HDL-C in the severe group was significantly lower than the mild group(P<0.05).Serum TG and liver hardness in the moderate NAFLD group were significantly higher than the mild NAFLD group(P<0.05).Serum HO-1,ApoB and Hcy values in the severe NAFLD group were significantly higher than the moderate and mild groups(P<0.05).The determination values of HO-1,ApoB and Hcy in the moderate NAFLD group were significantly higher than those the mild NAFLD group(P<0.05).The measured values of serum HO-1,ApoB and Hcy in NAFLD patients were significantly positively correlated with liver stiffness and spleen stiffness(P<0.05).Conclusion   Serum HO-1,ApoB,Hcy,liver hardness and spleen hardness significantly increase in NAFLD patients,and they are closely correlated with the severity of NAFLD.

Objective   To explore the effects of high-flow nasal cannula oxygen therapy on cardiopulmonary function,exercise capacity,and biomarkers in patients with chronic obstructive pulmonary disease (COPD) and mild-to-moderate pulmonary hypertension(PH).Methods   Sixty COPD patients with mild-to-moderate PH admitted to the 923rd Hospital of the Joint Logistics Support Force from July 2022 to November 2024 were selected as the subjects.They were randomly divided into the control group and observation group using a random number table method,with 30 cases per group.Patients in the control group received traditional nasal cannula oxygen therapy on the basis of conventional treatment,while those in the observation group received nasal high flow humidified oxygen therapy on the basis of conventional treatment.Vital signs (heart rate [HR],respiratory rate [RR],mean arterial pressure [MAP]),lung function (forced expiratory volume in the first second [FEV1],forced vital capacity [FVC],peak expiratory flow rate [PEFR]),blood gas analysis indicators (partial pressure of arterial oxygen [p(O2)],arterial oxygen saturation [SaO2],partial pressure of arterial carbon dioxide [p(CO2)],exercise capacity (6-minute walking distance[6MWD]),and biomarkers (lactate dehydrogenase[LDH],B-type natriuretic peptide[BNP],troponin I[TnI]) between groups before and after one week of treatment were compared.Results   After one week of treatment,patients in the observation group had significantly higher FEV1([2.92±0.61]L VS [2.47±0.57]L),FVC([3.46±0.86]L VS [2.96±0.74]L) and PEFR([4.04±0.72]L/s VS [3.31±0.59]L/s) than the control group(P<0.05).Patients in the observation group had significantly higher p(O2) ([70.21±6.45]mmHg VS [64.34±6.04]mmHg,1 mmHg=0.133 kPa),SaO2 ([95.51±6.24]% VS [92.09±6.03]%),and p(CO2) ([47.74±4.12]mmHg VS [51.24±4.53]mmHg) than the control group(P<0.05).There were no significant differences in the HR,RR and MAP between the two groups (t=0.085,1.027,and 0.169,respectively,all P>0.05).The 6MWD of the observation group was significantly longer than that of the control group(P<0.05).LDH,BNP and TnI were significantly lower in the observation group than the control group(P<0.05).Conclusion   Nasal high flow humidified oxygen therapy can improve lung function,blood gas analysis indicators,increase 6MWD,and reduce LDH,BNP and TnI in COPD patients with mild-to-moderate PH.

Objective   To analyze the correlation and clinical significance between the levels of serum secreted frizzled related protein 4(SFRP4),C-X-C chemokine receptor 4(CXCR4),fibrinogen(FIB) and Wagner(Wanger) classification in patients with diabetic foot.Methods   90 patients with diabetic foot admitted to Zhoukou Huaihai Hospital from January 2022 to June 2024 were retrospectively collected as the diabetic foot group,and another 90 patients with simple diabetes during the same period were selected as the simple diabetes group.The general clinical data at admission of the two groups were compared.The levels of serum SFRP4,CXCR4 and FIB in diabetic patients with different Wanger classification were compared and their correlations were analyzed.The influencing factors of diabetic foot in diabetic patients and the diagnostic value of combined detection for diabetic foot was analyzed.Results   The levels of serum SFRP4,CXCR4 and FIB in the diabetic foot group at admission were all higher than those in the simple diabetes group(P<0.05).Comparison of serum SFRP4,CXCR4 and FIB levels in patients with different Wanger classifications showed that patients with grade 0-1 were less than those with grade 2-3 and patients with grade 2-3 were less than those with grade 4-5(P<0.05).The levels of serum SFRP4,CXCR4 and FIB at admission were all positively correlated with the Wanger classification of the patients(P<0.05).The duration of diabetes,transcutaneous oxygen partial pressure,serum SFRP4,CXCR4,and FIB were all related to the occurrence of diabetic foot.After adjustment,serum SFRP4,CXCR4,and FIB were risk factors for diabetic foot in patients(P<0.05).The efficacy of combined diagnosis of diabetic foot by serum SFRP4,CXCR4 and FIB levels at admission was 0.821.Conclusion   The levels of serum SFRP4,CXCR4 and FIB in patients with diabetic foot are significantly increased and positively correlated with the Wanger classification of the patients.All of them are influencing factors for the occurrence of diabetic foot,and it is found that their combined detection has a high application value in diagnosing the occurrence of diabetic foot.

