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Complexities in Geriatric Cardiology:Clinical Dilemmas and Gaps in Evidence
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作者 Nikolaos Theodorakis Christos Hitas +5 位作者 Georgia Vamvakou Sofia Kalantzi Aikaterini Spyridaki Zoi Kollia Georgios Feretzakis Maria Nikolaou 《Journal of Geriatric Cardiology》 2025年第1期190-209,共20页
Cardiovascular diseases(CVD)are undoubtedly the leading cause of morbidity and mortality in the elderly.Population aging is a global phenomenon.In developed countries,by the year 2050 one in four people will be aged 6... Cardiovascular diseases(CVD)are undoubtedly the leading cause of morbidity and mortality in the elderly.Population aging is a global phenomenon.In developed countries,by the year 2050 one in four people will be aged 65+years.This ongoing growth of the aging population leads to an increasing burden of CVD.The management of CVD in geriatric patients requires specific considerations.Aging is associated with complex pathophysiology due to decreased organ reserve,which is clinically described as frailty.Additionally,the aging population is extremely heterogenous and frequently characterized by a combination of unique features,including atypical disease presentation,multimorbidity,polypharmacy,altered pharmacokinetics,cognitive impairment,renal impairment,dysautonomia,elevated risk of falls,sarcopenia,and frailty.Furthermore,significant gaps in evidence exist largely due to the limited representation of the very elderly,and especially frail patients,in randomized controlled trials.When combined with issues related to life expectancy,goals of care,bioethics,and patients’preferences,these factors pose intricate challenges for healthcare providers.This literature review summarizes selected clinical scenarios that often introduce dilemmas in the management of elderly patients in cardiology practice,emphasizing the intersection of geriatric medicine and cardiology.These include blood pressure management,management of dyslipidemia,anticoagulation in atrial fibrillation,medical and device treatment of heart failure,antiplatelet and interventional management of acute coronary syndromes,and peri-procedural considerations in severe aortic stenosis.The above will provide guidance for clinical practice,as well as implications for health policies and future research in the field of geriatric cardiology. 展开更多
关键词 ELEVATED DOUBT ELDERLY
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A Chinese Festival for the World
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《ChinAfrica》 2025年第2期2-2,共1页
If you are to choose an event that can best represent China’s culture,undoubtedly,it will be the Spring Festival,or the Chinese Lunar New Year.It is a cherished occasion for families to get together,extend best wishe... If you are to choose an event that can best represent China’s culture,undoubtedly,it will be the Spring Festival,or the Chinese Lunar New Year.It is a cherished occasion for families to get together,extend best wishes to the people around them,and maintain friendships. 展开更多
关键词 DOUBT MAINTAIN CULTURE
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Atheism’s Logical Certainty
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作者 Duane Altheide 《Philosophy Study》 2025年第1期1-8,共8页
At the point of death,a human being only has had the experience of nonexistence before birth and the experience of having lived his/her life after they were born.In the final analysis from the perspective of strict em... At the point of death,a human being only has had the experience of nonexistence before birth and the experience of having lived his/her life after they were born.In the final analysis from the perspective of strict empiricism,the individual only has two options:the nonexistence before birth or the eventual reliving of one’s life.The return of one’s life is supported by the paradigm of a multiverse and an antimatter universe.This is atheism’s logical certainty. 展开更多
关键词 Pascal’s wager strict empiricism of Cartesian doubt eternal recurrence MULTIVERSE antimatter universe death nonexistence before birth equals nonexistence after death the body the flesh
