Diagnosis and therapy for horizontal semicircular canal cupulolithiasis / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#By analysing the video-nystagmography findings of positional tests,to evaluate the therapeutic effect of the patients with horikontal semicircular canal cupulolithiasis (HSC-Cup).@*METHOD@#A retrospective study of 36 patients with HSC-Cup. The induced nystagmus in roll tests was recorded by videonystagmography, whose direction, latency, intensity and time characteristics were analysed. All of the 36 patients were treated with lying position avoiding normal side and oral-taken betahistine mesilate tablets. A week later return visits and curative effects evaluation were made.@*RESULT@#Horizontal apogeotropic nystagmus was induced by turning left or right in HSC-Cup roll tests. The time of latency and duration turning to normal and lesion side were(0. 93 ± 0. 65)s and(1. 01 ± 0. 78)s, (100.58 ± 36. 56)s and (118. 65 ± 143. 71)s, which showed no statistically significant difference (P>0. 05). The duration of nystagmus was more than 60 seconds. The intensity of nystagmus turning to normal and lesion side were(45.58 ± 28.71)°/s and (20.42 ± 16. 64)°/s. The intensity turning to normal side was greater than lesion side obviously. The difference was statistically significant (P<0. 05). Twenty-three patients withright HSC-Cup, and 13 patients with left HSC-Cup were taken in count. They were treated with above methods and return visit a week later. Twenty-eight patients (77. 77%) were cured, 36 patients (100. 00%) were improved. There were 4 patients recurrence during the follow-up.@*CONCLUSION@#The direction and duration time of induced nystagmus are available to diagnose the HSC-Cup. The lesion side may determined according to the intensity of induced nystagmus. Lying position avoiding normal side and oral-taken betahistine mesilate tablets is an effective treatment methods for HSC-Cup.

Mutation analysis of 16 mutation spots related to children patients with non-syndromic sensorineural hearing loss / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To explore the clinical signification of screening 16 target deafness mutations in GJB2, GJB3, SLC26A4, WFS1 and mitochondrial DNA 12S rRNA in 135 children patients with non-syndromic sensorineural hearing loss (NSHL) in Zibo City, Shandong province.@*METHOD@#Peripheral blood samples of 135 subjects in the study diagnosed as NSHL were collected; Polymerase chain reaction (PCR) and direct sequencing were used to analyze the 16 mutation spots.@*RESULT@#Sixty-two cases of 135 patients (45.9%, 62/135) were found out to be carries of at least one pathogenic gene mutation. Among them, 24 cases (17.8%, 24/135) had two mutated alleles (homozygote and compound heterozygote), and 38 cases (28.1%, 38/135) were single mutant carriers. Among all the children patients, 30 cases (22. 2%, 30/135) had SLC26A4 mutations, and 19 cases (14.1%, 19/135) had GJB2 mutations. In the study 86 Mutant alleles were detected, and the allele frequency of SLC26A4 c. 766_2A > G and GJB2 c. 235delC was 11.11% (30/270) and 8.5% (23/270) respectively. The allele frequency of SLC26A4 c. 2168A > G and WFS1 c. 2158A > G is 2.6% (7/270).@*CONCLUSION@#SLC26A4 mutation is the primary cause of the patients with NSHL in this study, and GJB2 mutation is the secondary. The most common mutant form is c. 766_2A of SLC26A4, and the second is c. 235delC of GJB2. GJB3 and WFS1 mutations were detected, whereas mtDNA mutations were not found out in this study.

The Role of Frequency Complementarities of Vestibular Tests in the Evaluation of Vestibular Function / 天津医药

Objective: To analyze the role of frequency complemcntarities of vestibular tests including caloric test (CT),head shaking test(HST),and vibration test(VT) in the evaluation of vestibular function. Methods: Five hundreds and eightyfour patients with unilateral peripheral lesions were tested with CT, HST and VT in order to compare the frequency characteristic of abnormal vestibular function. Results: Of the 584 patients, 189 (32.36%), 283 (48.46%) and 368 (63.01%)cases showed vibration-induced nystagmus (VIN), head shaking nystagnms (HSN) and abnormal unilateral weakness (UW)respectively. There were 22 isolated VIN, 52 HSN and 145 cases of abnormal UW respectively. One hundred and fifty-nine (27.23%) cases had combination damage of two frequency bands, 101 (17.29%) had vestibular damage at all frequency bands,479 (82.02%) had abnormal results in any of the three tests, and 105 (17.98%) had no abnormality in all those three tests.Through consistency test, CT and HST (Kappa=0.106, P＜ 0.05), CT and VT(Kappa=0.068, P＜ 0.05), VT and HST (Kappa=0.321, P＜0.05) showed low consistency among them. VIN and HSN were more hkely to be evoked with the increasing of the UW (X'2VIN=22.686,X2HSN=23.023, P＜ 0.05). Conclusion: The vestibular damage in the patients with vertigo could reflect at isolated low, middle, high frequency or multi frequency bands. Thus, CT, HST and VT all make significant contributions to multiple-frequency analysis of vestibular function and show a well complementarities. So they can be used in evaluating the overall function of the vestibular and indicating a serious vestibular lesion if the damage affected multi frequency bands.

