This study demonstrates that screening of CI using the AEL cutoff scores is feasible in a low-education population. Determining whether the 23/24 cutoff point is suitable for the Chinese people requires future prospective studies in a large Chinese population.

Objective: Our purpose was to investigate the prevalence of cognitive impairment and associated factors among elderly people in the Shanghai suburb. Methods: A population-based survey was conducted for people aged 60 years and over in a community of 2 towns (Huaxin and Xujing) in Qingpu district, located in the western suburb of Shanghai. Face-to-face interviews were carried out to collect relevant information with prepared questionnaires. The Chinese version of the Mini-Mental State Examination was used to screen subjects with cognitive impairment, and the criteria of cognitive impairment were adjusted for education level. Univariate and multivariate logistic regression analyses were performed to evaluate factors putatively associated with cognitive impairment. Results: There were 2,809 subjects (1,010 men and 1,799 women) aged 60 years and over (mean: 70.6, SD: 6.6) included in the study, and 198 people (42 men and 156 women) had cognitive impairment, with a prevalence of 7.0% (95% CI: 6.1–7.9) for both genders, 4.2% (95% CI: 3.6–4.8) for men and 8.7% (95% CI: 8.0–9.4) for women among the elderly. The prevalence rates of cognitive impairment increased with age. Although a number of factors were found to be significantly associated with the risk of cognitive impairment from the univariate analysis, only age (OR: 2.245, 95% CI: 1.755–2.872) and preferring a nonsalty diet (OR: 0.647, 95% CI: 0.460–0.912) were left in the final model of multivariate logistic regression analysis. Conclusion: The prevalence of cognitive impairment among the elderly in the Shanghai suburb is relatively high, compared with that previously reported from other areas in China, but lower than that from western countries. Factors associated with cognitive impairment need to be further investigated in the future.

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This paper presents a new design of a high-static-low-dynamic stiffness (HSLDS) isolator with an adjustable cam profile. The interaction force between the cam and roller provides the negative stiffness force and the linear spring provides the positive stiffness force in the HSLDS isolator. Unlike previous studies, the cam profile in this paper can be individually designed to meet different working conditions. Firstly, the harmonic balance method is used to acquire the dynamic response of the HSLDS isolator. Then, the effects of the damping ratio, stiffness ratio, and external force amplitude on the frequency response amplitude and force transmissibility are discussed. Finally, the frequency responses of four designed nonlinear HSLDS isolators and a linear isolator are acquired by the numerical method. The results show that the nonlinear isolator begins to achieve vibration isolation at 0.11 Hz and the linear one is 8.9 Hz. The proposed HSLDS isolator realizes lower vibration isolation frequency than the linear isolator.