The traditional evaluation of traditional Chinese medicine(TCM)academic achievements mostly relies on superficial da-ta such as citation measurement,which cannot fully reveal the inheritance and innovation level of TCM academic achievements,cultur-al thoughts and the deep value of overall medical science.Therefore,this paper explores a new evaluation model of TCM academic a-chievements based on digital intelligence technology,broadens the vision of TCM academic achievement evaluation,and through multi-source data fusion and text semantic analysis,from the dimension of"knowledge element",finely evaluates TCM academic thoughts,improves the scientific nature of TCM academic achievement evaluation,better reveals the inheritance context and innovation of TCM academic achievements,enables TCM academic achievements to better guide the high-quality development of TCM health service in-dustry,and enhances its competitiveness in Chinese-style health medicine under globalization.

Objective To investigate the effects of miR-362-3p on the proliferation,migration and invasion of esophageal cancer EC9706 cells and its molecular mechanism.Methods The cancerous tissues and adjacent tissues of 30 patients with esophageal cancer from January 2018 to January 2020 were selected,and human normal esophageal epithelial cells HET-1 A and esophageal cancer cells EC9706,TE10,KYSE-140,KYSE-150 were cultured in vitro.Real-time fluorescence quantitative PCR(RT-qPCR)was used to detect the expression levels of miR-362-3p and dual specificity phosphatase 10(DUSP10)mRNA in tissues and cells.EC9706 cells were divided into NC group(normally cultured),miR-NC group(transfected miR-362-3p mimic NC)and miR-362-3p group(transfected miR-362-3p mimic),si-NC group(transfected with DUSP10 siRNA NC),si-DUSP10 group(transfected with DUSP10 siRNA),miR-362-3p+pcDNA group(co-transfected with miR-362-3p mimic and pcDNA3.1-DUSP10 NC)and miR-362-3p+pcDNA-DUSP10 group(co-transfected with miR-362-3p mimic and pcDNA3.1-DUSP10).The expression levels of miR-362-3p and DUSP10 mRNA in each group were detected by RT-qPCR.Cell proliferation activity was detected by MTT assay.Cell migration and invasion were detected by Transwell assay.The expressions of DUSP10,CyclinD1,p21,matrix metalloproteinase(MMP)-2 and MMP-9 were detected by Western blot.Dual luciferase reporter gene assay was used to detect the targeting relationship between miR-362-3p and DUSP10.Results The expression of miR-362-3p was high and DUSP10 was low in esophageal cancer tissues and cells.Overexpression of miR-362-3p or knockdown of DUSP10 expression significantly reduced the activity,migration and invasion number and the expression of CyclinD1,MMP-2 and MMP-9,and significantly increased the expression of p21 in EC9706 cells(P＜0.05).miR-362-3p targeted the expression of DUSP10(P＜0.05).And up-regulation of DUSP10 expression partially reversed the effects of overexpression of miR-362-3p on the proliferation,migration and invasion of EC9706 cells(P＜0.05).Conclusion miR-362-3p can inhibit the proliferation,migration and invasion of EC9706 cells by down-regulating the expression of DUSP10.

The traditional evaluation of traditional Chinese medicine(TCM)academic achievements mostly relies on superficial da-ta such as citation measurement,which cannot fully reveal the inheritance and innovation level of TCM academic achievements,cultur-al thoughts and the deep value of overall medical science.Therefore,this paper explores a new evaluation model of TCM academic a-chievements based on digital intelligence technology,broadens the vision of TCM academic achievement evaluation,and through multi-source data fusion and text semantic analysis,from the dimension of"knowledge element",finely evaluates TCM academic thoughts,improves the scientific nature of TCM academic achievement evaluation,better reveals the inheritance context and innovation of TCM academic achievements,enables TCM academic achievements to better guide the high-quality development of TCM health service in-dustry,and enhances its competitiveness in Chinese-style health medicine under globalization.

