With the rapid development of large language models and related technologies, various forms of patient modeling have emerged, including virtual patients, synthetic patients, artificial intelligence patients, and digital twin patients. Although these forms all share the core objective of patient simulation, they exhibit significant differences in theoretical ontology, data sources, modeling logic, and application orientation. Based on the abstraction levels of simulation objects and system mapping logic, this study systematically compares five paradigms—standardized patients, virtual patients, synthetic patients, AI patients, and digital twin patients—to clarify their conceptual boundaries and technical positioning. The findings indicate that these paradigms represent distinct modeling pathways: behavioral reproduction, scenario simulation, data generation, cognitive interaction, and individual system mapping, respectively. By constructing a multidimensional comparative framework, this study provides a theoretical foundation for the conceptual standardization of patient modeling and the strategic deployment of intelligent healthcare systems.

As a crucial research branch of artificial intelligence and a key technology for implementing smart healthcare, knowledge graphs have demonstrated strong capabilities in data processing and organization. Nursing researchers can leverage knowledge graph technology to effectively integrate nursing-related concepts and their potential relationships, thereby providing guidance for clinical nursing practice. This paper introduced the connotation, construction methods, and core technologies of knowledge graphs, and presents specific scenarios illustrating their applications in the nursing field. Furthermore, it discussed the role of knowledge graphs in promoting the development of nursing science, aiming to enhance awareness among nursing researchers and broaden the application of knowledge graphs in nursing.

As a crucial research branch of artificial intelligence and a key technology for implementing smart healthcare, knowledge graphs have demonstrated strong capabilities in data processing and organization. Nursing researchers can leverage knowledge graph technology to effectively integrate nursing-related concepts and their potential relationships, thereby providing guidance for clinical nursing practice. This paper introduced the connotation, construction methods, and core technologies of knowledge graphs, and presents specific scenarios illustrating their applications in the nursing field. Furthermore, it discussed the role of knowledge graphs in promoting the development of nursing science, aiming to enhance awareness among nursing researchers and broaden the application of knowledge graphs in nursing.

Inflammatory bowel disease(IBD)is a serious disorder,and exploration of active compounds to treat it is necessary.An acidic polysaccharide named SUSP-4 was purified from Selaginella uncinata(Desv.)Spring,which contained galacturonic acid,galactose,xylose,arabinose,and rhamnose with the main chain structure of →4)-α-D-GalAp-(1 → and →6)-β-D-Galp-(1 → and the branched structure of →5)-α-L-Araf-(1 →.Animal experiments showed that compared with Model group,SUSP-4 significantly improved body weight status,disease activity index(DAI),colonic shortening,and histopathological damage,and elevated occludin and zonula occludens protein 1(ZO-1)expression in mice induced by dextran sulfate sodium salt(DSS).16S ribosomal RNA(rRNA)sequencing indicated that SUSP-4 markedly downregulated the level of Akkermansia and Alistipes.Metabolomics results confirmed that SUSP-4 obviously elevated thiamine levels compared with Model mice by adjusting thiamine metabolism,which was further confirmed by a targeted metabolism study.Fecal transplantation experiments showed that SUSP-4 exerted an anti-IBD effect by altering the intestinal flora in mice.A mechanistic study showed that SUSP-4 markedly inhibited macrophage activation by decreasing the levels of phospho-nuclear factor kappa-B(p-NF-κB)and cyclooxygenase-2(COX-2)and elevating NF-E2-related factor 2(Nrf2)levels compared with Model group.In conclusion,SUSP-4 affected thiamine metabolism by regulating Akker-mania and inhibited macrophage activation to adjust NF-κB/Nrf2/COX-2-mediated inflammation and oxidative stress against IBD.This is the first time that plant polysaccharides have been shown to affect thiamine metabolism against IBD,showing great potential for in-depth research and development applications.

