Several studies have shown that coronary artery bypass graft surgery （CABG） is superior to percutaneous coronary intervention （PCI） in patients with diabetes and multi-vessel disease. Whether this advantage of CAB...Several studies have shown that coronary artery bypass graft surgery （CABG） is superior to percutaneous coronary intervention （PCI） in patients with diabetes and multi-vessel disease. Whether this advantage of CABG over PCI is confined to diabetics who require insulin is unknown. We review the published literature comparing CABG with PCI in diabetics including 8 cohorts and 4,786 patients. There was a lower rate for all-cause mortality （Relative risk （RR）： 0.78, 95% confidence interval （CI）： 0.62-0.99）, and for major adverse cardiac and cerebrovascular events （MACCE, RR： 0.59, 95% CI： 0.47-0.75） for CABG compared to PCI. Composite outcome of mortality, myocardial infarction and stoke was similar between CABG and PCI （RR： 0.87, 95% CI： 0.54-1.42）. Visual inspection of the forest plots showed that in most analyses, the point estimates of the RR are similar between the insulin requiring group and non-insulin requiring group. On meta-regression, there was no interaction between status of insulin requirement and revascularization strategies （P 〉 0.05 for all）. The pre- sented data on the still unpublished analysis of the FREEDOM trial showed similar results. Thus, in the current era, CABG is superior to PCI with lower mortality and MACCE rates, but the state of insulin requirement had no effect on the outcomes from the two revascularization strategies.展开更多
We propose a modified susceptible-infected-refractory-susceptible （SIRS） model to investigate the global oscillations of the epidemic spreading in Watts-Strogatz （WS） small-world networks. It is found that when an...We propose a modified susceptible-infected-refractory-susceptible （SIRS） model to investigate the global oscillations of the epidemic spreading in Watts-Strogatz （WS） small-world networks. It is found that when an individual immunity does not change or decays slowly in an immune period, the system can exhibit complex transition from an infecting stationary state to a large amplitude sustained oscillation or an absorbing state with no infection. When the immunity decays rapidly in the immune period, the transition to the global oscillation disappears and there is no oscillation. Furthermore, based on the spatico-temporal evolution patterns and the phase diagram, it is disclosed that a long immunity period takes an important role in the emergence of the global oscillation in small-world networks.展开更多
In this paper, to better understand the impact of awareness and the network structure on epidemic transmission, we divide the population into four subpopulations corresponding to different physical states and consciou...In this paper, to better understand the impact of awareness and the network structure on epidemic transmission, we divide the population into four subpopulations corresponding to different physical states and conscious states, and we first propose a modified disease- awareness model, then verify the global stability of the disease-free and endemic equilib- ria, and finally present numerical simulations to demonstrate the theoretical analysis. By examining the spreading influences of model parameters, we find that the outbreak scale can be effectively controlled through increasing the spread rate of awareness or reducing the rate of awareness loss. That is to say, all sorts of media publicity are meaningful. Meanwhile, we find that infection will be affected by consciousness through the control variable.展开更多
文摘Several studies have shown that coronary artery bypass graft surgery （CABG） is superior to percutaneous coronary intervention （PCI） in patients with diabetes and multi-vessel disease. Whether this advantage of CABG over PCI is confined to diabetics who require insulin is unknown. We review the published literature comparing CABG with PCI in diabetics including 8 cohorts and 4,786 patients. There was a lower rate for all-cause mortality （Relative risk （RR）： 0.78, 95% confidence interval （CI）： 0.62-0.99）, and for major adverse cardiac and cerebrovascular events （MACCE, RR： 0.59, 95% CI： 0.47-0.75） for CABG compared to PCI. Composite outcome of mortality, myocardial infarction and stoke was similar between CABG and PCI （RR： 0.87, 95% CI： 0.54-1.42）. Visual inspection of the forest plots showed that in most analyses, the point estimates of the RR are similar between the insulin requiring group and non-insulin requiring group. On meta-regression, there was no interaction between status of insulin requirement and revascularization strategies （P 〉 0.05 for all）. The pre- sented data on the still unpublished analysis of the FREEDOM trial showed similar results. Thus, in the current era, CABG is superior to PCI with lower mortality and MACCE rates, but the state of insulin requirement had no effect on the outcomes from the two revascularization strategies.
基金Supported by National Natural Science Foundation of China under Grand No.10575055Sponsored by K.C.Wong Magna Fund in Ningbo University
文摘We propose a modified susceptible-infected-refractory-susceptible （SIRS） model to investigate the global oscillations of the epidemic spreading in Watts-Strogatz （WS） small-world networks. It is found that when an individual immunity does not change or decays slowly in an immune period, the system can exhibit complex transition from an infecting stationary state to a large amplitude sustained oscillation or an absorbing state with no infection. When the immunity decays rapidly in the immune period, the transition to the global oscillation disappears and there is no oscillation. Furthermore, based on the spatico-temporal evolution patterns and the phase diagram, it is disclosed that a long immunity period takes an important role in the emergence of the global oscillation in small-world networks.
文摘In this paper, to better understand the impact of awareness and the network structure on epidemic transmission, we divide the population into four subpopulations corresponding to different physical states and conscious states, and we first propose a modified disease- awareness model, then verify the global stability of the disease-free and endemic equilib- ria, and finally present numerical simulations to demonstrate the theoretical analysis. By examining the spreading influences of model parameters, we find that the outbreak scale can be effectively controlled through increasing the spread rate of awareness or reducing the rate of awareness loss. That is to say, all sorts of media publicity are meaningful. Meanwhile, we find that infection will be affected by consciousness through the control variable.
