Starting from the connotation of ideological and political work in the new era,clarify the main line,fun-damental goals,fundamental tasks,core content,and basic requirements of ideological and political work in public hospitals,propose the three major functions,four major missions,and five principles for strengthening and im-proving ideological and political work in public hospitals.Focusing on the prominent issues of the"two skins"and"hindsight"of ideological and political work and business work in public hospitals,it introduces the practical explora-tion of strengthening and improving ideological and political work in public hospitals at Xuanwu Hospital of Capital Medical University,and constructs the ideal state of ideological and political work in public hospitals based on this.

Starting from the connotation of ideological and political work in the new era,clarify the main line,fun-damental goals,fundamental tasks,core content,and basic requirements of ideological and political work in public hospitals,propose the three major functions,four major missions,and five principles for strengthening and im-proving ideological and political work in public hospitals.Focusing on the prominent issues of the"two skins"and"hindsight"of ideological and political work and business work in public hospitals,it introduces the practical explora-tion of strengthening and improving ideological and political work in public hospitals at Xuanwu Hospital of Capital Medical University,and constructs the ideal state of ideological and political work in public hospitals based on this.

Objective To analyze stroke-related risk factors and their impact on urban community residents in Beijing,focusing on chronic diseases,psychological health,and quality of life,to provide evidence for community screening and intervention strategies.Methods Data were collected from residents aged 50+in 19 communities by using questionnaires and a WeChat App.Propensity score matching(PSM)balanced baseline characteristics.Logistic regression(univariate and stepwise)and mediation effect analysis were conducted by using SPSS and R.Results After PSM,87 stroke cases and 348 controls showed balanced baseline characteristics.The stroke group had higher chronic disease prevalence and lower psychological and quality of life scores.Hypertension increased stroke risk(P=0.002).Cognitive-12 Scale(Cog-12)was positively,and European Quality of Life-5 Dimensions(EQ-5D)negatively,associated with stroke(P＜0.001).Hypertension mediated stroke risk through Cog-12 and EQ-5D,with EQ-5D contributing 26.72％.Conclusion In this urban community study,stroke prevention should focus on managing chronic diseases,improving cognitive health and quality of life,and addressing psychological health.Digital tools can enhance follow-up and assessment,optimizing community-based stroke management strategies.

Objective To analyze stroke-related risk factors and their impact on urban community residents in Beijing,focusing on chronic diseases,psychological health,and quality of life,to provide evidence for community screening and intervention strategies.Methods Data were collected from residents aged 50+in 19 communities by using questionnaires and a WeChat App.Propensity score matching(PSM)balanced baseline characteristics.Logistic regression(univariate and stepwise)and mediation effect analysis were conducted by using SPSS and R.Results After PSM,87 stroke cases and 348 controls showed balanced baseline characteristics.The stroke group had higher chronic disease prevalence and lower psychological and quality of life scores.Hypertension increased stroke risk(P=0.002).Cognitive-12 Scale(Cog-12)was positively,and European Quality of Life-5 Dimensions(EQ-5D)negatively,associated with stroke(P＜0.001).Hypertension mediated stroke risk through Cog-12 and EQ-5D,with EQ-5D contributing 26.72％.Conclusion In this urban community study,stroke prevention should focus on managing chronic diseases,improving cognitive health and quality of life,and addressing psychological health.Digital tools can enhance follow-up and assessment,optimizing community-based stroke management strategies.

Vertebral refracture following percutaneous vertebral augmentation (PVA) is commonly seen in elderly patients with osteoporotic thoracolumbar compression fractures (OTLCF). It can lead to recurrent pain, loss of vertebral height, progression of kyphosis, and even neurological dysfunction, significantly impairing patients′ quality of life. Current diagnosis and treatment face multiple challenges, including high misdiagnosis rate, difficulty in choosing between surgical and non-surgical treatment options, lack of standardized surgical protocols, interference from intralesional bone cement during procedures, inadequate stability of internal fixation in osteoporotic bone, and suboptimal compliance of anti-osteoporotic therapy. Establishing a standardized diagnostic and therapeutic framework is urgently needed. To standardize the management process and improve outcomes for vertebral refractures after PVA in elderly OTLCF patients, Spinal Trauma Group of the Orthopedic Branch of Chinese Medical Doctor Association organized experts in the field to develop Guideline for the diagnosis and treatment of vertebral refracture after percutaneous vertebral augmentation in elderly patients with osteoporotic thoracolumbar compression fractures ( version 2025), based on current literature and clinical experience, and adhering to principles of scientific rigor and clinical applicability. A total of 11 recommendations were proposed, encompassing diagnosis, treatment, and rehabilitation of vertebral refracture after PVA in elderly patients with OTLCF, aiming to provide a foundation for a standardized management.

