Objective: To investigate the detection rate and influencing factors of dementia among community-dwelling elderly in Jiaxing City, Zhejiang Provinc, so as to provide the evidence for developing early screening strategies and intervention measures for dementia in the elderly. Methods: From September to December 2024, residents aged ≥65 years from 8 villages (neighborhood committees) in Jiaxing City were selected as study participants using convenience sampling. Data on demographic characteristics, family history of dementia, lifestyle factors, and chronic medical conditions were collected through questionnaire surveys. Depressive symptoms were assessed using the Patient Health Questionnaire-9, and dementia was evaluated using the Brief Community Dementia Screening Scale. Multivariable logistic regression models were used to analyze the influencing factors of dementia among community-dwelling elderly. Results: A total of 7 242 older adults were included, including 3 585 males (49.50%) and 3 657 females (50.50%). A total of 638 participants (8.81%) had a family history of dementia, 2 941 (40.61%) had chronic diseases, 1 011 (13.96%) had comorbidity of chronic diseases, and 377 (5.21%) presented with depressive symptoms. Dementia was identified in 510 participants, with a detection rate of 7.04%. Multivariable logistic regression analysis showed that the elderly with rural household registration (OR=2.225, 95%CI: 1.649-3.084), primary school education or below (illiteracy, OR=3.114, 95%CI: 1.695-5.719; primary school, OR=2.209, 95%CI: 1.217-4.012), family history of dementia (OR=2.180, 95%CI: 1.677-2.833), comorbidity of chronic diseases (OR=1.478, 95%CI: 1.133-1.928) and depressive symptoms (OR=9.894, 95%CI: 7.790-12.566) had a higher risk of dementia. Conclusions The detection rate of dementia among community-dwelling older adults in Jiaxing City was 7.04%. Dementia was mainly affected by household registration, educational level, family history of dementia, chronic disease status and depressive symptoms.

Humans ; Autistic Disorder ; China/epidemiology* ; Cohort Studies ; Autism Spectrum Disorder/genetics* ; Asian People

The paper is a systematic review on the efficacy of acupuncture manipulation on primary dysmenorrhea. Ten medical literatures database at home and abroad were retrieved, including CNKI, VIP, CBM, WANFANG, MEDLINE, Cochrane, CENTRAL, CINAHL PLUS, EMBASE, AMED and PsycINFO, as well as 6 clinical trial registration platforms. All of randomized controlled trials (RCTs) on primary dysmenorrhea treated with different acupuncture manipulations were collected. The data were extracted by two persons. Finally, RevMa 5.3 software was used for statistical analysis. Totally, 5 148 pieces of literature were retrieved and 8 pieces on RCTs were screened with 644 cases included. According to the results of statistical analysis on the total effective rate and other indicators of pain degree, it was showed that the effects of the manipulation with filiform needle, deep puncture with strong stimulation, and specific reinforcing and reducing needling technique were better than those without manipulation applied or with shallow puncture and weak stimulation and even needling technique in the treatment of primary dysmenorrhea. It is believed initially that acupuncture manipulation contributes to the improvement of the therapeutic effects of primary dysmenorrheal, but much higher quality studies are required for the further confirmation. Protocol registration number:PROSPERO:CRD42016038515.

OBJECTIVETo evaluate the effects of needling depth on clinical efficacy of lumbar disc herniation (LDH).

METHODSTen electronic databases, including China National Knowledge Infrastructure (CNKI), VIP Database, Chinese Biomedical Literature Database (CBM), Wanfang Database, MEDLINE, CENTRAL, CINAHL PLUS, AMED, Embase, PsycINFO, and 6 registry platforms of clinical trials were searched. All randomized controlled trials (RCTs) that compared the effect of needling depth on clinical efficacy of LDH were collected; in addition, the reference lists of the studies included were hand searched. Data were extracted independently by two reviewers. RevMan 5.3 was applied to carry out statistical analysis.

RESULTSTotally 8 716 articles were retrieved, and 10 RCTs were included after screening, involving 1 116 patients. The results showed the effects of deep acupuncture onrelievingpain, reducing the Oswestry disability index (ODI), improving total effective rate and Japanese Orthopaedic Association (JOA) were superior to those of shallow acupuncture in patients with LDH.

CONCLUSIONIt is preliminarily indicated that deep acupuncture is helpful to improve the therapeutic effect of LDH; however, due to the low research quality and small sample size, the evidence is insufficient, and more high-quality researches are needed to further confirm the results.

The effects of(arrival of) on acupoint effects in patients with primary dysmenorrhea (PD) were evaluated.Ten literature databases,including China National Knowledge Infrastructure (CNKI),VIP Database,Wanfang Database,Chinese Biomedical Literature Database (CBM),Cochrane Library CENTRAL,MEDLINE,Embase,AMED, CINAHL Plus,PsycINFO were selected.In addition,5 registers of ongoing trials,the reference lists of included articles and grey literature website OpenGrey were added.The search time was from date of database establishment to August 2016;no restrictions were made on language or status of publication.All randomized controlled trials (RCTs) and quasi-randomized controlled trials (q-RCTs) which compared the effects ofand non-on PD or compared the effects of differentelements on PD were included.The research quality was assessed according to Cochrane bias risk evaluation tool 5.1.0.The RevMan 5.3.5 was applied for quantitative analysis if insignificant clinical heterogenicity with≤ 75%,otherwise the results was summarized by qualitative analysis.As a result,6 RCTs involving 645 patients were included.Because of considerable clinical heterogeneity,only qualitative analysis was performed,which indicated ① acupuncture could reduce pain and anxiety regardless of,and the effects ofon pain relief were superior or equivalent to that of none-,and the effects ofon anxiety relief were similar to that of none-;② the more intensity ofand higher number of acupoints selected,the better effects on pain alleviation,symptom relief and pain duration;③ the higher rate ofhad a better acupoint effect on alleviating anxiety,but was not on pain relief;④appeared early and propagated to affected area could lead to faster onset on pain relief;⑤ the effects on relieving pain and symptoms was better when warm sensation inorreaching affected area.Due to the few number,low quality and potential bias of included studies,it was not sufficient to draw clear conclusion regarding the effects ofon PD patients.This study protocol was registered in PROSPERO (CRD42016038518).

Objective To investigate the effects of various concentrations of lidocaine on the N-methyl-D-aspartate ( NMDA)-mediated calcium currents in cultured rat hippocampal neurons. Methods Hippocampal neurons were obtained from newborn Wistar rats (0-24 h after birth) . The hippocampal neurons cultured for 12-14 days were divided into control group and 5 lidocaine groups in which lidocaine was added to the extracellular solution achieving the final concentrations of 10-3 , 10-4 , 10-3 , 10-2 and 10-1 . The neuronal cells were voltage clamped at - 80 mv. The currents evoked by NMDA 100 ?mol?L-1 were recorded. The NMDA-mediated Ca currents were isolated by blocking Na-currents with TTX, K-currents with CsCL and TEACL and non-NMDA receptor (to a large degree AMPA receptor) with CNQX. Current density was calculated (pA / pF) .Results Lidocaine significantly reduced the density of NMDA-mediated calcium currents at concentrations of 10-3- 10-1 ?mol?L-1 compared with that in the control group (P