Medical Talents Research Articles

Application of problem-based self-designed experiments in physiology laboratory teaching.

A physiology laboratory course plays an important role in improving the scientific abilities of medical students. This study involved a teaching reform based on problem-based self-designed experiments in a physiology laboratory course. The study subjects were divided into two groups, i.e., students enrolled in 2019 were assigned to the traditional course control group (n = 146) and students enrolled in 2021 were assigned to the improved course test group (n = 128). Students in the test group were required to conduct self-designed experiments based on the questions for each experimental theme, in addition to completing the specified experimental items. At the end of the course, the differences in academic achievements between the two groups were compared. The results showed that compared to the control group, the students in the test group spent less time finishing the specified experimental items (P < 0.05). More students in the test group obtained good results in the operation assessment for the specified experiments (P < 0.05), and a significant increase in the number of winners in discipline-wise competitions, participants in scientific research projects, and academic publications was observed in the test group. Most of the students in the test group agreed that the self-designed experiment promoted their scientific thinking, helped them better understand theoretical knowledge, and improved their hands-on operation and team cooperation abilities. Our research showed that our teaching reform promoted students' self-directed learning and problem-solving abilities, stimulated their enthusiasm for scientific research, and was conducive to the cultivation of innovative medical talents.NEW & NOTEWORTHY This study involved a teaching reform based on problem-based self-designed experiments in a physiology laboratory course. Students in the test group were required to conduct self-designed experiments based on questions for each experimental theme, in addition to completing the specified experimental items. The results showed that the teaching reform promoted the students' self-directed learning and problem-solving ability, stimulated their enthusiasm for scientific research, and was conducive to cultivating innovative medical talents.

PBL teaching design of medical genetics with the case of brachydactyly type A2.

Medical genetics, which is a frontier subject in biomedicine, is the clinical core of gene diagnosis and gene therapy. In the training of medical students, medical genetics plays an important role in bridging basic medicine and clinical medicine. In recent years, problem-based learning (PBL) has been widely used in medical education as an important method to cultivate the autonomous learning ability of medical students. In the current study, we designed and shared the research on brachydactyly type A2 (BDA2) as the main case of PBL teaching, in order to guide the students towards autonomous learning, and to cultivate independent analysis and problem solving ability instead of simple knowledge acquisition. Such excellent academic teaching will provide more high quality medical talents and internationally competitiveness for constructing a healthy China.

Exploration and practice of ideological and political education in biochemistry and molecular biology for cultivation of ethical and medical talents

Combine the learning characteristics of medical specialty and the core socialist values. Ideological and political education is integrated into the teaching of biochemistry and molecular biology. We will strive to cultivate medical talents of the new era with excellent medical skills, noble medical ethics, the patriotism, concern for the people's livelihood and dedication for the society, guided by "professionalism", "practicing ability" and "social adaptation". The talent training of medical university bears the important task of training medical workers with noble medical ethics, exquisite medical skills and humanistic spirit [1]. Biochemistry and Molecular Biology is an important basic and compulsory course for medical majors. Its relevant theories and technologies have penetrated into all fields of basic medicine and clinical medicine. This course contains rich ideological and political education elements, which are closely combined with clinical practice and daily life, so that students can more vividly and concretely grasp the knowledge and feel the essence of the thought. The implementation of curriculum ideological and political education is helpful to improve the humanistic quality of medical students and professional ethics of doctors. This paper explores and practices the implementation methods of curriculum ideology in biochemistry and molecular biology. It also integrates the elements of moral education into daily teaching guided by "professional spirit", "practicing ability" and "social adaptation", aiming to continuously improve the effect of education and ultimately contribute to the cultivation of medical talents with both moral and medical skills.

Research and Practice on Connotation Construction and Implementation of Roadmap of “New Medicine” in Local Medical Colleges by Big Data Analysis

Taking students from a local medical college in Shandong Province as the research object, we conducted a questionnaire survey on their satisfaction with the college education, innovation needs, innovative practices, and ‘new medicine’ understanding. The results show that the majority of students are satisfied with the overall education of their colleges but the student's theoretical knowledge and experimental skills are insufficient. Most students do not fully understand what "new medicine" means. According to the big data analysis, the key issues facing the training of new medical talents are analyzed from four aspects combined with the exploration and practice of the construction of "new medicine" in local medical colleges: updating the concept of medical education, optimizing the structure of medical professions, improving the talent training system, and improving the management and guarantee mechanism, and cultivating high-quality applied medical talents for technological revolution represented by artificial intelligence.

