AIM： To investigate the association between metabolic syndrome （NetS） and the development of gallstone disease （GSD）. METHODS： A cross-sectional study was conducted in 7570 subjects （4978 men aged 45.0：1：8.8 ...AIM： To investigate the association between metabolic syndrome （NetS） and the development of gallstone disease （GSD）. METHODS： A cross-sectional study was conducted in 7570 subjects （4978 men aged 45.0：1：8.8 years, and 2592 women aged 45.3：1：9.5 years） enrolled from the physical check-up center of the hospital. The subjects included 918 patients with gallstones （653 men and 265 women） and 6652 healthy controls （4325 men and 2327 women） without gallstones. Body mass index （BII）, waist circumference, blood pressure, fasting plasma glucose （FPG） and serum lipids and lipoproteins levels were measured. Colorimetric method was used to measure cholesterol, high-density lipoprotein cho- lesterol （HDL-C） and low-density lipoprotein cholesterol （LDL-C）. Dextrose oxidizing enzyme method was used to measure FPG. Subjects were asked to complete a questionnaire that enquired about the information on demographic data, age, gender, histories of diabetes mellitus, hypertension, and chronic liver disease and so on. Metabolic syndrome was diagnosed according to the Adult Treatment Panel HI （ATP ]3） criteria. Gall- stones were defined by the presence of strong intralu- minal echoes that were gravity-dependent or attenu- ated ultrasound transmission. RESULTS： Among the 7570 subjects, the prevalence of the gallstone disease was 12.1% （13.1% in men and 10.2% in women）. BMI, waist circumference, systolic blood pressure, diastolic blood pressure, fasting blood glucose and serum triglyceride （TG） in cases group were higher than in controls, while serum high-density lipid was lower than in controls. There were significant differences in the waist circumference, blood pressure, FPG and TG between cases and controls. In an age- adjusted logistic regression model, metabolic syndrome was associated with gallstone disease. The age-adjust- ed odds ratio of MetS for GSD in men was 1.29 [95% confidence interval （CI）, 1.09-1.52; P = 0.0030], and 1.68 （95% CI, 1.26-2.25; P = 0.0004） in women; the overall age-adjusted odds ratio of NetS for GSD was 1.42 （95% CI, 1.23-1.64; P 〈 0.0001）. The men with more metabolic disorders had a higher prevalence of gallstone disease, the trend had statistical significance （P 〈 0.0001）. The presence of 5 components of the MetS increased the risk of gallstone disease by 3.4 times （P 〈 0.0001）. The prevalence of GSD in women who had 5 components of NetS was 5 times higher than in those without Nets component. The more the components of Mets, the higher the prevalence of GSD （P 〈 0.0001）. The presence of 5 components of the Mets increased the risk of gallstone disease by 4.0 times. CONCLUSION： GSD appears to be strongly associated with MetS, and the more the components of NetS, the higher the prevalence of GSD.展开更多
In this paper I like to revisit Bhumisukta of the Atharvaveda in the backdrop of present-day environmentalism. It is divided into three parts. In Part 1 I like to give a synoptic view of contemporary environmentalism,...In this paper I like to revisit Bhumisukta of the Atharvaveda in the backdrop of present-day environmentalism. It is divided into three parts. In Part 1 I like to give a synoptic view of contemporary environmentalism, as reflected in Arne Naess＇s Deep Ecology. In Part 2 I make an exposition of the Bhumisukta, particularly those verses （mantras） which are directly relevant to our environmental concerns. To say the truth, this Bhumisukta （also called the Pcthivisitkta） epitomizes the Vedic Hindu eco-culture. The Bhumisukta （which literally means, the Hymn or Prayer to the Earth） is the oldest and the most evocative environmental discourse. It is called ＂the first natural anthem＂ in the history of mankind. It constitutes the first anuvgtka of dvgtda~ kgm. da of the Atharvaveda and contains 63 verses （mantras） devoted to glorifying the Earth as sacred and inviolable. Many prayers have been sung for the preservation and conservation of Nature and its gifts of splendor. The Bh^misftkta talks about human dependence on the Nature and respect for the same that follows naturally. It proclaims of the Earth as the mother, and humanity as her children Bhumisukta, putro＇ham pr. thivyah＂ In Part 3 1 like to make a brief but critical observation regarding the loss of continuity of Vedic tradition in view of an objection made by some Western environmentalists. In this concluding part I like to respond to the objection that so called eco-sensitive cultures could not avert environmental pollution and depletion of Nature in countries, like India.展开更多
