China ; Congresses as Topic ; Humans ; Pharyngeal Diseases ; Tracheal Diseases

OBJECTIVETo discuss the Chinese version of reflux symptom index (RSI) scale's reliability, validity and clinical value.

METHODSUsing the Chinese version of RSI scale on the ENT outpatients. There are one hundred and seven patients, included thirty-five patients with common throat (non-suspected) and seventy-two patients with clinically suspected throat reflux. 107 patients are to complete the two scales before and after one week. Thirteen patients with common throat(non-suspected) diseases and forty-one with suspected throat reflux also received RSI testing. Among the thirty-four confirmed acid reflux disease patients, thirty patients received pharmaceutical treatments and self-performed post-RSI testing after three months.

RESULTSThe RSI Scale internal reliability consistency included the test-retest reliability (0.750 - 0.971), discriminant validity and construct validity. RSI total targeting percentage of 66.7%, targeting percentage is 80.8%, discriminant validity using 2 independent samples Wilcoxon test, RSI total score compared to Z = -3.266, P = 0.001. The before and after treatment self-control chi-square test (P < 0.05), difference was statistically significant.

CONCLUSIONSRSI Simplified Chinese version has good reliability and validity, and can be used for laryngopharyngeal reflux disease (LPRD) diagnostic screening along with the efficacy for the treatment of patients with appropriate LPRD aids.

Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Gastroesophageal Reflux ; diagnosis ; Humans ; Laryngopharyngeal Reflux ; diagnosis ; Male ; Middle Aged ; Reference Standards ; Severity of Illness Index ; Surveys and Questionnaires ; Young Adult

Adolescent ; Adult ; Environmental Monitoring ; methods ; Hazardous Substances ; analysis ; Humans ; Male ; Occupational Exposure ; analysis ; prevention & control ; Sentinel Surveillance ; Young Adult

OBJECTIVETo evaluate the influence of ethylbenzene on the neurobehavior of occupationally exposed workers.

METHODSThe exposure group consisted of 246 workers occupationally exposed to ethylbenzene and 172 staffs from the offices served as controls. The basic information on ethylbenzene exposure was collected by the questionnaire. The nervous behavior and function of workers were evaluated by Neurobehavioral Core Test Battery (NCTB).

RESULTSThere were no differences of the scores for four emotional states (tension, depression, angry and bewilderment) between exposure group and control group (P > 0.05). The score of emotion (vigor) in exposure group was significantly lower than that in control group (P < 0.05), but the fatigue score in exposure group was significantly higher than that in control group (P < 0.05). The score of mean reaction time in exposure group was significantly higher than that in control group (P < 0.05), the scores of digital span, manual dexterity, visual retention and target tracking in exposure group were significantly lower than those in control group (P < 0.05). The exposure group was divided into 5 sub-groups, according to working duration. There were no differences for the scores of visual retention and target tracking among 5 sub-groups (P > 0.05). The scores of five emotional states (tension, depression, angry, fatigue and bewilderment) in 3 sub-groups exposed to ethylbenzene for 3 ∼, 4 ∼ and 5 ∼ years were significantly higher than those in 2 sub-groups exposed to ethylbenzene for 0 ∼ and 2 ∼ years (P < 0.05). The scores of digital span in 2 sub-groups exposed to ethylbenzene for 3 ∼ or 4 ∼ years and the scores of manual dexterity and digital symbol in 3 sub-groups exposed to ethylbenzene for 3 ∼, 4 ∼ and 5 ∼ years were significantly lower than those in 2 sub-groups exposed to ethylbenzene for 0 ∼ and 2 ∼ years (P < 0.05).

CONCLUSIONEthylbenzene can depress the neurobehavioral functions of exposed workers. The neurobehavioral functions of workers exposed to ethylbenzene for 3 years changed significantly. The workers exposed to ethylbenzene for 3 years may be the susceptible population of neurobehavioral function impairment.

Adult ; Benzene Derivatives ; adverse effects ; Control Groups ; Emotions ; drug effects ; Humans ; Male ; Occupational Exposure ; Psychometrics ; Reaction Time ; drug effects ; Surveys and Questionnaires

OBJECTIVETo explore the effects of occupational ethylbenzene exposure on blood neurotransmitter levels in population.

METHODSThe exposure group consisted of 246 workers occupationally exposed to ethylbenzene and the control group was composed of 122 staffs from the offices. The basic information on ethylbenzene exposure was collected by the questionnaire. The mandelic acid (MA) and phenylglyoxylic acid (PGA) in the post-working urine were measured using the high performance liquid chromatography. The levels of gamma-aminobutyric acid (GABA), dopamine (DA) and acetylcholinesterase (AchE) activity were detected by reversed phase high performance liquid chromatography, spectrofluorometry and DTNB method, respectively. The blood biochemical indexes: alanine transaminase (ALT), aspartate aminotransferase (AST), total protein (TP), albumin (ALB), alkaline phosphatase (ALP), total bilirubin (TBIL) were examined. Also the hematologic indexes: red blood cell (RBC), white blood cell (WBC), hemoglobin (HGB) and platelet (PLT) were determined.