Objective To analyze the hotspots and development trends of the economic burden of acute ischemic stroke,and to provide a reference for researchers in China to conduct related studies.Methods Web of Science Core Collection database was searched to collect relevant reviews or articles on the economic burden of acute ischemic stroke from January 1994 to December 2023.CiteSpace 6.1.R6 software was used to visualize the authors,countries/regions,research institutions,keywords,and co-cited references.Results A total of 1,162 articles were include.The United States was the country with highest number of publications and centrality.China ranked the second in publication volume,but its centrality ranking was relatively low.Among the top 10 institutions in terms of publication volume,6 were from the United States,and Capital Medical University was the only Chinese institution listed.The cost-effectiveness analysis of treatment plans,scientific management method,and the cost-effectiveness analysis of treatment plans were the main research topics.The past three years had focused primarily on the cost-effectiveness analysis of treatment plans.Conclusion The study of the economic burden of acute ischemic stroke has advanced rapidly in recent years,but there is still a significant gap between China and developed western countries such as the United States.Chinese researchers should research current hotspots,while also addressing the early foundation studies of these hotspots,providing beneficial conditions for conducting hotspot research.

Objective To analyze the hotspots and development trends of the economic burden of acute ischemic stroke,and to provide a reference for researchers in China to conduct related studies.Methods Web of Science Core Collection database was searched to collect relevant reviews or articles on the economic burden of acute ischemic stroke from January 1994 to December 2023.CiteSpace 6.1.R6 software was used to visualize the authors,countries/regions,research institutions,keywords,and co-cited references.Results A total of 1,162 articles were include.The United States was the country with highest number of publications and centrality.China ranked the second in publication volume,but its centrality ranking was relatively low.Among the top 10 institutions in terms of publication volume,6 were from the United States,and Capital Medical University was the only Chinese institution listed.The cost-effectiveness analysis of treatment plans,scientific management method,and the cost-effectiveness analysis of treatment plans were the main research topics.The past three years had focused primarily on the cost-effectiveness analysis of treatment plans.Conclusion The study of the economic burden of acute ischemic stroke has advanced rapidly in recent years,but there is still a significant gap between China and developed western countries such as the United States.Chinese researchers should research current hotspots,while also addressing the early foundation studies of these hotspots,providing beneficial conditions for conducting hotspot research.

Vertebral refracture following percutaneous vertebral augmentation (PVA) is commonly seen in elderly patients with osteoporotic thoracolumbar compression fractures (OTLCF). It can lead to recurrent pain, loss of vertebral height, progression of kyphosis, and even neurological dysfunction, significantly impairing patients′ quality of life. Current diagnosis and treatment face multiple challenges, including high misdiagnosis rate, difficulty in choosing between surgical and non-surgical treatment options, lack of standardized surgical protocols, interference from intralesional bone cement during procedures, inadequate stability of internal fixation in osteoporotic bone, and suboptimal compliance of anti-osteoporotic therapy. Establishing a standardized diagnostic and therapeutic framework is urgently needed. To standardize the management process and improve outcomes for vertebral refractures after PVA in elderly OTLCF patients, Spinal Trauma Group of the Orthopedic Branch of Chinese Medical Doctor Association organized experts in the field to develop Guideline for the diagnosis and treatment of vertebral refracture after percutaneous vertebral augmentation in elderly patients with osteoporotic thoracolumbar compression fractures ( version 2025), based on current literature and clinical experience, and adhering to principles of scientific rigor and clinical applicability. A total of 11 recommendations were proposed, encompassing diagnosis, treatment, and rehabilitation of vertebral refracture after PVA in elderly patients with OTLCF, aiming to provide a foundation for a standardized management.

Based on China's health-related policy documents,combining the development history of health concepts and quality management theories,the evolution of China's view of healthcare service quality is sorted out.Moreover,based on the objectives of payment reform and the possible impact on healthcare service quality,the focus of healthcare service quality evaluation in the context of health insurance payment reform is elaborated.It aims to explore the focus of medical service quality evaluation at the present stage,and to provide a reference for better utilization of the evaluation results to improve the quality of medical services.

Ankylosing spondylitis (AS) combined with lower cervical fracture is often categorized into unstable fracture, with a high incidence of neurological injury and a high rate of disability and morbidity. As factors such as shoulder occlusion may affect the accuracy of X-ray imaging diagnosis, it is often easily misdiagnosed at the primary diagnosis. Non-operative treatment has complications such as bone nonunion and the possibility of secondary neurological damage, while the timing, access and choice of surgical treatment are still controversial. Currently, there are no clinical practice guidelines for the treatment of AS combined with lower cervical fracture with or without dislocation. To this end, the Spinal Trauma Group of Orthopedics Branch of Chinese Medical Doctor Association organized experts to formulate Clinical guidelines for the treatment of ankylosing spondylitis combined with lower cervical fracture in adults ( version 2024) in accordance with the principles of evidence-based medicine, scientificity and practicality, in which 11 recommendations were put forward in terms of the diagnosis, imaging evaluation, typing and treatment, etc, to provide guidance for the diagnosis and treatment of AS combined with lower cervical fracture.