Objective To investigate the incidence of functional bowel disease(FBD)and its relationship with depression,anxiety and sleep in navy submarine forces.Methods A questionnaire survey on the incidence of FBD was conducted on 364 naval soldiers who were enrolled according to Rome Ⅳ classification and diagnostic criteria.The risk factors of FBD were analyzed.The incidence of specific diseases of FBD was compared among soldiers with different jobs.The depression,anxiety,and sleep quality were investigated in FBD patients.Results In the 364 participants,132(36.3%)were diagnosed with FBD according to Roman Ⅳcriteria.Military rank and marital status might be risk factors for FBD.There was no significant difference in the overall incidence of FBD among the participants with various jobs(P>0.05).The incidence of functional constipation in the submariners was significantly higher than that in the land soldiers,while the incidence of functional diarrhea in the land soldiers was higher than that in the submariners(all P<0.05).The incidences of depression,anxiety and sleep disorder in the participants with FBD were higher than those in the participants without FBD.Conclusion There is a high incidence of FBD in submariners,which may be related to their psychological states.

Gastric cancer is a high-incidence malignancy that poses a serious threat to public health in China, ranking among the top three cancers in both incidence and mortality. The majority of patients are diagnosed at an advanced stage, resulting in limited treatment options and poor prognosis. To address key challenges in gastric cancer diagnosis and treatment, a research team led by Professor Jiafu Ji at Peking University Cancer Hospital has focused on the project "Development and Dissemination of Precision Medicine Approaches in Gastric Cancer Management". Through a series of high-quality multicenter clinical studies, the team established a set of new international standards in perioperative treatment, individua-lized drug selection, intelligent noninvasive diagnostics, and novel immunotherapy strategies. These advances have significantly improved treatment efficacy and reduced surgical trauma, achieving key technological breakthroughs in diagnosis, therapy, and mechanistic understanding, and systematically enhancing outcomes for gastric cancer patients. The project ' s findings had a broad international impact, including hosting China ' s first International Gastric Cancer Congress. Through nationwide dissemination, they have promoted the development of precision diagnosis and treatment of gastric cancer as a discipline, and led the formulation of the National Health Commission's guidelines for gastric cancer diagnosis and treatment. In recognition of its achievements, the project was awarded the First Prize of the 2024 Chinese Medical Science and Technology Award.
Stomach Neoplasms/genetics* ; Humans ; Precision Medicine/methods* ; China ; Immunotherapy/methods*

Objective:To explore the role positioning and job responsibilities of integrated care managers in China, with a view to providing reference for policy formulation and career development.Methods:The qualitative study was conducted. From December 2023 to July 2024, 18 frontline workers and managers working in integrated care in two hospitals, two community health service centers and seven elderly care institutions in Beijing were selected by purposive sampling method to conduct semi-structured interviews. Colaizzi 7-step analysis was used to analyze the data.Results:A total of six core roles and seven responsibilities of the integrated care managers were identified, including the role of the comprehensive assessor and the responsibility of conducting comprehensive health assessments, the role of the team collaborator and the responsibility of organizing interdisciplinary discussions, decision-making and collaboration, the role of the case manager and the responsibility of developing and implementing integrated care plans, the role of the resource integrator and the responsibility of coordinating and integrating resources, the role of the service controller and the responsibility of supervising and optimizing care services, the role of professional leader and communicator and the responsibility of promoting team building and development, and the responsibility of leading professional innovation and growth.Conclusions:As an emerging complex professional talent to cope with population aging, clarifying their roles and responsibilities is of great significance in realizing the goal of healthy aging and building an integrated healthcare service system in China. Integrated care managers should be based on personalized, multi-level, and whole-process care service needs, flexibly adapt to diversified role changes, and stimulate their own intrinsic motivation and innovation ability to provide high-quality care services.

