다중혈관 관상동맥 환자에서 y-문합을 이용하여 양쪽 내흉동맥만을 사용한 우회술의 조기 성적

Secret History: Return of the Black Death Channel 4, 7-8pm In 1348 the Black Death swept through London, killing people within days of the appearance of their first symptoms. Exactly how many died, and why, has long been a mystery. This Secret History documentary follows experts as they pick through the evidence and reveal why the plague killed on such a scale. And they ask, what might be coming next?

Medscape

Summary Background Since December, 2019, Wuhan, China, has experienced an outbreak of coronavirus disease 2019 (COVID-19), caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Epidemiological and clinical characteristics of patients with COVID-19 have been reported but risk factors for mortality and a detailed clinical course of illness, including viral shedding, have not been well described. Methods In this retrospective, multicentre cohort study, we included all adult inpatients (≥18 years old) with laboratory-confirmed COVID-19 from Jinyintan Hospital and Wuhan Pulmonary Hospital (Wuhan, China) who had been discharged or had died by Jan 31, 2020. Demographic, clinical, treatment, and laboratory data, including serial samples for viral RNA detection, were extracted from electronic medical records and compared between survivors and non-survivors. We used univariable and multivariable logistic regression methods to explore the risk factors associated with in-hospital death. Findings 191 patients (135 from Jinyintan Hospital and 56 from Wuhan Pulmonary Hospital) were included in this study, of whom 137 were discharged and 54 died in hospital. 91 (48%) patients had a comorbidity, with hypertension being the most common (58 [30%] patients), followed by diabetes (36 [19%] patients) and coronary heart disease (15 [8%] patients). Multivariable regression showed increasing odds of in-hospital death associated with older age (odds ratio 1·10, 95% CI 1·03–1·17, per year increase; p=0·0043), higher Sequential Organ Failure Assessment (SOFA) score (5·65, 2·61–12·23; p Interpretation The potential risk factors of older age, high SOFA score, and d-dimer greater than 1 μg/mL could help clinicians to identify patients with poor prognosis at an early stage. Prolonged viral shedding provides the rationale for a strategy of isolation of infected patients and optimal antiviral interventions in the future. Funding Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences; National Science Grant for Distinguished Young Scholars; National Key Research and Development Program of China; The Beijing Science and Technology Project; and Major Projects of National Science and Technology on New Drug Creation and Development.

Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study

Impatti, adattamento e vulnerabilita Le cause e le responsabilita dei cambiamenti climatici sono state trattate sul numero di ottobre della rivista Cda. Approfondiamo l’argomento presentando il documento: “Cambiamenti climatici 2007: impatti, adattamento e vulnerabilita” votato ad aprile 2007 dal secondo gruppo di lavoro del Comitato Intergovernativo sui Cambiamenti Climatici (Intergovernmental Panel on Climate Change). Si tratta del secondo di tre documenti che compongono il quarto rapporto sui cambiamenti climatici.

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Climate Change 2007: Impacts, Adaptation and Vulnerability.

The purpose of this paper is to provide a comprehensive presentation and interpretation of the Ensemble Kalman Filter (EnKF) and its numerical implementation. The EnKF has a large user group, and numerous publications have discussed applications and theoretical aspects of it. This paper reviews the important results from these studies and also presents new ideas and alternative interpretations which further explain the success of the EnKF. In addition to providing the theoretical framework needed for using the EnKF, there is also a focus on the algorithmic formulation and optimal numerical implementation. A program listing is given for some of the key subroutines. The paper also touches upon specific issues such as the use of nonlinear measurements, in situ profiles of temperature and salinity, and data which are available with high frequency in time. An ensemble based optimal interpolation (EnOI) scheme is presented as a cost-effective approach which may serve as an alternative to the EnKF in some applications. A fairly extensive discussion is devoted to the use of time correlated model errors and the estimation of model bias.

The Ensemble Kalman Filter: Theoretical formulation and practical implementation

We develop a three dimensional compartmental model to investigate the impact of media coverage to the spread and control of infectious diseases (such as SARS) in a given region/area. Stability analysis of the model shows that the disease-free equilibrium is globally-asymptotically stable if a certain threshold quantity, the basic reproduction number (
 $$\mathbb R_0$$
 ), is less than unity. On the other hand, if $$\mathbb R_0 > 1$$
 , it is shown that a unique endemic equilibrium appears and a Hopf bifurcation can occur which causes oscillatory phenomena. The model may have up to three positive equilibria. Numerical simulations suggest that when $$\mathbb R_0 > 1$$
 and the media impact is stronger enough, the model exhibits multiple positive equilibria which poses challenge to the prediction and control of the outbreaks of infectious diseases.

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The Impact of Media on the Control of Infectious Diseases.

https://yorkspace.library.yorku.ca/xmlui/bitstream/handle/10315/908/2005_bmb_wnv.pdf;sequence=1

A mathematical model for assessing control strategies against West Nile virus.

INTRODUCTION: An accurate early warning system to predict impending epidemics enhances the effectiveness of preventive measures against dengue fever. The aim of this study was to develop and valida ...

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Forecast of dengue incidence using temperature and rainfall.

We use a compartmental model to illustrate a possible mechanism for multiple outbreaks or even sustained periodic oscillations of emerging infectious diseases due to the psychological impact of the reported numbers of infectious and hospitalized individuals. This impact leads to the change of avoidance and contact patterns at both individual and community levels, and incorporating this impact using a simple nonlinear incidence function into the model shows qualitative differences of the transmission dynamics.

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Media/psychological impact on multiple outbreaks of emerging infectious diseases

We consider a predator-prey system with nonmonotonic functional response: $p(x)=\frac{mx}{ax^2+bx+1}$ By allowing b to be negative ($b > -2\sqrt a$), p(x) is concave up for small values of x > 0 a

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Huaiping Zhu

Papers

The Impact of Media on the Control of Infectious Diseases.

A mathematical model for assessing control strategies against West Nile virus.

Forecast of dengue incidence using temperature and rainfall.

Media/psychological impact on multiple outbreaks of emerging infectious diseases

Bifurcation analysis of a predator-prey system with nonmonotonic functional response ∗