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Since the discovery of ABO blood types, there has been mounting evidence of the association between blood types and infectious diseases. However, so far, there is rarely available research about the potential role of ABO blood types in haemorrhagic fever with renal syndrome (HFRS) infection. Our aim was to investigate the relationship between ABO blood types and the development of HFRS infection in Qingdao, China. We carried out a retrospective study enrolling 116 HFRS patients as the case group and 373 healthy subjects as the control group. ABO blood type distribution was analysed using the Chi-square test and logistic regression analysis. Results showed that the distribution of ABO blood types between the two groups was significantly different (X2 = 18.151, P < 0.05). Blood type B was less frequently observed [odds ratio (OR), 0.404; confidence interval (CI), 0.238–0.684; P < 0.01], while blood type AB was more frequently observed in the case group (OR, 2.548; CI, 1.427–4.549; P < 0.01). Since significantly more males were affected than females, we further analysed the data by gender as well as blood types and obtained consistent results for males. Our findings indicated that populations with blood type AB might be more prone to HFRS infection, whereas those with blood type B might be less susceptible to HFRS infection, which will help to make risk stratification in infection control.
Little is known about respiratory viruses infection in Guinea. Influenza surveillance has not been implemented in Guinea mainly because of the paucity of laboratory infrastructure and capacity. This paper presents the first influenza surveillance data in Guinea.
Swabs were obtained from August 2018 through December 2019 at influenza sentinel sites and transported to the Institut National de Santé Publique for testing. Ribonucleic acid was extracted and tested for the presence of influenza A and B by real-time reverse transcription-polymerase chain reaction (RT-PCR). Positive samples were further characterised to determine the subtypes and lineages of influenza viruses.
A total of 862 swabs were collected and tested. Twenty-three per cent of samples tested positive for influenza A and B viruses. Characterisation of positive specimens identified influenza A/H1N1pmd09 (2.5%), influenza A/H3N2 (57.3%), influenza B/Victoria lineage (36.7%) and 7 (3.5%) influenza B with undetermined lineage. Influenza B virus activity clustered in August through November while influenza A/H3N2 displayed two clusters of activities that appeared in May through August and November through December.
For the first time in Guinea, the epidemiology, diversity and period of circulation of influenza viruses were studied. The results indicate the predominance and the periods of activities of influenza B Victoria lineage and influenza A/H3N2 which are important information for preventive strategies. It is warranted to extend the influenza surveillance to other parts of Guinea to better understand the epidemiology of the viruses and monitor the emergence of influenza strains with pandemic potential.
We expand the critical point for site percolation on the d-dimensional hypercubic lattice in terms of inverse powers of 2d, and we obtain the first three terms rigorously. This is achieved using the lace expansion.
The star-shaped ordering between probability distributions is a common way to express aging properties. A well-known criterion was proposed by Saunders and Moran [(1978). On the quantiles of the gamma and F distributions. Journal of Applied Probability 15(2): 426–432], to order families of distributions depending on one real parameter. However, the lifetime of complex systems usually depends on several parameters, especially when considering heterogeneous components. We extend the Saunders and Moran criterion characterizing the star-shaped order when the multidimensional parameter moves along a given direction. A few applications to the lifetime of complex models, namely parallel and series models assuming different individual components behavior, are discussed.
Motivated by analogous questions in the setting of Steiner triple systems and Latin squares, Nenadov, Sudakov and Wagner [Completion and deficiency problems, Journal of Combinatorial Theory Series B, 2020] recently introduced the notion of graph deficiency. Given a global spanning property $\mathcal P$ and a graph $G$, the deficiency $\text{def}(G)$ of the graph $G$ with respect to the property $\mathcal P$ is the smallest non-negative integer t such that the join $G*K_t$ has property $\mathcal P$. In particular, Nenadov, Sudakov and Wagner raised the question of determining how many edges an n-vertex graph $G$ needs to ensure $G*K_t$ contains a $K_r$-factor (for any fixed $r\geq 3$). In this paper, we resolve their problem fully. We also give an analogous result that forces $G*K_t$ to contain any fixed bipartite $(n+t)$-vertex graph of bounded degree and small bandwidth.
