The Importance of Being Hybrid for Spatial Epidemic Models: A Multi-Scale Approach

International audienceThis work addresses the spread of a disease within an urban system, defined as a network of interconnected cities. The first step consists of comparing two different approaches: a macroscopic one, based on a system of coupled Ordinary Differential Equations (ODE) Susceptible-Infected-Recovered (SIR) systems exploiting populations on nodes and flows on edges (so-called metapopulational model), and a hybrid one, coupling ODE SIR systems on nodes and agents traveling on edges. Under homogeneous conditions (mean field approximation), this comparison leads to similar results on the outputs on which we focus (the maximum intensity of the epidemic, its duration and the time of the epidemic peak). However, when it comes to setting up epidemic control strategies, results rapidly diverge between the two approaches, and it appears that the full macroscopic model is not completely adapted to these questions. In this paper, we focus on some control strategies, which are quarantine, avoidance and risk culture, to explore the differences, advantages and disadvantages of the two models and discuss the importance of being hybrid when modeling and simulating epidemic spread at the level of a whole urban system

The Importance of Being Hybrid for Spatial Epidemic Models: A Multi-Scale Approach

This work addresses the spread of a disease within an urban system, defined as a network of interconnected cities. The first step consists of comparing two different approaches: a macroscopic one, based on a system of coupled Ordinary Differential Equations (ODE) Susceptible-Infected-Recovered (SIR) systems exploiting populations on nodes and flows on edges (so-called metapopulational model), and a hybrid one, coupling ODE SIR systems on nodes and agents traveling on edges. Under homogeneous conditions (mean field approximation), this comparison leads to similar results on the outputs on which we focus (the maximum intensity of the epidemic, its duration and the time of the epidemic peak). However, when it comes to setting up epidemic control strategies, results rapidly diverge between the two approaches, and it appears that the full macroscopic model is not completely adapted to these questions. In this paper, we focus on some control strategies, which are quarantine, avoidance and risk culture, to explore the differences, advantages and disadvantages of the two models and discuss the importance of being hybrid when modeling and simulating epidemic spread at the level of a whole urban system

: Recueil de fiches pédagogiques du réseau MAPS

DoctoralLe réseau thématique MAPS «Modélisation multi-Agent appliquée aux Phénomènes Spatialisés » propose depuis 2009 des évènements scientifiques ayant pour but de diffuser les pratiques de modélisations multi-agents au sein des Sciences de l’Homme et de la Société (SHS). Ce collectif pluridisciplinaire de chercheurs, d’enseignants-chercheurs et de doctorants est labellisé en tant que ≪ réseau thématique » par le Réseau National des Systèmes Complexes (GIS RNSC) et bénéficie du soutien du CNRS au titre de la Formation Permanente. Depuis 2009, plusieurs modèles ont été développés au cours d'événements MAPS. Ces modèles ont fait l'objet de fiches pédagogiques détaillées destinées aux communautés éducatives et universitaires et en particulier aux enseignants qui souhaiteraient faire découvrir la modélisation à leurs étudiants, mais aussi à ceux qui envisagent d’approfondir certains aspects avec un public plus averti. Elles sont également destinées à tous les curieux qui souhaiteraient découvrir ce que la modélisation apporte aux SHS, du point de vue heuristique et du point de vue opérationnel. Enfin, elles sont aussi des supports pour toutes les personnes qui souhaiteraient diffuser les réflexions scientifiques sur la modélisation et la simulation qui ont présidé à la rédaction de ces fiches

Global Retinoblastoma Presentation and Analysis by National Income Level.

Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4%) were female. Most patients (n = 3685 [84.7%]) were from low- and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 [62.8%]), followed by strabismus (n = 429 [10.2%]) and proptosis (n = 309 [7.4%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 [95% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 [95% CI, 4.30-7.68]). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs

The global retinoblastoma outcome study : a prospective, cluster-based analysis of 4064 patients from 149 countries

