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Advances in computational methods for process and data mining in healthcare. 医疗保健流程和数据挖掘计算方法的进展。
IF 2.6 4区 工程技术 Q1 Mathematics Pub Date : 2024-07-10 DOI: 10.3934/mbe.2024288
Marco Pegoraro, Elisabetta Benevento, Davide Aloini, Wil M P van der Aalst
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引用次数: 0
Retraction notice to "ICG fluorescence imaging technology in laparoscopic liver resection for primary liver cancer: A meta-analysis" [Mathematical Biosciences and Engineering 20(9) (2023) 15918-15941]. ICG荧光成像技术在原发性肝癌腹腔镜肝切除术中的应用》撤稿通知:荟萃分析" [Mathematical Biosciences and Engineering 20(9) (2023) 15918-15941].
IF 2.6 4区 工程技术 Q1 Mathematics Pub Date : 2024-07-09 DOI: 10.3934/mbe.2024286
Editorial Office Of Mathematical Biosciences And Engineering
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引用次数: 0
Possible counter-intuitive impact of local vaccine mandates for vaccine-preventable infectious diseases. 地方疫苗接种规定对疫苗可预防传染病可能产生的反直觉影响。
IF 2.6 4区 工程技术 Q1 Mathematics Pub Date : 2024-07-08 DOI: 10.3934/mbe.2024284
Maddalena Donà, Pieter Trapman

We modeled the impact of local vaccine mandates on the spread of vaccine-preventable infectious diseases, which in the absence of vaccines will mainly affect children. Examples of such diseases are measles, rubella, mumps, and pertussis. To model the spread of the pathogen, we used a stochastic SIR (susceptible, infectious, recovered) model with two levels of mixing in a closed population, often referred to as the household model. In this model, individuals make local contacts within a specific small subgroup of the population (e.g., within a household or a school class), while they also make global contacts with random people in the population at a much lower rate than the rate of local contacts. We considered what would happen if schools were given freedom to impose vaccine mandates on all of their pupils, except for the pupils that were exempt from vaccination because of medical reasons. We investigated first how such a mandate affected the probability of an outbreak of a disease. Furthermore, we focused on the probability that a pupil that was medically exempt from vaccination, would get infected during an outbreak. We showed that if the population vaccine coverage was close to the herd-immunity level, then both probabilities may increase if local vaccine mandates were implemented. This was caused by unvaccinated pupils possibly being moved to schools without mandates.

我们模拟了地方疫苗接种规定对疫苗可预防传染病传播的影响,在没有疫苗的情况下,这些疾病主要影响儿童。这类疾病包括麻疹、风疹、流行性腮腺炎和百日咳。为了模拟病原体的传播,我们使用了一个在封闭人群中具有两级混合的随机 SIR(易感者、感染者、康复者)模型,通常称为家庭模型。在该模型中,个体在特定的人口小群体(如家庭或学校班级)中进行局部接触,同时也与人口中的随机人群进行全面接触,但接触率远低于局部接触率。我们考虑了如果学校可以自由地对所有学生强制接种疫苗,但因医疗原因免于接种疫苗的学生除外,会发生什么情况。我们首先调查了这种强制规定对疾病爆发概率的影响。此外,我们还重点研究了因医疗原因免于接种疫苗的学生在疾病爆发期间受到感染的概率。我们的研究表明,如果人口的疫苗接种覆盖率接近群体免疫水平,那么在当地实施疫苗接种强制措施后,这两种概率都会增加。这是因为未接种疫苗的学生可能会被转移到没有强制规定的学校。
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引用次数: 0
Forecasting hospital discharges for respiratory conditions in Costa Rica using climate and pollution data. 利用气候和污染数据预测哥斯达黎加呼吸系统疾病的出院人数。
IF 2.6 4区 工程技术 Q1 Mathematics Pub Date : 2024-07-08 DOI: 10.3934/mbe.2024285
Shu Wei Chou-Chen, Luis A Barboza

Respiratory diseases represent one of the most significant economic burdens on healthcare systems worldwide. The variation in the increasing number of cases depends greatly on climatic seasonal effects, socioeconomic factors, and pollution. Therefore, understanding these variations and obtaining precise forecasts allows health authorities to make correct decisions regarding the allocation of limited economic and human resources. We aimed to model and forecast weekly hospitalizations due to respiratory conditions in seven regional hospitals in Costa Rica using four statistical learning techniques (Random Forest, XGboost, Facebook's Prophet forecasting model, and an ensemble method combining the above methods), along with 22 climate change indices and aerosol optical depth as an indicator of pollution. Models were trained using data from 2000 to 2018 and were evaluated using data from 2019 as testing data. During the training period, we set up 2-year sliding windows and a 1-year assessment period, along with the grid search method to optimize hyperparameters for each model. The best model for each region was selected using testing data, based on predictive precision and to prevent overfitting. Prediction intervals were then computed using conformal inference. The relative importance of all climatic variables was computed for the best model, and similar patterns in some of the seven regions were observed based on the selected model. Finally, reliable predictions were obtained for each of the seven regional hospitals.

