Risk Factors for Cognitive Impairment after Acute Ischemic Stroke / 中风与神经疾病杂志

@#Objective To illustrate the occurrence of cognitive impairment in patients with acute ischemic stroke and analyze its risk factors. Methods According to the inclusion and exclusion criteria,104 patients with acute ischemic stroke who were hospitalized in Renmin Hospital of Wuhan University from July 2017 to August 2018 were continuously collected. The patients were divided into post-stroke cognitive impairment group (PSCI) and post-stroke cognitive normal group (PSCN) based on their performance on MMSE. General demographic,biochemical and stroke information were compared between the two groups. Results 41 cases out of 104 patients with acute ischemic stroke showed cognitive impairment. The incidence rate was 39.4%. Univariate analysis showed statistically significant differences in age,hs-CRP,and cerebral hemisphere lesions between the two groups of patients (P<0.05). The location of the lesion in the basal ganglia may be related to cognitive impairment (P=0.057). Multivariate logistic regression analysis showed that compared with the PSCN group,patients in the PSCI group were older (OR=1.087),and the incidence of basal ganglia lesions was higher (OR=3.935). The difference between the two groups was statistically significant (P<0.05). Conclusion The incidence of cognitive impairment is higher in patients with acute ischemic stroke. Older age and basal ganglia lesions are independent risk factors for cognitive impairment after stroke.

Benefits and challenges of medical student volunteer involvement in community diabetes education / 中华医学教育探索杂志

Objective To investigate the benefits and challenges of medical student volunteers'involvement in community diabetes education and to provide evidence for future development and suggestions.Methods Self-made questionnaire survey and interview were conducted among members of community health education volunteer in Southeast University.Data concerning basic group composition,major service contents,intention and gain,sources of motivation,knowledge acquisition and skill training were analyzed.Results 88.t04％ volunteers chose professional work as the kind of work they were most interested in,in contrast,69.56％ did nonprofessional work in reality.Initial intention of 66.30％ volunteers was ‘to beautify curriculum vitae'.‘Morality promotion' was taken as major gain by most volunteers (36.96％) while ‘morality promotion' was the initial intention of only 4.89％ volunteers.46.20％volunteers thought that their sources of motivation came from ‘ recognition of society and university'.Through training and voluntary service,it was evident that volunteers gained increased diabetes knowledge,stronger professional identity and confidence as well as deeper understanding of patients' needs,but there were real demand for training in education and clinical skills.Conclusions The introduction of medical student voluntary service into community diabetes education is a win-win cooperation,which can cultivate college students' high morality as well as strengthen the community health education team.However,we still face challenges in volunteer team building and management.

Quantitative management and assessment of clinical internship training quality of medical laboratory science / 中华医学教育探索杂志

To discuss the quantitative management and assessment of clinical internship of medical laboratory science. Instruments of the quantitative management and assessment of integrated clinical abilities have been established to enhance management of internship and to improve the quality of internship training.