32 research outputs found
A review of spatial causal inference methods for environmental and epidemiological applications
The scientific rigor and computational methods of causal inference have had
great impacts on many disciplines, but have only recently begun to take hold in
spatial applications. Spatial casual inference poses analytic challenges due to
complex correlation structures and interference between the treatment at one
location and the outcomes at others. In this paper, we review the current
literature on spatial causal inference and identify areas of future work. We
first discuss methods that exploit spatial structure to account for unmeasured
confounding variables. We then discuss causal analysis in the presence of
spatial interference including several common assumptions used to reduce the
complexity of the interference patterns under consideration. These methods are
extended to the spatiotemporal case where we compare and contrast the potential
outcomes framework with Granger causality, and to geostatistical analyses
involving spatial random fields of treatments and responses. The methods are
introduced in the context of observational environmental and epidemiological
studies, and are compared using both a simulation study and analysis of the
effect of ambient air pollution on COVID-19 mortality rate. Code to implement
many of the methods using the popular Bayesian software OpenBUGS is provided
Classifying dengue: a review of the difficulties in using the WHO case classification for dengue haemorrhagic fever
BACKGROUND: The current World Health Organisation (WHO) classification of dengue includes two distinct entities: dengue fever (DF) and dengue haemorrhagic fever (DHF)/dengue shock syndrome; it is largely based on pediatric cases in Southeast Asia. Dengue has extended to different tropical areas and older age groups. Variations from the original description of dengue manifestations are being reported.
OBJECTIVES: To analyse the experience of clinicians in using the dengue case classification and identify challenges in applying the criteria in routine clinical practice.
METHOD: Systematic literature review of post-1975 English-language publications on dengue classification.
RESULTS: Thirty-seven papers were reviewed. Several studies had strictly applied all four WHO criteria in DHF cases; however, most clinicians reported difficulties in meeting all four criteria and used a modified classification. The positive tourniquet test representing the minimum requirement of a haemorrhagic manifestation did not distinguish between DHF and DF. In cases of DHF thrombocytopenia was observed in 8.6-96%, plasma leakage in 6-95% and haemorrhagic manifestations in 22-93%. The low sensitivity of classifying DHF could be due to failure to repeat the tests or physical examinations at the appropriate time, early intravenous fluid therapy, and lack of adequate resources in an epidemic situation and perhaps a considerable overlap of clinical manifestations in the different dengue entities.
CONCLUSION: A prospective multi-centre study across dengue endemic regions, age groups and the health care system is required which describes the clinical presentation of dengue including simple laboratory parameters in order to review and if necessary modify the current dengue classification
Market-led policy measures for urban redevelopment in Singapore
10.1016/S0264-8377(03)00046-2Land Use Policy2111-1
Incidence of acute respiratory distress syndrome: a comparison of two definitions
Both definitions identified similar groups of patients. The incidence in this population was higher than that reported elsewhere, but mortality and cause were similar to those in developed countries. Poor outcome was associated with sepsis, a high admission PRISM score, and simultaneous occurrence of other organ dysfunction
Collective sales of private housing estates, government intervention and the erosion of property rights: The Singapore experience
International Journal for Housing Science and Its Applications254237-249IJHA
Property rights, collective sales and government intervention: Averting a tragedy of the anticommons
10.1016/S0197-3975(02)00021-8Habitat International264457-47