{"title":"Current Situation of Construction and Implementation of Hospice Care System in Beijing.","authors":"Lin-Ling Shen, Jing-Lin Zhao, Shan Zhang, Jun-E Liu, Peng Yue","doi":"10.3881/j.issn.1000-503X.16908","DOIUrl":"10.3881/j.issn.1000-503X.16908","url":null,"abstract":"<p><p>Objective To examine the progress in incorporating hospice care as a key component to improve the quality of life for the elderly within Beijing's city-wide elderly health support system. Methods Relevant policy documents and literature,as well as the progress in system construction and service model development of hospice care in Beijing,were reviewed to comprehensively evaluate the effects and challenges of policy implementation. Results Guided by national policies,Beijing has advanced hospice care through innovative service models that integrate hospital,community,and home-based care,supported by \"Internet+\" technologies to enhance service accessibility and efficiency.Multiple healthcare institutions have established hospice care departments and adopted multidisciplinary team approaches to improve service quality.In addition,progress has also been made in workforce training,digital infrastructure,and supportive socio-economic policies. Conclusions While Beijing has achieved initial success in developing a hospice care system,challenges remain,including uneven resource distribution and a shortage of qualified professionals.Further efforts are needed to optimize resource allocation,strengthen professional training,enhance public awareness,and improve digital support.These efforts are expected to promote the building of a comprehensive and sustainable hospice care system that ensures dignity and compassion for the elderly at the end of life.This study has for the first time constructed a gradient allocation model of palliative care resources,providing a reference for developing countries.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"48 1","pages":"81-89"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147508688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国医学科学院学报Pub Date : 2026-02-01DOI: 10.3881/j.issn.1000-503X.16685
Jie-Jun Zhao, Qian-Min Zeng, Li-Na Wang, Ming Li, Ya-Ming Xi
{"title":"Precursor B-Cell Acute Lymphoblastic Leukemia With PICALM∶∶MLLT10 Fusion Gene Positivity:Report of One Case and Literature Review.","authors":"Jie-Jun Zhao, Qian-Min Zeng, Li-Na Wang, Ming Li, Ya-Ming Xi","doi":"10.3881/j.issn.1000-503X.16685","DOIUrl":"10.3881/j.issn.1000-503X.16685","url":null,"abstract":"<p><p>PICALM∶∶MLLT10 fusion gene-positive precursor B-cell acute lymphoblastic leukemia(pro-B-ALL)is clinically rare.This article reports the case of a 29-year-old female patient who presented a mediastinal mass.Diagnostic investigations confirmed PICALM∶∶MLLT10 fusion gene-positive pro-B-ALL.The patient sequentially received radiotherapy and multiple lines of chemotherapy but developed short-term drug resistance and lineage change,progressing to mixed-phenotype acute leukemia.A review of relevant literature was conducted to analyze its pathogenesis and molecular characteristics,aiming to provide references for clinical diagnosis and treatment.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":" ","pages":"192-197"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146017054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国医学科学院学报Pub Date : 2026-02-01DOI: 10.3881/j.issn.1000-503X.16901
Fei Li, Zhong He, Jia-Xin Zhou, Xi Ding, Jun-Li Guo, Xiao-Hong Ning
{"title":"Conception of the Discipline Construction of Palliative Medicine(Continued).","authors":"Fei Li, Zhong He, Jia-Xin Zhou, Xi Ding, Jun-Li Guo, Xiao-Hong Ning","doi":"10.3881/j.issn.1000-503X.16901","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16901","url":null,"abstract":"<p><p>By comprehensively utilizing literature analysis to trace the disciplinary evolution and theoretical foundations of palliative medicine globally and domestically,and employing comparative research to examine the discipline accreditation standards and implementation practices from internationally recognized bodies,including the Royal College of Physicians and Surgeons of Canada and the American Board of Medical Specialties,we clearly define the conceptual definitions and logical relationship between palliative care(as clinical practice)and palliative medicine(as an academic discipline).On this basis,we systematically examine the core issues in constructing palliative medicine as a discipline,including its intrinsic development logic(knowledge system architecture)and extrinsic support(institutional frameworks).By analyzing international experiences in discipline development,we propose a context-specific development strategy to promote the systematic and standardized institutionalization of palliative medicine in China.