With the increasing aging population in China and rising incidence rates of diseases such as cancer and cardiovascular conditions, the demand for palliative care services continues to grow. In recent years, the integration of artificial intelligence and medical disciplines has advanced significantly, with machine learning research and applications in the palliative care field progressing steadily. This paper reviews the overview of machine learning, its applications in palliative care, and effectiveness evaluations. It also discusses existing limitations in current research and provides recommendations for future studies. The aim is to assist healthcare professionals in improving palliative care services and offer valuable insights for the development of palliative care in China.

With the increasing aging population in China and rising incidence rates of diseases such as cancer and cardiovascular conditions, the demand for palliative care services continues to grow. In recent years, the integration of artificial intelligence and medical disciplines has advanced significantly, with machine learning research and applications in the palliative care field progressing steadily. This paper reviews the overview of machine learning, its applications in palliative care, and effectiveness evaluations. It also discusses existing limitations in current research and provides recommendations for future studies. The aim is to assist healthcare professionals in improving palliative care services and offer valuable insights for the development of palliative care in China.

Objective:To analyze the bibliometric indicators of Chinese Journal of Nautical Medicine and Hyperbaric Medicine from 2014 to 2018, so as to improve its academic level and influence. Methods:Based on the statistical data from the core edition of the Chinese S& T Journal Citation Reports and part of the data provided by Wanfang Database Journal Bibliometric Evaluation Center, the changes of bibliometric indicators of Chinese Journal of Nautical Medicine and Hyperbaric Medicine from 2014 to 2018 were analyzed, including the impact factor, the citation frequency, the immediacy index, the cited half-life, the amount of published papers, the ratio of funded papers, and the number of papers published by high impact authors. Results:Among the cited indicators of the journal from 2014 to 2018, the impact factor showed an increasing trend year by year, and the highest year was in 2018 (0.757); the lowest citation frequency was in 2014 (86 times), the highest one was in 2018 (148 times), and there was a slightly fluctuation of that from 2015 to 2017; the lowest immediacy index was in 2014 (0.055), the highest one was in 2017 (0.105), and there was a slight decrease in the immediacy index in 2018 compared with that in 2017; the cited half-life showed a decreasing trend year by year, with the highest in 2014 (6.4 years) and the lowest in 2018 (4.3 years); among the source indicators, the amount of published papers slightly fluctuated from 2014 to 2018, with the lowest in 2018 (129 articles) and the highest in 2015 (187 articles); the highest ratio of funded papers was in 2015 (38.0%, 71/187) and the lowest was in 2016 (19.8%, 34/172); from 2014 to 2018, the number of papers published by high impact authors decreased year by year, with the highest in 2014 and 2015 (both were 94 articles) and the lowest in 2018 (39 articles).Conclusion:The bibliometric indicators of Chinese Journal of Nautical Medicine and Hyperbaric Medicine from 2014 to 2018 are generally good, and the information output, academic influence and level of the journal are steadily improving. Yet, more active measures should be taken to maintain and improve the academic quality of papers published on the journal to increase its academic influence and international dissemination.

Objective:To analyze the bibliometric indicators of Chinese Journal of Nautical Medicine and Hyperbaric Medicine from 2014 to 2018, so as to improve its academic level and influence. Methods:Based on the statistical data from the core edition of the Chinese S& T Journal Citation Reports and part of the data provided by Wanfang Database Journal Bibliometric Evaluation Center, the changes of bibliometric indicators of Chinese Journal of Nautical Medicine and Hyperbaric Medicine from 2014 to 2018 were analyzed, including the impact factor, the citation frequency, the immediacy index, the cited half-life, the amount of published papers, the ratio of funded papers, and the number of papers published by high impact authors. Results:Among the cited indicators of the journal from 2014 to 2018, the impact factor showed an increasing trend year by year, and the highest year was in 2018 (0.757); the lowest citation frequency was in 2014 (86 times), the highest one was in 2018 (148 times), and there was a slightly fluctuation of that from 2015 to 2017; the lowest immediacy index was in 2014 (0.055), the highest one was in 2017 (0.105), and there was a slight decrease in the immediacy index in 2018 compared with that in 2017; the cited half-life showed a decreasing trend year by year, with the highest in 2014 (6.4 years) and the lowest in 2018 (4.3 years); among the source indicators, the amount of published papers slightly fluctuated from 2014 to 2018, with the lowest in 2018 (129 articles) and the highest in 2015 (187 articles); the highest ratio of funded papers was in 2015 (38.0%, 71/187) and the lowest was in 2016 (19.8%, 34/172); from 2014 to 2018, the number of papers published by high impact authors decreased year by year, with the highest in 2014 and 2015 (both were 94 articles) and the lowest in 2018 (39 articles).Conclusion:The bibliometric indicators of Chinese Journal of Nautical Medicine and Hyperbaric Medicine from 2014 to 2018 are generally good, and the information output, academic influence and level of the journal are steadily improving. Yet, more active measures should be taken to maintain and improve the academic quality of papers published on the journal to increase its academic influence and international dissemination.

Objective To investigate the impact of simultaneous percutaneous transluminal renal artery stenting (PTRAS) and percutaneous coronary artery interventions (PCI) on cardiac and renal function in patients with renal artery stenosis (RAS) and coronary artery disease (CAD),and explore the factors affecting the long-term prognosis.Methods This retrospective cohort study enrolled 169 patients with RAS and CAD from January 2006 to January 2010,149 patients were intervened with PTRAS and PCI simultaneously (combined group) and the remaining 20 patients were treated with PCI (PCI group).All patients were followed up for at least 2 years.Clinical data including blood pressure,estimated glomerular filtration rate (eGFR),echocardiography and major adverse events were obtained.Results The average stenotic ratio of the left and right renal artery in PCI group were significantly lower than those in combined group (both P ＜ 0.01).After 2 years,there was a significant decrease in systolic blood pressure compared to baseline level in the combined group (P ＜ 0.01).In the PCI group,both systolic blood pressure and diastolic blood pressure were significantly lower during follow-up than at the baseline level(both P ＜ 0.01).Echocardiography examination showed that left ventricular mass index (LVMI) during follow up was significantly lower than the baseline value in both groups,and the reduction extent in the combined group was larger than in PCI group(-55.6 g/m2 vs.-12.8 g/m2,P ＜ 0.01).In the combined group,the eGFR value decreased from (44.7 ± 17.4) ml · min-1 · 1.73 m-2 to (41.7 ± 18.9) ml · min-1 · 1.73 m-2 (P ＜ 0.01).eGFR level remained unchanged in PCI group(P ＞ 0.05).Multivariate Cox regression analysis demonstrated that baseline renal dysfunction was not significantly related to the long-term adverse prognosis in combined group (HR =0.986,P ＞ 0.05).Conclusions Simultaneous PTRAS and PCI are safe and effective for treating patients with RAS and CAD.Simultaneous PTRAS and PCI are beneficial on controlling blood pressure and reducing left ventricular mass index but has no impact on renal function change.