Objective To investigate the prevalence of comorbid chronic diseases among advanced schistosomiasis patients in Suzhou City, so as to provide insights into formulation of the scheme for medical assistance management of advanced schistosomiasis patients. Methods All data pertaining to survival advanced schistosomiasis patients in Suzhou City were retrieved from the Information Management Platform of Schistosomiasis (Parasitic Diseases) in Jiangsu Province as of August 19, 2024. These patients' outpatient and inpatient records from January 1, 2017, to August 19, 2024, were collected through Suzhou Municipal Health Statistics Information Center. The prevalence of comorbid chronic diseases was analyzed, and the comorbid patterns of chronic diseases were identified using cluster analysis. Results A total of 1 868 advanced schistosomiasis patients were enrolled in Suzhou City, with a mean age of (79.20 ± 7.17) years, and the median types of prevalent comorbid chronic diseases was 5 (interquartile range, 5). The mean age [(80.13 ± 7.09) years vs. (77.49 ± 7.02) years; t = 7.70, P < 0.001] and median types of prevalent comorbid chronic diseases [5 (interquartile range, 4) vs. 4 (interquartile range, 5); Z = 436 745, P < 0.001] were both higher among female advanced schistosomiasis patients than among male cases. The prevalence of comorbid chronic diseases was 84.96% (1 587/1 868) among advanced schistosomiasis patients in Suzhou City, and the prevalence was higher among female cases than among male cases [86.58%, (1 052/1 215) vs. 81.93% (535/653); χ² = 7.20, P = 0.007]. The prevalence of comorbid chronic diseases appeared a tendency towards a rise with age among male advanced schistosomiasis patients (χ²_trend = 7.63, P = 0.006) and a decline among female patients (χ²_trend = 10.59, P = 0.001). The prevalence of comorbid chronic diseases was higher among female advanced schistosomiasis patients at ages of 70 to 80 years than among male cases at the same age group [90.18% (459/509) vs. 80.61% (266/330); χ² = 14.81, P < 0.001]. The three most common comorbid chronic diseases included hypertension (67.83%), chronic gastric disorders (57.28%) and heart disease (44.00%) among advanced schistosomiasis patients in Suzhou City. The comorbidity rates of chronic gastric diseases (χ² = 5.33, P < 0.05), heart diseases (χ² = 4.15, P < 0.05), stroke (χ² = 10.68, P < 0.05), arthritis or rheumatic disease (χ² = 7.13, P < 0.05), osteoporosis (χ² = 39.51, P < 0.05), and memory-related diseases (χ² = 7.00, P < 0.05) were higher among female advanced schistosomiasis patients than among male cases, and the comorbidity rate of malignant tumors was higher among male cases than among female cases (10.26% vs. 7.41%; χ² = 4.13, P = 0.042). The cluster dendrogram showed that advanced schistosomiasis patients' comorbid chronic diseases in Suzhou City were mainly divided into three clusters: (1) hypertension, chronic gastric diseases; (2) chronic pulmonary diseases, arthritis or rheumatic diseases, osteoporosis, chronic liver diseases, heart diseases, and stroke; and (3) diabetes, sleep disorders, gallbladder diseases, over-weight and obesity, atopic dermatitis, chronic kidney diseases, mental and psychological diseases, malignant tumors, asthma, and memory-related diseases. Conclusions There are multiple types of comorbid chronic diseases among advanced schistosomiasis patients in Suzhou City, with high prevalence, which necessitates the implementation of effective preventive measures and interventions targeting comorbid chronic diseases among advanced schistosomiasis patients.