Based on the pathway of physical and medical integration in medical schools under the background of healthy China

In the context of healthy China, the teaching model of physical and medical integration is studied, the departments in China must vigorously promote the reform of the medical system and mechanism, and hospitals also need improve the level of medical services, putting forward higher requirements for the current medical staff. Cultivating high-end compound medical talents in the current society has become an urgent requirement of hospitals. The goal of teaching and training should be to cultivate practical, high-end and high-quality talents in the medical school of higher learning. By learning sports health care knowledge to apply it to the field of medical practice, and adding medical technology, medical diagnosis and treatment methods to do a good job in the diagnosis and treatment of diseases and physical rehabilitation of patients, so that the physical education of medical schools can improve the physical skills of medical students in an all-round way, and also make it a method of medical students who have education, achieving the goal of combining sports and medicine. This article focuses on the teaching mode of physical and medical integration as the key content of research, optimizes the design of the teaching curriculum system of medical majors, vigorously promotes the implementation of the teaching mode of physical and medical integration, and lays a solid foundation for cultivating more professional and complex medical talents.

The medical education systems in China and Thailand: A comparative study.

Background and AimsBoth China and Thailand attach great importance to education and are committed to high educational standards on an international level. Our study is to compare the medical education reforms that have occurred in China and Thailand to further improve the medical education system in China.MethodsThrough a search of official documents and prior studies, as well as consultation with Thai students studying in China, we gathered data regarding the evolution of the medical education systems in China and Thailand. The aggregate materials are incorporated into the summary and analysis.ResultsOver 200 journals and literature were analyzed retrospectively. Thailand's medical education reforms encompass Western strategies without neglecting domestic cultural factors and priorities, and a standardized and medical education system has been established. Chinese medical education reform has yielded remarkable results, though further improvements remain necessary.ConclusionReforms of Thailand's medical education system offer important experiences and lessons for China, that the development of medical education needs to absorb the merits of others and also needs to have its own national characteristics. The key to medical education reform in China lies in the establishment of a system that is dedicated to science, while also serving its primary purpose of training high‐level medical talent that can meet the needs of Chinese society.

Cultivation Path of Compound Talents in Ophthalmic Diagnosis, Treatment, and Nursing Based on Artificial Intelligence

Artificial intelligence can effectively improve the efficiency and accuracy of medical diagnosis, clinical data analysis, medical image recognition, treatment plan decision-making, etc. It has broad application prospects in the ophthalmic diagnosis, treatment, and nursing industry. However, the application of artificial intelligence in the ophthalmic diagnosis and nursing industry in China started relatively late, and there are insufficient ophthalmic diagnosis and nursing personnel who are familiar with artificial intelligence technologies. In order to promote the modernization of ophthalmic medicine in China and accelerate the development of a high-quality and modern medical education system, it is necessary to train a new generation of compound ophthalmic medical talents who are skilled in artificial intelligence and develop an advanced talent training model that meets the needs of the ophthalmic profession and the society. Based on the application status and development prospects of artificial intelligence in the ophthalmology industry, this paper analyzes the current medical education model in ophthalmology, examines the path of cultivating compound talents in ophthalmic diagnosis, treatment, and nursing, as well as proposes suggestions for developing a high-quality and modern medical education system.

Single cell RNA-seq analysis identifies ferroptotic chondrocyte cluster and reveals TRPV1 as an anti-ferroptotic target in osteoarthritis.

