1.Research advances on in-situ cell electrospinning and its application in wound repair
Huazhen LIU ; Yi ZHANG ; Chuang GAO ; Chunxiang LU ; Zilong GUO ; Wenbin SUN ; Shichu XIAO ; Yuanyuan LIU
Chinese Journal of Burns 2024;40(7):694-698
		                        		
		                        			
		                        			Currently, there are limited strategies for convenient and rapid wound repair in clinical practice. In recent years, in-situ cell electrospinning (IS-CE) technology, developed from in-situ electrospinning (IS-E) technology, has emerged. IS-CE technology involves encapsulating living cells within micro-nanofibers to construct living fibrous tissue scaffolds in situ, making some progress in wound repair applications. However, this technology still faces limitations such as low cell survival rate and poor fiber stability. This article provides a comprehensive review on the current status of both IS-E and IS-CE technologies, as well as the application of IS-CE technology in wound repair. In addition, the advantages, limitations, and improvement methods of IS-CE technology applied in wound treatment are emphatically discussed, aiming to provide insights for its application in tissue engineering and wound repair.
		                        		
		                        		
		                        		
		                        	
2.Far space neglect in left spatial neglect patients: features and assessment
Huazhen GUO ; Xiaoping YUN ; Huili ZHANG ; Zejia HE ; Jiehua YU ; Jianhong ZHU ; Guiyun SONG ; Xi LI ; Mei LI ; Yu LI
Chinese Journal of Rehabilitation Theory and Practice 2022;28(5):520-523
		                        		
		                        			
		                        			ObjectiveTo explore the features and assessment for far space neglect in left spatial neglect patients after right brain stroke. MethodsFrom January to October, 2021, 30 left unilateral spatial neglect (USN) patients after right stroke (patients, n = 30) from Beijing Bo'ai Hospital and healthy volunteers matching with gender, age and level of education (controls, n = 30) were evaluated with line cancelation (LC), star cancelation (SC) and line bisection (LB) tests, nearly and far away. The 25 controls were evaluated with LB on the second day. ResultsNo line or star was omissed in the controls. Both the deviation and percentage were more in the patients than in the controls (|t| > 4.319, P < 0.001). Both the deviation and percentage were less different for all the test (|Z| < 1.638, t = -1.282, P > 0.05) between nearly and far away, except the deviation of LB (t = -4.994, P < 0.001). The ICC of test-retest was above 0.462 (P < 0.01). ConclusionRight brain stroke patients with USN may present far spatial neglect, which can be assessed with LB
		                        		
		                        	
3.Factors influencing the executive functioning of patients with acquired brain injury
Zejia HE ; Xiaoping YUN ; Huazhen GUO ; Huili ZHANG
Chinese Journal of Physical Medicine and Rehabilitation 2021;43(11):972-977
		                        		
		                        			
		                        			Objective:To explore the factors influencing executive functioning after a brain injury and analyze the relationship between executive functioning and other cognitive functions.Methods:Forty-six brain injury survivors were given the Executive Function Performance Task (EFPT) assessment and the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA). The scores and time of the EFPT tasks, and the orientation, perception, visual motor organization, thinking, and attention and concentration results in the LOTCA were observed. Regression analysis compared the males and females, those younger and older than 40, those with more or less than 12 years of education, trauma and stroke survivors, as well as those with left, right and bilateral lesion to isolate the factors most influencing executive functioning.Results:The average EFPT score on the cooking task, the medication score and the total score of the young group were all significantly higher than those of the older group. Their telephone time, medication time and bill payment time were all significantly shorter. Those with more than 12 years of education had average scores on the cooking, bill payment and EFPT significantly higher than those with less than 12 years of education. The average bill paying and total EFPT scores of the brain trauma group were significantly higher than the stroke group′s averages. No significant differences were observed between the different genders or those with different injury sites. Age was the strongest predictor of total EFPT scores. Except for the medication scores, the average scores of the other three tasks and the total score of EFPT were moderately correlated with the visual motor organization, thinking, attention and concentration, and total LOTCA scores, with correlation coefficients ranging from 0.31 to 0.64.Conclusions:Older persons and those will less education tend to have worse executive functioning. Traumatic damage to executive functioning is more serious than that caused by stroke. Executive functioning is closely related to visual-motor organization, and to the ability to think, attend and concentrate.
		                        		
