Investigation on the Cognition of Assisted Reproductive Technology among Adults in Heilongjiang Province / 中国医学伦理学

To investigate the cognition and attitude towards ethical,legal,medical,social issues caused by associated reproductive technology (ART) among adults in Heilongjiang Province,and to provide scientific basis for evaluating ART and formulating related policies.A total of 220 residents from Harbin,Qiqihar,and Daqing in Heilongjiang Province were invited to the present study.The cognition and attitude towards ART was investigated using a self-designed questionnaire.Adults in Heilongjiang Province had generally high cognition level of informed consent,ethical review,legal protection and social cognition,etc.But there was still a large ambiguity of detailed issues such as the function of ethical review,treatment abandoning,the potential risks and so on.It should strengthen the function of Institutional Review Board,continuously improve the mechanism of risk assessment and supervision,carry out health education and health promotion,establish a multi-disciplinary cooperation team,and reach a consensus among professionals,government policy makers and public representatives,so as to facilitate the healthy development of ART.

Cognition Levels of Attendants of Patients with an acute relapse of Psychosis - Differences Immediately Prior to and Post Admission.

Background - Mental illness in a family member has an adverse impact on overall wellbeing of other caregivers. Aims - To study the cognition level of attendants of acutely relapsed psychotic patients. Methods - Two matched groups of 30 attendants each ,of acutely relapsed psychotic patients, who differed on admission status of their patients were administered MMSE and their cognition levels were compared. Results - Cognition level of attendants of acutely relapsed psychotic patients was found to be lower than that of the general population. 40% of attendants awaiting admission and 7% of attendants who had their wards admitted had at least mild cognitive deficit. Further, a likelihood of lower cognition level in attendants awaiting admission as compared to attendants who had had their wards admitted was found to be statistically significant. Conclusion - Attendants of acutely relapsed psychotic patients have a lower cognition level prior to admission and this fact may have implications on deciding the ideal time to obtain history from the attendants and to give them advice and instructions on patient care.

Influence of nursing intervention on cognition level for pressure sores and psychological state among accompany family members of patients with cerebral injury / 中国实用护理杂志

Objective To survey the influence of nursing intervention on cognition level for pressure sores and psychological state among accompany family members of patients with cerebral injury. Methods 123 accompany family members of patients with cerebral injury were selected and took part in the investigation about cognition level for pressure sores, besides, SDS and SAS were also adopted to evaluate their psychological state. Later nursing intervention was given to increase their cognition level for pressure sores, then another evaluation was carried out. Results before and after the intervention were compared. Results The accompany family members lacked knowledge of pressure sore, showed serious anxiety and depression for nursing pressure sore before intervention. But their cognition level for pressure sore improved and anxiety and depression lightened after intervention. Conclusions Nursing intervention is effective to alleviate cognition level for pressure sore and psychological state among accompany family members of patients with cerebral injury, which is worthy of clinical application.

Perfil cognitivo em idosas de dois serviços públicos em São Luís - MA / Socio-demographic factors affecting cognitive performance in older women

CONTEXTO: Este estudo procurou estabelecer, sob o ponto de vista descritivo, o nível de cognição e variáveis sociodemográficas associadas em mulheres da sétima à nona década, em dois serviços públicos, na cidade de São Luís (MA). OBJETIVOS: Estudar o nível de cognição pelo Miniexame do Estado Mental (MMSE) e variáveis sociodemográficas associadas em mulheres da sétima à nona década, em dois serviços públicos, na cidade de São Luís (MA). MÉTODOS: Durante quatro meses um questionário com as variáveis sociodemográficas e o Miniexame do Estado Mental (MMSE) foram aplicados em pacientes ambulatoriais. As voluntárias foram avaliadas nos ambulatórios de Neurologia do Hospital Universitário Presidente Dutra e do Hospital Estadual Carlos Macieira. RESULTADOS: Oitenta pacientes foram avaliadas - 31,2 por cento foram classificadas com transtorno cognitivo ao MEEM; 71,4 por cento destas tinham entre 81 e 85 anos. Transtorno cognitivo estava presente em 65 por cento das pacientes com nível educacional inferior a sete anos. Em relação ao nível de renda e cognição, foi observado que 30,4 por cento das pacientes que apresentavam nível de renda menor que um a dois salários mínimos eram classificadas com transtorno cognitivo. Das 33 voluntárias que tinham cuidador direto, 57,6 por cento apresentavam transtorno cognitivo. CONCLUSÕES: O estudo torna-se de relevância, pois permite se atentar para o problema na região e serve de estímulo para estudos metodológicos mais complexos, visando promover a saúde pública mental do idoso.

BACKGROUND: This study aims to establish a descriptive study about the cognition level and correlated socio-demographic variables, of the female sex, from the seventh to the nineth decade in two public services in the city of São Luís (MA). OBJECTIVES: Study about the cognition level with Mini Mental State Examination (MMSE) and correlated socio-demographic variables, of the female sex, from the seventh to the nineth decade in two public services in the city of São Luís (MA). METHODS: During four months, a questionnaire with socio-demographic variables and the Mini Mental State Examination (MMSE) were applied in the patients attending. The voluntaries were evaluated in the Neurology clinics of the University Hospitals President Dutra and Statue Carlos Macieira. RESULTS: Eighty patients were evaluated - 31,2 percent were classified by MEEM with the cognitive troubles; 71,4 percent of these were between 81 and 85 years old. Cognitive disorder was present in 65 percent of the patients who had less education up to seven years. As for income and cognition level, it was observed that 30,4 percent of the volunteers who presented an income level lower than one to two minimum wage were classified with cognitive disturbances. From the 33 volunteers that had direct care, 57,6 percent presented cognitive disturbances. DISCUSSION: The study becomes relevant, because it allows to attempt to the problem in that region and it serves as a stimulus for the more complex methodological studies seeking to promote the elderly public mental health.