SummaryBackgroundOsteoarthritis (OA) is the most common degenerative joint disease primarily characterized by cartilage destruction. The aim of this study was to investigate the role, molecular characteristics and potential therapeutic target of chondrocyte ferroptosis in the pathogenesis of OA.MethodsThe expression of ferroptotic hallmarks (iron and lipid peroxidation accumulation, glutathione deletion) were analyzed in paired intact and damaged cartilages from OA patients. Single cell RNA sequencing (scRNA-seq) analysis was performed on 17,638 chondrocytes to verify the presence, investigate the molecular signatures and unveil the potential therapeutic target of ferroptotic chondrocyte cluster in human OA cartilages. Destabilization of medial meniscus (DMM)-induced OA model and tert-butyl hydroperoxide (TBHP)-treated primary mouse chondrocytes and human cartilage explants were used to evaluate the protective effect of pharmacologically activated transient receptor potential vanilloid 1 (TRPV1). The downstream molecular mechanisms of TRPV1 was further investigated in glutathione peroxidase 4 (Gpx4) heterozygous genetic deletion mice (Gpx4+/−).FindingsThe concentrations of iron and lipid peroxidation and the expression of ferroptotic drivers in the damaged areas of human OA cartilages were significantly higher than those in the intact cartilage. scRNA-seq analysis revealed a chondrocyte cluster characterized by preferentially expressed ferroptotic hallmarks and genes, namely ferroptotic chondrocyte cluster. Comprehensive gene set variation analysis revealed TRPV1 as an anti-ferroptotic target in human OA cartilage. Pharmacological activation of TRPV1 significantly abrogated cartilage degeneration by protecting chondrocytes from ferroptosis. Mechanistically, TRPV1 promoted the expression of GPX4, and its anti-ferroptotic role was largely mitigated in the OA model of Gpx4+/− mice.InterpretationTRPV1 activation protects chondrocytes from ferroptosis and ameliorates OA progression by upregulating GPX4.FundingNational Key R&D Program of China (2018YFC1105904), Key Program of NSFC (81730067), National Science Foundation of China (81772335, 81941009, 81802196), Natural Science Foundation of Jiangsu Province, China (BK20180127), Jiangsu Provincial Key Medical Talent Foundation, Six Talent Peaks Project of Jiangsu Province (WSW-079).

Research on the structure of smart medical industry based on the background of the internet of things

Abstract In view of the current development trend of the smart medical industry in the context of the internet of things, this study conducts an evolutionary game analysis on information technology providers, medical institutions, digital medical equipment providers, and medical regulatory agencies in the smart medical industry. This study also analyzes the stable state of the future development of the smart medical industry and performs simulation calculations through MATLAB software. The research results show that the overall development trend of the smart medical industry structure in the future is consistent with the development trend of each industry structure. Under the strategic background of the supervision of medical regulatory agencies, information technology providers and digital medical equipment providers, respectively, provide the smart medical industry with the latest information technology and digital medical equipment to ensure the technical support of the smart medical industry. The smart medical industry provides corresponding medical talents and medical equipment to ensure the demand for talents and equipment of the smart medical industry, so that the structure of the smart medical industry can continuously improve the level of smart medical technology in the future development and ultimately promote the overall development of the smart medical industry.

Effect of Vitamin D Deficiency on Ace2 And Inflammatory Factors in Patients with Type 2 Diabetes

Objective: To analyze the levels and correlation of vitamin D, ACE2, ACE and inflammatory factors in patients with type 2 diabetes,To explore the effect of vitamin D deficiency on ACE2 and inflammatory factors and the mechanism of action on the occurrence and development of diabetes. Methods: Non-diabetic control 87 cases and type 2 diabetes 96 cases,According to the level of serum 25-hydroxyvitamin D, 47 cases of non-diabetic vitamin D normal group and 40 cases of vitamin D deficiency group were divided into two groups.52 patients in the normal vitamin D group and 44 patients in the vitamin D deficient group were tested for ACE, ACE2, IL-6, TNF-A and other inflammatory indexes.The correlation and influencing factors of vitamin D and each index were analyzed. Results: The levels of HOMA-IR, ACE, AngII, IL-6 and TNF-a in vitamin D deficient group were significantly higher than those in vitamin D normal group.ACE2 and IL-10 were significantly decreased (P &lt; 0.05);Compared with non-diabetic vitamin D deficiency group, BMI, waist circumference, blood pressure, blood lipids, blood glucose, INS, HOMA-IR, ACE, AngII, IL-6 and TNF-A were significantly increased with the severity of vitamin D deficiency.Insulin resistance was more severe, ACE2 and IL-10 decreased significantly(P &lt; 0.05);Pearson correlation analysis showed that vitamin D in non-diabetic group was negatively correlated with AngII and IL-6, but positively correlated with IL-10 (P &lt; 0.05 or P &lt; 0.01).Vitamin D in diabetic group was positively correlated with ACE2 and IL-10, and negatively correlated with ACE, AngII, IL-6, TNF-A, HOMA-IR and HbA1c (all P &lt; 0.01).Multiple linear regression analysis showed that IL-10 and AngII were the main influencing factors of vitamin D Foundation Item: 2020 Government Funded Clinical Medical Talents Training Program (NO: 2020, 124) deficiency in the Non-Diabetic Group (P &lt; 0.05).33.6% of the total variation of regression equation was explained.In diabetic group, ACE2, IL-6, TNF-A, IL-10 and HOMA-IR were the main influencing factors of vitamin D deficiency (P &lt; 0.05), explaining 55.8% of the total variation of regression equation. Conclusion: Vitamin D deficiency may change the improper regulation of ACE2 and ACE/AngII and the release of inflammatory factors, destroy the autoimmune state of the body, and participate in the occurrence and development of diabetes mellitus. The degree of vitamin D deficiency can aggravate insulin resistance by mediating RAS system and inflammatory factors, and increase the potential pathogenic effect of diabetes.ACE2, ACE/AngII and inflammatory factors can be used as markers of diabetes vitamin D deficiency

