Objective:To transform the categorical Long's Activities of Daily Living Assessment Scale(referred to as the Long's Scale)into a medical insurance version(continuous scoring)by assigning scores,enabling a more intu-itive reflection of functional changes in individuals with disabilities during the rehabilitation process.Method:The research team,through in-depth discussions and comprehensive literature review,revised the scoring and assessment methods of the Long's Scale(0 points,1 point,2 points),and proposed two im-proved scoring schemes for the Long's Scale(+7 points,+9 points).The Delphi expert consultation method was employed to consult experts and determine the Medical Insurance Long's Scale.Retrospective analysis was used to validate the reliability and validity of this scale.Result:A total of 24 experts were invited to participate in the consultation,with an expert consultation re-sponse rate of 87.5%(21/24).The average authority coefficient of the experts was 0.836,with 66.7%(14/21)of experts supporting the+7 points improved scoring scheme for the Long's scale.The Medical Insurance Long's Scale demonstrated good internal consistency and correlation with the modified Barthel index(MBI),consistent with the initial Long's Scale,demonstrating showing excellent reliability and validity.Conclusion:The+7 points scoring scheme in this study transformed the Long's Scale into a continuous scor-ing scale,enabling the measurement of functional improvement,thereby providing a new basis for value-based medical insurance payments in rehabilitation.

Objective:To transform the categorical Long's Activities of Daily Living Assessment Scale(referred to as the Long's Scale)into a medical insurance version(continuous scoring)by assigning scores,enabling a more intu-itive reflection of functional changes in individuals with disabilities during the rehabilitation process.Method:The research team,through in-depth discussions and comprehensive literature review,revised the scoring and assessment methods of the Long's Scale(0 points,1 point,2 points),and proposed two im-proved scoring schemes for the Long's Scale(+7 points,+9 points).The Delphi expert consultation method was employed to consult experts and determine the Medical Insurance Long's Scale.Retrospective analysis was used to validate the reliability and validity of this scale.Result:A total of 24 experts were invited to participate in the consultation,with an expert consultation re-sponse rate of 87.5%(21/24).The average authority coefficient of the experts was 0.836,with 66.7%(14/21)of experts supporting the+7 points improved scoring scheme for the Long's scale.The Medical Insurance Long's Scale demonstrated good internal consistency and correlation with the modified Barthel index(MBI),consistent with the initial Long's Scale,demonstrating showing excellent reliability and validity.Conclusion:The+7 points scoring scheme in this study transformed the Long's Scale into a continuous scor-ing scale,enabling the measurement of functional improvement,thereby providing a new basis for value-based medical insurance payments in rehabilitation.

ObjectiveTo analyze the research status, research hotspots and trends at home and abroad in the field of rehabilitation assistive devices in the past ten years. MethodsThe relevant articles of rehabilitation assistive devices from 2012 to 2021 in CNKI and Web of Science (WoS) core collection database were retrieved. The authors, countries, institutions, research hotspots, and trends were extracted with CiteSpace and VOSviewer to draw knowledge mapping. Results and ConclusionThe annual articles published at home and abroad has shown an upward trend year by year. The team with the most articles in China is the Yu Hongliu team, and the institution with the most articles is China Assistive Devices and Technology Center for Persons with Disablities. The team with the most foreign articles is the Maysam G team, and the institution with the most articles is the University of Pittsburgh. The United States has the largest number of literatures and the highest intermediary centrality. Research hotspots related to rehabilitation assistive devices at domestic and abroad mainly focus on the design and development of rehabilitation assistive device products, the application of rehabilitation assistive devices in special/vulnerable populations, the application effect of rehabilitation assistive devices and related professional services; the development trend of intelligent assistive device product design and application research based on intelligent perception, brain-like computing, deep learning and virtual/augmented reality is predicted.

Objective To optimize the sulfated modification conditions for Rhizoma Smilacis Glabrae polysaccharides (RSGP),and to investigate the possibility of enhancing the activity of RSGP after sulfating modification.Methods RSGP was modified by cholorosulfonic acid-pyridine.With the yield,carbohydrate content and sulphate substitution degree as the observation indexes,L9 (34)orthogonal design was used to optimize reaction time,reaction temperature and reagent ratio.The degree of sulphate substitution was determined by barium chloride turbitimetry,and the carbohydrate content was detected by sulfuric acid-phenol method.Then the structures of the sulfated modified products were analyzed by infrared radiation (IR) spectrum.Methyl thiazolyl tetrazolim(MTT)assay was used to determine the anti-tumor activity of sulfated RSGP on HepG2 and MCF-7 cell lines.Results The optimized modification conditions of RSGP were sulfating RSGP with cholorosulfonic acid-pyridine in the ratio of 1:6 for 4.5 hours at 60 ℃.The MTT assay results showed that the sulfated RSGP could inhibit the growth and proliferation of human liver cancer HepG2 cell line and human mammary cancer MCF-7 cell line in concentrationdepending manner.Conclusion It is feasible for sulfating modification of RSGP with cholorosulfonic acid-pyridine,and sulfating modification can enhance the anti-tumor activitv of RSGP.