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1.
Cell ; 176(3): 535-548.e24, 2019 01 24.
Artigo em Inglês | MEDLINE | ID: mdl-30661751

RESUMO

The splicing of pre-mRNAs into mature transcripts is remarkable for its precision, but the mechanisms by which the cellular machinery achieves such specificity are incompletely understood. Here, we describe a deep neural network that accurately predicts splice junctions from an arbitrary pre-mRNA transcript sequence, enabling precise prediction of noncoding genetic variants that cause cryptic splicing. Synonymous and intronic mutations with predicted splice-altering consequence validate at a high rate on RNA-seq and are strongly deleterious in the human population. De novo mutations with predicted splice-altering consequence are significantly enriched in patients with autism and intellectual disability compared to healthy controls and validate against RNA-seq in 21 out of 28 of these patients. We estimate that 9%-11% of pathogenic mutations in patients with rare genetic disorders are caused by this previously underappreciated class of disease variation.


Assuntos
Previsões/métodos , Precursores de RNA/genética , Splicing de RNA/genética , Algoritmos , Processamento Alternativo/genética , Transtorno Autístico/genética , Aprendizado Profundo , Éxons/genética , Humanos , Deficiência Intelectual/genética , Íntrons/genética , Redes Neurais de Computação , Precursores de RNA/metabolismo , Sítios de Splice de RNA/genética , Sítios de Splice de RNA/fisiologia
2.
Nature ; 627(8004): 559-563, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38509278

RESUMO

Floods are one of the most common natural disasters, with a disproportionate impact in developing countries that often lack dense streamflow gauge networks1. Accurate and timely warnings are critical for mitigating flood risks2, but hydrological simulation models typically must be calibrated to long data records in each watershed. Here we show that artificial intelligence-based forecasting achieves reliability in predicting extreme riverine events in ungauged watersheds at up to a five-day lead time that is similar to or better than the reliability of nowcasts (zero-day lead time) from a current state-of-the-art global modelling system (the Copernicus Emergency Management Service Global Flood Awareness System). In addition, we achieve accuracies over five-year return period events that are similar to or better than current accuracies over one-year return period events. This means that artificial intelligence can provide flood warnings earlier and over larger and more impactful events in ungauged basins. The model developed here was incorporated into an operational early warning system that produces publicly available (free and open) forecasts in real time in over 80 countries. This work highlights a need for increasing the availability of hydrological data to continue to improve global access to reliable flood warnings.


Assuntos
Inteligência Artificial , Simulação por Computador , Inundações , Previsões , Previsões/métodos , Reprodutibilidade dos Testes , Rios , Hidrologia , Calibragem , Fatores de Tempo , Planejamento em Desastres/métodos
3.
Nature ; 595(7866): 181-188, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34194044

RESUMO

Computational social science is more than just large repositories of digital data and the computational methods needed to construct and analyse them. It also represents a convergence of different fields with different ways of thinking about and doing science. The goal of this Perspective is to provide some clarity around how these approaches differ from one another and to propose how they might be productively integrated. Towards this end we make two contributions. The first is a schema for thinking about research activities along two dimensions-the extent to which work is explanatory, focusing on identifying and estimating causal effects, and the degree of consideration given to testing predictions of outcomes-and how these two priorities can complement, rather than compete with, one another. Our second contribution is to advocate that computational social scientists devote more attention to combining prediction and explanation, which we call integrative modelling, and to outline some practical suggestions for realizing this goal.


Assuntos
Simulação por Computador , Ciência de Dados/métodos , Previsões/métodos , Modelos Teóricos , Ciências Sociais/métodos , Objetivos , Humanos
4.
Proc Natl Acad Sci U S A ; 121(24): e2315700121, 2024 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-38830099