Objective:To understand the usability evaluation indicators for intelligent caregiving robots in elderly care from the perspectives of stakeholders, and provide a reference for constructing a usability evaluation indicator system for these robots.Methods:This study was a qualitative study. From November 2023 to May 2024, purposive sampling was used to select eight intelligent robot developers from three engineering universities and one medical technology company, seven intelligent product usage managers from three elderly care institutions in Beijing, and seven elderly users who have used intelligent caregiving robots at Xuanwu Hospital of Capital Medical University. Semi-structured interviews were conducted with these participants. The content analysis method was employed to organize and analyze the interview data, and themes were extracted.Results:A total of four themes and eleven sub-themes were identified: safety and reliability (mechanical safety, sensory safety, privacy safety) , performance (effectiveness, fault tolerance, intelligence) , user experience (learnability, ease of use, comfort) , and cost-effectiveness (cost-performance ratio, usage cost) .Conclusions:The usability evaluation indicators for intelligent caregiving robots in elderly care, extracted from multiple perspectives, provide a reference for constructing a scientific, reasonable, and comprehensive usability evaluation indicator system for intelligent caregiving robots in elderly care.

Objective:To explore the impact of community environment on the functional ability in the elderly based on a person-environment fit perspective.Methods:The descriptive qualitative research method was used. Applying the purposive sampling method, elderly people attending two community health centers and their subordinate health stations in Beijing were selected as respondents from January to May 2024. An interview outline was developed based on the person-environment fit theory, and semi-structured interviews were used to collect information. Thematic analysis was used for data analysis.Results:A total of 16 community elderly people were interviewed, and four themes were finalized, including multidimensional compensation of the environment for individual competence (accessible and convenient environments compensate for declining motor abilities, supportive physical environments compensate for declining vision and vitality, social support compensates for declining cognitive abilities, and age-friendly environments enhancing a sense of belonging and security) , congruence of personal preferences with the community environment (diversity of activities to meet individualized needs, environmental stability to ensure a sense of control over life, age-friendly digital environments to meet the digital needs of the elderly) , personal influencing factors of the perceived environment (length of residence, personal health status, personal social relations) , and coping styles with person-environment mismatches (enhancement of individual capabilities, use of assistive devices for self-empowerment, proactive home age-friendly adaptation, self-psychological adjustment) .Conclusions:Community healthcare workers should emphasize the role of the environment and give full consideration to the individual characteristics, needs and preferences of the elderly people, and pay special attention to the elderly people who have a poor perception of the environment and encourage them to take positive coping styles to adapt to the environment.

Objective:To explore the role positioning and job responsibilities of integrated care managers in China, with a view to providing reference for policy formulation and career development.Methods:The qualitative study was conducted. From December 2023 to July 2024, 18 frontline workers and managers working in integrated care in two hospitals, two community health service centers and seven elderly care institutions in Beijing were selected by purposive sampling method to conduct semi-structured interviews. Colaizzi 7-step analysis was used to analyze the data.Results:A total of six core roles and seven responsibilities of the integrated care managers were identified, including the role of the comprehensive assessor and the responsibility of conducting comprehensive health assessments, the role of the team collaborator and the responsibility of organizing interdisciplinary discussions, decision-making and collaboration, the role of the case manager and the responsibility of developing and implementing integrated care plans, the role of the resource integrator and the responsibility of coordinating and integrating resources, the role of the service controller and the responsibility of supervising and optimizing care services, the role of professional leader and communicator and the responsibility of promoting team building and development, and the responsibility of leading professional innovation and growth.Conclusions:As an emerging complex professional talent to cope with population aging, clarifying their roles and responsibilities is of great significance in realizing the goal of healthy aging and building an integrated healthcare service system in China. Integrated care managers should be based on personalized, multi-level, and whole-process care service needs, flexibly adapt to diversified role changes, and stimulate their own intrinsic motivation and innovation ability to provide high-quality care services.

Objective:To understand the usability evaluation indicators for intelligent caregiving robots in elderly care from the perspectives of stakeholders, and provide a reference for constructing a usability evaluation indicator system for these robots.Methods:This study was a qualitative study. From November 2023 to May 2024, purposive sampling was used to select eight intelligent robot developers from three engineering universities and one medical technology company, seven intelligent product usage managers from three elderly care institutions in Beijing, and seven elderly users who have used intelligent caregiving robots at Xuanwu Hospital of Capital Medical University. Semi-structured interviews were conducted with these participants. The content analysis method was employed to organize and analyze the interview data, and themes were extracted.Results:A total of four themes and eleven sub-themes were identified: safety and reliability (mechanical safety, sensory safety, privacy safety) , performance (effectiveness, fault tolerance, intelligence) , user experience (learnability, ease of use, comfort) , and cost-effectiveness (cost-performance ratio, usage cost) .Conclusions:The usability evaluation indicators for intelligent caregiving robots in elderly care, extracted from multiple perspectives, provide a reference for constructing a scientific, reasonable, and comprehensive usability evaluation indicator system for intelligent caregiving robots in elderly care.