		                        		
		                        		
		                        	
4.The reliability and validity of the Chinese version of the executive function performance test for patients with a brain injury
Zejia HE ; Xiaoping YUN ; Huazhen GUO ; Huili HANG
Chinese Journal of Physical Medicine and Rehabilitation 2020;42(7):606-612
		                        		
		                        			
		                        			Objective:To test the reliability and validity of the Chinese version of the executive function performance test (EFPT) when it is used with persons with a brain injury.Methods:Forty-six brain injury patients comprised the patient group, and forty-nine healthy counterparts formed the normal group. All completed the EFPT, the Flanker task, a color shape task, the speech and visual space 2-back and the Wisconsin Card Sorting Test (WCST). Thirty normal subjects were asked to complete the EFPT again 4 weeks after the first test. Spearman correlation analysis was used for reliability and validity analysis.Results:The EFPT scale showed good internal consistency, as Cronbach′s α coefficient was 0.73 to 0.83. Test-retest reliability was good, as the internal correlation coefficients ranged from 0.50 to 0.85. The results of the EFPT correlated moderately well ( r=0.29-0.57) with the total number of responses, the number of completed collocations, persistent responses and non-persistent errors, as well as with the percentage of the generalized level of the WCST. Moreover, all of the EFPT results correlated moderately well with those of the IADL except for the task of taking medication. Compared with the control group, the brain-injured group got significantly higher sub-test and total scores on the EFPT. Conclusions:The Chinese version of the EFPT has demonstrated adequate reliability and validity with brain-injured Chinese persons. It is a good tool for evaluating the executive functioning of such persons and can reflect any executive dysfunction in their daily living activities.
		                        		
		                        		
		                        		
		                        	
5.Executive Function Deficits in Patients with Brain Injury
Huili ZHANG ; Xiaoping YUN ; Huazhen GUO ; Guiyun SONG ; Mingming GAO
Chinese Journal of Rehabilitation Theory and Practice 2016;22(5):504-507
		                        		
		                        			
		                        			Objective To investigate the characteristics of executive function in patients with brain injury. Methods From March 1st, to June 30th, 2015, 44 patients with brain injury were investigated with Wisconsin Card Sorting Test (WCST), the indexes including Responses Answer, Categories Completed, Correct Responses, Errors Responses, Trials to Complete First Category, Percent Conceptual Level Respons-es Percentage, Perseverative Responses Errors, Nonperseverative Responses Errors, Failure to Maintain Set, and Learning to Learn. Results The abnormal rates were the most in Nonperseverative Responses Errors and Percent Conceptual Level Responses Percentage (61.36%), and then in Responses Answer/Categories Completed/Correct Responses (59.09%), Correct Responses (43.18%), Trials to Complete First Category (38.64%), Perseverative Errors (29.51%), Learning to Learn (25.00%), and Failure to Maintain Set (9.09%). The patients with trau-matic brain injury were different from those with stroke in Responses Answer, Errors Responses, Perseverative Responses Errors, Catego-ries Completed, Percent Conceptual Level Responses Percentage, and Learning to Learn (Z>2.444, t>2.156, P<0.05). The patients injured in frontal lobe were different from those in other areas in Perseverative Responses Errors (t=2.595, P=0.015). Conclusion Executive function damaged generally in patients with brain injury, which related to concentration, abstract, shifting attention, working memory, etc. The frontal lobe damage may associate with the disorder of shifting attention.
		                        		
		                        		
		                        		
		                        	
6.Efficacy of Telerehabilitation Mode on Memory Disorders
Mingming GAO ; Xiaoping YUN ; Huili ZHANG ; Huazhen GUO ; Keying WANG ; Xiulian NIU ; Yingxin QIAO
Chinese Journal of Rehabilitation Theory and Practice 2016;22(5):518-522
		                        		
		                        			
		                        			Objective To investigate the effect of telerehabilitation on memory disorders. Methods From August, 2010 to April, 2015, 81 patients with memory disorders were randomized into control group (n=26), computer-assisted training group (n=33) and telerehabilita-tion training group (n=22). All the patients accepted medicine to facilitate the recovery of memory. Besides, the computer-assisted training group and the telerehabilitation training group accepted memory-based training programs with cognitive rehabilitation system locally or on network respectively, for six weeks. They were evaluated with Wechsler Memory Scale, Rivermead Behavioural Memory Test-2nd Edition and Rey Auditory Verbal Learning Test before and after training. Results Both computer-assisted and telerehabilitation training groups im-proved in all the assessment after training (t>4.059, P<0.001). There was no significant difference between them (P>0.05). There was no sig-nificant improvement in the control group after training (t<0.771, P>0.05). Conclusion Memory rehabilitation training can significantly im-prove memory abilities, similar with locally or telerehabilitation system.
		                        		