RESUMO

Given the importance of climate in shaping species' geographic distributions, climate change poses an existential threat to biodiversity. Climate envelope modeling, the predominant approach used to quantify this threat, presumes that individuals in populations respond to climate variability and change according to species-level responses inferred from spatial occurrence data-such that individuals at the cool edge of a species' distribution should benefit from warming (the "leading edge"), whereas individuals at the warm edge should suffer (the "trailing edge"). Using 1,558 tree-ring time series of an aridland pine (Pinus edulis) collected at 977 locations across the species' distribution, we found that trees everywhere grow less in warmer-than-average and drier-than-average years. Ubiquitous negative temperature sensitivity indicates that individuals across the entire distribution should suffer with warming-the entire distribution is a trailing edge. Species-level responses to spatial climate variation are opposite in sign to individual-scale responses to time-varying climate for approximately half the species' distribution with respect to temperature and the majority of the species' distribution with respect to precipitation. These findings, added to evidence from the literature for scale-dependent climate responses in hundreds of species, suggest that correlative, equilibrium-based range forecasts may fail to accurately represent how individuals in populations will be impacted by changing climate. A scale-dependent view of the impact of climate change on biodiversity highlights the transient risk of extinction hidden inside climate envelope forecasts and the importance of evolution in rescuing species from extinction whenever local climate variability and change exceeds individual-scale climate tolerances.


Assuntos
Mudança Climática , Extinção Biológica , Pinus , Pinus/fisiologia , Árvores , Biodiversidade , Previsões/métodos , Temperatura , Modelos Climáticos
5.
PLoS Comput Biol ; 20(5): e1011200, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38709852

RESUMO

During the COVID-19 pandemic, forecasting COVID-19 trends to support planning and response was a priority for scientists and decision makers alike. In the United States, COVID-19 forecasting was coordinated by a large group of universities, companies, and government entities led by the Centers for Disease Control and Prevention and the US COVID-19 Forecast Hub (https://covid19forecasthub.org). We evaluated approximately 9.7 million forecasts of weekly state-level COVID-19 cases for predictions 1-4 weeks into the future submitted by 24 teams from August 2020 to December 2021. We assessed coverage of central prediction intervals and weighted interval scores (WIS), adjusting for missing forecasts relative to a baseline forecast, and used a Gaussian generalized estimating equation (GEE) model to evaluate differences in skill across epidemic phases that were defined by the effective reproduction number. Overall, we found high variation in skill across individual models, with ensemble-based forecasts outperforming other approaches. Forecast skill relative to the baseline was generally higher for larger jurisdictions (e.g., states compared to counties). Over time, forecasts generally performed worst in periods of rapid changes in reported cases (either in increasing or decreasing epidemic phases) with 95% prediction interval coverage dropping below 50% during the growth phases of the winter 2020, Delta, and Omicron waves. Ideally, case forecasts could serve as a leading indicator of changes in transmission dynamics. However, while most COVID-19 case forecasts outperformed a naïve baseline model, even the most accurate case forecasts were unreliable in key phases. Further research could improve forecasts of leading indicators, like COVID-19 cases, by leveraging additional real-time data, addressing performance across phases, improving the characterization of forecast confidence, and ensuring that forecasts were coherent across spatial scales. In the meantime, it is critical for forecast users to appreciate current limitations and use a broad set of indicators to inform pandemic-related decision making.


Assuntos
COVID-19 , Previsões , Pandemias , SARS-CoV-2 , COVID-19/epidemiologia , COVID-19/transmissão , Humanos , Previsões/métodos , Estados Unidos/epidemiologia , Pandemias/estatística & dados numéricos , Biologia Computacional , Modelos Estatísticos
6.
PLoS Comput Biol ; 20(5): e1012124, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38758962

RESUMO

Projects such as the European Covid-19 Forecast Hub publish forecasts on the national level for new deaths, new cases, and hospital admissions, but not direct measurements of hospital strain like critical care bed occupancy at the sub-national level, which is of particular interest to health professionals for planning purposes. We present a sub-national French framework for forecasting hospital strain based on a non-Markovian compartmental model, its associated online visualisation tool and a retrospective evaluation of the real-time forecasts it provided from January to December 2021 by comparing to three baselines derived from standard statistical forecasting methods (a naive model, auto-regression, and an ensemble of exponential smoothing and ARIMA). In terms of median absolute error for forecasting critical care unit occupancy at the two-week horizon, our model only outperformed the naive baseline for 4 out of 14 geographical units and underperformed compared to the ensemble baseline for 5 of them at the 90% confidence level (n = 38). However, for the same level at the 4 week horizon, our model was never statistically outperformed for any unit despite outperforming the baselines 10 times spanning 7 out of 14 geographical units. This implies modest forecasting utility for longer horizons which may justify the application of non-Markovian compartmental models in the context of hospital-strain surveillance for future pandemics.


