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Percutaneous coronary intervention in the elderly:a growing need for a growing population

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journal of Geriatric Cardiology 2005年第1期2卷 3-9页

作者： samuel j.shubrooks Cardiac Catheterization Laboratory Cardiovascular Division Beth Israel Deaconess Medical CenterBoston 02215USA Jr.

Persons aged 80 and above are the fastest growing age group in the United States population, having increased 50% since 1990 and predicted to grow another 25% by 2020.

关键词： PCI Percutaneous coronary intervention in the elderly CABG than

Percutaneous coronary interventions in the elderly:a 10-year experience in Northern New England

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journal of Geriatric Cardiology 2005年第1期2卷 17-22页

作者： David j.Malenka james T.DeVries samuel j.shubrooks for the Northern New England Cardiovascular Disease Study Group Section of Cardiology Dartmouth-Hitchcock Medical Center LebanonNH Center for the Evaluative Clinical Sciences Dartmouth Medical SchoolHanoverNHUSA for the Northern New England Cardiovascular Disease Study Group Section of Cardiology Dartmouth-Hitchcock Medical Center LebanonNHUSA for the Northern New England Cardiovascular Disease Study Group Division of Cardiology Beth Israel-Deaconess Medical Center BostonMAUSA Jr

Background There is a paucity of information available for clinical decision making applying to the elderly patient population. Therefore, data of percutaneous coronary interventions (PCI) including demographic information on the elderly patients, procedural practices, and outcomes are needed. Objectives and Methods From consecutive PCIs of participating institutions, demographics data, clinical, angiographic success and adverse clinical outcomes were collected. Standard statistical methods were used to compare crude differences in patient and procedural characteristics across age groups. Results At baseline, the prevalence of comorbid conditions ( renal failure and heart failure) increased with age. Unstable angina or a non-ST elevation MI were the most common indications for PCI across all age groups. Fewer patients ≥ 80 years old were undergoing primary PCI and older patients were somewhat less likely to receive a Ⅱb/Ⅲa receptor blocker. Slightly more patients ≥ 80 years old underwent a 2-vessel PCI ( consistent with them having more multivessel disease) and these patients were more likely to have an intervention on a Type C lesion. Compared to patients ＜ 50 years old, those aged ≥ 70 years old had a significantly increased risk of death, MI, stroke, or vascular complications at the access site. Conclusions This study suggests increasing age is associated with increasing risk for an adverse outcome following PCI. This is in part attributable to case-mix but likely, also related to the changing physiology of aging. Despite the increased risk of the procedure, the clinical success rate for PCI is quite high and makes it a reasonable alternative for the treatment of CAD in the elderly.

关键词： coronary artery disease elderly percutaneous coronary intervention

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Introduction

journal of Geriatric Cardiology 2005年第1期2卷 2-2页

作者： samuel j.shubrooks Guest Editor Associate Professor of Medicine Harvard Medical School Co-director Cardiac Catheterization Laboratory Cardiovascular Division Beth Israel Deaconess Medical Center jr. MD

Since the population worldwide is becoming increasingly older and heart disease, at least in much of the world, remains a leading cause of death, it is not surprising that there is growing interest in innovative metho... 详细信息

关键词： Introduction PCI

Power Factor Estimation of Distributed Energy Resources Using Voltage Magnitude Measurements

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journal of Modern Power Systems and Clean Energy 2021年第4期9卷 859-869页

作者： samuel Talkington Santiago Grijalva Matthew j.Reno School of Electrical and Computer Engineering Georgia Institute of TechnologyAtlantaGA 30318USA Electric Power Systems Research Department Sandia National LaboratoriesAlbuquerqueNM 87123USA

This paper presents a new method for the estimation of the injection state and power factor of distributed energy resources (DERs) using voltage magnitude measurements only. A physics-based linear model is used to develop estimation heuristics for net injections of real and reactive power at a set of buses under study, allowing a distribution engineer to form a robust estimate for the operating state and the power factor of the DER at those buses. The method demonstrates and exploits a mathematical distinction between the voltage sensitivity signatures of real and reactive power injections for a fixed power system model. Case studies on various test feeders for a model of the distribution circuit and statistical analyses are presented to demonstrate the validity of the estimation method. The results of this paper can be used to improve the limited information about inverter parameters and operating state during renewable planning, which helps mitigate the uncertainty inherent in their integration.

