Analysis of continuous polysomnography in children with recurrent vertigo / 临床耳鼻咽喉头颈外科杂志

Objective:To explore the relationship between sleep status and the disease in children with recurrent vertigo（RVC） by analyzing the objective sleep condition of children with recurrent vertigo. Methods:According to the diagnostic criteria of RVC, 50 children with RVC and 20 normal controls without RVC were selected. According to the vertigo questionnaire score, the RVC group was divided into mild, moderate and severe groups according to severity. Continuous polysomnography（PSG） was performed for all participants, and SPSS 25.0 statistical software was used to analyze the monitoring results. Results:①There were significant differences in sleep time of each period, total sleep time and sleep efficiency between RVC group and control group（P<0.05）, but there was no significant difference in sleep latency（P>0.05）. The specific manifestations were that the proportion of sleep time in N1 and N2 phases increased, the proportion of sleep time in N3 and REM phases decreased, the total sleep time and sleep efficiency decreased in RVC group. ②The abnormal rate of sleep apnea hypopnea index, that is, the proportion of AHI≥5 times/h and the abnormal rate of lowest blood oxygen saturation in RVC group were higher than those in normal control group. There was significant difference between the two groups（P<0.05）. ③There were significant differences in the proportion of AHI≥5 times/h and lowest SpO2 among mild group, moderate group and severe group（P<0.05）. ④There was no significant correlation between the degree of vertigo and the abnormal rate of AHI in children with RVC, but there was a negative correlation between the degree of vertigo and the abnormal rate of lowest SpO2 in children with RVC. Conclusion:Children with RVC are often accompanied by sleep disorders, clinicians should pay attention to both the symptoms of vertigo and sleep condition in children. Polysomnography is non-invasive and operable, providing a new idea to the auxiliary examination of RVC in children. It is of certain clinical significance for the comprehensive treatment of children with RVC to actively improve vertigo symptoms and pay attention to improving sleep quality.

Effects of safe driving climate among friends on prosocial and aggressive driving behaviors of young drivers: The moderating role of traffic locus of control.

INTRODUCTION: This study focused on the impact of safe driving climate among friends on prosocial and aggressive driving behaviors for young Chinese drivers, arguing for the moderating role of traffic locus of control. METHOD: Three hundred and fifty-two young Chinese drivers aged 18 to 25 years agreed to participate in this study and completed the questionnaire, which included items related to safe driving climate among friends, traffic locus of control, and prosocial and aggressive driving behaviors. RESULTS: Safe driving climate among friends and traffic locus of control had direct effects on prosocial and aggressive driving behaviors. More importantly, internal locus of control moderated the relationship between communication on prosocial driving behavior and the relationship between shared commitment to safe driving and aggressive driving behavior. External locus of control moderated the relationship between social costs and prosocial driving behavior and the relationships between shared commitment to safe driving and prosocial and aggressive driving behaviors. It can be inferred that the effects of safe driving climate on prosocial and aggressive driving behaviors varied with their levels of traffic locus of control. PRACTICAL APPLICATIONS: This study enriches current theoretical frameworks and may be applied in the development of interventions and training for young drivers from the perspective of safe driving climate among friends and traffic locus of control.

One case report: removal of foreign body in ethmoidal sinus-medial orbital wall through nose assisted by endoscope / 临床耳鼻咽喉头颈外科杂志

UNLABELLED@#The patient was male, 20 years old, and complained of pain, bleeding and decreased vision after the right eye was injured by nail for an hour.@*PHYSICAL EXAMINATION@#right exophthalmos, conjunctival edema, skin laceration at the lower eyelid of right eye, limitation of eye movement, asymmetric eyes and weak light-reflecting. X-ray showed: metallic foreign body shadow in the right orbit, 0.5 cm x 0.4 cm approximately. Orbit and paranasal sinus CT showed: 1 hematoma of the right eye and inside. 2 high density foreign body embedded in the bone wall of the inside of right orbit and ethmoid. 3 medial wall fracture of right eye orbit. 4 bilateral maxillary sinus and right ethmoidal sinus effusion. 5 slightly left side of nasal septum. The patient was initially diagnosed as foreign body in right ethmoidal sinus, skin laceration of right lower eyelid, retrobulbar hematoma.