Assuntos
COVID-19 , Previsões , SARS-CoV-2 , COVID-19/epidemiologia , Humanos , França/epidemiologia , Previsões/métodos , Biologia Computacional/métodos , Estudos Retrospectivos , Modelos Estatísticos , Pandemias/estatística & dados numéricos , Hospitais/estatística & dados numéricos , Hospitalização/estatística & dados numéricos , Ocupação de Leitos/estatística & dados numéricos
7.
Nature ; 573(7775): 568-572, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31534218

RESUMO

Variations in the El Niño/Southern Oscillation (ENSO) are associated with a wide array of regional climate extremes and ecosystem impacts1. Robust, long-lead forecasts would therefore be valuable for managing policy responses. But despite decades of effort, forecasting ENSO events at lead times of more than one year remains problematic2. Here we show that a statistical forecast model employing a deep-learning approach produces skilful ENSO forecasts for lead times of up to one and a half years. To circumvent the limited amount of observation data, we use transfer learning to train a convolutional neural network (CNN) first on historical simulations3 and subsequently on reanalysis from 1871 to 1973. During the validation period from 1984 to 2017, the all-season correlation skill of the Nino3.4 index of the CNN model is much higher than those of current state-of-the-art dynamical forecast systems. The CNN model is also better at predicting the detailed zonal distribution of sea surface temperatures, overcoming a weakness of dynamical forecast models. A heat map analysis indicates that the CNN model predicts ENSO events using physically reasonable precursors. The CNN model is thus a powerful tool for both the prediction of ENSO events and for the analysis of their associated complex mechanisms.


Assuntos
Aprendizado Profundo , El Niño Oscilação Sul , Previsões/métodos , Modelos Estatísticos , Temperatura
9.
Nature ; 566(7743): 195-204, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30760912

RESUMO

Machine learning approaches are increasingly used to extract patterns and insights from the ever-increasing stream of geospatial data, but current approaches may not be optimal when system behaviour is dominated by spatial or temporal context. Here, rather than amending classical machine learning, we argue that these contextual cues should be used as part of deep learning (an approach that is able to extract spatio-temporal features automatically) to gain further process understanding of Earth system science problems, improving the predictive ability of seasonal forecasting and modelling of long-range spatial connections across multiple timescales, for example. The next step will be a hybrid modelling approach, coupling physical process models with the versatility of data-driven machine learning.


Assuntos
Big Data , Simulação por Computador , Aprendizado Profundo , Ciências da Terra/métodos , Previsões/métodos , Reconhecimento Automatizado de Padrão/métodos , Reconhecimento Facial , Feminino , Mapeamento Geográfico , Humanos , Conhecimento , Regressão Psicológica , Reprodutibilidade dos Testes , Estações do Ano , Análise Espaço-Temporal , Fatores de Tempo , Tradução , Incerteza , Tempo (Meteorologia)
10.
Proc Natl Acad Sci U S A ; 119(32): e2202767119, 2022 08 09.
Artigo em Inglês | MEDLINE | ID: mdl-35914136

RESUMO

Flash drought often leads to devastating effects in multiple sectors and presents a unique challenge for drought early warning due to its sudden onset and rapid intensification. Existing drought monitoring and early warning systems are based on various hydrometeorological variables reaching thresholds of unusually low water content. Here, we propose a flash drought early warning approach based on spaceborne measurements of solar-induced chlorophyll fluorescence (SIF), a proxy of photosynthesis that captures plant response to multiple environmental stressors. Instead of negative SIF anomalies, we focus on the subseasonal trajectory of SIF and consider slower-than-usual increase or faster-than-usual decrease of SIF as an early warning for flash drought onset. To quantify the deviation of SIF trajectory from the climatological norm, we adopt existing formulas for a rapid change index (RCI) and apply the RCI analysis to spatially downscaled 8-d SIF data from GOME-2 during 2007-2018. Using two well-known flash drought events identified by the operational US Drought Monitor (in 2012 and 2017), we show that SIF RCI can produce strong predictive signals of flash drought onset with a lead time of 2 wk to 2 mo and can also predict drought recovery with several weeks of lead time. While SIF RCI shows great early warning potential, its magnitude diminishes after drought onset and therefore cannot reflect the current drought intensity. With its long lead time and direct relevance for agriculture, SIF RCI can support a global early warning system for flash drought and is especially useful over regions with sparse hydrometeorological data.


