Publications by authors named "XinTian Cai"

Objective: Admission hyperglycaemia is recognized as a contributor to poor outcomes in patients with cardiovascular and cerebrovascular diseases. This study aimed to evaluate the association between admission hyperglycaemia and in-hospital mortality in patients with hypertension and acute aortic dissection (AAD).

Methods: Patients diagnosed with hypertension and AAD between 1 January 2010 and 1 March 2023 were enrolled into this retrospective observational study, and divided into two groups based on admission blood glucose levels (BGA): normoglycemia (BGA < 7.

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The objective of this study was to ascertain the relationship between the weight-adjusted waist index (WWI) and the risk of stroke in an elderly hypertensive population, a relationship that has not been previously elucidated. The Cox regression model was employed to assess the correlation between baseline WWI measurements and the incidence of stroke. To further elucidate the shape of the association between baseline WWI and stroke, restricted cubic splines were employed.

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PHOTH-graphene is a newly predicted 2D carbon material with a low-energy structure. However, its mechanical stability and fracture properties are still elusive. The mechanical stability, elastic, and fracture properties of PHOTH-graphene were investigated using classical molecular dynamics (MD) simulations equipped with REBO potential in this study.

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Objective: To explore the link between plasma aldosterone concentration (PAC) and the prevalence of metabolic dysfunction-related fatty liver disease (MAFLD) in hypertensive patients.

Methods: We analyzed data from 41,131 hospitalized patients from January 1, 2014, to December 31, 2023. Multivariate logistic regression models tested associations, with threshold, subgroup, and sensitivity analyses conducted to validate findings.

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An accurate description of short-range interactions among atoms is crucial for simulating irradiation effects in applications related to ion modification techniques. A smooth integration of the Ziegler-Biersack-Littmark (ZBL) potential with the adaptive intermolecular reactive empirical bond-order (AIREBO) potential was achieved to accurately describe the short-range interactions for carbon-based materials. The influence of the ZBL connection on potential energy, force, and various AIREBO components, including reactive empirical bond-order (REBO), Lennard-Jones (LJ), and the torsional component, was examined with configurations of the dimer structure, tetrahedron structure, and monolayer graphene.

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Objective: Previous studies focusing on primary aldosteronism (PA) and thyroid diseases were controversial. Hence, this study aimed to examine associations between thyroid function, thyroid diseases, and PA and its subtypes.

Design And Methods: This was a cross-sectional study, which enrolled 1023 patients with PA and 6138 patients with essential hypertension (EH) admitted to Hypertension Center of People's Hospital of Xinjiang Uygur Autonomous Region from August 2011 to June 2022.

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Article Synopsis
  • Sleep is super important for staying healthy, and when we don't get enough of it, our bodies don't work right, which can cause problems with thinking and heart health.
  • Scientists experimented on mice with sleep troubles and found they had problems with thinking and processing sugar.
  • By increasing a substance called acetate in the mice, the researchers were able to help improve their thinking and metabolism, showing that acetate might protect us from the bad effects of not sleeping well.
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Background: Prior research has highlighted the association between uric acid (UA) and the activation of the renin-angiotensin-aldosterone system (RAAS). However, the specific relationship between aldosterone, the RAAS's end product, and UA-related diseases remains poorly understood. This study aims to clarify the impact of aldosterone on the development and progression of hyperuricemia and gout in hypertensive patients.

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  • - The study investigates the relationship between the hepatic steatosis index (HSI) and cardiovascular disease risk in hypertensive patients with obstructive sleep apnea, noting that these patients often face limitations due to other health conditions.
  • - Utilizing a cohort of 2467 patients, the research categorizes individuals based on their HSI and finds that those in the highest quartile (Q4) experience significantly worse survival outcomes and higher rates of major cardiovascular events.
  • - Results indicate a clear linear relationship where an increase in HSI correlates with a higher risk of new or recurring cardiovascular events, suggesting that tracking HSI could help in predicting CVD risks in this patient group.
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  • A new big data intelligence platform called Hypertension DATAbase at Urumchi (UHDATA) was created to enhance the identification and research of secondary hypertension using electronic medical records from a hospital in Xinjiang, China.
  • The platform has accumulated data from 295,297 hypertensive patients since 2004, including demographic and medical information, with a focus on diagnosing secondary hypertension, which affected 14% of the total.
  • The database can be updated with new patient information and follow-ups every two weeks, enabling continuous research and has already facilitated multiple published studies.
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Background: A newly introduced obesity-related index, the weight-adjusted-waist index (WWI), emerges as a promising predictor of cardiovascular disease (CVD). Given the known synergistic effects of hypertension and obstructive sleep apnea (OSA) on cardiovascular risk, we aimed to explore the relationship between the WWI and CVD risk specifically within this high-risk cohort.

Methods: A total of 2265 participants with hypertension and OSA were included in the study.

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Objective: While the role of aldosterone in bone metabolism is well established, the specific effects of the widely used aldosterone antagonist, spironolactone, on bone health are not fully understood. This study aimed to investigate the effects of spironolactone on osteoporosis and future fracture risk in middle-aged and elderly hypertensive patients, revealing its potential benefits for bone health.

