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Optimization and variability analysis of a pharmacokinetic model with dual-randomness caused by medication non-adherence. 非依从性双随机药代动力学模型的优化与变异性分析。
IF 2.3 4区 数学 Q2 BIOLOGY Pub Date : 2025-10-06 DOI: 10.1007/s00285-025-02290-1
Peiyao Wang, Xiaotian Wu, Sanyi Tang

Non-adherence to prescribed medications, typically manifested as random dosing times and variable dosages, is a significant obstacle in disease treatment. Existing model-based studies often rely on assumptions as dose omissions or random dosing times, which fails to represent the multifaceted nature of non-adherence. In this study, we propose a one-compartment stochastic pharmacokinetic model incorporating dual-randomness in dosing times and dosages. Our objective is to analyze how dual-randomness affects drug concentration variability, and to develop dosage adjustment strategies for the desired concentration. Leveraging the renewal process, the law of total expectation, and the theory of second-type Volterra integral equations, the statistical properties of drug concentrations under general distributions in dosing times and dosages are derived, including characteristic function, expectation, variance, and so on. Given specific uniform and exponential distributions of inter-dose time intervals, the explicit expressions of statistical characteristics are obtained, and the dosage adjustment strategies to acquire the desired concentration are theoretically proposed. Our findings establish a theoretical foundation for understanding drug concentration variability within a dual-randomness framework, thereby providing critical insights for risk prevention and process control in drug therapy during disease treatment.

不遵守处方药物,通常表现为随机给药时间和可变剂量,是疾病治疗的一个重大障碍。现有的基于模型的研究往往依赖于假设,如剂量遗漏或随机给药时间,这不能代表不依从性的多面性。在这项研究中,我们提出了一个单室随机药代动力学模型,该模型结合了给药时间和剂量的双重随机性。我们的目标是分析双随机性如何影响药物浓度变异性,并制定所需浓度的剂量调整策略。利用更新过程、总期望定律和第二类Volterra积分方程理论,推导了药物浓度在给药时间和剂量的一般分布下的统计性质,包括特征函数、期望、方差等。在给定剂量间时间间隔的均匀分布和指数分布的情况下,得到了统计特性的显式表达式,并从理论上提出了获得所需浓度的剂量调整策略。我们的研究结果为理解双随机框架下的药物浓度变异性奠定了理论基础,从而为疾病治疗期间药物治疗的风险预防和过程控制提供了重要见解。
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引用次数: 0
Coexistence and extinction in flow-kick systems: An invasion growth rate approach. 流涌系统的共存与灭绝:一种入侵增长率方法。
IF 2.3 4区 数学 Q2 BIOLOGY Pub Date : 2025-09-27 DOI: 10.1007/s00285-025-02283-0
Sebastian J Schreiber

Natural populations experience a complex interplay of continuous and discrete processes: continuous growth and interactions are punctuated by discrete reproduction events, dispersal, and external disturbances. These dynamics can be modeled by impulsive or flow-kick systems, where continuous flows alternate with instantaneous discrete changes. To study species persistence in these systems, an invasion growth rate theory is developed for flow-kick models with state-dependent timing of kicks and auxiliary variables that can represent stage structure, trait evolution, or environmental forcing. The invasion growth rates correspond to Lyapunov exponents that characterize the average per-capita growth of species when rare. Two theorems are proven that use invasion growth rates to characterize permanence, a form of robust coexistence where populations remain bounded away from extinction. The first theorem uses Morse decompositions of the extinction set and requires that there exists a species with a positive invasion growth rate for every invariant measure supported on a component of the Morse decomposition. The second theorem uses invasion growth rates to define invasion graphs whose vertices correspond to communities and directed edges to potential invasions. Provided the invasion graph is acyclic, permanence and extinction are fully characterized by the signs of the invasion growth rates. Invasion growth rates are also used to identify the existence of extinction-bound trajectories and attractors that lie on the extinction set. To demonstrate the framework's utility, these results are applied to three ecological systems: (i) a microbial serial transfer model where state-dependent timing enables coexistence through a storage effect, (ii) a spatially structured consumer-resource model showing intermediate reproductive delays can maximize persistence, and (iii) an empirically parameterized Lotka-Volterra model demonstrating how disturbance can lead to extinction by disrupting facilitation. Mathematical challenges, particularly for systems with cyclic invasion graphs, and promising biological applications are discussed. These results reveal how the interplay between continuous and discrete dynamics creates ecological outcomes not found in purely continuous or discrete systems, providing a foundation for predicting population persistence and species coexistence in natural communities subject to gradual and sudden changes.

