AIM:To clarify the efficiency of the criterion of metabolic syndrome to detecting non-alcoholic fatty liver disease(NAFLD).METHODS:Authors performed a cross-sectional study involving participants of a medical health c...AIM:To clarify the efficiency of the criterion of metabolic syndrome to detecting non-alcoholic fatty liver disease(NAFLD).METHODS:Authors performed a cross-sectional study involving participants of a medical health checkup program including abdominal ultrasonography.This study involved 11 714 apparently healthy Japanese men and women,18 to 83 years of age.NAFLD was defined by abdominal ultrasonography without an alcohol intake of more than 20 g/d,known liver disease,or current use of medication.The revised criteria of the National Cholesterol Education Program Adult Treatment PanelⅢ were used to characterize the metabolic syndrome.RESULTS:NAFLD was detected in 32.2%(95%CI:31.0%-33.5%)of men(n=1874 of 5811)and in 8.7%(95%CI:8.0%-9.5%)of women(n=514 of 5903).Among obese people,the prevalence of NAFLD was as high as 67.3%(95%CI:64.8%-69.7%)in men and 45.8%(95%CI:41.7%-50.0%)in women.Although NAFLD was thought of as being the liver phenotype of metabolic syndrome,the prevalence of the metabolic syndrome among subjects with NAFLD was low both in men and women.66.8%of men and 70.4%of women with NAFLD were not diagnosed with the metabolic syndrome.48.2%of men with NAFLD and 49.8%of women with NAFLD weren't overweight[body mass index(BMI)≥25 kg/m2].In the same way,68.6%of men with NAFLD and 37.9%of women with NAFLD weren't satisfied with abdominal classification(≥90 cm for men and≥80 cm for women).Next,authors defined it as positive at screening for NAFLD when participants satisfied at least one criterion of metabolic syndrome.The sensitivity of the definition"at least 1 criterion"was as good as 84.8%in men and 86.6%in women.Separating subjects by BMI,the sensitivity was higher in obese men and women than in non-obese men and women(92.3%vs 76.8%in men,96.1%vs 77.0%in women,respectively).CONCLUSION:Authors could determine NAFLD effectively in epidemiological study by modifying the usage of the criteria for metabolic syndrome.展开更多
The notion of invisibility in Invisible Man is spoken out by the protagonist＇s growth as an orator. Rather than a recursive retrieving of his identity throughout the narrative, the invisible man reinvents his identit...The notion of invisibility in Invisible Man is spoken out by the protagonist＇s growth as an orator. Rather than a recursive retrieving of his identity throughout the narrative, the invisible man reinvents his identity in his pursuit of pure persuasion. Both being terms in the Burkean system of literature rhetoric, pure persuasion, and identification become one for the unconscious purpose and the other for the symbolic action respectively in the protagonist-speaker＇s growth from an ideal emulator to speaker-audience mediator. In his identification with the audience and his ardent pursuit of pure persuasion, he paradoxically finds himself distanced from both his identity-to-be and the identity of his audience, with great division in-between. Though temporary corporation is achieved and occasional identification is resolved in the last two speeches, the protagonist only finds himself in a rhetorical context which is much more varied and more manipulative than he imagined. Such a realization renders the invisible man invisible again from the public stadium, who decides to resort to the pen for a life-long identification with the broader battlefield of racial discontinuity展开更多
基金Supported by Young Scientists(B)(23790791)from Japan Society for the Promotion of Science
文摘AIM:To clarify the efficiency of the criterion of metabolic syndrome to detecting non-alcoholic fatty liver disease(NAFLD).METHODS:Authors performed a cross-sectional study involving participants of a medical health checkup program including abdominal ultrasonography.This study involved 11 714 apparently healthy Japanese men and women,18 to 83 years of age.NAFLD was defined by abdominal ultrasonography without an alcohol intake of more than 20 g/d,known liver disease,or current use of medication.The revised criteria of the National Cholesterol Education Program Adult Treatment PanelⅢ were used to characterize the metabolic syndrome.RESULTS:NAFLD was detected in 32.2%(95%CI:31.0%-33.5%)of men(n=1874 of 5811)and in 8.7%(95%CI:8.0%-9.5%)of women(n=514 of 5903).Among obese people,the prevalence of NAFLD was as high as 67.3%(95%CI:64.8%-69.7%)in men and 45.8%(95%CI:41.7%-50.0%)in women.Although NAFLD was thought of as being the liver phenotype of metabolic syndrome,the prevalence of the metabolic syndrome among subjects with NAFLD was low both in men and women.66.8%of men and 70.4%of women with NAFLD were not diagnosed with the metabolic syndrome.48.2%of men with NAFLD and 49.8%of women with NAFLD weren't overweight[body mass index(BMI)≥25 kg/m2].In the same way,68.6%of men with NAFLD and 37.9%of women with NAFLD weren't satisfied with abdominal classification(≥90 cm for men and≥80 cm for women).Next,authors defined it as positive at screening for NAFLD when participants satisfied at least one criterion of metabolic syndrome.The sensitivity of the definition"at least 1 criterion"was as good as 84.8%in men and 86.6%in women.Separating subjects by BMI,the sensitivity was higher in obese men and women than in non-obese men and women(92.3%vs 76.8%in men,96.1%vs 77.0%in women,respectively).CONCLUSION:Authors could determine NAFLD effectively in epidemiological study by modifying the usage of the criteria for metabolic syndrome.
文摘The notion of invisibility in Invisible Man is spoken out by the protagonist＇s growth as an orator. Rather than a recursive retrieving of his identity throughout the narrative, the invisible man reinvents his identity in his pursuit of pure persuasion. Both being terms in the Burkean system of literature rhetoric, pure persuasion, and identification become one for the unconscious purpose and the other for the symbolic action respectively in the protagonist-speaker＇s growth from an ideal emulator to speaker-audience mediator. In his identification with the audience and his ardent pursuit of pure persuasion, he paradoxically finds himself distanced from both his identity-to-be and the identity of his audience, with great division in-between. Though temporary corporation is achieved and occasional identification is resolved in the last two speeches, the protagonist only finds himself in a rhetorical context which is much more varied and more manipulative than he imagined. Such a realization renders the invisible man invisible again from the public stadium, who decides to resort to the pen for a life-long identification with the broader battlefield of racial discontinuity
