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The Lancet Countdown on health and climate change: competing interests and optimism bias. 柳叶刀》健康与气候变化倒计时:利益竞争与乐观偏见。
IF 98.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-28 DOI: 10.1016/S0140-6736(24)01490-9
Nicholas Brink, Matthew F Chersich
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引用次数: 0
Antibody titres after vaccination: a missing key to rabies control. 接种疫苗后的抗体滴度:狂犬病控制中缺失的关键。
IF 98.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-28 DOI: 10.1016/S0140-6736(24)01504-6
Sarita Phuyal, Krishna Prasad Acharya, Dong Keon Yon
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引用次数: 0
Bone marrow necrosis and hyperinflammation after treatment with inotuzumab ozogamicin for B-cell acute lymphoblastic leukaemia. B 细胞急性淋巴细胞白血病患者接受伊妥珠单抗-奥佐加米星治疗后的骨髓坏死和高炎症反应
IF 98.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-28 DOI: 10.1016/S0140-6736(24)01826-9
Curtis Marcoux, Pinkesh Thakkar, David M Conrad, Allam A Shawwa, Luke Y C Chen
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引用次数: 0
Jens Juul Holst: physician-scientist and co-discoverer of GLP-1. Jens Juul Holst:医生科学家,GLP-1 的共同发现者。
IF 98.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-28 DOI: 10.1016/S0140-6736(24)02083-X
Geoff Watts
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引用次数: 0
Offline: Xenotransplantation-a new era beckons. 离线:异种移植--新时代在召唤。
IF 98.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-28 DOI: 10.1016/S0140-6736(24)02130-5
Richard Horton
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引用次数: 0
Populations "woefully unprepared" for climate crisis. 人们对气候危机 "准备不足"。
IF 98.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-28 DOI: 10.1016/S0140-6736(24)02133-0
John Zarocostas
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引用次数: 0
Department of Error. 错误部。
IF 98.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-28 Epub Date: 2024-09-16 DOI: 10.1016/S0140-6736(24)01933-0
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引用次数: 0
Long-term ill health in sepsis survivors: an ignored health-care challenge? 败血症幸存者长期健康状况不佳:被忽视的医疗挑战?
IF 98.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-28 Epub Date: 2024-09-11 DOI: 10.1016/S0140-6736(24)01754-9
Abi Beane, Manu Shankar-Hari
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引用次数: 0
Mildred Stahlman. 米尔德里德-斯塔尔曼
IF 98.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-28 DOI: 10.1016/S0140-6736(24)02085-3
Andrew Green
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引用次数: 0
Lipoprotein(a) and cardiovascular disease. 脂蛋白(a)与心血管疾病。
IF 98.4 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL Pub Date : 2024-09-28 Epub Date: 2024-09-12 DOI: 10.1016/S0140-6736(24)01308-4
Børge G Nordestgaard, Anne Langsted

One in five people are at high risk for atherosclerotic cardiovascular disease and aortic valve stenosis due to high lipoprotein(a). Lipoprotein(a) concentrations are lowest in people from east Asia, Europe, and southeast Asia, intermediate in people from south Asia, the Middle East, and Latin America, and highest in people from Africa. Concentrations are more than 90% genetically determined and 17% higher in post-menopausal women than in men. Individuals at a higher cardiovascular risk should have lipoprotein(a) concentrations measured once in their lifetime to inform those with high concentrations to adhere to a healthy lifestyle and receive medication to lower other cardiovascular risk factors. With no approved drugs to lower lipoprotein(a) concentrations, it is promising that at least five drugs in development lower concentrations by 65-98%, with three currently being tested in large cardiovascular endpoint trials. This Review covers historical perspectives, physiology and pathophysiology, genetic evidence of causality, epidemiology, role in familial hypercholesterolaemia and diabetes, management, screening, diagnosis, measurement, prevention, and future lipoprotein(a)-lowering drugs.

由于脂蛋白(a)过高,每五个人中就有一人是动脉粥样硬化性心血管疾病和主动脉瓣狭窄的高危人群。东亚、欧洲和东南亚人的脂蛋白(a)浓度最低,南亚、中东和拉丁美洲人的脂蛋白(a)浓度居中,非洲人的脂蛋白(a)浓度最高。90%以上的浓度由基因决定,绝经后女性的浓度比男性高 17%。心血管风险较高的人一生中应测量一次脂蛋白(a)浓度,以告知高浓度者坚持健康的生活方式,并接受药物治疗以降低其他心血管风险因素。目前还没有获得批准的降低脂蛋白(a)浓度的药物,但至少有五种正在研发的药物能将脂蛋白(a)浓度降低 65-98% ,其中三种药物目前正在大型心血管终点试验中进行测试。本综述涵盖历史观点、生理学和病理生理学、因果关系的遗传证据、流行病学、在家族性高胆固醇血症和糖尿病中的作用、管理、筛查、诊断、测量、预防以及未来的降脂蛋白(a)药物。
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引用次数: 0
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The Lancet
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