Objective:To investigate the current situation of rehabilitation motivation of middle-aged and elderly stroke patients and analyze its influencing factors, so as to provide reference for formulating targeted rehabilitation plans and intervention strategies.Methods:A convenience sampling method was used to select middle-aged and elderly stroke patients from (the First Affiliated Hospital of Shihezi University, the People's Hospital of Shihezi, and the People's Hospital of Xinjiang Uygur Autonomous Region from November 2023 to April 2024 as the study subjects. A cross-sectional survey was conducted using a general information questionnaire, the Motivation in Stroke Patients for Rehabilitation Scale, Perceived Social Support Scale, and and Apathy Evaluation Scale-Informant Version.Results:The 328 middle-aged and elderly stroke patients were ultimately included, including 223 males and 105 females, aged (63.63 ± 12.00) years. The total score of rehabilitation motivation, perceived social support and apathy symptoms of middle-aged and elderly stroke patients was ( 86.14 ± 11.28 ), (63.23 ± 6.31), (43.66 ± 4.63) points. LASSO regression screened 8 factors. Multiple linear regression analysis showed that age, education level, stroke duration, neurological deficits, activities of daily living, perceived social support and apathy symptoms were the influencing factors of rehabilitation motivation in middle-aged and elderly stroke patients ( t values were -6.52 to 7.56, all P<0.05), accounting for 72.6% of the total variation. The importance of random forest was ranked as follows: perceived social support, Activity of Daily Living, education level, stroke course, age, apathy symptoms, and neurological deficit. Conclusions:The rehabilitation motivation of middle-aged and elderly stroke patients is at a medium level. Clinical workers should focus on the rehabilitation motivation of stroke patients with insufficient social support, poor self-care ability and low education level, and regularly evaluate the level of rehabilitation motivation and the subjective initiative of rehabilitation exercise.

Objective To identify the potential categories and influencing factors of apathy in stroke patients,providing a basis for precise typing and individualized interventions by healthcare professionals.Methods Using the convenience sampling method,stroke patients from 2 tertiary hospitals in Xinjiang Uggur Automous Region were selected from November 2023 to August 2024,and were surveyed using the General Information Questionnaire,Apathy Evaluation Scale-Informant,Perceived Autonomy Scale,and Stroke Self-Efficacy Questionnaire.The latent profile analysis was used to identify potential categories of apathy,and logistic regression analysis was used to explore the differences in the characteristics of patients in different categories.Results The apathy symptoms of 521 stroke patients could be divided into 3 potential categories:mild apathy group(23.6％),moderate apathy-low interest-low behavioral group(46.5％),and heavy apathy-low interest-low cognitive group(29.9％).Logistic regression showed that age 45～＜60 years,duration of the disease＜6 months,and high rehabilitation self-efficacy were the common protective factors of the moderate apathy-low interest-low behavioral group and the heavy apathy-low interest-low cognitive group.The dependence on activities of daily living was a risk factor for the moderate apathy-low interest-low behavioral group,and high perception of autonomy was a protective factor for the heavy apathy-low interest-low cognitive group.Conclusion Apathy symptoms in stroke patients are characterized by distinct categories,which are influenced by age,stroke duration,ADL,rehabilitation self-efficacy,and perception of autonomy.Healthcare professionals should adopt effective strategies to precisely intervene based on different potential categories of protective factors and risk factors to alleviate their apathy.