Objective   To explore and summarize the research status and development trend of military physical training in China.Methods   A total of 257 articles on the theme of military physical training were retrieved on the China National Knowledge Infrastructure(CNKI) (1994-2024),and the map was drawn by CiteSpace software.Authors,research institutions,keyword co-occurrence,keyword clustering,keyword prominence and timeline map of the published articles in the field of military physical training research in the past 30 years were visually analyzed.Results   In terms of the number of publications,the trend of the number of publications in the field of military physical training research in China was mainly divided into three stages: the slow increase stage(1994-2005),the rapid increase stage(2006-2016),and the gradual decline stage(2017-2024).In terms of research authors and institutions,scientific research cooperation between authors and institutions was insufficient,and no core author group has been formed.In terms of research hotspots,it mainly included the exploration of physical training methods and models,the physiological effects of various groups of military personnel and training on the body,etc.With the deepening of the research in the field of military physical training,different research hotspots have also emerged in different periods,and keywords such as prevention and treatment of training injuries,actual combat,and informatization have also become research hotspots in this field in recent years.Conclusion   In the future research,it is suggested that more academic exchanges should be carried out between scholars and institutions,thus strengthening cooperation with local sports colleges and related scientific research institutions,promoting the cross-integration of related disciplines and military physical training,actively learning from advanced training models and methods,and accelerating the development of military physical training research field.It aims to achieve better improvement of the scientific level of military physical training,physical quality of military personnel,and combat effectiveness.

Objective   To explore the influencing factors for coagulation dysfunction in elderly patients with severe pneumonia complicated by sepsis,and to create a Logistic regression prediction model to analyze its predictive value for the occurrence of coagulation dysfunction,providing a reference for formulating clinical intervention plans.Methods   A total of 118 elderly patients with severe pneumonia accompanied by sepsis treated in the Second Affiliated Hospital of Zhengzhou University from January 2023 to January 2025 were selected for a retrospective analysis.These patients were categorized into the occurrence group and non-occurrence group based on whether they developed coagulation dysfunction within 72 hours after admission.The clinical data of the two groups were compared,and the influencing factors for coagulation dysfunction were analyzed.A risk prediction model was constructed,and its calibration and discrimination were verified.Results   Among 118 elderly patients with severe pneumonia accompanied by sepsis,the incidence of coagulation dysfunction within 72 hours after admission was 66.10%(78/118).The patients of occurrence group had significantly older age,longer time from onset to admission,longer duration of severe pneumonia,higher acute physiology and chronic health evaluation Ⅱ(APACHE Ⅱ) scores,D-dimer,blood lactate,serum procalcitonin(PCT),and interleukin-6(IL-6) than the non-occurrence group (P<0.05).Age,time from onset to admission,APACHE Ⅱ score,D-dimer,blood lactate,serum PCT,IL-6 levels were independent risk factors for the occurrence of coagulation dysfunction(P<0.05).Logit(P)=-5.224+0.239×age+0.313×APACHE Ⅱ score+0.138×time from onset to admission+

0.300×PCT+0.192×blood lactate+0.330×IL-6+0.233×D-Dimer.The area under the curve(AUC) of the Logistic regression prediction model for the occurrence of coagulation dysfunction was 0.924 (95%CI:0.861~0.965),with a sensitivity of 84.62% and a specificity of 90.00%.The Hosmer-Lemeshow test obtained the value χ2=7.556 ,P=0.092.The internal validation method revealed a mean absolute error(MAE) of 0.012 and a mean squared error(MSE) of 0.000 15.The Bootstrap test indicated a C-index of 0.585(95%CI:0.485~0.633).Conclusion   Age,time from onset to admission,APACHE Ⅱ score,D-dimer,blood lactate,serum PCT,IL-6 levels are independent risk factors for the occurrence of coagulation dysfunction in elderly patients with severe pneumonia accompanied by sepsis.A Logistic regression prediction model constructed based on these risk factors has good predictive value for the occurrence of coagulation dysfunction and is helpful in guiding the development of individualized treatment plans in clinical practice to reduce the occurrence of coagulation dysfunction.

Objective   To investigate the association between the triglyceride glucose-body mass index (TyG-BMI) and the risk of non-alcoholic fatty liver disease(NAFLD) among military aircrews.Methods   A retrospective analysis was conducted among 1 430 aircrew personnel who underwent health examinations at a sanatorium from January 2022 to December 2024.NAFLD was diagnosed using high-resolution color Doppler ultrasound,and the overall detection rate was calculated.Participants were stratified into quartiles(Q1-Q4) based on TyG-BMI values.Metabolic parameters were compared between NAFLD and non-NAFLD groups,and multivariate logistic regression analysis was performed to identify independent risk factors.The predictive value of metabolic indicators was evaluated using receiver operating characteristic(ROC) curve analysis.Results   The overall NAFLD detection rate was 21.12% (302/1 430),and its prevalence significantly increased with advancing age (trend test,P<0.001).Individuals in the NAFLD group exhibited significantly higher levels of fasting plasma glucose(FPG),triglycerides(TG),total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),uric acid(UA),and body mass index(BMI) compared to the non-NAFLD group (all P<0.001).Multivariate analysis identified that UA (OR=1.003,95% CI:1.001~1.005),TC (OR=1.494,95%CI: 1.224~1.823),and TyG-BMI (OR=1.045,95%CI:1.036~1.054) were independent risk factors for NAFLD,while high-density lipoprotein cholesterol(HDL-C) showed a protective effect(OR=0.459,95%CI:0.256~0.823).ROC curve analysis revealed that TyG-BMI had the highest predictive value(AUC=0.821,95% CI: 0.791~0.851),with an optimal cutoff value of 211.11(sensitivity=79.0%,specificity=71.0%).Conclusion   NAFLD prevalence is notably high among military aircrews and positively correlates with age.TyG-BMI,by integrating parameters of glucose-lipid metabolism and body composition,serves as a superior screening indicator for NAFLD in aviation medicine.We recommend a TyG-BMI threshold-based stratified management strategy to enhance metabolic health surveillance systems for this occupational population.

