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1.
Nonlinear Dyn ; 104(3): 2853-2864, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33840897

RESUMO

In this paper, we discuss three different response strategies to a disease outbreak and their economic implications in an age-structured population. We have utilized the classical age structured SIR-model, thus assuming that recovered people will not be infected again. Available resource dynamics is governed by the well-known logistic growth model, in which the reproduction coefficient depends on the disease outbreak spreading dynamics. We further investigate the feedback interaction of the disease spread dynamics and resource growth dynamics with the premise that the quality of treatment depends on the current economic situation. The very inclusion of mortality rates and economic considerations in the same model may be incongruous under certain positions, but in this model, we take a "realpolitik" approach by exploring all of these factors together as it is done in reality.

2.
Adv Sci (Weinh) ; 7(24): 2002324, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33344130

RESUMO

COVID-19, also known as SARS-CoV-2, is a coronavirus that is highly pathogenic and virulent. It spreads very quickly through close contact, and so in response to growing numbers of cases, many countries have imposed lockdown measures to slow its spread around the globe. The purpose of a lockdown is to reduce reproduction, that is, the number of people each confirmed case infects. Lockdown measures have worked to varying extents but they come with a massive price. Nearly every individual, community, business, and economy has been affected. In this paper, switching strategies that take into account the total "cost" borne by a community in response to COVID-19 are proposed. The proposed cost function takes into account the health and well-being of the population, as well as the economic impact due to the lockdown. The model allows for a comparative study to investigate the effectiveness of various COVID-19 suppression strategies. It reveals that both the strategy to implement a lockdown and the strategy to maintain an open community are individually losing in terms of the total "cost" per day. However, switching between these two strategies in a certain manner can paradoxically lead to a winning outcome-a phenomenon attributed to Parrondo's paradox.

3.
Bioessays ; 42(12): e2000178, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33040355

RESUMO

The 2019 coronavirus (COVID-19), also known as SARS-CoV-2, is highly pathogenic and virulent, and it spreads very quickly through human-to-human contact. In response to the growing number of cases, governments across the spectrum of affected countries have adopted different strategies in implementing control measures, in a hope to reduce the number of new cases. However, 5 months after the first confirmed case, countries like the United States of America (US) seems to be heading towards a trajectory that indicates a health care crisis. This is in stark contrast to the downward trajectory in Europe, China, and elsewhere in Asia, where the number of new cases has seen a decline ahead of an anticipated second wave. A data-driven approach reveals three key strategies in tackling COVID-19. Our work here has definitively evaluated these strategies and serves as a warning to the US, and more importantly, a guide for tackling future pandemics. Also see the video abstract here https://youtu.be/gPkCi2_7tWo.


Assuntos
COVID-19/epidemiologia , Controle de Infecções/organização & administração , Controle de Infecções/tendências , Pandemias , Ásia/epidemiologia , COVID-19/diagnóstico , COVID-19/prevenção & controle , Teste para COVID-19/métodos , Teste para COVID-19/normas , Teste para COVID-19/tendências , Demografia/tendências , Recessão Econômica , Emprego/organização & administração , Emprego/normas , Emprego/tendências , Europa (Continente)/epidemiologia , História do Século XXI , Humanos , Controle de Infecções/métodos , Controle de Infecções/normas , Administração em Saúde Pública/métodos , Administração em Saúde Pública/normas , Administração em Saúde Pública/tendências , SARS-CoV-2/fisiologia , Doença Relacionada a Viagens , Estados Unidos/epidemiologia
4.
Artigo em Inglês | MEDLINE | ID: mdl-32545399

RESUMO

The accurate prediction of ambulance demand provides great value to emergency service providers and people living within a city. It supports the rational and dynamic allocation of ambulances and hospital staffing, and ensures patients have timely access to such resources. However, this task has been challenging due to complex multi-nature dependencies and nonlinear dynamics within ambulance demand, such as spatial characteristics involving the region of the city at which the demand is estimated, short and long-term historical demands, as well as the demographics of a region. Machine learning techniques are thus useful to quantify these characteristics of ambulance demand. However, there is generally a lack of studies that use machine learning tools for a comprehensive modeling of the important demand dependencies to predict ambulance demands. In this paper, an original and novel approach that leverages machine learning tools and extraction of features based on the multi-nature insights of ambulance demands is proposed. We experimentally evaluate the performance of next-day demand prediction across several state-of-the-art machine learning techniques and ambulance demand prediction methods, using real-world ambulatory and demographical datasets obtained from Singapore. We also provide an analysis of this ambulatory dataset and demonstrate the accuracy in modeling dependencies of different natures using various machine learning techniques.


Assuntos
Algoritmos , Ambulâncias , Serviços Médicos de Emergência , Necessidades e Demandas de Serviços de Saúde , Adulto , Idoso , Feminino , Humanos , Aprendizado de Máquina , Masculino , Pessoa de Meia-Idade , Gravidez , Singapura
5.
Bioessays ; 41(6): e1900027, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31132170

RESUMO

Parrondo's paradox, in which losing strategies can be combined to produce winning outcomes, has received much attention in mathematics and the physical sciences; a plethora of exciting applications has also been found in biology at an astounding pace. In this review paper, the authors examine a large range of recent developments of Parrondo's paradox in biology, across ecology and evolution, genetics, social and behavioral systems, cellular processes, and disease. Intriguing connections between numerous works are identified and analyzed, culminating in an emergent pattern of nested recurrent mechanics that appear to span the entire biological gamut, from the smallest of spatial and temporal scales to the largest-from the subcellular to the complete biosphere. In analyzing the macro perspective, the pivotal role that the paradox plays in the shaping of biological life becomes apparent, and its identity as a potential universal principle underlying biological diversity and persistence is uncovered. Directions for future research are also discussed in light of this new perspective.


Assuntos
Biodiversidade , Evolução Molecular , Teoria dos Jogos , Interação Gene-Ambiente , Cadeias de Markov , Envelhecimento , Carcinogênese , Comportamento Competitivo , Feminino , Frequência do Gene , Genótipo , Humanos , Masculino , Dinâmica Populacional , Seleção Genética
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