Objective:To develop an E-chart visual acuity recognition card suitable for children aged 2-4 years and to design a child-friendly gamified intervention method to improve the success rate, compliance, and parental satisfaction in visual acuity testing for this age group.Methods:A non-concurrent historical control study design was employed, involving 143 children aged 2-4 years and parents who attended the ophthalmology outpatient clinic of Renmin Hospital of Wuhan University from January to June 2023. The children were divided into the control group and the intervention group based on their appointment times. Both groups underwent binocular visual acuity testing using the E-chart visual acuity recognition cards. The control group received conventional visual acuity testing, while the intervention group was subjected to a child-friendly gamified intervention. The effectiveness of the intervention was assessed by comparing the success rate of visual acuity testing, examination compliance, and parental satisfaction between the two groups.Results:Finally, the sample size of the control group and the intervention group were 69 and 74 cases. The children in the control group was (3.06 ± 0.47) years old, with 36 males and 33 females; whereas the children in the intervention group was (2.99 ± 0.45) years old, with 38 males and 36 females. The parents in the control group was (29.37 ± 4.00) years old, with 24 males and 45 females; whereas the parents in the intervention group was (29.35 ± 3.50) years old, with 27 males and 47 females. The success rate of visual acuity testing in the intervention group was significantly higher at 63.5% (47/74) compared to the control group′s 34.8% (24/69), with a statistically significant difference ( χ2=7.45, P<0.01). The compliance of the children during the examination in the intervention group, categorized as no grade I cases, 19 gradeⅡcases, 21 gradeⅢcases, and 34 grade Ⅳ cases, was significantly higher than that of the control group, which had 17 grade I cases, 23 gradeⅡcases, 15 grade Ⅲcases, and 14 grade Ⅳ cases ( Z=4.61, P<0.01). In terms of parental satisfaction, the intervention group′s satisfaction score was (4.53 ± 0.56) points, which was significantly higher than the control group′s score of (3.74 ± 0.78) points, indicating a statistically significant difference ( t=-4.88, P<0.01). Conclusions:The child-friendly gamified intervention significantly improved the success rate and compliance of visual acuity testing in children aged 2-4 years and increased parental satisfaction. This intervention provides an effective solution for visual acuity testing in children aged 2-4 years.

Objective:To investigate the current status of the nurturing care ability of primary intergenerational caregivers for infants and young children aged 0-3 years old, and explore its influencing factors, providing reference for further constructing strategies to enhance the nurturing care ability of primary intergenerational caregivers.Methods:From November 2022 to February 2023, cluster sampling was used to select 673 primary intergenerational caregivers of infants and young children aged 0-3 from three communities in Zunyi City as participants. The survey was conducted using the General Self-Efficacy Scale and the self-made Primary Intergenerational Caregiver Nurturing Care Ability Questionnaire for 0-3 Year Old Infants and Young Children. The nurturing care ability of primary intergenerational caregivers was evaluated from five dimensions of health care, nutrition care, safety care, responsive care, and early learning opportunities. Single factor analysis and multiple linear regression were used to analyze the factors influencing the nurturing care ability of primary intergenerational caregivers.Results:Among 673 primary intergenerational caregivers, the total score for the nurturing care ability was (88.15±13.19), and the mean of each item was (2.38±0.36). Multiple linear regression analysis showed that marital status, educational level, occupational status, and general self-efficacy were the influencing factors on the nurturing care ability of primary intergenerational caregivers for infants and young children aged 0-3 years old ( P<0.05), which explained 21.4% of the total variation. Conclusions:The nurturing care ability of the primary intergenerational caregivers for infants and young children aged 0-3 in Zunyi City are at upper middle level. Healthcare professionals should attach importance to evaluating the nurturing care ability of primary intergenerational caregivers, and provide targeted and effective interventions and support to improve their nurturing care abilities, comprehensively ensuring the healthy growth of infants and young children aged 0-3.

Objective:To investigate the current status of the nurturing care ability of primary intergenerational caregivers for infants and young children aged 0-3 years old, and explore its influencing factors, providing reference for further constructing strategies to enhance the nurturing care ability of primary intergenerational caregivers.Methods:From November 2022 to February 2023, cluster sampling was used to select 673 primary intergenerational caregivers of infants and young children aged 0-3 from three communities in Zunyi City as participants. The survey was conducted using the General Self-Efficacy Scale and the self-made Primary Intergenerational Caregiver Nurturing Care Ability Questionnaire for 0-3 Year Old Infants and Young Children. The nurturing care ability of primary intergenerational caregivers was evaluated from five dimensions of health care, nutrition care, safety care, responsive care, and early learning opportunities. Single factor analysis and multiple linear regression were used to analyze the factors influencing the nurturing care ability of primary intergenerational caregivers.Results:Among 673 primary intergenerational caregivers, the total score for the nurturing care ability was (88.15±13.19), and the mean of each item was (2.38±0.36). Multiple linear regression analysis showed that marital status, educational level, occupational status, and general self-efficacy were the influencing factors on the nurturing care ability of primary intergenerational caregivers for infants and young children aged 0-3 years old ( P<0.05), which explained 21.4% of the total variation. Conclusions:The nurturing care ability of the primary intergenerational caregivers for infants and young children aged 0-3 in Zunyi City are at upper middle level. Healthcare professionals should attach importance to evaluating the nurturing care ability of primary intergenerational caregivers, and provide targeted and effective interventions and support to improve their nurturing care abilities, comprehensively ensuring the healthy growth of infants and young children aged 0-3.

