Objective: To investigate the clinicopatholigical differences between patients with adenocarcinoma of esophagogastric junction (AEG) and gastric cancer without esophagogastric junction invasion, and relationship between the two type cancers and Helicobacter pylori (Hp) infection, body mass index. Methods: A retrospective analysis was performed on 577 cases of gastric cancer patientsin the Third Hospital of Mianyang from December 2013 to February 2018.Patients were divided into AEG group (n=218) and gastric cancer without esophagogastric junction invasion group (n=359) according to location of neoplasm. The age, gender, body mass index, Hp infection, pathological stage, operative type and blood loss in operation of patients between two groups were compared, and the relationship between the two type cancers and Hp infection, body mass index was analyzed by logistic regression, OR and 95%CI: was calculated. Results: AEG patients were accounted for 37.8%, and had a relatively higher percentage of males, older age, more open surgery, surgery duration and perioperative transfusion, and a relatively lower percentage of Hp infection and family history of gastric cancers. When adjusted for age, gender and family history, the frequency of infection with Hp was higher in patients with gastric cancer without esophagogastric junction invasion, the OR was 1.73(95%CI: 1.22-2.46, P<0.05), while the differences of BMI was not significant between patents in two groups. Conclusion The different characteristics of AEG and gastric cancer without esophagogastric junction invasion cases have implications for the development of guiding strategies for diagnosis and treatment of gastric cancer patients based on tumor location.

Objective:To analyze the status quo, trend and influencing factors of patient satisfaction in tertiary maternity and child hospitals in China.Methods:Based on the survey results of five round third-party evaluations of the China Healthcare Improvement Initiative from 2016 to 2021, descriptive trend analysis was conducted on the satisfaction index in tertiary maternity and child hospitals, and the influencing factors of satisfaction were analyzed based on the results of the fifth evaluation.Results:Compared with the first round, the overall patient satisfaction in tertiary maternity and child hospitals in the fifth round was improved(inpatient: from 95.7% to 98.0%; outpatient: from 87.8% to 94.9%). Outpatient satisfaction varied significantly among gender, hospitals of different types, education level, types of treatment, medical insurance and doctors′ titles( P<0.05). Outpatient satisfaction in local hospitals was 1.502 times higher than that in hospitals under the National Health Commission. The satisfaction of referrals was 0.259 times lower than that of patients who were admitted directly. Inpatient satisfaction varied significantly among department, hospitals of different regions, household registration type and whether the admission was delayed due to the COVID-19 epidemic( P<0.05). The satisfaction of inpatients in medical ward and surgical ward was respectively 0.202 and 0.298 times lower than that of inpatients in pediatric ward. Inpatient satisfaction at the central regions was 3.311 times higher than that at the eastern regions. Conclusions:The overall patient satisfaction in tertiary maternity and child hospitals in China is improving. In the future, we should pay more attention to the hospital environment, humanistic care and other non-medical service dimensions with low satisfaction, so as to further improve the medical experience of patients in maternity and child hospitals.