To analyze the screening value of vestibular monothermal caloric tests / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To investigate the screening value and the reliability of the monothermal caloric tests (MCT) in evaluating vestibular function.@*METHOD@#One thousand and four hundred and six vertigo patients were divided into two groups. Seven hundred and five cases were stimulated by different temperature air from cold to warm. The caloric test sequence of other 701 cases was opposite. The first stimulated cold or warm air test was regarded as monothermal cold caloric test (MCCT) or monothermal warm caloric test (MWCT). The unilateral weakness (UW) and directional preponderance (DP) of the bithermal caloric tests (BCT) and the UW of the MCT were calculated. By defining the BCT results as the standard, the sensitivity, specificity, Youden's index and kappa were calculated.@*RESULT@#Four hundred and twenty-eight showed abnormal BCT and MCCT. One hundred and forty-five showed normal BCT and MCCT. 85, 47 showed isolated abnormal BCT and abnormal MCCT respectively. The sensitivity of the MCCT was 83.4%, specificity was 75.5%, Youden's index was 0.589 and kappa was 0.555 (P<0.01). Four hundred and twenty-nine showed abnormal BCT and MWCT, 130 showed normal BCT and MWCT. 82, 60 showed isolated abnormal BCT and abnormal MWCT respectively. The sensitivity of the MWCT was 84.0%, specificity was 68.4%, Youden's index was 0.524 and kappa was 0.505 ( P<0.01). The sensitivity of the MCCT and MWCT were 86.9% and 86.9% respectively when cases accompanied by spontaneous nystagmus (SN) were excluded. The sensitivity of the MCCT and MWCT were 89.3% and 88.1% respectively when cases with abnormal DP were excluded.@*CONCLUSION@#The high false-positive and false-negative rate of the MCT limit the usefulness as a screening test due to the influence of DP and SN.

Determination of Sulfate in Water by Barium Chromate Spectrophotometry / 环境与健康杂志

Objective To establish a rapid determination method for sulfate in water. Methods In the weak acid solution, sulfate connected with barium chromate into sulfate barium and chromate. Surplus barium chromate precipitated when adding the mixture of CaCl2 and NH3?H2O. The chromate replaced by sulfate was detected at wave length of 420 nm. Results The RSDs were 1.8%-6.8% and the recovery rates were 98.9%-101.0%. Conclusion The method was rapid, simple and its sensitivity and accuracy can meet the requirement of standard examination methods for drinking water.

Determination of 11 Kinds of Halogenated Alkane Hydrocarbon in Drinking Water with Headspace Gas Chromatography / 环境与健康杂志

Objective To establish a method to determine halogenated alkane hydrocarbon in drinking water with headspace gas chromatography. Methods Halogenated alkane hydrocarbon in the water were extracted by headspace technology, then analyzed with DB-5 capillary column, in the same time, they were determined with GC by controlling the temperature and the speed of nitrogen. The retention time of the peaks was used for qualitative analysis, while external standard method was used for quantitative analysis. Results The linear ranges for dichloromethane, trichloromethane, 1, 1, 1-trichloroethane, 1, 2-dichloroethane, carbon tetrachloride, trichloroethylene, bromodichloromomethane, 1, 1, 2-trichloroethane, dibromochloromethane, tetrachloroethylene, tribromomethane were 0.8-4 024.0, 0.007-33.5, 0.004-19.2, 1.4-6 821.0, 0.002-10.0, 0.005-25.6, 0.002-12.1, 0.1-717.8, 0.005-23.5, 0.002-8.1 and 0.02-87.7 ?g/L. The lowest determination limit were 0.01- 4.1 ?g/L, the rate of recovery were 89.7%-110.0% and RSDs were 2.8%-9.0%. Conclusion This method can efficiently separate and accurately determine 11 kinds of halogenated alkane hydrocarbon in drinking water. It is simple, rapid and sensitive.

