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Almost all hospitals are equipped with air-conditioning systems to provide a comfortable environment for patients and staff. However, the accumulation of dust and moisture within these systems increases the risk of transmission of microbes and have on occasion been associated with outbreaks of infection. Nevertheless, the impact of air-conditioning on the transmission of microorganisms leading to infection remains largely uncertain. We conducted a scoping review to screen systematically the evidence for such an association in the face of the coronavirus disease 2019 epidemic. PubMed, Embase and Web of Science databases were explored for relevant studies addressing microbial contamination of the air, their transmission and association with infectious diseases. The review process yielded 21 publications, 17 of which were cross-sectional studies, three were cohort studies and one case−control study. Our analysis showed that, compared with naturally ventilated areas, microbial loads were significantly lower in air-conditioned areas, but the incidence of infections increased if not properly managed. The use of high-efficiency particulate air (HEPA) filtration not only decreased transmission of airborne bioaerosols and various microorganisms, but also reduced the risk of infections. By contrast, contaminated air-conditioning systems in hospital rooms were associated with a higher risk of patient infection. Cleaning and maintenance of such systems to recommended standards should be performed regularly and where appropriate, the installation of HEPA filters can effectively mitigate microbial contamination in the public areas of hospitals.
The concept of “hybrid twin” (HT) has recently received a growing interest thanks to the availability of powerful machine learning techniques. This twin concept combines physics-based models within a model order reduction framework—to obtain real-time feedback rates—and data science. Thus, the main idea of the HT is to develop on-the-fly data-driven models to correct possible deviations between measurements and physics-based model predictions. This paper is focused on the computation of stable, fast, and accurate corrections in the HT framework. Furthermore, regarding the delicate and important problem of stability, a new approach is proposed, introducing several subvariants and guaranteeing a low computational cost as well as the achievement of a stable time-integration.
On 16–17 January 2020, four suspected mumps cases were reported to the local Public Health Authorities with an epidemiological link to a local school and football club. Of 18 suspected cases identified, 14 were included in this study. Laboratory results confirmed mumps virus as the cause and further sequencing identified genotype G. Our findings highlight that even with a high MMR vaccine coverage, mumps outbreaks in children and young adults can occur. Since most of the cases had documented immunity for mumps, we hypothesise that waning immunity or discordant mumps virus strains are likely explanations for this outbreak.
Concentrated random variables are frequently used in representing deterministic delays in stochastic models. The squared coefficient of variation ($\mathrm {SCV}$) of the most concentrated phase-type distribution of order $N$ is $1/N$. To further reduce the $\mathrm {SCV}$, concentrated matrix exponential (CME) distributions with complex eigenvalues were investigated recently. It was obtained that the $\mathrm {SCV}$ of an order $N$ CME distribution can be less than $n^{-2.1}$ for odd $N=2n+1$ orders, and the matrix exponential distribution, which exhibits such a low $\mathrm {SCV}$ has complex eigenvalues. In this paper, we consider CME distributions with real eigenvalues (CME-R). We present efficient numerical methods for identifying a CME-R distribution with smallest SCV for a given order $n$. Our investigations show that the $\mathrm {SCV}$ of the most concentrated CME-R of order $N=2n+1$ is less than $n^{-1.85}$. We also discuss how CME-R can be used for numerical inverse Laplace transformation, which is beneficial when the Laplace transform function is impossible to evaluate at complex points.
We report a familial cluster of 24 individuals infected with severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). The index case had a travel history and spent 24 days in the house before being tested and was asymptomatic. Physical overcrowding in the house provided a favourable environment for intra-cluster infection transmission. Restriction of movement of family members due to countrywide lockdown limited the spread in community. Among the infected, only four individuals developed symptoms. The complete genome sequences of SARS-CoV-2 was retrieved using next-generation sequencing from eight clinical samples which demonstrated a 99.99% similarity with reference to Wuhan strain and the phylogenetic analysis demonstrated a distinct cluster, lying in the B.6.6 pangolin lineage.
We obtain a polynomial upper bound on the mixing time $T_{CHR}(\epsilon)$ of the coordinate Hit-and-Run (CHR) random walk on an $n-$dimensional convex body, where $T_{CHR}(\epsilon)$ is the number of steps needed to reach within $\epsilon$ of the uniform distribution with respect to the total variation distance, starting from a warm start (i.e., a distribution which has a density with respect to the uniform distribution on the convex body that is bounded above by a constant). Our upper bound is polynomial in n, R and $\frac{1}{\epsilon}$, where we assume that the convex body contains the unit $\Vert\cdot\Vert_\infty$-unit ball $B_\infty$ and is contained in its R-dilation $R\cdot B_\infty$. Whether CHR has a polynomial mixing time has been an open question.
Although the interferon-γ release assay (IGRA) has become a common diagnostic method for tuberculosis, its value in the diagnosis of tuberculosis in human immunodeficiency virus (HIV) seropositive patients remains controversial. Therefore, this systematically reviews the data for exploring the diagnostic value of IGRA in HIV-infected individuals complicated with active tuberculosis, aiming to provide a clinical basis for future clinical diagnosis of the disease.
