Publications by authors named "Li-bo Zhao"

Background: Previous studies have demonstrated a significant correlation between obstructive sleep apnea (OSA) and frailty. However, the association of mean pulse oxygen saturation (MSpO) with frailty among OSA patients remains unconfirmed. This study aimed to explore this potential association using data from a multicenter, prospective cohort.

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  • The study explored gut microbiota differences in patients with severe obstructive sleep apnea (OSA) and how these changes occur after three months of CPAP treatment.
  • Using various analysis methods, the research found specific bacterial populations significantly altered in OSA patients compared to healthy controls and showed correlations between certain gut bacteria and blood pressure levels.
  • The findings indicate that gut microbiota and metabolic pathways are notably different in OSA patients, and that CPAP therapy can meaningfully impact both gut bacteria composition and overall health.
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Depression is accompanied by dyslipidemia, which may increase the risk of stroke and coronary heart disease. This study sought to quantitatively summarize the clinical data comparing peripheral blood triglyceride (TG) concentrations between patients with major depressive disorder (MDD) and healthy controls (HCs). Studies were searched in PubMed, EMBASE, PsycINFO, and Cochrane Databases up to March 2023.

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Background: The concomitant rise in the prevalence of obstructive sleep apnea (OSA) and frailty among the elderly population has been linked to an increase in mortality rates. Despite continuous positive airway pressure (CPAP) being the gold standard treatment for OSA, its impact on incident frailty remains inadequately explored.

Methods: In this cohort study, we analyzed data from 1290 patients diagnosed with OSA, aged 60 years and older.

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Objective: To assess the prevalence and factors associated with early cognitive impairment in intracerebral hemorrhage (ICH) patients and to describe short-term recovery trajectories among ICH patients with early cognitive impairment.

Methods: We prospectively enrolled ICH patients without baseline dementia in our institutions. Cognitive function was assessed using mini-mental state examination (MMSE), and functional outcome was evaluated at discharge, 3, and 6 months after symptoms onset using the modified Rankin Scale (mRS).

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Investigating the influencing factors of new-onset hypertension in the elderly with obstructive sleep apnea (OSA). 450 Chinese older patients with OSA who were non-hypertensive at baseline were enrolled. All patients had undergone polysomnography monitoring in the multicenter study.

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Background And Objective: Inflammation has emerged as a prominent risk factor for cerebral small vessel disease (CSVD). However, the specific association between various inflammatory biomarkers and the development of CSVD remains unclear. Serine proteinase inhibitor A3 (SERPINA3), Matrix metalloproteinase-9 (MMP-9), Tissue inhibitor metalloproteinase-1 (TIMP-1), Monocyte Chemoattractant Protein-1 (MCP-1) are several inflammatory biomarkers that are potentially involved in the development of CSVD.

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Objectives: To explore the value of sympathetic skin response (SSR) in the early diagnosis and prognostic evaluation of Guillain-Barre syndrome (GBS) in children.

Methods: A retrospective analysis was conducted on the clinical data of 25 children with GBS who were diagnosed from October 2018 to November 2022, and 30 children who were diagnosed with Tourette's syndrome during the same period were selected as the control group. The characteristics of SSR were compared between the two groups, and the association of SSR with autonomic dysfunction (AD), disease severity, and prognosis was analyzed.

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Background: The objective of this study was to investigate the clinical, imaging, and outcome characteristics of intracerebral hemorrhage (ICH) caused by structural vascular lesions.

Methods: We retrospectively analyzed data from a prospective observational cohort study of patients with spontaneous ICH admitted to the First Affiliated Hospital of Chongqing Medical University between May 2016 and April 2021. Good outcome was defined as modified Rankin Scale score of 0-3 at 3 months.

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  • The study aimed to evaluate how effective noncontrast computed tomography (NCCT) models using radiomics and machine learning are at predicting early perihematomal edema (PHE) growth in patients with spontaneous intracerebral hemorrhage (ICH).
  • Researchers analyzed NCCT data from 214 ICH patients, applying multiple machine learning techniques to develop predictive models based on selected radiomics features.
  • Among the models tested, the multilayer perceptron (MLP) demonstrated the highest accuracy for predicting PHE expansion, suggesting that these NCCT models can help identify patients at risk for complications following ICH.
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Purpose: The optimal dose regimen of ruxolitinib (RUX) in children with hemophagocytic lymphohistiocytosis (HLH) remains to be determined. The aim was to develop and verify a population pharmacokinetic (PPK) model, and then provide references for the optimization of dose regimen of RUX in children with HLH.

Methods: A total of 189 RUX concentrations from 32 children were included.