Determination of 11 Kinds of VOCs in Drinking Water with Headspace Gas Chromatography / 环境与健康杂志

Objective To establish a method for determining VOCs in drinking water by headspace gas chromatography. Methods VOCs in the water were extracted by headspace technology, then analyzed with Rtx-WAX capillary column, in the same time, VOCs was determined with GC by controlling the temperature and the speed of nitrogen. The retention time of the peaks was used for qualitative analysis, external standard method was used for quantitative analysis. Results The linear ranges of dichloromethane, benzene, toluene, 1, 2-dichloroethane, ethylbenzene, p-xylene, m-xylene, o-xylene, isopropylbenzene, chlorobenzene, styrene were 6.2-311.2, 2.0-100.0, 1.6-81.5, 5.7-282.8, 1.9-93.4, 1.7～85.4, 1.7-87.2, 2.1-103.2, 1.5-76.3, 2.2-107.3 and 1.9-96.0 ?g/L respectively. The lowest determination limit were 0.5-5.9 ?g/L, the rate of recovery were 88.8%-109.6% and RSDs were 2.2%-5.9%. Conclusion This method is simple, rapid, sensitive and can efficiently separate and accurately determine 11 kinds of VOCs in drinking water.

Pneumatic Lithotripsy Under Non-endoscopy / 中国医师杂志

Objective To treat urinary calculi with pneumatic lithotripsy under non-endoscopy.Methodes We applied the pneumatic lithotripsy machine,which made in China,to treat huge or staghom nephrolith and calculi of anterior urethra under non-endoscopy,taken out stone fragmentations after lithotripsy.There was 1 case of huge nephrolith,7cases of staghom nephrolith,3 cases of anterior urethral calculi.Results Every case of nephrolith was successfully performed by using lithotrisy and extracted stones only one case.1 case in total nephrolith cases was found residual stones and sick-side renal functions were improved than before in all casws followed up for 3 moths to 2 years.the cases of anterior urethral calculi urinated fluently and had no urethral stenoses followed up 1～2 years.Conclusion This kind of operation used pneumatic lithotripsy to treat urinary calculi under non-endoscopy is safe,slight injury and curative effect is reliable.

Method of Evacuated Suture of Reducing Tension to Prevent Incision Fat Necrosis / 中国医师杂志

Objective To discuss the effect of preventing postoperative incision fat necrosis by the method of evacuated suture of reducing tension. Methods The method of evacuated suture of reducing tension was used in 158 cases. Age of them was 22～83 years old,mean 52 years old. There were thick fat tissues in the sub-skin of all patients.The fat average thickness was from 4 0～8 0cm.Results The treatment group had 158 cases, of which, lumbar incision had 62 cases, subcostal incision had 5 cases and hypogastric median incision had 91 cases. Among 158 cases,there were 4 cases of incision fat necrosis, 3 cases of incision infection and the others were one-stage healing.The control group had 97 cases. Among them, there were 18 cases of fat necrosis, 4 cases of incision infection and the others are one-stage healing. Conclusions Method of evacuated suture of reducing tension to prevent incision fat necrosis has satisfactory efficacy and worth of clinical popularization and application.

Determination of Kelthane and Pyrethroid Pesticide Residues in Water by Capillary Column Gas Chromatography / 环境与健康杂志

Objective To establish a method for simultaneous determination of kelthane and pyrethroid pesticide residues in water.Methods Kelthane and pyrethroid pesticide residues in the water were extracted by liquid-liquid,then analyzed with DB-1 capillary column.In the same time,they were determined with GC by controlling the temperature.Retention time of the peaks was used for qualitative analysis,while external standard method was used for quantitative analysis.Results The linear ranges of Kelthane,Bifenthrin,Fenpropanate,Lambda cyhalothrin,Permethrin,Beta cyfluthrin,Alphacypermethrin,Fenvalerate were 0.24-31.1,0.21-27.2,0.20-26.0,0.21-26.5,0.20-25.7,0.21-26.4,0.22-29.0 and 0.22-27.4 ?g/L,r≥0.999 0.The lowest determination limits were 0.20,0.33,0.30,0.13,0.36,0.26,0.33 and 0.30 ?g/L,the rate of recovery was 86.0%-111.7% and RSD was 3.8%-11.8%.Conclusion This method can separate efficiently and determine 8 kinds of pyrethroid pesticide residues in the water and only needs 23 minutes.It's simple,rapid and sensitive.

Determination of Acetaldehyde and Acraldehyde in Water with Headspace Gas Chromatography / 环境与健康杂志

Objective To establish the method of acetaldehyde and acraldehyde in water with headspace gas chromatography. Methods Acetaldehyde and acraldehyde in the water samples were extracted by headspace technology,then analyzed with DB-624 capillary column. In the same time,they were determined with GC by controlling the temperature. Retention time of the peaks was used for qualitative analysis,while external standard method was used for quantitative analysis. Results In 3.0-250 ?g/L, the regression equation for acetaldehyde was y=406.83 x+0.847,r=0.999 9,the lowest detection limit was 1.0 ?g/L. In 6.2-500 ?g/L, the regression equation for acraldehyde was y=207.53 x-0.450,r=0.999 8,the lowest detection limit was 3.3 ?g/L. The rates of recovery were 90.0%-95.5%,and RSDs were 2.1%-3.7%. Conclusion This method is simple,rapid,sensitive and is applicable to the determination of acetaldehyde and acraldehyde in water.

