10 research outputs found

    Clinical characteristics of under-five children having pneumonia and diarrhea with (cases) and without metabolic acidosis (controls).

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    <p>Figures represent n (%), unless specified. OR: odds ratio. CI: confidence interval.</p><p>IQR: inter-quartile range.SD: standard deviation. WHZ: weight for height z score; SpO<sub>2</sub> = transcutaneously measured blood oxygen concentration.</p

    Schematic representation of the models.

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    <p>(A) Mechanistic temporal model. The population is divided into three classes, for the susceptible <i>S</i>, infected <i>I</i> and recovered <i>R</i> individuals. The arrows denote rates of flow among these classes. The force of infection λ includes three components: a long-term trend, secondary transmission that depends on the levels of infection in the population, and primary transmission at a constant rate from an environmental reservoir of the pathogen. The transmission coefficient (or rate) β in secondary transmission incorporates seasonality, interannual variation as a function of the ENSO index, and environmental noise. (B) Statistical spatio-temporal model. Districts of the city known as “thanas” are grouped into two main regions (depicted in orange for the core and in blue for the periphery). Thanas within the same group follow the same dynamical rules in terms of transitions between cholera levels or states from one month to the next. Three states are considered and used to discretize the case data: no cholera (0), low cholera (1), or high cholera (2) as indicated by the different color intensity. The probability of transition between states from one month to the next depends on the season, the maximum state of neighboring districts, and the climate covariate (ENSO). For details on the models, see <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0172355#sec004" target="_blank">Methods</a> and <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0172355#pone.0172355.s008" target="_blank">S1 Text</a>.</p

    Hindcasts for the indicated years and forecast for 2016, for the post-monsoon (Aug-Dec) season of cholera.

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    <p>The distribution of observed cases for this same post-monsoon period for the training data used to fit the models was used to estimate the values of the 50th (the median), 75th and 95th quantiles. These values are used as thresholds to define outbreaks of increasing size: a season that exceeds the median is considered anomalous, one that exceeds the 75% level, is considered a large outbreak, and one that exceeds the 95% level, an extreme outbreak. The average observed cases for each year are shown next with an indication of whether they exceed the threshold (yes, “outbreak”) or not (no, “no outbreak”). The proportion of 1000 simulations that fall above each threshold level is reported as a probability, and a probability > 50% is interpreted as a prediction of an outbreak, specified in the last column.</p
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