We study linear subset regression in the context of the high-dimensional overall model $y = \vartheta +\theta ' z + \epsilon $ with univariate response y and a d-vector of random regressors z, independent of $\epsilon $. Here, “high-dimensional” means that the number d of available explanatory variables is much larger than the number n of observations. We consider simple linear submodels where y is regressed on a set of p regressors given by $x = M'z$, for some $d \times p$ matrix M of full rank $p < n$. The corresponding simple model, that is, $y=\alpha +\beta ' x + e$, is usually justified by imposing appropriate restrictions on the unknown parameter $\theta $ in the overall model; otherwise, this simple model can be grossly misspecified in the sense that relevant variables may have been omitted. In this paper, we establish asymptotic validity of the standard F-test on the surrogate parameter $\beta $, in an appropriate sense, even when the simple model is misspecified, that is, without any restrictions on $\theta $ whatsoever and without assuming Gaussian data.
Kostochka and Thomason independently showed that any graph with average degree $\Omega(r\sqrt{\log r})$ contains a $K_r$ minor. In particular, any graph with chromatic number $\Omega(r\sqrt{\log r})$ contains a $K_r$ minor, a partial result towards Hadwiger’s famous conjecture. In this paper, we investigate analogues of these results in the directed setting. There are several ways to define a minor in a digraph. One natural way is as follows. A strong$\overrightarrow{K}_{\!\!r}$minor is a digraph whose vertex set is partitioned into r parts such that each part induces a strongly connected subdigraph, and there is at least one edge in each direction between any two distinct parts. We investigate bounds on the dichromatic number and minimum out-degree of a digraph that force the existence of strong $\overrightarrow{K}_{\!\!r}$ minors as subdigraphs. In particular, we show that any tournament with dichromatic number at least 2r contains a strong $\overrightarrow{K}_{\!\!r}$ minor, and any tournament with minimum out-degree $\Omega(r\sqrt{\log r})$ also contains a strong $\overrightarrow{K}_{\!\!r}$ minor. The latter result is tight up to the implied constant and may be viewed as a strong-minor analogue to the classical result of Kostochka and Thomason. Lastly, we show that there is no function $f\;:\;\mathbb{N} \rightarrow \mathbb{N}$ such that any digraph with minimum out-degree at least f(r) contains a strong $\overrightarrow{K}_{\!\!r}$ minor, but such a function exists when considering dichromatic number.
This paper studies the optimal allocation policy of a coherent system with independent heterogeneous components and dependent subsystems, the systems are assumed to consist of two groups of components whose lifetimes follow proportional hazard (PH) or proportional reversed hazard (PRH) models. We investigate the optimal allocation strategy by finding out the number $k$ of components coming from Group A in the up-series system. First, some sufficient conditions are provided in the sense of the usual stochastic order to compare the lifetimes of two-parallel–series systems with dependent subsystems, and we obtain the hazard rate and reversed hazard rate orders when two subsystems have independent lifetimes. Second, similar results are also obtained for two-series–parallel systems under certain conditions. Finally, we generalize the corresponding results to parallel–series and series–parallel systems with multiple subsystems in the viewpoint of the minimal path and the minimal cut sets, respectively. Some numerical examples are presented to illustrate the theoretical findings.
Escherichia coli concentration levels in recreational water are used by beach managers to evaluate the risk of gastrointestinal illness among beachgoers. We examined the relationship between specific environmental factors and E. coli concentration in recreational beaches in the Niagara Region. We analysed E. coli geometric means collected from eight beaches from two of the Great Lakes in the Niagara Region in Ontario, between 2011 and 2019. We applied path analysis to evaluate the relationship between the environmental factors and E. coli concentrations, including whether effects were direct or indirect via a mediator. Turbidity was found to be an important mediator for the indirect effect of environmental variables overall and in beach-specific models. Rainfall and streamflow had a positive indirect effect on E. coli via turbidity and a direct effect in five out of seven beach models. Streamflow was also a mediator for the indirect effect of previous day air temperature in five out of seven models. In three subset models, outfall E. coli concentration was a mediator for the effect of the environmental factors. Using a novel methodological approach, this study identifies important relationships and pathways that predict beach E. coli concentration in freshwater beaches located on two of the Great Lakes.