自然种群经历了连续和离散过程的复杂相互作用:连续的生长和相互作用被离散的繁殖事件、分散和外部干扰打断。这些动态可以通过脉冲或喷流系统建模,其中连续流动与瞬时离散变化交替。为了研究物种在这些系统中的持久性,研究人员开发了一种入侵增长率理论,用于具有状态依赖踢蹬时间和辅助变量的流踢蹬模型,这些变量可以代表阶段结构、性状进化或环境强迫。入侵增长率对应于李亚普诺夫指数,该指数在稀有情况下表征物种的平均人均增长率。两个定理被证明使用入侵增长率来表征持久性,这是一种种群保持远离灭绝的强健共存形式。第一个定理使用消光集的莫尔斯分解,并且要求在莫尔斯分解的一个分量上支持的每一个不变测度都存在一个具有正入侵增长率的物种。第二个定理使用入侵增长率来定义入侵图,其顶点对应于群落,有向边对应于潜在的入侵。如果入侵图是非循环的,则入侵增长率的符号可以充分表征持久性和灭绝性。入侵增长率也被用来识别灭绝边界轨迹的存在性以及在灭绝集合上的吸引子。为了证明框架的效用,这些结果应用于三个生态系统:(i)一个微生物序列转移模型,其中状态依赖的时间通过存储效应实现共存;(ii)一个空间结构的消费者-资源模型,显示中间繁殖延迟可以最大化持久性;(iii)一个经验参数化的Lotka-Volterra模型,展示干扰如何通过破坏促进而导致灭绝。讨论了具有循环入侵图的系统的数学挑战,以及有前景的生物学应用。这些结果揭示了连续和离散动态之间的相互作用如何产生在纯连续或离散系统中所没有的生态结果,为预测自然群落中受渐进和突然变化影响的种群持久性和物种共存提供了基础。
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引用次数: 0
Multi-Compartmental Staged Progression Endemic Models with Fast Transitions. 具有快速过渡的多室分阶段进展地方性模型。
IF 2.3 4区 数学 Q2 BIOLOGY Pub Date : 2025-09-25 DOI: 10.1007/s00285-025-02291-0
Luis Sanz-Lorenzo, Rafael Bravo de la Parra, Jean-Christophe Poggiale, Pierre Auger

We present a model of infectious disease dynamics where individuals can transition between different compartments, which may have distinct epidemiological characteristics. Within each compartment, epidemic dynamics are represented by a staged progression epidemic model. Individual transitions between compartments occur on a faster time scale, allowing the initial model to be reduced for analysis. In the reduced model, disease eradication and endemicity are characterized by the basic reproduction number. The relationship between this basic reproduction number and those associated with each compartment is analyzed by considering each compartment in isolation. This allows the study of the role of transitions in epidemic dynamics. Endemicity is represented by uniform persistence relative to the total number of infected individuals. It is verified that, for a sufficiently large ratio between time scales, the initial model shares the uniform persistence of the reduced model. The influence of transitions on disease eradication/endemicity is illustrated by different results. In particular, the conditions for transition rates are determined so that endemicity (eradication) in each isolated compartment results in global eradication (endemicity). These results can provide some tools for managing epidemics in the context of individuals transiting between compartments with different epidemiological properties.

我们提出了一个传染病动力学模型,其中个体可以在不同的隔间之间过渡,这些隔间可能具有不同的流行病学特征。在每个隔间内,流行病动态由阶段进展流行病模型表示。隔间之间的个体转换发生在更快的时间尺度上,允许减少初始模型以进行分析。在简化模型中,疾病的根除和地方性以基本繁殖数为特征。通过孤立地考虑每个隔室,分析了基本繁殖数与各隔室相关繁殖数之间的关系。这样就可以研究流行病动力学中过渡的作用。地方性表现为相对于感染个体总数的一致持久性。验证了当时间尺度之间的比值足够大时,初始模型具有简化模型的均匀持久性。不同的结果说明了过渡对疾病根除/流行的影响。特别是,确定了过渡率的条件,以便每个孤立隔间的地方性(根除)导致全球根除(地方性)。这些结果可以为在具有不同流行病学特性的隔间之间过境的个体的情况下管理流行病提供一些工具。
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引用次数: 0
Towards a mathematical framework for modelling cell fate dynamics. 建立细胞命运动力学模型的数学框架。
IF 2.3 4区 数学 Q2 BIOLOGY Pub Date : 2025-09-24 DOI: 10.1007/s00285-025-02287-w
Sean T Vittadello, Léo Diaz, Yujing Liu, Adriana Zanca, Michael P H Stumpf