RESULTSThe levels of MA, PGA and MA+PGA of urine in the exposed group were significantly higher than those in the control group (P < 0.05). There were no significant differences of the biochemical indexes (AST, ALT, TP, ALB, BUN, Cr, ALP and TBIL), hematologic indexes (WBC, RBC, Hb and PLT) and serum GABA between the exposure group and the control group (P > 0.05). But the serum DA [(0.21 ± 0.011) mg/L] and AChE levels [(0.321 ± 0.066) U/L] in the exposure group were significantly lower than those in the control group [(0.25 ± 0.015) mg/L, (0.583 ± 0.125) U/L], respectively (P < 0.05).

CONCLUSIONMA and PGA in urine can serve as the biomarkers of internal exposure dose. Before the obvious changes of biochemical indexes and hematologic indexes appear, the exposure to ethylbenzene can influence the blood neurotransmitter levels in workers exposed to ethylbenzene.

Adult ; Air Pollutants, Occupational ; analysis ; Benzene Derivatives ; analysis ; Case-Control Studies ; Humans ; Male ; Neurotransmitter Agents ; blood ; Occupational Exposure ; gamma-Aminobutyric Acid ; blood

OBJECTIVETo investigate the influence of ethylbenzene on the levels of mandelic acid (MA) and phenylglyoxylic acid (PGA) in urine, the ultrastructure and the expressions of mitochondrial apoptotic-related genes in the rat nephridial tissues.

METHODSFour groups of 10 males of Sprague-Dawley rats were allocated randomly into four groups: control (C) group, low (L) group, moderate (M) group and high (H) group, and inhaled daily with different doses of ethylbenzene: 0, 433.5 mg/m(3), 4335 mg/m(3), and 6500 mg/m(3) 6 h per day, 5 days per week for 13 weeks. The mandelic acid and phenylglyoxylic acid in the urine was assayed by high performance liquid chromatography. The ultrastructure of nephridial tissue was observed via electron microscope. The protein expression levels of Bax, Bcl-2, cytochrome C, Caspase-9 and Caspase-3 in nephridial tissues were measured by Western blot, respectively.

RESULTSThe levels of MA [(0.303 +/- 0.148) mg/L, (0.404 +/- 0.154) mg/L] and PGA [(0.168 +/- 0.104) mg/L, (0.174 +/- 0.092) mg/L] in the urine of M and H groups were significantly higher than that in the control and L group [(0.084 +/- 0.070) mg/L, (0.041 +/- 0.029) mg/L] (P < 0.05, respectively). It has been shown a dose-effect relationship between the contents of MA, PGA and MA + PGA and inhaled ethylbenzene, respectively. The mitochondria of rat nephridial tissue of H group became a compact and vacuolar structure with disorder and loss of cristae. The expression levels of Bax in mitochondria of nephridial tissues of M and H groups were significantly lower than that in the control group (P < 0.05). Caspase-3 expression level in H group was remarkably higher than that in the control group (P < 0.05). Compared with the control group, the expression levels of cytochrome C and Caspase-9 were enhanced, while the expression levels of Bcl-2 were restrained in all ethylbenzene-treated groups (P < 0.05, P < 0.05, respectively). The expression levels of Caspase-3 in M and H groups were significantly higher than that in the control group and L group (P < 0.05).

CONCLUSIONEthylbenzene can induce apoptosis in the cells of nephridial tissues. The apoptotic mechanism might be involved with up-regulation of Bax, cytochrome C, Caspase-9 and Caspase-3, as well as restraint of Bcl-2. The level of MA and PGA in the rat urine could be a parameter of biological dose in vivo after ethylbenzene inhalation.

Animals ; Apoptosis ; Benzene Derivatives ; toxicity ; Caspase 3 ; metabolism ; Caspase 9 ; metabolism ; Disease Models, Animal ; Glyoxylates ; urine ; Kidney ; drug effects ; metabolism ; ultrastructure ; Male ; Mandelic Acids ; urine ; Proto-Oncogene Proteins c-bcl-2 ; metabolism ; Rats ; Rats, Sprague-Dawley ; bcl-2-Associated X Protein ; metabolism

OBJECTIVETo reveal the association of 4G/5G polymorphism in the promoter region of the plasminogen activator inhibitor 1 gene (PAI1) with plasma PAI1 level in deep vein thrombosis (DVT) in Chinese Han ethnic group.

METHODSOne hundred and twenty Chinese DVT patients and 120 healthy controls were recruited. The PAI1 promoter 4G/5G polymorphism was detected using polymerase chain reaction (PCR). The antigen of tissue-type plasminogen activator (tPA) or PAI1 was quantified by a commercially available enzyme-linked immunosorbent assay (ELISA) in DVT cases and health controlsì respectively.