The Inner Canon of Yellow Emperor （《黄帝内经》） constructs its theoretical system under the influence of the holistic， symbolic， and holographic mental models of traditional Chinese medicine （TCM）. It lays the theoretical foundation of TCM and provides a paradigm for TCM theory construction， serving as an original academic gene and theoretical source for the inheritance and innovation of modern TCM. Based on the theoretical paradigms derived from The Inner Canon of Yellow Emperor， the holistic mental model， the symbolic mental model， and the holographic mental model in shaping nature-human medicine theory， imagery-based theory， and fractal theory， this study revealed that TCM theory relies on the cognitive framework of traditional cultural mental models. On this basis， we proposed that the modern TCM mental model should return to its roots while fostering innovation， integrating tradition with modernity by combining macroscopic with microscopic perspectives， scientific with humanistic cognition， as well as evidence-based research with digital and artificial intelligence technologies. Furthermore， with a future-oriented approach， this paper discussed on the strategies for reshaping the modern TCM mental model from three dimensions of TCM diagnosis and treatment， TCM education， and TCM research， which could not only preserve the traditional clinical thinking characteristics of TCM， but also innovate modern TCM practice.

Objective To investigate the effects of miR-362-3p on the proliferation,migration and invasion of esophageal cancer EC9706 cells and its molecular mechanism.Methods The cancerous tissues and adjacent tissues of 30 patients with esophageal cancer from January 2018 to January 2020 were selected,and human normal esophageal epithelial cells HET-1 A and esophageal cancer cells EC9706,TE10,KYSE-140,KYSE-150 were cultured in vitro.Real-time fluorescence quantitative PCR(RT-qPCR)was used to detect the expression levels of miR-362-3p and dual specificity phosphatase 10(DUSP10)mRNA in tissues and cells.EC9706 cells were divided into NC group(normally cultured),miR-NC group(transfected miR-362-3p mimic NC)and miR-362-3p group(transfected miR-362-3p mimic),si-NC group(transfected with DUSP10 siRNA NC),si-DUSP10 group(transfected with DUSP10 siRNA),miR-362-3p+pcDNA group(co-transfected with miR-362-3p mimic and pcDNA3.1-DUSP10 NC)and miR-362-3p+pcDNA-DUSP10 group(co-transfected with miR-362-3p mimic and pcDNA3.1-DUSP10).The expression levels of miR-362-3p and DUSP10 mRNA in each group were detected by RT-qPCR.Cell proliferation activity was detected by MTT assay.Cell migration and invasion were detected by Transwell assay.The expressions of DUSP10,CyclinD1,p21,matrix metalloproteinase(MMP)-2 and MMP-9 were detected by Western blot.Dual luciferase reporter gene assay was used to detect the targeting relationship between miR-362-3p and DUSP10.Results The expression of miR-362-3p was high and DUSP10 was low in esophageal cancer tissues and cells.Overexpression of miR-362-3p or knockdown of DUSP10 expression significantly reduced the activity,migration and invasion number and the expression of CyclinD1,MMP-2 and MMP-9,and significantly increased the expression of p21 in EC9706 cells(P＜0.05).miR-362-3p targeted the expression of DUSP10(P＜0.05).And up-regulation of DUSP10 expression partially reversed the effects of overexpression of miR-362-3p on the proliferation,migration and invasion of EC9706 cells(P＜0.05).Conclusion miR-362-3p can inhibit the proliferation,migration and invasion of EC9706 cells by down-regulating the expression of DUSP10.

Using constructivism theory， this study explored the relationship between the "origin" and "flow" of academic schools in traditional Chinese medicine （TCM）， clarified the developmental patterns of schools， and provided insights for the modernization， inheritance， and innovation of current schools. Academic schools originate from different cultural sources， and their differentiation and development are similar to the replication， spread and variation of biological "genes". The theoretical characteristics of constructivism align well with the principles of formation and differentiation of academic schools. The construction of academic thoughts and core diagnostic and therapeutic concepts within each school can be seen as a multilevel unity of self-construction， mutual construction among individuals， and social construction. Firstly， individual medical practitioners choose and inherit from the origins of TCM， integrating personalized understanding， which then differentiates into various schools in the history of academia. Secondly， during the process of cultural inheritance， medical practitioners from different times and regions gradually form academic schools and local medical schools through the method of "tailoring strategies to three categories of etiological factors" and mutual construction among individuals. Finally， in the context of the scientific， standardized， and intelligent development of modern medicine， the further evolution of academic schools needs to follow the evolutionary laws of traditional medicine， combine with the health needs of the new era， adopt a social construction approach， facilitate multi-party participation in the inheritance and innovation of academic thoughts and clinical experiences， and utilize the internet and intelligent technology means to empower modern development.