Methods: Propensity score matching was employed in this study to create matched groups of spironolactone users and non-users at a 1:4 ratio.

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Objective: Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease. Among its various complications, heart failure (HF) has been recognized as the second leading cause of cardiovascular death in RA patients. The objective of this study was to investigate the relationship between RA and HF using epidemiological and genetic approaches.

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Background: Previous studies have suggested that aldosterone may play a major role in calcium-phosphorus homeostasis and bone metabolism. However, the relationship between plasma aldosterone concentrations (PAC) and bone mineral density (BMD) in middle-aged and elderly hypertensive patients remains unclear. Therefore, this study sought to investigate the relationship between PAC levels and BMD and explore PAC's potential impact on osteoporosis and future fracture risk in hypertensive patients.

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Article Synopsis
  • The study explored the link between systemic inflammatory response index (SIRI) and factors like bone mineral density (BMD), osteoporosis, and fracture risk in elderly hypertensive patients (aged 60 and above).
  • Results showed that higher SIRI levels correlated with lower BMD across various lumbar regions and the femur neck, indicating a negative impact on bone health.
  • Additionally, SIRI was associated with a greater risk of osteoporosis and future fractures, necessitating more research to validate these findings.
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Purpose: The aim of this study was to develop and validate a machine learning (ML) model for predicting the risk of new osteoporotic vertebral compression fracture (OVCF) in patients who underwent percutaneous vertebroplasty (PVP) and to create a user-friendly web-based calculator for clinical use.

Methods: A retrospective analysis of patients undergoing percutaneous vertebroplasty: A retrospective analysis of patients treated with PVP between June 2016 and June 2018 at Liuzhou People's Hospital was performed. The independent variables of the model were screened using Boruta and modelled using 9 algorithms.

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Objective: Recently, the stress hyperglycemia ratio (SHR) has been introduced as a metric to signify relative hyperglycemia. This study aimed to investigate the relationship between SHR and in-hospital mortality and length of stay occurring during hospitalization in stroke patients.

Methods: The retrospective cohort study comprised a total of 4,018 patients diagnosed with acute stroke.

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  • The study aimed to analyze how plasma aldosterone concentration (PAC) levels change over time in hypertensive patients and how these changes relate to cardiovascular disease (CVD) risk.
  • Participants were tracked from 2010 to 2016, and the study found that those with high-stable PAC patterns had the greatest risk for CVD events like stroke and heart attacks.
  • The results indicate a significant association between high-stable PAC patterns and increased CVD risk, though further research is necessary to confirm these results.
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Hypertensive patients with snoring and elevated plasma homocysteine levels are common. When these factors are combined, the risk of coronary heart disease (CHD) is high. Herein, we developed and validated an easy-to-use nomogram to predict high-risk CHD in snoring hypertensive patients with elevated plasma homocysteine.

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Objective: This study aimed to evaluate the relationship between the systemic inflammation response index (SIRI) and the risk of stroke and its subtypes in elderly patients with hypertension and to explore its predictive accuracy and any potential effect modifiers.

Methods: The study included 4749 participants with no history of stroke at baseline. Cox regression was used to estimate adjusted hazard ratios (HR) and 95% confidence intervals (CIs).

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  • This study investigates how the Body Roundness Index (BRI), a new measure of obesity, relates to cardiovascular disease (CVD) risk in hypertensive patients with obstructive sleep apnea (OSA), suggesting it may be a better predictor of CVD than other obesity measures.
  • Over a median follow-up of 6.8 years, 324 participants had CVD events, with higher hazard ratios indicating increased risk associated with higher BRI tertiles.
  • The findings show that BRI significantly correlates with CVD risk and enhances predictive accuracy in hypertensive patients with OSA, as confirmed by various statistical methods.
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  • ChatGPT, developed by OpenAI, was evaluated for its ability to respond accurately to neurosurgical questions based on evidence-based medicine.
  • A total of 50 questions were posed to both GPT-3.5 and GPT-4.0, and responses were also obtained from neurosurgeons of varying seniority levels.
  • The study found that GPT-3.5's performance was similar to that of less experienced neurosurgeons, while GPT-4.0 showcased capabilities comparable to more experienced neurosurgeons, indicating potential for future improvements in AI-assisted medical responses.
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Ultrafast electron diffraction (UED) is a powerful tool for observing the evolution of transient structures at the atomic level. However, temporal resolution is a huge challenge for UEDs, mainly depending on the pulse duration. Unfortunately, the Coulomb force between electrons causes the pulse duration to increase continually when propagating, reducing the temporal resolution.

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Article Synopsis
  • The study analyzes the relationship between COVID-19 and chronic kidney disease through a bibliometric analysis of publications between December 2019 and May 2023.
  • A total of 1038 publications were identified, highlighting strong collaboration among researchers, particularly from the USA, China, and the UK, with Harvard Medical School being the leading institution.
  • Key research areas emerging from this analysis include thrombosis, telemedicine, depression, and COVID-19 vaccines, which are expected to influence future studies in the field.
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