{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T20:06:57Z","timestamp":1788379617238,"version":"build-2803163510"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Suzhou Collaborative Innovation Research Project of Medical and Industrial Integration","award":["SLJ2022023"],"award-info":[{"award-number":["SLJ2022023"]}]},{"name":"Special Funding for Jiangsu Province Science and Technology Plan (Key Research and Development Program for Social Development)","award":["BE2023738"],"award-info":[{"award-number":["BE2023738"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Dose-Response"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to explore the relationship between climatic parameters and the daily cases of Bell\u2019s palsy (BP) among hospital outpatients, providing ecological evidence for understanding BP etiology and prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective analysis was conducted on data from 2187 BP patients who attended Kunshan First People\u2019s Hospital Outpatient Clinic from January 1, 2020, to December 31, 2022. Meteorological data, including temperature, relative humidity, precipitation, wind speed, sunshine duration, and atmospheric pressure, were collected and combined with daily BP case records. Additionally, air quality index was used as a covariate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The number of new BP cases among outpatients showed a negative correlation with average daily temperature. A nonlinear relationship between daily average temperature and BP cases was observed through the generalized additive model (GAM). A significant negative correlation was identified between daily average temperature and BP cases, with inflection points at temperatures above 4.2\u00b0C, suggesting a potential decrease in BP risk with temperature rise beyond this threshold.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study provides ecological evidence of a link between climatic factors and BP occurrence. Temperature demonstrated a significant nonlinear negative correlation with daily BP incidence, highlighting temperature and cold exposure as key targets for BP prevention in Kunshan.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15593258241282768","type":"journal-article","created":{"date-parts":[[2024,9,17]],"date-time":"2024-09-17T07:27:05Z","timestamp":1726558025000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Non-Linear Association Between Climatic Parameters and Bell\u2019s Palsy Prevalence of Hospital Outpatients: An Ecological Proof in Kunshan, Suzhou, China"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1544-7268","authenticated-orcid":false,"given":"Lu-Yuan","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Neurology, Kunshan First People\u2019s Hospital\/ Affiliated Kunshan Hospital to Jiangsu University, Kunshan, Suzhou, China"},{"name":"Office of Medical Ethics, Department of Scientific and Technological Talents, Kunshan First People\u2019s Hospital, Suzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming-Zhu","family":"Jiang","sequence":"additional","affiliation":[{"name":"Office of Medical Ethics, Department of Scientific and Technological Talents, Kunshan First People\u2019s Hospital, Suzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Mei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Neurology, Kunshan First People\u2019s Hospital\/ Affiliated Kunshan Hospital to Jiangsu University, Kunshan, Suzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya-Qin","family":"Gong","sequence":"additional","affiliation":[{"name":"Information Department, Kunshan First People\u2019s Hospital, Kunshan, Suzhou, 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Scientific and Technological Talents, Kunshan First People\u2019s Hospital, Suzhou, China"},{"name":"Department of Preventive Medicine and Public Health Laboratory Sciences, School of Medicine, Jiangsu University, Zhenjiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Kunshan First People\u2019s Hospital\/Affiliated Kunshan Hospital to Jiangsu University,  Kunshan, Suzhou, 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