Publications by authors named "Xiangkai Zhao"

Objectives: To comprehensively describe the incidence, process of care, outcomes, and variation among different age groups of pediatric out-of-hospital cardiac arrest (OHCA) in China.

Design: The Baseline Investigation of Out-of-Hospital Cardiac Arrest (BASIC-OHCA) is a prospective, multicenter, population-based registry of emergency medical services (EMS)-assessed OHCA in China.

Setting: A total of 25 monitoring sites of all seven geographical regions were included, covering a pediatric population (age ≤ 19) of around 22.

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  • Coke oven emissions (COEs) contain harmful compounds called polycyclic aromatic hydrocarbons (PAHs), which may harm the cardiovascular system, particularly in people with high blood pressure.* -
  • A study involving 518 workers showed that those with higher exposure to COEs had greater systolic and diastolic blood pressure compared to those with lower exposure.* -
  • The research identified that a specific genetic variation (SNP) in the PINK1 gene could influence blood pressure changes due to COEs exposure, highlighting the combined impact of environmental and genetic factors on workers' health.*
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The associations between blood benzene, toluene, ethylbenzene, and xylenes (BTEX) and biological aging among general adults remain elusive. The present study comprised 5780 participants from the National Health and Nutrition Examination Survey 1999-2010. A novel measure of biological aging, phenotypic age acceleration (PhenoAge.

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  • Scarlet fever (SF) is mainly a disease affecting children and is influenced by weather and air pollution factors, but specific studies in Northwest China are limited.
  • Researchers analyzed SF cases in Lanzhou from 2014 to 2018 using advanced statistical models, confirming that high levels of ozone, carbon monoxide, sulfur dioxide, temperature, pressure, water vapor, and wind speed are linked to increased SF incidence in children.
  • The study found that high ozone levels had the most significant delayed impact on SF risk, while interactions with weather conditions like high temperatures and pressure also increased the risk, highlighting the need for better prevention strategies based on these environmental factors.
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Out-of-hospital cardiac arrest (OHCA) is a global public health concern. Nationwide studies on the effects of short-term exposure to particulate matter (PM) on OHCA risk are rare in regions with high PM levels, and evidence for coarse PM (PM) is limited and inconsistent. To evaluate the associations between fine PM (PM) and PM and OHCA onset, a time-stratified case-crossover study was conducted on 77,261 patients with cardiac OHCA in 26 cities across China in 2020.

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Coke oven emissions (COEs) exposure leads to oxidative stress, an imbalance between oxidant production and antioxidant defence in the body, which then leads to shortened relative telomere length (RTL) and reduced mitochondrial DNA copy number (mtDNAcn), ultimately leading to ageing and disease. By analysing the relationship among COEs, oxidative stress, RTL and mtDNAcn, we investigated the chain-mediating effects of oxidative stress and telomeres on mitochondrial damage and mitochondria on telomere damage in coke oven workers. A total of 779 subjects were included in the study.

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  • Velocity measurement is crucial for monitoring water flow and predicting floods, and long-distance laser Doppler technology offers high precision despite challenges posed by weak signals.
  • Traditional methods struggle with non-stationary signals, so a new technique called adaptive Gaussian weighted integral (AGWI) was developed to address these issues.
  • The new approach utilizes a second-order Kaiser self-multiplication window and adaptive power spectral subtraction, resulting in accurate measurements of river surface velocity even at long distances.
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Aldehyde dehydrogenase 2 (ALDH2) is a mitochondrial enzyme involved in the detoxification of alcohol-derived acetaldehyde and endogenous aldehydes. The inactivating ALDH2 rs671 polymorphism, present in up to 8% of the global population and in up to 50% of the East Asian population, is associated with increased risk of cardiovascular conditions such as coronary artery disease, alcohol-induced cardiac dysfunction, pulmonary arterial hypertension, heart failure and drug-induced cardiotoxicity. Although numerous studies have attributed an accumulation of aldehydes (secondary to alcohol consumption, ischaemia or elevated oxidative stress) to an increased risk of cardiovascular disease (CVD), this accumulation alone does not explain the emerging protective role of ALDH2 rs671 against ageing-related cardiac dysfunction and the development of aortic aneurysm or dissection.

