This study examined the incidence, neuropsychological characteristics and risk factors of cognitive impairment 3 months after stroke in China. Five regions that differed in geography and economy in China were selected...This study examined the incidence, neuropsychological characteristics and risk factors of cognitive impairment 3 months after stroke in China. Five regions that differed in geography and economy in China were selected. Patients from the hospitals located in the five regions were prescreened at admission, and the demographic data, vascular risk factors and clinical characteristics of stroke were obtained. A battery of cognitive-specific domain tests was performed in the patients who failed to pass cognitive screening 3 months post stroke. Patients were diagnosed as having post-stroke cognitive impairment (PSCI) or no cognitive impairment (NCI) based on the results of the neuropsy-chological tests. Univariate analysis was performed for suspect risk factors, and significant variables were entered in multivariable logistic regression analysis. Our results showed that a total of 633 patients were recruited 3 months after stroke; complete cognitive tests were performed in 577 of the stroke pa-tients. The incidence of PSCI in these Chinese patients was 30.7%. There were 129 (22.4%) patients with visuospatial impairment, 67 (11.6%) with executive impairment, 60 (10.4%) with memory impairment and 18 (3.1%) with attention impairment. The risk factors associated with PSCI were older age (odds ratio [OR] 1.76, 95% confidence interval [CI] 1.20–2.58), low education level (OR 2.45, 95% CI 1.65–3.64), depressive symptom (OR 1.69, 95% CI 1.09–2.61), obesity (OR 2.57, 95% CI 1.41–4.71), stroke severity 3 months post stroke (OR 1.62, 95%CI 1.10–2.37) and cortex lesion (OR 1.55, 95% CI 1.04–2.31). It was concluded that PSCI occurs commonly 3 months after first-ever stroke in Chinese patients. Visuospatial ability may be the most frequently impaired cognitive domain for the patients with stroke. The critical risk factors of PSCI are older age, low education level, depressive symptom, obesity, stroke severity 3 months post stroke and cortex lesion.展开更多
Telling the story of China and transmitting the voice of China has become a strategy to promote the national image and cultural soft power of China. Since its implementation in 2013, China has ushered in a significant...Telling the story of China and transmitting the voice of China has become a strategy to promote the national image and cultural soft power of China. Since its implementation in 2013, China has ushered in a significant change in communication ideas and approaches. This strategy also enriches the communication genres of "China's stories" and more importantly enhances its communication effect. In this context, it is necessary to understand and study the significance of this strategic practice, assess the value realization of "China's stories" during the communication process, and thereby establish a basis for future communication of more "China's stories." Based on the factors of relevance theory, this paper analyzes the ideas of and approaches to effective communication of "China's stories" and proposes corresponding strategies.展开更多
目的探索社会活动参与对我国老年人认知功能的影响及城乡差异。方法利用中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)2018年调查数据,共纳入4669名60岁及以上老年人,收集其人口社会学特征、健康状...目的探索社会活动参与对我国老年人认知功能的影响及城乡差异。方法利用中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)2018年调查数据,共纳入4669名60岁及以上老年人,收集其人口社会学特征、健康状况、社会活动参与情况及认知功能评分。采用多重线性回归模型分析社会活动参与对老年人认知功能的影响。结果4669人中认知功能障碍者880人,检出率为18.0%。多重线性回归分析结果显示,跟朋友交往、棋牌活动、炒股、上网、参与社会活动数量均为老年人认知功能的影响因素。影响城市老年人认知功能的社会活动包括跟朋友交往[β=-0.30,95%CI(-0.59,-0.01),P=0.045]、炒股[β=-0.65,95%CI(-0.99,-0.31),P<0.001];影响农村老年人认知功能的社会活动包括跟朋友交往[β=-0.46,95%CI(-0.72,-0.20),P<0.001]、棋牌活动[β=-0.43,95%CI(-0.72,-0.14),P=0.003]、炒股[β=-1.10,95%CI(-1.65,-0.55),P<0.001]、上网[β=-1.18,95%CI(-2.26,-0.10),P=0.033]。炒股与定向力[β=-0.13,95%CI(-0.25,-0.01),P<0.05]、注意力与计算能力[β=-0.14,95%CI(-0.26,-0.02),P<0.05]、语言能力[β=-0.37,95%CI(-0.53,-0.22),P<0.01]三个认知维度均有统计学关联。结论简单交往型(跟朋友交往)和智力参与型(棋牌活动、炒股、上网)活动是老年人认知功能的重要影响因素,政府应当从政策层面鼓励我国老年人参与社会活动。与城市老年人相比,同一类社会活动对农村老年人认知功能的影响更大,应给予农村老年人更多关注,并针对老年个体不同认知维度的衰退,制定更为精细化、可操作性的干预策略。展开更多
