Current epidemiological models can in principle model the temporal evolution of a pandemic. However, any such model will rely on parameters that are unknown, which in practice are estimated using stochastic and poorly measured quantities. As a result, an early prediction of the long-term evolution of a pandemic will quickly lose relevance, while a late model will be too late to be useful for disaster management. Unless a model is designed to be adaptive, it is bound either to lose relevance over time, or lose trust and thus not have a second chance for retraining. We propose a strategy for estimating the number of infections and the number of deaths, that does away with time-series modeling, and instead makes use of a "phase portrait approach." We demonstrate that, with this approach, there is a universality to the evolution of the disease across countries, that can then be used to make reliable predictions. These same models can also be used to plan the requirements for critical resources during the pandemic. The approach is designed for simplicity of interpretation, and adaptivity over time. Using our model, we predict the number of infections and deaths in Italy and New York State, based on an adaptive algorithm which uses early available data, and show that our predictions closely match the actual outcomes. We also carry out a similar exercise for India, where in addition to projecting the number of infections and deaths, we also project the expected range of critical resource requirements for hospitalizations in a location.
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http://dx.doi.org/10.1103/PhysRevE.102.021301 | DOI Listing |
Objective: The objective of this study was to assess the complicated relationship between frailty, perioperative complications, and patient-reported outcomes (PROs) in elderly patients (≥ 75 years old) undergoing lumbar spine fusion (LSF).
Methods: Consecutive patients who underwent LSF between March 2019 and December 2021 were recruited in this study. Frail patients (modified frailty index [mFI] score ≥ 2) were propensity score matched to nonfrail patients (mFI score 0-1) on the basis of age, sex, and the number of fused levels.
PLoS One
January 2025
Division of Arthroscopic and special Joint Surgery / Sports Injuries, Department of Orthopedics, Trauma and Plastic Surgery, University of Leipzig, Leipzig, Germany.
Background: The number of reverse shoulder arthroplasty (RSA) procedures performed worldwide has increased over the last 10 years, with a corresponding increase in revision shoulder arthroplasty (SRSA). SRSA is often used for post-traumatic revision surgery in cases of infections and failure of anatomical prostheses. Data on outcomes with specific detail for each indication for the prosthetic solution as a secondary treatment are scarce, and inhomogeneous.
View Article and Find Full Text PDFJ Clin Immunol
January 2025
Division of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, 19104, USA.
Major histocompatibility complex class I deficiency results from deleterious biallelic variants in TAP1, TAP2, TAPBP, and B2M genes. Only a few patients with variant-curated TAP1 deficiency (TAP1D) have been reported in the literature and the clinical phenotype has been variable with an emphasis on autoimmune and inflammatory complications. We report TAP1D in a Nepalese girl with a severe clinical phenotype with serious viral infections at a very young age.
View Article and Find Full Text PDFCancer Immunol Immunother
January 2025
Department of Otorhinolaryngology, Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Head and neck squamous cell carcinoma (HNSCC) is the seventh most common cancer worldwide with a poor prognosis for survival. Risk factors include alcohol and tobacco abuse and infection with human papilloma virus (HPV). To enhance anti-tumor immune responses immunotherapeutic approaches are approved for recurrent metastatic disease but only approx.
View Article and Find Full Text PDFBull Math Biol
January 2025
Department of Mathematics, University of Trento, Via Sommarive 14, Povo, 38123, Trento, Italy.
One of the strategies used in some countries to contain the COVID-19 epidemic has been the test-and-isolate policy, generally coupled with contact tracing. Such strategies have been examined in several simulation models, but a theoretical analysis of their effectiveness in simple epidemic model is, to our knowledge, missing. In this paper, we present four epidemic models of either SIR or SEIR type, in which it is assumed that at fixed times the whole population (or a part of the population) is tested and, if positive, isolated.
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