An adult human body is made up of some 30 to 40 trillion cells, all of which stem from a single fertilized egg cell. The process by which the right cells appear to arrive in their right numbers at the right time at the right place - development - is only understood in the roughest of outlines. This process does not happen in isolation: the egg, the embryo, the developing foetus, and the adult organism all interact intricately with their changing environments. Conceptual and, increasingly, mathematical approaches to modelling development have centred around Waddington's concept of an epigenetic landscape. This perspective enables us to talk about the molecular and cellular factors that contribute to cells reaching their terminally differentiated state: their fate. The landscape metaphor is however only a simplification of the complex process of development; it for instance does not consider environmental influences, a context which we argue needs to be explicitly taken into account and from the outset. When delving into the literature, it also quickly becomes clear that there is a lack of consistency and agreement on even fundamental concepts; for example, the precise meaning of what we refer to when talking about a 'cell type' or 'cell state.' Here we engage with previous theoretical and mathematical approaches to modelling cell fate - focused on trees, networks, and landscape descriptions - and argue that they require a level of simplification that can be problematic. We introduce random dynamical systems as one natural alternative. These provide a flexible conceptual and mathematical framework that is free of extraneous assumptions. We develop some of the basic concepts and discuss them in relation to now 'classical' depictions of cell fate dynamics, in particular Waddington's landscape. This paper belongs to the special issue "Problems, Progress and Perspectives in Mathematical and Computational Biology".

一个成年人的身体由大约30到40万亿个细胞组成,所有这些细胞都来自一个受精卵细胞。正确的细胞在正确的时间、正确的地点以正确的数量出现的过程——发育——只能粗略地理解。这个过程并不是孤立发生的:卵子、胚胎、发育中的胎儿和成年生物体都与它们不断变化的环境相互作用。概念性的和越来越多的数学方法以建模发展为中心,围绕着沃丁顿的表观遗传景观概念。这一观点使我们能够讨论促成细胞达到最终分化状态的分子和细胞因素:它们的命运。然而,景观隐喻只是对复杂的发展过程的简化;例如,它没有考虑环境影响,我们认为需要从一开始就明确考虑到这一背景。当深入研究文献时,很快就会发现,即使是在基本概念上也缺乏一致性和一致性;例如,当我们谈论“细胞类型”或“细胞状态”时,我们所指的确切含义。在这里,我们采用了先前的理论和数学方法来模拟细胞的命运——专注于树木、网络和景观描述——并认为它们需要一定程度的简化,这可能会有问题。我们引入随机动力系统作为一种自然选择。这些提供了一个灵活的概念和数学框架,没有多余的假设。我们发展了一些基本概念,并讨论了它们与现在细胞命运动力学的“经典”描述的关系,特别是沃丁顿的景观。本文属于专刊《数学与计算生物学的问题、进展与展望》。
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引用次数: 0
Effects and biological consequences of the predator-mediated apparent competition I: ODE models. 捕食者介导的表观竞争的影响和生物学后果I: ODE模型。
IF 2.3 4区 数学 Q2 BIOLOGY Pub Date : 2025-09-24 DOI: 10.1007/s00285-025-02286-x
Yuan Lou, Weirun Tao, Zhi-An Wang

