Background and Objectives: This study describes the development of an International Classification for Functioning, Disability and Health (ICF)-based inventory for tinnitus (ICF-TINI) that measures the impact of tinnitus on the function, activities, and participation of an individual. Subjects and Methods: This cross-sectional study utilized the ICF-TINI, which included 15 items from the two ICF components of body function and activities. We included 137 respondents with chronic tinnitus. Confirmatory factor analysis validated the two-structure framework (body function, activities and participation). The model fit was assessed by comparing fit values of chi-square (df), root mean square error of approximation, comparative fit index, incremental fit index, and Tucker-Lewis index, with the suggested fit criteria values. Cronbach’s alpha was used to assess internal consistency reliability. Results: The fit indices confirmed the presence of two structures in ICF-TINI, while the factor loading values suggested each item’s goodness of fit. The ICF-internal TINI exhibited high consistency reliability (0.93). Conclusions The ICFTINI is a reliable and valid tool for assessing the impact of tinnitus on an individual’s body function, activities, and participation.

Objective: To assess the nuclear factor-erythroid 2-related factor-2 (Nrf2) modulatory effect of caffeic acid and protocatechuic acid and determine the anti-tumor activity of these phenolic compounds against Ehrlich ascites carcinoma growth in mice. Methods: Antioxidant activity of protocatechuic acid and caffeic acid was assessed using ferric reducing antioxidant power (FRAP) and 2,2-diphenyl-1-picrylhydrazyl (DPPH). Nrf2 activation potential of phenolic compounds was tested by quantitative realtime polymerase chain reaction, and luciferase complementation reporter assays. In vivo efficacy was tested using the Ehrlich ascites carcinoma model. Results: FRAP and DPPH radical scavenging assays showed that caffeic acid and protocatechuic acid were more potent compared with cinnamic acid and benzoic acid. Luciferase complementation reporter assays identified caffeic acid and protocatechuic acid as the activators of Nrf2. Both caffeic acid and protocatechuic acid upregulated the expression of Nrf2 target genes heme oxygenase-1 (HO-1), glutamate-cysteine ligase catalytic subunit (GCLC), and glutamate-cysteine ligase modifier subunit (GCLM) and the activity of NAD(P)H:quinone oxidoreductase 1 (NQO1) when tested on HCT-116 cells using a cell-based assay system at 9 h. In addition, intraperitoneal administration of caffeic acid and protocatechuic acid to Ehrlich ascites carcinoma bearing mice suppressed tumor growth and angiogenesis. Conclusions: Caffeic acid and protocatechuic acid can modulate Nrf2 and inhibit Ehrlich ascites carcinoma cells.