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305篇 您的检索式:作者名="Stevens MD"
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1他汀、高密度脂蛋白胆固醇与冠状动脉粥样硬化消退显示文摘背景:他汀类药物可以降低低密度脂蛋白胆固醇(low—density lipoprotein cholesterol,LDL—C)水平并减缓冠状动脉粥样硬化的进展。然而,对于他汀类药物所致高密度脂蛋白胆固醇(high—density lipoprotein cholesterol,HDL—C)变化与疾病进展的关系,目前仍无相关数据描述。目的:了解LDL—C和HDL—C水平变化与动脉粥样硬化的相互关系。设计、地点及患者:对4项前瞻性随机试验(1999~2005年在美国、北美、欧洲和澳大利亚进行)的原始数据进行事后分析。其中1455例经血管造影证实的冠心病患者在接受他汀治疗(18个月或24个月)时进行了系列血管内超声扫描。所有超声分析均在相同的核心实验室中进行。主要观测指标:脂蛋白水平变化与冠状动脉粥样斑块体积的相互关系。结果:他汀治疗期间,LDL—C平均(SD)水平从124.0(38.3)mg,/dL(3.2[0.99]mmol/L)降至87.5(28.8)mg,/dL(2.3[0.75]mmol/L)(下降23.5%;P〈0.001),HDL—C水平从42.5(11.0)mg/dL(1.1[0.28]mmol/L)升至45.1(11.4)mg/dL(1.2[0.29]mmol/L)(上升7.5%;P〈0.001)。LDL—C与HDL—C比值从平均(SD)3.0(1.1)降至2.1(0.9)(下降26.7%;P〈0.001)。这些变化同时伴随平均(SD)百分粥样斑块体积的增加(从39.7%[9.8%]增至40.1%[9.7%])(增加0.5%[3.9%];P=0.001)以及平均(SD)总粥样斑块体积的减小(2.4[23.6]mm^3;P〈0.001)。在单变量分析中,LDL—C、总胆固醇、非HDL胆固醇、载脂蛋白B以及载脂蛋白B与载脂蛋白A-1比值平均水平和治疗引起的变化与动脉粥样硬化进展速率显著相关,而治疗所致HDL—C变化则与动脉粥样斑块体积负相关。在多变量分析中,平均LDL—C水平(β系数,0.11[95%可信区间,0.07~0.15])以及HDL—C升高(β系数,-0.26[95%可信区间,-0.41--0.10])依然为动脉粥样硬化消退的独立预测因子。动脉硬化显著消退(动脉粥样斑块体积减少≥5%)见于治疗期间LDL—C水平低于均值(87.5mg/dL)和HDL—C升高百分比大于均值(7.5%;P〈0.001)的患者。临床事件的发生未见显著差异。结论:在LDL—C显著降低以及HDL上升〉7.5%时,他汀治疗与冠状动脉粥样硬化消退相关。这些结果提示他汀治疗的获益源自致动脉粥样硬化脂蛋白的降低以及HDL.C的升高。尽管血脂水平的这些变化与动脉粥样硬化消退相关,但是后者是否可以转化为临床事件的显著减少,并改善临床预后仍有待进一步研究确定。Stephen J. Nicholls, MBBS, PhD E. Murat Tuzcu, MD IIke Sipahi, MD Adam W. Grasso, MD Paul Schoenhagen, MD Tingfei Hu, MS Kathy Wolski, MPH Tim Crowe, BS Milind Y. Desai, MD Stanley L. Hazen, MD, PhD Samir R. Kapadia, MD Steven E. Nissen, MD 李呈亿(译) 2007美国医学会杂志(中文版)2007,26,3:48
2Successful outpatient management of acute upper gastrointestinal hemorrhage:use of practice guidelines in a large patient series显示文摘Successfuloutpatientmanagementofacuteuppergastrointestinalhemorhage:useofpracticeguidelinesinalargepatientseriesGeorgeF.Longs...George F. Longstreth, MD, Steven P. Feitelberg, MD Department of Medicine Kaiser Permanente Health care Pragram, San Diego, California 1998World Journal of Gastroenterology1998,4,3:8
3Tailored PEDOT:PSS hole transport layer for higher performance in perovskite solar cells: Enhancement of electrical and optical properties with improved morphology显示文摘Precise control over the charge carrier dynamics throughout the device can result in outstanding performance of perovskite solar cells(PSCs).Poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate)(PEDOT:PSS)is the most actively studied hole transport material in p-i-n structured PSCs.However,charge transport in the PEDOT:PSS is limited and inefficient because of its low conductivity with the presence of the weak ionic conductor PSS.In addition,morphology of the underlying PEDOT:PSS layer in PSCs plays a crucial role in determining the optoelectronic quality of the active perovskite absorber layer.This work is focused on realization of a non-wetting conductive surface of hole transport layer suitable for the growth of larger perovskite crystalline domains.This is accomplished by employing a facile solventengineered(ethylene glycol and methanol)approach resulting in removal of the predominant PSS in PEDOT:PSS.The consequence of acquiring larger perovskite crystalline domains was observed in the charge carrier dynamics studies,with the achievement of higher charge carrier lifetime,lower charge transport time and lower transfer impedance in the solvent-engineered PEDOT:PSS-based PSCs.Use of this solventengineered treatment for the fabrication of MAPbI3 PSCs greatly increased the device stability witnessing a power conversion efficiency of 18.18%,which corresponds to^37%improvement compared to the untreated PEDOT:PSS based devices.Khan Mamun Reza Ashim Gurung Behzad Bahrami Sally Mabrouk Hytham Elbohy Rajesh Pathak Ke Chen Ashraful Haider Chowdhury Md Tawabur Rahman Steven Letourneau Hao-Cheng Yang Gopalan Saianand Jeffrey WElam Seth BDarling Qiquan Qiao 2020Journal of Energy Chemistry2020,29,5:4