Evaluation of Talent Training Model Taking into Account the Knowledge Recognition Algorithm of Multiple Constraint Models

In the current talent model analysis, the phenomenon occurs such as serious errors, low efficiency, and poor accuracy. Based on this, a talent training model evaluation method is proposed based on multi-constraint model knowledge recognition algorithm. The knowledge recognition algorithm of the multiple constraint model is used to establish a talent training mode evaluation based on the knowledge recognition algorithm of the multiple constraint model, and the mode weight value is used to adjust the connection weights of the knowledge recognition algorithm of the multiple constraint model. The proposed knowledge recognition algorithm of the multiple constraint model is used to analyze the data index weights of the medical professional talent model in detail, to establish the appraisal model of the talent training. The model can effectively complete the evaluation and analysis of the comprehensive ability of medical professional talents. When using the classifier for training, 76% of the data feature dimensions can be selected for dimension reduction, so as to improve the imbalance problem under the training sample. The characteristics of the various constraint models designed in this paper can be tested by using the classifier. Finally, the experimental analysis results show that the application of the knowledge recognition algorithm of the multiple constraint model to the training mode of medical professionals can significantly enhance the accuracy of evaluation. It has certain reference significance in personnel training.

Immunogenicity and safety of an enterovirus 71 vaccine in children aged 36-71 months: A double-blind, randomised, similar vaccine-controlled, non-inferiority phase III trial.