Objective:To identify the influencing factors for community elderly health services provided by general practitioners (GPs) using the social ecological theory, for reference in improving their participation and satisfaction.Methods:According to the social ecological theory, an ecological model for GPs to carry out community elderly health services was constructed from four levels: public policy ecology, community health service ecology, interpersonal relationship ecology, and individual characteristics ecology of general practitioners. A survey questionnaire was designed with six latent variables: public health policy support, public health service and basic medical service supply, doctor-patient relationship, individual participation and individual satisfaction. The questionnaire was distributed to 220 GPs from 11 primary healthcare institutions in Jiangsu province, China, who were randomly selected between October and November 2021. Exploratory and confirmatory analyses of the model were conducted using AMOS 25.0.Results:A total of 207 valid questionnaires were collected, and all the KMO values of the six latent variables were greater than 0.7, while the composite reliability values and average variance extracted values greater than 0.7 and 0.5, respectively. Both the reliability and validity of the data met the analysis requirements. Exploratory analysis revealed that public health policy support had a direct positive effect on both public health service and basic medical service supply (both effect sizes being 0.37). Public health service had a direct positive effect on doctor-patient relationship, individual participation and individual satisfaction (effect sizes being 0.52, 0.22, and 0.31, respectively). The direct effect of basic medical service supply on doctor-patient relationship was not significant (effect size being 0.03), but it had a direct positive effect on public health service (effect size being 0.46). Doctor-patient relationship had a direct positive effect on individual participation (effect size being 0.51), but its direct effect on individual satisfaction was not significant (effect size being 0.06). Individual participation had a direct positive effect on individual satisfaction (effect size being 0.52). Conclusions:By optimizing the public policy ecosystem, community health service ecosystem, and interpersonal relationship ecosystem, the participation and satisfaction of general practitioners can be systematically improved.

Objective:To analyze the disease characteristics and hospitalization burden of elderly inpatients with cerebrovascular disease, so as to provide basis for disease prevention, diagnosis, treatment and rehabilitation of elderly patients with multiple chronic conditions.Methods:The data of the first page of medical records of elderly inpatients with cerebrovascular disease from 2015 to 2020 in a comprehensive tertiary hospital in Jiangsu Province were retrospectively collected.Descriptive analysis, variance analysis and multiple linear regression analysis were carried out for the research objects using SPSS statistics and Python complex network methods.Results:A total of 14 657 elderly inpatients with cerebrovascular disease were included.From 2015 to 2020, the number of hospitalizations increased from 1 268 to 4 733, the average number of hospitalizations increased from 2.0 to 2.9, the average length of stay decreased from 11.9 days to 9.1 days, and the average number of illnesses increased from 1.9 to 4.9.The five most common comorbidities associated with cerebrovascular diseases were hypertension, diabetes, ischemic heart disease, other types of heart disease and other respiratory diseases.From 2015 to 2020, the average hospitalization costs of elderly cerebrovascular inpatients decreased from 20588.1 Chinese yuan(CYN)to 15580.9 Chinese yuan(CYN). The hospitalization cost was mainly composed of drug cost(46.6%), diagnosis cost(28.2%)and treatment cost(20.2%). There were significant differences in the average hospitalization expenses among patients with different gender, age, number of admissions, length of stay and number of diseases( P<0.05 for all). Gender, age, number of hospitalizations and length of stay had an impact on hospitalization expenses. Conclusions:The number of inpatients, comorbidities, and hospitalized times of elderly patients with cerebrovascular disease showed an increasing trend, while the number of hospitalization days and the average hospitalization cost showed a downward trend.Comorbidities associated with cerebrovascular diseases should be one of the concerns of chronic disease management in the elderly.

