Emotional differences based on comments on doctor-patient disputes with varying levels of severity

BACKGROUND The risks associated with negative doctor-patient relationships have seriously hindered the healthy development of medical and healthcare and aroused wide-spread concern in society.The number of public comments on doctor-patient relationship risk events reflects the degree to which the public pays attention to such events.Thirty incidents of doctor-patient disputes were collected from Weibo and TikTok,and 3655 related comments were extracted.The number of comment sentiment words was extracted,and the comment sentiment value was calculated.The Kruskal-Wallis H test was used to compare differences between each variable group at different levels of incidence.Spearman’s correlation analysis was used to examine associations between variables.Regression analysis was used to explore factors influencing scores of comments on incidents.RESULTS The study results showed that public comments on media reports of doctor-patient disputes at all levels are mainly dominated by“good”and“disgust”emotional states.There was a significant difference in the comment scores and the number of partial emotion words between comments on varying levels of severity of doctor-patient disputes.The comment score was positively correlated with the number of emotion words related to positive,good,and happy)and negatively correlated with the number of emotion words related to negative,anger,disgust,fear,and sadness.CONCLUSION The number of emotion words related to negative,anger,disgust,fear,and sadness directly influences comment scores,and the severity of the incident level indirectly influences comment scores.

Inflammatory Myofibroblastic Tumor of Urinary Bladder

To the Editor： Inflammatory myofibroblastic tumor of the urinary bladder （IMTUB） is rare clinically. To the best of our knowledge, few Asian cases with IMTUB have been reported currently. IMTUB olien mimics soli-tissue sarcoma both clinically and radiologically, which is thereby often mistaken for sarcoma. Typically, surgical resection is its major treatment, but the role of adjuvant or palliative radiochemotherapy remains unclear so far. Herein, this case reported a Chinese female with IMTUB.

A Chinese Adult Patient with Fructose 1,6-bisphosphatase Deficiency

To the Editor： Fructose 1,6-bisphosphatase （FBPase） deficiency is an autosomal recessive metabolic disease, which is characterized by episodic attacks of hypoglycemia, ketosis, and lactic acidosis triggered by long-term fasting or lever or plenty of a load of fructose, As we all know, mutations of the fructose-1,6-bisphosphatase 1 gene （FBP1） could lead to FBPase deficiency which will correspondingly cause an enzymatic block in the last steps of the gluconeogenesis. It is known to be often lethal during the neonatal period and infancy because of lack of storage of glycogen, however, there were also few reports of adult patients with this inherited disease. Here, we described a Chinese female adult with FBPase deficiency.