Seasonal variation in environmental variables, and in rates of contact among individuals, are fundamental drivers of infectious disease dynamics. Unlike most periodically forced physical systems, for which the precise pattern of forcing is typically known, underlying patterns of seasonal variation in transmission rates can be estimated approximately at best, and only the period of forcing is accurately known. Yet solutions of epidemic models depend strongly on the forcing function, so dynamical predictions-such as changes in epidemic patterns that can be induced by demographic transitions or mass vaccination-are always subject to the objection that the underlying patterns of seasonality are poorly specified. Here, we demonstrate that the key bifurcations of the standard epidemic model are invariant to the shape of seasonal forcing if the amplitude of forcing is appropriately adjusted. Consequently, analyses applicable to real disease dynamics can be conducted with a smooth, idealized sinusoidal forcing function, and qualitative changes in epidemic patterns can be predicted without precise knowledge of the underlying forcing pattern. We find similar invariance in a seasonally forced predator-prey model, and conjecture that this phenomenon-and the associated robustness of predictions-might be a feature of many other periodically forced dynamical systems.
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http://dx.doi.org/10.1098/rsif.2019.0202 | DOI Listing |
Rheumatol Int
December 2024
Division of Rheumatology, Department of Internal Medicine, Sorlandet Hospital, Kristiansand, Norway.
Axial spondyloarthritis (ax-SpA) causes pain, fatigue, stiffness, loss of physical function, and poor health status, which can influence sexual activity and enjoyment. To explore whether patients with ax-SpA perceive that their health status effects their sexual activity and to identify predictors of these perceived effects on sexual activity after a 5-year follow-up. Data about demographics, disease, medication, health-related quality of life (HRQOL), and sexual quality of life (SQOL) were collected at the baseline and 5-year follow-up.
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December 2024
School of Public Health, Heinz Mehlhorn Academician Workstation, Hainan Medical University, Haikou, 571199, Hainan, China.
Globally, people living with HIV (PLHIV) are at a high risk of syphilis transmission, and Hainan Province has one of the highest syphilis rates in China. However, there is no targeted syphilis screening for HIV patients in Hainan, highlighting the need for data to guide public health interventions. This study aims to assess the incidence of seropositive syphilis and its associated factors among PLHIV.
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December 2024
Unit for Research in Emergency and Disaster, Department of Preventive Medicine and Public Health, Universidad de Oviedo, Oviedo, 33006, Spain.
Technological disasters in the Americas have significant public health and environmental implications, but there is limited epidemiological analysis of these events. This study aims to characterize the epidemiological profile of technological disasters in the Americas from 2000 to 2021, focusing on morbidity and mortality trends. A retrospective cross-sectional study was conducted.
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December 2024
Department of Public Health, College of Life Sciences, Brigham Young University, 2063 Life Sciences Building, Provo, UT, 84602, USA.
The prevalence of prostate-specific antigen (PSA) testing has consistently fallen for several years. This study explored how the decreasing trend differs by selected variables and reasons for taking the PSA test. Analyses involved men, aged 40 years or older, who completed the Behavior Risk Factor Surveillance System (BRFSS) survey in even number years from 2008 through 2022.
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December 2024
Department of Cardiology, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
The serum uric acid-to-creatinine ratio (UCR) may be a simple method for assessing xanthine oxidase overactivation, which may contribute to an increase in serum uric acid production and oxidative stress. In this study, we investigated the nonlinear association between the UCR and long-term mortality in patients with hypertension. Data were acquired from the National Health and Nutrition Examination Survey database, and a total of 11,346 patients with hypertension were included.
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