With the advancement of information technology,China has entered the era of multimedia.The"Internet plus"mode and technology have also accelerated medical,health,science popularization,and other information,making it an important channel for people to access such information.It has also emerged as the primary platform for hospital ideological work.Taking the ideological communication of the official account of a tertiary general hospital as an example,this study analyzed the current situation and challenges of the network ideology work of public hospitals in the context of the"Internet plus"and explores the construction of the network ideology work path based on this analysis.

Objective To investigate the effects of tegafur, gimeracil and oteracil potassium combined with oxaliplatin on gastric motility-related hormones, matrix metalloproteinase-2 (MMP-2) and matrix metalloproteinase-9 (MMP-9) in elderly patients with gastric cancer. Methods A total of 128 elderly patients with gastric cancer were selected as the study subjects and randomly divided into control group (n=64) and observation group (n=64). The control group was treated with tegafur, gimeracil and oteracil potassium, while the observation group received tegafur, gimeracil and oteracil potassium combined with oxaliplatin. Gastric motility-related hormones [motilin (MTL) and vasoactive intestinal peptide (VIP)], MMP-2, MMP-9, tumor markers [carcinoembryonic antigen (CEA), carbohydrate antigen 125 (CA125) and carbohydrate antigen 19-9 (CA19-9)], clinical efficacy and occurrence of adverse reactions were observed in both groups. The correlations of gastric motility-related hormones with the levels of MMP-2, MMP-9 and tumor markers were analyzed. Results After treatment, MTL levels in both groups were significantly lower, while VIP levels were significantly higher compared to before treatment. Additionally, the observation group had significantly lower MTL and higher VIP levels compared to the control group (P < 0.05). After treatment, the levels of MMP-2, MMP-9, CEA, CA125 and CA19-9 were significantly reduced in both groups compared to pretreatment levels, with the observation group showing significantly lower levels than the control group (P < 0.05). The total effective rate in the observation group was 70.31%, which was significantly higher than the 53.13% in the control group (P < 0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P>0.05). A negative correlation was observed between MTL and MMP-2, MMP-9, CEA, CA125 as well as CA19-9 (P < 0.05), while VIP showed a positive correlation with MMP-2, MMP-9, CEA, CA125 and CA19-9 (P < 0.05). Conclusion The combination of tegafur, gimeracil and oteracil potassium and oxaliplatin is effective and safe for the treatment of elderly patients with gastric cancer. MTL, VIP, MMP-2, MMP-9, CEA, CA125 and CA19-9 are interrelated in the development of gastric cancer in elderly patients.

Trauma is recognized globally as a great public health challenge.It stands as the predomi-nant cause of mortality among those under the age of 45 and is also ranked among the top five causes of death for both urban and rural populations within China.This stark reality underscores the critical urgen-cy in establishing an efficient system for trauma care,which is pivotal for substantially enhancing the sur-vival rates of patients.An optimally developed system for trauma care not only guarantees that patients promptly receive professional medical assistance but also facilitates significant improvements in the out-comes of trauma care through the strategic establishment of trauma centers.At present,a considerable variation exists in the quality of trauma care provided across various regions within China.The adoption of comprehensive quality management strategies for the medical processes involved in trauma care,alongside the standardized management of on-site rescue operations,pre-hospital emergency care,and in-hospital treatment protocols,stands as a fundamental approach to boost the capabilities of trauma care and,conse-quently,the survival rates of trauma patients.Serving as the cornerstone of comprehensive medical quali-ty management,key quality control indicators possess the capacity to steer the development direction of trauma centers.In a concerted effort to further augment the medical quality management of trauma care,standardize clinical diagnosis and treatment methodologies,and advocate for the standardization and ho-mogenization of medical services,the Medical Quality Control Professional Committee of the National Center for Trauma Medicine has undertaken a detailed refinement and update of the 16 key quality control indicators for trauma centers.These were initially put forward in the"Notice on Further Enhancing Trau-ma Care Capabilities"disseminated by the National Health Commission in 2018.Consequent to this en-deavor,a revised set of 19 quality control indicators has been devised.This comprehensive set,inclusive of the indicators'names,definitions,calculation methodologies,significance,and the subjects for quali-ty control,is designed for utilization within the quality management and control operations of trauma cen-ters across various levels.This initiative aims to furnish a concrete and executable roadmap for the quality control endeavors of trauma centers.Through the enactment of these quality control indicators,medical institutions are empowered to conduct more stringent monitoring and evaluative measures across all facets of trauma care.This not only facilitates the prompt identification and rectification of existing challenges but also substantially boosts the efficiency of internal collaboration.It enhances the synergy between dif-ferent departments,thereby markedly improving the efficiency and quality of trauma care.