This study aims at providing estimates on the transmission risk of SARS-CoV-2 in schools and day-care centres. We calculated secondary attack rates (SARs) using individual-level data from state-wide mandatory notification of index cases in educational institutions, followed by contact tracing and PCR-testing of high-risk contacts. From August to December 2020, every sixth of overall 784 independent index cases was associated with secondary cases in educational institutions. Monitoring of 14 594 institutional high-risk contacts (89% PCR-tested) of 441 index cases during quarantine revealed 196 secondary cases (SAR 1.34%, 0.99–1.78). SARS-CoV-2 infection among high-risk contacts was more likely around teacher-indexes compared to student-/child-indexes (incidence rate ratio (IRR) 3.17, 1.79–5.59), and in day-care centres compared to secondary schools (IRR 3.23, 1.76–5.91), mainly due to clusters around teacher-indexes in day-care containing a higher mean number of secondary cases per index case (142/113 = 1.26) than clusters around student-indexes in schools (82/474 = 0.17). In 2020, SARS-CoV-2 transmission risk in educational settings was low overall, but varied strongly between setting and role of the index case, indicating the chance for targeted intervention. Surveillance of SARS-CoV-2 transmission in educational institutions can powerfully inform public health policy and improve educational justice during the pandemic.
Spatial units typically vary over many of their characteristics, introducing potential unobserved heterogeneity which invalidates commonly used homoskedasticity conditions. In the presence of unobserved heteroskedasticity, methods based on the quasi-likelihood function generally produce inconsistent estimates of both the spatial parameter and the coefficients of the exogenous regressors. A robust generalized method of moments estimator as well as a modified likelihood method have been proposed in the literature to address this issue. The present paper constructs an alternative indirect inference (II) approach which relies on a simple ordinary least squares procedure as its starting point. Heteroskedasticity is accommodated by utilizing a new version of continuous updating that is applied within the II procedure to take account of the parameterization of the variance–covariance matrix of the disturbances. Finite-sample performance of the new estimator is assessed in a Monte Carlo study. The approach is implemented in an empirical application to house price data in the Boston area, where it is found that spatial effects in house price determination are much more significant under robustification to heterogeneity in the equation errors.
We propose a novel tie-oriented model for longitudinal event network data. The generating mechanism is assumed to be a multivariate Poisson process that governs the onset and repetition of yearly observed events with two separate intensity functions. We apply the model to a network obtained from the yearly dyadic number of international deliveries of combat aircraft trades between 1950 and 2017. Based on the trade gravity approach, we identify economic and political factors impeding or promoting the number of transfers. Extensive dynamics as well as country heterogeneities require the specification of semiparametric time-varying effects as well as random effects. Our findings reveal strong heterogeneous as well as time-varying effects of endogenous and exogenous covariates on the onset and repetition of aircraft trade events.
This paper investigates the benefits of incorporating diversification effects into the pricing process of insurance policies from two different business lines. The paper shows that, for the same risk reduction, insurers pricing policies jointly can have a competitive advantage over those pricing them separately. However, the choice of competitiveness constrains the underwriting flexibility of joint pricers. The paper goes a step further by modelling explicitly the relationship between premiums and the number of customers in each line. Using the total collected premiums as a criterion to compare the competing strategies, the paper provides conditions for the optimal pricing decision based on policyholders’ sensitivity to price discounts. The results are illustrated for a portfolio of annuities and assurances. Further, using non-life data from the Brazilian insurance market, an empirical exploration shows that most pairs satisfy the condition for being priced jointly, even when pairwise correlations are high.
