RESUMO
Background: Men who have sex with men (MSM) is one main type of high-risk activities facilitating HIV-1 transmission in Sichuan province. Previous works on HIV-1 incidence and prevalence among MSM only concentrated before 2018, the situation after that is unknown. In addition, the distribution of hot-spots related to current HIV-1 epidemic is also rarely known among MSM in Sichuan. Objective: To update trends of HIV-1 prevalence and incidence and to visualize hot-spots of ongoing transmission in Sichuan province during surveillance period among MSM between 2018 and 2022. Methods: Limiting Antigen Avidity assay was performed to detect recent infection within new HIV-1 diagnoses founded during surveillance period among MSM. The HIV-1 prevalence and incidence were calculated according to an extrapolation method proposed by publications and guidelines. Trend tests were performed using χ2 tests with linear-by-linear association. The spatial analysis was conducted with ArcGIS 10.7 to figure hot-spots of HIV-1 recent infections among MSM. Results: Between 2018 and 2022, 16,697 individuals participated in HIV-1 MSM sentinel surveillance program, of which 449 samples (98.25%) were tested with LAg-Avidity EIA, and 230 samples were classified as recent infection. Respectively, the overall prevalence and incidence were 2.74% and 3.69% (95% CI: 3.21, 4.16) and both had significant declining trends (p < 0.001). Luzhou city had a highest HIV-1 incidence (10.74%, 95% CI: 8.39, 13.10) over the study period and was recognized as a hot-spot for recent HIV-1 infection among MSM. Conclusion: During the surveillance period, both HIV-1 prevalence and incidence were declining. However, Luzhou city had an unusually high HIV-1 incidence and became an emerging hot-spot of recent HIV-1 infection among MSM. This finding suggested focused attention, cross-regional intervention strategies, and prevention programs are urgently required to curb the spread of ongoing transmission.
RESUMO
Multiple unmanned aerial vehicles (UAVs) have a greater potential to be widely used in UAV-assisted IoT applications. UAV formation, as an effective way to improve surveillance and security, has been extensively of concern. The leader-follower approach is efficient for UAV formation, as the whole formation system needs to find only the leader's trajectory. This paper studies the leader-follower surveillance system. Owing to different scenarios and assignments, the leading velocity is dynamic. The inevitable communication time delays resulting from information sending, communicating and receiving process bring challenges in the design of real-time UAV formation control. In this paper, the design of UAV formation tracking based on deep reinforcement learning (DRL) is investigated for high mobility scenarios in the presence of communication delay. To be more specific, the optimization UAV formation problem is firstly formulated to be a state error minimization problem by using the quadratic cost function when the communication delay is considered. Then, the delay-informed Markov decision process (DIMDP) is developed by including the previous actions in order to compensate the performance degradation induced by the time delay. Subsequently, an extended-delay informed deep deterministic policy gradient (DIDDPG) algorithm is proposed. Finally, some issues, such as computational complexity analysis and the effect of the time delay are discussed, and then the proposed intelligent algorithm is further extended to the arbitrary communication delay case. Numerical experiments demonstrate that the proposed DIDDPG algorithm can significantly alleviate the performance degradation caused by time delays.