Objective:Based on multi-subject coordination perspective,it aimed to define the stakeholders in the active health management model,analyze the functional positioning and interests of each party,and put forward relevant governance strategies,so as to provide the participating subjects with governance ideas for the subsequent exploration of the implementation path of active health.Methods:Stakeholders are identified,categorized and managed using Delphi expert consultation and Mitchell scoring method.Results:After two rounds of expert consultation,a total of 17 stakeholders were identified and categorized into three types:deterministic,anticipatory,and marginal stakeholders.In addition,taking into account the opinions from the expert interviews,the functional positioning and interests of each party were further identified,and corresponding management strategies were proposed.Conclusion:Active health management should adopt the strategy of"holistic coordination and categorization",adopting different governance strategies according to the priority of the demands of each type of stakeholder,and at the same time establishing a sound mechanism for sharing responsibilities and preventing conflicts of interest,so as to coordinate and balance the interests of all parties.

Objective:Based on multi-subject coordination perspective,it aimed to define the stakeholders in the active health management model,analyze the functional positioning and interests of each party,and put forward relevant governance strategies,so as to provide the participating subjects with governance ideas for the subsequent exploration of the implementation path of active health.Methods:Stakeholders are identified,categorized and managed using Delphi expert consultation and Mitchell scoring method.Results:After two rounds of expert consultation,a total of 17 stakeholders were identified and categorized into three types:deterministic,anticipatory,and marginal stakeholders.In addition,taking into account the opinions from the expert interviews,the functional positioning and interests of each party were further identified,and corresponding management strategies were proposed.Conclusion:Active health management should adopt the strategy of"holistic coordination and categorization",adopting different governance strategies according to the priority of the demands of each type of stakeholder,and at the same time establishing a sound mechanism for sharing responsibilities and preventing conflicts of interest,so as to coordinate and balance the interests of all parties.

Objective:Based on multi-subject coordination perspective,it aimed to define the stakeholders in the active health management model,analyze the functional positioning and interests of each party,and put forward relevant governance strategies,so as to provide the participating subjects with governance ideas for the subsequent exploration of the implementation path of active health.Methods:Stakeholders are identified,categorized and managed using Delphi expert consultation and Mitchell scoring method.Results:After two rounds of expert consultation,a total of 17 stakeholders were identified and categorized into three types:deterministic,anticipatory,and marginal stakeholders.In addition,taking into account the opinions from the expert interviews,the functional positioning and interests of each party were further identified,and corresponding management strategies were proposed.Conclusion:Active health management should adopt the strategy of"holistic coordination and categorization",adopting different governance strategies according to the priority of the demands of each type of stakeholder,and at the same time establishing a sound mechanism for sharing responsibilities and preventing conflicts of interest,so as to coordinate and balance the interests of all parties.

Objective:Based on multi-subject coordination perspective,it aimed to define the stakeholders in the active health management model,analyze the functional positioning and interests of each party,and put forward relevant governance strategies,so as to provide the participating subjects with governance ideas for the subsequent exploration of the implementation path of active health.Methods:Stakeholders are identified,categorized and managed using Delphi expert consultation and Mitchell scoring method.Results:After two rounds of expert consultation,a total of 17 stakeholders were identified and categorized into three types:deterministic,anticipatory,and marginal stakeholders.In addition,taking into account the opinions from the expert interviews,the functional positioning and interests of each party were further identified,and corresponding management strategies were proposed.Conclusion:Active health management should adopt the strategy of"holistic coordination and categorization",adopting different governance strategies according to the priority of the demands of each type of stakeholder,and at the same time establishing a sound mechanism for sharing responsibilities and preventing conflicts of interest,so as to coordinate and balance the interests of all parties.

Objective:Based on multi-subject coordination perspective,it aimed to define the stakeholders in the active health management model,analyze the functional positioning and interests of each party,and put forward relevant governance strategies,so as to provide the participating subjects with governance ideas for the subsequent exploration of the implementation path of active health.Methods:Stakeholders are identified,categorized and managed using Delphi expert consultation and Mitchell scoring method.Results:After two rounds of expert consultation,a total of 17 stakeholders were identified and categorized into three types:deterministic,anticipatory,and marginal stakeholders.In addition,taking into account the opinions from the expert interviews,the functional positioning and interests of each party were further identified,and corresponding management strategies were proposed.Conclusion:Active health management should adopt the strategy of"holistic coordination and categorization",adopting different governance strategies according to the priority of the demands of each type of stakeholder,and at the same time establishing a sound mechanism for sharing responsibilities and preventing conflicts of interest,so as to coordinate and balance the interests of all parties.