关键词： Decentralized power system control detection and estimation power factor sparse approximation

Distance assessment of detours by jum ping spiders

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Current Zoology 2020年第3期66卷 263-273页

作者： samuel AGUILAR-ARGUELLO Daniel GERHARD Ximena j.NELSON School of Biological Sciences University of CanterburyPrivate Bag 4800Christchurch 8140New Zealand School of Mathem atics and Statistics University of CanterburyPrivate Bag 4800Christchurch 8140New Zealand

To take an indirect route(detour)in order to reach a specific target requires complex cognitive *** more demanding,from the cognitive point of view,is when the goal is only visible at the beginning of the *** spiders from the family Sa lticidae,vision is a key sensory modal-ity mediating navigation and prey *** acute vision allows them to perform complicated detours,possibly as a consequence of the multitude of potential routes in their typically complex 3-dimensional *** used a 4-route choice test,in which routes differed in being either short or long and in the presence or absence of a lure of a prey item,to investigate route assessment in 2 salticid species,Trite planiceps and Marpissa *** both species showed evidence of motivation to follow lured-routes,judging by the number of times they re-oriented toward them while detouring,we found that Trite chose short routes in preference to long routes,but did not prefer the *** contrast,Marpissa exhibited random route choice,although it ori-ented toward lured-routes more often than control routes(lure absent).Our results suggest that decision-making processes about which route to take occurs before embarking on a route,but this is cognitively *** exhibited cognitive limitations in which the lack of visibility of the goal affected ***,the severity of cognitive limitations depended on *** suggest that variability in spatial ability across the Salticidae may be related to the habitat complexity inhabited by each species.

关键词： cognition cognitive limitations decision-making detour behavior Salticidae spatial task

Sulfurized-polyacrylonitrile in lithium-sulfur batteries:Interactions between undercoordinated carbons and polymer structure under low lithiation

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journal of Energy Chemistry 2022年第3期31卷 587-596,I0016页

作者： samuel Bertolini Timo jacob Institute of Electrochemistry Ulm UniversityAlbert-Einstein-Allee 4789081 UlmGermany Helmholtz-Institute Ulm(HIU) Electrochemical Energy StorageHelmholtzstr.1189081 UlmGermany Karlsruhe Institute of Technology(KIT) P.O.Box 364076021 KarlsruheGermany

Lithium-sulfur battery(LSB)represents an important candidate to be used in energy storage applications,due to its high specific ***-polyacrylonitrile(SPAN)is a candidate as a host material in LSB to replace graphite,due to its ability to chemisorb polysulfides(PSs).The sulfur chains attached to the polymer can reversibly form Li2S,and SPAN indicates to have a good cyclability and better performance than graphite,thus,SPAN acts partially as an active and also as a host *** this study,we investigated the capacity of the solvent or the SPAN to lose a hydrogen atom from the backbone,to predict possible anodic reactions between solvent and host *** simulation suggests that the photophilic salts may preferentially react with the solvent,and possibly building a cathode electrolyte interphase(CEI).We observed that an undercoordinated carbon(C_(uc))can be thermodynamically created,due to *** Cuccan react with the solvent on the polymer backbone through different mechanisms,however,the simulations indicated that the reaction should be affected by the interaction between the solvent and C_(uc),according to SPAN’s ***,C_(uc)reacts with long sulfur chains attached to SPAN,capturing sulfur and forming a C-S bond.A sulfur chain from one SPAN can connect to another polymer backbone,however,this process is affected by lithiation and ***,this work also investigates the formation of interconnected SPAN structures and the multiple C_(uc)effects.