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  • * Analyzing 169 ICH patients, researchers found that prehospital UND occurred in 17.2% of cases, showing significantly worse hospital admission scores and 3-month recovery outcomes compared to those without UND.
  • * The results suggest that prehospital UND is a significant predictor of poor functional outcomes, highlighting the need for more research on assessing and managing ICH before hospital admission.
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Purpose: The oral microbiota is closely associated with systemic health, but few studies have investigated the oral microbiota in patients with obstructive sleep apnea (OSA). This study aimed to identify the variation of oral microbiota among patients with severe OSA, and the change of oral microbiota after treatment with continuous positive airway pressure (CPAP).

Methods: Participants were enrolled in the study from November 2020 to August 2021.

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To investigate the association between obstructive sleep apnea (OSA) severity and baseline serum cystatin C (Cys-C) concentration and to explore the association between baseline serum Cys-C and long-term cardiovascular outcomes and mortality in older patients with OSA. Between January 2015 and October 2017, a total of 1107 consecutive eligible older patients (≥60 years) with OSA were included in this multicenter, prospective cohort study, and baseline demographics, clinical characteristics, sleep parameters, and follow-up outcomes were collected. Participants were divided into different groups based on baseline serum Cys-C levels.

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Objectives: To analyze the characteristics of oral microbiota in plateau and plain youth and the possible function of the microbiome.

Materials And Methods: A total of 120 healthy young males (80 on the plateau, 40 on the plain) completed this cross-sectional study. Oral microflora samples were collected from all participants.

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  • The study aimed to explore the link between cerebral small vessel disease (SVD) and the size of hematomas (bleeds) in patients with primary intracerebral hemorrhage (ICH).
  • Researchers analyzed CT and MRI scans from 187 ICH patients, assessing factors like SVD indicators, hematoma location, and volume.
  • Results revealed that a higher global SVD score correlates with smaller ICH sizes and is particularly significant in non-lobar hemorrhages.
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Ruxolitinib (RUX), a small molecule inhibitor of JAK1/JAK2, has been identified as the possible novel targeted agent for the treatment of hemophagocytic lymphohistiocytosis (HLH). However, due to the lack of randomized clinical trials (RCTs), it is extremely difficult to determine the effective therapeutic dose for RUX in HLH patients, especially in pediatric patients. At the same time, the clinical response of pediatric patients to RUX varies greatly among individuals according to several case reports.

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  • This study examined how common atrial fibrillation (AF) is in older patients with obstructive sleep apnea (OSA) in China, involving 1,285 participants over three years.
  • It found that 9.5% of patients had AF, which increased with age but not significantly with the severity of OSA.
  • The analysis identified that factors such as age, a history of alcohol consumption, chronic heart disease, diabetes, and reduced diastolic function are all linked to higher rates of AF in these patients.
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Background: Outcomes regarding the conventional surgical and conservative treatment for the lobar intracerebral hemorrhage (ICH) have not been previously compared. The current meta-analysis was designed to review and compile the evidence regarding the management of patients with lobar intracerebral hemorrhage.

Methods: Online electronic databases, including PubMed, Embase, Medline, Cochrane Library, and Google Scholar, were searched for randomized controlled trials (RCTs).

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Objective: Hyperglycemia is often observed in the patients after acute stroke. This study aims to elucidate the potential effect and mechanism of hyperglycemia by screening microRNAs expression in intracerebral hemorrhage mice.

Methods: We employed the collagenase model of intracerebral hemorrhage.

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Surgery is one of the main effective strategies for the treatment of solid tumors, but high postoperative recurrence is also the main cause of death in current cancer therapy. The prevention of postoperative hepatocellular carcinoma (HCC) recurrence is a clinical problem that needs to be solved urgently. At present, there are still some problems to be solved, such as, how to achieve free drugs to target the site of surgical resection; develop a strategy for the simultaneous administration of multiple drugs to inhibit postoperative recurrence; and provide the appropriate animal model that mimics the process of postoperative HCC recurrence.

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Few prospective cohort studies have assessed the relationship between Cystatin C (Cys-C) and risk of stroke in elderly patients with obstructive sleep apnea (OSA). The study sought to examine the association between baseline serum Cys-C and long-term risk of stroke among elderly OSA patients. A total of 932 patients with OSA, no history of stroke, ≥60 years of age, and complete serum Cys-C records were included in this study.

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Thousands of designated COVID-19 hospitals have been set up in China to fight the ongoing COVID-19 pandemic. Anecdotal reports indicate a falling rate of acute stroke diagnoses in these hospitals during the COVID-19 period. We conducted an exploratory single-center analysis to estimate the change in acute stroke presentation at the designated COVID-19 hospitals.

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  • The study investigates the impact of obstructive sleep apnea (OSA) on cardiovascular disease (CVD) risk and mortality in elderly patients, particularly comparing those with type 2 diabetes to those without it.
  • A total of 1,113 elderly patients were monitored, with 266 (23.9%) diagnosed with OSA who also had type 2 diabetes, leading to notable findings over a 42-month follow-up period.
  • Results indicated that type 2 diabetes significantly increased the risk of major adverse cardiovascular events, with specific risks for unstable angina and other health complications, although there were no significant differences in overall mortality rates.
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