Taking the K integrated medical and elderly care institution in Fuzhou as a case， this study drew on ecosystem theory to analyze the structural characteristics of the elderly in family settings and elderly care institutions， revealed the integration dilemmas they encountered during the transition from family to the elderly care institutions， and explored the intervention countermeasures and practical outcomes of the “seven-day integration service” program led by social workers. The research found that after moving into the institution， the elderly commonly face challenges such as reduced spatial autonomy， standardized living rhythms， weakened emotional support networks， poor cross-system communication， unequal resource allocation， and disordered cultural identity. In the intervention practice， social workers conduct individualized need assessment and emotional support， collaborate with elder volunteers to carry out social guidance， promote cross-departmental resource integration and information linkage， create an equal and mutually supportive living atmosphere， and strengthen the elderly’s sense of subjectivity and social identity through narrative reconstruction and role reconstruction， thereby promoting the smooth transition and positive integration of their life from family to the institution. To a certain extent， this study contributes to expanding the understanding of the integration issues of the elderly in integrated medical and elderly care institutions and the intervention paths of social work， while also providing an experiential reference for the application of the ecosystem theory in local elderly social work practice.

Abstract To effectively evaluate insulin resistance (IR) in obese children and prevent chronic diseases, the review systematically elucidates the physiological significance and clinical utility of lipid accumulation product (LAP) in IR assessment of obese children. LAP can effectively reflect visceral fat accumulation and lipid metabolism disorders, and correlates with the core pathological indicators of IR. It also shows better diagnostic efficacy in identifying IR than traditional anthropometric measurement indicators; its dynamic changes can monitor the effectiveness of lifestyle interventions and drug treatments, facilitating the formulation of personalized intervention plans strategies for obese children. Future research should focus on the metabolic characteristics of Chinese children and adolescents, establish localized and standardized LAP reference values, and provide evidence based support for exploring precise comprehensive intervention measures and improving the metabolic health of obese children.

Taking the Z Cancer Patient Organization in Beijing as an example， by analyzing the disease narratives of cancer patients， this paper elucidated the construction of a patient narrative community and the operation mechanism of patient emotional support in the patient organization. This study found that firstly， under the advocacy of the group’s anti-cancer philosophy in the patient organization， the shared identity of suffering from cancer and the frequency of participation in organizational activities were the sources of cancer patients becoming cancer friends， establishing narrative connections， and forming emotional relationships. Secondly， the collective narrative activities of “talk therapy” were important mechanisms for constructing a patient narrative community and initiating mutual assistance practices among patients. Thirdly， emotional support was the main practice form of mutual assistance among patients， as well as the alignment of narratives and emotions helped to strengthen the patient narrative community and expand the social solidarity function of the patient organization， thereby forming mutual emotional support between patients and the patient organization. Therefore， the narrative connections and the advocacy of narrative community among patients are crucial， which not only benefits patients in enhancing their social and psychological support， re-adapting to social life， and increasing holistic healing， but also helps to create a better cancer narrative ecology for the whole society， motivating patient organizations to continuously assist cancer patients in overcoming living dilemmas and improving their quality of life.

Objective To investigate the effect of iron on measurement of bone mineral density(BMD)by quantitative computed tomography(QCT)and to establish a correction equation to exclude the effect of iron by using R2*.Methods A total of 15 water models containing different concentrations of iron were prepared by analyzing pure anhydrous calcium chloride and 100 mg/mL iron dextran injection.Each water model was scanned by CT and MRI under the same conditions,and the CT,QCT BMD and R2*val-ues were measured.The correlation analysis was performed between iron concentration and CT value,and QCT BMD value.Simple linear regression analysis was performed between iron concentration and QCT BMD value,between QCT BMDiron and R2*.Results There was a significant positive correlation between iron concentration and CT value,and QCT BMD value(rCT value=0.994,P＜0.001,rQCT BMD=0.993,P＜0.001).The simple linear regression equation between iron concentration and QCT BMD value was established:y=2.34x+159(x:iron concentration,y:QCT BMD).The correction equation was:QCT BMDcorrection=QCT BMDmeasurement-0.093 R2*+0.434.Conclusion Under ideal conditions,iron has an effect on measurement of BMD by QCT,and iron reduces the accuracy of measure-ment of BMD by QCT.The effect of iron on measurement of BMD by QCT needs to be corrected by correction equation.

After cancer became the number one public enemy threatening global life and health in the 20th century, it was given various negative metaphors. As cancer mortality rates rise, cancer metaphors gradually spread to various corners of society and cause public panic. In the 1970s, China and the United States each appeared a female cancer survivor, Lin Guo and Susan Sontag. Both of them noticed the dual marginalization faced by cancer patients in China and the United States in social and medical fields during their own cancer and treatment processes. To reverse the situation of cancer patients, they actively engaged in social actions. Their actions not only helped to enhance the subjectivity and initiative of cancer patients, but also downplayed the growing fear of cancer in Chinese and American society at that time due to cancer metaphors. Based on the personal diaries and biographies of Lin Guo and Sontag, this paper elaborated on how these two women transformed and broke the metaphor of cancer in different social cultures and reconstructed the social significance of cancer from their life experiences such as family and upbringing environment, educational and work experiences, cancer and treatment.