| 2 | 让妇女和女孩远离烟酒营销显示文摘Emma Feeny及其同事认为,改变性别不平等性的措施可以控制烟酒业向中、低收入国家扩张,遏制慢性病的疾病负担,促进性别平等。因为社会和文化的规范污名化了女性吸烟、饮酒的行为,所以一直以来,男性是烟酒的主要消费人群,特别是在中、低收入国家更是如此。然而,在中、低收入国家,性别规范不断变化,行业营销越发激进,人口数量持续增长。这意味着如果不采取紧急行动,吸烟和饮酒的妇女和女孩人数可能在未来几年大幅增加。 | Emma Feeny Katie Dain Cherian Varghese George A Atiim Dag Rekve Hebe N Gouda 张樱子(译) 周红霞(校) | 2022 | 英国医学杂志中文版2022，25，4： | 0 |
| 3 | A different cardiac resynchronization therapy technique might be needed in some patients with nonspecific intraventricular conduction disturbance pattern显示文摘BACKGROUND Current cardiac resynchronization therapy(CRT),devised to eliminate dyssynchrony in left bundle branch block(LBBB),works by pacing the latest activated left ventricular site(LALVS).We hypothesized that patients with nonspecific intraventricular conduction disturbance(NICD)pattern respond less favorably to CRT,because their LALVS is far away from that in LBBB.METHODS By measuring the amplitude and polarity of secondary ST-segment alterations in two optional frontal and hori-zontal surface electrocardiogram(ECG)leads and using a software,we determined the resultant 3D spatial secondary ST vector,which is directed 180o away from the LALVS,in 110 patients with LBBB pattern and 77 patients with NICD pattern and heart failure.To validate the ECG method,we also estimated the LALVS by echocardiography using 3D parametric imaging and 2D speckle tracking in 22 LBBB patients and 20 NICD patients.Patients with NICD pattern were subdivided according to their non-overlapping frontal plane resultant secondary ST vector ranges to the NICD-1 subgroup(n=44)and the NICD-2 subgroup(n=33).RESULTS Based on the software determined coordinates of the resultant 3D spatial secondary ST vector directed 180o away from the LALVS,the LALVSs were located leftward,posterosuperior in the LBBB group,slightly left,superior in the NICD-1 sub-group,and slightly left,posteroinferior in the NICD-2 subgroup.The LALVS determined by ECG and echocardiography matched in all patients,except two.CONCLUSIONS In the NICD-2 subgroup,a remote LALVS was found from that in LBBB pattern,which might explain the high non-response rate of the NICD pattern to the current CRT technique. | Gábor Katona Zsuzsanna Szelényi Gábor Szénási Bálint Kozman Zsolt Rekvényi Luca Kópházi Zsolt Dobos Szilvia Vereckei András Vereckei | 2021 | Journal of Geriatric Cardiology2021，18，12： | 0 |
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