BackgroundIn recent years， the incidence of depression among adolescents has been increasing steadily， posing a serious threat to their physical and mental health and even leading to severe consequences such as self-harm and suicide. At the same time， the detection rate of subclinical depression symptoms among adolescents is even higher. Although these symptoms do not meet the clinical diagnostic criteria， they have significantly affected their quality of life， and their persistence over time may further develop into depression. Therefore， in-depth exploration of adolescent depression symptoms and the predictive factors holds significant practical significance and research value. However， up to now， no large-scale investigation and research on depression symptoms among children and adolescents has been conducted in Inner Mongolia Autonomous Region. ObjectiveTo understand the prevalence of depressive symptoms among children and adolescents in Inner Mongolia Autonomous Region， in order to provide references for formulating scientific and effective prevention strategies and intervention measures. MethodsBy using the cluster stratified random sampling method， 6 281 students from the third grade of primary school to the second grade of high school in 12 leagues and cities of Inner Mongolia Autonomous Region were selected in March 2024. A self-designed questionnaire and the Self-rating Depression Scale （SDS） were used for on-site investigation. ResultsA total of 6 058 （96.45%） children and adolescents completed the valid questionnaire survey， and 2 728 cases （45.03%） were found to have depressive symptoms. There were statistically significant differences in the detection rates of depressive symptoms among children and adolescents of different genders， ages， whether they were only children， different family types， family monthly income， parents' educational levels， and whether the mother was employed （χ²=33.769， 40.618， 48.593， 29.972， 142.648， 195.999， 168.190， 5.445， P<0.05 or 0.01）.The results of the Logistic regression analysis showed that for children and adolescents， being female， aged between 12 and 16， over 16 years old， not being an only child， living in a reconstituted family， having a monthly family income of less than 5 000 yuan， and having parents with an education level of primary school or below were predictors of depressive symptoms （OR=1.241， 1.427， 1.273， 1.177， 1.549， 1.278， 1.462， 1.417， 1.514， 1.929， 1.660， 1.528， P<0.05 or 0.01）. ConclusionThe detection rate of depressive symptoms among children and adolescents in Inner Mongolia Autonomous Region is relatively high. Factors that may predict depressive symptoms in children and adolescents include female gender， ages between 12 and 16， ages over 16 years old， non-only children， families with a restructured structure， monthly family income of less than 5 000 yuan， and parents with an education level of primary school or below. ［Funded by Science and Technology Planning Project of the Inner Mongolia Autonomous Region （number， 2022YFSH0119）］

From the perspective of healthy China,the development of rural medical and health services in Xin-jiang still exists some problems,such as inadequate measures to implement rural medical and health services,un-reasonable allocation of rural medical and health resources and insufficient funds to develop rural medical and health services.Based on the analysis of main reasons,this paper put forward the important measures for imple-menting health poverty alleviation by village working teams in Xinjiang: implementing the important concept of" health poverty alleviation and precision poverty alleviation" ; improving the comprehensive quality of rural medical and health personnel; broadening funding channels of rural medical and health care; carrying out medical services to benefit the people and strengthening the assistance of rural medical and health services.

Professional personality is characterized by stability and plasticity,and it should make the entry point of the cultivation of medical students' professional personality on the training of doctor-patient communication skills.Meanwhile,doctor-patient communication skill is an important factor of the medical professional personality.This paper discussed the cultivation of doctor-patient communication skills among medical students from the perspective of analysis of doctor-patient communication obstacles.It should improve the doctor-patient communication skills of medical students and shape healthy medical professional personality,taking the education of cognition,emotion,will,and behavior as pathways.

Xinjiang Medical University follows the law of medical education and gradualness , has a system re-form for the medical humanities teaching course system , teaching contents , teaching methods by increasing the comprehensive and innovative design , research , teaching and practice teaching content , and trying to build a set of teaching and practice in the integration of medical humanities quality education mode .The first is the emphasis on the whole of medical humanities quality education and systemic .Secondly , we must integrate human resources , strengthen synergy cooperate , common development .The third is to use scientific research project to promote the medical humanism quality education from the ascent of the form content to method means .The fourth is to explore the medical humanistic quality education of the PBL teaching mode .

Objective To evaluate the effect of perioperative nursing pathway on lung complications after thoracic surgery, so as to provide new evidence for the perioperative nursing pathway in the patients undergoing thoracotomy.Methods Totals of 106 patients who underwent thoracic surgery were randomly divided into observed group (n=53,double) and control group (n=53,odd).Then, hospitalization days, costs, sputum and oropharyngeal bacteria, patients satisfaction of two groups were observed and compared.Results After perioperative nursing pathway application, in observation group, the average days of hospitalization was significantly shorten (7.16 ±0.83 vs 10.45 ±1.51;t=-2.260,P<0.05),the cost (1.09 ±0.54 vs 1.44 ±0.65;t=-7.958,P<0.05) was significantly reduced, and compliance was greatly improved than that in control group (2.58 ±0.62 vs 1.21 ±0.55;t=6.334,P<0.05).Laboratory tests showed that two cases with sputum bacteria positive (3.77%vs 18.87%) and three cases with oropharyngeal bacteria positive (5.66% vs 28.30%) in observation group was significantly lower than that in control group(χ2 =4.357, 6.150,respectively,P<0.05).Patients satisfaction of observation group was higher than control group,and the difference was statistically significant ( 4.68 ±0.83 vs 3.01 ±1.02;t =3.467, P <0.05 ) . Conclusions Perioperative nursing pathway is positive and beneficial to prevent lung complications after thoracic surgery, which can improve the operation efficiency and patients satisfaction.

Higher medical education should bring the superiority of the course into play,and develop the bioethics education effectively.We should arouse medical undergraduate's respect and enthusiasm for bioethics,help them reevaluate their value concept and learn to use basic theory of bioethics to guide the medical service.Thus medical science can develop in a healthy way.

With the improvement of social living standard and the continuous promotion of patients' requirements,the integrated nursing work has already been a complicated and creative job,and brings nursing staff a huge psychological stress.A good mental character is one of the key factors that builds up and adjusts the harmonious relationship between patients and nurses,furthermore,is also a necessity for nurses to accomplish integrated nursing work.Therefore,it is hospital governors' first consideration to help nurses relive mental pressures and improve their adapting capacity.

In the teaching process of nursing ethics,there are two issues arousing teachers' attention and worth discussing.The first issue is to lead the students to discuss the identity status of nurse,define a proper orientation of this specific occupation in order to help the nursing students themselves to have a comprehensive knowledge and cognition of the profession they are going to engage in.The second one is to emphasize understanding of the definition of "respect".