Objective To study the effect of community nursing and family members′participation on rehabilitation of patients with cerebral infarction. Methods Forty-two patients with cerebral infarction discharged from our hospital was chosen to take community rehabilitation training. The scores by modified Barthel index (MBI) and functional comprehensive assessment (FCA) before intervention were compared to those after intervention at the time points of pre-intervention and 1 month , three months after intervention. Results The scores by modified Barthel index (MBI) and functional comprehensive assessment (FCA) before intervention were significantly higher than those before intervention (P<0.01). The scores by MBI 1 month after intervention were significantly higher than those three months after intervention (P<0.01), indicating the longer the rehabilitation training, the better the effect. Conclusion The community rehabilitation care to patients with cerebral infarction sequelae can improve the quality of rehabilitation training and finally their quality of life.

Objective To explore the effect of the health education with teaching -back method on senior citizens' hypertension related health literacy in nursing homes. Methods Six nursing homes, randomly selected using stratified cluster random sampling method, were randomly divided into the experiment group and the control group,151 cases in each group. The control group received peer education method, and the experiment group received the health education with teaching-back method on the basis of the control group. The hypertension related health literacy total scores and 4 dimension scores of the two groups were compared before and after the intervention. Results There was no significant difference in the total score and each dimension score of the hypertension related health literacy between the experiment group and the control one before intervention (P>0.05). There was significant difference in the total score and each dimension score of the hypertension related health literacy between the experiment group and the control one after intervention (P<0.001). The total score and each dimension score of the hypertension related health literacy of the experiment group were significantly higher than that of the control group. There was significant difference in the total score and each dimension score of the experiment group before and after intervention (P<0.001). The scores of the experiment group after intervention were significantly higher than before. There was significant difference in the total score, knowledge attainment score, faith accomplishment score and technical accomplishment score of the control group before and after intervention (P < 0.01). The score of the control group after intervention were significantly higher than before. But the behavior literacy before and after intervention was not statistically significant (P>0.05). Conclusion The health education with teaching-back method can improve the elderly hypertension related health literacy level and improve the quality of health education.

Perimenopausal syndrome （MPS）， a common endocrine system disease， is one of the diseases responding specifically to traditional Chinese medicine （TCM）. The China Association of Chinese Medicine organized experts in endocrinology， gynecology， and interdisciplinary fields of both Western and Chinese medicine to discuss the advantages and challenges of diagnosing and treating MPS with Western medicine， TCM， and integrative medicine. Experts at the conference believe that MPS is initiated by estrogen decline and rooted in deficiency， with the pathogenesis being imbalance between Yin and Yang in the kidney. The hormone replacement therapy in Western medicine for menopause can rapidly alleviate related symptoms by quickly restoring the estrogen level and timely detect and delay complications of menopause， whereas such a therapy has certain risks， necessitating close monitoring of adverse reactions. Moreover， the various contraindications and precautions limit the clinical application of the hormone replacement therapy. TCM has advantages in synergistically alleviating symptoms such as hot flashes， sweating， sleep disorders， and emotional abnormalities of MPS without causing obvious adverse reactions. However， its efficacy is slower than the hormone replacement therapy， and the TCM evidence for preventing and treating complications of menopause remains unclear. Three suggestions were proposed for the future development of both Western and TCM for ameliorating MPS. First， an integrated diagnosis and treatment system for MPS with both Western and Chinese medicine should be established. Second， high-quality evidence-based interventions for MPS should be developed with TCM alone or in combination with Western medicine. Third， efforts should be made to promote the new TCM drug development and the interdisciplinary cooperation for treating MPS.