呼吸系统疾病是全球医疗系统最沉重的经济负担之一。病例增加的变化在很大程度上取决于气候的季节性影响、社会经济因素和污染。因此,了解这些变化并获得精确的预测,可以让卫生当局在分配有限的经济和人力资源时做出正确的决策。我们的目标是利用四种统计学习技术(随机森林、XGboost、Facebook 的先知预测模型和结合上述方法的集合方法),以及 22 个气候变化指数和作为污染指标的气溶胶光学深度,对哥斯达黎加七个地区医院每周因呼吸道疾病住院的人数进行建模和预测。我们使用 2000 年至 2018 年的数据对模型进行了训练,并使用 2019 年的数据作为测试数据对模型进行了评估。在训练期间,我们设置了 2 年的滑动窗口和 1 年的评估期,并采用网格搜索法优化每个模型的超参数。根据预测精度和防止过度拟合的原则,使用测试数据为每个区域选出最佳模型。然后利用保角推理计算预测区间。针对最佳模型计算了所有气候变量的相对重要性,并根据所选模型观察了七个地区中某些地区的类似模式。最后,七个地区的医院都获得了可靠的预测结果。
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引用次数: 0
Epidemic control by social distancing and vaccination: Optimal strategies and remarks on the COVID-19 Italian response policy. 通过拉开社会距离和接种疫苗控制疫情:意大利 COVID-19 应对政策的最佳战略和评论。
IF 2.6 4区 工程技术 Q1 Mathematics Pub Date : 2024-07-03 DOI: 10.3934/mbe.2024283
Alberto d'Onofrio, Mimmo Iannelli, Piero Manfredi, Gabriela Marinoschi

After the many failures in the control of the COVID-19 pandemic, identifying robust principles of epidemic control will be key in future preparedness. In this work, we propose an optimal control model of an age-of-infection transmission model under a two-phase control regime where social distancing is the only available control tool in the first phase, while the second phase also benefits from the arrival of vaccines. We analyzed the problem by an ad-hoc numerical algorithm under a strong hypothesis implying a high degree of prioritization to the protection of health from the epidemic attack, which we termed the "low attack rate" hypothesis. The outputs of the model were also compared with the data from the Italian COVID-19 experience to provide a crude assessment of the goodness of the enacted interventions prior to the onset of the Omicron variant.

在 COVID-19 大流行控制多次失败后,确定稳健的流行控制原则将成为未来防备工作的关键。在这项工作中,我们提出了一个两阶段控制机制下感染年龄传播模型的最优控制模型,在第一阶段,社会距离是唯一可用的控制工具,而第二阶段也受益于疫苗的到来。我们在一个强假设(我们称之为 "低感染率 "假设)下,通过临时数值算法分析了问题,该假设意味着保护健康免受流行病侵袭的优先级很高。我们还将该模型的输出结果与意大利 COVID-19 经验的数据进行了比较,以便对奥米克隆变异病毒爆发前所采取的干预措施的有效性进行粗略评估。
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引用次数: 0
Divide-and-train: A new approach to improve the predictive tasks of bike-sharing systems. 分而治之:改进共享单车系统预测任务的新方法。
IF 2.6 4区 工程技术 Q1 Mathematics Pub Date : 2024-07-02 DOI: 10.3934/mbe.2024282
Ahmed Ali, Ahmad Salah, Mahmoud Bekhit, Ahmed Fathalla