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"48 1","pages":"38-44"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147508668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国医学科学院学报Pub Date : 2026-02-01DOI: 10.3881/j.issn.1000-503X.16526
Zhen-Ru Lu, Ting Wang
{"title":"Huge Exogenous Pelvic Endometrial Stromal Sarcoma Penetrating the Cervix:Report of One Case.","authors":"Zhen-Ru Lu, Ting Wang","doi":"10.3881/j.issn.1000-503X.16526","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16526","url":null,"abstract":"<p><p>This paper reports a rare case of low-grade external endometrial stromal sarcoma penetrating the cervix and summarizes the magnetic resonance imaging(MRI)features of this huge pelvic mass.The surgical-pathological evidence confirmed that multi-parameter MRI had high diagnostic value for endometrial stromal sarcoma,while the final tumor grading depended on pathology.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"48 1","pages":"205-210"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147508674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国医学科学院学报Pub Date : 2026-02-01DOI: 10.3881/j.issn.1000-503X.16600
Wei Liu, Jun Wang
{"title":"Clinical Application and Research Progress of <sup>18</sup>F-FDG PET/CT Radiomics in Non-Small Cell Lung Cancer.","authors":"Wei Liu, Jun Wang","doi":"10.3881/j.issn.1000-503X.16600","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16600","url":null,"abstract":"<p><p>As an emerging non-invasive technology,<sup>18</sup>F-FDG PET/CT radiomics has significantly improved the precision diagnosis and treatment of non-small cell lung cancer(NSCLC)by quantitatively analyzing the metabolic and anatomical characteristics of tumors.In recent years,<sup>18</sup>F-FDG PET/CT radiomics has been employed to distinguish benign and malignant pulmonary nodules and predict pathological subtypes,genetic phenotypes,tumor stages,and prognosis of NSCLC.Although there are still challenges in the interpretation of biological mechanisms of radiomics,artificial intelligence and large-sample multi-center research facilitate the application of radiomics in the precision diagnosis and treatment of NSCLC,which demonstrates broad prospects.Radiomics is expected to become an important auxiliary tool for clinical decision-making in the future.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"48 1","pages":"153-161"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147508747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Exploration of Life Education Methods in Medical Colleges and Universities: Experiential Teaching of Hospice Care.","authors":"Yong-Qing Han, Zhong He, Xiao-Hong Ning, Jia-Xin Zhou, Ming-Hui Wang, Ling-Ling Wu, Fei Li","doi":"10.3881/j.issn.1000-503X.16653","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16653","url":null,"abstract":"<p><p>Objective To explore the effect of experiential teaching of hospice care in the life education for medical students and provide possible references for the implementation of life education in medical colleges and universities. Methods Focus group interviews were conducted with medical students who had participated in the experiential teaching of hospice care.Data were collected and subjected to content analysis for the extraction of themes. Results The analysis yielded three themes:(1)Practical scenarios can prompt students to reflect on life education in their personal growth experiences;(2)Real clinical contexts are conducive to the implementation of life education;(3)Experiential teaching in life education helps the growth of medical students. Conclusion Experiential teaching of hospice care can be a feasible method for life education in medical colleges and universities and has certain reference value.