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辨识语篇指示词,提高读写能力 被引量:1
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作者 侯福莉 《语言教育》 2001年第5期26-26,共1页
在英语语篇中,有一类特殊的功能词、词组或句型,因其功能侧重点不同,有时被称为指示词(indicatives),或称过渡词(tran-sitions),又称连贯词(coherence devices)。一篇文章,对于一个没有经验的读者来说,就像是一块尚未为人所知的大地,充... 在英语语篇中,有一类特殊的功能词、词组或句型,因其功能侧重点不同,有时被称为指示词(indicatives),或称过渡词(tran-sitions),又称连贯词(coherence devices)。一篇文章,对于一个没有经验的读者来说,就像是一块尚未为人所知的大地,充满了陷阱和险处,而这些指示词就好像是信号灯或路标,将读者顺利地引入这块土地,达到理解的境地,其指示的功能尽显。指示词还具有实现语篇连贯和统一的功能,因此,在英语学习过程中学会辨识并运用指示词是至关重要的。 展开更多
关键词 指示词 读写能力 功能词 英语语篇 语篇连贯 学习过程 coherence DOUBT brief 表达时间
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《当我死的时候,我听到苍蝇在嗡嗡叫》赏析(英文)
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作者 吴蓓 《思想战线》 CSSCI 北大核心 2009年第S2期29-30,共2页
This paper explores Emily Dickinson’s poem"I heard a Fly buzz- when I died-". Through the analysis of the unique arrangement that the poet uses to present the theme,the image of a fly and the use of dash,th... This paper explores Emily Dickinson’s poem"I heard a Fly buzz- when I died-". Through the analysis of the unique arrangement that the poet uses to present the theme,the image of a fly and the use of dash,the paper presents how the doubt and uncertainty of the poet as to the existence of God and salvation are revealed. 展开更多
关键词 arrangement IMAGE FLY DASH DOUBT and UNCERTAINTY
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有限群Double代数的C^*—指标
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作者 蒋立宁 朱广建 《北京理工大学学报》 EI CAS CSCD 北大核心 2003年第2期147-148,153,共3页
设 G是有限群 ,C(G)为 G上复值连续函数全体 .通过 G在 C(G)的共轭作用 α,可以得到群 G的 Double代数 D(G) =C(G)× αG.Double代数体现了量子场代数的对称结构 .对 G的子群 H,给出了 D(G)到子代数 D(H) =C(G)× αH的指标有... 设 G是有限群 ,C(G)为 G上复值连续函数全体 .通过 G在 C(G)的共轭作用 α,可以得到群 G的 Double代数 D(G) =C(G)× αG.Double代数体现了量子场代数的对称结构 .对 G的子群 H,给出了 D(G)到子代数 D(H) =C(G)× αH的指标有限型条件期望的 C* -指标 . 展开更多
关键词 Doubte代数 C^*-指标 条件期望
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whether与if用法上的异同
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作者 高桂莲 《语言教育》 2002年第3期20-21,共2页
whether与if是我们常见又常用的两个连接词。由于二者都可以表示“是否”,故而在使用时极易混淆。现将其用法归纳如下。一、whether和if可以换用的情况 1.可用whether或if引导位于动词ask,know,tell,see,wonder,remembr,try等词之后的... whether与if是我们常见又常用的两个连接词。由于二者都可以表示“是否”,故而在使用时极易混淆。现将其用法归纳如下。一、whether和if可以换用的情况 1.可用whether或if引导位于动词ask,know,tell,see,wonder,remembr,try等词之后的宾语从句,常译为“是否”。例如: She asked whether/if I had seen him the 展开更多
关键词 night 宾语从句 连接词 WONDER DOUBT if WHETHER asked 法上 主语从句
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《现代英语语法》练习题(13)
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作者 赵永青 《语言教育》 2001年第3期30-31,共2页
关键词 英语语法 DOUBT 大连外国语学院 SENTENCE NIGHT MORNING FATHER university contrary 通讯地址
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句型用法点拨
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作者 吴安运 《青苹果》 2016年第12期22-25,共4页
There is no doubt that the boxes were then put on a train for KOnigsberg,which was at that time a German city on the Baltic Sea.毫无疑问.这些箱子后来被装上火车运往哥尼斯堡,当时德国在波罗的海边的一个城市。
关键词 用法点拨 句型 that There DOUBT WHICH TIME 波罗的海
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个子矮与出名无缘
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作者 常韦娜 《海外英语》 2007年第6期40-41,共2页
  天气极好,在纽约北部举行的戏剧夏令营舞台上,一位来自田纳西州的少女正在表演.她的外貌并不惊艳,也不是好莱坞式的高挑性感美女,她甚至还说自己呆头呆脑.……
关键词 好莱坞式 气极 learned GIVING HUMOR DOUBT CAREER mother DRAMA think
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The Christian Doctrines of Salvation in John Bunyan's"Doubting Castle"and"Enchanted Ground"
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作者 林雅琴 《海外英语》 2012年第14期180-181,共2页
John Bunyan's The Pilgrim's Progress has been written to preach the glad tidings of salvation.Therefore its allegorical protagonists have gradually gone through many tests and trials on the path to salvation.T... John Bunyan's The Pilgrim's Progress has been written to preach the glad tidings of salvation.Therefore its allegorical protagonists have gradually gone through many tests and trials on the path to salvation.This paper is focused on the doctrinal instruction of the later two episodes,Doubting Castle and Enchanted Ground. 展开更多
关键词 John Bunyan The Pilgrim’s PROGRESS SALVATION DOUBT
