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    west china medical publishers
    
    





 
        
        
        
            
        
                
            
        
        
        
        
        
            
        
            
        
                
        
                
                    
                    
                    
                    
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        West China Medical Journal
        
                
        
                    Supervisor：Ministry of Education of the People's Republic of China
                    Sponsor：Sichuan University
        
                    Editor-in-chief：LUO Fengming
        
                    Publishing period：	
								
								
								
								Monthly
								
								
								
					
                    ISSN：1002-0179
                    CN：51-1356/R
                
        
            
        
            
        
                
					
				
                
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															Exploration and practice of high-quality development in emergency medicine under the health-prioritized development strategy
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1713-1719
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Technical specification for smart healthcare in pre-hospital emergency of emergency obstetrics and gynecology
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1720-1727
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Interpretation of the “2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care”: adult cardiopulmonary resuscitation
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1728-1737
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Interpretation of the updated 2025 American Heart Association and American Academy of Pediatrics guidelines for neonatal resuscitation, pediatric basic life support and pediatric advanced life support
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1738-1746
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Interpretation of 2023 American Heart Association guideline for the management of patients with cardiac arrest or life-threatening toxicity due to poisoning (Ⅲ): cyanide and other poisonings, and the management of extracorporeal membrane oxygenation
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1747-1753
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Prognostic value of blood urea nitrogen and high-density lipoprotein cholesterol combined with the quick Sequential Organ Failure Assessment for in-hospital mortality prediction in sepsis
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1754-1760
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Predictive value of quick Sequential Organ Failure Assessment score and blood markers for differentiating and predicting emergency heat stroke and sepsis
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1761-1765
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Exploration of the protective effect of aprotinin on liver injury in septic rats based on Toll-like receptor 4/nuclear factor κB axis
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1766-1770
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Hemostatic efficacy of ultrasound-guided microwave ablation puncture technology for traumatic liver hemorrhage and its potential battlefield applicability
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1771-1776
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Study on the consistency of trauma orthopedic surgeons in applying the 2007 and 2018 AO/OTA classifications for intertrochanteric femoral fractures
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1777-1782
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Analysis of clinical characteristics and tetanus prevention and management of 586 emergency patients with open wounds
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1783-1787
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Burden of tetanus in China: trends from 1990 to 2021 and projections to 2050
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1788-1793
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Study on the mechanism of diethyltoluamide mediated vascular dementia based on network toxicology and molecular docking
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1794-1798
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Correlation analysis between death coping ability, death attitude and stress state of nurses in the emergency department
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1799-1805
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															A scoping review of medical relief supplies inventory for flood from the perspective of disaster nursing
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1806-1812
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															A modeling method for establishing an experimental animal model of digestive dysfunction in the late stage of severe acute pancreatitis
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1813-1818
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Constructing a predictive model for postoperative kinesiophobia in patients with lumbar disc herniation based on psychological resilience and rehabilitation self-efficacy
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1819-1825
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Effect of psychological intervention on survival outcome in breast cancer patients: a systematic review of randomized controlled trials
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1826-1831
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Effect of first aid mode based on intelligent chest pain center on the rescue effect of patients with acute myocardial infarction
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1832-1838
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Compliance operation and policy practice of third-party medical laboratories: key points analysis under China’s regulatory framework
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1839-1842
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Paradigm reconstruction and practical innovation of the comprehensive quality evaluation system for medical postgraduate students from the perspective of multidimensional collaboration: a case study of West China School of Medicine of Sichuan University
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1843-1848
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Exploration and reflection of the “advanced systematic research” teaching model for undergraduate medical students
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1849-1853
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Fluid management strategies during and after cardiopulmonary resuscitation: evidence trade-offs between restrictive and liberal fluid therapy strategies
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1854-1858
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Research progress on the roles and mechanisms of adiponectin and its receptors in cerebral ischemia-reperfusion injury
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1859-1864
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Application of novel markers in assessing the severity and prognosis of patients with acute bloodstream infection
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1865-1868
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Advances in research of malnutrition in elderly patients attending emergency department
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1869-1873
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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															Research on the current development status and future demand of health management professionals
														
														
												
												
												                                              
											
          
		                                    
          
		                                        
		                                            
														                                        
												
		                                    
          
		                                    
		                                    
          		                                 		
		                                        
		                                             2025, 40(11): 1874-1877
		                                        		                                
		                                    
          
		                                    
		                                    
          
		                                        
		                                         	
		                                        
		                                        
		                                        
		                                        															 
															
		                                        	
															                                        
		                                        
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射丝袜