Predator-mediated apparent competition is an indirect negative interaction between two prey species mediated by a shared predator, which can lead to changes in population dynamics, competition outcomes and community structures. This paper is devoted to investigating the effects and biological consequences of the predator-mediated apparent competition based on a two prey species (one is native and the other is invasive) and one predator model with Holling type I and II functional responses. Through the analytical results and case studies alongside numerical simulations, we find that the initial mass of the invasive prey species, capture rates of prey species, and the predator mortality rate are all important factors determining the success/failure of invasions and the species coexistence/extinction. The global dynamics can be completely classified for the Holling type I functional response, but can only be partially determined for the Holling type II functional response. For the Holling type I functional response, we find that whether the invasive prey species can successfully invade to induce the predator-mediated apparent competition is entirely determined by the capture rates of prey species. For the Holling type II functional response, the dynamics are more complicated. First, if two prey species have the same ecological characteristics, then the initial mass of the invasive prey species is the key factor determining the success/failure of the invasion and hence the effect of the predator-mediated apparent competition. Whereas if two prey species have different ecological characteristics, say different capture rates, then the success of the invasion no longer depends on the initial mass of the invasive prey species, but on the capture rates. In all cases, if the invasion succeeds, then the predator-mediated apparent competition's effectiveness essentially depends on the predator mortality rate. Precisely we show that the native prey species will die out (resp. persist) if the predator has a low (resp. moderate) mortality rate, while the predator will go extinct if it has a large mortality rate. Our study reveals that predator-mediated apparent competition is a complicated ecological process, and its effects and biological consequences depend upon many possible factors.

捕食者介导的表观竞争是由共同的捕食者介导的两种猎物之间的间接负相互作用,可导致种群动态、竞争结果和群落结构的变化。本文以具有Holling I型和Holling II型功能反应的两种捕食者模型为研究对象,研究了捕食者介导的显性竞争的效应和生物学后果。通过分析结果和案例研究以及数值模拟,我们发现入侵猎物的初始质量、猎物的捕获率和捕食者的死亡率都是决定入侵成功/失败和物种共存/灭绝的重要因素。Holling I型功能响应的全局动力学可以完全分类,而Holling II型功能响应的全局动力学只能部分确定。对于Holling I型功能反应,我们发现入侵猎物能否成功入侵并诱导捕食者介导的表观竞争完全取决于被捕食物种的捕获率。Holling II型功能响应的动力学更为复杂。首先,如果两种猎物具有相同的生态特征,那么入侵猎物的初始质量是决定入侵成功/失败的关键因素,从而决定了捕食者介导的表观竞争的影响。然而,如果两个猎物物种具有不同的生态特征,比如不同的捕获率,那么入侵的成功不再取决于入侵猎物物种的初始质量,而是取决于捕获率。在所有情况下,如果入侵成功,那么捕食者介导的表面竞争的有效性本质上取决于捕食者的死亡率。确切地说,我们表明本地猎物物种将会灭绝。持续),如果捕食者有一个低(响应)。中等)死亡率,而食肉动物如果死亡率高,就会灭绝。研究表明,捕食者介导的表观竞争是一个复杂的生态过程,其影响和生物学后果取决于许多可能的因素。
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引用次数: 0
Decoding the spatial spread of cyanobacterial blooms in an epilimnion. 解码在epilimion中蓝藻华的空间传播。
IF 2.3 4区 数学 Q2 BIOLOGY Pub Date : 2025-09-18 DOI: 10.1007/s00285-025-02263-4
Jacob Serpico, Kyung-Han Choi, B A Zambrano-Luna, Tian Xu Wang, Hao Wang

Cyanobacterial blooms (CBs) pose significant global challenges due to their harmful toxins and socio-economic impacts, with nutrient availability playing a key role in their growth, as described by ecological stoichiometry (ES). However, real-world ecosystems exhibit spatial heterogeneity, limiting the applicability of simpler, spatially uniform models. To address this, we develop a spatially explicit partial differential equation model based on ES to study cyanobacteria in the epilimnion of freshwater systems. We establish the well-posedness of the model and perform a stability analysis, showing that it admits two linearly stable steady states, leading to either extinction or a spatially uniform positive equilibrium where cyanobacterial biomass stabilizes at its carrying capacity. Further, we discuss the possibility of long-term spatially nonuniform solution with small diffusion and space-dependent parameters. We use the finite elements method (FEM) to numerically solve our system on a real lake domain derived from Geographic Information System (GIS) data and realistic wind conditions extrapolated from ERA5-Land. Additionally, we use a cyanobacteria estimation (CE) obtained from Sentinel-2 to set initial conditions, and we achieve strong model validation metrics. Our numerical results highlight the importance of lake shape and size in bloom monitoring, while global sensitivity analysis using Sobol Indices identifies light attenuation and intensity as primary drivers of bloom variation, with water movement influencing early bloom stages and nutrient input becoming critical over time. This model supports continuous water-quality monitoring, informing agricultural, recreational, economic, and public health strategies for mitigating CBs.

