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A systematic review, meta-analysis and economic evaluation on Neonatal cpap 新生儿cpap的系统回顾、荟萃分析和经济评价
Q2 Mathematics Pub Date : 2022-01-01 DOI: 10.1515/cmb-2022-0133
R. Keerthan, P. Nagaseshu, G. Gopalan, K. Kachroo, Jitendra Sharma
Abstract The review mainly focuses on the goals to evaluate the clinical and cost effectiveness of neonatal CPAP in a decrease of Mortality, Length of Stay, Respiratory support, Extubation and Intubation. Introduction: Inclusion criteria: This review is conducted in neonates with respiratory failure, Pneumonia sepsis, necrotizing infections, Pneumothorax, Broncho pulmonary distress, respiratory distress syndrome (RDS), COVID-19, and other comorbidities also included. Methods: The databases like PubMed, Google Scholar, and Cochrane were used in this review. Depending on inclusion criteria the full-text articles were assessed and chosen studies were recovered by methodological quality. Results: one twenty-six studies are retrieved which met the inclusion criteria and the extracted studies were pooled statistically and their outcomes were measured. All the studies explain the efficacy of CPAP by reducing Mortality, Length of Stay, Respiratory support, Extubation and Intubation. Conclusion: Currently the evidence states that CPAP reduces Mortality, Length of Stay, Respiratory support, Extubation and Intubation
摘要本综述旨在评价新生儿CPAP在降低死亡率、住院时间、呼吸支持、拔管和插管等方面的临床和成本效益。纳入标准:本综述纳入了伴有呼吸衰竭、肺炎败血症、坏死性感染、气胸、支气管肺窘迫、呼吸窘迫综合征(RDS)、COVID-19以及其他合并症的新生儿。方法:本综述使用PubMed、谷歌Scholar、Cochrane等数据库。根据纳入标准对全文文章进行评估,并根据方法学质量对所选研究进行检索。结果:检索到符合纳入标准的1 26项研究,对提取的研究进行统计汇总并测量其结果。所有的研究都通过降低死亡率、住院时间、呼吸支持、拔管和插管来解释CPAP的疗效。结论:目前的证据表明,CPAP降低死亡率,住院时间,呼吸支持,拔管和插管
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引用次数: 0
Optimal Control for a Tuberculosis Model with Exogenous Reinfection under the Influence of Stigma 柱头影响下外源性再感染结核模型的最优控制
Q2 Mathematics Pub Date : 2022-01-01 DOI: 10.22541/au.164397215.50939781/v1
Remilou F. Liguarda, Randy L. Caga-anan, Wolfgang Bock
Abstract Often described as the world’s most deadly infectious disease, Tuberculosis remains a serious health threat in many parts of the world, especially in the developing countries. One of the social barriers hindering TB patients to seek and complete medical attention is stigmatization. In this study, we incorporated stigmatization on a model published by Feng et al. last 2000. We obtained the basic reproduction number and showed conditions where multiple endemic equilibrium will exist depending on a reinfection threshold. The model predicted a significant increase in the basic reproduction number as the level of stigmatization increases. We used optimal control theory to investigate the effect of controls to combat stigmatization and compare these controls with the usual controls such as improving treatment and minimizing reinfection. Simulations show that although stigmatization controls are helpful, they are not enough to successfully control the disease. A combination of all the controls will be ideal and some optimal rates of doing it over time are given, depending on the perceived cost of implementation.
