Objective To analyze the incidence and mortality of gastric cancer in countries and territories with different human development index(HDI)levels in 2022,and to understand the burden of gastric cancer globally and in China.Methods Data on gastric cancer incidence and mortality were collected from GLOBOCAN 2022 and HDI data for all countries were obtained from the Human development report 2022.Spearman correlation was applied to examine the associations between the age-standardized incidence rate(ASIR),age-standardized mortality rate(ASMR),mortality-to-incidence ratio(M/I),and HDI for gastric cancer.The Wilcoxon rank-sum test was used to assess the differences in ASIR and ASMR between males and females.Results In 2022,gastric cancer ranked the 5th in both incidence and mortality among all cancer types globally.In China,gastric cancer ranked the 5th in incidence and the 3rd in mortality among all cancer types.The ASIR and ASMR of gastric cancer showed a descending trend from high,very high,medium to low HDI countries and territories.The ASIR of gastric cancer was positively correlated with HDI(rs=0.256,P=0.001),while ASMR showed no significant correlation with HDI(rs=-0.008,P=0.918).The M/I was negatively correlated with HDI(rs=-0.831,P＜0.001).The ASIR and ASMR of gastric cancer in males were significantly higher than those in females globally,in China,and across all HDI groups(all P＜0.05).Globally,both ASIR and ASMR of gastric cancer remained relatively stable before the age of 45,but showed a consistently rising trend after the age of 45.In China,the ASIR and ASMR of gastric cancer exceeded global average level across all age groups.Conclusion The burden of gastric cancer incidence and mortality is higher in very high and high HDI countries and territories compared to medium and low HDI countries and territories.In China,the burden of gastric cancer incidence and mortality is above the global average,highlighting the need for targeted prevention and control measures.

Objective To compare the incidence and mortality of brain and central nervous system(CNS)tumors in countries and territories with different human development index(HDI)in 2022,to make a comparison with the current epidemiological situation in China,and to assess the association between HDI and the incidence and mortality of brain and CNS tumors.Methods The data on brain and CNS tumors from GLOBOCAN 2022 were collected,and HDI data were organized based on the Human development report 2022.Generalized additive model(GAM)was used to analyze the relationships between standardized incidence ratio(SIR),standardized mortality ratio(SMR),mortality-to-incidence ratio(M/I),and HDI.Results The incidence and mortality of brain and CNS tumors increased with age in 2022,with a significant increasing trend in countries and territories with very high HDI.Countries and territories with high and very high HDI had more cases and more deaths,and countries and territories with very high HDI had the highest SIR and SMR.SIR for brain and CNS tumors in China was higher than the global average,while China's SMR was lower.M/I varied among countries and territories with different HDI,with lower M/I in countries and territories with high and very high HDI.HDI had a significant nonlinear effect on SIR(edf=1.740,P＜0.000 1)and M/I(edf=1.809,P＜0.000 1),and a significant linear effect on SMR(edf=1,P＜0.000 1).As HDI increased,SIR and SMR generally showed an increasing trend,while M/I showed a decreasing trend.Conclusion There are significant global differences in incidence and mortality of brain and CNS tumors in patients with different HDI in 2022;increasing HDI can reduce the risk of brain and CNS tumors and improve treatment outcomes,and prevention and control strategies should be made for different age groups and HDI.

ObjectiveTo compare the annual and age trends of the age-standard incidence rate （ASIR） and the age-standard mortality rate （ASMR） of lung cancer in countries with different human development index （HDI） from 1990 to 2019. MethodsThe data were collected from the global burden of disease study and GLOBOCAN 2020. The average annual percentage change （AAPC） and age trends of ASIR and ASMR in lung cancer were analyzed by the Joinpoint regression model， and the comparison between the four groups was analyzed by Kruskale-Wallis analysis. ResultsIn 2020， the incidence and mortality of lung cancer gradually increased with age and HDI grade. From 1990 to 2019， the global ASIR and ASMR of lung cancer decreased， and the ASIR of lung cancer among male decreased， while the ASIR of lung cancer among female increased. The results showed that ASIR of lung cancer in female residents in countries with very high HDI increased significantly from 1996 to 2011， resulting in an overall upward trend in female ASIR， while the other groups showed a downward trend. It was found that ASIR and ASMR of lung cancer in China and India were on the rise， while ASIR and ASMR of lung cancer in Russia and the United States were on the decline. ConclusionAlthough very high/high HDI countries face a higher burden of lung cancer occurrence and death， the accumulation of lung cancer burden is completed in the transitioning period. Therefore， lung cancer prevention measures in countries in transition are critical for global lung cancer control.

In recent years, antiangiogenic drugs based on VEGF and VEGFRs signaling pathway have been widely used in the treatment of malignant tumors. Apatinib is an orally bioavailable small-molecule antiangiogenic agent and can specifically inhibit the tyrosine kinase activity of VEGFR, thereby inhibiting tumor angiogenesis. Apatinib is the first-level recommendation of third-line treatment of gastric cancer in CSCO Guidelines for the Diagnosis and Treatment of Gastric Cancer published in 2018. Apatinib has been proved to be effective and safe in gastric, lung and breast cancers. In addition, the drug shows great potential in the treatment of a variety of solid tumors. This article reviews the recent progress on the mechanism, clinical efficacy, related efficacy predictors of apatinib and its combination with other antitumor drugs.

