ABSTRACT
Objective To explore the mutual relationship between serum uric acid (SUA) level with metabolic syndrome (MD) and its factors among the physical examination population.Methods A total of 8 285 people undergoing the physical check-up in a hospital in 2013 were selected by sampling and conducted the physical measurement and biochemical detection;the subjects were grouped according to the MS diagnostic standard,gender and SUA.Then the correlation between SUA and MS was analyzed.Results The age,BMI,SBP,DBP,FPG,TG and SUA in the MS patients were significantly higher than those in the patients without MS,while the HDL-C level was significantly lower.The occurrence rate of MS in males was higher than females.With the increase of MS factors,the SUA level showed the overall rising trend;the multiple stepwise regression analysis indicated that BMI,DBP and TG were positively correlated with SUA,and the HDL-C level was negatively correlated with the SUA level.The regression equation was Y =-2.135 + 0.066X1 +0.010X2 +0.155X3-0.379X4;the MS detection rate in the HUA group was higher than that in the non-HUA group;in the single factor Logistic regression analysis,the SUA level was significantly related with the MS occurrence (OR=1.007,95％CI 0.006-1.007,P＜0.05),in the SUA diagnostic value for M,AUC in male and female were 0.608 (95 ％CI 0.582-0.634,P＜0.01) and 0.744 (95 ％CI 0.705-0.783,P＜0.01) respectively,the MS best critical diagnostic points in male and female were 360.5 and 256.5,the corresponding diagnostic sensitivities in male and female were 46.49％ and 71.94％,the specificities in male and female were 69.94％ and 69.94％ respectively.Conclusion The SUA level is closely associated with MS,and SUA level has a good predictive effect for MS.
ABSTRACT
OBJECTIVE@#To search for the prevalence and a screening model for hearing impairment in the neonatal intensive care unit (NICU) infants.@*METHOD@#Two-stage hearing screening program by automated auditory brainstem response (AABR) were used. A first test was performed as late as possible before discharge from the NICU. Those cases who failed the initial screening underwent a second test in an outpatient setting with an interval of one month. After a failure at the second screening, the infants were referred to our audiological center for further diagnostic evaluations within three months.@*RESULT@#The subjects included were 824 infants who discharged from NICU between September 2007 and August 2008. Seventy newborns (8.5%) failed the pre-discharge AABR test. Of those, fifty-five (78.6%) received the second AABR screening after one month, and nine referred again. These nine babies were evaluated with additional diagnostic audiological tests. Three of them were eventually identified to have sensorineural hearing loss, and one was diagnosed as auditory neuropathy. The total prevalence of hearing loss was 0.48%.@*CONCLUSION@#Two-stage screening program of AABR may be an ideal model for hearing screening in NICU infants. The prevalence of hearing loss in our group is lower than that reported in the literature.