Publications by authors named "HuaLi Wang"

Article Synopsis
  • - The study investigated the varying levels of dementia knowledge among 1,288 community doctors using a survey-based assessment, identifying four distinct groups based on their knowledge structure.
  • - Factors such as age, education, type of practice, and professional titles were found to influence doctors' understanding of Alzheimer's disease, along with perceptions regarding patient care.
  • - Results indicated significant differences in dementia literacy among doctors, highlighting the need for targeted educational initiatives to improve their knowledge and patient care practices in community health settings.
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  • The Western Pacific region encompasses about 25% of the global population and faces significant challenges in dementia care.
  • With no cures available, the focus should shift to creating accessible care pathways for individuals with dementia and their families to ensure timely diagnoses and better support.
  • This overview addresses the disparities in post-diagnosis dementia care among various countries in the region, highlighting specific gaps and proposing solutions for improvement.
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Here we first review the limited available literature addressing the current landscape of specialist assessment services for dementia and cognitive decline and the preparedness for new amyloid-targeting therapies for Alzheimer's disease across the Western Pacific region. Considering the scarcity of literature, as national representatives of Western Pacific nations we were then guided by the World Health Organization's Global Action Plan on Dementia to provide country-specific reviews. As a whole, we highlight that the existing diverse socioeconomic and cultural landscape across the region poses unique challenges, including varying access to services and marked differences among countries in their preparedness for upcoming amyloid-targeting therapies for Alzheimer's disease.

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Background: To address an existing gap in knowledge due to limited and inconclusive evidence, we aimed to investigate the association between sensory impairments and cognitive decline among older Chinese individuals.

Methods: We retrieved data on 6862 adults aged ≥65 years that were collected through the Chinese Longitudinal Healthy Longevity Study (CLHLS), a nationwide, prospective, community-based elderly cohort study. Visual or hearing impairment in the CLHLS were identified through self-reported questionnaire.

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  • * A study of 304 hospitalized SFTS patients from 2010 to 2022 found that those with GI symptoms had different demographic and lab results, such as a lower percentage of males and higher enzyme levels, compared to those without GI symptoms.
  • * Despite the prevalence of GI symptoms, the study concluded that they did not significantly impact mortality rates or the likelihood of ICU admission, indicating they are not an independent risk factor for worse outcomes in SFTS patients.
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  • Researchers created a biomimetic electrosynthesis method using a coordination capsule with NADH mimics to efficiently produce α-hydroxy/amino esters, mimicking biological systems.
  • The design allowed the metal centers to relay electrons and activate the NADH mimics for hydrogenation of substrates, both with and without natural enzymes.
  • The cobalt capsule showed a significant yield improvement at -1.2 V, achieving 92%, while also demonstrating high performance metrics like a TON of 650 mol and TOF of 185 mol·h, outperforming existing systems.
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  • The study explores the use of nonpharmacologic interventions for dementia patients in China, focusing on what factors influence their prescription in clinical practice.
  • Out of 889 patients, only 36.3% received these interventions, with cognitive activities and caregiver support being the most common types prescribed.
  • Key factors affecting prescription included institutional characteristics, caregiver dynamics, and family history of dementia, while patient reluctance and resource limitations were significant barriers to implementation.
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  • - Titanium dioxide (TiO) is widely used as a food additive in China, but detailed data on its particle size and dietary exposure is limited.
  • - A study found that 37.7% of TiO particles in food additives are nanoparticles (NPs), with candies (excluding gum) having the highest TiO content; the average dietary exposure for the population was found to be 34.84 μg/kg bw/day for TiO and 3.44 μg/kg bw/day for TiO NPs.
  • - Dietary exposure to TiO NPs varies by age and region, with children and residents of Inner Mongolia showing the highest intake; however, the risk associated with TiO NP exposure is considered acceptable
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The efficacy of conventional anti-angiogenesis drugs is usually low in treating hepatocellular carcinoma (HCC). Therefore, there is an urgent need to find new precise therapeutic targets and to develop more effective drugs for the treatment of HCC. Vasculogenic mimicry (VM) is different from classic endothelium-dependent angiogenesis and is associated with a poor prognosis in patients with malignant tumor.

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Background: Multicomponent interventions with carers of people with dementia demonstrate positive effects on the health and quality of life for carers and care recipients. The World Health Organization's iSupport for Dementia is an evidence-based online psychoeducation programme for carers. However, the programme was mainly implemented as a self-learning tool which might have limited its positive effects on carers and care recipients.

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Aims: To identify perceptions, attitudes, behaviours and barriers to effective obesity care among people living with obesity (PLwO) and healthcare professionals (HCPs) across mainland China.

Materials And Methods: ACTION-China (ClinicalTrials.gov: NCT05428501) was a cross-sectional, observational, descriptive, online survey-based study of 7000 PLwO and 1000 HCPs (conducted between August and November 2022).