Objective:To analyze effects of dietary intervention on health outcome in patients with polycystic ovary syndrome.Methods:PubMed, Cochrane Library, Web of Science, Embase, China Biology Medicine disc, CNKI and WanFang Data were searched by the computer, and clinical RCTs about dietary intervention in patients with polycystic ovary syndrome were included. The retrieval time was up to August 2020. Two trained researchers independently screened the literature, extracted data and evaluated the quality. Meta-analysis was performed using RevMan 5.3 software.Results:A total of 9 clinical RCTs were included, including 697 patients with polycystic ovary syndrome. The results of Meta-analysis showed that compared with the control group, dietary intervention could reduce the body weight ( MD=-2.22, 95% CI -2.75--1.68, P<0.001) , body mass index ( MD=-1.05, 95% CI -1.24--0.87, P<0.001) , waist circumference ( MD=-2.35, 95% CI -4.17--0.53, P=0.01) , fasting blood glucose ( MD=-0.12, 95% CI -0.18--0.05, P<0.001) , fasting insulin ( MD=-4.77, 95% CI -5.59--3.96, P<0.001) , insulin resistance index assessed by steady-state model ( MD=-0.93, 95% CI -1.29--0.57, P<0.001) , luteinizing hormone ( MD=-0.46, 95% CI -0.90--0.03, P=0.040) , follicle-stimulating hormone ( MD=-0.16, 95% CI -0.31--0.01, P=0.030) , total testosterone ( MD=-0.33, 95% CI -0.53--0.13, P<0.001) , increase sex hormone-binding globulin ( MD=8.02, 95% CI 5.55-10.49, P<0.001) and pregnancy rate ( RR=18.38, 95% CI 4.47-75.55, P<0.001) of patients with polycystic ovary syndrome. Conclusions:Dietary intervention can improve the pregnancy rate of patients with polycystic ovary syndrome, improve the endocrine and metabolic status and reduce the level of insulin resistance and human measurable indicators.

Objective:To investigate the people's cardiopulmonary resuscitation (CPR) ability in Hunan Province and whether there are differences in the skill level of CPR among respondents of different ages and education levels.Methods:A self-made questionnaire was conducted to survey people in Hunan Province by means of WeChat from May 2018 to April 2019. The questionnaire referred to 2016 National consensus on cardiopulmonary resuscitation in China issued by Cardiopulmonary Resuscitation Specialized Committee of Chinese Research Hospital Association and 2017 version of American Heart Association (AHA) CPR operational guide, and combined with the CPR assessment scale of Hunan Provincial People's Hospital. The contents of the survey included the basic information of the subjects, the common knowledge and skills of first aid, the willingness to learn CPR skills and implement CPR, and the operational requirements of high quality CPR, etc. Results:A total of 6 563 people received the on-site first aid knowledge questionnaire, and 4 355 people completed and submitted the questionnaire. The recovery rate was 66.36%, of which 3 602 valid questionnaires were from IP in Hunan Province, and the qualified rate was 82.71%. Among the subjects, 1 532 were men (42.53%) and 2 070 were women (57.47%). The majority aged group from 19 to 30 (59.41%) and from 31 to 50 (36.70%). 307 were rural (8.52%) and 3 295 were urban (91.48%); and the majority levels of education were senior or technical secondary school (38.26%) and undergraduate or junior college (44.50%). Of the 3 602 respondents, 39.09% indicated that they had been exposed to CPR knowledge and only 0.36% indicated that they did not wish to participate in CPR training. 69.93% of the respondents said they would actively to help if they wet cardic arrest, and 97.92% of those were willing to do so if the patients were relatives or friends. The survey results showed that only 8.91% of respondents chose relatively high-quality CPR options (chest compressions were performed first, the pressing point was located in the sternum of the midpoint of bilateral nipple line, the pressing frequency was 100-120 times/min, pressing depth was 5-6 cm, the ratio of chest compression to artificial ventilation was 30∶2). Among these people, the correct rate was higher in the ages of 31-50 years old and ≤ 18, 19-30 than those ≥51 years old (12.71% vs. 0%, 6.87%, 8.70%, χ2 = 41.420, P < 0.01). The correct rate of education at graduate level and above was higher than those in junior middle school and below, high school or technical secondary school, undergraduate or junior college (19.57% vs. 2.07%, 3.41%, 13.72%, χ2 = 152.262, P < 0.01). Conclusions:The public in Hunan Province have a strong sense of first aid, and some of the theoretical knowledge of CPR. People between 31 years old and 50 years old of age and with graduate education and above know more about CPR, but the overall mastery of CPR skills is poor. It is necessary to further improve the ability of the public as the first witness by teaching various skills of CPR in various forms.

With the increasing prevalence of chronic obstructive pulmonary disease (COPD) and the extremely high mortality, disability, symptom burden and dysfunction, as well as the need for continuous drug management and care and increased rehospitalization rate, it brings patients, families and even society huge economic burden. The transitional care model provides non-drug treatment method to help patients get through the transition period safely and steadily, it also improves patients' self-care ability, quality of life and reduce hospital readmission. This review will start from the concept of disease management in transitional period, elaborate on the problems and core elements of transitional caring, then discuss the application of advanced practice nurse-dominated transitional caring mode in COPD, so as to provide theoretical and practical basis for improving the quality of chronic diseases management in China.