Background: In China, most patients with nasopharyngeal carcinoma(NPC) are diagnosed at a late stage and con?sequently have a poor prognosis. This study aimed to investigate potential factors associated with the clini...Background: In China, most patients with nasopharyngeal carcinoma(NPC) are diagnosed at a late stage and con?sequently have a poor prognosis. This study aimed to investigate potential factors associated with the clinical stage of NPC at diagnosis.Methods: Data were obtained from 118 patients with early?stage NPC and 274 with late?stage NPC who were treated at Sun Yat?sen University Cancer Center between August 2014 and July 2015. Patients were individually matched by age, sex, and residence, and a conditional logistic regression model was applied to assess the associa?tions of clinical stage at diagnosis with socioeconomic status indicators, knowledge of NPC, physical examinations, patient interval, and risk factors for NPC.Results: Although knowledge of early NPC symptoms, smoking cessation, and patient interval were important fac?tors, the number of cigarettes smoked per day, motorbike ownership, and physical examination exhibited the strong?est associations with the clinical stage of NPC at diagnosis. Compared with smoking fewer than ten cigarettes a day, smoking 10–30 cigarettes [odds ratio(OR) 4.03; 95% confidence interval(CI) 1.11–14.68] or more than 30 cigarettes(OR 11.46; 95% CI 1.26–103.91) was associated with an increased risk of late diagnosis. Compared with not owning a motorbike, owning a motorbike(OR 0.38; 95% CI 0.23–0.64) was associated with early diagnosis. Subjects who under?went physical examinations were less likely to receive a late diagnosis than those who did not undergo examinations(OR 0.50; 95% CI 0.28–0.89). However, indicators of wealth were not significant factors.Conclusions: Initiatives to improve NPC patient prognosis should aim to promote knowledge about early symptoms and detection, health awareness, and accessibility to health facilities among all patients, regardless of socioeconomic status.展开更多
基金supported by grants from Bayer Healthcare,Co., Ltd.,GermanyEisai Co.,Ltd.,Japan
文摘This study examined the incidence, neuropsychological characteristics and risk factors of cognitive impairment 3 months after stroke in China. Five regions that differed in geography and economy in China were selected. Patients from the hospitals located in the five regions were prescreened at admission, and the demographic data, vascular risk factors and clinical characteristics of stroke were obtained. A battery of cognitive-specific domain tests was performed in the patients who failed to pass cognitive screening 3 months post stroke. Patients were diagnosed as having post-stroke cognitive impairment (PSCI) or no cognitive impairment (NCI) based on the results of the neuropsy-chological tests. Univariate analysis was performed for suspect risk factors, and significant variables were entered in multivariable logistic regression analysis. Our results showed that a total of 633 patients were recruited 3 months after stroke; complete cognitive tests were performed in 577 of the stroke pa-tients. The incidence of PSCI in these Chinese patients was 30.7%. There were 129 (22.4%) patients with visuospatial impairment, 67 (11.6%) with executive impairment, 60 (10.4%) with memory impairment and 18 (3.1%) with attention impairment. The risk factors associated with PSCI were older age (odds ratio [OR] 1.76, 95% confidence interval [CI] 1.20–2.58), low education level (OR 2.45, 95% CI 1.65–3.64), depressive symptom (OR 1.69, 95% CI 1.09–2.61), obesity (OR 2.57, 95% CI 1.41–4.71), stroke severity 3 months post stroke (OR 1.62, 95%CI 1.10–2.37) and cortex lesion (OR 1.55, 95% CI 1.04–2.31). It was concluded that PSCI occurs commonly 3 months after first-ever stroke in Chinese patients. Visuospatial ability may be the most frequently impaired cognitive domain for the patients with stroke. The critical risk factors of PSCI are older age, low education level, depressive symptom, obesity, stroke severity 3 months post stroke and cortex lesion.