Objective   To understand the difference in the cognition of gout diagnosis and treatment between doctors in a sanatorium and a tertiary hospital in Tengchong City,and its influencing factors.Methods   From August to November 2024,personal information of general practitioners and internal medicine doctors was collected from one military sanatorium and two tertiary grade A hospitals in Tengchong City.A questionnaire survey was conducted on the awareness of gout among the respondents,and the data were analyzed.Chi-square test was used to analyze the differences in the awareness of gout diagnostic criteria among doctors from the two types of medical institutions and the influencing factors.Results   The education level(χ2=26.83,P<0.01) and professional title(χ2=8.185,P<0.01) of doctors in Tengchong military sanatorium were significantly lower than those in the tertiary hospitals.The average cases of hyperuricemia(χ2=18.884,P<0.01) and gout(χ2=14.149,P<0.01) admitted by doctors in military sanatorium were significantly lower than those in the tertiary hospitals.The overall awareness rate of gout diagnosis and treatment was generally low(χ2=14.913,P<0.05),especially the choice of treatment and medication for acute gout was not ideal.Conclusion   Doctors in Tengchong City have a certain blind spot in the diagnosis and treatment of gout.Notably,the military sanatorium doctors can not treat the acute stage of gout timely and correctly,and choose a reasonable comprehensive treatment plan.In order to improve the gout diagnosis and treatment ability of doctors in Tengchong City,we should not only pay attention to the academic qualifications of doctors,but also increase their practice opportunities in professional fields.

Objective   To detect the prevalence and influencing factors of hyperuricemia in seafarers at Chongqing Port,thus providing references for the formulation of targeted intervention measures.Methods   A cross-sectional study method was adopted,with 1 366 seafarers who underwent health examinations at Chongqing Port in 2024 as the research objects.Univariate and multivariate Logistic regression analyses were used to discuss the risk factors of hyperuricemia.Results   The total detection rate of hyperuricemia was 34.63%(473/1 366),which was significantly higher than that of the general population.The average body mass index(BMI) of male seafarers(24.13 kg/m2) exceeded the normal range,and the proportion of overweight/obese seafarers was 47.36%.The risk of hyperuricemia was significantly higher in the overweight group(OR=2.099,95%CI:1.591-2.769) and the obese group(OR=2.297,95%CI:1.507-3.500).The prevalence was negatively correlated with age(all P<0.05),and the prevalence of young seafarers(18-25 years old) was the highest(38.89%).Fatty liver(OR=1.437,P=0.023) and hypertension(OR=1.564,P=0.004) were independent risk factors.The risk of those with a preference for high-calorie foods increased marginally(OR=1.518,P=0.059),while the risk of those with long-term overwork decreased(OR=0.420,P=0.007).Conclusion   The prevalence of hyperuricemia among seafarers at Chongqing Port is high,which is closely related to youth,overweight/obesity,metabolic diseases and poor diet.It is recommended that multiple departments cooperate to reduce the risk of disease,ensure the health of seafarers and promote the sustainable development of the shipping industry.

Objective  To develop a scale of the perception of the risk of stroke in high-risk people of stroke,and to verify its reliability and validity.Methods  Based on the psychometric paradigm as the theoretical basis,the perception of the risk of stroke scale was constructed by literature review,qualitative interviews and expert correspondence.The reliability and validity were tested on 281 cases of high-risk stroke patients.Results   The scale consisted of 27 items in 3 dimensions,and the cumulative variance contribution rate of exploratory factor analysis was 66.292%.The content validity index,Cronbach's alpha coefficient,folded half reliability and 2-week re-test reliability of the scale were 0.969,0.924,0.722,and 0.790,respectively.Conclusion  The perception of the risk of stroke scale is of good reliability,and it can be used to assess the perceived risk of community stroke in high-risk people.

Objective   To explore the current situation,hotspots,and development trends of continuous care for diabetic in China based on CiteSpace.Methods   The three databases of China National Knowledge Infrastructure(CNKI),VIP Database,and Wanfang Data Knowledge Service Platform were searched.The relevant studies on continuous care for diabetes in China were collected.The search time limit was from January 1,2015 to July 1,2025.The search and analysis were conducted with the CiteSpace 6.4.R1 software and the knowledge map was drawn.Results   A total of 2 906 articles were included.The main institutions were universities and their affiliated hospitals.The key words focused on quality of life,diabetic foot,etc.The keywords formed 12 clusters including quality of life,diabetic foot,self-management,etc.The keyword with the highest prominence was sleep quality.Conclusion   Based on the number of published papers over the past 10 years,the research on continuous care for diabetic in China has entered a stable development stage.However,there are issues such as weak collaboration among institutions and a lack of cost-effectiveness evaluation.In the future,it is necessary to strengthen cross-institutional and international cooperation,promote the standardization of care plans,in order to improve the continuous care system for diabetes and improve the prognosis of patients.

