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| 1 | Risk stratification for ST segment elevation myocardial infarction in the era of primary percutaneous coronary intervention显示文摘Acute coronary syndromes presenting with ST elevation are usually treated with emergency reperfusion/revascularisation therapy. In contrast current evidence and national guidelines recommend risk stratification for non ST segment elevation myocardial infarction(NSTEMI) with the decision on revascularisation dependent on perceived clinical risk. Risk stratification for STEMI has no recommendation. Statistical risk scoring techniques in NSTEMI have been demonstrated to improve outcomes however their uptake has been poor perhaps due to questions over their discrimination and concern for application to individuals who may not have been adequately represented in clinical trials. STEMI is perceived to carry sufficient risk to warrant emergency coronary intervention [by primary percutaneous coronary intervention(PPCI)] even if this results in a delay to reperfusion with immediate thrombolysis. Immediate thrombolysis may be as effective in patients presenting early, or at low risk, but physicians are poor at assessing clinical and procedural risks and currently are not required to consider this. Inadequate data on risk stratification in STEMI inhibits the option of immediate fibrinolysis, which may be cost-effective. Currently the mode of reperfusion for STEMI defaults to emergency angiography and percutaneous coronary intervention ignoring alternative strategies. This review article examines the current risk scores and evidence base for risk stratification for STEMI patients. The requirements for an ideal STEMI risk score are discussed. | Richard A Brogan Christopher J Malkin Philip D Batin Alexander D Simms James M McLenachan Christopher P Gale | 2014 | World Journal of Cardiology2014，6，8： | 6 |
| 2 | Early combined immunosuppression or conventional management in patients with newly diagnosed Crohn’s disease: an open randomised trial显示文摘 | Geert D’Haens Filip Baert Gert van Assche Philip Caenepeel Philippe Vergauwe Hans Tuynman Martine De Vos Sander van Deventer Larry Stitt Allan Donner Severine Vermeire Frank J Van De Mierop Jean-Charles R Coche Janneke van der Woude Thomas Ochsenkühn Ad A | 2008 | The Lancet2008，，9613： | 5 |
| 3 | Structure of the Ca2+-dependent PP2A heterotrimer and insights into Cdc6 dephosphorylation显示文摘B″蛋白质磷酸酶 2A (PP2A ) 的 /PR72 家庭一个重要 PP2A 家庭涉及多样的细胞的过程,并且特别地由钙绑定调整了到规章的子单元。在这个家庭的 PR70 子单元与房间部门控制 6 交往(Cdc6 ) ,为 DNA 复制的控制重要的一个房间周期管理者。这里,我们在 2.1 和 2.4 Å 的一个决定报导孤立的 PR72 和 trimeric PR70 holoenzyme 的水晶结构;,分别地并且在 Cdc6 dephosphorylation 的 vitro 描述。holoenzyme 结构表明 PR70 钙绑定主题之一直接联系支架子单元,导致在所有 PP2A holoenzymes 之中的最紧缩的支架子单元符合构造。PR70 也在活跃地点附近区别地绑在催化子单元,它被要求让 PR70 向 Cdc6 提高磷酸酶活动。我们的研究为 B″ 的唯一的规定提供一个结构的基础;由钙离子的 /PR72 holoenzymes,并且在 PP2A holoenzymes 之中为底层特性的精确控制建议机制。 | Nathan Wlodarchak Feng Guo Kenneth A Satyshur Li Jiang Philip D Jeffrey Tingwan Sun Vitali Stanevich Marc C Mumby Yongna Xing | 2013 | Cell Research2013，23，7： | 3 |