Objective To investigate the Oncomelania hupensis snails spread and its spatio-temporal clustering characteristics in Suzhou City, Jiangsu Province from 2016 to 2023, so as to provide insights into precision control of O. hupensis snails in the City. Methods O. hupensis snail surveillance data in Suzhou City from 2016 to 2023 were collected, and the areas of O. hupensis snail spread and areas of emerging and re-emerging snail habitats were retrieved. The spatial distribution characteristics and clustering types and locations of environments with O. hupensis snail spread were investigated using global and local spatial auto correlation analyses with the software ArcGIS 10.7, and the clustering and cluster areas of O. hupensis snail spread were identified in Suzhou City using spatio-temporal scans with the software SaTScan 10.0.2. Results O. hupensis snail spread covered an area of 677 171 m² in Suzhou City from 2016 to 2023, including 376 230 m² emerging snail habitats and 300 941 m² re-emerging snail habitats. Global spatial autocorrelation analysis showed overall clustering of O. hupensis snail spread in Suzhou City from 2016 to 2023 (Moran’s I = 0.066, P = 0.007), and there were spatial clustering of areas with O. hupensis snail spread in 2019 (Moran’s I = 0.086, P = 0.001) and 2021 (Moran’s I = 0.045, P = 0.003). Local spatial autocorrelation analysis showed clusters of O. hupensis snail spread in Suzhou City from 2016 to 2023, with high-high clusters in Guangfu Township and Dongzhu Street, and the high-high clusters of O. hupensis snail spread were mainly distributed in southwestern Suzhou City. Spatio-temporal scans identified two clusters of areas with O. hupensis snail spread and areas of re-emerging snail habitats in Suzhou City from 2016 to 2023, with large clustering areas found in Guangfu Township, Dongzhu Street, Tong’an Township and Wangting Township [relative risk (RR) = 22.34, log likelihood ratio (LLR) = 163 295.32, P < 0.001] and small clustering areas in Xukou Township, Mudu Township and Xiangshan Street (RR = 2.73, LLR = 921.92, P < 0.001). Conclusions There was spatial clustering of O. hupensis snail spread in Suzhou City from 2016 to 2023. Improved quality of O. hupensis snail control and intensified management of environments at a high risk of O. hupensis snail spread are recommended in Suzhou City.

China has a large population with accelerating process of population aging.Elderly patients have universal medical needs such as physical function,psychological needs and social needs.Therefore,it is urgent to have a comprehensive understanding of the health status of the elderly population,in order to develop individualized treatment plans for this special group of patients.Comprehensive geriatric assessment(CGA)as the core skill of geriatric medicine is based on four major aspects,including comprehensive medical assessment,physical function assessment,cognitive and emotional assessment,and social and environmental factors assessment.Several domestic and foreign studies have confirmed that CGA score can be used as an independent prognostic factor in elderly B-cell lymphoma patients receiving immunochemotherapy,and can be used to predict the survival outcome of elderly B-cell lymphoma patients.CGA should be promoted and implemented before immunochemotherapy among elderly patients with B-cell lymphoma in China,in the hope to help with the development of accurate treatment strategies and individualized intervention methods for B-cell lymphoma patients over 60 years old in China.

Nutritional support is one of the comprehensive treatments for the patients with novel coronavirus infection, especially for critically ill patients. Nutritional therapy needs to follow the standard process, which includes nutritional risk screening, assessment, intervention and monitoring. Nutrition intervention is recommended to follow the principle of "five-step" of nutritional therapy. Appropriated diet and evidence-based nutritional support should be given to improve the nutritional status and immunologic function of the patients, and to get best of overall clinical outcomes.