关键词： Density functional theory Ab initio molecular dynamics Lithium-sulfur batteries Sulfurized-polyacrylonitrile

Failure of P-selectin blockade alone to protect the liver from ischemia-reperfusion injury in the isolated blood-perfused rat liver

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World journal of Gastroenterology 2008年第44期14卷 6808-6816页

作者： samuel Wyllie Neal R Barshes Saul j Karpen john A Goss Michael E. DeBakey Department of Surgery Liver Transplant Center LaboratoryBaylor College of MedicineHoustonTX 77030United States

AIM： To determine if blockade of P-selectin in the isolated blood-perfused cold ex vivo rat liver model protects the liver from ischemia-reperfusion injury. METHODS： The effect of P-selectin blockade was assessed by employing an isolated blood-perfused cold ex vivo rat liver with or without P-selectin antibody treatment before and after 6 h of cold storage in University of Wisconsin solution. RESULTS： In our isolated blood-perfused rat liver model, pre-treatment with P-selectin antibody failed to protect the liver from ischemia-reperfusion injury, as judged by the elevated aspartate aminotransferase activity. In addition, P-selectin antibody treatment did not significantly reduced hepatic polymorphonuclear leukocyte accumulation after 120 min of perfusion. Histological evaluation of liver sections obtained at 120 min of perfusion showed significant oncotic necrosis in liver sections of both ischemic control and P-selectin antibody-treated groups. However, total bile production after 120 rain of perfusion was significantly greater in P-selectin antibody-treated livers, compared to control livers. No significant difference in P-selectin and ICAM-1 mRNAs and proteins, GSH, GSSG, and nuclear NF-kB was found between control and P-selectin antibody-treated livers. CONCLUSION： In conclusion, we have shown that blockade of P-selectin alone failed to reduced polymorphonuclear leukocyte accumulation in the liver and protect hepatocytes from ischemia-reperfusion injury in the isolated blood-perfused cold-ex vivo rat liver model.

关键词： P-selectin Ischemia-reperfusion Antibody-blockade Liver Rat

Immune checkpoint inhibitor-mediated colitis in gastrointestinal malignancies and inflammatory bowel disease

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World journal of Gastrointestinal Oncology 2021年第8期13卷 772-798页

作者： Alexa R Weingarden samuel j S Rubin john Gubatan Division of Gastroenterology and Hepatology Department of MedicineStanford UniversityRedwood CityCA 94063United States Stanford University School of Medicine Stanford UniversityRedwood CityCA 94063United States

Immune checkpoint inhibitors(ICI)have markedly changed the landscape of cancer *** re-invigorating the immune system against tumors,ICI provide novel therapeutic options for a broad variety of malignancies,including many gastrointestinal(GI)***,these therapies can also induce autoimmune-like side effects in healthy tissue across the *** of the most common of these side effects is ICI-mediated colitis and diarrhea(IMC).Here,we review the incidence and risk of IMC in ICI therapy,with a focus on what is known regarding IMC in patients with GI *** also discuss data available on the use of ICI and risk of IMC in patients with pre-existing inflammatory bowel disease,as these patients may have increased risk of IMC due to their underlying intestinal pathology.

关键词： Immune checkpoint inhibitors Cytotoxic T-lymphocyte antigen 4 Programmed cell death protein-1 Inflammatory bowel disease Gastrointestinal cancer

Impulse force reductions and their effects on WBV exposures in high impact shovel loading operations

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International journal of Mining Science and Technology 2018年第3期28卷 423-435页

作者： Danish Ali samuel Frimpong Mining & Nuclear Engineering Department Missouri University of Science and Technology

When shovels load the dump trucks with over 100-ton passes under gravity dumping conditions, they will create a large impact force on the dump truck body which generates high frequency shock waves which expose the operators to whole body vibrations （WBV）. The main cause of such truck vibrations is the large impact force due to the gravity dumping of large tonnage passes. Therefore a rigorous mathematical model has been developed for the impact force containing all the necessary factors upon which it depends. Latter, a thorough analysis shows that percentage reduction of 7.19%, 9.40%, 13.27%, 14.8%, 17.30% and 18.13% can he achieved by reducing the dumping distance to 6.33 m, 6.0 m, 5.5 m, 5.33 m, 5.0 m and 4.9 m, respectively, as compared to when the dumping distance was 7.33 m. Even more reduction in the magnitude of impact force can he observed if the shovel pass gets divided into more than two sub-passes. Therefore, these models can he used to figure out the number of sub-passes into which a single ore pass can he divided and/or the extent to which the dumping distance can he reduced which would reduce the impact force significantly enough to obtain safer yet economic operations.

关键词： Impact force HISLO Mathematical modeling Dumping distance Shovel ore sub-passes