Publications by authors named "Hai-dong Kan"

Background: Air pollution induces neurotoxic reactions and may exert adverse effects on cognitive health. We aimed to investigate whether air pollutants accelerate cognitive decline and affect neurobiological signatures of Alzheimer's disease (AD).

Methods: We used a population-based cohort from the Chinese Longitudinal Healthy Longevity Survey with 31,573 participants and a 10-year follow-up (5878 cognitively unimpaired individuals in Chinese Longitudinal Healthy Longevity Survey followed for 5.

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The potential roles of solar ultraviolet radiation (UVR) as an environmental risk factor in inducing atopic dermatitis (AD) have not been well quantified. To determine the short-term associations between UVR and AD outpatient visits, we obtained daily outpatient visits of AD in Shanghai Skin Disease Hospital from 2013 to 2018. Data of hourly ground UVR were collected.

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Human papillomavirus (HPV) infections are common sexually-transmitted diseases among reproductive-aged women with increasing concern. Until now, there are no prior study about the association between HPV infections and ambient air pollution. This study aimed to explore the relationship between short-term exposure to ambient pollutants and daily outpatient visits for HPV infections in China.

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Carbon monoxide (CO) is a well-known "toxic gas". It represents a toxic inhalation hazard at high concentration and is commonly found in polluted air. However, a series of recent studies have suggested that low concentration of CO can also produce protective functions.

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Article Synopsis
  • Menstrual disorders are prevalent among women of reproductive age, and this study focuses on the potential link between these disorders and air pollution in Xi'an, China.
  • The research analyzed outpatient data from 2010 to 2016 and found that increases in specific pollutants (PM and NO) were associated with higher rates of outpatient visits for menstrual issues, particularly in younger women.
  • This study is significant as it's the first to suggest a correlation between short-term air pollution exposure and menstrual disorders, highlighting the need for deeper exploration into air quality's effects on women's health.
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Rapid urbanisation has altered the vulnerability of urban areas to heat wave disasters. There is an urgent need to identify the factors underlying the effect of heat waves on human health and the areas that are most vulnerable to heat waves. In this study, we plan to integrate indices associated with heat wave vulnerability based on meteorological observation data, remote sensing data and point of interest (POI) data; analyse the influence of urbanisation on the urban vulnerability environment; and explore the relationship between the vulnerability environment and heat-wave-related mortality.

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To understand the public health benefits of the Clean Air Action Plan implemented in Shanghai from 2013-2017, the changes of the PM exposure levels and related health and economic benefits were quantitatively evaluated by using air quality numerical modeling, health risk assessment, and environmental valuation methods. The results show that the proportion of the population exposed to a mean annual PM concentration lower than or equal to 35 μg·m has increased from 1.62% in the base year to 34.

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Schizophrenia is a devastating neuropsychiatric disorder with increasing concern. Limited studies have been conducted to assess the relationship between short-term exposure to ambient air pollution and schizophrenia attacks. This study aimed to investigate the associations between short-term air pollution exposure and schizophrenia outpatient visits based on a time-series study performed in China.

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To establish a genetic susceptibility assessment model of lung cancer risk potentially associated with polycyclic aromatic hydrocarbon (PAH) inhalation exposure among non-smokers in China, a total of 143 patients with lung adenocarcinoma and 143 cancer-free individuals were recruited. Sixty-eight genetic polymorphisms in 10 pathways related to PAH metabolism and tumorigenesis were selected and examined. It was observed that 3 genetic polymorphisms, along with 10 additional genetic polymorphisms via gene-gene interactions, significantly influenced lung cancer risk potentially associated with PAH inhalation exposure.

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Background: Maternal exposure to ambient air pollution has been associated with an increased risk of congenital heart defects in offspring; however, the results are inconsistent.

Objectives: We investigated whether there is an association between prenatal exposure to particulate matter with diameter ≤10μm (PM) during early pregnancy and fetal cardiovascular malformations.

Methods: The gravidae from a hospital-based case–control study in Fuzhou, China, during 2007–2013 were assigned 10-d or 1-mo averages of daily PM using an air monitor–based inverse distance weighting method during early pregnancy.