摘要结核病经常被描述为世界上最致命的传染病,在世界许多地区,特别是在发展中国家,它仍然是一个严重的健康威胁。阻碍结核病患者寻求和完成医疗护理的社会障碍之一是污名化。在这项研究中,我们结合了冯等人2000年发表的一个模型的污名化。我们获得了基本繁殖数,并显示了根据再感染阈值存在多重地方病平衡的条件。该模型预测,随着污名化程度的增加,基本繁殖数量将显著增加。我们使用最优控制理论来研究控制措施对抗污名化的效果,并将这些控制措施与通常的控制措施进行比较,如改善治疗和尽量减少再次感染。模拟显示,尽管污名化控制是有帮助的,但它们不足以成功控制疾病。所有控制措施的组合将是理想的,并且随着时间的推移,根据实施的感知成本,给出了一些最佳的执行率。
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引用次数: 0
Impact of disease on a two-patch eco-epidemic model in presence of prey dispersal 疾病对存在猎物扩散的双斑块生态流行病模型的影响
Q2 Mathematics Pub Date : 2022-01-01 DOI: 10.1515/cmb-2022-0139
Sangeeta Saha, Guruprasad Samanta
Abstract The present model is dealt with prey-predator interactions in two different patches where only prey species are allowed to disperse among the patches. Each of these two patches has different predator population but the predator in Patch-2 only is affected with a disease. The proposed model is biologically welldefined. Also, the feasibility of the equilibrium points and corresponding stability conditions are analysed. It is found that the disease among predator, even in one patch, makes an important role to control the whole system dynamics as it starts to oscillates by regulating the disease transmission rate. Moreover, the disease transmission rate has a stabilizing as well as destabilizing effect on the system dynamics. From the results, it is observed that a high dispersal rate decreases the count of infected predator in a patch in presence of prey dispersal. There is another interesting result: it is observed that the prey dispersal cannot destabilize the coexistence state, i.e., the system which is stable in absence of dispersal remains stable when the prey species disperse between two patches.
摘要本模型处理了两个不同斑块中的捕食-捕食者相互作用,其中只有猎物物种被允许分散在斑块之间。这两个斑块中的每一个都有不同的捕食者种群,但斑块2中的捕食者只会受到疾病的影响。所提出的模型在生物学上有很好的定义。同时,分析了平衡点和相应稳定条件的可行性。研究发现,捕食者之间的疾病,即使是在一个斑块中,也会通过调节疾病传播率来控制整个系统的动力学,因为它开始振荡。此外,疾病传播率对系统动力学具有稳定和不稳定的影响。从结果中可以观察到,在猎物扩散的情况下,高扩散率会降低斑块中受感染捕食者的数量。还有另一个有趣的结果:观察到猎物的分散不会破坏共存状态,即当猎物物种分散在两个斑块之间时,在没有分散的情况下稳定的系统保持稳定。
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引用次数: 1
Global stability dynamics and sensitivity assessment of COVID-19 with timely-delayed diagnosis in Ghana 加纳新冠肺炎延迟诊断的全球稳定性动态和敏感性评估
Q2 Mathematics Pub Date : 2022-01-01 DOI: 10.1515/cmb-2022-0134
S. Moore, Hetsron L. Nyandjo-Bamen, Olivier Menoukeu-Pamen, Joshua Kiddy K. Asamoah, Zhen Jin
Abstract In this paper, we study the dynamical effects of timely and delayed diagnosis on the spread of COVID-19 in Ghana during its initial phase by using reported data from March 12 to June 19, 2020. The estimated basic reproduction number, ℛ0, for the proposed model is 1.04. One of the main focus of this study is global stability results. Theoretically and numerically, we show that the disease persistence depends on ℛ0. We carry out a local and global sensitivity analysis. The local sensitivity analysis shows that the most positive sensitive parameter is the recruitment rate, followed by the relative transmissibility rate from the infectious with delayed diagnosis to the susceptible individuals. And that the most negative sensitive parameters are: self-quarantined, waiting time of the infectious for delayed diagnosis and the proportion of the infectious with timely diagnosis. The global sensitivity analysis using the partial rank correlation coefficient confirms the directional flow of the local sensitivity analysis. For public health benefit, our analysis suggests that, a reduction in the inflow of new individuals into the country or a reduction in the inter community inflow of individuals will reduce the basic reproduction number and thereby reduce the number of secondary infections (multiple peaks of the infection). Other recommendations for controlling the disease from the proposed model are provided in Section 7.
