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To investigate the association between blood pressure and all-cause mortality in Shanxi, China. The '2002 China Nutrition and Health Survey' baseline data in Shanxi province was used. A retrospective investigation was performed in 2015. The effects of SBP and DBP on the all-cause mortality were analyzed using the Cox regression model. The hazard ratio (HR) and 95% confidence interval (CI) were estimated by the sex and age groups. The follow-up rate was 76.52% over 13 years, while the cumulative mortality rate for all participants was 917.12/100,000 person-years. The mortality rose with an increasing SBP (χ2 trend = 270.537, P < 0.001) or DBP level (χ2 trend = 57.240, P < 0.001). After adjustment for the confounding factors, a significant association between mortality and high SBP (≥ 160 mmHg) and high DBP (≥ 100 mmHg), with adjusted HR ranging from 1.405- to 2.179-fold for SBP and 1.550- to 2.854-fold for DBP, was noted. Significant HRs for most DBP subgroups were found in > 60-year-old participants. Males with DBP ≥ 100 mmHg had a significantly higher mortality, with an HR (95% CI) of 2.715 (1.377–5.351). Adults with SBP > 160 mmHg and DBP > 100 mmHg had a higher mortality risk. Sex and age difference was noted in both DBP and mortality risk. [ABSTRACT FROM AUTHOR]

This study aimed to assess the association of waist circumference (WC) with all-cause mortality among Chinese adults. The baseline data were from Shanxi Province of 2002 China Nutrition and Health Survey. The death investigation and follow-up visit were conducted from December 2015 to March 2016. The visits covered up to 5,360 of 7,007 participants, representing a response rate of 76.5%. The Cox regression model and floating absolute risk were used to estimate hazard ratio and 95% floating CI of death by gender and age groups (≥ 60 and < 60 years old). Sensitivity analysis was performed by excluding current smokers; participants with stroke, hypertension, and diabetes; participants who accidentally died; and participants who died during the first 2 years of follow-up. This study followed 67,129 person-years for 12.5 years on average, including 615 deaths. The mortality density was 916 per 100,000 person-years. Low WC was associated with all-cause mortality among men. Multifactor-adjusted hazard ratios (HR) were 1.60 (1.35–1.90) for WC < 75.0 cm and 1.40 (1.11–1.76) for WC ranging from 75.0 cm to 79.9 cm. Low WC (< 70.0 cm and 70.0–74.9 cm) and high WC (≥ 95.0 cm) groups had a high risk of mortality among women. The adjusted HR s of death were 1.43 (1.11–1.83), 1.39 (1.05–1.84), and 1.91 (1.13–3.22). WC was an important predictor of death independent of body mass index (BMI). WC should be used as a simple rapid screening and predictive indicator of the risk of death. [ABSTRACT FROM AUTHOR]

Obesity is recognized as a significant risk factor for diabetes and hypertension. The present study aimed to examine the associations between adults' obesity risk and childhood and parental obesity. A total of 204 children aged 6-17 years were recruited in 2002 with an average follow-up period of 13.2 years. Height and body weight were measured by trained staffs. Overweight and obesity were defined based on the Chinese standard for children and adults. T-test, analysis of variance, and Chi-square analysis were used for single factor analysis. Multiple linear and logistic regression analyses were used to perform multifactor analysis. The percentage of non-obese children who grew up to be non-obese adults was 62.6%, and that of obese children who grew up to be obese adults was 80.0%. There was a significant association between childhood body mass index (BMI) and adulthood BMI with a β regression coefficient of 3.76 [95% confidence interval (CI): 1.36-6.16], and between childhood obesity and adulthood obesity with an odds ratio of 5.76 (95% CI : 1.37-24.34). There was no statistical difference between parental obesity at baseline and children's adulthood obesity, after adjustment of confounders. Male participants and those aged 10.0-13.0 years had a higher risk of adulthood obesity with odds ratios of 2.50 (95% CI : 1.12-5.26) and 3.62 (95% CI : 1.17-11.24), respectively. Childhood obesity is an important predictor of adulthood obesity. [ABSTRACT FROM AUTHOR]