Objective: This study analyzed the active surveillance data of foodborne diseases among primary and secondary school students in Maanshan City. The purpose is to explore its epidemiological characteristics and provide evidence for effective prevention and control measures. Methods: Descriptive epidemiological method was used to analyze 976 cases of primary and secondary school students collected at the sentinel hospital in Maanshan City. Chi-square test was used to compare the distribution of foodborne diseases among primary and secondary school students with different characteristics, and the Logistic regression analysis was conducted on the influencing factors timely rate of health-seeking. Results: There were statistically significant differences in the distribution of food-borne diseases among primary and secondary school students in gender, urban and rural areas, hospital grades, administrative areas, eating places and food packaging or processing methods ( χ 2=5.24, 6.86, 41.45, 48.09, 27.87, 23.62, P < 0.05 ). There were 624 males (66.78%) and 352 females (33.22%). July-October was the peak period of health-seeking ( 45.77 %), and Huashan District (31.45%) had the largest number of cases. Multivariate Logistic regression showed that women ( OR =1.36, 95% CI =1.04-1.79), summer ( OR =1.68, 95% CI =1.19-2.35), autumn ( OR =1.49, 95% CI =1.04-2.12) and the Hexian area ( OR =2.71, 95% CI =1.77-4.15) were positively correlated with the timeliness of health-seeking. Conclusion The cases of foodborne diseases in primary and secondary schools in Maanshan City were mainly male. Summer and autumn were the main onset times. Huashan District was the key prevention county. It is suggested that all departments should take active and effective measures to strengthen the prevention and control of foodborne diseases among primary and secondary school students.

Objective: To understand knowledge and practice of influenza prevention and associated factors among primary and middle school teachers, and to provide a reference for conducting the relevant propaganda work of influenza. Methods: Stratified random cluster sampling method was used to select 858 primary and secondary school teachers from Huainan of Anhui Province to complete questionnaires on influenza prevention. Results: Television and radio broadcasting were the basic tools for teachers to acquire flu knowledge, with 74.12% and 80.00% of primary and secondary school teachers, respectively. The total awareness rate of influenza knowledge among primary and middle school teachers was 56.63% and 58.63%, respectively. The results of univariate analysis showed primary and secondary school teachers’ influenza awareness were significantly affected by regions and education levels. In addition, primary school teachers’ influenza awareness was significantly affected by full-time medical technicians or part-time medical workers, secondary school teachers’ influenza awareness was significantly affected by working years(P<0.05). The total formation rates of influenza-related health behavior between primary and secondary school teachers were 71.20% and 73.00%, respectively. The results of univariate analysis showed primary and secondary school teachers’ influenza health behaviors was significantly affected by regions, educational levels, full-time medical technicians or part-time medical workers and health training. Moreover, secondary school teachers’ influenza health behaviors was significantly affected by working years(P<0.05). Multivariate logistic regression analysis showed that whether the comprehensive scores of influenza knowledge and behavior were qualified was correlation with the regional and educational levels. Additionally, the factors whether it is a full-time medical technician or a part-time medical teacher also had an effect on the comprehensive score of behavior(P<0.05). Conclusion The influenza knowledge level and the health behavior formation rate in the primary and secondary school teachers need to be improved, the knowledge of influenza and the relevant influencing factors should be taken into consideration to take targeted health intervention measures to improve their ability to fight against influenza.

Objective:To understand the cognitive differences and its influential factors of medical dispute and physician′s professionalism between medical personnel and patients, and further to provide evidence for the preven-tion and treatment of medical dispute. Methods:In the case of quality control, we surveyed on the cognitive of medical dispute and physician′s professionalism in medical personnel and patients using self-designed question-naire. Stratified cluster sampling method was used in this study, which recruited 847 medical workers and 577 pa-tients. Data analysis was conducted with SPSS 16. 0. The two sample rates were compared using Chi squaretest (α=0. 05). Results:There is a statistically significance in doctor-patient relationship evaluation, dispute pre-vention, dispute responsibility, fair treatment,impact on the doctors and patients, causes of medical disturbance, attitude tomedical disturbance, medical disturbance elimination, physician′s professionalism evaluation, improve-ment approach, and the physician′s professional value between the two samples, having a direct impact on the con-struction of physician′s professionalism. Conclusion:For medical personnel, they should strengthen the construc-tion of physician′s professionalism and establish effective mechanism to prevent medical dispute. For patienes, they should understand, trust and respect the doctors, and solve medical dispute rationally. For government, they should establish a reasonable mechanism for the settlement of medical dispute, create a rational atmosphere respon-ding to the medical dispute, and reduce the intensification of medical dispute.