文摘AIM： To investigate the association between metabolic syndrome （NetS） and the development of gallstone disease （GSD）. METHODS： A cross-sectional study was conducted in 7570 subjects （4978 men aged 45.0：1：8.8 years, and 2592 women aged 45.3：1：9.5 years） enrolled from the physical check-up center of the hospital. The subjects included 918 patients with gallstones （653 men and 265 women） and 6652 healthy controls （4325 men and 2327 women） without gallstones. Body mass index （BII）, waist circumference, blood pressure, fasting plasma glucose （FPG） and serum lipids and lipoproteins levels were measured. Colorimetric method was used to measure cholesterol, high-density lipoprotein cho- lesterol （HDL-C） and low-density lipoprotein cholesterol （LDL-C）. Dextrose oxidizing enzyme method was used to measure FPG. Subjects were asked to complete a questionnaire that enquired about the information on demographic data, age, gender, histories of diabetes mellitus, hypertension, and chronic liver disease and so on. Metabolic syndrome was diagnosed according to the Adult Treatment Panel HI （ATP ]3） criteria. Gall- stones were defined by the presence of strong intralu- minal echoes that were gravity-dependent or attenu- ated ultrasound transmission. RESULTS： Among the 7570 subjects, the prevalence of the gallstone disease was 12.1% （13.1% in men and 10.2% in women）. BMI, waist circumference, systolic blood pressure, diastolic blood pressure, fasting blood glucose and serum triglyceride （TG） in cases group were higher than in controls, while serum high-density lipid was lower than in controls. There were significant differences in the waist circumference, blood pressure, FPG and TG between cases and controls. In an age- adjusted logistic regression model, metabolic syndrome was associated with gallstone disease. The age-adjust- ed odds ratio of MetS for GSD in men was 1.29 [95% confidence interval （CI）, 1.09-1.52; P = 0.0030], and 1.68 （95% CI, 1.26-2.25; P = 0.0004） in women; the overall age-adjusted odds ratio of NetS for GSD was 1.42 （95% CI, 1.23-1.64; P 〈 0.0001）. The men with more metabolic disorders had a higher prevalence of gallstone disease, the trend had statistical significance （P 〈 0.0001）. The presence of 5 components of the MetS increased the risk of gallstone disease by 3.4 times （P 〈 0.0001）. The prevalence of GSD in women who had 5 components of NetS was 5 times higher than in those without Nets component. The more the components of Mets, the higher the prevalence of GSD （P 〈 0.0001）. The presence of 5 components of the Mets increased the risk of gallstone disease by 4.0 times. CONCLUSION： GSD appears to be strongly associated with MetS, and the more the components of NetS, the higher the prevalence of GSD.
文摘In this paper I like to revisit Bhumisukta of the Atharvaveda in the backdrop of present-day environmentalism. It is divided into three parts. In Part 1 I like to give a synoptic view of contemporary environmentalism, as reflected in Arne Naess＇s Deep Ecology. In Part 2 I make an exposition of the Bhumisukta, particularly those verses （mantras） which are directly relevant to our environmental concerns. To say the truth, this Bhumisukta （also called the Pcthivisitkta） epitomizes the Vedic Hindu eco-culture. The Bhumisukta （which literally means, the Hymn or Prayer to the Earth） is the oldest and the most evocative environmental discourse. It is called ＂the first natural anthem＂ in the history of mankind. It constitutes the first anuvgtka of dvgtda~ kgm. da of the Atharvaveda and contains 63 verses （mantras） devoted to glorifying the Earth as sacred and inviolable. Many prayers have been sung for the preservation and conservation of Nature and its gifts of splendor. The Bh^misftkta talks about human dependence on the Nature and respect for the same that follows naturally. It proclaims of the Earth as the mother, and humanity as her children Bhumisukta, putro＇ham pr. thivyah＂ In Part 3 1 like to make a brief but critical observation regarding the loss of continuity of Vedic tradition in view of an objection made by some Western environmentalists. In this concluding part I like to respond to the objection that so called eco-sensitive cultures could not avert environmental pollution and depletion of Nature in countries, like India.