Under the dual drive of the "Healthy China" strategy and ecological civilization construction,forest health care is becoming an important development direction for green health services.This article takes typical forest health and wellness bases in China as the research object,constructs a multidimensional evaluation framework with "resources-ecology-perception" as the core,and comprehensively uses GIS spatial analysis,air and climate environment indicator evaluation,field research,and text frequency analysis methods to systematically analyze the distribution pattern,ecological suitability,and service value of forest health and wellness bases.The results show that the overall clustering characteristics of forest health bases in China are "dense in the east and sparse in the west,strong in the south and weak in the north".The air quality is excellent,and PM2.5 is significantly correlated with AQI.Forest coverage and negative oxygen ion concentration have become the core ecological support factors.High altitude areas have cool summers and suitable humidity,providing outstanding advantages for summer heat dissipation and health preservation.Tourists generally highly recognize wellness experiences such as fresh air and quiet environment,and the frequency of words reflects a strong preference for ecological authenticity and cultural integration wellness projects.The study has constructed a quantitative path for the value of health and wellness,and proposed development suggestions for optimizing spatial layout,improving service facilities,and strengthening the integration of intelligent monitoring and ecological culture,providing theoretical basis and practical reference for the high-quality development of forest health and wellness in China.

Objective   To systematically evaluate the incidence rate of comprehensive fatigue among Chinese military officers and soldiers and explore its development trend.Methods   The Chinese databases were retrieved,the Excel was used to manage and screen the literature,and the quality was evaluated according to the cross-sectional study evaluation criteria of the US Agency for Healthcare Research and Quality(AHRQ).The evaluation was independently conducted by two researchers.The StataMP 18.0 software was adopted for the analysis.Results   After analyzing 26 studies involving 21 955 military officers and soldiers,there were 7,008 cases of fatigue.The the overall incidence rate by random effects models weighted aggregation was 29.8%(95%CI:25.7%-34.5%),and it showed a fluctuating upward trend from 2011 to 2025.The incidence rate among naval officers and soldiers was the highest.There were differences in the results of different assessment tools,and the meta-regression indicated that the work on ships had a significant positive effect on the effect size.Conclusion   The incidence rate of fatigue and chronic fatigue syndrome among our military officers and soldiers is high.The condition of the naval officers and soldiers is worrying.Fatigue is likely related to the mind.Most assessment tools are subjective evaluations.In the future,it is necessary to explore objective indicators and develop specific scales.

Objective   To explore the application effect of hyperbaric oxygen combined with dual-task training in the rehabilitation treatment of patients with post-stroke cognitive impairment (PSCI).Methods   A total of 104 PSCI patients admitted to Wuxi Rehabilitation Hospital from March to October 2025 were selected and divided into two groups according to the random number table.Both groups received routine intervention management.52 patients in the control group received dual-task training treatment,while 52 patients in the observation group and received hyperbaric oxygen combined with dual-task training.Both groups received treatment for 30 days.The data of limb function (Fugl-Meyer Assessment of  Upper Extremity Function [FMA-UE],Berg Balance Scale [BBS]),cognitive function (Montreal Cognitive Assessment Scale [MoCA],Mini-Mental State Examination Scale [MMSE]),modified Barthel Index (MBI),and adverse reactions before treatment and on the 30th day of treatment were compared between the two groups.Results   On the 30th day of treatment,compared with before treatment,the scores of FMA-UE,BBS,MMSE,MoCA and MBI in both groups increased,and compared with the control group,the above scores in the observation group were higher ([34.20±5.10] points VS [31.46±5.35] points,[33.25±3.75] points VS [31.10±4.30] points,[26.10±1.10] points VS [23.75±1.04] points,[22.35±1.68] points VS [19.40±2.02] points,[84.40±3.20] points VS [81.20±4.15] points,P<0.05).Conclusion   Hyperbaric oxygen combined with dual-task training can improve the limb function and cognitive function of patients with PSCI,as well as enhance their activities of daily living.

Objective   To analyze the current research status of ferroptosis and osteoporosis with CiteSpace,to explore the research hotspots and trends,and provide theoretical references for subsequent related studies.Methods   A systematic search was conducted on the Web of Science (WOS) core database,with the time limit set from January 1,2012 to September 12,2025,for relevant research literature published during this period.The CiteSpace 6.3.R1 software was used to conduct a visual analysis of the keywords,authors,institutions,etc.of the included literature.Results   A total of 174 articles were included.The author with the highest number of research publications was Zhang Jian;a collaboration network centered around Zhang Jian and Wang Peng was formed.The research institution with the most publications was Zhejiang University,and a cooperative group of institutions with Shanghai Jiao Tong University as the core emerged.The frequently used keywords indicated that the research mainly focused on Oxidative Stress,Cell Death,Differentiation,etc.;in terms of the evolution of research trends,iron metabolism,osteoclast differentiation,and specific bone diseases have become the current research priorities.Conclusion   At present,the research on ferroptosis and osteoporosis is experiencing a continuous increase in popularity year by year.There is close collaboration among various scholars and institutions,and extensive basic mechanism research is being carried out.The exploration of intervention strategies is currently a relatively active direction.

Objective   To explore the research hotspots and frontiers in the field of nutrition for renal failure in recent 10 years,and to provide references for future research.Methods   Relevant research core literatures published from January 2015 to January 2025 were searched in the China National Knowledge Infrastructure(CNKI) and Web of Science.Included articles were subjected to visual analysis using the CiteSpace 5.8.Results   A total of 740 articles were included.The number of published papers in the field of nutrition for renal failure has maintained a stable and slightly upward trend in the past 10 years.The United Kingdom,France and the United States ranked the largest number of published papers in the field of nutrition for renal failure,with the highest importance and central position.In the field of nutrition for renal failure in the past 10 years,the research hotspots have focused on the mortality rate，nutritional status and risk factors of patients with renal failure.The research frontiers consisted of risk factors,mechanisms,complications,and traditional Chinese and Western medical treatments of malnutrition in patients with renal failure.Conclusion   The field of nutrition for renal failure is in a stage of rapid development.China should further increase research efforts,expand cooperation areas,and focus on the relevant research hotspots and frontiers in the field of nutrition for renal failure,thus promoting the development of nutrition research for patients with renal failure in China.

