Publications by authors named "An Yi Wang"

Article Synopsis
  • Research indicates that air pollution may influence the development of synucleinopathies through unknown neurobiological mechanisms, leading to a study on urban older adults' cerebrospinal fluid (CSF) α-synuclein (α-syn) levels in relation to air pollution exposure.
  • The study involved 933 participants and used linear regression to analyze the relationship between air pollutants (ozone, nitrogen dioxide, and particulate matter) and CSF α-syn levels, while also considering factors like age, gender, and season.
  • Findings revealed a significant negative correlation between particulate matter and CSF α-syn levels, particularly in certain demographic subgroups, as well as a nonlinear relationship between ozone and α-syn levels, suggesting that higher
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Background: As a currently incurable but preventable disease, the prevention and early diagnosis of Alzheimer's disease (AD) has long been a research hotspot. Amyloid deposition has been shown to be a major pathological feature of AD. Notably, not all the people with amyloid-beta (Aβ) pathology will have significant cognitive declines and eventually develop AD.

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Background: Vitamin D deficiency is associated with mortality and morbidity in critically ill patients. This study investigated the safety and effectiveness of enteral high-dose vitamin D supplementation in intensive care unit (ICU) patients in Asia.

Methods: This was a multicenter, prospective, randomized-controlled study.

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To study the long-term variation in ozone (O) pollution in Sichuan Basin,the spatiaotemporal distribution of O concentrations during 2017 to 2020 was analyzed using ground-level O concentration data and meteorological observation data from 18 cities in the basin. The dominant meteorological factors affecting the variation in O concentration were screened out,and a prediction model between meteorological factors and O concentration was constructed based on a random forest model. Finally,a prediction analysis of O pollution in the Sichuan Basin urban agglomeration during 2020 was carried out.

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Background: Cardiometabolic multimorbidity is associated with an increased risk of dementia, but the pathogenic mechanisms linking them remain largely undefined. We aimed to assess the associations of cardiometabolic multimorbidity with cerebrospinal fluid (CSF) biomarkers of Alzheimer's disease (AD) pathology to enhance our understanding of the underlying mechanisms linking cardiometabolic multimorbidity and AD.

Methods: This study included 1464 cognitively intact participants from the Chinese Alzheimer's Biomarker and LifestylE (CABLE) database.

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Background: The lipid-lowering and anti-inflammatory effects of statins and fibrates may ameliorate periodontitis. Patients with hyperlipidemia tend to have a worse periodontal status. This study assessed the association between the use of statins/fibrates and the incidence of chronic periodontitis in patients with hyperlipidemia in Taiwan.

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Coronavirus Disease 2019 (COVID-19) has been associated with a high thromboembolic risk among patients in intensive care units. Asian populations may share a similar thromboembolic risk, but with a higher prevalence of arterial thromboembolism than venous thromboembolism. To clarify this risk in Taiwan, this single-center retrospective study collected 27 consecutive intensive care unit patients with COVID-19 confirmed by polymerase chain reaction, with a median age of 67.

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Objective: To explore the effect of an interactive handgrip game on psychological distress and handgrip strength among critically ill surgical patients.

Design: A randomised controlled trial.

Setting: A surgical intensive care unit.

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Background: There are controversies surrounding the effects of lung function decline on cognitive impairment and dementia.

Objective: We conducted a meta-analysis and systematic review to explore the associations of lung function decline with the risks of cognitive impairment and dementia.

Methods: The PubMed, EMBASE, and the Cochrane Library were searched to identify prospective studies published from database inception through January 10, 2023.

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Background: Sleep disturbance is a common complaint among critically ill patients in intensive care units and after hospitalisation. However, the prevalence of sleep disturbance among critically ill patients varies widely.

Objective: To estimate the prevalence of sleep disturbance among critically ill patients in the intensive care unit and after hospitalisation.

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Background: Delirium presents a serious health problem in critically ill patients in intensive care units. However, knowledge regarding the selections of the optimal non-pharmacological interventions remains unclear.