Assuntos
Clorofila , Secas , Fluorescência , Previsões , Clorofila/química , Clorofila/metabolismo , Clorofila/efeitos da radiação , Previsões/métodos , Hidrologia , Meteorologia , Fotossíntese , Luz Solar , Estados Unidos
11.
Proc Natl Acad Sci U S A ; 119(4)2022 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-35046025

RESUMO

The ongoing COVID-19 pandemic underscores the importance of developing reliable forecasts that would allow decision makers to devise appropriate response strategies. Despite much recent research on the topic, epidemic forecasting remains poorly understood. Researchers have attributed the difficulty of forecasting contagion dynamics to a multitude of factors, including complex behavioral responses, uncertainty in data, the stochastic nature of the underlying process, and the high sensitivity of the disease parameters to changes in the environment. We offer a rigorous explanation of the difficulty of short-term forecasting on networked populations using ideas from computational complexity. Specifically, we show that several forecasting problems (e.g., the probability that at least a given number of people will get infected at a given time and the probability that the number of infections will reach a peak at a given time) are computationally intractable. For instance, efficient solvability of such problems would imply that the number of satisfying assignments of an arbitrary Boolean formula in conjunctive normal form can be computed efficiently, violating a widely believed hypothesis in computational complexity. This intractability result holds even under the ideal situation, where all the disease parameters are known and are assumed to be insensitive to changes in the environment. From a computational complexity viewpoint, our results, which show that contagion dynamics become unpredictable for both macroscopic and individual properties, bring out some fundamental difficulties of predicting disease parameters. On the positive side, we develop efficient algorithms or approximation algorithms for restricted versions of forecasting problems.


Assuntos
Modelos Epidemiológicos , Previsões/métodos , Algoritmos , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/transmissão , Humanos , Probabilidade , SARS-CoV-2 , Fatores de Tempo
12.
Am J Epidemiol ; 193(6): 898-907, 2024 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-38343158

RESUMO

Forecasting of seasonal mortality patterns can provide useful information for planning health-care demand and capacity. Timely mortality forecasts are needed during severe winter spikes and/or pandemic waves to guide policy-making and public health decisions. In this article, we propose a flexible method for forecasting all-cause mortality in real time considering short-term changes in seasonal patterns within an epidemiologic year. All-cause mortality data have the advantage of being available with less delay than cause-specific mortality data. In this study, we use all-cause monthly death counts obtained from the national statistical offices of Denmark, France, Spain, and Sweden from epidemic seasons 2012-2013 through 2021-2022 to demonstrate the performance of the proposed approach. The method forecasts deaths 1 month ahead, based on their expected ratio to the next month. Prediction intervals are obtained via bootstrapping. The forecasts accurately predict the winter mortality peaks before the COVID-19 pandemic. Although the method predicts mortality less accurately during the first wave of the COVID-19 pandemic, it captures the aspects of later waves better than other traditional methods. The method is attractive for health researchers and governmental offices for aiding public health responses because it uses minimal input data, makes simple and intuitive assumptions, and provides accurate forecasts both during seasonal influenza epidemics and during novel virus pandemics.


Assuntos
COVID-19 , Previsões , Mortalidade , Estações do Ano , Humanos , Previsões/métodos , COVID-19/mortalidade , COVID-19/epidemiologia , Mortalidade/tendências , Causas de Morte , Pandemias , Suécia/epidemiologia , Espanha/epidemiologia , SARS-CoV-2 , Modelos Estatísticos , Europa (Continente)/epidemiologia , Dinamarca/epidemiologia
13.
Epilepsia ; 65(6): 1730-1736, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38606580

