High-risk drinking is considered a major concern in public health, being the third leading preventable cause of death in the United States. Several studies have been conducted to understand the etiology of high-risk drinking and to design prevention strategies to reduce unhealthy alcohol-consumption and related problems, but there are still major gaps in identifying and investigating the key components that affect the consumption patterns during the drinking event. There is a need to develop tools for the design of methodologies to not only identify such dangerous patterns but also to determine how their dynamics impact the event. In this paper, based on current empirical evidence and observations of drinking events, we model a human group that is in an alcohol-consumption scenario as a dynamical system whose behavior is driven by the interplay between the environment, the network of interactions between the individuals, and their personal motivations and characteristics. We show how this mathematical model complements empirical research in this area by allowing us to analyze, simulate, and predict the drinking group behaviors, to improve the methodologies for field data collection, and to design interventions. Through simulations and Lyapunov stability theory, we provide a computational and mathematical analysis of the impact of the model parameters on the predicted dynamics of the drinking group at the drinking event level. Also, we show how the dynamical model can be informed using data collected in situ and to generate information that can complement the analysis.
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http://dx.doi.org/10.1109/TCYB.2015.2509444 | DOI Listing |
Open Forum Infect Dis
January 2025
Division of Infectious Diseases and International Health, Department of Medicine, Duke University Medical Center, Durham, North Carolina, USA.
Background: Despite a high burden of sepsis in Sub-Saharan Africa, clinical data for adolescent and adult sepsis in this setting are limited. We sought to describe clinical characteristics, management, and outcomes in adolescents and adults with sepsis in northern Tanzania. We also assessed for clinical associations with in-hospital mortality.
View Article and Find Full Text PDFJ Occup Environ Hyg
January 2025
Human and Environmental Physiology Research Unit, School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
With mines extending deeper and rising surface temperatures, workers are exposed to hotter environments. This study aimed to characterize heat stress and strain in the Canadian mining industry and evaluate the utility of the Heat Strain Score Index (HSSI), combined with additional self-reported adverse health outcomes. An exploratory web-based survey was conducted among workers ( = 119) in the Canadian mining industry.
View Article and Find Full Text PDFAddiction
January 2025
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Background And Aims: Primary care systems often screen for unhealthy alcohol use with brief self-report tools such as the 3-item Alcohol Use Disorders Identification Test for consumption (AUDIT-C). There is little research examining whether change in alcohol use measured on the AUDIT-C captures meaningful change in outcomes affected by alcohol use. This study aimed to measure the association between change in AUDIT-C and change in all-cause hospitalization risk, measured in the year after each AUDIT-C.
View Article and Find Full Text PDFSleep Med Rev
January 2025
Faculty of Medicine, Department of Psychiatry, University of Geneva, Geneva, Switzerland.
Insomnia is prevalent among patients with alcohol use disorder (AUD), potentially undermining treatment and increasing the risk of relapse. Cognitive behavioral therapy for insomnia (CBT-I) is the recommended first-line treatment for insomnia, but its efficacy is not well-characterized in patients across the spectrum of AUD. The aim of this meta-analysis was to quantify the effectiveness of CBT-I in improving insomnia severity and alcohol-related outcomes in adults with heavy alcohol use and/or varying levels of AUD severity and comorbid insomnia.
View Article and Find Full Text PDFObjectives: This study aims to estimate the impact of the co-occurrence of behavioural risk factors on mortality in the Spanish adult population.
Design: Population-based cohort study based on data from the 2011-2012 Spanish National Health Survey and the 2014 European Health Survey (n=35 053 participants ≥15 years of age) both linked to mortality data as of December 2022. Risk factors included tobacco use, high-risk alcohol consumption, low adherence to the Mediterranean diet, leisure time sedentary lifestyle and body mass index outside the 18.
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