Bike-sharing systems (BSSs) have become commonplace in most cities worldwide as an important part of many smart cities. These systems generate a continuous amount of large data volumes. The effectiveness of these BSS systems depends on making decisions at the proper time. Thus, there is a vital need to build predictive models on the BSS data for the sake of improving the process of decision-making. The overwhelming majority of BSS users register before utilizing the service. Thus, several BSSs have prior knowledge of the user's data, such as age, gender, and other relevant details. Several machine learning and deep learning models, for instance, are used to predict urban flows, trip duration, and other factors. The standard practice for these models is to train on the entire dataset to build a predictive model, whereas the biking patterns of various users are intuitively distinct. For instance, the user's age influences the duration of a trip. This endeavor was motivated by the existence of distinct user patterns. In this work, we proposed divide-and-train, a new method for training predictive models on station-based BSS datasets by dividing the original datasets on the values of a given dataset attribute. Then, the proposed method was validated on different machine learning and deep learning models. All employed models were trained on both the complete and split datasets. The enhancements made to the evaluation metric were then reported. Results demonstrated that the proposed method outperformed the conventional training approach. Specifically, the root mean squared error (RMSE) and mean absolute error (MAE) metrics have shown improvements in both trip duration and distance prediction, with an average accuracy of 85% across the divided sub-datasets for the best performing model, i.e., random forest.

共享单车系统(BSS)作为许多智慧城市的重要组成部分,已在全球大多数城市普及。这些系统不断产生大量数据。这些共享单车系统的有效性取决于能否在适当的时间做出决策。因此,亟需在 BSS 数据上建立预测模型,以改进决策过程。绝大多数 BSS 用户都是在使用服务前注册的。因此,一些 BSS 事先掌握了用户的数据,如年龄、性别和其他相关细节。例如,一些机器学习和深度学习模型被用于预测城市人流、行程持续时间和其他因素。这些模型的标准做法是对整个数据集进行训练,以建立预测模型,而不同用户的骑车模式直观上是截然不同的。例如,用户的年龄会影响出行的持续时间。由于存在不同的用户模式,因此我们开始了这项工作。在这项工作中,我们提出了 "分割-训练"(divided-and-train)方法,这是一种在基于站点的 BSS 数据集上训练预测模型的新方法,方法是根据给定数据集属性值对原始数据集进行分割。然后,在不同的机器学习和深度学习模型上对所提出的方法进行了验证。所有采用的模型都在完整数据集和分割数据集上进行了训练。然后报告了对评估指标的改进。结果表明,所提出的方法优于传统的训练方法。具体来说,均方根误差(RMSE)和平均绝对误差(MAE)指标在行程持续时间和距离预测方面都有所改进,其中表现最好的模型(即随机森林)在分割后的子数据集上的平均准确率为 85%。
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引用次数: 0
Mathematical assessment of control strategies against the spread of MERS-CoV in humans and camels in Saudi Arabia. 对沙特阿拉伯防止 MERS-CoV 在人类和骆驼中传播的控制策略进行数学评估。
IF 2.6 4区 工程技术 Q1 Mathematics Pub Date : 2024-07-01 DOI: 10.3934/mbe.2024281
Adel Alatawi, Abba B Gumel

A new mathematical model for the transmission dynamics and control of the Middle Eastern respiratory syndrome (MERS), a respiratory virus caused by MERS-CoV coronavirus (and primarily spread to humans by dromedary camels) that first emerged out of the Kingdom of Saudi Arabia (KSA) in 2012, was designed and used to study the transmission dynamics of the disease in a human-camel population within the KSA. Rigorous analysis of the model, which was fitted and cross-validated using the observed MERS-CoV data for the KSA, showed that its disease-free equilibrium was locally asymptotically stable whenever its reproduction number (denoted by $ {mathbb R}_{0M} $) was less than unity. Using the fixed and estimated parameters of the model, the value of $ {mathbb R}_{0M} $ for the KSA was estimated to be 0.84, suggesting that the prospects for MERS-CoV elimination are highly promising. The model was extended to allow for the assessment of public health intervention strategies, notably the potential use of vaccines for both humans and camels and the use of face masks by humans in public or when in close proximity with camels. Simulations of the extended model showed that the use of the face mask by humans who come in close proximity with camels, as a sole public health intervention strategy, significantly reduced human-to-camel and camel-to-human transmission of the disease, and this reduction depends on the efficacy and coverage of the mask type used in the community. For instance, if surgical masks are prioritized, the disease can be eliminated in both the human and camel population if at least 45% of individuals who have close contact with camels wear them consistently. The simulations further showed that while vaccinating humans as a sole intervention strategy only had marginal impact in reducing the disease burden in the human population, an intervention strategy based on vaccinating camels only resulted in a significant reduction in the disease burden in camels (and, consequently, in humans as well). Thus, this study suggests that attention should be focused on effectively combating the disease in the camel population, rather than in the human population. Furthermore, the extended model was used to simulate a hybrid strategy, which combined vaccination of both humans and camels as well as the use of face masks by humans. This simulation showed a marked reduction of the disease burden in both humans and camels, with an increasing effectiveness level of this intervention, in comparison to the baseline scenario or any of the aforementioned sole vaccination scenarios. In summary, this study showed that the prospect of the elimination of MERS-CoV-2 in the Kingdom of Saudi Arabia is promising using pharmaceutical (vaccination) and nonpharmaceutical (mask) intervention strategies, implemented in isolation or (preferably) in combination, that are focused on reducing the disease burden in the camel population.