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"48 1","pages":"90-94"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147508763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Roles of Three Epstein-Barr Virus Antibodies in the Screening of Nasopharyngeal Carcinoma.","authors":"Sha Qin, Yue-Xiang Qin, Xu-Peng Zhang, Xiang-Yuan Meng, Shan-Hu Yao, Yun-Sheng Chen, Yu-Yang Xiao","doi":"10.3881/j.issn.1000-503X.16578","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16578","url":null,"abstract":"<p><p>Objective To investigate the association between Epstein-Barr virus(EBV)and nasopharyngeal carcinoma(NPC)and to evaluate the roles of EBV antibodies Rta-IgG,VCA-IgA,and EA-IgA in the screening of NPC. Methods The related literature was retrieved from the Web of Science Core Collection.The publication output,keyword co-occurrence,and country/region collaboration were analyzed with VOSviewer,CiteSpace,and Excel.A total of 402 NPC patients,915 individuals with nasal symptoms,and 27 395 healthy participants undergoing physical examination in Xiangya Hospital,The Second Xiangya Hospital,and The Third Xiangya Hospital were enrolled.Serum Rta-IgG,VCA-IgA,and EA-IgA levels were measured by ELISA,and their diagnostic performance for NPC was assessed by receiver operating characteristic curves.Inter-group differences were compared through the <i>χ</i><sup>2</sup> test. Results The research on EBV-NPC was highly productive.The top three keywords by frequency were nasopharyngeal carcinoma,Epstein-Barr virus,and cancer.China was the leading contributor.In the NPC cohort,the diagnostic sensitivities of Rta-IgG,VCA-IgA,and EA-IgA were 76.12%,83.58%,and 62.19%,respectively,which were higher than those in the other two groups(all <i>P</i><0.001).VCA-IgA showed the highest sensitivity(83.58%),whereas EA-IgA exhibited the best specificity(97.41%).The three antibodies showed high negative prediction values,which were 99.65%,99.76%,and 99.45%.Combined testing of Rta-IgG,VCA-IgA,and EA-IgA increased the sensitivity to 99.50%. Conclusions The EBV-NPC link remains a major research focus.Serum Rta-IgG,VCA-IgA,and EA-IgA levels are clinically valuable for NPC diagnosis,and their combined detection significantly improves the screening efficiency.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"48 1","pages":"113-119"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147508806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expert Consensus on Ethical Governance for Clinical Applications of Generative Medical Artificial Intelligence(2025 Edition).","authors":"Meng-Chun Gong, Yong-Hui Ma, Hui Pan, Hua Bai, Hui Dai, Wei Chen, Hui Liu, Kai Gong, Zhi-Rong Zeng, Hao Wu, Yun Zhou, Zi-Hao Ouyang, Yan Luo, Bo-Han Zhang, Jun-Rong Liu, Xun-Ming Ji","doi":"10.3881/j.issn.1000-503X.17220","DOIUrl":"10.3881/j.issn.1000-503X.17220","url":null,"abstract":"<p><p>The research and innovative applications of generative medical artificial intelligence(GMAI)are rapidly advancing in the healthcare field.Significant breakthroughs of GMAI have been achieved in areas such as generating diagnostic suggestions,optimizing treatment plans,and assisting doctor-patient communication,profoundly reshaping the paradigm of clinical diagnosis and treatment.However,the open-ended nature of GMAI's generation raises novel ethical challenges,including algorithmic bias,ambiguous accountability,data privacy breaches,and insufficient cultural adaptability.Current ethical governance lags behind technological implementation,necessitating the establishment of a standardized governance framework.Our research team assembled a multidisciplinary panel of experts spanning medical ethics,clinical medicine,medical artificial intelligence,hospital management,public health,and law.According to the governance logic of \"prevention-control-remediation\" and integrating international norms with domestic policies,this consensus was developed through two rounds of expert consultation to unify opinions and perspectives.It aims to provide a reference for the specific practice of clinical ethical review in the research and clinical application of GMAI and to establish an authoritative guidance framework for the clinical ethical governance of GMAI,tailored to China's cultural context and national requirements.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":" ","pages":"24-37"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146155676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国医学科学院学报Pub Date : 2026-02-01DOI: 10.3881/j.issn.1000-503X.16565