本文利用2020年3月12日至6月19日的报告数据,研究了及时诊断和延迟诊断对COVID-19在加纳传播初期的动态影响。该模型的估计基本复制数,即贡献率为1.04。本研究的主要焦点之一是全球稳定性结果。从理论上和数值上证明了疾病的持续程度依赖于指数。我们进行了局部和全局敏感性分析。局部敏感性分析显示,最阳性的敏感参数是招募率,其次是延迟诊断的传染病对易感个体的相对传播率。最负性敏感参数为:自我隔离、延迟诊断等待时间和及时诊断比例。采用偏秩相关系数的全局敏感性分析证实了局部敏感性分析的方向性。为了公共卫生利益,我们的分析表明,减少进入该国的新个体流入或减少社区间个体流入将减少基本繁殖数量,从而减少继发感染数量(感染的多个高峰)。根据所提出的模型控制疾病的其他建议见第7节。
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引用次数: 9
A surrogate Bayesian framework for a SARS-CoV-2 data driven stochastic model 严重急性呼吸系统综合征冠状病毒2型数据驱动随机模型的代理贝叶斯框架
Q2 Mathematics Pub Date : 2022-01-01 DOI: 10.1515/cmb-2022-0131
M. Ganesh, S. Hawkins
Abstract Dynamic compartmentalized data (DCD) and compartmentalized differential equations (CDEs) are key instruments for modeling transmission of pathogens such as the SARS-CoV-2 virus. We describe an effi-cient nowcasting algorithm for modeling transmission of SARS-CoV-2 with uncertainty quantification for the COVID-19 impact. A key concern for transmission of SARS-CoV-2 is under-reporting of cases, and this is addressed in our data-driven model by providing an estimate for the detection rate. Our novel top-down model is based on CDEs with stochastic constitutive parameters obtained from the DCD using Bayesian inference. We demonstrate the robustness of our algorithm for simulation studies using synthetic DCD, and nowcasting COVID-19 using real DCD from several regions across five continents.
摘要动态分区数据(DCD)和分区微分方程(CDE)是模拟严重急性呼吸系统综合征冠状病毒2型病毒等病原体传播的关键工具。我们描述了一种有效的实时预报算法,用于建模SARS-CoV-2的传播,并对新冠肺炎的影响进行不确定性量化。严重急性呼吸系统综合征冠状病毒2型传播的一个关键问题是病例报告不足,我们的数据驱动模型通过提供检测率的估计来解决这一问题。我们新的自上而下模型基于CDE,其随机本构参数使用贝叶斯推理从DCD获得。我们展示了我们的算法的鲁棒性,用于使用合成DCD进行模拟研究,以及使用五大洲多个地区的真实DCD实时预报新冠肺炎。
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引用次数: 0
Reaction Rate Theory-Based Mathematical Approximation for the Amount of Time it Takes For Cellular Respiration to Occur 基于反应速率理论的细胞呼吸发生时间的数学近似
Q2 Mathematics Pub Date : 2021-10-31 DOI: 10.31219/osf.io/sca84
Archit Chaturvedi
Abstract The venerable process of cellular respiration is essential for cells to produce energy from glucose molecules, in order to carry out cellular work. The process is responsible for producing molecules of ATP, a molecule which is thermodynamically coupled with other biochemical and biophysical processes in order to provide energy for such processes to occur. While the process of cellular respiration is essential to biology, one cycle of the process occurs only in a matter of milliseconds, and so, it would be impractical to measure the time it takes for the process to occur through conventional means. Therefore, using concepts from reaction rate theory, particularly Marcus Theory of electron transfer, Michaelis-Menten kinetics for enzymatic catalysis, and the hard-sphere model of collision theory, I formulate and propose a mathematical approximation for the amount of time it takes for cellular respiration to occur. Through this heuristic approach, quantitatively knowing the amount of time it takes for one cycle of cellular respiration to occur could potentially have future applications in biological research.