Copula is one of the widely used techniques to describe the dependency structure between components of a system. Among all existing copulas, the family of Archimedean copulas is the popular one due to its wide range of capturing the dependency structures. In this paper, we consider the systems that are formed by dependent and identically distributed components, where the dependency structures are described by Archimedean copulas. We study some stochastic comparisons results for series, parallel, and general $r$-out-of-$n$ systems. Furthermore, we investigate whether a system of used components performs better than a used system with respect to different stochastic orders. Furthermore, some aging properties of these systems have been studied. Finally, some numerical examples are given to illustrate the proposed results.
Hebei Province was affected by two coronavirus disease 2019 (COVID-19) outbreak waves during the period 22 January 2020 through 27 February 2020 (wave 1) and 2 January 2021 through 14 February 2021 (wave 2). To evaluate and compare the epidemiological characteristics, containment delay, cluster events and social activity, as well as non-pharmaceutical interventions of the two COVID-19 outbreak waves, we examined real-time update information on all COVID-19-confirmed cases from a publicly available database. Wave 1 was closely linked with the COVID-19 pandemic in Wuhan, whereas wave 2 was triggered, to a certain extent, by the increasing social activities such as weddings, multi-household gatherings and church events during the slack agricultural period. In wave 2, the epidemic spread undetected in the rural areas, and people living in the rural areas had a higher incidence rate than those living in the urban areas (5.3 vs. 22.0 per 1 000 000). Furthermore, Rt was greater than 1 in the early stage of the two outbreak waves, and decreased substantially after massive non-pharmaceutical interventions were implemented. In China's ‘new-normal’ situation, development of targeted and effective intervention remains key for COVID-19 control in consideration of the potential threat of new coronavirus strains.
Following the emergence of SARS-CoV-2, early outbreak response relied on behavioural interventions. In the USA, local governments implemented restrictions aimed at reducing movements and contacts to limit viral transmission. In Pennsylvania, restrictions closed schools and businesses in the spring of 2020 and interventions eased later through the summer. Here we use passive monitoring of vehicular traffic volume and mobile device-derived visits to points of interest as proxies for movements and contacts in a rural Pennsylvania county. Rural areas have limited health care resources, which magnifies the importance of disease prevention. These data show the lowest levels of movement occurred during the strictest phase of restrictions, indicating high levels of compliance with behavioural intervention. We find that increases in movement correlated with increases in reported SARS-CoV-2 cases 9–18 days later. The methodology used in this study can be adapted to inform outbreak management strategies for other locations and future outbreaks that use behavioural interventions to reduce pathogen transmission.
Little is known about the impact of COVID-19 on the outcomes of patients undergoing surgery and intervention. This study was conducted between 20 March and 20 May 2020 in six hospitals in Istanbul, and aimed to investigate the effects of surgery and intervention on COVID-19 disease progression, intensive care (ICU) need, mortality and virus transmission to patients and healthcare workers. Patients were examined in three groups: group I underwent emergency surgery, group II had an emergency non-operating room intervention, and group III received inpatient COVID-19 treatment but did not have surgery or undergo intervention. Mortality rates, mechanical ventilation needs and rates of admission to the ICU were compared between the three groups. During this period, patient and healthcare worker transmissions were recorded. In total, 1273 surgical, 476 non-operating room intervention patients and 1884 COVID-19 inpatients were examined. The rate of ICU requirement among patients who had surgery was nearly twice that for inpatients and intervention patients, but there was no difference in mortality between the groups. The overall mortality rates were 2.3% in surgical patients, 3.3% in intervention patients and 3% in inpatients. COVID-19 polymerase chain reaction positivity among hospital workers was 2.4%. Only 3.3% of infected frontline healthcare workers were anaesthesiologists. No deaths occurred among infected healthcare workers. We conclude that emergency surgery and non-operating room interventions during the pandemic period do not increase postoperative mortality and can be performed with low transmission rates.