RESUMO

OBJECTIVE: Recently, a deep learning artificial intelligence (AI) model forecasted seizure risk using retrospective seizure diaries with higher accuracy than random forecasts. The present study sought to prospectively evaluate the same algorithm. METHODS: We recruited a prospective cohort of 46 people with epilepsy; 25 completed sufficient data entry for analysis (median = 5 months). We used the same AI method as in our prior study. Group-level and individual-level Brier Skill Scores (BSSs) compared random forecasts and simple moving average forecasts to the AI. RESULTS: The AI had an area under the receiver operating characteristic curve of .82. At the group level, the AI outperformed random forecasting (BSS = .53). At the individual level, AI outperformed random in 28% of cases. At the group and individual level, the moving average outperformed the AI. If pre-enrollment (nonverified) diaries (with presumed underreporting) were included, the AI significantly outperformed both comparators. Surveys showed most did not mind poor-quality LOW-RISK or HIGH-RISK forecasts, yet 91% wanted access to these forecasts. SIGNIFICANCE: The previously developed AI forecasting tool did not outperform a very simple moving average forecasting in this prospective cohort, suggesting that the AI model should be replaced.


Assuntos
Previsões , Convulsões , Humanos , Feminino , Masculino , Estudos Prospectivos , Adulto , Convulsões/diagnóstico , Pessoa de Meia-Idade , Previsões/métodos , Epilepsia/diagnóstico , Inteligência Artificial/tendências , Adulto Jovem , Aprendizado Profundo/tendências , Algoritmos , Diários como Assunto , Estudos de Coortes , Idoso
14.
PLoS Biol ; 19(9): e3001390, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34582436

RESUMO

Determining which animal viruses may be capable of infecting humans is currently intractable at the time of their discovery, precluding prioritization of high-risk viruses for early investigation and outbreak preparedness. Given the increasing use of genomics in virus discovery and the otherwise sparse knowledge of the biology of newly discovered viruses, we developed machine learning models that identify candidate zoonoses solely using signatures of host range encoded in viral genomes. Within a dataset of 861 viral species with known zoonotic status, our approach outperformed models based on the phylogenetic relatedness of viruses to known human-infecting viruses (area under the receiver operating characteristic curve [AUC] = 0.773), distinguishing high-risk viruses within families that contain a minority of human-infecting species and identifying putatively undetected or so far unrealized zoonoses. Analyses of the underpinnings of model predictions suggested the existence of generalizable features of viral genomes that are independent of virus taxonomic relationships and that may preadapt viruses to infect humans. Our model reduced a second set of 645 animal-associated viruses that were excluded from training to 272 high and 41 very high-risk candidate zoonoses and showed significantly elevated predicted zoonotic risk in viruses from nonhuman primates, but not other mammalian or avian host groups. A second application showed that our models could have identified Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) as a relatively high-risk coronavirus strain and that this prediction required no prior knowledge of zoonotic Severe Acute Respiratory Syndrome (SARS)-related coronaviruses. Genome-based zoonotic risk assessment provides a rapid, low-cost approach to enable evidence-driven virus surveillance and increases the feasibility of downstream biological and ecological characterization of viruses.


Assuntos
Previsões/métodos , Especificidade de Hospedeiro/genética , Zoonoses/genética , Animais , COVID-19/genética , COVID-19/prevenção & controle , Surtos de Doenças/prevenção & controle , Genoma Viral/genética , Humanos , Aprendizado de Máquina , Modelos Teóricos , Filogenia , SARS-CoV-2/genética , SARS-CoV-2/patogenicidade , Vírus/classificação , Vírus/genética , Zoonoses/classificação , Zoonoses/virologia
15.
Stat Med ; 43(13): 2655-2671, 2024 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-38693595

RESUMO

In this paper, we aim to both borrow information from existing units and incorporate the target unit's history data in time series forecasting. We consider a situation when we have time series data from multiple units that share similar patterns when aligned in terms of an internal time. The internal time is defined as an index according to evolving features of interest. When mapped back to the calendar time, these time series can span different time intervals that can include the future calendar time of the targeted unit, over which we can borrow the information from other units in forecasting the targeted unit. We first build a hierarchical state space model for the multiple time series data in terms of the internal time, where the shared components capture the similarities among different units while allowing for unit-specific deviations. A conditional state space model is then constructed to incorporate the information of existing units as the prior information in forecasting the targeted unit. By running the Kalman filtering based on the conditional state space model on the targeted unit, we incorporate both the information from the other units and the history of the targeted unit. The forecasts are then transformed from internal time back into calendar time for ease of interpretation. A simulation study is conducted to evaluate the finite sample performance. Forecasting state-level new COVID-19 cases in United States is used for illustration.