| 4 | 一种房颤风险评分系统的建立(Framingham心脏研究):基于社区的队列研究显示文摘背景房颤导致了发病率和病死率的显著上升。本研究旨在建立一种预测个体罹患房颤绝对风险的风险评分系统,并提供研究人员评价新危险因素的流程。方法作者评估了Framingham心脏研究中于1968年6月至1987年9月间进行了8044次检测的4764例参与者(55%为女性,年龄45~95岁)。此后,参与者被随访至房颤首发,随访期最长达10年。多变量Coxi回归确认出1(1年内罹患房颤的临床危险因素。次级分析纳入了常规超声心动图检测指标(5152例4参与者,7156次检测)对房颤风险进行再分层评估,并评价超声检测指标能否提高风险预测能力。结果4764例参与者中的457例4(10%)罹患房颤。年龄、性别、体重指数、收缩压、降压治疗、PR间期、有临床意义的心脏杂音及心力衰竭与房颤相关,并被纳入了风险评分模型(除体重指数P=0.08外,其余均为P〈0.05),模型的C统计量为0.78(95%CI0.76~0.80)。10年房颤风险随年龄变化:年龄〈65岁的人群中53例(1%)风险高于15%,而〉65岁的人群中为783例(27%)。为提高预测能力而纳入超声检测指标仅使模型C统计量略微增高,由0.78(95%C10.75~0.80)增至0.79(95%CI0.77~0.82:P=0.005)。超声心动图检测指标并不能改善风险再分层评估(P=0.18)。结论基于社区医疗中易得的临床因素建立的风险评分系统,有助于确认社区个体罹患房颤的风险,评估技术或标志物能否改善风险预测,以及针对高危个体采取预防措施。 | Renate B Schnabel Lisa M Sullivan Daniel Levy Michael J Pencina Joseph M Massaro Ralph B D'Agostino Sr Christopher Newton-Cheh Jennifer F Yamamoto Jared W Magnani Thomas M Tadros William B Kannel Thomas J Wang Patrick T Ellinor Philip A Wolf Ramachanclran S Vasan Emelia J Benjamin 黄刚(译) | 2009 | 世界临床医学2009，，9： | 2 |
| 5 | Storage of Light in Atomic Vapor显示文摘 | Philips D F Fleischhauer A Mair A | 2001 | Phys Rev Lett2001，86，5： | 1 |
| 6 | BCL6 repression of EP300 in human diffuse large B cell lymphoma cells provides a basis for rational combinatorial therapy显示文摘 | Cerchietti Leandro C Hatzi Katerina Caldas-Lopes Eloisi Yang Shao Ning Figueroa Maria E Morin Ryan D Hirst Martin Mendez Lourdes Shaknovich Rita Cole Philip A Bhalla Kapil Gascoyne Randy D Marra Marco Chiosis Gabriela Melnick Ari | 2010 | Journal of Clinical Investigation2010，，12： | 1 |
| 7 | Size and chemical characterization of individual particles resulting from biomass burning of local southern california species显示文摘 | PHILIP J S LIU D Y CHRISTOPHERA N A | 1999 | Environ Sci Technol1999，33，18： | 1 |
| 8 | The efficacy of auto- mated 'disease/no disease' grading for diabetic retinopathy in a syste-matic screening programme 显示文摘 | Philip S Fleming A D Goatman K A | 2007 | Br J Ophthal- mol2007，91，11： | 1 |
| 9 | Moisture movement in porous materials under temperature gradients显示文摘 | PHILIP J R DE VRIES D A | 1957 | Transactions American Geophysical Union1957，38，2： | 1 |
| 10 | Moisture movement in porous material under temperature gradient显示文摘 | Philip J R De Veries D A | 1957 | Trans Am Geophys Union1957，38，2： | 1 |
| 11 | Intrinsic viscosity of dendrimers via equi- librium molecular dynamics 显示文摘 | Philip M D David B A | 2005 | Soft Matter2005，1，2： | 1 |
| 12 | Moisture movement in porous materials under temperature gradients显示文摘 | Philip J R De Vries D A | 1957 | Trans Am Geophys Union1957，38，： | 1 |
| 13 | Time series sales forecas- ting for short shelf-life food products based on artificial neural networks and evolutionary computing显示文摘 | Philip D Alex A Panagiotis P | | 0，，75： | 1 |
| 14 | The analytical investigation of synthetic street drugs containing cathinone analogs显示文摘 | Amanda M L Philip B S Adriana D A | 2014 | Forensic Sci Int2014，234，： | 1 |
| 15 | 显示文摘 | Michale A Philipe D | 2000 | Mater Sci and Eng2000，28，： | 1 |
| 16 | Association of HLA-DR, -DQ, and vitamin D receptor alleles and haplotypes with tuberculosis in the venda of south africa显示文摘 | Zane L Desire-Lee D Philip A | 2006 | Human Immunology2006，67，4： | 1 |
| 17 | Moisture movement in porous materials under temperature gradi- ents显示文摘 | Philip J R De Vries D A | 1957 | Transaction American Geophysical Union1957，38，2： | 1 |
| 18 | Increased incidence of differentiated thyroid carcinoma and detection of subclinical disease显示文摘 | WILLIAM D T STEPHEN F PHILIP A | 2007 | Candian Medical Association Journal2007，177，11： | 1 |
| 19 | Moisture movement in porous materials under temperature gradients显示文摘 | PHILIP J R DEVRIES D A | 1957 | Trans Am Geophys Union1957，38，2： | 1 |
| 20 | Consensus re port of the national cancer institute clinical trials planning meeting on pancreas cancer treatment显示文摘 | PHILIP P A MOONEY M JAFFE D | 2009 | Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology2009，27，33： | 1 |
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