Methods
Relevant studies on IGRA for diagnosing tuberculosis in HIV-infected patients were comprehensively collected from Excerpta Medica Database (EMBASE), Medline, Cochrane Library, Chinese Sci-tech Periodical Full-text Database, Chinese Periodical Full-text Database, China National Knowledge Infrastructure (CNKI) and China Wanfang Data up to July 2020. Subsequently, Stata 15.0, an integrated statistical software, was used to analyse the sensitivity, specificity, diagnostic odds ratio (DOR), positive likelihood ratio (PLR) and negative likelihood ratio (NLR) to create receiver operator characteristic (ROC) curves.
Results
A total of 18 high-quality articles were selected, including 20 studies, 11 of which were related to QuantiFERON-TB Gold In-Tube (QFT-GIT) and nine to T-SPOT.TB. The meta-analysis indicated that the pooled sensitivity = 0.75 (95% CI 0.63–0.85), the pooled specificity = 0.82 (95% CI 0.66–0.92), PLR = 4.25 (95% CI 1.97–9.18), NLR = 0.30 (95% CI 0.18–0.50), DOR = 14.21 (95% CI 4.38–46.09) and the area under summary ROC curve was 0.85 (95% CI 0.81–0.88).
Conclusion
IGRA has a good diagnostic value and therefore can aid in the preliminary screening of active tuberculosis in HIV-infected individuals. Its diagnostic effectiveness can be improved by modifying and optimizing the assay design.
Herein, we report the synthesis and characterization of a novel class of polymer composites based on onion-like carbons (OLCs)-silicon diimide by a salt-free polycondensation reaction. The pyridine-catalyzed polymerization reaction was carried out in the presence of various contents (0.1, 0.5, 1, and 2 wt%) of carboxyl-functionalized OLCs in argon atmosphere to provide composites with well-dispersed and covalently incorporated 0D nanocarbons throughout the 3D matrix of silicon diimide polymer. A strong dependency of the optical properties (UV absorbance and the photoluminescence spectra) on the content of functionalized OLCs incorporated within the polymer matrix was observed. The novel polymer composites are suitable precursors for the design of advanced and multifunctional 0D-nanocarbon–containing Si3N4-based ceramic nanocomposites.
The COVID-19 pandemic confronts society with a dilemma between (in)visibility, security, and care. While invisibility might be sought by unregistered and undocumented people, being counted and thus visible during a pandemic is a precondition of existence and care. This article asks whether and how unregistered populations like undocumented migrants should be included in statistics and other “counting” exercises devised to track virus diffusion and its impact. In particular, the paper explores how such inclusion can be just, given that for unregistered people visibility is often associated with surveillance. It also reflects on how policymaking can act upon the relationship between data, visibility, and populations in pragmatic terms. Conversing with science and technology studies and critical data studies, the paper frames the dilemma between (in)visibility and care as an issue of sociotechnical nature and identifies four criteria linked to the sociotechnical characteristics of the data infrastructure enabling visibility. It surveys “counting” initiatives targeting unregistered and undocumented populations undertaken by European countries in the aftermath of the pandemic, and illustrates the medical, economic, and social consequences of invisibility. On the basis of our analysis, we outline four scenarios that articulate the visibility/invisibility binary in novel, nuanced terms, and identify in the “de facto inclusion” scenario the best option for both migrants and the surrounding communities. Finally, we offer policy recommendations to avoid surveillance and overreach and promote instead a more just “de facto” civil inclusion of undocumented populations.
Tuberculosis (TB) in immigrants is becoming a challenge in eliminating TB in Japan. We investigated the epidemiology of TB in foreign students in Japan in 2015–2019. A total of 2007 foreign students with TB whose median age was 22.5 years (1243 (61.9%) were males) were registered. The notification rates peaked in 2016 at 164.0 per 100 000 population and decreased towards 2019. Of the 2007, 535 were from Vietnam, 444 from China and 395 from Nepal. The notification rates were 596.6 per 100 000 person-years (PYs) for Myanmar, 595.4 for the Philippines and 438.6 for Cambodia. The rates were much higher than those of the general populations in their countries of origin for Myanmar, the Philippines, Cambodia, Indonesia, Nepal, Mongolia, Vietnam and China. In comparison with the years 2010–2014, the notification rates for foreign students decreased for the students from Nepal, Vietnam and China. The TB notification rate of the foreign students in Japan can be a good surrogate indicator for the risk of TB among the immigrant subpopulation in Japan and should continuously be monitored. Those who are at higher risk of TB may be annually screened for TB to prevent TB outbreaks.
A probabilistic generative network model with $n$ nodes and $m$ overlapping layers is obtained as a superposition of $m$ mutually independent Bernoulli random graphs of varying size and strength. When $n$ and $m$ are large and of the same order of magnitude, the model admits a sparse limiting regime with a tunable power-law degree distribution and nonvanishing clustering coefficient. In this article, we prove an asymptotic formula for the joint degree distribution of adjacent nodes. This yields a simple analytical formula for the model assortativity and opens up ways to analyze rank correlation coefficients suitable for random graphs with heavy-tailed degree distributions. We also study the effects of power laws on the asymptotic joint degree distributions.