Objective To understand the current situation of patients with advanced schistosomiasis in Suzhou, and to provide a basis for scientific management, medical assistance, and improvement of patients' quality of life. Methods Questionnaire survey, physical examination and B-ultrasound examination were performed on the registered patients with advanced schistosomiasis. The diagnosis and classification were carried out according to the “Schistosomiasis Control Manual”. The epidemiological and clinical characteristics, disease classification, and medical and financial assistance of all existing patients were analyzed. Results There were 2 420 cases of advanced schistosomiasis in Suzhou. Their distribution was highly correlated with the cumulative area of oncomelania snails and the cumulative number of schistosomiasis patients in each district (county) (r=0.949, P<0.01; r=0.946, P<0.01). There were 845 males and 1 575 females. The highest proportion of male patients was found in Suzhou Industrial Park and the lowest in Kunshan (χ²=26.591, P<0.001). The average age of patients was (76.80±7.55) years old, and the age of female patients were higher that of male patients (F=72.01, P<0.001). The splenomegaly type was the most common (2 165), ascites type was the second (198), colonic proliferative type was the third (55), and pygmy type was the least (2). A total of 895 patients were cured and 1 337 patients were improved, while 188 patients were not cured. The condition of advanced schistosomiasis patients with different clinical types was different (χ² =226.034, P<0.001), and the condition of patients with ascites was the worst. 1 438 patients' labor level was reduced, and 540 patients lost their labor ability, while only 442 patients were normal. Age increase (β=0.012，P<0.001), clinical classification being ascites type (β=0.346，P<0.001) and need for treatment (β=0.298，P<0.001) were risk factors for the loss of labor ability in patients with late schistosomiasis. The stable condition of the disease (β= -0.089，P=0.001) was a protective factor. Conclusion There are a large number of advanced schistosomiasis cases in Suzhou, and the epidemiological characteristics of advanced schistosomiasis patients in different districts (cities) are different. The relief work of advanced schistosomiasis in Suzhou should focus on the historical heavy epidemic areas, strengthen the nursing care of the elderly patients, and pay attention to the quality of life of patients with ascites. It is also important to strengthen the follow-up nursing of patients with splenomegaly to avoid turning into ascites. All districts and counties should be guided by the characteristics of local patients and formulate targeted scientific management methods and rescue policies to improve the quality of life of patients.

Paclitaxel is the first-line chemotherapy drug for a variety of cancers. However， the paclitaxel resistance greatly reduced the efficacy in the later treatment stage， which seriously increased the mortality and recurrence rate of cancer and limited the clinical application of paclitaxel. At present， Chinese medicine compound prescription， proprietary Chinese medicine， and Chinese medicine injection are widely used as the adjuvant chemotherapy drugs for the treatment of cancer in clinic. Chinese medicine has shown unique advantages in improving the efficacy of chemotherapy drugs and the prognosis of chemotherapy， and reducing the toxic and side effects. However， the specific mechanism and effective monomer composition of Chinese medicine for reversing the resistance of chemotherapy drugs are unclear， and the application of Chinese medicine in different types of cancer is also limited， which are worthy of further exploration. This review summarized the composition of Chinese medicine monomer with synergistic antitumor effect combined with paclitaxel in recent years. The specific mechanism and pharmacological activities of Chinese medicine monomer reversing paclitaxel resistance were classified. This review found that through acting on the membrane transport protein， Chinese medicine monomer promoted the accumulation of paclitaxel in tumor cells， inhibited the expressions of protein and metabolic enzyme related to multidrug resistance and the metabolism of paclitaxel， and regulated the levels of apoptosis genes and factors and apoptosis-related pathways to promote the inhibitory effect of paclitaxel on cell proliferation. Chinese medicine monomer also significantly improved paclitaxel chemotherapy sensitivity by regulating the expression levels of micro ribonucleic acid （microRNA） and long non-coding ribonucleic acid RNA （lncRNA）， inhibiting the characteristics of tumor stem cells and tumor metabolic reprogramming， improving tumor microenvironment， and triggering tumor cell death autophagy and oxidative stress response. This review provides a theoretical basis for clarifying the specific anti-tumor mechanism of Chinese medicine monomer combined with paclitaxel， which is of great significance for the development of new Chinese medicine and the clinical research of the drugs combined with paclitaxel， and has certain value for the application of Chinese medicine combined with other chemotherapy drugs.

