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1.
Sci Rep ; 13(1): 21674, 2023 12 07.
Artículo en Inglés | MEDLINE | ID: mdl-38065996

RESUMEN

Lung cancer is the leading cause of cancer deaths in the United States and worldwide. While influenza illness is known to be particularly dangerous for frail and elderly patients, the relationship between influenza illness and outcomes in patients with cancer remains largely unknown. The Surveillance, Epidemiology, and End Results (SEER) database was queried to identify patients with non-small cell lung cancer (NSCLC) diagnosed between 2009 and 2015. Influenza-like illness (ILI) activity, provided by the Outpatient Influenza-like Illness Surveillance Network of the Center of Disease for Control and Prevention, was merged with the SEER dataset on the state-month level. Regional monthly mortality rates were compared during low versus high flu months in this ecological cohort study. 202,485 patients with NSCLC from 13 SEER-reporting states were included in the analysis. 53 of 1049 state-months (5.1%) had high flu activity. Monthly mortality rates during low and high flu months were 0.041 (95% CI 0.041-0.042) and 0.051 (95% CI 0.050-0.053), respectively (RR 1.24 [95% CI 1.21-1.27]). The association between ILI activity and mortality was observed at the individual state level and in all clinical and regional subgroups. Increased regional influenza activity is associated with higher mortality rates for patients with NSCLC. Vaccine-directed initiatives and increased awareness amongst providers will be necessary to address the growing but potentially preventable burden of influenza-related lung cancer deaths in the U.S.


Asunto(s)
Carcinoma de Pulmón de Células no Pequeñas , Vacunas contra la Influenza , Gripe Humana , Neoplasias Pulmonares , Humanos , Estados Unidos/epidemiología , Anciano , Gripe Humana/epidemiología , Gripe Humana/prevención & control , Carcinoma de Pulmón de Células no Pequeñas/epidemiología , Estudios de Cohortes
2.
Proc Natl Acad Sci U S A ; 117(14): 7599-7605, 2020 04 07.
Artículo en Inglés | MEDLINE | ID: mdl-32213590

RESUMEN

Throughout time, operational laws and concepts from complex systems have been employed to quantitatively model important aspects and interactions in nature and society. Nevertheless, it remains enigmatic and challenging, yet inspiring, to predict the actual interdependencies that comprise the structure of such systems, particularly when the causal interactions observed in real-world phenomena might be persistently hidden. In this article, we propose a robust methodology for detecting the latent and elusive structure of dynamic complex systems. Our treatment utilizes short-term predictions from information embedded in reconstructed state space. In this regard, using a broad class of real-world applications from ecology, neurology, and finance, we explore and are able to demonstrate our method's power and accuracy to reconstruct the fundamental structure of these complex systems, and simultaneously highlight their most fundamental operations.

3.
Proc Natl Acad Sci U S A ; 116(22): 10646-10651, 2019 05 28.
Artículo en Inglés | MEDLINE | ID: mdl-31085649

RESUMEN

The hidden nature of causality is a puzzling, yet critical notion for effective decision-making. Financial markets are characterized by fluctuating interdependencies which seldom give rise to emergent phenomena such as bubbles or crashes. In this paper, we propose a method based on symbolic dynamics, which probes beneath the surface of abstract causality and unveils the nature of causal interactions. Our method allows distinction between positive and negative interdependencies as well as a hybrid form that we refer to as "dark causality." We propose an algorithm which is validated by models of a priori defined causal interaction. Then, we test our method on asset pairs and on a network of sovereign credit default swaps (CDS). Our findings suggest that dark causality dominates the sovereign CDS network, indicating interdependencies which require caution from an investor's perspective.

4.
PLoS One ; 13(3): e0194067, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29529092

RESUMEN

In this study, we assess the dynamic evolution of short-term correlation, long-term cointegration and Error Correction Model (hereafter referred to as ECM)-based long-term Granger causality between each pair of US, UK, and Eurozone stock markets from 1980 to 2015 using the rolling-window technique. A comparative analysis of pairwise dynamic integration and causality of stock markets, measured in common and domestic currency terms, is conducted to evaluate comprehensively how exchange rate fluctuations affect the time-varying integration among the S&P 500, FTSE 100 and EURO STOXX 50 indices. The results obtained show that the dynamic correlation, cointegration and ECM-based long-run Granger causality vary significantly over the whole sample period. The degree of dynamic correlation and cointegration between pairs of stock markets rises in periods of high volatility and uncertainty, especially under the influence of economic, financial and political shocks. Meanwhile, we observe the weaker and decreasing correlation and cointegration among the three developed stock markets during the recovery periods. Interestingly, the most persistent and significant cointegration among the three developed stock markets exists during the 2007-09 global financial crisis. Finally, the exchange rate fluctuations, also influence the dynamic integration and causality between all pairs of stock indices, with that influence increasing under the local currency terms. Our results suggest that the potential for diversifying risk by investing in the US, UK and Eurozone stock markets is limited during the periods of economic, financial and political shocks.


Asunto(s)
Inversiones en Salud , Modelos Económicos , Europa (Continente) , Modelos Estadísticos , Política , Riesgo , Factores de Tiempo , Estados Unidos
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