中东呼吸综合征(MERS)是一种由 MERS-CoV 冠状病毒引起的呼吸道病毒(主要通过单峰骆驼传播给人类),2012 年首次在沙特阿拉伯王国(KSA)出现。利用沙特观察到的MERS-CoV数据对模型进行了拟合和交叉验证,对模型进行的严格分析表明,只要其繁殖数(用$ {mathbb R}_{0M} $表示)小于1,其无病平衡就是局部渐近稳定的。利用该模型的固定参数和估计参数,KSA的{mathbb R}_{0M} $值估计为0.84,这表明消灭MERS-CoV的前景非常乐观。对模型进行了扩展,以评估公共卫生干预策略,特别是可能对人类和骆驼使用疫苗,以及人类在公共场合或与骆驼近距离接触时使用口罩。扩展模型的模拟结果表明,作为唯一的公共卫生干预策略,人类在与骆驼近距离接触时使用口罩可显著减少人对骆驼和骆驼对人的疾病传播,而这种减少取决于社区中使用的口罩类型的有效性和覆盖范围。例如,如果优先使用外科口罩,那么至少有 45% 与骆驼有密切接触的人持续佩戴外科口罩,就能在人类和骆驼群体中消除该疾病。模拟结果进一步表明,作为唯一的干预策略,为人类接种疫苗对减少人类疾病负担的影响微乎其微,而以为骆驼接种疫苗为基础的干预策略只会显著减少骆驼的疾病负担(因此也会减少人类的疾病负担)。因此,这项研究表明,应将注意力集中在有效防治骆驼群体中的疾病,而不是人类群体中的疾病。此外,研究人员还利用扩展模型模拟了一种混合策略,该策略将人类和骆驼的疫苗接种以及人类使用口罩结合在一起。模拟结果表明,与基线方案或上述任何单一疫苗接种方案相比,人类和骆驼的疾病负担都明显减轻,而且这种干预措施的效果也在不断提高。总之,这项研究表明,采用药物(疫苗接种)和非药物(面罩)干预策略,单独或(最好)结合实施,重点减少骆驼群体的疾病负担,在沙特阿拉伯王国消灭 MERS-CoV-2 的前景是光明的。
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引用次数: 0
Mathematical modeling in semelparous biological species through two-sex branching processes. 通过双性分支过程建立半同性生物物种的数学模型。
IF 2.6 4区 工程技术 Q1 Mathematics Pub Date : 2024-06-27 DOI: 10.3934/mbe.2024280
Manuel Molina, Manuel Mota, Alfonso Ramos

This research focused its interest on the mathematical modeling of the demographic dynamics of semelparous biological species through branching processes. We continued the research line started in previous papers, providing new methodological contributions of biological and ecological interest. We determined the probability distribution associated with the number of generations elapsed before the possible extinction of the population in its natural habitat. We mathematically modeled the phenomenon of populating or repopulating habitats with semelparous species. We also proposed estimates for the offspring parameters governing the reproductive strategies of the species. To this purpose, we used the maximum likelihood and Bayesian estimation methodologies. The statistical results are illustrated through a simulated example contextualized with Labord chameleon (Furcifer labordi) species.

这项研究的重点是通过分支过程对半生生物物种的人口动态进行数学建模。我们延续了前几篇论文的研究思路,提供了具有生物学和生态学意义的新方法。我们确定了种群在其自然栖息地可能灭绝之前的世代数的相关概率分布。我们对半数物种在栖息地繁殖或再繁殖的现象进行了数学建模。我们还提出了关于物种繁殖策略的后代参数估计。为此,我们使用了最大似然法和贝叶斯估计法。统计结果通过一个以拉博德变色龙(Furcifer labordi)物种为背景的模拟实例进行了说明。
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引用次数: 0
Mathematical analysis of synthesis chemical reactions for virus building block polymers in vivo. 病毒构建模块聚合物体内合成化学反应的数学分析。
IF 2.6 4区 工程技术 Q1 Mathematics Pub Date : 2024-06-26 DOI: 10.3934/mbe.2024279
Yuewu Liu, Yan Peng