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Background: Severe fever with thrombocytopenia syndrome (SFTS) is an emerging epidemic infectious disease with high mortality rate. This study aimed to investigate the association of red blood cell distribution width (RDW) and mortality risk in hospitalized SFTS patients.

Methods: Clinical data of SFTS patients was retrospectively collected from three hospitals between October 2010 and August 2022.

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  • - The study investigated the prevalence of probable rapid eye movement sleep behavior disorder (pRBD) among middle-aged and older adults visiting a psychiatric outpatient clinic, finding that 15.9% of participants screened positive for pRBD.
  • - A survey of 2907 individuals aged 45-80 revealed that factors like chemical exposure, family history of psychotic disorders, delayed mental health care, and certain medications were linked to an increased likelihood of having pRBD.
  • - The research underscores the need for clinicians to identify sleep behavior disorders in patients with mental health issues, particularly those with neurological and mood-related disorders.
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Objectives: To assess the comparative efficacy of neoadjuvant chemotherapy followed by surgery (NACT+S) versus concurrent chemoradiotherapy (CCRT) for patients with cervical cancer stages IB2 to IIB.

Method: An exhaustive literature search was conducted up to November 2023 in databases including PubMed, Embase, Web of Science, and the Cochrane Library, focusing on disease-free survival (DFS) and overall survival (OS). Data were analyzed using STATA version 15.

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The present study aimed to explore the potential neural correlates during feedback evaluation during decision-making under risk and ambiguity in MCI. Nineteen individuals with MCI and twenty age-matched HCs were enrolled. Decision-making performance under risk and ambiguity was examined with the modified game of dice task (GDT) and an Iowa gambling task (IGT).

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A Ce-based metal-organic tetrahedron was assembled for preserving the uncoordinated nature of 2,2'-bipyridyl groups to form a Cu-based photocatalyst, which protected Cu centers from intermolecular deactivation and showed high photocatalytic activity for the visible-light-mediated C(sp²)-S cross-coupling.

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  • - The study aimed to evaluate the cognitive function of older adults in Beijing and identify factors influencing their cognitive abilities, using the Hong Kong brief cognitive test for assessment.
  • - Conducted in 2023 with 349 participants, the research revealed that being married and engaging in regular physical activity were beneficial for cognitive function, while depressive symptoms negatively impacted it.
  • - The findings underscore the importance of promoting physical activity and mental health interventions in older adults to help prevent or slow cognitive decline throughout their lives.
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Purpose: To investigate the prognostic significance of lymphovascular invasion in invasive breast cancer and the value of using specific vascular endothelial markers to further classify lymphovascular invasion.

Methods: We collected 2124 patients with invasive breast cancer who were hospitalized at the First Hospital of Dalian Medical University from 2012 to 2020. Statistical methods were used to investigate the relationship between lymphovascular invasion and clinicopathological characteristics of breast cancer, and the correlation between lymphovascular invasion on overall survival (OS) and disease-free survival (DFS) of various categories of breast cancers.

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Objectives: The prevalence of the co-occurrence of depressive and anxious symptoms (CO) and their influence on perceived overall health were not clear in community dwelling Chinese older adults. The aims of the study were to investigate the prevalence of CO and to explore its influence on self-rated health (SRH).

Method: This study included 12301 individuals aged ≥65 years from the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey (CLHLS), a nationally representative survey of older adults in mainland China.

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As a commonly used food preservative, glycerol monocaprylate (GMC) has limited information and lacked a comprehensive risk assessment. In this study, we conducted in vitro genotoxicity tests, a 90-day subchronic toxicity study, and dietary exposure assessment in China. Rats (n = 10/sex/group) were orally administered GMC at doses of 1.

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Objectives: Severe fever with thrombocytopenia syndrome (SFTS) is an epidemic emerging infectious disease with high mortality rate. We investigated the association between liver injury and clinical outcomes in patients with SFTS.

Methods: A total of 291 hospitalized SFTS patients were retrospectively included.

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Objectives: To examine sex differences in the cognitive trajectories of a nationally representative sample of older people living in China and to explore potential determinants of these trajectories.

Methods: The study included 2230 women and 2171 men who were cognitively healthy and aged over 60 at the first observation from the Chinese Longitudinal Healthy Longevity Survey based on the 2008-2018 cohort. Cognitive function was measured using the Chinese version of the Mini-Mental State Examination (MMSE).

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The increasing use of titanium dioxide (TiO) nanoparticles (NPs) has raised concern about the safety of food additive TiO. TiO has been considered no longer safe by EFSA due to concerns over genotoxicity, however, there are conflicting opinions upon the safety of TiO as a food additive, and the number of in vivo genotoxicity studies conducted on food additive TiO was limited. In order to investigate the potential genotoxicity of food additive TiO, we evaluated the genotoxicity of a commercial food additive TiO (average size of 135.

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