Objectives: To compare the effects of non-pharmacological interventions by combining direct and indirect evidence on the incidence and duration of delirium in intensive care units.

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Article Synopsis
  • - A 24-year-old male patient presented unconsciousness due to a combination of amphetamine and gamma-hydroxybutyrate (GHB) use, with symptoms of amphetamine toxicity surfacing after GHB effects wore off.
  • - Upon admission, the patient had abnormal vital signs and respiratory acidosis, requiring intubation and transfer to the intensive care unit; he later became agitated and developed severe respiratory issues.
  • - Following recognition of amphetamine presence through toxicology and treatment with high doses of benzodiazepines, the patient improved and was discharged after 8 days, highlighting the complexities of polydrug abuse in clinical contexts.
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Ethnopharmacological Relevance: Nonalcoholic fatty liver disease (NAFLD) is a prevalent liver disease, but currently has no specific medication in clinic. Antrodia cinnamomea (AC) is a medicinal fungus and it has been shown that AC can inhibit high fat diet (HFD)-induced lipid deposition in mouse livers, but the effective monomer in AC and mechanism against NAFLD remain unclear. It has been reported that aldehyde dehydrogenase 2 (ALDH2) activation shows protective effects on NAFLD.

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Article Synopsis
  • Vitamin D deficiency is prevalent globally and is especially common in critically ill patients, with a study in Northern Taiwan finding a 59% deficiency rate in this group.
  • The study categorized patients by their ICU stay duration and measured vitamin D levels, identifying young age, female gender, low albumin, high parathyroid hormone levels, and high SOFA scores as risk factors for deficiency.
  • Although patients with vitamin D deficiency needed more ventilator support and had longer ICU stays, the deficiency did not influence 28- or 90-day mortality rates.
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Background: Metabolic acidosis is a major complication of critical illness. However, its current epidemiology and its treatment with sodium bicarbonate given to correct metabolic acidosis in the ICU are poorly understood.

Method: This was an international retrospective observational study in 18 ICUs in Australia, Japan, and Taiwan.

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Article Synopsis
  • Sepsis patients in intensive care often face varying treatment outcomes based on their "do-not-attempt resuscitation" (DNAR) status.
  • A study conducted from April to November 2015 analyzed 132 septic patients, revealing that almost half had DNAR status, correlating with higher in-hospital mortality rates (28.8%).
  • DNAR status was proven to be an independent predictor of mortality after controlling for factors like comorbidities and illness severity, suggesting the need for further research into healthcare providers' perspectives on DNAR-septic patients.
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Background: Appropriate utilization of intensive care unit (ICU) beds are essential. Patients with critical illness who have do not resuscitate (DNR) have a reduced priority of intensive care. However, the possibility of recovery/survival is ambiguous and multifactorial.

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Background: Inflammation, intrarenal renin-angiotensin system (RAS) activation, oxidative stress, and carbonyl stress have been postulated to play a fundamental role in controlling blood pressure. However, little is known about the association among renal RAS activation, carbonyl stress, and blood pressure elevation.

Methods: We evaluated the relationship between blood pressure elevation and either renal RAS activity or carbonyl stress in the general population (N = 355) in Japan.

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Introduction: RDW is a prognostic biomarker and associated with mortality in cardiovascular disease, stroke and metabolic syndrome. For elderly patients, malnutrition and multiple comorbidities exist, which could affect the discrimination ability of RDW in sepsis. The main purpose of our study was to evaluate the prognostic value of RDW in sepsis among elderly patients.

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Introduction: Monitoring the partial pressure of end-tidal carbon dioxide (PEtco) has been advocated since 2010 as an index of resuscitation efforts. However, related research has largely focused on out-of-hospital cardiac arrest victims. In-hospital cardiac arrest (IHCA) differs in terms of etiologies and demographics, the merit of initial PEtco values was explored.

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