Secondary pancreatic infection in severe a-cute pancreatitis (SAP) was associated with mortality and the length of stay in hospital.Intensive Care Unit (ICU) identificate shock on account of the oxygen metaboilic level in earlier period of SAP and perform adequate fluid resuscita-tion.it advocate to perform organ function support and/or substitution therapy in time and think highly of coordination and combination each other among various kinds therapeutic measure.These therapeutic concept and measure will con-duce to decrease the incidence rate of MODS and secondary pancreatic infection accordingly in SAP.

Objective To analyze the reliability and validity of the Chinese version of the Rivermead Behavioural Memory Test-Third Edition (RBMT-III). Methods The items of RBMT-III were translated in Chinese and adjusted. A total of 131 healthy subjects were tested with Chinese version of RBMT-III, 30 of them were tested again with other materials two weeks later. Results The Cronbach'sαcoefficient was 0.799. The correlation coefficient of parallel-forms in subtest scale and meory index were all more than 0.65. There were six main fac-tors extracted, which explained 64.47%of the accumulated variance, those were novel task learning, spatial memory, verbal memory, visual memory, prospective memory and orientation/date. Conclusion RBMT-III is a reliable and validated instrument for assessment of memory.

Objective To explore the characteristics of brain activation when solving simple multiplication and complex multiplication tasks. Methods From June, 2010 to June, 2012, Thirteen normal subjects completed four functional magnetic resonance imaging (fMRI) ex-periments, including control tasks, visuospatial memory tasks, simple (single-digit) multiplication tasks and complex (multi-digit) multiplica-tion tasks. Results Compared with the control tasks, visuospatial memory tasks activated the bilateral occipital lobe, the right precuneus and superior parietal lobe;simple multiplication tasks activated the bilateral middle occipital gyri, the left superior parietal lobe, the left cingu-late gyrus, the left middle frontal gyrus and inferior frontal gyrus;complex multiplication tasks activated the right superior parietal lobe, the right inferior frontal gyrus, and the bilateral middle frontal gyri. Conclusion A right parieto-frontal network is involved in the multi-digit multiplication, which supports the containing of the spatial layout information.

Objective To elucidate the effect of rehabilitation training on visual reaction times of children with brain injury. Methods Fifty-one children with brain injury recruited for the observation group were observed, 29 age-matched normal children served as the controlsubjects. All the children in both groups were tested in terms of the eye-hand visual reaction times(VRTs). All the patients were given rehabilitation treatment. Results Before rehabilitation treatment, the VRTs of the observation group were significantly slower than those of the control group (P0.05). Conclusion The attention and the motor speed were abnormal in children with brain injury, rehabilitation treatment can improve the reaction times significantly. The test of RTs could be of great importance in the evaluation of neurobehavior and therapeutic effect for children with brain injury, because of its easiness, sensitiveness and objectiveness in clinical application.

Objective To explore the correlation of cognitive impairment with ischemic strokeinducing cerebral artery,in order to predict and find the correlations between different cognitive dysfunction and different intracranial arterial occlusion.Methods We used Montreal Cognitive Assessment (MoCA) to evaluate neuropsychological statuses in the 250 patients,who developed first time acute myocardial infarction for 2 weeks.MoCA scores and other neuropsychological cognitive assessment scores were recorded.Patients were grouped by the location of intracranial arterial occlusion.The neuropsychological cognitive assessment results were analyzed between groups.Results Middle cerebral artery occlusion was correlated with impairments of visual spatial/executive,attention,language and memory (B=-1.875 ～-1.094,P＜0.05).Anterior cerebral artery and vertebral basilar artery occlusion had correlations with attention impairment (B =-3.977,B =-1.833,P＜0.01).Posterior cerebral artery occlusion could cause visual spatial/executive,language and memory impairment(B=-1.714 ～-1.095,P＜0.05).No correlation of cognitive impairment characteristics with anterior choroidal artery occlusion was found.Conclusions Different arterial occlusion can cause different characteristics of impairment in cognitive function,which can help to predict cognitive impairment after sub-acute stroke.It suggests that some cognitive assessments must be conducted in sub-acute stroke management.

Objective To investigate the changes of the semantic priming effect in patients with brain injury.Methods Eight patients with Alzheimer's disease(AD),fifteen patients with vascular dementia(VD),seventeen patients with traumatic brain injury (TBI),twenty four healthy young subjects,and seventeen elderly healthy subjects as normal controls were estimated by Mini-Mental State Examination(MMSE),clinical memory scale,and process dissociation procedure(PDP) tasks.The data of all subjects were analyzed.Results The patients in the AD group had lower recollection and automatic scores than those in the young and elderly control groups in free association task(P<0.05～0.001).The recollection scores in the VD and TBI groups decreased significantly when compared with that in the young and elderly control groups in free association tasks(P<0.001),whereas the automatic scores had no significant difference among four groups(P>0.05).Conclusion AD patients exhibited impaired explicit memory and semantic priming effect,but retain normal perceptual priming effect;VD and TBI patients showed impaired explicit memory,but retained normal semantic priming effect.

Objective To investigate the sustained attention and vigilance in patients with brain injury.Methods Twenty-seven patients with brain injury and 34 normal adults who were matched in age and years of education were tested with Continuous Performance Task(CPT) to assess sustained attention and vigilance.The variables included hit number(correct response number),omission number,commission number,and the average reaction time and the difference of reaction time between the first and the last stage.Results The hit number of the patients was much less than that of the control group(P<0.01).The omission number was significantly more than that in the control group(P<0.01),but the commission number did not significantly differ from the control group(P>0.05).The average reaction time and the difference between the reaction time of the first and last stages in patients increased significantly(P<0.01).Conclusion The sustained attention and vigilance are impaired in patients with brain injury.

The authors introduce the items,scores,reliability,validity,the differences between the Rivermead Behavioural Memory Test Second Edition(RBMT-Ⅱ) and RBMT-Ⅰand characteristics of the RBMT-Ⅱ(2003).RBMT-Ⅱ is more practicable in clinical than general standard memory tests,it is good for clinical rehabilitation.

Despite the general agreement that calculation ability is an important component of cognition,and a comprehensive cognitive evaluation should include testing for calculation ability,there is a significant paucity in study and evaluation of acalculia.In this paper,the concepts and classification of acalculia are proposed;main neuropsychological theoretical models and cerebral mechanisms are presented;clinical appearances,standard testing instruments and related study of acalculia are intensively reviewed;finally,rehabilitation training of acalculia is initially discussed.

Objective To investigate the changes of cardiopulmonary function of patients with spinal cord injury(SCI) in different lesion levels in exercies testing.Methods 15 SCI patients were divided into the high SCI level group(n=8) and low SCI level group(n=7),and all cases exercised on treadmill.The cardiorespiratory indexes of all patients were tested.Results The cardiopulmonary function of the low SCI level group were better than the high SCI level group(P<0.05～0.01).Conclusion The higher the lesion level is,the weaker the cardiopulmonary function is.