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The patient information was anonymized and deidentified prior to analysis.) with hospital admissions for ischemic and hemorrhagic stroke.The case period was defined as the day of hospital admission.The case is being heard in the town of Hengshui, five hours' drive from Beijing, in line with normal practice to prevent publicity and the chance of officials exerting local influence.The case against Wang, 48, was also opened, but separately.
In the whole‐period analysis, both PM), respectively.The order went out to arrest Liu immediately afterwards.Another mistress, named as Wang Jianrui, was legal representative of a Beijing construction engineering company.There is increasing evidence for an association of short‐term exposure to particulate matter (PM) with elevated risk of cardiovascular disease, including stroke.1, 2, 3 Stroke is listed as the second leading cause of death in the Global Burden of Disease 2010, and the incidence of stroke is increasing, particularly in low‐ and middle‐income countries, which account for two‐thirds of all strokes.4, 5 To enhance primary prevention efforts, the relationship of PM with stroke requires further investigation given the high stroke burden in terms of mortality and disability worldwide.Previous reports examining the effect of PM on stroke have shown inconsistent results.1, 6, 7, 8 Moreover, toxicological studies suggest that fine particles may be more harmful to the circulation system than coarse particles.9 Indeed, coarse particles are mostly deposited in the upper respiratory tract, whereas fine particles can be inhaled deep into the lung and translocated via the circulation to other organs.10, 11 However, only limited epidemiological studies have examined the relationship between stroke and PM of different particle sizes.1, 12, 13Regarding the various subtypes of stroke, most prior reports have focused on cerebrovascular disease or ischemic stroke, while a few studies have examined ischemic and hemorrhagic stroke separately but reported inconsistent results.12, 14, 15 Further, some studies reported that the risk of stroke associated with air pollution differed by ambient temperature or season, although there are contrasting findings.16, 17, 18, 19 Additionalr studies are therefore required to improve our understanding of the biological mechanism of the association and develop specific interventions for specific groups and days.
Control periods were defined as the same days of the week in the same month of the same year in the same district as the case period.