Deep brain disease stimulation (DBS) is commonly used to treat movement disorders such as Parkinson disease,and current evidence suggests that DBS may also be useful for refractory epilepsy and is affected by a variety of factors.Studies show that stimulation of the anterior nucleus of the thalamus and hippocampus may decrease the frequency of refractory seizures.The efficacy of stimulating other targets remains inconclusive.An absence of structural abnormality on imaging and electrode position are associated with stimulation efficacy.Certain seizure types may respond more favorably to specific targets.There are several factors that potentially predict seizure outcome following DBS,but more large-scale clinical trials are needed.

Objective To explore different approaches in administrating polyethylene glycol (PEG) solution in bowel preparation.Methods From January 2015 to June 2015, 218 patients eligible for this study were randomly divided into three groups (group A, 2 L PEG solutions 4 hours before colonoscopy; group B, 2 L PEG solutions 6 hours before colonoscopy; group C, 1 L PEG the night before and 1 L at least 4 hours before colonoscopy). The quality of bowel preparation was assessed on the basis of the Boston bowel preparation scale. A questionnaire was also completed to assess the subjective feelings of the preparation, including the overall satisfaction and discomfort with drug preparation, the feeling of abdominal distension, abdominal pain, nausea and vomiting, and the character of stool.Results In terms of intestinal cleanliness, statistical difference was shown between groups. Significant difference was found between group A and group C. However, the PDR between these three groups showed no statistical difference. No signiifcant difference was found between the three groups considering the overall satisfaction and subjective feelings of preparation.Conclusions Without affecting the subjective feelings of patients, splitting dose of PEG solution improve the quality of bowel preparation and is worthy to be recommended.

Objective To study the prevalence of hypertension in flying personnel,and'o identify the main influencing factors related to hypertension.Methods Review was conducted on physical check-up data in 1 070 flying personnel,and a questionnaire survey was answered by flying personnel.The interclass data were processcd by chi square test,and the risk factors related to hypertension were analyzed with Logistic regression by SPSS 13.0 software.Results In 1 070 flying personnel,there were 76 persons belong to hypertension group and took 7.10％.There were 401 persons (37.48％) in normal group.There were 593 persons (55.42％) in normal but on high side.There was no statistical significance of the incidence of hypertension among different flying duties and type of aircrafts (P＞0.05).The predictive factors of hypertension included age (OR=1.415,95％ CI:1.069～1.874,P＜0.05),BMI (OR=2.501,95％CI:1.915～3.266,P＜0.01),waist circumference (OR=2.235,95％CI:1.723～2.897,P＜0.01) and hypercholesterolemia (OR=1.372,95％CI:1.043～ 1.804,P＜0.05).Conclusion The prevalence of hypertension in 1 070 flying personnel is lower than that in common people.Age,overweight or obesity,hypercholesterolemia would be the significant risk factors for hypertension.It is no statistical significance of the incidence of hypertension among different flying duties and type of aircrafts.

Objective To study the prevalence of hypertension in flying personnel,and'o identify the main influencing factors related to hypertension.Methods Review was conducted on physical check-up data in 1 070 flying personnel,and a questionnaire survey was answered by flying personnel.The interclass data were processcd by chi square test,and the risk factors related to hypertension were analyzed with Logistic regression by SPSS 13.0 software.Results In 1 070 flying personnel,there were 76 persons belong to hypertension group and took 7.10％.There were 401 persons (37.48％) in normal group.There were 593 persons (55.42％) in normal but on high side.There was no statistical significance of the incidence of hypertension among different flying duties and type of aircrafts (P＞0.05).The predictive factors of hypertension included age (OR=1.415,95％ CI:1.069～1.874,P＜0.05),BMI (OR=2.501,95％CI:1.915～3.266,P＜0.01),waist circumference (OR=2.235,95％CI:1.723～2.897,P＜0.01) and hypercholesterolemia (OR=1.372,95％CI:1.043～ 1.804,P＜0.05).Conclusion The prevalence of hypertension in 1 070 flying personnel is lower than that in common people.Age,overweight or obesity,hypercholesterolemia would be the significant risk factors for hypertension.It is no statistical significance of the incidence of hypertension among different flying duties and type of aircrafts.