细胞呼吸过程是细胞从葡萄糖分子中产生能量以进行细胞工作所必需的。该过程负责产生ATP分子,ATP分子在热力学上与其他生化和生物物理过程耦合,以便为这些过程的发生提供能量。虽然细胞呼吸过程对生物学至关重要,但该过程的一个周期仅在几毫秒内发生,因此,通过传统方法测量该过程发生所需的时间是不切实际的。因此,利用反应速率理论的概念,特别是马库斯的电子转移理论、酶催化的Michaelis-Menten动力学和碰撞理论的硬球模型,我制定并提出了细胞呼吸发生所需时间的数学近似。通过这种启发式方法,定量地了解一个细胞呼吸周期发生所需的时间量,可能在生物学研究中有潜在的未来应用。
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引用次数: 0
Regulation of Lysosomal Associated Membrane Protein 3 (LAMP3) in Lung Epithelial Cells by Coronaviruses (SARS-CoV-1/2) and Type I Interferon Signaling 冠状病毒(SARS-CoV-1/2)和I型干扰素信号对肺上皮细胞溶酶体相关膜蛋白3(LAMP3)的调节
Q2 Mathematics Pub Date : 2021-04-28 DOI: 10.1101/2021.04.28.441840
C. Ramana
Abstract Severe Acute Respiratory Syndrome CoronaVirus-2 (SARS-CoV-2) infection is a major risk factor for mortality and morbidity in critical care hospitals around the world. Lung epithelial type II cells play a major role in the recognition and clearance of respiratory viruses as well as repair of lung injury in response to environmental toxicants. Gene expression profiling studies revealed that mouse lung epithelial type II cells express several cell-specific markers including surfactant proteins and Lysosomal associated membrane protein 3 (LAMP3) located in lysosomes, endosomes and lamellar bodies. These intracellular organelles are involved in vesicular transport and facilitate viral entry and release of the viral genome into the host cell cytoplasm. In this study, regulation of LAMP3 expression in human lung epithelial cells by several respiratory viruses and type I interferon signaling was investigated. Respiratory viruses including SARS-CoV-1 and SARS-CoV-2 significantly induced LAMP3 expression in lung epithelial cells within 24 hours after infection that required the presence of ACE2 viral entry receptors. Time course experiments revealed that the induced expression of LAMP3 was correlated with the induced expression of Interferon–beta (IFNB1) and STAT1 at mRNA levels. LAMP3 was also induced by direct IFN-beta treatment in multiple lung epithelial cell lines or by infection with influenza virus lacking the non-structural protein1(NS1) in NHBE bronchial epithelial cells. LAMP3 expression was also induced by several respiratory viruses in human lung epithelial cells including RSV and HPIV3. Location in lysosomes and endosomes aswell as induction by respiratory viruses and type I Interferon suggests that LAMP3 may have an important role in inter-organellar regulation of innate immunity and a potential target for therapeutic modulation in health and disease. Furthermore, bioinformatics revealed that a subset of lung type II genes were differentially regulated in the lungs of COVID-19 patients.
