After several years of practice, in China the rehabilitation residency training has made some achievements, but the training quality assurance system is still need to be improved. On the quality assurance system for training residents in reference to the basic framework, combined with practical experience, training bases and sections for the perspective of improving the training quality were discussed.

In developed countries,traumatic brain injury(TBI)has been the first cause of disability and mortality in adolescents,and in China,the incidence of TBI and the amount of disable or died patients after TBI increased with years.During the past decades,much more emphasis were paid on fundamental and clinical researches on TBI in China,and much developments have been made.But there are a lot of problems and shortness in these researches and clinical treatments of TBI,especially the conditions of research get behind of advanced world levels.In this review,the recent developments of studies on TBI were summarized,mainly the researches of complications,rehabilitation and outcome after TBI,also including the researches of fundamental pathological mechanism,animal pattern,neural protect and reparative regeneration technique of TBI,as well as the difference of trend and level between researches in China and foreign countries.

Objective To investigate the application of Montreal Cognitive Assessment (MoCA) and Mini- Mental State Examination (MMSE) in cognitive function evaluation for stroke patients during convalescence. Methods 127 stroke patients were selected and both Mo-CA and MMSE were conducted to assess their cognitive function. Results The detection rate was higher with MoCA (86.61%) than with MMSE (57.48%) (P<0.05). Conclusion Compared to MMSE, MoCA covers a broader scope of cognitive function, and is more sensitive.

ObjectiveTo investigate the personal or clinical characters of those traumatic brain injury (TBI) patients who accept rehabilitative therapy in the past decade.Methods280 inpatients were observed and evaluated at admission. Database was then established. ResultsThe average age was (33.1±11.4), and the ratio of male to female was 4.28:1. 34.6% of them were office-bearer, and 71.1% of all could gain the socialized medicine. Of the cause, 66.4% were traffic accidents. The time between date of onset and date of admission ranged from 10 days to 6 years, with average 288 days, and only 25.0% patients was admitted less than 3 months after onset. Of them all, 15.7% were diagnosed as posttraumatic seizure and 18.9% as dropsy of brain.ConclusionThe main TBI patients in our hospital were male citizens who had socialized medicine. Too less patients can accept rehabilitative therapy during acute or subacute periods after onset.

ObjectiveTo evaluate the risk factors of young adult stroke.MethodsTo analyze the risk factors of 203 young adult stroke. The risk factors included hypertension, lipidemia, diabetes, heart disease, TIA, family history, tobacco and/or alcohol use.ResultsHypertension was still the most frequent risk factor. Diabetes, heart disease and TIA were not much more important in young adult with stroke. Almost half of the young adult stroke had family history and hobbies of smoking and drinking.ConclusionsHypertension is an important risk factor in young adult stroke. Other risk factors such as low level of HDL, smoking, drinking and family histories still contribute to the causes of young adult stroke.

Based on sciences of medicine, electronics and computer, this paper details such information of the portable monitor of HRV as the designing principles and essentials of the software and hardware designs. The monitor has a lot of virtues including being lightweight, integrative, visual and controllable. It can not only suit the test of physical and mental work intensity but also offer important HRV parameter for clinical diagnoses of cardiocerebral vascular diseases. It can also be used by individuals, families and service stations.

Objective To investigate the clinical manifestation, diseased region, and possible mechanism of serious unilateral spatial neglect (USN),and analyze the effect of rehabilitation management.MethodsFive stroke patients with USN and without hemianopsia were selected and the data of clinical examination before and after rehabilitation management was analyzed.ResultsAll of five patients complicated obvious left spatial neglect and were right handedness. The results of examination for USN before and after rehabilitation management were significantly different ( P<0.05).ConclusionMany examinations for USN can detect remaining vision spatial attention, of which Albent test is most effective; the rehabilitation management has certain effect.