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冠心病运动试验的评价

国外医学情报 1980年第7期 116-118页

作者： ezra a.amsterdam 加利福尼亚大学医学院内科付教授

在美国,运动试验普遍用于各种心脏病人,籍以了解心脏的储备功能和判断有无冠心病,这项检查方法在临床上很有价值,但也有一定的局限性。这里我们主要讨论一下运动试验的评价问题。运动试验的适应症:(1)诊断冠心病;(2)了解心脏的储备功能... 详细信息

在美国,运动试验普遍用于各种心脏病人,籍以了解心脏的储备功能和判断有无冠心病,这项检查方法在临床上很有价值,但也有一定的局限性。这里我们主要讨论一下运动试验的评价问题。运动试验的适应症:(1)诊断冠心病;(2)了解心脏的储备功能。运动试验的方法很多,在欧州多做踏车试验;在美国多做踏板试验。踏板时用心电监护,逐步增加

关键词：运动试验敏感度人中冠心病冠状动脉病心肌梗塞

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心绞痛的治疗

国外医学情报 1980年第7期 118-120页

作者： ezra a.amsterdam

心绞痛的治疗方法很多,包括药物治疗、外科手术治疗(冠状动脉搭桥术)与体育锻炼等,比较新的方法是动脉内气囊扩张术。首先,复习一下心绞痛的病理生理学。心绞痛是冠状动脉疾病的后果,主要是由于心肌需氧量与供氧量不平衡所造成的,当心... 详细信息

心绞痛的治疗方法很多,包括药物治疗、外科手术治疗(冠状动脉搭桥术)与体育锻炼等,比较新的方法是动脉内气囊扩张术。首先,复习一下心绞痛的病理生理学。心绞痛是冠状动脉疾病的后果,主要是由于心肌需氧量与供氧量不平衡所造成的,当心肌需氧量超过供氧时,临床上就出现冠状动脉供血不足的表现。

关键词：心绞痛病人心率血压冠心病冠状动脉内

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心绞痛的治疗——美国医学讲学团讲题之十

重庆医学 1980年第4期 13-16页

作者： ezra a.amsterdam,饶邦复 ,林琦 ,孙瑞加利福尼亚大学医院副教授

心绞痛的治疗有许多进展，治疗冠状动脉疾病的搭桥术在西方颇为盛行；内科药物治疗方面亦有很大发展。现在先介绍最近的进展——经皮管腔内冠状动脉成形术（以下简称冠状动脉成形术）。

关键词：心绞痛阻滞剂前降支冠心病森林阻火剂冠状动脉动脉成形术气囊导管搭桥术硝酸异山梨酯硝酸异山梨醇心肌缺血

Management of Hypertension:JNC 8 and Beyond

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Cardiovascular Innovations and Applications 2016年第B9期1卷 409-416页

作者： ezra a.amsterdam Sandhya Venugopal Jonathan Bui Balasingam Thevakumar Angela Thinda Sabrina Virk William J.Bommer Aman Khullar Gagan Singh Division of Cardiovascular Medicine Department of Internal MedicineUniversity of CaliforniaDavisSchool of MedicineSacramentoCA 95817USA

Hypertension is a leading risk factor for cardiovascular disease,the leading cause of death and morbidity in our society and on a global *** components of cardiovascular disease include stroke,coronary artery disease,heart failure,and chronic kidney disease,in all of which hypertension plays a major *** risk of these complications increases directly and linearly with systolic blood pressure starting at 115 *** usually asymptomatic,hypertension is readily detectable on physical examination and is amenable to both lifestyle modifi cation and pharmacologic treatment in most ***,large proportions of the hypertensive population remain undetected and *** guidelines have been issued during the past few decades to promote detection and optimal *** the increase in risk with systolic blood pressure greater than 115 mmHg,the generally accepted threshold for diagnosis and treatment has been systolic blood pressure greater than 139 mmHg and diastolic blood pressure greater than 80 mmHg because until recently treatment to lower levels has been associated with an unfavorable relation between clinical benefi t and *** the past several years,new guidelines,advisories,commentaries,and clinical trials have provided evidence for a potential change in current recommendations for the management of *** this regard,the long-awaited eighth report of the Joint National Committee on the Prevention,Detection,Evaluation,and Treatment of High Blood Pressure recommended patients older than 60 years be treated to a systolic blood pressure of less than 150 mmHg,which has generated considerable controversy and *** striking fi ndings of the Systolic Blood Pressure Intervention Trial(SPRINT)have received considerable attention because of the demonstration that intensive therapy to a target systolic blood pressure below 120 mmHg decreases cardiovascular mortality and morbidity more than less intensive treatment to

关键词： hypertension JNC 7 JNC 8 cardiovascular risk factors SPRINT

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彼得的小椅子

阅读 2024年第36期 14-19页

作者： ezra Jack Keats

绘本导读：家里添了个小生命，每个人都欢欢喜喜迎接小妹妹的诞生，彼得当然也不例外。可是——彼得小时候用过的蓝色摇篮和高脚凳，在爸爸的手中变成了粉红色；彼得玩积木，也被妈妈要求保持安静，别吵到小妹妹。这下子彼得可忍不住了...