Objective   To explore the effects of governor vessel circulation and warming kidney moxibustion on inflammatory factor levels and bone metabolism indicators in patients with ankylosing spondylitis of kidney deficiency and governor vessel cold type.Methods   A total of 108 patients with ankylosing spondylitis of kidney deficiency and governor vessel cold type admitted to Henan Provincial Hospital of Integrated Traditional Chinese and Western Medicine from May 2024 to May 2025 were selected as the research subjects.They were divided into groups according to the random number table.54 patients in the control group received conventional treatment (rehabilitation training+Western medicine),while 54 patients in the observation group received additional treatment of governor vessel circulation and warming kidney moxibustion.The traditional Chinese medicine syndrome scores,disease activity,spinal function,inflammatory factor levels,and bone metabolism indicators of the two groups of patients were compared.Results   The scores of cold pain in the lumbar and sacral regions,morning stiffness,difficulty in bending and turning,aversion to cold and cold extremities,soreness in the waist and knees,lack of energy,clear and long urine,frequent nocturnal urination in the observation group were all lower than those in the control group(P<0.05);the Bath Ankylosing Spondylitis Disease Activity Index(BASDAI) and Bath Ankylosing Spondylitis Functional Index(BASFI) scores of the observation group were both lower than those of the control group(P<0.05);the levels of tumor necrosis factor-α(TNF-α),interleukin-1β (IL-1β),C-reactive protein(CRP),and receptor activator of nuclear factor-κB ligand (RANKL) in the observation group were all lower than those in the control group(P<0.05);the levels of C-terminal telopeptide of type Ⅰ collagen(CTX-Ⅰ) and tartrate-resistant acid phosphatase(TRACP) in the observation group were both lower than those in the control group,while the level of bone gla protein(BGP) was higher than that in the control group(P<0.05).Conclusion   Governor vessel circulation and warming kidney moxibustion can effectively alleviate the symptoms of patients with ankylosing spondylitis,reduce the disease activity,enhance spinal function,and improve bone metabolism levels and inflammatory responses.

Objective   To investigate and study the application and evaluation of natural convalescent factors in the rehabilitation institutions of health resorts in China,in order to provide scientific basis for the scientific planning,rational development,utilization,and protection of medical natural resources  in the rehabilitation institutions of health resorts.Methods   The random cluster sampling method was adopted to conduct a survey on 70 rehabilitation institutions across the country from May to August 2024.68 valid institution samples were collected.SPSS AU 27.0 software was used to analyze and evaluate the nature of different natural convalescent factors and the application and suitability of medical natural resources.Results   The evaluation of 34 sea bathing beaches showed that 70.6% had clear water,while 29.4% had turbid water;58.8% were safe without any danger,and 38.3% had a slight danger;58.8% had slightly turbid seawater color;73.5% of the 1.5-meter-deep water area (distance from the coastline) was >30.5 meters;73.5% of the beaches had good conditions.The evaluation of 30 sunbathing beaches showed that 80.0% of the beaches had an area per person >4.5 m2,60.0% of the beaches free from intense sun exposure throughout the year were >80%,76.7% of the beaches had backland cover and trees,and 86.7% of the beaches had waste and natural hazard substances.The evaluation of 23 mineral water resources showed that 47.8% of the mineral water had an outlet temperature ≥50 ℃ and <70 ℃;52.1% contained two or more trace elements,gases,and radioactive elements,and had a mineralization degree ≥1 g/L;95.7% of the mineral water met the GB 8537 standard,and only one health resort did not meet the sewage comprehensive discharge standard;56.6% of the mineral water had daily hygiene routine tests and had full-time testing personnel;52.1% of the mineral water was applied in medical fields.The evaluation of 9 mud therapy resources showed 44.4% of the mineral salts was ≤10%,and 55.6% had temperatures ≥42 ℃ and <55 ℃;44.5% of the application methods (full-body immersion,local wrapping,mud paste,adding Chinese medicine,electricity,wax,etc.) involved more than 3 types;Only 2 of the health resorts failed to meet the mud quality and microbial indicators standards;44.4% of the health resorts were used for medical and health care.The evaluation of 29 forest bathing resources showed 89.6% located more than 20 km away from industrial areas or urban noisy zones,being mountain forests with convenient transportation,fresh air and no noise;82.8% of the forest land had trails,with more than 2 types of design,and the forest was comfortable for walking and activities;62.1% had an area of over 670 hectares;93.1% had a vegetation quantity that maintained green landscapes and seasonal changes;79.3% had certain tree species that could volatilize a large number of aromatic substances.Conclusion   It is necessary to regularly assess the quantity,quality,distribution of natural convalescent factors in the health resorts,and analyse its convalescent value,strictly follow the ecological environment safety and health care parameters.Relying on policy-driven and international certification standards,it is to promote the scientific application and sustainable development of natural convalescent factors in the rehabilitation institutions of health resorts,and contribute to Healthy China.

