Based on differential game theory,the decision-making problem of two homogeneous countries facing transboundary marine litter governance is studied.On the basis of assuming that the input of marine litter is an exogen...Based on differential game theory,the decision-making problem of two homogeneous countries facing transboundary marine litter governance is studied.On the basis of assuming that the input of marine litter is an exogenous variable,the focus is on reducing the accumulation of marine litter through cleanup and transfer processing by both parties.Considering the constant and increasing input of marine litter,in the framework of international agreement constraints,the analysis of the game behavior of the players in the marine litter governance under the open-loop strategy(in the case of agreement constraints)and the Markov strategy(in the case of no agreement constraints)was compared and analyzed.The research results show that when the direct pollution cost of marine litter is high enough,both sides of the game adopt an open-loop strategy that complies with the constraints of the agreement,which can reduce the accumulation of marine litter and improve the environmental quality.However,when there is a high initial accumulation of marine litter,the Markov strategy without protocol constraints will be better than the open-loop strategy.In the case that marine litter does not need to be transferred,there will be no difference between the two sides of the game adopting the Markov strategy and adopting the open-loop strategy on the equilibrium growth path.展开更多
Objective:To systematically review the efficacy and clinical safety of Qizhi Weitong Granules(气滞胃痛颗粒)(QZWT)in the treatment of irritable bowel syndrome with predominant constipation(IBS-C).Methods:Randomized con...Objective:To systematically review the efficacy and clinical safety of Qizhi Weitong Granules(气滞胃痛颗粒)(QZWT)in the treatment of irritable bowel syndrome with predominant constipation(IBS-C).Methods:Randomized controlled trials(RCTs)of QZWT in patients with IBS-C were retrieved from Pub Med,EMBASE,Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang,Chinese Scientific Journals Database(VIP),and Chinese Biological Medical Database(CBM)from inception to December 3,2022.Conventional meta-analysis with random-effects model or fixed-effects model and trial sequential analysis(TSA)were performed by Review Manager 5.4,Stata and TSA software.Results:A total of 4 RCTs and 368 patients with IBS-C were included in this study.The findings of the meta-analysis indicated that the cure and efficacy rate of the experimental group was significantly higher than that of the control group[RR=2.19;(95%CI,1.35–3.55),P<0.01;RR=1.14;(95%CI,1.03–1.27),P<0.05],while the result of Bristol Score was negative.The funnel plot was probably symmetry,and the P value was>0.05 in the Egger test,which confirmed the nonexistence of significant publication bias in this outcome.TSA showed the cumulative z-value crossed the traditional threshold and TSA threshold,while it didn't get to the required information size.Finally,2 studies reported adverse events after QZWT treatment,including 3 cases of diarrhea.No serious adverse events were reported.Conclusion:QZWT was an effective and safe complementary therapy in the treatment of IBS-C with no obvious adverse reactions.TSA analysis confirmed our meta-analysis results.Therefore,QZWT may be a potential candidate for the treatment of IBS-C.However,due to the limited quality of current studies,more long-term,randomized,double-blinded clinical trials are needed in future studies.展开更多
基金supported by the Qihang Project of Zhejiang University(Grant No.202016)。
文摘Based on differential game theory,the decision-making problem of two homogeneous countries facing transboundary marine litter governance is studied.On the basis of assuming that the input of marine litter is an exogenous variable,the focus is on reducing the accumulation of marine litter through cleanup and transfer processing by both parties.Considering the constant and increasing input of marine litter,in the framework of international agreement constraints,the analysis of the game behavior of the players in the marine litter governance under the open-loop strategy(in the case of agreement constraints)and the Markov strategy(in the case of no agreement constraints)was compared and analyzed.The research results show that when the direct pollution cost of marine litter is high enough,both sides of the game adopt an open-loop strategy that complies with the constraints of the agreement,which can reduce the accumulation of marine litter and improve the environmental quality.However,when there is a high initial accumulation of marine litter,the Markov strategy without protocol constraints will be better than the open-loop strategy.In the case that marine litter does not need to be transferred,there will be no difference between the two sides of the game adopting the Markov strategy and adopting the open-loop strategy on the equilibrium growth path.
基金supported by National Natural Science Foundation of China:International (regional)cooperation and exchange project (81820108033)China Academy of Chinese Medical Sciences Youth Talent Project (ZZ14-YQ-020)。
文摘Objective:To systematically review the efficacy and clinical safety of Qizhi Weitong Granules(气滞胃痛颗粒)(QZWT)in the treatment of irritable bowel syndrome with predominant constipation(IBS-C).Methods:Randomized controlled trials(RCTs)of QZWT in patients with IBS-C were retrieved from Pub Med,EMBASE,Cochrane Library,China National Knowledge Infrastructure(CNKI),Wanfang,Chinese Scientific Journals Database(VIP),and Chinese Biological Medical Database(CBM)from inception to December 3,2022.Conventional meta-analysis with random-effects model or fixed-effects model and trial sequential analysis(TSA)were performed by Review Manager 5.4,Stata and TSA software.Results:A total of 4 RCTs and 368 patients with IBS-C were included in this study.The findings of the meta-analysis indicated that the cure and efficacy rate of the experimental group was significantly higher than that of the control group[RR=2.19;(95%CI,1.35–3.55),P<0.01;RR=1.14;(95%CI,1.03–1.27),P<0.05],while the result of Bristol Score was negative.The funnel plot was probably symmetry,and the P value was>0.05 in the Egger test,which confirmed the nonexistence of significant publication bias in this outcome.TSA showed the cumulative z-value crossed the traditional threshold and TSA threshold,while it didn't get to the required information size.Finally,2 studies reported adverse events after QZWT treatment,including 3 cases of diarrhea.No serious adverse events were reported.Conclusion:QZWT was an effective and safe complementary therapy in the treatment of IBS-C with no obvious adverse reactions.TSA analysis confirmed our meta-analysis results.Therefore,QZWT may be a potential candidate for the treatment of IBS-C.However,due to the limited quality of current studies,more long-term,randomized,double-blinded clinical trials are needed in future studies.