严重急性呼吸综合征冠状病毒-2 (SARS-CoV-2)感染是全球重症医院死亡和发病的主要危险因素。肺上皮II型细胞在识别和清除呼吸道病毒以及修复环境毒性肺损伤中发挥重要作用。基因表达谱研究表明,小鼠肺上皮II型细胞表达多种细胞特异性标记,包括位于溶酶体、内体和板层体中的表面活性剂蛋白和溶酶体相关膜蛋白3 (LAMP3)。这些胞内细胞器参与囊泡运输,促进病毒进入和释放病毒基因组进入宿主细胞质。本研究探讨了几种呼吸道病毒和I型干扰素信号对人肺上皮细胞LAMP3表达的调控。包括SARS-CoV-1和SARS-CoV-2在内的呼吸道病毒在感染后24小时内显著诱导肺上皮细胞中LAMP3的表达,这需要ACE2病毒进入受体的存在。时间过程实验显示,诱导LAMP3的表达与诱导干扰素- β (IFNB1)和STAT1 mRNA水平的表达相关。在多种肺上皮细胞系中,ifn - β直接处理或感染NHBE支气管上皮细胞中缺乏非结构蛋白1(NS1)的流感病毒也能诱导LAMP3。包括RSV和HPIV3在内的几种呼吸道病毒也能诱导LAMP3在人肺上皮细胞中的表达。定位于溶酶体和内体以及被呼吸道病毒和I型干扰素诱导,表明LAMP3可能在先天免疫的胞间调节中发挥重要作用,并可能成为健康和疾病治疗调节的潜在靶点。此外,生物信息学显示,在COVID-19患者的肺中,肺II型基因的一个亚群受到差异调节。
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引用次数: 3
A Study of Within-Host Dynamics of Dengue Infection incorporating both Humoral and Cellular Response with a Time Delay for Production of Antibodies 登革热感染的宿主内动力学研究——结合体液和细胞反应和抗体产生的时间延迟
Q2 Mathematics Pub Date : 2021-01-01 DOI: 10.1515/cmb-2020-0118
Deva Siva Sai Murari Kanumoori, D. Prakash, D. Vamsi, C. Sanjeevi
Abstract a. Background: Dengue is an acute illness caused by a virus. The complex behaviour of the virus in human body can be captured using mathematical models. These models helps us to enhance our understanding on the dynamics of the virus. b. Objectives: We propose to study the dynamics of within-host epidemic model of dengue infection which incorporates both innate immune response and adaptive immune response (Cellular and Humoral). The proposed model also incorporates the time delay for production of antibodies from B cells. We propose to understand the dynamics of the this model using the dynamical systems approach by performing the stability and sensitivity analysis. c. Methods used: The basic reproduction number (R0) has been computed using the next generation matrix method. The standard stability analysis and sensitivity analysis were performed on the proposed model. d. Results: The critical level of the antibody recruitment rate(q) was found to be responsible for the existence and stability of various steady states. The stability of endemic state was found to be dependent on time delay(τ). The sensitivity analysis identified the production rate of antibodies (q) to be highly sensitive parameter. e. Conclusions: The existence and stability conditions for the equilibrium points have been obtained. The threshold value of time delay (τ0) has been computed which is critical for change in stability of the endemic state. Sensitivity analysis was performed to identify the crucial and sensitive parameters of the model.
摘要a.背景:登革热是一种由病毒引起的急性疾病。病毒在人体内的复杂行为可以通过数学模型来捕捉。这些模型有助于我们增强对病毒动态的理解。b.目的:我们建议研究登革热感染的宿主内流行病模型的动力学,该模型包括先天免疫反应和适应性免疫反应(细胞和体液)。所提出的模型还包括从B细胞产生抗体的时间延迟。我们建议通过进行稳定性和灵敏度分析,使用动力系统方法来理解该模型的动力学。c.使用的方法:使用下一代矩阵方法计算基本再现数(R0)。对所提出的模型进行了标准稳定性分析和灵敏度分析。d.结果:发现抗体募集率(q)的临界水平对各种稳态的存在和稳定性负责。地方病状态的稳定性取决于时间延迟(τ)。敏感性分析确定抗体的产生率(q)是高度敏感的参数。e.结论:得到了平衡点的存在性和稳定性条件。已经计算了时间延迟的阈值(τ0),这对于地方病状态的稳定性变化至关重要。进行了敏感性分析,以确定模型的关键和敏感参数。
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引用次数: 2
Stability analysis of a fractional ordered COVID-19 model 一个分数阶新冠肺炎模型的稳定性分析
Q2 Mathematics Pub Date : 2021-01-01 DOI: 10.1515/cmb-2020-0116
Meghadri Das, G. Samanta
Abstract The main purpose of this work is to study transmission dynamics of COVID-19 in Italy 2020, where the first case of Coronavirus disease 2019 (COVID-19) in Italy was reported on 31st January 2020. Taking into account the uncertainty due to the limited information about the Coronavirus (COVID-19), we have taken the modified Susceptible-Asymptomatic-Infectious-Recovered (SAIR) compartmental model under fractional order framework. We have formulated our model by subdividing infectious compartment into two sub compartments (reported and unreported) and introduced hospitalized class. In this work, we have studied the local and global stability of the system at different equilibrium points (disease free and endemic) and calculated sensitivity index for Italy scenario. The validity of the model is justified by comparing real data with the results obtained from simulations.