		                        		
		                        		
		                        	
7.Characteristics of Picture Forgetting in Closed Traumatic Brain Injury Patients during Recovery
Huazhen GUO ; Xiaoping YUN ; Pu ZHANG ; Huili ZHANG ; Mingming GAO
Chinese Journal of Rehabilitation Theory and Practice 2016;22(5):508-510
		                        		
		                        			
		                        			 Objective To investigate the characteristic of picture forgetting in closed traumatic brain injury (CTBI) patients during recovery. Methods From October, 2012 to August, 2013, 60 colour slides of target or interference picture were presented to 38 CTBI patients during recovery and 31 matched healthy controls. Their discriminability index (d′) was observed 10 minutes, 30 minutes and 24 hours later. Results Forteen patients failed to attain d′ of 2.0 10 minutes later, and were excluded from further study. The d′ of the other 24 patients was less than that of the controls 10 minutes, 30 minutes and 24 hours later (t>2.044, P<0.05). The d′ in the patients was more of 10 minutes and 30 minutes than that of 24 hours (P<0.05). Conclusion Some patients with CTBI during recovery exhibit impairment in acquisition of pictorial information, and accelerated forgetting is found in the others without impairment.
		                        		
		                        		
		                        		
		                        	
8.Effect of Low-frequency Repetitive Transcranial Magnetic Stimulation on Memory and Cognition Impairment after Stroke
Haitao LU ; Li SUN ; Huazhen GUO ; Tong ZHANG
Chinese Journal of Rehabilitation Theory and Practice 2015;21(9):1074-1077
		                        		
		                        			
		                        			Objective To investigate the effects of low-frequency repetitive transcranial magnetic stimulation (rTMS) on post-stroke disfunction of cognition and memory by stimulating right dorsolateral prefrontal cortex. Methods 40 patients were randomized into the rTMS (n=19) and sham (n=21) groups. The function of cognition and memory were measured before treatment, after treatment and 2 months post-treatment with Montreal Cognitive Assessment (MoCA), Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) and Rivermead Behaviour Memory Test (RBMT). Results All scores improved in both groups after treatment and 2 months post-treatment (P< 0.001), and improved more in the rTMS group than in the sham group (P<0.01). Conclusion Low-frequency rTMS may improve the function of memory and cognition after stoke.
		                        		
		                        		
		                        		
		                        	
9.Reliability and Validity of Revised EC301Calculation and Number Processing Battery in Chinese Version
Xin ZHANG ; Xiaoping YUN ; Huili ZHANG ; Huazhen GUO ; Mingming GAO
Chinese Journal of Rehabilitation Theory and Practice 2011;17(6):523-526
		                        		
		                        			
		                        			Objective To analyze the reliability and validity of Revised EC301Calculation and Number Processing Battery in Chinese version (EC301-CR); To establish diagnostic criteria by EC301-CR for acalculia in order to provide an effective assessment tool clinically. Methods The items of EC301were adjusted. 103 patients with acquired brain injury and 37 normal controls were randomly selected. 24 normal controls randomly selected were retested 6 weeks latter. Results The Cronbach's coefficient, the split-half reliability and the retest reliability coefficients were 0.907, 0.744, and 0.965, respectively. The correlation coefficient within subscales was more than the correlation coefficient between subscales. 4 first-order factors were extracted which accounted for 69.359% of the accumulated variance, which were mental calculation, number transcoding, written calculation and approximation, and understanding of numbers. Control data (n=37) showed that the P10 of EC301-CR was 222.6. Conclusion The critical value of acalculia is 222.6 in EC301-CR test. Psychometric properties analysis shows that EC301-CR is a reliable and validated instrument for acalculia.
		                        		
		                        		
		                        		
		                        	
10.Efficacy of Rehabilitation on Memory Disorders
Mingming GAO ; Xiaoping YUN ; Huili ZHANG ; Huazhen GUO ; Xin ZHANG ; Xiulian NIU ; Xin QI ; Yingxin QIAO ; Jianwen WANG ; Chenxia GUAN ; Fuying LI ; Hai REN ; Ye LIU ; Yajuan LU ; Baohua XU ; Ruowei ZHOU
Chinese Journal of Rehabilitation Theory and Practice 2011;17(6):527-530
		                        		
		                        			
		                        			Objective To investigate the effect of rehabilitation on memory deficits after acquired brain injury, to compare different training models of memory rehabilitation and to analyze the possible factors affecting memory rehabilitation. Methods 144 patients with acquired brain injury following memory deficits were randomly assigned to computer-assisted training group, face-to-face training group and control group. Both training groups were given memory-based cognitive training program once a day which sustained 30 minutes for 6 or 12 weeks. The instantaneous memory, short-term memory and long-term memory were evaluated and compared before and after training. The effect of gender, age, education, course, site of injury and coma time on training efficacy were analyszed as well. Results 6 weeks and 12 weeks at training, both computer-assisted and face-to-face training groups showed a significant improvement in memory abilities when compared to controls (P<0.01), with the former making more progress (P<0.01). Negative correlation was found between age and memory performance. Conclusion Effectiveness of memory rehabilitation is proven. 12 weeks training can significantly improve memory. Cognitive training using professional equipment is significantly more effective than the face-to-face training and should be recommended.
		                        		
		                        		
		                        		
		                        	
            

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