Tracking viral evolution during a disease outbreak: the rapid and complete selective sweep of a circovirus in the endangered Echo parakeet.

Circoviruses are among the smallest and simplest of all viruses, but they are relatively poorly characterized. Here, we intensively sampled two sympatric parrot populations from Mauritius over a period of 11 years and screened for the circovirus Beak and feather disease virus (BFDV). During the sampling period, a severe outbreak of psittacine beak and feather disease, which is caused by BFDV, occurred in Echo parakeets.

Increasing incidence of differentiated thyroid cancer in South East England: 1987-2006.

There has been a worldwide increase in the incidence of thyroid cancer (TC). Documenting these recent trends is of immense value to cancer control measures, monitoring policies, improving clinical outcomes, resource allocation and stimulating research. Hence this study aimed to analyse the changes in incidence, staging and morphologic types of TC in South East England (1987-2006) by means of a retrospective, descriptive epidemiological study using anonymized data obtained from the Thames Cancer Registry (TCR) of all patients registered with TC in the period 1987-2006.

Optimal vaccination schemes for epidemics among a population of households, with application to variola minor in Brazil.

This paper is concerned with stochastic models for the spread of an epidemic among a community of households, in which individuals mix uniformly within households and, in addition, uniformly at a much lower rate within the population at large. This two-level mixing structure has important implications for the threshold behaviour of the epidemic and, consequently, for both the effectiveness of vaccination strategies for controlling an outbreak and the form of optimal vaccination schemes. A brief introduction to optimal vaccination schemes in this setting is provided by presenting a unified treatment of the simplest and most-studied case, viz.

A quantitative survey of intern's knowledge of communication skills: an Iranian exploration.

Background: It is a high priority that health care providers have effective communication skills. It has been well documented that the doctor-patient relationship is central to the delivery of high quality medical care, and it has been shown to affect patient satisfaction, to decrease the use of pain killers, to shorten hospital stays, to improve recovery from surgery and a variety of other biological, psychological and social outcomes. This study sought to quantify the current knowledge of interns in Iran about communication skills.

Stochastic multitype epidemics in a community of households: estimation and form of optimal vaccination schemes.

This paper treats a stochastic model for an SIR (susceptible-->infective-->removed) multitype household epidemic. The community is assumed to be closed, individuals are of different types and each individual belongs to a household. Previously obtained probabilistic and inferential results for the model are used to derive the optimal vaccination scheme.

Optimal vaccination policies for stochastic epidemics among a population of households.

This paper considers stochastic epidemics among a population partitioned into households, with mixing locally within households and globally throughout the population. The two levels of mixing have important implications for the threshold behaviour of the epidemic and consequently for the form and construction of optimal vaccination policies. Optimality is considered in terms of the cost of the vaccination program, the form of which is general enough to include costs of the vaccine itself, its administration, travel to and/or contact with the households.