SummaryBackgroundThe enterovirus 71 (EV71) vaccine produced by Wuhan Institute of Biological Products Co., Ltd. (WIBP) (B-EV71) has been given to children aged 6-35 months, and it has shown good safety, immunogenicity and efficacy. However, the administration of EV71 vaccine in children aged 36-71 months, which is another target population, needs further exploration.MethodsWe conducted a double-blind, randomised, controlled, non-inferiority phase III clinical trial in children aged 36-71 months, with a further comparison group of children aged 6-35 months in China. Children aged 6-71 months with no history of hand, foot and mouth disease or prior-vaccination of EV71 vaccine were eligible and recruited. Eligible participants aged 36-71 months were randomly assigned (1:1) to receive two doses of the B-EV71 vaccine (Older-B group) or the control EV71 vaccine (C-EV71 vaccine, produced by Institute of Medical Biology, Chinese Academy of Medical Sciences) (Older-C group), administered at a 30-day interval. Eligible participants aged 6-35 months were enrolled consecutively to receive two doses of the B-EV71 vaccine (Younger-B group) at a 30-day interval. Participants, investigators and those assessing outcomes were masked to the vaccine received. Non-inferiority analyses were conducted to compare the immunogenicity of EV71 vaccine in the Older-B group with that in the Older-C and Younger-B groups. Non-inferiority margins were 10% for seroconversion rate differences and 0.5 for geometric mean titre (GMT) ratios. The primary endpoints were the GMT level and seroconversion rate of anti-EV71 neutralising antibody 30 days after the second dose of vaccination. The primary analysis was performed in the per-protocol population. Safety analyses were conducted amongst participants receiving at least one dose of vaccine. This trial was registered at Chinadrugtrials.org.cn (#CTR20192345).FindingsBetween June 3 and June 30, 2020, 1600 participants were enrolled and assigned, including 625 participants in the Older-B group, 625 participants in the Older-C group and 350 participants in the Younger-B group. The seroconversion rate of anti-EV71 neutralising antibody in the Older-B group (99.66%; 95% CI: 99.18%–100.00%) was non-inferior to that of the Older-C (99.32%; 95% CI: 98.65%–99.98%) and Younger-B groups (100.00%; 95% CI: 100.00%–100.00%). The differences in seroconversion rates in the Older-B group to those in the Older-C and Younger-B groups were 0.34% (95%CI: -2.17%–2.86%) and -0.34% (95%CI: -2.78%–2.09%). The GMT of the anti-EV71 neutralising antibody in the Older-B group (693.87) was also non-inferior to that in the Older-C (289.37) and Younger-B groups (634.80). The ratios of GMTs in the Older-B group to those in the Older-C and Younger-B groups were 2.67 (95%CI: 2.00–3.00) and 1.00 (95%CI: 0.75–1.00), respectively. The incidence of any adverse event (AE) related to vaccination was similar amongst the three groups (34/625 [5.44%] in the Older-B group, 32/623 [5.14%] in the Older-C group, and 26/349 [7.45%] in the Younger-B group), with only 2 (0.57%) participants having grade 3 AEs in the Younger-B group. Fifteen (0.94%) participants from these three groups had reported serious AEs (SAEs), all of which were unrelated to vaccines.InterpretationEV71 vaccine produced by WIBP could extend to be administered to children aged 36-71 months against EV71 infection. However, the persistence of vaccine-induced immunities needs to be further investigated.FundingHubei Province's young medical talent program (20191229), Hubei Province's young talent program (2021), Hubei Province's young public health talent program (2021); and the Wuhan Institute of Biological Products Co., Ltd.

Analysis on the Influencing Factors and Training Strategies of Young Talents in Hospitals under the Background of Big Data

Under the background of big data, young talents in hospitals across my country are constantly striving to exert their personal scientific research and technical capabilities in terms of scientific research performance. At the same time, it also exposed many problems that need to be solved urgently. Under the background of the new era, each hospital needs to exert and increase its training in terms of scientific research and technology research and the use of young talents. By building a scientific platform and establishing an effective scientific research performance evaluation management system, the backbone of outstanding young medical talents can be realized. In the context of big data, this paper studies and analyzes the influencing factors of hospital young talent scientific research and performance management. After the preliminary data collection work, the chi-square verification was carried out on the survey data of young medical scientific research talents. It is confirmed that the research conclusions based on big data have certain basis for improving the scientific research management level of each hospital based on the research conclusions, thus providing a certain theoretical basis for enhancing the scientific research performance of young talents in the hospital.

Toxicity spectrum of immunotherapy in advanced lung cancer: A safety analysis from clinical trials and a pharmacovigilance system.

