Fatty liver index vs waist circumference for predicting non-alcoholic fatty liver disease

AIM: To determine the discriminatory performance of fatty liver index (FLI) for non-alcoholic fatty liver disease (NAFLD). METHODS: The data of 5052 subjects aged over 18 years were analyzed. FLI was calculated from body mass index, waist circumference (WC), triglyceride, and gamma glutamyl transferase data. Logistic regression analysis was conducted to determine the association between FLI and NAFLD. The discriminatory performance of FLI in the diagnosis of NAFLD was evaluated by receiver operating characteristic analysis. Area under the curves (AUCs) and related confidence intervals were estimated. Optimal cutoff points of FLI in the diagnosis of NAFLD were determined based on the maximum values of Youden's index. RESULTS: The mean age of men and women in the study population were 44.8 ± 16.8 and 43.78 ± 15.43, respectively (P = 0.0216). The prevalence of NAFLD was 40.1 in men and 44.2 in women (P < 0.0017). FLI was strongly associated with NAFLD, so that even a one unit increase in FLI increased the chance of developing NAFLD by 5.8 (OR = 1.058, 95CI: 1.054-1.063, P < 0.0001). Although FLI showed good performance in the diagnosis of NAFLD (AUC = 0.8656 (95CI: 0.8548-0.8764), there was no significant difference with regards to WC (AUC = 0.8533, 95CI: 0.8419-0.8646). The performance of FLI was not significantly different between men (AUC = 0.8648, 95CI: 0.8505-0.8791) and women (AUC = 0.8682, 95CI: 0.8513-0.8851). The highest performance with regards to age was related to the 18-39 age group (AUC = 0.8930, 95CI: 0.8766-0.9093). The optimal cutoff points of FLI were 46.9 in men (sensitivity = 0.8242, specificity = 0.7687, Youden's index = 0.5929) and 53.8 in women (sensitivity = 0.8233, specificity = 0.7655, Youden's index = 0.5888). CONCLUSION: Although FLI had acceptable discriminatory power in the diagnosis of NAFLD, WC was a simpler and more accessible index with a similar performance. © 2016 Baishideng Publishing Group Inc. All rights reserved

Decision rule of repetitive acceptance sampling plans assuring percentile life

AbstractIn this research, Repetitive Group Sampling (RGS) plans are developed for the Weibull and generalized exponential distributions. To design the proposed plans, the median of a life-time is first used as the quality parameter. Then, a decision-making framework is developed, based on first and second type errors. Next, based on acceptable and limiting quality level criteria, tables are obtained to select the parameters of the proposed decision-making framework. The advantages of the proposed method over single sampling plans are discussed at the end

Vestibulo-Ocular Reflex Abnormalities in Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo:A Pilot Study.

Introduction: Benign paroxysmal positional vertigo (BPPV), involving the semicircular canals, is one of the most common diseases of the inner ear. The video head impulse test (vHIT) is a new test that examines the function of the canals. This study aimed to investigate the vestibulo-ocular reflex (VOR) gain, gain asymmetry and saccades after stimulating all six canals in patients definitively diagnosed with posterior semicircular canal BPPV (PSC-BPPV).   Materials and Methods: Twenty-nine unilateral PSC-BPPV patients with normal oculographic and caloric results were enrolled in this study. vHIT was performed on six canals, and VOR gain, gain asymmetry and saccades were measured.   Results: Sixteen (55.17%) patients had abnormal posterior canal VOR gains in the ipsilesional ear. VOR gains in both horizontal canals were within normal limits. Superior canal VOR gains were mostly lower than normal and were not correlated to PSC abnormalities (P>0.05). No corrective saccades could be observed.   Conclusion: VOR gain in the direction of the posterior semicircular canal may be reduced in PSC-BPPV patients. Evaluation of PSC-VOR parameters could be beneficial, although superior canal measurements should be interpreted with caution

Exposure to ambient air pollution and prevalence of asthma in adults

Air pollution is defined as the risk factors for asthma. This study aimed to investigate the effect of exposure to ambient air pollution and prevalence of asthma in adults. This cross-sectional study was done between November 2015 and February 2016. The asthma prevalence was surveyed in 3172 adults between 20 and 44 years old in Tehran, Iran. Face to face interview and standardized questionnaire (European Community Respiratory Health Survey (ECRHS)) were used for data gathering. Concentrations of air pollutants in the whole city of Tehran were obtained from Tehran Air Quality Control Company (AQCC). Air pollution exposure assessed by the spatial analysis based on GIS method. The effect of ambient air pollution on the asthma symptoms was assessed with the crude and adjusted logistic regression. Results were reported as odds ratios (OR) with 95 confidence interval (CI). Results showed that the asthma prevalence in adults in Tehran was 11.73, higher than the average prevalence of asthma in the whole country equal to the 8.9. The prevalence of asthma in males (6.43, n=204) was significantly higher than females (5.26, n=167), but this difference was not significant (P = 0.29). A significant positive association was observed between the asthma prevalence and the concentration of CO (OR 1.64; 1.26 to 1.85) and PM10 (1.04; 1.01 to 1.08) (P &lt;0.05). Finally, we concluded that exposure to some air pollutants can affect the asthma prevalence in adults. Therefore, control of air pollution is recommended to reduce the asthma in Tehran metropolis. © 2021, The Author(s), under exclusive licence to Springer Nature B.V