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ABSTRACT Introduction: Acute cerebral infarction refers to the deficiency of the blood supply to the brain and the damage of tissue function. Objective: To study the effect of exercise training in early rehabilitation of patients with hemiplegia treated in the neurology department. Methods: Ninety-six patients with acute cerebral infarction hemiplegia were studied. According to the order of admission, 96 patients were divided into a control group and an early recovery group, with 48 patients in each group. Results: Before early rehabilitation, there was no statistical significance in NIHSS and FUGL-Meyer scores between the two groups (P > 0.05). After early rehabilitation,the NIHSS score of early rehabilitation group was lower than both its pre-early-rehab score and the control group score, while the FUGL-Meyer score was higher than both its pre-early-rehab and the control group score (P<0.05). Before early rehabilitation, there was no significant difference in the GQOLI-74 score between the two groups (P > 0.05). After early rehabilitation, the GQOLI-74 score was higher in the early rehabilitation group than both its pre-early-rehab score and the control group score (P<0.05). Conclusions: The clinical effect of early rehabilitation training in acute cerebral infarction patients with hemiplegia is significant and can further improve the clinical treatment of patients and their quality of life. Level of evidence II; Therapeutic studies - investigation of treatment results.
RESUMO Introdução: O infarto cerebral agudo refere-se à deficiência do fornecimento de sangue para o cérebro e ao dano da função tecidual. Objetivo: Estudar o efeito do treinamento físico na reabilitação precoce de pacientes com hemiplegia tratados no departamento de neurologia. Métodos: Foram estudados 96 pacientes com hemiplegia por infarto cerebral agudo. De acordo com a ordem de admissão, 96 pacientes foram divididos em grupo controle e grupo recuperação precoce, com 48 pacientes em cada grupo. Resultados: Antes da reabilitação precoce, não havia significância estatística nos escores NIHSS e FUGL-Meyer entre os dois grupos (P > 0,05). Depois da reabilitação precoce, o escore NIHSS do grupo reabilitação precoce foi menor do que o escore antes da reabilitação precoce e o escore do grupo controle, enquanto o escore FUGL-Meyer foi maior do que antes da reabilitação precoce e do grupo controle (P < 0,05). Antes da reabilitação precoce, não houve diferença significativa no escore GQOLI-74 entre os dois grupos (P > 0,05). Depois da reabilitação precoce, o escore GQOLI-74 foi maior no grupo reabilitação precoce do que antes da reabilitação precoce e no grupo controle (P < 0,05). Conclusões: O efeito clínico do treinamento de reabilitação precoce em pacientes com infarto cerebral agudo com hemiplegia é significativo e pode melhorar ainda mais o tratamento clínico dos pacientes e sua qualidade de vida. Nível de Evidência II; Estudos terapêuticos - Investigação dos resultados do tratamento.
RESUMEN Introducción: El infarto cerebral agudo se refiere a la deficiencia del suministro de sangre al cerebro y al daño de la función del tejido. Objetivo: Estudiar el efecto del entrenamiento físico en la rehabilitación temprana de pacientes con hemiplejia tratados en el departamento de neurología. Métodos: Se estudiaron noventa y seis pacientes con hemiplejia por infarto cerebral agudo. Según el orden de ingreso, se dividieron 96 pacientes en grupo de control y grupo de recuperación temprana, con 48 pacientes en cada grupo. Resultados: Antes de la rehabilitación temprana, no hubo significancia estadística en las puntuaciones de NIHSS y FUGL-Meyer entre los dos grupos (P > 0,05). Después de la rehabilitación temprana, la puntuación NIHSS del grupo de rehabilitación temprana fue menor que la puntuación antes de la rehabilitación temprana y la puntuación del grupo de control, mientras que la puntuación FUGL-Meyer fue mayor que antes de la rehabilitación temprana y el grupo de control (P < 0,05). Antes de la rehabilitación temprana, no hubo diferencias significativas en la puntuación GQOLI-74 entre los dos grupos (P > 0,05). Después de la rehabilitación temprana, la puntuación GQOLI-74 fue mayor en el grupo de rehabilitación temprana que antes de la rehabilitación temprana y en el grupo de control (P < 0,05). Conclusiones: El efecto clínico del entrenamiento de rehabilitación temprana en pacientes con infarto cerebral agudo con hemiplejia es significativo y puede mejorar aún más el tratamiento clínico y la calidad de vida de los pacientes. Nivel de Evidencia II; Estudios terapéuticos - Investigación de los resultados del tratamiento.
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Abstract@#The growth and development of children is related to the future of the country and the nation. In recent years, there have been more and more cohort studies in the field of children s mental health. Bymainly introducing the advantages of cohort studies on children in distress and organizes domestic and foreign cohort studies in the field of mental health of children in distress, this article finds that it is mostly used in depression, anxiety, post traumatic stress disorder, suicidal ideation and attempts, etc, and mainly explores the risk and prevalence of mental health development in children in distress, and identifies long term negative damage. The research aims to promote the long term development and high quality development of such research by analyzing and summarizing the status quo and prospects of cohort research in the field of mental health of children in distress.
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Objective@#This study aims to estimate the economic burden of disease of outbreak of norovirus gastroenteritis in the Pearl River Delta Region, and provide scientific evidence for the government’s decision-making and control measures.@*Methods@#Using a unified questionnaire, a survey was conducted to the schools and students’ families which had suffered an outbreak of norovirus gastroenteritis in the Pearl River Delta Region from October 2017 to April 2018.@*Results@#The survey found that the mean total economic burden of sick students was 720.41(95%UI=640.45-804.63)RMB. The mean economic burden of sick students who were inpatient, outpatient and self-treatment were 1 712.75(95%UI=328.50-34 00.00), 213.70(95%UI=191.83-236.33) and 58.97(95%UI=43.00-77.69)RMB, respectively. The mean economic burden of transport, extra tutoring and cost of lost labor were 53.63(95%UI=43.98-63.58), 558.49(95%UI=381.40-774.01) and 695.62(95UI=630.25-767.29)RMB. The mean total economic burden of health students was 382.62(95%UI=343.29-424.45)RMB. The mean total economic burden of school was 49 264.53(95%UI=22 363.38-79 976.25)RMB. The total economic burden of disease increases as the level of outbreak increases. The larger the epidemic level, the proportion of sick students’ financial burden gradually decreased, 56.58%,23.27% and 10.93%.@*Conclusion@#The high economic burden of disease of norovirus gastroenteritis in the Pearl River Delta Region, respectively, indicating that relevant departments should strengthen the prevention, control and education in order to mitigate the disease economic burden.