SummaryBackgroundWith the increased use of immune checkpoint inhibitors (ICIs) in advanced lung cancer, adverse events (AEs), particularly immune-related AEs (irAEs), have garnered considerable interest. We conducted a comprehensive assessment of the toxicity profile in advanced lung cancer using multi-source medical data.MethodsFirst, we systematically searched the PubMed, Embase, and Cochrane Library databases (from inception to 10 August 2021) for relevant randomised controlled trials (RCTs) involving ICI-based treatments for advanced lung cancer. The primary outcomes were treatment-related AEs and irAEs, including events that were assigned grade 1–5 and 3–5. The secondary outcomes were grade 5 AEs and irAEs (grade 1–5 and grade 3–5) in specific organs. Network comparisons were conducted for 11 treatments, including chemotherapy (CT), ICI monotherapy (three regimens: programmed death-1 receptor [PD-1] inhibitors, programmed death ligand-1 [PD-L1] inhibitors, and cytotoxic T lymphocyte-associated antigen [CTLA-4] inhibitors), dual-ICI combination therapy (two regimens), and treatment using one or two ICI drugs administered in combination with CT (five regimens). We also conducted a disproportionality analysis by extracting reports of various irAEs associated with ICIs from the FDA Adverse Event Reporting System (FAERS) database. The reporting odds ratios and fatality proportions of different irAEs were calculated and compared. PROSPERO: CRD42021268650.FindingsOverall, 41 RCTs involving 23,121 patients with advanced lung cancer were included. Treatments containing chemotherapy increased the risk of treatment-related AEs compared to ICI-based regimens without chemotherapy. Concerning irAEs, PD-L1 + CTLA-4 + CT was associated with the highest risk of grade 1–5 irAEs, followed by two regimens of dual ICI combination, three regimens of ICI monotherapy, and three regimens of one ICI combined with CT. For 3–5 irAEs, CTLA-4 accounted for most AEs. Detailed comparisons of ICI-based treatment options provided irAE profiles based on specific organs/systems and AE severity. Insights from the FAERS database revealed that signals corresponding to pneumonitis, colitis, thyroiditis, and hypophysitis were observed across all ICI regimens. Further analyses of the outcomes indicated that myocarditis (163 of 367, 44.4%), pneumonitis (1610 of 4497, 35.8%), and hepatitis (290 of 931, 31.1%) had high fatality rates.InterpretationIncluded RCTs showed heterogeneity in a few clinical factors, and reports derived from the FAERS database might have involved inaccurate data. Our results can be used as a basis for improving clinical treatment strategies and designing preventive methods for ICI treatment in advanced lung cancer.FundingThis study was supported by the Research Project of Drug Clinical Comprehensive Evaluation and Drug Treatment Pathway (SHYXH-ZP-2021-001, SHYXH-ZP-2021-006), Clinical Research Innovation and Cultivation Fund of Ren Ji Hospital (RJPY-LX-008), Ren Ji Boost Project of National Natural Science Foundation of China (RJTJ–JX–001), and Shanghai “Rising Stars of Medical Talent” Youth Development Program – Youth Medical Talents – Clinical Pharmacist Program (SHWJRS (2019) 072).

Exploration of the Cultivation Path of Medical Students' Politico-Ideological and Humanistic Quality Based on Deep Learning.

Medical talent development has its own characteristics, which means that political-ideological education in medical colleges must establish a development model that reflects these characteristics. In a methodological sense, research on the development of politico-ideological education in medical colleges should adhere to the coordinated development of politico-ideological education in medical colleges, which follows the requirements of the current situation and the three laws of politico-ideological education in medical colleges, namely, the requirements of the law of politico-ideological education, the law of teaching and educating people, and the law of study. In practice, in view of the practical contradictions in the politico-ideological work of medical colleges and universities at the present stage, explore the collaborative education mechanism of medical colleges and universities, constantly enrich the ways and methods of politico-ideological work in medical colleges and universities, improve the affinity, pertinence, and effectiveness of politico-ideological education, and constantly open up a new situation of politico-ideological education in colleges and universities. This work offers a path exploration approach based on deep learning for cultivating the political-ideological, and humanistic qualities of medical students' curriculum, and the model's performance is proven by simulation trials.

A practice of curriculum ideological and political education in Medical Parasitology teaching based on the situation of Yunnan Province

In order to build a unified teaching pattern integrating knowledge delivery, skill cultivation and value guidance, this article, based on the targets of cultivating medical talents in the new era, aims to explore the pathway of curriculum ideological and political education in Medical Parasitology teaching based on the situation of Yunnan Province. By analyzing the epidemiology of parasitic diseases in Yunnan Province, the remarkable achievements of parasitic diseases control in China and Yunnan Province, cases with parasitic disease misdiagnosis, parasitologists ' selfless contributions, the contributions of traditional Chinese medicines to parasitic diseases control and the contributions of traditional Chinese medicines in Yunnan Province, the ideological and political education is naturally integrated into Medical Parasitology teaching, to create an educational model combining professional course teaching with ideological and political education curriculum.

Study on Influencing Factors and Countermeasures of Elderly Nursing Services in the Elderly.

Methods 500 inpatients with chronic diseases in a famous tertiary hospital in a city were studied, and the corresponding countermeasures were put forward through the analysis of their needs and influencing factors. Results. The study found that the vast majority of elderly patients have higher requirements for elderly care services, which is related to factors such as family income. Compared with the huge medical demand, there is a large gap in the level of domestic medical and health talents. According to relevant research, the current number of beds in China is 1 : 0.27, but in fact it is 1 : 0.4. Therefore, relevant units should strengthen the health examination of the elderly, provide high-quality medical services, make full use of health resources, and strengthen nursing management, so as to improve the quality of nursing services. Conclusion The survey results show that the vast majority of elderly patients have high requirements for their elderly care services, which is related to family income and other related factors. Therefore, relevant departments should formulate corresponding measures to improve the quality of life of the elderly.

