We consider a Prisoner's Dilemma (PD) that is repeated with some probability 1-ρ only between cooperators as a result of an opting-out strategy adopted by all individuals. The population is made of N pairs of individuals and is updated at every time step by a birth-death event according to a Moran model. Assuming an intensity of selection of order 1/N and taking 2N birth-death events as unit of time, a diffusion approximation exhibiting two time scales, a fast one for pair frequencies and a slow one for cooperation (C) and defection (D) frequencies, is ascertained in the limit of a large population size. This diffusion approximation is applied to an additive PD game, cooperation by an individual incurring a cost c to the individual but providing a benefit b to the opponent. This is used to obtain the probability of ultimate fixation of C introduced as a single mutant in an all D population under selection, which can be compared to the probability under neutrality, 1/(2N), as well as the corresponding probability for a single D introduced in an all C population under selection. This gives conditions for cooperation to be favored by selection. We show that these conditions are satisfied when the benefit-to-cost ratio, b/c, exceeds some increasing function of ρ that is approximately given by (1+ρ)/(1-ρ). This condition is more stringent, however, than the condition for tit-for-tat (TFT) to be favored against always-defect (AllD) in the absence of opting-out.
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http://dx.doi.org/10.1016/j.jtbi.2020.110543 | DOI Listing |
BMJ Open
January 2025
Department of Emergency Medicine, St Michael's Hospital, Toronto, Ontario, Canada.
Introduction: Traumatic injuries are a significant public health concern globally, resulting in substantial mortality, hospitalisation and healthcare burden. Despite the establishment of specialised trauma centres, there remains considerable variability in trauma-care practices and outcomes, particularly in the initial phase of trauma resuscitation in the trauma bay. This stage is prone to preventable errors leading to adverse events (AEs) that can impact patient outcomes.
View Article and Find Full Text PDFBMC Public Health
January 2025
Department of Women's and Children's Health, Karolinska Institutet, Tomtebodavägen 18A, Stockholm, Solna, 171 77, Sweden.
Background: Globally, the quality of maternal and newborn care remains inadequate, as seen through indicators like perineal injuries and low Apgar scores. While midwifery practices have the potential to improve care quality and health outcomes, there is a lack of evidence on how midwife-led initiatives, particularly those aimed at improving the use of dynamic birth positions, intrapartum support, and perineal protection, affect these outcomes.
Objective: To explore how the use of dynamic birth positions, intrapartum support, and perineal protection impact the incidence of perineal injuries and the 5-min Apgar score within the context of a midwife-led quality improvement intervention.
Front Res Metr Anal
December 2024
University of California Cooperative Extension, Davis, CA, United States.
The proliferation of AI-powered bots and sophisticated fraudsters poses a significant threat to the integrity of scientific studies reliant on online surveys across diverse disciplines, including health, social, environmental and political sciences. We found a substantial decline in usable responses from online surveys from 75 to 10% in recent years due to survey fraud. Monetary incentives attract sophisticated fraudsters capable of mimicking genuine open-ended responses and verifying information submitted months prior, showcasing the advanced capabilities of online survey fraud today.
View Article and Find Full Text PDFSupport Care Cancer
November 2024
School of Pharmacy, Monash University Malaysia, Bandar Sunway, 47500, Subang Jaya, Selangor, Malaysia.
Introduction: Cancer pain management is frequently insufficient worldwide, especially in low- and middle-income countries where significant challenges related to workforce resources persist. Clinical pharmacists could potentially enhance outcomes in this context, yet their role remains largely unexplored.
Objectives: This study aimed to assess the feasibility and acceptability of integrating clinical pharmacists into the multidisciplinary team (MDT) to manage cancer pain and assess preliminary outcomes in cancer patients receiving pain treatment.
Front Med (Lausanne)
May 2024
Department of Obstetrics and Gynecology, Department of Fetal Medicine and Prenatal Diagnosis, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Objective: The objective of this study was to investigate the attitudes of healthcare professionals (HPs) working in the prenatal setting toward uncertain results (UR) from prenatal exome sequencing (pES) in China.
Methods: We conducted a national survey among HPs working in the prenatal setting. UR in our study include variants of uncertain significance (VUS), variants with variable penetrance/expressivity (VVPE), and secondary findings unrelated to the indication for testing (SFs).
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