Objective   To evaluate the clinical efficacy and safety of Ganmai Dazao Decoction combined with moxibustion in patients diagnosed with heart‑spleen deficiency type Yu syndrome.Methods   From January 2024 to December 2025,100 patients with heart‑spleen deficiency type Yu syndrome treated in the neurology outpatient department and wards of Shanghai Jinshan TCM-Integrated Hospital were enrolled.Patients were randomized(random number table) into a study group(n=50) and a control group(n=50).The control group received oral Ganmai Dazao Decoction;the study group received the same decoction plus adjunctive moxibustion.The treatment period was 4 weeks.Outcomes included traditional Chinese medicine(TCM) syndrome scores,the self‑rating anxiety scale(SAS),and the Hamilton depression rating scale(HAMD),measured before and after treatment.Adverse events were recorded.Results   After treatment,the total effective rate of TCM syndrome in the study group was 96.00%,significantly higher than 84.00% in the control group(P<0.05).The study group demonstrated lower post‑treatment anxiety and depression scores: SAS (41.17±5.43)versus (48.47±6.22) in the control group,and HAMD (12.15±2.94)versus (15.68±3.27) in the control group(both P<0.01).The incidence of adverse reactions was 6.00% in the study group versus 8.00% in the control group,a difference that was not statistically significant(P>0.05).Conclusion   In patients with heart‑spleen deficiency type Yu syndrome,Ganmai Dazao Decoction combined with moxibustion produces greater improvement in depressive symptoms and TCM syndrome measures than Ganmai Dazao Decoction alone,with a favorable safety profile.

Objective   To explore the effect of occupational therapy combined with repetitive transcranial magnetic stimulation (rTMS) on the functional independence of patients with dyskinesia after incomplete spinal cord injury.Methods   A total of 104 patients with incomplete spinal cord injury and dyskinesia who were admitted to Shangqiu Hospital of Traditional Chinese Medicine from June 2023 to June 2025 were selected.They were divided into an observation group (occupational therapy combined with rTMS therapy) and a control group (rTMS therapy) according to the random number table,with 52 cases in each group.The changes in functional independence,functional recovery,sensory function,quality of life,and the incidence of complications before and after treatment were compared between the two groups.Results   After the intervention,the scores of each dimension of functional independence in the observation group (self-care [16.02±2.08] points,swallowing and breathing [7.49±0.97] points,mobility [34.72±3.34]points,and sphincter management [24.91±2.37] points) were all higher than those in the control group ([14.19±2.11]points,[6.85±0.93] points,[32.61±3.20] points,and [22.01±2.28] points),P<0.05;after the intervention,the balance ability (43.16±5.03) points,lower limb movement (40.21±5.44) points,and exercise endurance (376.15±29.86) points in the observation group were all higher than those in the control group ([39.72±5.28] points,[36.05±5.27] points,and [352.44±30.10] points) (P<0.05);After the intervention,the sensory function scores of the left and right sides in the observation group ([95.52±7.66] points,[96.40±7.09] points) were higher than those in the control group ([88.75±7.42] points,[88.11±7.81] points) (P<0.05);after the intervention,the scores of each dimension of the quality of life in the observation group (physiological [86.22±7.12] points,psychological [83.25±7.68] points,social relationship [85.27±7.10] points,and environment [86.27±6.38] points) were higher than those in the control group ([81.04±7.30] points,[77.64±8.11] points,[80.33±7.68] points,and [80.16±6.64] points) (P<0.05);there was no difference of statistical significance in the comparison of complications between the two groups (P>0.05).Conclusion   Occupational therapy combined with rTMS therapy for treating dyskinesia after incomplete spinal cord injury can help improve patients' functional independence,promote functional recovery,enhance sensory function,improve the quality of life,and has high safety.

Objective   To explore the intervention effect of ear acupoint Guasha combined with Kaitianmen therapy on people with sleep disorders.Methods   92 patients with sleep disorders admitted to the Preventive Treatment Department of Ganzhou Traditional Chinese Medicine Hospital from January 2024 to June 2025 were divided into a control group and an experimental group according to the random number table,with 46 cases in each group.Both groups received routine nursing measures.On this basis,the control group received intervention with Kaitianmen therapy,while the experimental group received intervention with ear acupoint Guasha combined with Kaitianmen therapy,for a period of 4 weeks.The intervention effects of the two groups were compared.The scores of the Spiegel Sleep Questionnaire(SPIEGEL) and Fatigue Scale-14 (FS-14) between the two groups before intervention and after 4 weeks of intervention were compared;And the occurrence of adverse reactions was recorded.Results   Compared with the control group (78.26%),the total effective rate of intervention in the experimental group (93.48%) was much higher (P<0.05).At 4 weeks of intervention,the SPIEGEL scores and FS-14 scores of both groups decreased,and those of the experimental group were lower than those of the control group (P<0.05).There was no difference of statistical significance in the incidence of adverse reactions between the two groups (P>0.05).Conclusion   The application of ear acupoint Guasha combined with Kaitianmen therapy in people with sleep disorders can improve their sleep quality,reduce fatigue,and bears certain safety.