基金a staged research result of Study in the Influence of "China’s stories"Communication in the Context of the Belt and Road Initiative[17BXW040]a major program of National Social Sciences Fund
文摘Telling the story of China and transmitting the voice of China has become a strategy to promote the national image and cultural soft power of China. Since its implementation in 2013, China has ushered in a significant change in communication ideas and approaches. This strategy also enriches the communication genres of "China's stories" and more importantly enhances its communication effect. In this context, it is necessary to understand and study the significance of this strategic practice, assess the value realization of "China's stories" during the communication process, and thereby establish a basis for future communication of more "China's stories." Based on the factors of relevance theory, this paper analyzes the ideas of and approaches to effective communication of "China's stories" and proposes corresponding strategies.
基金教育部考试中心-英国文化教育协会2020年英语测评科研课题“An Empirical Study into the Validity ofa CSE-based Placement test in China’s Transnational Higher Education”(考协[2020]263号)。
文摘目的探索社会活动参与对我国老年人认知功能的影响及城乡差异。方法利用中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)2018年调查数据,共纳入4669名60岁及以上老年人,收集其人口社会学特征、健康状况、社会活动参与情况及认知功能评分。采用多重线性回归模型分析社会活动参与对老年人认知功能的影响。结果4669人中认知功能障碍者880人,检出率为18.0%。多重线性回归分析结果显示,跟朋友交往、棋牌活动、炒股、上网、参与社会活动数量均为老年人认知功能的影响因素。影响城市老年人认知功能的社会活动包括跟朋友交往[β=-0.30,95%CI(-0.59,-0.01),P=0.045]、炒股[β=-0.65,95%CI(-0.99,-0.31),P<0.001];影响农村老年人认知功能的社会活动包括跟朋友交往[β=-0.46,95%CI(-0.72,-0.20),P<0.001]、棋牌活动[β=-0.43,95%CI(-0.72,-0.14),P=0.003]、炒股[β=-1.10,95%CI(-1.65,-0.55),P<0.001]、上网[β=-1.18,95%CI(-2.26,-0.10),P=0.033]。炒股与定向力[β=-0.13,95%CI(-0.25,-0.01),P<0.05]、注意力与计算能力[β=-0.14,95%CI(-0.26,-0.02),P<0.05]、语言能力[β=-0.37,95%CI(-0.53,-0.22),P<0.01]三个认知维度均有统计学关联。结论简单交往型(跟朋友交往)和智力参与型(棋牌活动、炒股、上网)活动是老年人认知功能的重要影响因素,政府应当从政策层面鼓励我国老年人参与社会活动。与城市老年人相比,同一类社会活动对农村老年人认知功能的影响更大,应给予农村老年人更多关注,并针对老年个体不同认知维度的衰退,制定更为精细化、可操作性的干预策略。
基金supported by the National Science Fund for Distinguished Young Scholars of China(No.81325018)the Key Project for International Cooperation and Exchange of the National Natural Science Foundation of China(No.81220108022)
文摘Background: In China, most patients with nasopharyngeal carcinoma(NPC) are diagnosed at a late stage and con?sequently have a poor prognosis. This study aimed to investigate potential factors associated with the clinical stage of NPC at diagnosis.Methods: Data were obtained from 118 patients with early?stage NPC and 274 with late?stage NPC who were treated at Sun Yat?sen University Cancer Center between August 2014 and July 2015. Patients were individually matched by age, sex, and residence, and a conditional logistic regression model was applied to assess the associa?tions of clinical stage at diagnosis with socioeconomic status indicators, knowledge of NPC, physical examinations, patient interval, and risk factors for NPC.Results: Although knowledge of early NPC symptoms, smoking cessation, and patient interval were important fac?tors, the number of cigarettes smoked per day, motorbike ownership, and physical examination exhibited the strong?est associations with the clinical stage of NPC at diagnosis. Compared with smoking fewer than ten cigarettes a day, smoking 10–30 cigarettes [odds ratio(OR) 4.03; 95% confidence interval(CI) 1.11–14.68] or more than 30 cigarettes(OR 11.46; 95% CI 1.26–103.91) was associated with an increased risk of late diagnosis. Compared with not owning a motorbike, owning a motorbike(OR 0.38; 95% CI 0.23–0.64) was associated with early diagnosis. Subjects who under?went physical examinations were less likely to receive a late diagnosis than those who did not undergo examinations(OR 0.50; 95% CI 0.28–0.89). However, indicators of wealth were not significant factors.Conclusions: Initiatives to improve NPC patient prognosis should aim to promote knowledge about early symptoms and detection, health awareness, and accessibility to health facilities among all patients, regardless of socioeconomic status.
