Relationship between the cognitive impairment in senile stroke patients and the restoration of activities of daily living
Bibliographic record
Abstract
BACKGROUND: One of the main problems of rehabilitative treatment of stroke is that the cognitive impairment disturbs the restoration of activities of daily life (ADL).OBJECTIVE: To explore the disturbance of cognitive impairment to the improvement of ADL in stroke patients.DESIGN: A non-randomized and controlled trial based on diagnosis.SETTING: The neurological department of Shaoxing People' s Hospital.PARTICIPANTS: A total of 40 hospitalized stroke patients in the neurological department of Shaoxing People' s Hospital were evaluated with concise mental state examination table within 3 days after stroke attack and were divided into two groups(normal and abnormal group), based on the evaluation results. In abnormal group were 20 patients(male 11, female 9)with cognitive impairment. In normal group were 20 patients(male 13, female 7) without cognitive impairment.METHODS: The patients in the two groups were frist evaluated and then treated respectively according to the treatment plans, which includes posture setting, daily punctual from passive gradually to active movement acoompanied with acupuncture, hyperbaric oxygen treatment and low-frequency circulation treatment. Evaluation was conducted regularly and the treatment plans were adjusted correspondingly to the evaluation results. The change and effect of ADL at the second week, third month and 6th month were recorded and compared. The comparison was conducted according to the clinical neurological deficit scale for stroke.MAIN OUTCOME MEASURES:①) The improvement of ADL in the two groups before and after the treatment. ② The result of therapeutic effect.RESULTS: The improvement of ADL between the two groups was also different ( P ＜ 0. 05). The total effective rate in the two groups was different,too(80% vs 15%, P ＜0.001).CONCLUSION: The cognitive impairment seriously affects senile stroke patient' s improvement in ADL. It is of great importance to evaluate the cognitive impairment and prescribe timely cognitive rehabilitation intervention for improving the social adjustment ability and the living quality of the patients as well as their prognosis.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".