Objective   To investigate the mechanism by which Yiguanjian Decoction regulates the hippocampal adenylate-activated protein kinase(AMPK)/cAMP response element binding protein(CREB)/brain-derived neurotrophic factor(BDNF) pathway to treat type 2 diabetes mellitus(T2DM) combined with comorbid depression.Methods   Forty male Sprague-Dawley(SD) rats in the specific pathogen-free(SPF) level were randomized into the control,model,Yiguanjian Decoction,and positive drug groups(n =10/group).An in vivo T2DM rat model was created by high-fat diets for 4 weeks combined with a single intraperitoneal injection of Streptozotocin,while depression was induced via chronic unpredictable mild stress(CUMS).Depressive behaviors were assessed using forced swimming test(FST) and open field test(OFT).Random blood glucose was measured via tail vein sampling.Hippocampal histopathology was examined by hematoxylin-eosin staining(H&E).Serological 5-hydroxytryptamine(5-HT) and dopamine(DA) levels were quantified via the enzyme-linked immunosorbent assay(ELISA).Protein levels of p-AMPK,p-CREB,and BDNF were analyzed by Western blotting(WB).Results   Compared to the control group,rats in the model group exhibited decreased immobility time in the FST,decreased total distance traveled and rearing frequency in the OFT,and reduced 5-HT,DA,p-AMPK,p-CREB,and BDNF levels(P<0.01).Both Yiguanjian Decoction and positive drug treatment reversed these behavioral deficits,lowered random blood glucose,and elevated neurotransmitter/pathway protein expressions versus the model group(P<0.01 or P<0.05).Conclusion   Yiguanjian Decoction ameliorates depression-like behaviors in T2DM combined with depression via activating the hippocampal AMPK/CREB/BDNF signaling pathway.

Objective   To evaluate the reliability and validity of the Chinese version of the e-Health Literacy Scale(eHEALS) in two elderly care models.Methods   From May to July 2024,a simple random sampling method was used to select 255 elderly people from nursing homes in Guangzhou as the nursing home group.In the community where the nursing home is located,255 elderly people were selected as the community group by age and gender matching in a 1∶1 ratio.Face to face questionnaire surveys were conducted using the eHEALS scale.The reliability and validity of the scale were calculated using Cronbach's α coefficient,Spearman Brown split half coefficient,Pearson correlation coefficient,and factor analysis.Results   A total of 510 questionnaires were distributed and 510 were collected,with an effective response rate of 100%.The Cronbach's α coefficients for the total population,nursing home group,and community group were 0.986,0.974,and 0.997,respectively.The Spearman Brown odd-even half reliability coefficients were 0.976,0.956,and 0.996,respectively,indicating that the questionnaire has good reliability in different elderly care model populations.The correlation coefficients between each item of the scale and its corresponding dimension were 0.913-0.955,0.847-0.919,and 0.908-0.994 in the total population,nursing home group,and community group,respectively(all P<0.001).The KMO values for the total population,nursing home group,and community group were 0.947,0.935,and 0.870,respectively,with Bartlett's sphericity test showing P<0.001.The exploratory factor analysis results showed that the total population,nursing home group,and community group each had a clear factor structure,with contribution rates of 90.99%,84.47%,and 98.04%,respectively.Conclusion   The results of this study indicate that the eHEALS scale exhibits good reliability and validity in both elderly care models,suggesting that the questionnaire is suitable as a reliable tool for evaluating the electronic health literacy of the elderly.

Objective   Clinical literatures related to transcutaneous electrical acupoint stimulation(TEAS) at home and abroad in the past five years were collected.Bibliometric methods were adopted to study the progress of TEAS,aiming to provide a theoretical basis for the clinical application and development of TEAS.Methods   The clinical research literatures related to TEAS were retrieved through computer in CNKI,VIP Database,WANFANG DATA,PubMed,Embase and Cochrane library.The first author,the publishing institution and the literature publication journal were analyzed.Meanwhile,the applicable diseases of TEAS were classified according to the ICD-11 system classification.The indications and dominant diseases of TEAS were analyzed and summarized.Results   This study ultimately selected 751 literatures for analysis,among which there were as many as 171 types of diseases,covering a wide range of 19 disease systems.Domestic research on the clinical treatment of TEAS is relatively abundant,but research in related fields abroad is relatively lacking.Conclusion   TEAS has been widely applied in post-surgical operations,stroke and its sequelae,etc.,and has outstanding advantages in treating advantageous diseases.

Objective   To systematically retrieve,evaluate,and summarize the best evidence for traditional Chinese medicine rehabilitation nursing in female patients with stress urinary incontinence,so as to provide a reference for clinical nursing practice.Methods   According to the "5S" model,clinical decisions,guidelines,expert consensuses,evidence summaries,systematic reviews/Meta-analyses,and randomized controlled trial(RCT) related to traditional Chinese medicine rehabilitation nursing for female patients with stress urinary incontinence(SUI) were retrieved from BMJ,UpToDate,professional guidelines and society websites,Cochrane Library,JBI,Embase,PubMed,Web of Science,SinoMed,China National Knowledge Infrastructure(CNKI),Wanfang Database,VIP Database,and Chinese Medical Journal Full-text Database.The retrieval period was from the establishment of the database to January 16,2025.The researchers completed the literature screening,data extraction,and evaluation of literature quality,and then used the expert meeting method to screen,classify,integrate,correct inappropriate expressions,and grade the evidence.Results   A total of 24 pieces of evidence were included,including 1 clinical decision,3 evidence summaries,7 guidelines,2 expert consensuses,7 systematic reviews/Meta-analyses,and 4 RCT.31 pieces of the best evidence were summarized from 7 aspects: diagnosis and syndrome differentiation,moxibustion,hot compress with traditional Chinese medicine,auricular acupoint bean-pressing therapy,acupoint application,rehabilitation exercises,and health education.Conclusion   This study summarizes the best evidence for traditional Chinese medicine rehabilitation nursing for female stress urinary incontinence.Clinical medical staff need to apply this knowledge in practice,taking into account the clinical situation,patients' wishes,and patients' constitution.