Objective:To analyze the hospitalization expenses of elderly patients with hypertension and its influencing factors, so as to provide reference for optimizing the medical service management of elderly patients with hypertension.Methods:Medical record home page data of all hypertension inpatients of elderly patients at two tertiary general hospitals in Jiangsu province from 2017 to 2020 were retrieved. These data were used to analyze the basic information, hospitalization expenses and their influencing factors. Descriptive analysis was used for all data, variance analysis was used for one-way analysis, and multiple linear regression was used for multivariate analysis.Results:A total of 20 596 elderly inpatients with hypertension were included in this study. The number of patients was increased from 1 476 in 2017 to 10 771 in 2020. Among them, the number of inpatients with≥2 diseases increased from 1 105(74.86%) to 10 564(98.08%); From 2017 to 2020, the average hospitalization expenses of elderly inpatients with hypertension were 11 500 yuan, 13 600 yuan, 13 800 yuan and 14 100 yuan respectively, increasing year by year; Gender, age, number of hospitalizations, hospitalization days and number of diseases were the influencing factors of hospitalization expenses( P<0.05), and the hospitalization expenses increased with the increase of hospitalization days, number of diseases and age. Conclusions:The number of elderly patients with hypertension, the incidence of comorbidity, and the average hospitalization cost in tertiary hospitals in Jiangsu province were increasing year by year. There were many factors affecting the hospitalization cost. The author suggested that the treatment of elderly patients with hypertension should be shifted to prevention, so as to reduce the economic burden of disease and improve their quality of life.

BACKGROUND: Hepatectomy for hepatocellular carcinoma (HCC) beyond the Milan criteria is shown to be beneficial. However, a high rate of post-operative HCC recurrence hinders the long-term survival of the patients. This study aimed to investigate and compare the impacts of tenofovir (TDF) and entecavir (ETV) on the recurrence of hepatitis B viral (HBV)-related HCC beyond the Milan criteria. METHODS: Data pertaining to 1532 patients who underwent hepatectomy and received antiviral therapy between January 2014 and January 2019 were collected from five centers. Recurrence-free survival (RFS) analysis was performed using the Kaplan-Meier method. Cox proportional hazards regression analysis was performed to determine prognostic factors for HCC recurrence. RESULTS: The analysis incorporates 595 HBV-related HCC patients. The overall 5-year RFS was 21.3%. Among them, 533 and 62 patients received ETV and TDF treatment, respectively. The 1-, 3-, and 5-year RFS rates were 46.3%, 27.4%, and 19.6%, respectively, in the ETV group compared with 65.1%, 41.8%, and 37.2%, respectively, in the TDF group (P < 0.001). Multivariate analysis showed that TDF treatment (hazard ratio [HR]: 0.604, P = 0.005), cirrhosis (HR: 1.557, P = 0.004), tumor size (HR: 1.037, P = 0.008), microvascular invasion (MVI) (HR: 1.403, P = 0.002), portal vein tumor thrombus (PVTT) (HR: 1.358, P = 0.012), capsular invasion (HR: 1.228, P = 0.040), and creatinine levels (CREA) (HR: 0.993, P = 0.031) were statistically significant prognostic factors associated with RFS. CONCLUSIONS Patients with HCC beyond the Milan criteria exhibited a high rate of HCC recurrence after hepatectomy. Compared to the ETV therapy, TDF administration significantly lowered the risk of HCC recurrence.
Antiviral Agents/therapeutic use* ; Carcinoma, Hepatocellular/surgery* ; Guanine/analogs & derivatives* ; Hepatectomy ; Hepatitis B virus ; Hepatitis B, Chronic/drug therapy* ; Humans ; Liver Neoplasms/surgery* ; Retrospective Studies ; Tenofovir/therapeutic use*