Objective:To explore the clinical application value of the cognitive assessment scale for stroke patients(CASP)in post-stroke cognitive impairment(PSCI)based on the translation and reliability and validity testing of the original CASP in order to improve the cognitive assessment system for stroke patients.Method:The original version of CASP was translated into Chinese,and a total of 82 stroke patients were as-sessed using the Mini-Mental State Examination(MMSE),the Montreal Cognitive Assessment(MoCA)and the Chinese version of CASP(C-CASP).Reliability analysis was conducted using Cronbach's a coefficient and inter-group correlation coefficient(ICC).Structure validity and criterion validity were analyzed to assess the validi-ty.The stroke patients were stratified according to cognitive function,lesion location and injury nature using independent sample t-tests.Result:The reliability analysis showed the Cronbach's a coefficient was 0.792,and the inter-rater reliability ICC was 0.999 and 0.998,while the ICC was 0.985 and 0.982 for retest reliability.The structure validity anal-ysis extracted one factor with a cumulative contribution rate of 52.89％.The correlation coefficients of C-CASP with MMSE,MoCA and ADL were 0.867,0.848 and 0.597.The area under the curve(AUC)for C-CASP was 0.938,with an optimal cutoff score of 32,sensitivity of 94.5％,and specificity of 77.8％.The total scores and item scores of C-CASP in the patients with cognitive impairment were significantly lower than those in the patients with non-cognitive impairment(P＜0.05).The item scores of the"bisection of a horizontal line"in C-CASP were significantly lower in the patients with right hemisphere lesions compared to the patients with left hemisphere lesions(P＜0.05).Additionally,the patients with ischemic stroke scored significantly lower than the patients with hemorrhagic stroke on the items of"naming"and"comprehension"in C-CASP(P＜0.05).Conclusions:C-CASP is a reliable and valid screening tool for assessing cognitive function in stroke patients.C-CASP has a broader cognitive threshold,which is more suitable than MMSE for the assessment of cogni-tive function in stroke patients.

Attaching importance to the ideological and political education of medical students is an important experience and political advantage for the vigorous development of health undertakings under the leadership of the Communist Party of China(CPC).During the Yan'an period,the CPC put forward a series of theoretical principles and path methods to carry out the ideological and political education work for medical students,and formed a wealth of work experience.These were mainly manifested in the education direction of serving the Anti-Japanese War,the education content combining labor educational with ideological education,flexible and diverse educational methods,and the educational characteristics of education in medical ethics and medical style.In the new era and new journey,it is necessary to draw on the historical experience of ideological and political education work for medical students during the Yan'an period,cultivate a team of medical talents with both moral and talent,and provide strong and reliable talent support for high-quality development of the medical and health undertakings and a healthy China.

Objective:To explore the clinical application value of the cognitive assessment scale for stroke patients(CASP)in post-stroke cognitive impairment(PSCI)based on the translation and reliability and validity testing of the original CASP in order to improve the cognitive assessment system for stroke patients.Method:The original version of CASP was translated into Chinese,and a total of 82 stroke patients were as-sessed using the Mini-Mental State Examination(MMSE),the Montreal Cognitive Assessment(MoCA)and the Chinese version of CASP(C-CASP).Reliability analysis was conducted using Cronbach's a coefficient and inter-group correlation coefficient(ICC).Structure validity and criterion validity were analyzed to assess the validi-ty.The stroke patients were stratified according to cognitive function,lesion location and injury nature using independent sample t-tests.Result:The reliability analysis showed the Cronbach's a coefficient was 0.792,and the inter-rater reliability ICC was 0.999 and 0.998,while the ICC was 0.985 and 0.982 for retest reliability.The structure validity anal-ysis extracted one factor with a cumulative contribution rate of 52.89％.The correlation coefficients of C-CASP with MMSE,MoCA and ADL were 0.867,0.848 and 0.597.The area under the curve(AUC)for C-CASP was 0.938,with an optimal cutoff score of 32,sensitivity of 94.5％,and specificity of 77.8％.The total scores and item scores of C-CASP in the patients with cognitive impairment were significantly lower than those in the patients with non-cognitive impairment(P＜0.05).The item scores of the"bisection of a horizontal line"in C-CASP were significantly lower in the patients with right hemisphere lesions compared to the patients with left hemisphere lesions(P＜0.05).Additionally,the patients with ischemic stroke scored significantly lower than the patients with hemorrhagic stroke on the items of"naming"and"comprehension"in C-CASP(P＜0.05).Conclusions:C-CASP is a reliable and valid screening tool for assessing cognitive function in stroke patients.C-CASP has a broader cognitive threshold,which is more suitable than MMSE for the assessment of cogni-tive function in stroke patients.