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不容忽视的交际用语“no+名词”
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作者 郭爱华 《中学英语园地(高三版)》 2006年第4期14-17,共4页
关键词 交际用语 no 中学英语园地 TROUBLE HAVEN FRIENDS DOUBT 告诉我 WAT
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Challenges and opportunities in mental health services during the COVID-19 pandemic 被引量:3
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作者 Daihui Peng Zhen Wang Yifeng Xu 《General Psychiatry》 CSCD 2020年第5期283-285,共3页
As of 12 March 2020,the WHO upgraded the status of COVID-19 from epidemic to pandemic.1 Globally,as of 20 July 2020,14707451 confirmed cases of COVID-19,including 609985 deaths,have been reported by an interactive web... As of 12 March 2020,the WHO upgraded the status of COVID-19 from epidemic to pandemic.1 Globally,as of 20 July 2020,14707451 confirmed cases of COVID-19,including 609985 deaths,have been reported by an interactive web-based dashboard released by Johns Hopkins University.2 Strict provisions and strategies have been implemented to suppress or mitigate the spread of the COVID-19 pandemic,such as government-imposed contact tracing and quarantine,lockdown,social and physical distance measures,and closure of non-essential facilities and services.The global spread of the COVID-19 pandemic and rapid escalation response undoubtedly put enormous stress on patients with confirmed or suspected COVID-19,medical personnel and even the public,increasing the risk of mental health problems. 展开更多
关键词 SERVICES FIR DOUBT
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How did Jawed Vertebrates Originate and Rise? 被引量:2
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作者 Min Zhu Youan Zhu +3 位作者 Zhikun Gai Wenjin Zhao Tuo Qiao Jing Lu 《Journal of Earth Science》 SCIE CAS CSCD 2023年第4期1299-1301,共3页
99.8% of extant vertebrate species on Earth, including humans, possess jaws(maxilla and mandible). The group which we belong to is accordingly referred to as jawed vertebrates or gnathostomes. The origin and rise of o... 99.8% of extant vertebrate species on Earth, including humans, possess jaws(maxilla and mandible). The group which we belong to is accordingly referred to as jawed vertebrates or gnathostomes. The origin and rise of our group is undoubtedly one of the most critical evolutionary milestones in the history of vertebrates from fish to humans. 展开更多
关键词 VERTEBRATE FISH DOUBT
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祝贺《中国糖尿病杂志创刊》 被引量:2
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作者 陈敏章 肖梓仁 +1 位作者 向红丁 三村悟郎 《中国糖尿病杂志》 CAS CSCD 1993年第1期1-3,6-9,共7页
关键词 中国糖尿病杂志 糖尿病学会 behalf Chairman NIDDM 中华医学会 DOUBT 医学系 冬叶 JUNIOR
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Introduction:The past,present,and future of research on running barefoot and in minimal shoes 被引量:1
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作者 Daniel E.Lieberman Irene S.Davis Benno M.Nigg 《Journal of Sport and Health Science》 SCIE 2014年第2期65-66,152,共2页
Barefoot running has been around for millions of years,and it is safe to presume that for most of that time,the practice occasioned little interest.Our ancestors ran barefoot because they had no shoes.When footwear wa... Barefoot running has been around for millions of years,and it is safe to presume that for most of that time,the practice occasioned little interest.Our ancestors ran barefoot because they had no shoes.When footwear was first invented during the last 40,000 years (no doubt at different times and in different places),shoes were by necessity minimal-essentially sandals and moccasins-designed to protect the sole of the foot but lacking any of the sophisticated features and materials present in modem running shoes such as elevated cushioned heels,arch supports,and toe springs.Most of these features were invented in the 1970s,and they quickly became more popular and sophisticated as running underwent a worldwide boom.Today,the vast majority of runners think it is normal to wear cushioned running shoes,and would never dream of running without them. 展开更多
关键词 NECESSITY SHOES sophisticated DOUBT millions running essentially LIKELY DEBATE briefly