Philippine natural bentonite is characterized using X-ray diffractometer (XRD), scanning electron microscope (SEM), chemical analysis, thermogravimetric-differential scanning calorimetry (TG-DSC), and Fourier transform infrared (FTIR) analysis. The cation exchange capacity (CEC) was also measured. XRD shows that the mineral is composed primarily of mordenite, hectorite, and montmorillonite. SEM shows the flaky and porous structure of the bentonite powder. Chemical analyses show that SiO2 (47.90 wt%) and Al2O3 (14.02 wt%) are the major components of the clay. TG-DSC shows that the mineral contains 15.55% moisture. IR transmittance spectrum shows the common vibration bands present in the sample which include O–H stretching of inter-porous water, symmetric and asymmetric stretching of hydroxyl functional groups, asymmetrical stretching of internal tetrahedra (O–Si–O and O–Al–O), symmetrical stretching of external linkages, and so on. The measured CEC were found to be 91.37 and 43.01 meq/100 g according to the ammonium acetate method and barium acetate method, respectively.
This article proposes a complex economic scenario generator that nests versions of well-known actuarial frameworks. The generator estimation relies on the Bayesian paradigm and accounts for both model and parameter uncertainty via Markov chain Monte Carlo methods. So, to the question is less more?, we answer maybe, but it depends on your criteria. From an in-sample fit perspective, on the one hand, a complex economic scenario generator seems better. From the conservatism, forecasting and coverage perspectives, on the other hand, the situation is less clear: having more complex models for the short rate, term structure and stock index returns is clearly beneficial. However, that is not the case for inflation and the dividend yield.
It is well known that the height profile of a critical conditioned Galton–Watson tree with finite offspring variance converges, after a suitable normalisation, to the local time of a standard Brownian excursion. In this work, we study the distance profile, defined as the profile of all distances between pairs of vertices. We show that after a proper rescaling the distance profile converges to a continuous random function that can be described as the density of distances between random points in the Brownian continuum random tree. We show that this limiting function a.s. is Hölder continuous of any order $\alpha<1$, and that it is a.e. differentiable. We note that it cannot be differentiable at 0, but leave as open questions whether it is Lipschitz, and whether it is continuously differentiable on the half-line $(0,\infty)$. The distance profile is naturally defined also for unrooted trees contrary to the height profile that is designed for rooted trees. This is used in our proof, and we prove the corresponding convergence result for the distance profile of random unrooted simply generated trees. As a minor purpose of the present work, we also formalize the notion of unrooted simply generated trees and include some simple results relating them to rooted simply generated trees, which might be of independent interest.
The double-mean-reverting model, introduced by Gatheral [(2008). Consistent modeling of SPX and VIX options. In The Fifth World Congress of the Bachelier Finance Society London, July 18], is known to be a successful three-factor model that can be calibrated to both CBOE Volatility Index (VIX) and S&P 500 Index (SPX) options. However, the calibration of this model may be slow because there is no closed-form solution formula for European options. In this paper, we use a rescaled version of the model developed by Huh et al. [(2018). A scaled version of the double-mean-reverting model for VIX derivatives. Mathematics and Financial Economics 12: 495–515] and obtain explicitly a closed-form pricing formula for European option prices. Our formulas for the first and second-order approximations do not require any complicated calculation of integral. We demonstrate that a faster calibration result of the double-mean revering model is available and yet the practical implied volatility surface of SPX options can be produced. In particular, not only the usual convex behavior of the implied volatility surface but also the unusual concave down behavior as shown in the COVID-19 market can be captured by our formula.
In this paper, we develop a novel game theoretic model of the interactions between an EDoS attacker and the defender based on a signaling game that is a dynamic game of incomplete information. We then derive the best defense strategies for the network defender to respond to the EDoS attacks. That is, we compute the perfect Bayesian Nash Equilibrium (PBE) of the proposed game model such as the pooling PBE, separating PBE and mixed strategy PBE. In the pooling equilibrium, each type of the attacker takes the same action and the attacker's type is not revealed to the defender, whereas in the separating equilibrium, each type of the attacker uses different actions and hence the attacker's type is completely revealed to the defender. On the other hand, in the mixed strategy PBE, both the attacker and the defender randomize their strategies to optimize their payoffs. Numerical illustration is also presented to show the efficacy of the proposed model.
Between December 2020 and March 2021, we measured anti-SARS-CoV-2 IgG titres among 725 Israeli hospital workers vaccinated against COVID-19. Infection post-dose 1 vaccination did not increase IgG titres, and individuals infected post-dose 1 had IgG levels comparable to never-infected individuals who received a single dose, lower than fully vaccinated, never-infected individuals. This suggests dose 2, currently not offered to those infected post-dose 1, may be required in these individuals. Larger studies should confirm whether individuals infected post-dose 1 need the second.