Objective:Based on multi-subject coordination perspective,it aimed to define the stakeholders in the active health management model,analyze the functional positioning and interests of each party,and put forward relevant governance strategies,so as to provide the participating subjects with governance ideas for the subsequent exploration of the implementation path of active health.Methods:Stakeholders are identified,categorized and managed using Delphi expert consultation and Mitchell scoring method.Results:After two rounds of expert consultation,a total of 17 stakeholders were identified and categorized into three types:deterministic,anticipatory,and marginal stakeholders.In addition,taking into account the opinions from the expert interviews,the functional positioning and interests of each party were further identified,and corresponding management strategies were proposed.Conclusion:Active health management should adopt the strategy of"holistic coordination and categorization",adopting different governance strategies according to the priority of the demands of each type of stakeholder,and at the same time establishing a sound mechanism for sharing responsibilities and preventing conflicts of interest,so as to coordinate and balance the interests of all parties.

Objective:Based on multi-subject coordination perspective,it aimed to define the stakeholders in the active health management model,analyze the functional positioning and interests of each party,and put forward relevant governance strategies,so as to provide the participating subjects with governance ideas for the subsequent exploration of the implementation path of active health.Methods:Stakeholders are identified,categorized and managed using Delphi expert consultation and Mitchell scoring method.Results:After two rounds of expert consultation,a total of 17 stakeholders were identified and categorized into three types:deterministic,anticipatory,and marginal stakeholders.In addition,taking into account the opinions from the expert interviews,the functional positioning and interests of each party were further identified,and corresponding management strategies were proposed.Conclusion:Active health management should adopt the strategy of"holistic coordination and categorization",adopting different governance strategies according to the priority of the demands of each type of stakeholder,and at the same time establishing a sound mechanism for sharing responsibilities and preventing conflicts of interest,so as to coordinate and balance the interests of all parties.

Objective:Based on multi-subject coordination perspective,it aimed to define the stakeholders in the active health management model,analyze the functional positioning and interests of each party,and put forward relevant governance strategies,so as to provide the participating subjects with governance ideas for the subsequent exploration of the implementation path of active health.Methods:Stakeholders are identified,categorized and managed using Delphi expert consultation and Mitchell scoring method.Results:After two rounds of expert consultation,a total of 17 stakeholders were identified and categorized into three types:deterministic,anticipatory,and marginal stakeholders.In addition,taking into account the opinions from the expert interviews,the functional positioning and interests of each party were further identified,and corresponding management strategies were proposed.Conclusion:Active health management should adopt the strategy of"holistic coordination and categorization",adopting different governance strategies according to the priority of the demands of each type of stakeholder,and at the same time establishing a sound mechanism for sharing responsibilities and preventing conflicts of interest,so as to coordinate and balance the interests of all parties.