DATA SHARING : The study data will become available online once all analyses are complete.BACKGROUND : Retinoblastoma is the most common intraocular cancer worldwide. There is some evidence to suggest that major differences exist in treatment outcomes for children with retinoblastoma from different regions, but these differences have not been assessed on a global scale. We aimed to report 3-year outcomes for children with retinoblastoma globally and to investigate factors associated with survival. METHODS : We did a prospective cluster-based analysis of treatment-naive patients with retinoblastoma who were diagnosed between Jan 1, 2017, and Dec 31, 2017, then treated and followed up for 3 years. Patients were recruited from 260 specialised treatment centres worldwide. Data were obtained from participating centres on primary and additional treatments, duration of follow-up, metastasis, eye globe salvage, and survival outcome. We analysed time to death and time to enucleation with Cox regression models. FINDINGS : The cohort included 4064 children from 149 countries. The median age at diagnosis was 23·2 months (IQR 11·0–36·5). Extraocular tumour spread (cT4 of the cTNMH classification) at diagnosis was reported in five (0·8%) of 636 children from high-income countries, 55 (5·4%) of 1027 children from upper-middle-income countries, 342 (19·7%) of 1738 children from lower-middle-income countries, and 196 (42·9%) of 457 children from low-income countries. Enucleation surgery was available for all children and intravenous chemotherapy was available for 4014 (98·8%) of 4064 children. The 3-year survival rate was 99·5% (95% CI 98·8–100·0) for children from high-income countries, 91·2% (89·5–93·0) for children from upper-middle-income countries, 80·3% (78·3–82·3) for children from lower-middle-income countries, and 57·3% (52·1-63·0) for children from low-income countries. On analysis, independent factors for worse survival were residence in low-income countries compared to high-income countries (hazard ratio 16·67; 95% CI 4·76–50·00), cT4 advanced tumour compared to cT1 (8·98; 4·44–18·18), and older age at diagnosis in children up to 3 years (1·38 per year; 1·23–1·56). For children aged 3–7 years, the mortality risk decreased slightly (p=0·0104 for the change in slope). INTERPRETATION : This study, estimated to include approximately half of all new retinoblastoma cases worldwide in 2017, shows profound inequity in survival of children depending on the national income level of their country of residence. In high-income countries, death from retinoblastoma is rare, whereas in low-income countries estimated 3-year survival is just over 50%. Although essential treatments are available in nearly all countries, early diagnosis and treatment in low-income countries are key to improving survival outcomes.The Queen Elizabeth Diamond Jubilee Trust and the Wellcome Trust.https://www.thelancet.com/journals/langlo/homeam2023Paediatrics and Child Healt

Dynamique d'un modèle neuronal, synchronisation et complexité

The neuron is a point of interest in various scientific domains as a fundamental cell in the nervous system. Some mathematical models describing neuron behaviour exist. When some of these models interact due to coupling functions, the network behaviour can be analyzed as a complex system, . Firstly, this work presents the main mechanisms governing the neuron behaviour in order to understand the different models. Several models are then presented, including the Hindmarsh-Rose one, dating from 1984. The numerical and theoretical study of the asymptotic and transitory dynamics of the forementioned model is then proposed in the second part of this thesis. In the third part, interaction networks are constructed coupling many of these models. These networks are first studied in terms of complete synchronization. Consequently, some properties emerge, some of which are characterized by power laws. Finally, an algorithm of burst synchronization detection is developped.Le fonctionnement d'un neurone, cellule fondamentale du système nerveux, intéresse de nombreuses disciplines scientifiques. Il existe ainsi des modèles mathématiques qui décrivent leur comportement par des systèmes d'EDO. Plusieurs de ces modèles peuvent ensuite être couplés afin de pouvoir étudier le comportement de réseaux, systèmes complexes au sein desquels émergent des propriétés. Ce travail présente, dans un premier temps, les principaux mécanismes régissant ce fonctionnement afin d'en comprendre la modélisation. Plusieurs modèles sont alors présentés, jusqu'à celui de Hindmarsh-Rose (1984), qui présente une dynamique lente-rapide. C'est sur l'étude numérique mais également théorique de la dynamique asymptotique et transitoire de ce dernier modèle, que se concentre la seconde partie de cette thèse. Dans une troisième partie, des réseaux d'interactions sont construits en couplant les systèmes dynamiques précédemment étudiés. L'étude du phénomène de synchronisation complète au sein de ces réseaux montre l'existence de propriétés émergentes pouvant être caractérisées par des lois de puissance. Enfin, un algorithme de détection de la synchronisation de bursts est proposé

Bifurcations of a neuron oscillator

5 pagesInternational audienceThis work adresses the study of the three-dimensional autonomous ordinary differential equations Hindmarsh-Rose neuronal model. General bifurcation diagrams are first given after a brief presentation of the model. Then, the existence of a Hopf bifurcation according to a small parameter which corresponds to the ratio of time scales between the fast and the slow dynamics is proved. Using the Hassard method we show that, under some conditions, a Hopf bifurcation occurs for a critical value of this parameter. The direction, stability and period of this bifurcation are also discussed. Numerical simulations are done to observe this bifurcation and to illustrate theoretical results

Hopf Bifurcations in Directed Acyclic Networks of Linearly Coupled Hindmarsh–Rose Systems

International audienceThis paper addresses the existence of Hopf bifurcations in a directed acyclic network of neurons, each of them being modeled by a Hindmarsh–Rose (HR) neuronal model. The bifurcation parameter is the small parameter corresponding to the ratio of time scales between the fast and the slow dynamics. We first prove that, under certain hypotheses, the single uncoupled neuron can undergo a Hopf bifurcation. Hopf bifurcation occurrences in a directed acyclic network of HR neurons are then discussed. Numerical simulations are carried out to observe these bifurcations and to illustrate the theoretical results

Dynamical Systems with NetLogo

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