Assuntos
COVID-19 , Previsões , Modelos Estatísticos , Previsões/métodos , Humanos , COVID-19/epidemiologia , Simulação por Computador , SARS-CoV-2 , Pandemias , Fatores de Tempo
16.
BMC Med Res Methodol ; 24(1): 131, 2024 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-38849766

RESUMO

BACKGROUND: Dynamical mathematical models defined by a system of differential equations are typically not easily accessible to non-experts. However, forecasts based on these types of models can help gain insights into the mechanisms driving the process and may outcompete simpler phenomenological growth models. Here we introduce a friendly toolbox, SpatialWavePredict, to characterize and forecast the spatial wave sub-epidemic model, which captures diverse wave dynamics by aggregating multiple asynchronous growth processes and has outperformed simpler phenomenological growth models in short-term forecasts of various infectious diseases outbreaks including SARS, Ebola, and the early waves of the COVID-19 pandemic in the US. RESULTS: This tutorial-based primer introduces and illustrates a user-friendly MATLAB toolbox for fitting and forecasting time-series trajectories using an ensemble spatial wave sub-epidemic model based on ordinary differential equations. Scientists, policymakers, and students can use the toolbox to conduct real-time short-term forecasts. The five-parameter epidemic wave model in the toolbox aggregates linked overlapping sub-epidemics and captures a rich spectrum of epidemic wave dynamics, including oscillatory wave behavior and plateaus. An ensemble strategy aims to improve forecasting performance by combining the resulting top-ranked models. The toolbox provides a tutorial for forecasting time-series trajectories, including the full uncertainty distribution derived through parametric bootstrapping, which is needed to construct prediction intervals and evaluate their accuracy. Functions are available to assess forecasting performance, estimation methods, error structures in the data, and forecasting horizons. The toolbox also includes functions to quantify forecasting performance using metrics that evaluate point and distributional forecasts, including the weighted interval score. CONCLUSIONS: We have developed the first comprehensive toolbox to characterize and forecast time-series data using an ensemble spatial wave sub-epidemic wave model. As an epidemic situation or contagion occurs, the tools presented in this tutorial can facilitate policymakers to guide the implementation of containment strategies and assess the impact of control interventions. We demonstrate the functionality of the toolbox with examples, including a tutorial video, and is illustrated using daily data on the COVID-19 pandemic in the USA.


Assuntos
COVID-19 , Previsões , Humanos , COVID-19/epidemiologia , Previsões/métodos , SARS-CoV-2 , Epidemias/estatística & dados numéricos , Pandemias , Modelos Teóricos , Doença pelo Vírus Ebola/epidemiologia , Modelos Estatísticos
17.
BMC Infect Dis ; 24(1): 432, 2024 Apr 23.
Artigo em Inglês | MEDLINE | ID: mdl-38654199

RESUMO

BACKGROUND: Influenza-like illness (ILI) imposes a significant burden on patients, employers and society. However, there is no analysis and prediction at the hospital level in Chongqing. We aimed to characterize the seasonality of ILI, examine age heterogeneity in visits, and predict ILI peaks and assess whether they affect hospital operations. METHODS: The multiplicative decomposition model was employed to decompose the trend and seasonality of ILI, and the Seasonal Auto-Regressive Integrated Moving Average with exogenous factors (SARIMAX) model was used for the trend and short-term prediction of ILI. We used Grid Search and Akaike information criterion (AIC) to calibrate and verify the optimal hyperparameters, and verified the residuals of the multiplicative decomposition and SARIMAX model, which are both white noise. RESULTS: During the 12-year study period, ILI showed a continuous upward trend, peaking in winter (Dec. - Jan.) and a small spike in May-June in the 2-4-year-old high-risk group for severe disease. The mean length of stay (LOS) in ILI peaked around summer (about Aug.), and the LOS in the 0-1 and ≥ 65 years old severely high-risk group was more irregular than the others. We found some anomalies in the predictive analysis of the test set, which were basically consistent with the dynamic zero-COVID policy at the time. CONCLUSION: The ILI patient visits showed a clear cyclical and seasonal pattern. ILI prevention and control activities can be conducted seasonally on an annual basis, and age heterogeneity should be considered in the health resource planning. Targeted immunization policies are essential to mitigate potential pandemic threats. The SARIMAX model has good short-term forecasting ability and accuracy. It can help explore the epidemiological characteristics of ILI and provide an early warning and decision-making basis for the allocation of medical resources related to ILI visits.