Background: Stroke causes death and disability throughout the world and recurrent stroke events are more likely to be disabling or fatal. We conducted a hospital-based study to investigate the frequency and influence factors of stroke recurrence in China.Methods: Data from patients hospitalized with stroke between January 2007 and December 2010 of 109 tertiary hospitals in China were used. Stroke recurrence and associated factors were ascertained. The zero-inflated model was used to evaluate the factors of recurrence.Results: Of 101,926 discharged patients, the cumulative 2-year stroke recurrence rate was 3.80% for subarachnoid hemorrhage (SAH), 5.31% for intracerebral hemorrhage (ICH), and 8.71% for ischemic stroke (IS), respectively. Among patients with stroke recurrence, 54.11% with SAH, 60.42% with ICH, and 92.92% with IS relapsed for the same type of the first-onset stroke. For discharged patients with SAH with middle cerebral artery aneurysm clipping or artery aneurysm embolization, it was less likely to stroke relapse, but the times of recurrence would increase if 1 recurrence appeared. Cerebral artery aneurysms and hypertension were risk factors for recurrence frequency. For ICH, protective factors for recurrence were trepanation and drainage of intracranial hematoma, cerebral angiography, puncture and drainage of intracranial hematoma, and length of stay (LOS). But rheumatic heart disease and atrial fibrillation would further the relapse frequency. For IS, age and LOS were protective factors, but recurrence frequency would increase if the first recurrence happened. Cervical spondylopathy, male gender, and diabetes were risk factors for frequency of relapse.Conclusions: Associated factors were different for recurrence frequency among different stroke types. [ABSTRACT FROM AUTHOR]

• A novel N/O functional reticulated TAPT-DMTA-COF was prepared. • PBDEs are captured by electronegative N/O atoms of TAPT-DMTA-COF by halogen bond. • An in-depth understanding of adsorption mechanism was elucidated by DFT study. • This d-SPE technique was used to quantify PBEDs in environmental and food samples. Food and environmental safety issues attributable to the polybrominated diphenyl ethers (PBDEs) are gaining increasing attention, and these urge us to establish a high-performance sample-handling technique. In this study, an outstanding adsorption performance with short adsorption time (10 min) was achieved for PBDEs using a novel synthesized dispersive solid-phase extraction adsorbent, a reticulated covalent organic framework with N/O functional groups (i.e., imine linkage, triazine, and methoxy) (TAPT–DMTA–COF). By conducting sufficient experimentation and theoretical simulation on adsorption mechanism, the halogen bond between electronegative N/O atoms of TAPT–DMTA–COF and the electropositive Br atoms of PBDEs were observed to play a more pivotal role than π–π, C–H...π interactions, and hydrophobic effects. Furthermore, the positive linear relation between calculated adsorption energy and Br content directly clarified that enrichment behavior of PBDEs can be attributed to halogen bonding. These data implied that integrated nanostructure (i.e., N/O functional groups and reticulated architecture) effectively enhanced adsorption capacity. In case of PBDE analysis, this approach achieved excellent results with low limits of detection (0.03−0.13 ng L–1). Finally, the promising potential applications of aforementioned method were verified by spiking water, fish, and milk samples with PBDEs; good PBDEs recoveries were obtained. [ABSTRACT FROM AUTHOR]

Far-red to near-infrared (NIR) fluorescent probes with absorption and emission in the spectral region of 600–900 nm are of high interest because of their low autofluorescence interference, deep-tissue penetration, and minimal photodamage to biological samples. In recent years, the Si-substituted xanthenes have attracted considerable attention owing to their remarkable far-red to NIR photophysical properties and biocompatible characteristics. This paper reviews the synthetic methods of silicon-substituted xanthene dyes and the progress in the development of far-red to NIR fluorescent probes based on these dyes, and introduces representative chemosensors along with their fluorescent behavior toward specific analytes. The fluorescent probes in sensing various biological species, including metal ions and anions, intracellular pH changes, reactive oxygen species (ROS) and reactive nitrogen species (RNS), as well as enzymes and other related species, were summarized. The sensing mechanisms and applications of corresponding sensors are also discussed. • The near-infrared fluorescent probes in sensing various species are summarized. • The synthetic approaches for silicon-substituted xanthene dyes are outlined. • The sensing mechanisms and applications of sensors are discussed. • Future trends and prospects of Si-xanthene based probes are envisaged. [ABSTRACT FROM AUTHOR]