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Background: We aimed to quantify the impact of each vaccine strategy (including the P3-inactivated vaccine strategy [1968-1987], the SA 14-14-2 live-attenuated vaccine strategy [1988-2007], and the Expanded Program on Immunization [EPI, 2008-2020]) on the incidence of Japanese encephalitis (JE) in regions with different economic development levels.

Methods: The JE incidence in mainland China from 1961 to 2020 was summarized by year, then modeled and analyzed using an interrupted time series analysis.

Results: After the P3-inactivated vaccine was used, the JE incidence in Eastern China, Central China, Western China and Northeast China in 1968 decreased by 39.

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This paper aims to study the cumulative lag effect of meteorological factors on brucellosis incidence and the prediction performance based on Random Forest model. The monthly number of brucellosis cases and meteorological data from 2015 to 2019 in Yongchang of Gansu Province, northwest China, were used to build distributed lag nonlinear model (DLNM). The number of brucellosis cases of lag 1 month and meteorological data from 2015 to 2018 were used to build RF model to predict the brucellosis incidence in 2019.

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In 2008, Mainland China included the Japanese encephalitis (JE) vaccine in the Expanded Program on Immunization (EPI) to control the JE epidemic. However, Northwest China experienced the largest JE outbreak since 1994 in 2018, and the effects of the EPI in different regions are unclear. Therefore, we used an interrupted time series design to evaluate the effects of the EPI in different regions.

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Hydrogen (H) therapy is a therapeutic strategy using molecular H. Due to its ability to regulate cell homeostasis, H therapy has exhibited marked therapeutic effects on a number of oxidative stress-associated diseases. The present study investigated the effectiveness of H therapy in protecting against myocardial injury in a rat model of asphyxial cardiac arrest and cardiopulmonary resuscitation.

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Japanese encephalitis (JE), a mosquito-borne zoonotic disease, has emerged as a major public health concern around the world. Previous research has shown that JE has serious sequelae, and the recent shift in the population from children to adults presents a significant challenge for JE treatment and prevention. Therefore, we examined the differences in clinical manifestations (clinical symptoms, clinical signs, complications, and clinical typing) of JE between children and adults over the 15 years in Gansu Province to provide a theoretical basis for better response to JE treatment.

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Background: Clinical studies show that the most common single-point mutation in humans, ALDH2 (aldehyde dehydrogenase 2) rs671 mutation, is a risk factor for the development and poor prognosis of atherosclerotic cardiovascular diseases, but the underlying mechanism remains unclear. Apoptotic cells are phagocytosed and eliminated by macrophage efferocytosis during atherosclerosis, and enhancement of arterial macrophage efferocytosis reduces atherosclerosis development.

Methods: Plaque areas, necrotic core size, apoptosis, and efferocytosis in aortic lesions were investigated in APOE mice with bone marrow transplanted from APOEALDH2 and APOE mice.

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Acute exacerbation of chronic obstruction pulmonary disease (AECOPD) as a respiratory disease, is considered to be related to air pollution by more and more studies. However, the evidence on how air pollution affect the incidence of AECOPD and whether there are population differences is still insufficient. Therefore, we select PM, PM, SO, NO, CO, and O as representatives combined with daily AECOPD admission data from 1 January 2015 to 26 June 2016 in the rural areas of Qingyang, northwestern China to explore the associations of air pollution with AECOPD.

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  • Dual antiplatelet therapy (DAPT) with aspirin and a P2Y12 inhibitor is crucial for treating acute coronary syndrome (ACS), but the best choice for elderly patients (≥65 years) is debated.
  • A meta-analysis of four randomized controlled trials included 4,429 elderly ACS patients, comparing aspirin plus ticagrelor with aspirin plus clopidogrel.
  • Results showed that ticagrelor significantly reduced all-cause and cardiovascular mortality but increased the risk of bleeding compared to clopidogrel, suggesting it may be a better option despite the bleeding risk.
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