Objective   To observe the therapeutic effect of five-flavor sophora flavescens enteric-coated capsules(FSEC) combined with mesalazine in the treatment of ulcerative colitis(UC).Methods   A total of 159 UC patients admitted to the First Affiliated Hospital of Henan University from June 2023 to September 2024 were selected and randomly divided into group A(n=53,treated with FSEC),Group B(n=53,treated with mesalazine),and Group C(n=53,treated with FSEC combined with mesalazine) according to the random number table.The therapeutic effects of TCM syndromes,immune function,inflammatory indicators,intestinal flora,adverse reactions and recurrence of the three groups of patients were compared.Results   The total effective rate of group C was higher than that of group A and Group B(P<0.05).After treatment,the levels of CD3+,CD4+/CD8+,and Bifidobacterium in the three groups were higher than those before treatment(P<0.05),and those in group C were higher than those in group A and Group B(P<0.05).After treatment,the levels of interleukin(IL)-17,IL-8 and Escherichia coli in the three groups were lower than those before treatment(P<0.05),and those in group C were lower than those in group A and Group B(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions among the three groups(P>0.05).The recurrence rate of group C(3.77%,2/53) was lower than that of group A(18.87%,10/53) and group B(20.75%,11/53),and the difference was statistically significant(χ²=6.014,P=0.014;χ²=7.102,P=0.008).Conclusion   FSEC combined with mesalazine in the treatment of UC can improve the therapeutic effect of traditional Chinese medicine syndromes and immune function,regulate inflammatory indicators and intestinal flora,reduce early recurrence,and does not increase adverse reactions.

Objective   To explore the application effect of dynamic lamination based on the Mulligan technique combined with extracorporeal shockwave therapy(ESWT) on treating triangular fibrocartilage complex(TFCC) injury of the wrist.Methods   A total of 80 patients with TFCC injury admitted from January 2024 to February 2025 were selected and randomly divided into the control group(40 cases) and experimental group(40 cases) by randomized table method.All patients were treated with conventional rehabilitation measures and ESWT,and those in the experimental group were additionally treated with dynamic lamination based on the Mulligan technique.They were observed for 4 weeks.The degree of pain(numerical rating scale[NRS],pain threshold[numerical pressure pain meter value]),grip strength meter value and wrist joint function score were compared before and 2 weeks and 4 weeks after interventions.Results   NRS scores at 2 and 4 weeks after interventions were significantly reduced than pre-intervention values(P<0.05).NRS scores at 4 weeks of interventions were significantly lower than those at 2 weeks,which were significantly lower in the experimental group than the control group(P<0.05).Pain threshold,grip strength meter value and wrist joint function score at at 2 and 4 weeks after interventions were significantly elevated than pre-intervention values(P<0.05).These values at 4 weeks of interventions were significantly higher than those at 2 weeks,which were significantly higher in the experimental group than the control group(P<0.05).Conclusion   Dynamic lamination based on the Mulligan technique combined with ESWT reduces the degree of pain,increases pain threshold,grip strength and wrist function in patients with TFCC injury of the wrist.

Oral frailty and malnutrition are prevalent age-related public health concerns among older adults.Oral frailty can directly compromise nutritional status by limiting food intake capacity.Malnutrition may accelerate the degeneration of oral tissues,thereby forming a vicious cycle of mutual causation and exacerbation.Several risk factors,including aging,comorbidities,polypharmacy,sarcopenia,and dietary imbalances,contribute to the onset and progression of both conditions through various mechanisms like masticatory dysfunction,deterioration of swallowing muscles,and metabolic disturbances.Furthermore,the coexistence of oral frailty and malnutrition not only impairs daily functioning but also increases the risk of adverse health outcomes,including frailty,cognitive decline,falls,and mortality,significantly diminishing quality of life.Current preventive and therapeutic strategies emphasize a multidisciplinary approach that integrates oral function training,nutritional support,and tailored exercise programs.However,existing assessment tools require further refinement in the sensitivity and specificity,and evidence-based interventions for different stages of oral frailty remain to be established.This article provided a comprehensive review of the definitions,diagnostic criteria,assessment instruments,interrelationships,influencing factors,associated health consequences,and management approaches related to oral frailty and malnutrition,with the aim of offering valuable references for scientific research and clinical practice.

Given the safety,real-time,convenience and economy,the ultrasound imaging has been developed rapidly in emergency medicine,showing significant clinical value and increasingly wide and extensive application scenarios.However,the current application of ultrasound equipment in most grassroots medical units of our military has not been fully used due to the lack of attention,not standardized professional trainings,and blurred practical value of ultrasound imaging by military medic in grassroots troops.In this paper,we analyzed this issue,explored the clinical value of ultrasound in the common emergency of grassroots troops,focusing on the clinical application and value of ultrasound in the diagnosis and treatment of urinary calculi,acute appendicitis，military training injuries,abdominal closed injuries,foreign bodies in soft tissue,acute pancreatitis,testicular torsion,hemothorax and occult fractures.Some suggestions were discussed to further promote the application of ultrasound in grassroots emergency medicine.Ultrasonography shows a very important practical value in the clinical diagnosis and treatment of common acute and severe diseases in the grassroots troops.The grassroots troops should pay more attention to the application of ultrasound in daily emergency,take the promotion and application of emergency ultrasound as an important part of the development of primary medical care,further improve the quality and level of the diagnosis and treatment for grassroots troops emergency patients and better maintain the health of officers and soldiers in grassroots army.