正如生态化学计量学(ES)所描述的那样,蓝藻华(CBs)由于其有害毒素和社会经济影响而构成了重大的全球挑战,而营养供应在其生长中起着关键作用。然而,现实世界的生态系统表现出空间异质性,限制了更简单、空间统一模型的适用性。为了解决这个问题,我们建立了一个基于ES的空间显式偏微分方程模型来研究淡水系统表层的蓝藻。我们建立了模型的适定性,并进行了稳定性分析,表明它承认两个线性稳定的稳定状态,导致灭绝或空间均匀的正平衡,其中蓝藻生物量稳定在其承载能力。进一步讨论了具有小扩散和空间相关参数的长期空间非均匀解的可能性。本文利用地理信息系统(GIS)数据和ERA5-Land推断的真实风况,采用有限元法(FEM)在真实湖域上对系统进行了数值求解。此外,我们使用从Sentinel-2获得的蓝藻估计(CE)来设置初始条件,我们获得了强大的模型验证指标。我们的数值结果强调了湖泊形状和大小在华花监测中的重要性,而使用Sobol指数的全球敏感性分析发现,光衰减和强度是华花变化的主要驱动因素,随着时间的推移,水的运动影响着华花早期阶段和养分输入变得至关重要。该模型支持持续的水质监测,为农业、娱乐、经济和公共卫生战略提供信息,以减少CBs。
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引用次数: 0
Mean Field Games and Ideal Free Distribution. 平均场游戏和理想的免费发行。
IF 2.3 4区 数学 Q2 BIOLOGY Pub Date : 2025-09-18 DOI: 10.1007/s00285-025-02276-z
Robert Stephen Cantrell, Chris Cosner, King-Yeung Lam, Idriss Mazari-Fouquer

The ideal free distribution in ecology was introduced by Fretwell and Lucas to model the habitat selection of animal populations. In this paper, we revisit the concept via a mean field game system with local coupling, which models a dynamic version of the habitat selection game in ecology. We establish the existence of classical solution of the ergodic mean field game system, including the case of heterogeneous diffusion when the underlying domain is one-dimensional and further show that the population density of agents converges to the ideal free distribution of the underlying habitat selection game, as the cost of control tends to zero. Our analysis provides a derivation of ideal free distribution in a dynamical context.

Fretwell和Lucas在生态学中引入了理想的自由分布来模拟动物种群的生境选择。在本文中,我们通过一个具有局部耦合的平均场博弈系统来重新审视这一概念,该系统模拟了生态学中栖息地选择博弈的动态版本。我们建立了遍历平均场博弈系统经典解的存在性,包括底层域为一维时的异构扩散情况,并进一步证明了agent的种群密度收敛于底层生境选择博弈的理想自由分布,控制成本趋于零。我们的分析提供了动态环境下理想自由分布的一个推导。
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引用次数: 0
Universality of the mean-field equations of networks of Hopfield-like neurons. 类hopfield神经元网络平均场方程的普适性。
IF 2.3 4区 数学 Q2 BIOLOGY Pub Date : 2025-09-18 DOI: 10.1007/s00285-025-02271-4
Olivier Faugeras, Etienne Tanré

We revisit the problem of characterising the mean-field limit of a network of Hopfield-like neurons. Building on the previous works of Ben Arous and Guionnet we establish for a large class of networks of Hopfield-like neurons, i.e. rate neurons, the mean-field equations on a time interval [ 0 , T ] , T > 0 , of the thermodynamic limit of these networks, i.e. the limit when the number of neurons goes to infinity. Here, we do not assume that the synaptic weights describing the connections between the neurons are i.i.d. as zero-mean Gaussians. The limit equations are stochastic and very simply described in terms of two functions, a "correlation" function noted K Q ( t , s ) and a "mean" function noted m Q ( t ) . The "noise" part of the equations is a linear function of the Brownian motion, which is obtained by solving a Volterra equation of the second kind whose resolving kernel is expressed as a function of K Q . We give a constructive proof of the uniqueness of the limit equations. We use the corresponding algorithm for an effective computation of the functions K Q and m Q , given the weights distribution. Several numerical experiments are reported.