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Article Synopsis
  • * Analyzed data reveals that increases in levels of particulate matter, nitrogen dioxide, sulfur dioxide, and carbon monoxide correlate with more outpatient visits for enteritis, particularly on the same days of exposure.
  • * No significant impact was found from ozone or when comparing single-pollutant to two-pollutant models, while factors like gender and age significantly influenced the results.
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Background And Purpose: The data concerning the association between environmental pollution and epilepsy attacks are limited. The aim of this study was to explore the association between acute air pollution exposure and epilepsy attack.

Methods: A hospital record-based study was carried out in Xi'an, a heavily-polluted metropolis in China.

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Background: Although effects of weather changes on human health have been widely reported, there is limited information regarding effects on pregnant women in developing countries.

Objective: We investigated the association between maternal exposure to ambient temperature and the risk of preterm birth (< 37 weeks of gestation) in Guangzhou, China.

Methods: We used a Cox proportional hazards model to estimate associations between preterm birth and average temperature during each week of gestation, with weekly temperature modeled as a time-varying exposure during four time windows: 1 week (the last week of the pregnancy), 4 weeks (the last 4 weeks of the pregnancy), late pregnancy (gestational week 20 onward), and the entire pregnancy.

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The association between ambient temperature and acute exacerbation of chronic bronchitis (AECB) was still unknown. Therefore, we performed an epidemiological study in a large hospital of Shanghai to explore the relationship about temperature and outpatient visit for AECB. We adopted a quasi-Poisson generalized additive models and distributed lag nonlinear models to estimate the accumulative effects of temperature on AECB across multiple days.

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Objective: To investigate the short-term association between outdoor air pollution and outpatient visits for acute bronchitis, which is a rare subject of research in the mainland of China.

Methods: A time-series analysis was conducted to examine the association of outdoor air pollutants with hospital outpatient visits in Shanghai by using two-year daily data (2010-2011).

Results: Outdoor air pollution was found to be associated with an increased risk of outpatient visits for acute bronchitis in Shanghai.

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Objective: To study the relation between temperature and mortality by estimating the temperature-related mortality in Beijing, Shanghai, and Guangzhou.

Methods: Data of daily mortality, weather and air pollution in the three cities were collected. A distributed lag nonlinear model was established and used in analyzing the effects of temperature on mortality.

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Objective: To estimate the frequency of daily average PM10 concentrations exceeding the air quality standard (AQS) and the reduction of particulate matter emission to meet the AQS from the statistical properties (probability density functions) of air pollutant concentration.

Methods: The daily PM10 average concentration in Beijing, Shanghai, Guangzhou, Wuhan, and Xi'an was measured from 1 January 2004 to 31 December 2008. The PM10 concentration distribution was simulated by using the lognormal, Weibull and Gamma distributions and the best statistical distribution of PM10 concentration in the 5 cities was detected using to the maximum likelihood method.

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Objective: This study aimed to assess the association between emergency-room visits for respiratory tract infection (RTI) with diurnal temperature range (DTR), a weather parameter closely associated with urbanization and global climate change.

Methods: We conducted a semiparametric time-series analysis to estimate the percentage increase in emergency-room visits for RTI associated with changes in DTR after adjustment for daily weather conditions (temperature and relative humidity) and outdoor air pollution.

Results: DTR was significantly associated with daily emergency-room visits for RTI.

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Objective: To study the impact of daily mean temperature on mortality in Shanghai.

Methods: With data on daily mortality, meteorological and air pollution, we used a distributed lag nonlinear model (DLNM) to assess the effects of daily mean temperature on deaths (caused by non-accidental, cardiovascular and respiratory) adjusted for both secular, seasonal trends and other confounders.

Results: A J-shaped relationship was found consistently between daily mean temperature and non-accidental, cardiovascular and respiratory deaths in Shanghai.

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Objective: This work aimed to construct Shanghai air quality health index (SAQHI) and to grade the air quality in Shanghai.

Methods: Daily average concentrations of particulate matter with aerodynamic diameter less than 10 micrometer (PM(10)), SO(2) and NO(2) from 2001 to 2008 in the central urban areas of Shanghai were collected from Shanghai Environmental Monitoring Center. Contemporaneous data of daily average temperature and relative humidity were obtained from Shanghai Meteorological Bureau.

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