For numerous viruses, their capsid assembly is composed of two steps. The first step is that virus structural protein monomers are polymerized to building blocks. Then, these building blocks are cumulative and efficiently assembled to virus capsid shell. These building block polymerization reactions in the first step are fundamental for virus assembly, and some drug targets were found in this step. In this work, we focused on the first step. Often, virus building blocks consisted of less than six monomers. That is, dimer, trimer, tetramer, pentamer, and hexamer. We presented mathematical models for polymerization chemical reactions of these five building blocks, respectively. Then, we proved the existence and uniqueness of the positive equilibrium solution for these mathematical models one by one. Subsequently, we also analyzed the stability of the equilibrium states, respectively. These results may provide further insight into property of virus building block polymerization chemical reactions in vivo.

对于许多病毒来说,它们的囊膜组装包括两个步骤。第一步是病毒结构蛋白单体聚合成构件。然后,这些结构单元被累积并有效地组装成病毒的囊壳。第一步中的这些构筑块聚合反应是病毒组装的基础,在这一步中发现了一些药物靶点。在这项工作中,我们将重点放在第一步。通常情况下,病毒构筑块由少于六个单体组成。即二聚体、三聚体、四聚体、五聚体和六聚体。我们分别介绍了这五种构建模块的聚合化学反应数学模型。然后,我们逐一证明了这些数学模型正平衡解的存在性和唯一性。随后,我们还分别分析了平衡态的稳定性。这些结果可进一步揭示体内病毒构件聚合化学反应的特性。
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引用次数: 0
Impact of immunity loss on the optimal vaccination strategy for an age-structured epidemiological model. 免疫力下降对年龄结构流行病学模型最佳疫苗接种策略的影响。
IF 2.6 4区 工程技术 Q1 Mathematics Pub Date : 2024-06-26 DOI: 10.3934/mbe.2024278
Amira Bouhali, Walid Ben Aribi, Slimane Ben Miled, Amira Kebir

The pursuit of effective vaccination strategies against COVID-19 remains a critical endeavour in global public health, particularly amidst challenges posed by immunity loss and evolving epidemiological dynamics. This study investigated optimal vaccination strategies by considering age structure, immunity dynamics, and varying maximal vaccination rates. To this end, we formulated an SEIR model stratified into $ n $ age classes, with the vaccination rate as an age-dependent control variable in an optimal control problem. We developed an objective function aimed at minimising critical infections while optimising vaccination efforts and then conducted rigorous mathematical analyses to ensure the existence and characterization of the optimal control. Using data from three countries with diverse age distributions, in expansive, constrictive, and stationary pyramids, we performed numerical simulations to evaluate the optimal age-dependent vaccination strategy, number of critical infections, and vaccination frequency. Our findings highlight the significant influence of maximal vaccination rates on shaping optimal vaccination strategies. Under constant maximal vaccination rates, prioritising age groups based on population demographics proves effective, with higher rates resulting in fewer critically infected individuals across all age distributions. Conversely, adopting age-dependent maximal vaccination rates, akin to the WHO strategy, may not always lead to the lowest critical infection peaks but offers a viable alternative in resource-constrained settings.

针对 COVID-19 制定有效的疫苗接种策略仍然是全球公共卫生领域的一项重要工作,尤其是在免疫力下降和流行病学动态不断变化所带来的挑战下。本研究通过考虑年龄结构、免疫动态和不同的最大接种率,研究了最佳疫苗接种策略。为此,我们建立了一个分层为 $ n $ 年龄段的 SEIR 模型,将疫苗接种率作为最优控制问题中与年龄相关的控制变量。我们制定了一个目标函数,旨在最大限度地降低临界感染率,同时优化疫苗接种工作,然后进行了严格的数学分析,以确保最优控制的存在和特征。利用三个国家不同年龄分布的数据,在扩张型、收缩型和静止型金字塔中,我们进行了数值模拟,以评估与年龄相关的最佳疫苗接种策略、临界感染数和疫苗接种频率。我们的研究结果凸显了最大接种率对形成最佳接种策略的重要影响。在最大接种率恒定的情况下,根据人口统计学确定年龄组的优先次序证明是有效的,接种率越高,所有年龄分布的危重感染者人数越少。相反,采用与年龄相关的最大疫苗接种率(类似于世卫组织的策略)可能并不总能带来最低的临界感染峰值,但在资源有限的情况下却是一种可行的选择。
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引用次数: 0
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