我们重新讨论了一类hopfield神经元网络的平均场极限的刻画问题。在Ben Arous和Guionnet先前工作的基础上,我们建立了一类类hopfield神经元网络,即速率神经元,在时间区间[0,T], T > 0上的平均场方程,这些网络的热力学极限,即神经元数量趋于无穷时的极限。在这里,我们不假设描述神经元之间连接的突触权重是零均值高斯分布。极限方程是随机的,非常简单地用两个函数来描述,一个是“相关”函数,记为kq (t, s),一个是“平均”函数,记为mq (t)。方程的“噪声”部分是布朗运动的线性函数,这是通过求解第二类Volterra方程得到的,该方程的解析核表示为kq的函数。给出了极限方程唯一性的构造证明。在给定权重分布的情况下,我们使用相应的算法来有效地计算函数kq和mq。报道了几个数值实验。
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引用次数: 0
Derivation from kinetic theory and 2-D pattern analysis of chemotaxis models for Multiple Sclerosis. 多发性硬化症趋化模型的动力学理论推导及二维模式分析。
IF 2.3 4区 数学 Q2 BIOLOGY Pub Date : 2025-09-17 DOI: 10.1007/s00285-025-02282-1
M Bisi, M Groppi, G Martalò, R Travaglini

In this paper, a class of reaction-diffusion equations for Multiple Sclerosis is presented. These models are derived by means of a diffusive limit starting from a proper kinetic description, taking account of the underlying microscopic interactions among cells. At the macroscopic level, we discuss the necessary conditions for Turing instability phenomena and the formation of two-dimensional patterns, whose shape and stability are investigated by means of a weakly nonlinear analysis. Some numerical simulations, confirming and extending theoretical results, are proposed for a specific scenario.

本文给出了一类多发性硬化症的反应扩散方程。这些模型是从适当的动力学描述出发,考虑到细胞之间潜在的微观相互作用,通过扩散极限推导出来的。在宏观层面上,我们讨论了图灵不稳定现象和二维图形形成的必要条件,并通过弱非线性分析研究了二维图形的形状和稳定性。针对某一特定情况,提出了一些数值模拟,以证实和推广理论结果。
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引用次数: 0
Modelling behavioural changes and vaccination in the transmission of respiratory viruses with co-infection. 模拟伴有合并感染的呼吸道病毒传播中的行为改变和疫苗接种。
IF 2.3 4区 数学 Q2 BIOLOGY Pub Date : 2025-09-16 DOI: 10.1007/s00285-025-02280-3
Bruno Buonomo, Emanuela Penitente

We consider a mathematical model to explore the effects of human behavioural changes on the transmission of two respiratory viruses, where co-infection is possible. The model includes an index to describe the human choices induced by information and rumours regarding the diseases. We first consider the case in which the public health authorities rely only on non-pharmaceutical containment measures and perform a qualitative analysis of the model through bifurcation theory, in order to analyse the existence and stability of both endemic and co-endemic equilibria. We also show the impact of the most relevant information-related parameters on the system dynamics. Then, we extend the model by assuming that a vaccine is available for each of the two viruses. We show how adherence to social distancing may be affected by information and rumours regarding the vaccination coverage in the community. Finally, we investigate the effects of seasonality by introducing a two-state switch function to represent a reduction in both vaccination and transmission rates during the summer season. We found that seasonality causes an increase in the prevalence peaks, suggesting that the detrimental effects due to the reduction of vaccination rates prevail over the beneficial ones due to the reduction of transmission.

我们考虑了一个数学模型,以探索人类行为变化对两种呼吸道病毒传播的影响,其中合并感染是可能的。该模型包括一个指数,用来描述人们在有关疾病的信息和谣言的诱导下做出的选择。我们首先考虑公共卫生当局仅依靠非药物控制措施的情况,并通过分岔理论对模型进行定性分析,以分析地方性和共地方性平衡的存在性和稳定性。我们还展示了最相关的信息相关参数对系统动力学的影响。然后,我们通过假设两种病毒都有疫苗来扩展模型。我们展示了关于社区疫苗接种覆盖率的信息和谣言如何影响遵守社交距离。最后,我们通过引入双状态开关函数来研究季节性的影响,以表示夏季疫苗接种率和传播率的减少。我们发现季节性导致流行高峰的增加,这表明由于疫苗接种率降低而产生的有害影响超过了由于传播减少而产生的有益影响。
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期刊
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