Objective:To investigate the current situation of rehabilitation motivation of middle-aged and elderly stroke patients and analyze its influencing factors, so as to provide reference for formulating targeted rehabilitation plans and intervention strategies.Methods:A convenience sampling method was used to select middle-aged and elderly stroke patients from (the First Affiliated Hospital of Shihezi University, the People's Hospital of Shihezi, and the People's Hospital of Xinjiang Uygur Autonomous Region from November 2023 to April 2024 as the study subjects. A cross-sectional survey was conducted using a general information questionnaire, the Motivation in Stroke Patients for Rehabilitation Scale, Perceived Social Support Scale, and and Apathy Evaluation Scale-Informant Version.Results:The 328 middle-aged and elderly stroke patients were ultimately included, including 223 males and 105 females, aged (63.63 ± 12.00) years. The total score of rehabilitation motivation, perceived social support and apathy symptoms of middle-aged and elderly stroke patients was ( 86.14 ± 11.28 ), (63.23 ± 6.31), (43.66 ± 4.63) points. LASSO regression screened 8 factors. Multiple linear regression analysis showed that age, education level, stroke duration, neurological deficits, activities of daily living, perceived social support and apathy symptoms were the influencing factors of rehabilitation motivation in middle-aged and elderly stroke patients ( t values were -6.52 to 7.56, all P<0.05), accounting for 72.6% of the total variation. The importance of random forest was ranked as follows: perceived social support, Activity of Daily Living, education level, stroke course, age, apathy symptoms, and neurological deficit. Conclusions:The rehabilitation motivation of middle-aged and elderly stroke patients is at a medium level. Clinical workers should focus on the rehabilitation motivation of stroke patients with insufficient social support, poor self-care ability and low education level, and regularly evaluate the level of rehabilitation motivation and the subjective initiative of rehabilitation exercise.

Objective To identify the potential categories and influencing factors of apathy in stroke patients,providing a basis for precise typing and individualized interventions by healthcare professionals.Methods Using the convenience sampling method,stroke patients from 2 tertiary hospitals in Xinjiang Uggur Automous Region were selected from November 2023 to August 2024,and were surveyed using the General Information Questionnaire,Apathy Evaluation Scale-Informant,Perceived Autonomy Scale,and Stroke Self-Efficacy Questionnaire.The latent profile analysis was used to identify potential categories of apathy,and logistic regression analysis was used to explore the differences in the characteristics of patients in different categories.Results The apathy symptoms of 521 stroke patients could be divided into 3 potential categories:mild apathy group(23.6％),moderate apathy-low interest-low behavioral group(46.5％),and heavy apathy-low interest-low cognitive group(29.9％).Logistic regression showed that age 45～＜60 years,duration of the disease＜6 months,and high rehabilitation self-efficacy were the common protective factors of the moderate apathy-low interest-low behavioral group and the heavy apathy-low interest-low cognitive group.The dependence on activities of daily living was a risk factor for the moderate apathy-low interest-low behavioral group,and high perception of autonomy was a protective factor for the heavy apathy-low interest-low cognitive group.Conclusion Apathy symptoms in stroke patients are characterized by distinct categories,which are influenced by age,stroke duration,ADL,rehabilitation self-efficacy,and perception of autonomy.Healthcare professionals should adopt effective strategies to precisely intervene based on different potential categories of protective factors and risk factors to alleviate their apathy.

Objective To explore the changes in patellofemoral joint stress of lower limbs during curve running at a slower running speed, so as to analyze the possibility of increasing patellofemoral pain due to long curve running. Methods Newtest portable speed measurement system, Motion infrared high speed motion capture system, Kistler three-dimensional force plate were used to collect the kinematic parameters and ground reaction force from a total of 13 male college students without sports specialty at straight track and curve track (with inner diameter of 36 m) at the speed of (4.0±0.2) m/s. Results Compared with linear running, the patellofemoral joint stress at lateral side of the leg significantly increased during curve running. There were no significant differences in knee flexion angles and knee extensor moments when patellofemoral joint stress increased during curve running. Conclusions Long curve running is a contributing factor with respect to the development of patellofemoral pain in lateral leg and aggravating patellofemoral pain. It is suggested that running enthusiasts and patients with patellofemoral pain should avoid repeating long curve running.

Objective To study effects of allogeneic blood transfusion on the level of cytokines in esophageal cancer patients.Methods Serum IFN ?,TNF ? and IL 10 of 18 esophageal cancer patients undergoing transthoracic esophageal resection who were exposed to allogeneic transfusions(non leukoreduced)were measured to compare with those of 16 similar patients undergoing same operations who were exposed to leukodepleted blood in the perioperative period.Results Serum TNF ?, IFN ?, and IL 10 levels in patients exposed to nonleukoreduced allogeneic transfusions increased on the first day after transfusion,with the latter two cytokines showing significant elevation( P