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相关概念视频

Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...

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相关实验视频

Updated: Jun 18, 2026

Digital Handwriting Analysis of Characters in Chinese Patients with Mild Cognitive Impairment
05:58

Digital Handwriting Analysis of Characters in Chinese Patients with Mild Cognitive Impairment

Published on: March 11, 2021

在发表的急性冠状动脉综合征随机试验中,老年人和妇女的代表性.

P Y Lee1, K P Alexander, B G Hammill

  • 1Department of Medicine, Duke University Medical Center, Box 3236, Durham, NC 27710, USA. peter016@mc.duke.edu

JAMA
|August 10, 2001
PubMed
概括

尽管努力提高包容性,但老年人和妇女在急性冠状动脉综合征临床试验中仍然不足. 招生率远远落后于疾病流行率,影响了所有心脏病患者的基于证据的护理.

科学领域:

  • 心脏病学 心脏病学
  • 临床试验 临床试验
  • 健康 公平 卫生 公平

背景情况:

  • 随机对照试验 (RCT) 从历史上看,老年人和女性的代表性较低.
  • 最近的努力旨在纠正这些入学偏见,但其有效性仍然不清楚.

研究的目的:

  • 评估老年人和妇女在急性冠状动脉综合征 (ACS) 临床试验中招募的变化.
  • 将试验参与者的人口统计数据与一般人群中ACS的流行率进行比较.

主要方法:

  • 对1966年至2000年间发表的英语RCT进行了系统审查.
  • 提取和分析了患者人口统计,年龄排除标准和疾病患病率的数据.
  • 593个涉及急性冠状动脉综合征的RCT被纳入最终分析.

主要成果:

  • 有明确年龄排除的RCT的百分比从58% (1966-1990) 降至40% (1991-2000).
  • 75岁以上的患者的入学率从2%增加到9%,女性的入学率从20%增加到25%.
  • 这些数字仍然远低于美国人口中心肌梗塞的患病率 (37%的老年人,43%的女性).

结论:

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Last Updated: Jun 18, 2026

Digital Handwriting Analysis of Characters in Chinese Patients with Mild Cognitive Impairment
05:58

Digital Handwriting Analysis of Characters in Chinese Patients with Mild Cognitive Impairment

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Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
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Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment

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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
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Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure

Published on: June 10, 2025

  • 心血管RCT的包容性努力取得了有限的成功.
  • 妇女和老年人在与其疾病负担相关的公布试验数据中仍然代表性不足.
  • 这些入学差异影响了研究结果的概括性,并阻碍了对不同心脏病患者群体的基于证据的护理.