Children with cancer represent a distinct patient population, and decisions regarding hospice care preferences are primarily made by their parents. This article examines parental preferences concerning the location and goals of hospice care for their children with cancer, discusses the advantages and disadvantages associated with these choices, and identifies factors influencing parental preferences for hospice care. The aim is to provide a reference for clinical healthcare professionals in delivering high-quality hospice care services for children with cancer that align with parental preferences.

Objective To understand the current situation and influencing factors of delirium in lung transplant patients in the early postoperative period,and to construct and verify a risk prediction model.Methods The convenience sampling method was used to select patients who were admitted to a tertiary general hospital in Jiangsu Province for lung transplantation from June 2023 to November 2024.Lasso regression was used to screen variables,and logistic regression analysis was used to explore the influencing factors of early postoperative delirium in lung transplantation patients,and the risk prediction model was constructed and nomogram was drawn.The area under the working curve(AUC)of the subjects and the Hosmer-Lemeshow test were used to evaluate the discrimination and calibration of the model.Internal validation of the model was performed by repeated sampling 1000 times using Bootstrap method.Results A total of 228 lung transplant patients were included in this study,of which 76 developed delirium in the early postoperative period,with an incidence of 33.33％.Age≥51.5 years,hypertension combined with diabetes mellitus,the Lung Allocation System(LAS)score ≥ 75.63,the duration of mean arterial pressure less than 70 mmHg≥ 12.50 min,intraoperative red blood cell transfusion≥750 ml,and midazolam dosage≥102.50 mg were the independent risk factors for early postoperative delirium in lung transplantation(P＜0.05).The AUC of the model was 0.771;the optimal cut-off value was 0.334;the sensitivity and specificity were both 0.724.The results of Hosmer-Lemeshow test showed that x2=5.677,P=0.683;the internal verification showed that the AUC of the model was 0.737,and the absolute error of the actual and predicted values of the calibration curve was 0.023,and the calibration curve was close to the ideal curve.Conclusion Age,hypertension combined with diabetes mellitus,LAS score,duration of mean arterial pressure less than 70 mmHg,amount of intraoperative red blood cell transfusion,and midazolam dosage are the influencing factors for early postoperative delirium in lung transplant patients.The risk prediction model constructed in this study has good predictive performance and can be used as a risk prediction tool for early postoperative delirium in lung transplant patients,helping to timely and accurately identify high-risk groups of delirium,helping to reduce the incidence of early postoperative delirium,and improve patient prognosis.

Objective:To evaluate the effectiveness of enhanced "Presentation-Assimilation-Discussion (PAD) class" model in electrocardiogram (ECG) internship teaching in the department of cardiovascular medicine and to improve the ECG interpretation and clinical competency of interns.Methods:A total of 200 clinical undergraduate interns enrolled from September 2022 to August 2024 were divided into a control group (traditional teaching, n=100) and an experimental group (enhanced "PAD class" model, n=100). The enhanced "PAD class" model adopted a "focused lecture, structured internalization, and case-driven discussion" approach, incorporating artificial intelligence-assisted real-time feedback and targeted task design. Post-internship evaluations compared the scores of foundational skills (ECG interpretation accuracy and standardized ECG operation), clinical competencies (clinical decision-making, critical value recognition, and diagnostic reasoning), comprehensive evaluation, and assessment of teaching effectiveness. SPSS 26.0 was used for the chi-square test and t-test. Results:The experimental group demonstrated significantly superior performance in foundational skills [e.g., ECG interpretation accuracy: (97.63±1.35) vs. (90.54±4.08)], clinical competencies [e.g., clinical decision-making: (93.45±3.18) vs. (82.17±5.62)], and comprehensive evaluation [(97.96±1.06) vs. (90.94±3.49)] (all P<0.05). In teaching effectiveness evaluation, satisfaction was significantly higher in the experimental group across all seven metrics such as stimulated learning interest and clinical thinking ( P<0.05). Conclusions:The enhanced "PAD class "model, through artificial intelligence empowerment and case-driven discussions, can significantly improve ECG teaching outcomes and clinical decision-making skills, demonstrating its potential for broader application in internship teaching in the department of cardiovascular medicine.

This paper summarized the pain catastrophizing assessment tools, including the concept, characteristics and application fields of the assessment tools. It aimed to improve the understanding of pain catastrophizing among clinical medical staff in China, pay attention to the symptom management and psychosocial status management of pain patients, and provide a reference for standardizing the pain catastrophizing assessment model in China.