4Cyber Attack Protection and Control of Microgrids显示文摘Recently, the smart grid has been considered as a next-generation power system to modernize the traditional grid to improve its security, connectivity, efficiency and sustainability.Unfortunately, the smart grid is susceptible to malicious cyber attacks, which can create serious technical, economical, social and control problems in power network operations. In contrast to the traditional cyber attack minimization techniques, this paper proposes a recursive systematic convolutional(RSC) code and Kalman filter(KF) based method in the context of smart grids.Specifically, the proposed RSC code is used to add redundancy in the microgrid states, and the log maximum a-posterior is used to recover the state information, which is affected by random noises and cyber attacks. Once the estimated states are obtained by KF algorithm, a semidefinite programming based optimal feedback controller is proposed to regulate the system states, so that the power system can operate properly. Test results show that the proposed approach can accurately mitigate the cyber attacks and properly estimate and control the system states.Md Masud Rana Li Li Steven W.Su 2018IEEE/CAA Journal of Automatica Sinica2018,5,2:4
5Extended Preoperative Chemotherapy Does Not Improve Pathologic Response and Increases Postoperative Liver Insufficiency After Hepatic Resection for Colorectal Liver Metastases显示文摘Yoji Kishi MD Daria Zorzi MD Carlo M. Contreras MD Dipen M. Maru MD Scott Kopetz MD Dario Ribero MD Manuela Motta MD Nicoletta Ravarino MD Mauro Risio MD Steven A. Curley MD Eddie K. Abdalla MD Lorenzo Capussotti MD Jean-Nicolas Vauthey MD 2010Annals of Surgical Oncology2010,,11:3
6Hepatic Resection for Metastatic Melanoma: Distinct Patterns of Recurrence and Prognosis for Ocular Versus Cutaneous Disease显示文摘Timothy M. Pawlik MD MPH Daria Zorzi MD Eddie K. Abdalla MD Bryan M. Clary MD Jeffrey E. Gershenwald MD Merrick I. Ross MD Thomas A. Aloia MD Steven A. Curley MD Luis H. Camacho MD MPH Lorenzo Capussotti MD Dominique Elias MD Jean-Nicolas Vauthey MD 2006Annals of Surgical Oncology2006,,5:2
7Combined Resection and Radiofrequency Ablation for Advanced Hepatic Malignancies: Results in 172 Patients显示文摘Timothy M. Pawlik MD MPH Francesco Izzo MD Deborah S. Cohen MS Jeffery S. Morris PhD Steven A. Curley MD 2003Annals of Surgical Oncology2003,,9:2
8Endotoxin as a grug target显示文摘Steven M Opal MD Gluck T 2003Crit Care Med2003,,:1
9Sacroiliac joint pain:a comprehensive review of anatomy,diagnosis,and treatment显示文摘Steven P Cohen MD 2005Anesth Analg2005,101,:1
10Cervical pedical screws:comparative accuracy of two insertion techniques显示文摘Steven C Ludwig MD Joseph M 2000Spine2000,25,20:1
11Rationale for en bloc vein resection inthetretment of parcreatic adenocarcinoma adherent to the superior mesenteric-portal vein confluence显示文摘George M Fuhrman MD Steven D 1996Ann Surg1996,223,:1
12Antiplatelet agents in cardiology:The choice of therapy显示文摘Steven R Steinhubl MD 2000Ann Thorac Surg2000,70,2:1
13Double Endobutton Technique for Repair of Complete Acromioclavicular Joint Dislocations 显示文摘Steven Struhl MD 2007Techniques in Shoulder & Elbow Surgery2007,8,4:1
14Cholinergic anti-inflammatory pathway inhibition of tumor necrosis factor during ischemia reperfusion显示文摘Thomas R Bernik MD Steven G 2002J Vasc Surg2002,36,6:1
15Double Endobuttontechnique for repair of complete acromioclavicularjointdislocations显示文摘Steven Struhl MD 2007Techniquesin Shoulder & Elbow Surgery2007,8,4:1
16Laparoscopic resection of large adrenal tumors显示文摘Dougald C. MacGillivray MD Giles F. Whalen MD Carl D. Malchoff MD PhD Daniel S. Oppenheim MD PhD Steven J. Shichman MD 2002Annals of Surgical Oncology2002,,5:1
17Superior Survival in Treatment of Primary Nonmetastatic Pediatric Osteosarcoma of the Extremity显示文摘Ross M. Wilkins MD John W. Cullen MD Lorrie Odom MD Brandt A. Jamroz MD Patsy McGuire Cullen MS CPNP Kyle Fink MD Sanford D. Peck MD Sydney L. Stevens MD Cynthia M. Kelly MD Anne B. Camozzi BA 2003Annals of Surgical Oncology2003,,5:1
18A new equation to estimate glomerular filtration rare显示文摘Level MD Lesley A Stevens MD 2009Ann Imern Meal2009,150,9:1
19Procedural outcomes and long-term survival among patients undergoing percutaneous coronary intervention of a chronic total occlusion in native coronary arteries:a 20-year experience显示文摘James A Suero MD Steven P 2001Indian Heart J2001,53,6:1
20Bronchopulmonary dysplasia 'a vascular hypothesis' 显示文摘Steven H Abman MD 2001Am J Respir Crit Care Med2001,164,10:1
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