China stroke surveillance report 2021

Military Medical Research, Год журнала: 2023, Номер 10(1)

Опубликована: Июль 19, 2023

Since 2015, stroke has become the leading cause of death and disability in China, posing a significant threat to health its citizens as major chronic non-communicable disease. According China Stroke High-risk Population Screening Intervention Program, an estimated 17.8 million [95% confidence interval (CI) 17.6-18.0 million] adults had experienced 2020, with 3.4 (95% CI 3.3-3.5 million) experiencing their first-ever another 2.3 2.2-2.4 dying result. Additionally, approximately 12.5% 12.4-12.5%) survivors were left disabled, defined by modified Rankin Scale score greater than 1, equating 2.2 2.1-2.2 stroke-related disabilities 2020. As population ages prevalence risk factors like diabetes, hypertension, hyperlipidemia continues rise remains poorly controlled, burden is also increasing. A large national epidemiological survey initiated Hypertension League 2017 showed that hypertension was 24.7%; awareness, treatment, control rates hypertensive patients were: 60.1%, 42.5%, 25.4%, respectively. nationally representative sample Chinese mainland weighted total diabetes diagnosed American Diabetes Association criteria 12.8%, suggesting there are 120 diabetic 43.3%, 49.0%, 49.4%, The "Sixth National Health Service Statistical Survey Report 2018" proportion obese 37.4%, increase 7.2 points from 2013. Data 1599 hospitals Hospital Quality Monitoring System Bigdata Observatory Platform for (BOSC) 3,418,432 cases [mean age ± standard error (SE) (65.700 0.006) years, 59.1% male] admitted during Of those, over 80% (81.9%) ischemic (IS), 14.9% intracerebral hemorrhage (ICH) strokes, 3.1% subarachnoid (SAH) strokes. mean SE hospitalization expenditures Yuan (CNY) (16,975.6 16.3), ranging (13,310.1 12.8) IS (81,369.8 260.7) SAH, out-of-pocket expenses (5788.9 8.6), (4449.0 6.6) (30,778.2 156.8) SAH. It medical cost 2020 CNY 58.0 billion, which patient pays 19.8 billion. In-hospital death/discharge against advice rate 9.2% 9.2-9.2%), 6.4% 6.4-6.5%) 21.8% ICH 21.8-21.9%). From 2019 information about 188,648 acute receiving intravenous thrombolytic therapy (IVT), 49,845 mechanical thrombectomy (MT), 14,087 bridging (IVT + MT) collected through BOSC. incidence intracranial treatment 3.2% 3.2-3.3%), 7.7% 7.5-8.0%), 12.9% 12.3-13.4%), And in-hospital 8.9% 8.8-9.0%), 16.5% 16.2-16.9%), 16.8% 16.2-17.4%), prospective nationwide hospital-based study conducted at 231 base (Level III) 31 provinces BOSC January December 136,282 included finished 12-month follow-up. 86.9% IS, 10.8% 2.3% SAH [% CI)] 3-month 14.8% 14.6-15.0%) 14.0% 13.8-14.2%), mortality 4.2% 4.1-4.3%) 8.5% 8.4-8.6%), recurrence 3.6% 3.5-3.7%) 5.6% 5.4-5.7%), Healthy 2030 Action Plan launched part this review, above data provide valuable guidelines future prevention efforts China.