绘本导读：家里添了个小生命，每个人都欢欢喜喜迎接小妹妹的诞生，彼得当然也不例外。可是——彼得小时候用过的蓝色摇篮和高脚凳，在爸爸的手中变成了粉红色；彼得玩积木，也被妈妈要求保持安静，别吵到小妹妹。这下子彼得可忍不住了！你猜猜，彼得会怎样做呢？新生命的降临是喜悦的。在迎接二胎宝贝到来的时候，一定不要忽略大宝的心理感受和情感需求。和大宝一起开心地做一些准备工作吧，把乐于分享、关爱家人的精神传递给孩子。

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Current laser therapy options for endoscopic treatment of upper tract urothelial carcinoma

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Analysing spatial data performance in inter-organisational processes

Current Urology 2023年第1期17卷 62-67页

作者： Benjamin W.Zollinger ezra J.Shoen Charles F.Gresham Michael J.Whalen George Washington School of Medicine and Health Sciences WashingtonDCUSA Department of Urology Icahn School of MedicineMount Sinai HospitalNew YorkNYUSA Department of Urology George Washington University HospitalWashingtonDCUSA

Endoscopic management via retrograde ureteroscopic laser ablation of upper tract urothelial carcinoma(UTUC)has become the preferred treatment modality for low-risk *** most popular ablative lasers over the past 15-20 years have been the holmium:yttrium-aluminum-garnet(Ho∶YAG)and neodymium(Nd∶YAG)lasers,but recently the thulium(Th∶YAG)laser has emerged as a potential *** review compares the mechanism of action,physiological properties and effects,and oncologic outcomes of Ho∶YAG/Nd∶YAG lasers versus the Th∶YAG laser for UTUC *** advantages of the Th∶YAG laser over existing technologies are outlined,followed by a discussion of emerging laser technologies in UTUC management.

关键词： Endoscopic management Holmium laser Laser ablation Thulium laser Upper tract urothelial carcinoma

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International Journal of Digital Earth 2015年第5期8卷 403-420页

作者： ezra Dessers Glenn Vancauwenberghe Danny Vandenbroucke Joep Crompvoets Geert Van Hootegem Centre for Sociological Research KU LeuvenLeuvenBelgium Spatial Applications Division Leuven KU LeuvenLeuvenBelgium Public Governance Institute KU LeuvenLeuvenBelgium

The use of spatial data has become a key factor in numerous public sector ***,recent evidence suggests that the seemingly obvious benefits of spatial data use and sharing often stay beyond *** paper examines whether the performance of spatial data in inter-organisational processes depends on the structural characteristics of the process *** structure here refers to the way in which tasks are divided and coordinated between the organisations in a process chain,and to the allocation of the spatial data handling tasks in that *** data performance describes the level of access,use and sharing of spatial data in the *** paper presents the results of a comparative case study of interorganisational public sector processes in the fields of urban planning,flood management,population registration,environmental permit delivery and road safety *** findings suggest that spatial data performance in inter-organisational processes depends on the interplay between the structural characteristics of the *** processes with embedded activities that are related to spatial data are apparently linked to a high level of spatial data performance,while fragmented processes without centralised coordination,or processes in which the spatial datarelated activities are separated from the actual process,seem to relate to lower levels of spatial data performance.

关键词： spatial data performance public sector coordination task division

Literature, American style

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Flight Behavioural Responses for African Ungulates across Species and Vegetation Covers in a Trophy Hunting Ecosystem: A Case Study from Selous Game Reserve, Tanzania

作者： ezra Tawil.

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Open Journal of Ecology 2023年第8期13卷 525-535页

作者： ezra Peter Mremi Felister Michael Mombo Michael Muganda Peadar Brehony Michael Honorati Kimaro Department of Wildlife Management Sokoine University of Agriculture Morogoro Tanzania Department of Forest and Environmental Economics Sokoine University of Agriculture Morogoro Tanzania Department of Zoology University of Oxford Oxford United Kingdom Tanzania Research and Conservation Organization Morogoro Tanzania GELIFES Institute University of Groningen Groningen Netherlands

Trophy hunting has severe consequences on wild animals’ behaviors, which in return has implications for affecting wildlife populations. The Selous Game Reserve is a protected area in Tanzania that has been subjected to commercial trophy hunting for decades, and information about the effects of trophy hunting on animals’ welfare is still scarce. The Flight Initiating Distance (FID) can be a good measure to evaluate the welfare of animals and the level of risk perception towards anthropogenic disturbances, including trophy hunting. The study used linear mixed models to assess the flight responses of twelve commonly hunted species in the Selous game reserve (S.G.R.). The study compared animal vigilance between species, vegetation types, and group size. The FID varied between species, with which more vigilance was observed in zebras, elands, wildebeests, and sable antelopes. The study found a significant influence of vegetation cover on individual species’ FID. Further, the study found a significant influence of group size on animals’ vigilance (L. M. M., 95% CI = 0.590 - 4.762), in which there was a decrease in FID with an increase in group size for wildebeests. At the same time, other species, such as buffaloes, eland, hartebeests, and zebras, had their FIDs increasing with the increase in group size. We conclude that the impact of trophy hunting on savannah ungulates varies between species, vegetation covers, and group size of individual species. Regulatory authorities should consider minimum approach distances by trophy hunters in different vegetation cover to reduce animal biological disturbances.

关键词： Trophy Hunting Animal Behavior Flight Initiating Distance Vegetation Types Wildlife Species