Objective To understand the current situation and influencing factors of delirium in lung transplant patients in the early postoperative period,and to construct and verify a risk prediction model.Methods The convenience sampling method was used to select patients who were admitted to a tertiary general hospital in Jiangsu Province for lung transplantation from June 2023 to November 2024.Lasso regression was used to screen variables,and logistic regression analysis was used to explore the influencing factors of early postoperative delirium in lung transplantation patients,and the risk prediction model was constructed and nomogram was drawn.The area under the working curve(AUC)of the subjects and the Hosmer-Lemeshow test were used to evaluate the discrimination and calibration of the model.Internal validation of the model was performed by repeated sampling 1000 times using Bootstrap method.Results A total of 228 lung transplant patients were included in this study,of which 76 developed delirium in the early postoperative period,with an incidence of 33.33％.Age≥51.5 years,hypertension combined with diabetes mellitus,the Lung Allocation System(LAS)score ≥ 75.63,the duration of mean arterial pressure less than 70 mmHg≥ 12.50 min,intraoperative red blood cell transfusion≥750 ml,and midazolam dosage≥102.50 mg were the independent risk factors for early postoperative delirium in lung transplantation(P＜0.05).The AUC of the model was 0.771;the optimal cut-off value was 0.334;the sensitivity and specificity were both 0.724.The results of Hosmer-Lemeshow test showed that x2=5.677,P=0.683;the internal verification showed that the AUC of the model was 0.737,and the absolute error of the actual and predicted values of the calibration curve was 0.023,and the calibration curve was close to the ideal curve.Conclusion Age,hypertension combined with diabetes mellitus,LAS score,duration of mean arterial pressure less than 70 mmHg,amount of intraoperative red blood cell transfusion,and midazolam dosage are the influencing factors for early postoperative delirium in lung transplant patients.The risk prediction model constructed in this study has good predictive performance and can be used as a risk prediction tool for early postoperative delirium in lung transplant patients,helping to timely and accurately identify high-risk groups of delirium,helping to reduce the incidence of early postoperative delirium,and improve patient prognosis.

This paper summarized the pain catastrophizing assessment tools, including the concept, characteristics and application fields of the assessment tools. It aimed to improve the understanding of pain catastrophizing among clinical medical staff in China, pay attention to the symptom management and psychosocial status management of pain patients, and provide a reference for standardizing the pain catastrophizing assessment model in China.

Children with cancer represent a distinct patient population, and decisions regarding hospice care preferences are primarily made by their parents. This article examines parental preferences concerning the location and goals of hospice care for their children with cancer, discusses the advantages and disadvantages associated with these choices, and identifies factors influencing parental preferences for hospice care. The aim is to provide a reference for clinical healthcare professionals in delivering high-quality hospice care services for children with cancer that align with parental preferences.

Objective:To evaluate the effectiveness of enhanced "Presentation-Assimilation-Discussion (PAD) class" model in electrocardiogram (ECG) internship teaching in the department of cardiovascular medicine and to improve the ECG interpretation and clinical competency of interns.Methods:A total of 200 clinical undergraduate interns enrolled from September 2022 to August 2024 were divided into a control group (traditional teaching, n=100) and an experimental group (enhanced "PAD class" model, n=100). The enhanced "PAD class" model adopted a "focused lecture, structured internalization, and case-driven discussion" approach, incorporating artificial intelligence-assisted real-time feedback and targeted task design. Post-internship evaluations compared the scores of foundational skills (ECG interpretation accuracy and standardized ECG operation), clinical competencies (clinical decision-making, critical value recognition, and diagnostic reasoning), comprehensive evaluation, and assessment of teaching effectiveness. SPSS 26.0 was used for the chi-square test and t-test. Results:The experimental group demonstrated significantly superior performance in foundational skills [e.g., ECG interpretation accuracy: (97.63±1.35) vs. (90.54±4.08)], clinical competencies [e.g., clinical decision-making: (93.45±3.18) vs. (82.17±5.62)], and comprehensive evaluation [(97.96±1.06) vs. (90.94±3.49)] (all P<0.05). In teaching effectiveness evaluation, satisfaction was significantly higher in the experimental group across all seven metrics such as stimulated learning interest and clinical thinking ( P<0.05). Conclusions:The enhanced "PAD class "model, through artificial intelligence empowerment and case-driven discussions, can significantly improve ECG teaching outcomes and clinical decision-making skills, demonstrating its potential for broader application in internship teaching in the department of cardiovascular medicine.

Objective To explore the relationship between basic motor skills and social interaction ability in school-age children with moderate autism,and the mediating role of executive function and the realization path.Methods A cross-sectional design was used to investigate 117 school-age children with autism from Sep.to Dec.2020.The level of basic motor skills was assessed by the test of gross motor development(TGMD),the impairment of executive function was assessed by the behavior rating inventory of executive function(BRIEF),and the social disorder was assessed by the social responsive scale-second edition(SRS-2).Pearson correlation analysis was used to explore the interrelationship,and structural equation modeling was applied to explore the path relationship.Results There was a significant negative correlation between the level of basic motor skills and SRS-2 scores(r=-0.312,P＜0.001).There were significant negative correlations between the level of basic motor skills and the BRIEF scores of inhibition(r=-0.336,P＜0.001),switching(r=-0.325,P＜0.001),affective control(r=-0.338,P＜0.001),task initiation(r=-0.240,P=0.009),working memory(r=-0.278,P=0.002),and planning(r=-0.224,P=0.015).The SRS-2 score was positively correlated with the BRIEF scores of inhibition(r=0.378,P＜0.001),switching(r=0.299,P=0.001),affective control(r=0.417,P＜0.001),task initiation(r=0.246,P=0.007),working memory(r=0.409,P＜0.001),and monitoring(r=0.258,P=0.005).Executive function played a complete intermediary role between basic motor skills and social interaction ability(B=-1.912,95％confidence interval:-3.116 to-1.069).Conclusion In school-age children with moderate autism,executive function and social interaction ability change positively with the level of basic motor skills.Basic motor skills can affect social interaction ability through the mediating role of executive function,and inhibition and affective control are important pathways to achieve this.