Objective:To explore the impact of community environment on the functional ability in the elderly based on a person-environment fit perspective.Methods:The descriptive qualitative research method was used. Applying the purposive sampling method, elderly people attending two community health centers and their subordinate health stations in Beijing were selected as respondents from January to May 2024. An interview outline was developed based on the person-environment fit theory, and semi-structured interviews were used to collect information. Thematic analysis was used for data analysis.Results:A total of 16 community elderly people were interviewed, and four themes were finalized, including multidimensional compensation of the environment for individual competence (accessible and convenient environments compensate for declining motor abilities, supportive physical environments compensate for declining vision and vitality, social support compensates for declining cognitive abilities, and age-friendly environments enhancing a sense of belonging and security) , congruence of personal preferences with the community environment (diversity of activities to meet individualized needs, environmental stability to ensure a sense of control over life, age-friendly digital environments to meet the digital needs of the elderly) , personal influencing factors of the perceived environment (length of residence, personal health status, personal social relations) , and coping styles with person-environment mismatches (enhancement of individual capabilities, use of assistive devices for self-empowerment, proactive home age-friendly adaptation, self-psychological adjustment) .Conclusions:Community healthcare workers should emphasize the role of the environment and give full consideration to the individual characteristics, needs and preferences of the elderly people, and pay special attention to the elderly people who have a poor perception of the environment and encourage them to take positive coping styles to adapt to the environment.

Consumptive thirst is widely discussed in Huangdi Neijing and it is classified as a"strange disease"in Suwen·Strange Diseases Treatise,which reflects the intractable nature of consumptive thirst.This paper explores and analyzes consumptive thirst based on the core concept in Huangdi Neijing.First,this paper approaches the subject through the use of image thinking method from Huangdi Neijing,recognizing that consumptive thirst can lead to changes in the internal climate of the human body.Then,guided by the theories of essence and qi,yin and yang,and the five elements in Huangdi Neijing,it deconstructs and analyzes the causes of these changes and the laws of qi transformation.It points out that the changing climate of consumptive thirst is characterized by"heat symptoms".The main cause of"heat symptoms"is spleen deficiency and excessive dampness,and its qi transformation law is the heat transformation of Shaoyin.The intractable nature of consumptive thirst is mainly reflected in the uncontrolled"heat symptoms"caused by the imbalance of the five elements.Based on the understanding of the heat symptoms of consumptive thirst,this paper proposes a treatment strategy for preventing the disease by resolving dampness and regulating the spleen,harmonizing kidney qi to prevent progression,and balancing yin and yang to treat chronic and recalcitrant conditions.The aim is to provide a reference for optimizing the treatment of consumptive thirst.

Objective:To explore the current situation of the intrinsic capacity of elderly people in the community and analyze its influencing factors.Methods:From September 2022 to March 2023, convenience sampling was used to select 360 elderly community residents from Xicheng District, Beijing, and Xingtai City, Hebei Province, as the research subjects. The subjects were surveyed using the Intrinsic Capacity Assessment Questionnaire, Intrinsic Capacity Influencing Factors Questionnaire, Barthel Index, and Lawton Instrumental Activities of Daily Living Scale.Results:A total of 360 questionnaires were distributed, and 360 valid questionnaires were collected, with an effective response rate of 100.0% (360/360). The overall impairment rate of intrinsic capacity among 360 elderly people in the community was 90.3% (325/360), and the impairment rates in various fields from high to low were sensation, psychology, vitality, cognition, and exercise. Multiple linear regression analysis showed that age, gender, residential pattern, education level, work status, grip strength, number of geriatric syndrome, self-rated health status, adverse life events, number of social activities, transportation conditions, and social security were the influencing factors of the intrinsic capacity of elderly people in the community, and the difference was statistically significant ( P<0.05) . Conclusions:The impairment rate of intrinsic capacity among elderly people in the community is relatively high. Grassroots medical and nursing staff should assess the intrinsic capacity of elderly people in the community in health promotion work, identify elderly people with decreased intrinsic capacity early and carry out effective interventions to prevent elderly people from becoming disabled and dependent on care.