摘要本工作的主要目的是研究2020年新冠肺炎在意大利的传播动态,2020年1月31日意大利报告了2019年第一例冠状病毒病(新冠肺炎)。考虑到冠状病毒(新冠肺炎)信息有限造成的不确定性,我们在分数阶框架下采用了改良的易感-症状-感染-恢复(SAIR)区室模型。我们通过将感染区划分为两个子区(已报告和未报告)来制定我们的模型,并引入住院类别。在这项工作中,我们研究了系统在不同平衡点(无疾病和地方病)的局部和全局稳定性,并计算了意大利情景的敏感性指数。通过将实际数据与模拟结果进行比较,证明了该模型的有效性。
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引用次数: 21
Modelling of a two prey and one predator system with switching effect 具有切换效应的两个猎物和一个捕食者系统的建模
Q2 Mathematics Pub Date : 2021-01-01 DOI: 10.1515/cmb-2020-0120
Sangeeta Saha, G. Samanta
Abstract Prey switching strategy is adopted by a predator when they are provided with more than one prey and predator prefers to consume one prey over others. Though switching may occur due to various reasons such as scarcity of preferable prey or risk in hunting the abundant prey. In this work, we have proposed a prey-predator system with a particular type of switching functional response where a predator feeds on two types of prey but it switches from one prey to another when a particular prey population becomes lower. The ratio of consumption becomes significantly higher in the presence of prey switching for an increasing ratio of prey population which satisfies Murdoch’s condition [15]. The analysis reveals that two prey species can coexist as a stable state in absence of predator but a single prey-predator situation cannot be a steady state. Moreover, all the population can coexist only under certain restrictions. We get bistability for a certain range of predation rate for first prey population. Moreover, varying the mortality rate of the predator, an oscillating system can be obtained through Hopf bifurcation. Also, the predation rate for the first prey can turn a steady-state into an oscillating system. Except for Hopf bifurcation, some other local bifurcations also have been studied here. The figures in the numerical simulation have depicted that, if there is a lesser number of one prey present in a system, then with time, switching to the other prey, in fact, increases the predator population significantly.
摘要猎物切换策略是指当有一个以上的猎物时,捕食者倾向于吃掉一个猎物。虽然由于各种原因,如理想猎物的稀缺或狩猎丰富猎物的风险,可能会发生转换。在这项工作中,我们提出了一个具有特定类型切换功能反应的猎物-捕食者系统,捕食者以两种类型的猎物为食,但当特定猎物数量减少时,它会从一种猎物切换到另一种猎物。在猎物切换的情况下,食饵比例显著提高,满足默多克条件[15]。分析表明,在没有捕食者的情况下,两种被捕食者可以作为一种稳定的状态共存,但单一的捕食者-被捕食者的情况不能成为一种稳定的状态。此外,所有人口只有在一定的限制下才能共存。对于第一猎物种群,在一定范围内获得捕食率的双稳定性。此外,通过改变捕食者的死亡率,可以通过Hopf分岔得到一个振荡系统。而且,第一个猎物的捕食率可以把一个稳定的状态变成一个振荡的系统。除了Hopf分岔外,本文还研究了其他一些局部分岔。数值模拟中的数字描述了,如果一个系统中有一个猎物的数量较少,那么随着时间的推移,切换到另一个猎物,事实上,捕食者的数量显著增加。
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引用次数: 9
期刊
Computational and Mathematical Biophysics
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