Determination of Five Kinds Halogenated Alkane Hydrocarbon in Drinking Water with Headspace Gas Chromatography / 环境与健康杂志

Objective To establish a test method of dichloromethane,1,1-dichloroethylene,1,2-dichloroethylene,1,2-dichloroethane in drinking water with headspace gas chromatography.Methods Halogenated alkane hydrocarbon in the water was extracted by headspace technique,then analyzed with DB-624 capillary column.In the same time,determined with GC by controlling the temperature.Retention time of the peaks was used for qualitative analysis,while external standard method was used for quantitative analysis.Results The linear ranges for dichloromethane,1,1-dichloroethylene,1,2-dichloroethylene,trans-1,2-dichloroethylene,1,2-dichloroethane were 0.85-168,0.07-12.1,0.40-77.8,0.53-119 and 1.2-265 ?g/L respectively,the determination limits were 0.83,0.07,0.40,0.53 and 1.10?g/L respectively,r≥0.999 5,the rate of recovery were 102.5%-113.8%,and RSDs were 5.5%-11.8%.Conclusion This method is simple,rapid and sensitive,can efficiently separate and accurately determine 5 kinds of halogenated alkane hydrocarbon in the water and only takes 5.2 minutes.

Determination of 12 Kinds of Organophosphorus Pesticides in Water by Capillary Column Gas Chromatography / 环境与健康杂志

Objective To establish a method for simultaneous determination of 12 kinds of organophosphorus pesticides in water. Methods Organophosphorus pesticides in the water were extracted by liquid-liquid extraction, then analyzed with DB-1701 capillary column. In the same time, they were determined with GC by controlling the temperature and the speed of nitrogen. Retention time of the peaks was used for qualitative analysis, while external standard method was used for the quantitative analysis. Results The linear ranges of organophosphorus pesticides were 0.2～50.0 ?g/L, r≥0.999 1. The lowest detection limit was 0.009～0.04 ?g/L, the rate of recovery were 78.4%～93.9% and RSDs were 3.4%～7.5%. Conclusion This method is simple, rapid, sensitive and can efficiently separate and determine 12 kinds of organophosphorus pesticides in the water with 32.5 minutes of operation only.

Determination of Nitrate-N in Water by 2-Isopropyl-5-methyphenol Spectrophotometry / 环境与健康杂志

Objective To develop a rapid determination method of nitrate-N in water.Methods In concentrated sulfuric acid,2-isopropyl-5-methyphenol reacts on nitrate and produces the nitro-compound which may turn into the yellow compound in the alkaline solution for the moleculars rearrange.The content of nitrate-N in water can be calculated according to the absorption value at the wave length of 415 nm.Results A good linear relation was found between the concentrations of nitrate-N and the absorption values in the range of 0-15.0 mg/L.The lowest determination concentration was 0.25 mg/L,the recovery rates were 96%-108% and RSD was 1.6%-4.0%.The results were consistent with those determined by UV spectrophotometry.Conclusion The method was simple,sensitive,rapid and accurate.

Determination of VOCs in Air with Capillary Gas Chromatography / 环境与健康杂志

Objective To develop a method of determining benzene hydrocarbon and halogenated alkane hydrocarbon in the air of workplaces with the capillary gas chromatography of carbon disulphide desorption. Methods Benzene hydrocarbon and halogenated alkane hydrocarbon in the air of workplace were collected by active carbon sampling cuvette, then separated by hydrogen flames detector gas chromatography machine after carbon disulphide desorption. Benzene hydrocarbon and halogenated alkane hydrocarbon were determined quantitively by retention time and quantitatively by apex area. Results The linear ranges of benzene, toluene, p-xylene, m-xylene, o-xylene, ethyl benzene, styenl, chlorobenzene, acetone, carbontetrachloride, dichloromethanl, trichloromethane, 1, 2-dichloroethane, naphth alene were 0.019-81.600, 0.018-91.200, 0.018-88.800, 0.018-56.8, 0.011-92.000, 0.012-63.200, 0.018-93.200, 0.449-2298.400, 0.252-1287.000 and 0.076-390.000 mg/m3 respectively. The recovery rates were 88.4%-98.6% and RSD were 1.0%-6.0%. Conclusion This method can separate efficiently and determine accurately benzene hydrocarbon and halogenated alkane hydrocarbon in the air with a good precision. It is suitable for the determination of the toxicants in the air.