The Impact of Dependency Burden on Urban Household Health Expenditure and Its Regional Heterogeneity in China: Based on Quantile Regression Method.

BackgroundThe aging population has led to a growing health expenditure burden. According to the National Bureau of Statistics of China, the old-age dependency ratio rose from 10.7% in 2003 to 17.8% in 2019, and health expenditure increased from 658.410 billion yuan in 2003 to 5812.191 billion yuan in 2019 in China.MethodsThis paper utilizes the quantile regression method to discuss the influencing factors of health expenditure in urban China based on the China Household Finance Survey (CHFS), especially dependency burden. Moreover, its regional heterogeneity is also compared.ResultsThe old-age dependency ratio, age, family size, self-rated health status, and income significantly impact the health expenditure of urban families in the quantile regression of the national sample. Dependency burden and other variables on urban household health expenditure have great regional heterogeneity. The relationship between urban health expenditure and residential areas in western China is more stable than that in eastern and central China.DiscussionGovernment should improve the healthcare system suitable for the older adult population as soon as possible. The government of western China should pay more attention to the introduction of professional medical talents and the configuration of precision medical equipment to improve the health system in western China.

Situation and Development Path of Humanistic Education in Medical Colleges and Universities in China

Humanistic education, as the “internal structure” of medical education, attempts to cultivate medical students’ humanistic knowledge, ability, and comprehensive quality as well as makes adjustments with the evolvement of medical education. The global medical education reform has undergone three stages: expert medicine, clinical practice medicine, and public service medicine. Public service medicine, which took place in the 21st century, is a system-based and competency-oriented education, highlighting the construction of a health service system with medical and educational cooperation as well as the cultivation of medical students’ comprehensive quality. China’s medical education started late and has a weak foundation with many twists and turns. Through the rapid development of reform and opening-up, China has narrowed the gap with international medical education and established a perfect medical curriculum system. China has successively promulgated a number of documents, such as the “Outline of Reform and Development of Medical Education in China” and the “Opinions on Strengthening the Collaboration between Health Departments and Education Departments to Implement the Doctor of Excellence Education Training Program 2.0,” with the goal of cultivating high-quality excellent medical talents. Medical students in colleges and universities are senior talents in medical training, health care services, and medical research. Their humanistic quality is not only related to the growth of medical talents, but also the quality of medical services. This paper analyzes and discusses the problems encountered in improving humanistic education and looks forward to providing reasonable as well as effective solutions to the difficulties faced by humanistic education in the new era through comparative research.

Role of Human-Computer Interaction Healthcare System in the Teaching of Physiology and Medicine.

With the increasingly severe aging of the population, the difficult and expensive medical treatment problems are becoming more and more prominent; the salary level of domestic doctors is not high, but the cost of training doctors is high, coupled with doctors' work pressure and mental pressure; the number of candidates for medical school is decreasing year by year; medical talent is rare; and the allocation of medical staff is scarce. Health care is the basic guarantee for people's good life, and the shortage of medical staff will have many impacts on health care. Human-computer interaction (HCI) is the study of people, computers, and their interaction. HCI refers to the communication between the user and the computer system, which is the two-way information exchange of various symbols and actions between the human and the computer. The purpose of this paper is to study a healthcare system with human-computer interaction through the client, apply the system to the teaching of physiology and medicine, and analyze its effects and functions in combination with various evaluation indicators. This paper selects teaching content, ease of use of human-computer interaction design, technical services, and user subjective satisfaction as evaluation indicators, and constructs an evaluation model for this. And it builds the physiology and medicine teaching system framework and healthcare system, and conducts tests and statistics on the teaching system. This paper combines online questionnaires, in-app survey feedback, and field visits to collect feedback from users and administrators. The final data show that the teaching system meets the requirements in four evaluation indicators: teaching content, ease of use of human-computer interaction design, technical services, and user subjective satisfaction. User satisfaction with these four aspects reached 86.33%, 95.17%, 63.83%, and 81.87%, respectively. It shows that the system is more popular and can meet the needs of most users.