Язык: Английский

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Ammonia emissions from agriculture and their contribution to fine particulate matter: A review of implications for human health

Journal of Environmental Management, Год журнала: 2022, Номер 323, С. 116285 - 116285

Опубликована: Сен. 21, 2022

Atmospheric ammonia (NH3) released from agriculture is contributing significantly to acidification and atmospheric NH3 may have on human health much less readily available. The potential direct impact of the general public under-represented in scientific literature, though there been several studies which indicate that has a effect respiratory those who handle livestock. These impacts can include reduced lung function, irritation throat eyes, increased coughing phlegm expulsion. More recent indicated agricultural directly influence early on-set asthma young children. In addition ammonia, it also substantial contributor fine particulate matter (PM2.5) fraction (namely US Europe); where accounts for formation 30% 50% all PM2.5 respectively. ability penetrate deep into lungs cause long term illnesses such as Chronic Obstructive Pulmonary Disease (COPD) cancer. Hence, causes economic losses equate billions dollars (US) global economy annually. Both premature deaths associated with could be mitigated reduction emissions resulting agriculture. As contributes more than 81% emissions, imperative food production does not come at cost world's breathe; reductions easier achieve other pollutants.

Язык: Английский

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Air-pollution prediction in smart city, deep learning approach

Journal Of Big Data, Год журнала: 2021, Номер 8(1)

Опубликована: Дек. 1, 2021

Over the past few decades, due to human activities, industrialization, and urbanization, air pollution has become a life-threatening factor in many countries around world. Among pollutants, Particulate Matter with diameter of less than 2.5μm ( PM2.5 ) is serious health problem. It causes various illnesses such as respiratory tract cardiovascular diseases. Hence, it necessary accurately predict concentrations order prevent citizens from dangerous impact beforehand. The variation depends on variety factors, meteorology concentration other pollutants urban areas. In this paper, we implemented deep learning solution hourly forecast Beijing, China, based CNN-LSTM, spatial-temporal feature by combining historical data meteorological data, adjacent stations. We examined difference performances among Deep algorithms LSTM, Bi-LSTM, GRU, Bi-GRU, CNN, hybrid CNN-LSTM model. Experimental results indicate that our method "hybrid multivariate" enables more accurate predictions all listed traditional models performs better predictive performance.

Язык: Английский

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Global burden of COPD attributable to ambient PM2.5 in 204 countries and territories, 1990 to 2019: A systematic analysis for the Global Burden of Disease Study 2019

The Science of The Total Environment, Год журнала: 2021, Номер 796, С. 148819 - 148819

Опубликована: Июль 8, 2021

The global spatiotemporal pattern of the COPD burden attributable to ambient PM2.5 is unknown in context continuing increase exposure PM2.5. Data on from 1990 2019 were retrieved Global Burden Disease Study 2019. Cases and age-standardized rates mortality (ASMR) disability-adjusted life years (ASDR) estimated by age, sex, region, country. annual percentage change (EAPC) was calculated quantify secular trends ASMR ASDR Globally, number deaths DALYs both increased over 90% 2019, but slightly decreased, with EAPC −0.58 (95% CI: −0.72, −0.44) −0.40 −0.51, −0.29), respectively. Most occurred middle sociodemographic index (SDI) fastest growth low SDI EAPCs 2.41 2.23, 2.59) 2.34 2.16, 2.52), East Asia South high-risk areas PM2.5, among which China India countries heaviest burden. mainly individuals 70–89 old 60–84 old, age-specific had a rapid low-middle regions or reverse V-shaped relationship SDI. In summary, PM2.5-attributable socioeconomic- age-dependent, it mediates heterogeneity spatial temporal distribution. Low- middle-income endure highest due high poor availability affordability medicines diagnostic tests.

Язык: Английский

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The interaction effect between public environmental concern and air pollution: Evidence from China

Journal of Cleaner Production, Год журнала: 2023, Номер 391, С. 136231 - 136231

Опубликована: Янв. 28, 2023

Язык: Английский

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The challenge of population aging for mitigating deaths from PM2.5 air pollution in China

Nature Communications, Год журнала: 2023, Номер 14(1)

Опубликована: Авг. 26, 2023

Estimating the health burden of air pollution against background population aging is great significance for achieving Sustainable Development Goal 3.9 which aims to substantially reduce deaths and illnesses from pollution. Here, we estimated spatiotemporal changes in attributable PM2.5 China 2000 2035 examined drivers. The results show that 2019 2035, were projected decease 15.4% (6.6%-20.7%, 95% CI) 8.4% (0.6%-13.5%) under SSP1-2.6 SSP5-8.5 scenario, respectively, but increase 10.4% (5.1%-20.5%) 18.1% (13.0%-28.3%) SSP2-4.5 SSP3-7.0 scenarios. Population will be leading contributor increased pollution, counter positive gains achieved by improvements healthcare. Region-specific measures are required mitigate this requires long-term efforts mutual cooperation among regions China.