Assuntos
Previsões , Influenza Humana , Estações do Ano , Humanos , Influenza Humana/epidemiologia , China/epidemiologia , Pessoa de Meia-Idade , Previsões/métodos , Criança , Pré-Escolar , Adulto , Idoso , Lactente , Adolescente , Adulto Jovem , Recém-Nascido , Masculino , Feminino , Tempo de Internação/estatística & dados numéricos , Modelos Estatísticos
18.
BMC Infect Dis ; 24(1): 465, 2024 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-38724890

RESUMO

BACKGROUND: Several models have been used to predict outbreaks during the COVID-19 pandemic, with limited success. We developed a simple mathematical model to accurately predict future epidemic waves. METHODS: We used data from the Ministry of Health, Labour and Welfare of Japan for newly confirmed COVID-19 cases. COVID-19 case data were summarized as weekly data, and epidemic waves were visualized and identified. The periodicity of COVID-19 in each prefecture of Japan was confirmed using time-series analysis and the autocorrelation coefficient, which was used to investigate the longer-term pattern of COVID-19 cases. Outcomes using the autocorrelation coefficient were visualized via a correlogram to capture the periodicity of the data. An algorithm for a simple prediction model of the seventh COVID-19 wave in Japan comprised three steps. Step 1: machine learning techniques were used to depict the regression lines for each epidemic wave, denoting the "rising trend line"; Step 2: an exponential function with good fit was identified from data of rising straight lines up to the sixth wave, and the timing of the rise of the seventh wave and speed of its spread were calculated; Step 3: a logistic function was created using the values calculated in Step 2 as coefficients to predict the seventh wave. The accuracy of the model in predicting the seventh wave was confirmed using data up to the sixth wave. RESULTS: Up to March 31, 2023, the correlation coefficient value was approximately 0.5, indicating significant periodicity. The spread of COVID-19 in Japan was repeated in a cycle of approximately 140 days. Although there was a slight lag in the starting and peak times in our predicted seventh wave compared with the actual epidemic, our developed prediction model had a fairly high degree of accuracy. CONCLUSION: Our newly developed prediction model based on the rising trend line could predict COVID-19 outbreaks up to a few months in advance with high accuracy. The findings of the present study warrant further investigation regarding application to emerging infectious diseases other than COVID-19 in which the epidemic wave has high periodicity.


Assuntos
COVID-19 , Modelos Teóricos , SARS-CoV-2 , COVID-19/epidemiologia , Humanos , Japão/epidemiologia , Surtos de Doenças , Pandemias , Algoritmos , Aprendizado de Máquina , Previsões/métodos
19.
Nature ; 615(7952): 388-389, 2023 03.
Artigo em Inglês | MEDLINE | ID: mdl-36878981
20.
Nature ; 564(7735): 207-212, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30429613

RESUMO

Global warming is forcing many species to shift their distributions upward, causing consequent changes in the compositions of species that occur at specific locations. This prediction remains largely untested for tropical trees. Here we show, using a database of nearly 200 Andean forest plot inventories spread across more than 33.5° latitude (from 26.8° S to 7.1° N) and 3,000-m elevation (from 360 to 3,360 m above sea level), that tropical and subtropical tree communities are experiencing directional shifts in composition towards having greater relative abundances of species from lower, warmer elevations. Although this phenomenon of 'thermophilization' is widespread throughout the Andes, the rates of compositional change are not uniform across elevations. The observed heterogeneity in thermophilization rates is probably because of different warming rates and/or the presence of specialized tree communities at ecotones (that is, at the transitions between distinct habitats, such as at the timberline or at the base of the cloud forest). Understanding the factors that determine the directions and rates of compositional changes will enable us to better predict, and potentially mitigate, the effects of climate change on tropical forests.


Assuntos
Aclimatação , Altitude , Biodiversidade , Florestas , Aquecimento Global , Temperatura , Árvores/classificação , Árvores/fisiologia , Bases de Dados Factuais , Planejamento em Desastres/tendências , Desastres/prevenção & controle , Previsões/métodos , Especificidade da Espécie , Clima Tropical
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