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ON THE SOLUTION OF THE SINGULAR INTEGRAL EQUATIONS WITH BOTH CAUCHY AND CONVOLUTION KERNEL 被引量:1
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作者 宫子吉 沈永祥 刘声华 《四川师范大学学报(自然科学版)》 CAS CSCD 1991年第1期13-14,共2页
The following equations are basic forms of C-K equation (which is simplified in the following as singu-lar integral equations with convolution, that is C-K equations):where a,b,a_j,b_j are known constants or known fun... The following equations are basic forms of C-K equation (which is simplified in the following as singu-lar integral equations with convolution, that is C-K equations):where a,b,a_j,b_j are known constants or known functions, and find its solution f L_P(R), {0} or {α,β}.There were rather complete investigations on the method of solution for equations of Cauchy type aswell as integral equations of convolution type. But there is not investigation to the C-K equations, nodoubt, such that is important. 展开更多
关键词 convolution simplified kernel CONSTANTS sided SOLVABILITY CAUCHY RIEMANN DOUBT SINGULAR
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Preface to the Special Issue:Hydrogen Embrittlement and Storage 被引量:1
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作者 Binhan sun Hao Chen 《Acta Metallurgica Sinica(English Letters)》 SCIE EI CAS CSCD 2023年第7期1057-1058,共2页
There is no doubt that hydrogen(H)is becoming one of the most promising sustainable energy carriers which can release at least partially the current strong reliance on fossil fuel-based energy and the resulting enviro... There is no doubt that hydrogen(H)is becoming one of the most promising sustainable energy carriers which can release at least partially the current strong reliance on fossil fuel-based energy and the resulting environmental burden. 展开更多
关键词 DOUBT STORAGE BECOMING
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Development of a haploid inducer by editing HvMTL in barley 被引量:1
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作者 Huali Tang Yuliang Qiu +7 位作者 Wanxin Wang Mei Yu Yanan Chang Zhiyang Han Lipu Du Zhishan Lin Ke Wang Xingguo Ye 《Journal of Genetics and Genomics》 SCIE CAS CSCD 2023年第5期366-369,共4页
The doubled-haploid technique mediated by parthenogenesis and androgenesis in plants can directly generate homozygous diploid lines after chromosome doubling with colchicine in one or two generations,and this method u... The doubled-haploid technique mediated by parthenogenesis and androgenesis in plants can directly generate homozygous diploid lines after chromosome doubling with colchicine in one or two generations,and this method undoubtedly shortens the breeding process and improves breeding efficiency in crops.Previously,haploid plants were mainly induced by anther culture or microspore culture via androgenesis(Ohnoutkova et al.,2019).In wheat(Triticum aestivum),haploids can also be induced by maize(Zea mays)pollen and chromosome elimination via parthenogenesis(Liu et al.,2020b).However,the aforementioned induction methods are genotype-dependent,require complex manipulations,and are both time-consuming and inefficient.Therefore,it is necessary to develop new techniques or germplasm for simple and efficient haploid induction. 展开更多
关键词 BREEDING CULTURE DOUBT
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Updates in prostate cancer detections and treatments--Messages from 2017 EAU and AUA 被引量:1
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作者 Liping Xie Jiangfeng Li Xiao Wang 《Asian Journal of Urology》 2018年第1期3-7,共5页
1.Updates in prostate cancer(PCa)detections 1.1.Screening of PCa The discovery of prostate specific antigen(PSA)undoubtedly marked a new era for the efficient screening of PCa.In addition,the screening of PCa has been... 1.Updates in prostate cancer(PCa)detections 1.1.Screening of PCa The discovery of prostate specific antigen(PSA)undoubtedly marked a new era for the efficient screening of PCa.In addition,the screening of PCa has been the hot area of studies all the time,and it is still the most commonly discussed topic of European Association of Urology(EAU)and American Urological Association(AUA). 展开更多
关键词 CANCER DOUBT treatment
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