Язык: Английский

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Epidemiology of gout – Global burden of disease research from 1990 to 2019 and future trend predictions

Therapeutic Advances in Endocrinology and Metabolism, Год журнала: 2024, Номер 15

Опубликована: Янв. 1, 2024

Background: Understanding the global burden of gout in past and future can provide important references for optimizing prevention control strategies healthcare systems. Objectives: This study aimed to report variations disease risk factors 204 countries territories from 1990 2019. Design: We conducted a retrospective analysis based on latest Global Burden Disease (GBD) 2019 database. Methods: collected data prevalence, incidence, disability-adjusted life years (DALYs) The were then stratified by age, sex, economic development level. Decomposition analysis, frontier prediction models used analyze changes influencing each indicator. Results: Globally, there 53,871,846.4 [95% uncertainty interval (UI): 43,383,204.6–66,342,327.3] prevalent cases, 92,228,86.8 (95% UI: 7419,132.1–11,521,165) incident 1673,973.4 1,068,061.1–2,393,469.2) cases DALYs 2019, more than double those 1990. Moreover, pace increase age-standardized prevalence rate (ASPR), incidence (ASIR), DALY (ASDR) accelerated during 1990–2019, with estimated annual percentage (EAPC) 0.94 confidence (CI): 0.85–1.03], 0.77 CI: 0.69–0.84), 0.93 0.84–1.02), respectively, especially among men. has increased all other 20 GBD regions 30 years, except Western Sub-Saharan Africa. highest high body mass index (BMI) kidney dysfunction was high-income such as North America East Asia. rate, 2030 will reach 599.86, 102.96 per 100,000 population, 20.26 roughly same Conclusion: With society, become increasingly severe. It is very accurate epidemiological clinical diagnosis treatment health policy.

Язык: Английский

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Global impact of PM2.5 on cardiovascular disease: Causal evidence and health inequities across region from 1990 to 2021

Journal of Environmental Management, Год журнала: 2025, Номер 374, С. 124168 - 124168

Опубликована: Янв. 21, 2025

Язык: Английский

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Cardiovascular disease burden attributable to dietary risk factors from 1990 to 2019: A systematic analysis of the Global Burden of Disease study

Nutrition Metabolism and Cardiovascular Diseases, Год журнала: 2021, Номер 32(4), С. 897 - 907

Опубликована: Ноя. 30, 2021

Язык: Английский

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Health Effects of Long-Term Exposure to Ambient PM2.5 in Asia-Pacific: a Systematic Review of Cohort Studies

Current Environmental Health Reports, Год журнала: 2022, Номер 9(2), С. 130 - 151

Опубликована: Март 16, 2022

Abstract Purpose of Review Health effects long-term exposure to ambient PM 2.5 vary with regions, and 75% the deaths attributable were estimated in Asia-Pacific 2017. This systematic review aims summarize existing evidence from cohort studies on health Asia-Pacific. Recent Findings In Asia-Pacific, 60 conducted Australia, Mainland China, Hong Kong, Taiwan, South Korea. They consistently supported associations increased all-cause/non-accidental cardiovascular mortality as well incidence diseases, type 2 diabetes mellitus, kidney chronic obstructive pulmonary disease. Evidence for other was limited. Inequalities identified -health associations. Summary To optimize air pollution control public prevention, further need assess understudied risk renal dementia lung cancer, inequalities Study design, especially assessment methods, should be improved.

Язык: Английский

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