Objective:To evaluate the data quality of Shenzhen Type 1 Diabetes Alliance (SZT1D), and to provide a basis for evaluation and improvement for the continuous improvement of data quality.Methods:From December 2018 to July 2021, 697 first-visit type 1 diabetes (T1DM) patients (including 501 in Shenzhen and 196 out-of-Shenzhen) and 120 re-visited T1DM patients (including 113 in Shenzhen and 7 out-of-Shenzhen) who were registered by SZT1D in collaborative research platform network of China Type 1 Diabetes Alliance (hereinafter referred to as China T1D). The data quality was evaluated from three dimensions: data completion, accuracy and revisit. The data completion degree was evaluated by the overall data completion degree and the key indicator completion degree; the data accuracy was evaluated by the probability of abnormal blood glucose value; the patient′s return visit was evaluated by the return visit rate.Results:The main characteristics of T1DM in SZT1D were young and middle-aged adults [age: (34.4±17.1)years] with thin body [BMI: (19.80±3.52)kg/m 2)], half of male and female patients [proportion of male: 52.4%(365/697)]; the main types of diagnosis were classical T1DM [65.22%(150/230)] and latent autoimmune diabetes in adults(LADA) [26.08%(60/230)], and the fasting blood glucose (FPG) [(10.93±6.98)mmol/L] and glycosylated hemoglobin (HbA 1c) [(10.63±3.01)%] were high. The average completion rate of the overall data of the first diagnosed patients in SZT1D was only 60% [(62.9±31.5)%]: the number of patients with overall data completion ≥80% in SZT1D was only 50.2%(350/697); the number of patients with overall data completion ≥80% in Shenzhen was less than that outside Shenzhen [44.3%(222/501) vs 65.3%(128/196), P<0.001]. The key indicators with better completion rate of first-visit were disease course [76.2%(531/697)], age of onset [75.8%(528/697)], family history of diabetes [74.9%(522/697)], etc., but none of them had a completion rate of more than 80%, and the diabetes self-management behavior assessment questionnaire and scale score were completely missing; the frequency of daily blood glucose monitoring [46.1%(231/501) vs 64.3%(126/196), P<0.001], current insulin regimen [44.3%(222/501) vs 63.3%(124/196), P<0.001], number of diabetic ketoacidosis (DKA) since the onset of the disease [45.7%(229/501) vs 64.8%(127/196), P<0.001] and the number of symptomatic hypoglycemia in the past 1 month [39.3%(197/501) vs 63.8%(125/196), P<0.001] were higher in Shenzhen than those reported outside Shenzhen. In addition, the probability of abnormal FPG and postprandial glucose (PPG) [5.2%(24/466); 3.8%(19/236)] were low. The revisit rate was not high [17.2%(120/697)], and the revisit rate in Shenzhen was higher than that outside Shenzhen [22.6%(113/501) vs 3.6%(7/196), P<0.001]. The first revisit rate was 16.2%(113/697) and the second revisit rate was seriously insufficient [1.0%(7/697)]. Conclusions:The data quality of T1DM patients recorded by SZT1D needs to be further improved. Improving the information interconnection between China-T1D and SZT1D, employing quality control personnel and building a systematic data quality evaluation analysis and feedback mechanism are methods to promote the comprehensive, accurate and efficient input of T1DM data and continuously improve the evaluation methods to improve the overall data quality.

Objective To explore the application and value of three-dimensional reconstruction technology in diagnosis and surgical therapy of ground-glass opacity.Methods We analyzed 188 cases with GGO during October 2012 and October 2014 in Shanghai First People’s Hospital affiliated to Shanghai Jiao tong University School of Medicine respectively.Several relative parameters based on three-dimensional reconstruction were selected to differentiate GGO pathology .By ROC curve anal-ysis, optimal cut-off points were determined.Volume-doubling time(VDT) was calculated among 104 cases which had been following up at least for three months and compared among AAH, MIA and IAC.Results Cases’ mean age was 56.66 ± 9.673years(ranged from 27 to 82 years) with 67 males and 121 females.The diameter(P<0.001), total volume(TV)(P<0.001), the maximum CT attenuation(MAX)(P<0.001) and standard deviation of distribution of CT attenuation within the whole GGO(STD)(P=0.015) of malignant group were significant larger than those of benign ones except for average CT at-tenuation(AVG)(P=0.094).The AUC were just 0.64-0.80 when differentiated benign group from AIS, benign group from MIA and AAH from MIA in comparison to 0.70-0.95 when it comes to differentiating benign group and AAH from IAC .Ad-ditionally, the optimal cut-off points were 13.5-15.5 mm in diameter, 400-600 mm3 in TV, -110 -20 Hu in MAX and 120-160 in STD.The mean VDT was 865.00 ±111.33, 464.67 ±44.40 and 238.36 ±76.71 for AAH, MIA and IAC re-spectively(AAH/MIA P<0.001, MIA/IAC P=0.003).Conclusion The diameter, TV, MAX and STD of GGO based on three-dimensional reconstruction could discriminate GGO availably .Combined utilization of HRCT and three-dimensional re-construction has a valuable significance in diagnosis and treatment of GGO .