Xuan-Yi Tao, Fang-Fang Xu, Qi-Rui Shen, Yu-Xin Chen, Hui Fu
{"title":"Research Progress on Adriamycin-Induced Myocardial Injury: Pathological Mechanism and Animal Model.","authors":"Xuan-Yi Tao, Fang-Fang Xu, Qi-Rui Shen, Yu-Xin Chen, Hui Fu","doi":"10.3881/j.issn.1000-503X.16565","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16565","url":null,"abstract":"<p><p>Adriamycin is an anthracycline chemotherapy drug used in cancer treatment,and its cardiotoxicity primarily manifests as structural and functional damage to myocardial cells,which can lead to severe cardiovascular diseases such as heart failure.This article reviews recent advances in adriamycin-induced myocardial injury,focusing on its pathological mechanisms,potential therapeutic drugs,and commonly used animal models,to provide a research basis and intervention strategies for developing effective treatments.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"48 1","pages":"170-176"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147508842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
中国医学科学院学报Pub Date : 2026-02-01DOI: 10.3881/j.issn.1000-503X.16624
You-Peng Kong, Dan Liu, Bo Deng, Ying-Ying Ma, Yi-Jie Zhan, Ru-Dan Wang, Yi-Tong Sun, Jia-le Liu, Lan-Xia Liu
{"title":"A Novel Carrier-Free Spherical Nanomedicine for Acute Myeloid Leukemia.","authors":"You-Peng Kong, Dan Liu, Bo Deng, Ying-Ying Ma, Yi-Jie Zhan, Ru-Dan Wang, Yi-Tong Sun, Jia-le Liu, Lan-Xia Liu","doi":"10.3881/j.issn.1000-503X.16624","DOIUrl":"https://doi.org/10.3881/j.issn.1000-503X.16624","url":null,"abstract":"<p><p>Objective To develop a novel carrier-free spherical nanomedicine with daunorubicin(DNR)for combined chemotherapy of leukemia and systematically study its physicochemical properties,drug release behavior,and <i>in vitro</i> and <i>in vivo</i> therapeutic efficacy. Methods DNR was chemically conjugated with 1,2-dioleoyl-sn-glycero-3-phosphoethanolamine(DOPE)for the self-assembly of nanoparticles,which were further loaded with cytarabine(Ara-C)to form DOPE-DNR Ara-C nanomedicine(DDA NPs)for combined chemotherapy of acute myeloid leukemia.The particle size and surface potential of DDA NPs were characterized by dynamic light scattering and zeta potential analysis.The drug release behavior in high-concentration glutathione(GSH)was studied through reduction-responsive drug release experiments.<i>In vitro</i> cytotoxicity assays were conducted to evaluate the inhibitory effect on leukemia cells,while a rat model of leukemia was used to assess the antitumor efficacy <i>in vivo</i>. Results DDA NPs exhibited a spherical nanostructure with a particle size of(123.67±0.11)nm and the zeta potential of(-25.60±0.67)mV,showing good stability under physiological conditions.High-concentration GSH effectively triggered disulfide bond cleavage,facilitating targeted drug release.<i>In vitro</i>,DDA NPs significantly enhanced drug accumulation in the nuclei of LT-12 leukemia cells and improved the cytotoxicity of DNR.The animal experiment showed that compared with free drugs,DDA NPs significantly reduced the number of leukemia cells in rat bone marrow,prolonged the survival,and effectively inhibited leukemia cell infiltration while alleviating organ damage. Conclusions DDA NPs as a novel carrier-free nanomedicine significantly enhanced drug delivery efficiency and synergistic therapeutic effects.It demonstrates good clinical translation potential and may provide a new therapeutic strategy for the treatment of acute myeloid leukemia.</p>","PeriodicalId":6919,"journal":{"name":"中国医学科学院学报","volume":"48 1","pages":"101-112"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147508700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}