Chinese (Mandarin) translation of the incremental shuttle walk test and its validity and reliability: A cross-sectional study.

Background/Purpose: To date, there are no published validated Chinese versions of the incremental shuttle walk test (ISWT) instructions despite its wide clinical applications. Translation of the Chinese ISWT instruction is done in an ad-hoc manner within the Chinese-speaking populations, affecting the test's reliability and validity since translation can differ significantly between individuals. This warrants the need for psychometric testing of such translation. Objectives: To develop a Chinese (Mandarin) version of the ISWT instructions (ISWT-CHN) that is conceptually equivalent to the original English version (ISWT-ENG) and establish its reliability and validity. Methods: Forward and backward translations from the ISWT-ENG were done to generate the ISWT-CHN. Face and content validity was determined during the translation process. Intra-rater and inter-rater reliability of the ISWT-CHN, construct and criterion validity were established by analysing the ISWT and the gold standard cardiopulmonary exercise test results. Results: The Item-Content validity index (I-CVI), Scale-level-Content validity index (S-CVI), and content validity ratio (CVR) of the ISWT-CHN were 1.0. Intra-class Correlation Coefficient (ICC) for inter-rater reliability between two raters were excellent (ICC=0.99, 95% CI 0.97-1.0, p<0.001; SEM=0.85 m, MDC=2.35 m). The intra-rater reliability of both Raters A (ICC=0.92, 95% CI 0.53-0.98, p=0.003; SEM=35 m, MDC=97 m) and B (ICC=0.90, 95% CI 0.76-0.96, p<0.001; SEM=32 m, MDC=88 m) were good. In a sample of 32 healthy participants, both ISWT-CHN and ISWT-ENG instruction results showed low-positive correlations with the VO2max determined from the cardiopulmonary exercise test (r = 0.439, p<0.001; r=0.448, p<0.001). There is a very high correlation between ISWT-ENG and ISWT-CHN results with no statistically significant differences (r=0.967, p<0.001). The construct and criterion validity of the ISWT-CHN were established. Conclusion: This study developed the ISWT-CHN and showed that it is a valid and reliable measure conceptually comparable to the ISWT-ENG. It will benefit the determination of functional exercise capacity in Chinese-speaking populations. Key messages: •This study is aimed to develop a Chinese (Mandarin) version of the ISWT instructions.•The ISWT Chinese translation is valid and reliable that is conceptually comparable to the original English instruction.•The translated ISWT-Chinese instruction will enable the use of ISWT among the Chinese-speaking populations.

Impact of the particle mixing state on the hygroscopicity of internally mixed sodium chloride-ammonium sulfate single droplets: a theoretical and experimental study.

Sodium chloride (NaCl) is the main constituent of sea-salt aerosols. During atmospheric transport, sea-salt aerosols can interact with gases and other particles including secondary aerosols containing ammonium sulfate ((NH4)2SO4). This paper reports on the deliquescence relative humidity (DRH) of internally mixed sodium chloride-ammonium sulfate (NaCl/(NH4)2SO4) coarse particles by means of an acoustic levitation system fitted with a confocal Raman microscope (CRM). The chemical composition and physical state of individual levitated particles of different initial NaCl mole fractions were monitored during the deliquescence cycle by CRM. Experimental results were compared to the data predicted by the thermodynamic model E-AIM (Extended-Aerosol Inorganics Model). We demonstrated that NH4Cl, Na2SO4 and NH4NaSO4·2H2O are formed in recrystallized particles and coexist with NaCl and (NH4)2SO4. All these products are randomly distributed within the particles. Deliquescence curves described two or three-stage phase transitions depending on the initial composition of the droplet. Significant discrepancies between the model and the laboratory experiments were observed for NaCl mole fractions varying between 0.40 and 0.77 due to a divergence between the predicted and the truly present products in the particles' solid fraction during the humidification cycle.

Photodegradation of methyl thioglycolate particles as a proxy for organosulphur containing droplets.

Understanding the formation and transformation of sulphur-rich particles is of prime importance since they contribute to the global atmospheric sulphur budget. In this work, we performed a series of experiments on a photoactive organosulphur compound namely, methyl thioglycolate, as a model of an organosulphur species of marine origin. By investigating the photoproducts within levitated droplets, we showed that elemental sulphur (α-S8) and sulphate (SO42-) can be photochemically generated at the gas-liquid interface by heterogeneous interaction with gaseous O2 and H2O. These results demonstrate that the surface of levitated droplets facilitate the oxidation of methyl thioglycolate in the dark, while illumination is necessary to produce the oxidation in bulk experiments.