RESULTSNeither in the distribution of PAI1 promoter 4G/5G polymorphism nor in the frequencies of 4G and 5G allele was there a difference between two groups. The levels of PAI1 antigen in the carriers of the 4G/4G genotype were significantly higher than those either in the 4G/5G genotype or in the 5G/5G genotype; In the 4G/5G genotype or in the 5G/5G genotype the TG levels are an independently determinant factor of PAI1 antigen levels.

CONCLUSIONThere is a close relationship of the PAI1 4G/5G polymorphism to its plasma level in deep vein thrombosis in Chinese Han ethnic group, although lack of association between this genetic variation and risk of DVT suggest no major cause-effect pathogenic role of this polymorphism by itself.

Adult ; Aged ; Case-Control Studies ; Electrophoresis ; Enzyme-Linked Immunosorbent Assay ; Female ; Genetic Predisposition to Disease ; Genotype ; Humans ; Male ; Middle Aged ; Plasminogen Activator Inhibitor 1 ; blood ; genetics ; Polymorphism, Genetic ; Promoter Regions, Genetic ; genetics ; Venous Thrombosis ; blood ; genetics

Humans ; Hypopharynx ; Laryngopharyngeal Reflux/diagnosis* ; Respiratory System

OBJECTIVESalt-sensitivity plays an important role in essential hypertension and is associated with more severe target organ injury and higher mortality in patients with essential hypertension. However, the pathologic mechanism of salt-sensitivity is poorly understood and endothelial dysfunction might be involved in salt-sensitive hypertension. We, therefore, observed the endothelial function changes by measuring plasma and urine nitric oxide (NO) concentrations in salt-sensitive (SS) normotensive and mild hypertensive subjects underwent various salt loading protocols and the effects of potassium supplement.

METHODSThirty-nine normotensive and mild hypertensive subjects (< 160/100 mm Hg), aged 16-60, were enrolled and the study protocol is as follows: 3 days baseline investigation, 1 week low-salt loading (3 g/day), 1 week. high-salt loading (18 g/day) and 1 week high-salt loading plus potassium chloride (4.5 g/day).

RESULTSPlasma and urine NO levels were significantly lower in SS (n = 8) subjects at baseline, low-salt and high-salt loading phases compared with salt-resistant subjects (SR, n = 31) and oral potassium supplement to SS subjects with high salt loading significantly increased plasma and urine NO levels.

CONCLUSIONEndothelial function is impaired in normotensive and mild hypertensive SS subjects. Oral potassium supplement could improve endothelial function in normotensive and mild hypertensive SS subjects.

Adult ; Antihypertensive Agents ; Blood Pressure ; Endothelium ; physiology ; Female ; Humans ; Hypertension ; epidemiology ; physiopathology ; Male ; Nitric Oxide ; blood ; urine ; Potassium, Dietary ; administration & dosage

BACKGROUNDCurrently, whether or not there is visuospatial impairments in Chinese dyslexic children is still a matter of discussion. The relatively recent application of an eye-tracking paradigm may offer an opportunity to address this issue. In China, in comparison with reading studies, there have not been nearly as many eye movement studies dealing with nonreading tasks such as picture identification and whether Chinese children with dyslexia have a picture processing deficit is not clear. The purposes of the present study were to determine whether or not there is visuospatial impairments in Chinese dyslexic children. Moreover, we attempted to discuss whether or not the abnormal eye movement pattern that dyslexic subjects show during reading of text appropriate for their age is a consequence of their linguistic difficulties.

METHODSAn eye-link II High-Speed Eye Tracker was used to track the series of eye-movement of 19 Chinese dyslexic children and 19 Chinese normal children. All of the subjects were presented with three pictures for this eye-tracking task and 6 relative eye-movement parameters, first fixation duration, average fixation duration, average saccade amplitude, mean saccade distance, fixation frequency and saccade frequency were recorded for analysis.

RESULTSAnalyzing the relative parameter among three pictures, except for the fixation frequency and the saccade frequency, other eye-movement parameters were significantly different among the three pictures (P<0.05). Among the three pictures, the first fixation duration was longer, and the average fixation duration, the average saccade amplitude and the mean saccade distance were shorter from picture 2 to picture 3. Comparing all eye-movement parameter between the two groups, the scores of average saccade amplitude (P=0.017) and the mean saccade distance (P=0.02) were less in the dyslexia group than in the normal group (P<0.05), other parameters were the same in the two different groups (P>0.05).

CONCLUSIONSThe characteristics of the pictures can significantly influence the visuospatial cognitive processing capability of the Chinese children. There is a detectable disability for the Chinese dyslexic children in the visuospatial cognitive processing: their saccade amplitude and mean saccade distance are shorter, which may be interpreted as specific for their reading disability.

Case-Control Studies ; Child ; Dyslexia ; physiopathology ; psychology ; Eye Movements ; Female ; Humans ; Male ; Saccades