Assessment of malaria risk in Southeast Asia: a systematic review.

BACKGROUND: Several countries in Southeast Asia are nearing malaria elimination, yet eradication remains elusive. This is largely due to the challenge of focusing elimination efforts, an area where risk prediction can play an essential supporting role. Despite its importance, there is no standard numerical method to quantify the risk of malaria infection. Thus, there is a need for a consolidated view of existing definitions of risk and factors considered in assessing risk to analyse the merits of risk prediction models. This systematic review examines studies of the risk of malaria in Southeast Asia with regard to their suitability in addressing the challenges of malaria elimination in low transmission areas. METHODS: A search of four electronic databases over 2010-2020 retrieved 1297 articles, of which 25 met the inclusion and exclusion criteria. In each study, examined factors included the definition of the risk and indicators of malaria transmission used, the environmental and climatic factors associated with the risk, the statistical models used, the spatial and temporal granularity, and how the relationship between environment, climate, and risk is quantified. RESULTS: This review found variation in the definition of risk used, as well as the environmental and climatic factors in the reviewed articles. GLM was widely adopted as the analysis technique relating environmental and climatic factors to malaria risk. Most of the studies were carried out in either a cross-sectional design or case-control studies, and most utilized the odds ratio to report the relationship between exposure to risk and malaria prevalence. CONCLUSIONS: Adopting a standardized definition of malaria risk would help in comparing and sharing results, as would a clear description of the definition and method of collection of the environmental and climatic variables used. Further issues that need to be more fully addressed include detection of asymptomatic cases and considerations of human mobility. Many of the findings of this study are applicable to other low-transmission settings and could serve as a guideline for further studies of malaria in other regions.

Effects of COVID-19 government travel restrictions on mobility in a rural border area of Northern Thailand: A mobile phone tracking study.

BACKGROUND: Thailand is among the top five countries with effective COVID-19 transmission control. This study examines how news of presence of COVID-19 in Thailand, as well as varying levels of government restriction on movement, affected human mobility in a rural Thai population along the border with Myanmar. METHODS: This study makes use of mobility data collected using a smartphone app. Between November 2019 and June 2020, four major events concerning information dissemination or government intervention give rise to five time intervals of analysis. Radius of gyration is used to analyze movement in each interval, and movement during government-imposed curfew. Human mobility network visualization is used to identify changes in travel patterns between main geographic locations of activity. Cross-border mobility analysis highlights potential for intervillage and intercountry disease transmission. RESULTS: Inter-village and cross-border movement was common in the pre-COVID-19 period. Radius of gyration and cross-border trips decreased following news of the first imported cases. During the government lockdown period, radius of gyration was reduced by more than 90% and cross-border movement was mostly limited to short-distance trips. Human mobility was nearly back to normal after relaxation of the lockdown. CONCLUSIONS: This study provides insight into the impact of the government lockdown policy on an area with extremely low socio-economic status, poor healthcare resources, and highly active cross-border movement. The lockdown had a great impact on reducing individual mobility, including cross-border movement. The quick return to normal mobility after relaxation of the lockdown implies that close monitoring of disease should be continued to prevent a second wave.

Modeling mental spatial reasoning about cardinal directions.

This article presents research into human mental spatial reasoning with orientation knowledge. In particular, we look at reasoning problems about cardinal directions that possess multiple valid solutions (i.e., are spatially underdetermined), at human preferences for some of these solutions, and at representational and procedural factors that lead to such preferences. The article presents, first, a discussion of existing, related conceptual and computational approaches; second, results of empirical research into the solution preferences that human reasoners actually have; and, third, a novel computational model that relies on a parsimonious and flexible spatio-analogical knowledge representation structure to robustly reproduce the behavior observed with human reasoners.

Just the tip of the iceberg: the bicoded map is but one instantiation of scalable spatial representation structures.

Although the bicoded map constitutes an interesting candidate representation, proposing it as the predominant representation for three-dimensional space is too restrictive. We present and argue for scalable spatial representation structures as a more comprehensive alternative account that includes the bicoded map as a special case.

Differences between Spatial and Visual Mental Representations.

This article investigates the relationship between visual mental representations and spatial mental representations in human visuo-spatial processing. By comparing two common theories of visuo-spatial processing - mental model theory and the theory of mental imagery - we identified two open questions: (1) which representations are modality-specific, and (2) what is the role of the two representations in reasoning. Two experiments examining eye movements and preferences for under-specified problems were conducted to investigate these questions. We found that significant spontaneous eye movements along the processed spatial relations occurred only when a visual mental representation is employed, but not with a spatial mental representation. Furthermore, the preferences for the answers of the under-specified problems differed between the two mental representations. The results challenge assumptions made by mental model theory and the theory of mental imagery.

Casimir: an architecture for mental spatial knowledge processing.

Mental spatial knowledge processing often uses spatio-analogical or quasipictorial representation structures such as spatial mental models or mental images. The cognitive architecture Casimir is designed to provide a framework for computationally modeling human spatial knowledge processing relying on these kinds of representation formats. In this article, we present an overview of Casimir and its components. We briefly describe the long-term memory component and the interaction with external diagrammatic representations. Particular emphasis is placed on Casimir's working memory and control mechanisms. Regarding working memory, we describe the conceptual foundations and the processing mechanisms employed in mental spatial reasoning. With respect to control, we explain how it is realized as a distributed, emergent facility within Casimir.