Objective:To analyze the issuance of local government special bonds for public hospitals,discuss the possible risks,and propose corresponding countermeasures.Methods:The information up to December 24,2024 was collected through public platforms such as China Electronic Local Government Bond Market Access,China Bond.com.cn,and Special Bond Information Network,using"hospital"as the keyword.Descriptive statistics methods were used.Results:From 2018 to 2024,the cumulative issuance of hospital-related special bond projects nationwide in China was amounted to 1 122 billion yuan,accounting for 5.11％of the total amount of special bonds in the same period.The average maturity ranged from 15 to 25 years,with average interest rates ranging from 2.14％to 2.49％,and were used primarily for new,relocated,or remodeled buildings.Although local special bonds theoretically do not pose financial risks,challenges such as"inflated"returns,distorted pricing,and repayment pressure exist.Conclusion:Standardizing special bonds issuance,enhancing information disclosure,strengthening performance management,and reinforcing constraints of regional health planning are proposed,so as to guide local government special bonds to help public hospitals develop in a high-quality way.

Objective:To analyze the issuance of local government special bonds for public hospitals,discuss the possible risks,and propose corresponding countermeasures.Methods:The information up to December 24,2024 was collected through public platforms such as China Electronic Local Government Bond Market Access,China Bond.com.cn,and Special Bond Information Network,using"hospital"as the keyword.Descriptive statistics methods were used.Results:From 2018 to 2024,the cumulative issuance of hospital-related special bond projects nationwide in China was amounted to 1 122 billion yuan,accounting for 5.11％of the total amount of special bonds in the same period.The average maturity ranged from 15 to 25 years,with average interest rates ranging from 2.14％to 2.49％,and were used primarily for new,relocated,or remodeled buildings.Although local special bonds theoretically do not pose financial risks,challenges such as"inflated"returns,distorted pricing,and repayment pressure exist.Conclusion:Standardizing special bonds issuance,enhancing information disclosure,strengthening performance management,and reinforcing constraints of regional health planning are proposed,so as to guide local government special bonds to help public hospitals develop in a high-quality way.

Objective:To investigate feasibility, efficiency and safety of kissing pancreatojejunostomy after pancreatoduodenectomy.Methods:From Jan 2006 to Sep 2020, the clinical data of 267 patients undergoing pancreatoduodenectomy and kissing pancreatojejunostomy were retrospectively analyzed.Results:Grade B postoperative pancreatic fistula (POPF) occurred in 6.37%, Grade C POPF in 2.25% of patients. There was no mortality within 30 days postoperatively as to pancreatic fistula, by cut-off of pancreatic duct diameter at 3mm, there was no significant difference between two subgroups (15/140 vs. 8/127, P=0.20). also, when grouped by texture of the pancreas, no there was significant difference (20/194 vs. 3/73, P=0.11). Conclusions:Kissing pancreatojejunostomy is feasible and easy to perform. It also does not increase the POPF rate when applied to the pancreatojejunostomy with thin pancreatic duct and soft texture.

Objective:To investigate the cognition of terminal stage patients'dignity therapy,attitude towards its concept and scheme,willingness of its promotion in college students and to gain some recommendations for improvement.Methods:Combined quantitative and qualitative methods,an anonymous questionnaire survey was conducted in a convenience sample of 220 college students,of which 20 students were selected for in-depth interviews.Results:Only 17.73％ of students had a correct understanding of dignity therapy,94.98％ of them accepted its concept,92.96％ of them held a positive attitude,74.38％ of them were willing to promote dignity therapy,in which female students were dominated (P =0.041).Interview results showed that the contents of dignity therapy were to some extent stiff and not fit for Chinese patients,which might impede its promotion.Conclusion:College students lack the cognition of dignity therapy.But they hold a positive attitude and are willing to promote dignity therapy when they get to know its concept and contents.As seen,dignity therapy has a good future but there are still some obstructions in the promotion,and need to be localized.