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Keywords = time-varying reproduction number

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14 pages, 2241 KB  
Article
COVID-19 Transmission Potential and Non-Pharmaceutical Interventions in Maine During the COVID-19 Pandemic
by Ina Sze-Ting Lee, Sylvia K. Ofori, Doyinsola A. Babatunde, Emmanuel A. Akowuah, Kin On Kwok, Gerardo Chowell and Isaac Chun-Hai Fung
Pathogens 2025, 14(9), 893; https://doi.org/10.3390/pathogens14090893 - 5 Sep 2025
Viewed by 146
Abstract
The study aimed to evaluate regional variation in SARS-CoV-2 transmission and assess associations between public health interventions and the time-varying reproduction number (Rt) across Maine from January 2020 to February 2023. Daily confirmed COVID-19 case counts were adjusted for reporting anomalies and delays [...] Read more.
The study aimed to evaluate regional variation in SARS-CoV-2 transmission and assess associations between public health interventions and the time-varying reproduction number (Rt) across Maine from January 2020 to February 2023. Daily confirmed COVID-19 case counts were adjusted for reporting anomalies and delays using deconvolution. Infection counts were estimated by applying a Poisson-distributed multiplier of 4 to account for underreporting. Rt was estimated using EpiEstim with a 7-day sliding window from January 2020 through February 2023. The analysis of associations between Rt and public health interventions was limited to 2020, concluding just before COVID-19 vaccines became available in Maine in December 2020. EpiEstim was parameterized with an Omicron-specific serial interval distribution (main analysis) and an early-pandemic serial interval distribution (sensitivity analysis). Maine experienced four major COVID-19 waves. Rt values fluctuated but remained close to 1 at both the statewide and district levels. No statistically significant changes in Rt were observed in association with any interventions implemented in 2020. Our findings underscore the challenges of quantifying intervention impacts in rural settings, where low incidence and sparse data can obscure the effects of interventions. This highlights the need for enhanced surveillance tools tailored to the unique constraints of rural public health contexts. Full article
(This article belongs to the Section Epidemiology of Infectious Diseases)
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16 pages, 1643 KB  
Article
Mathematical Modeling of Andrographolide Therapy Effects and Immune Response in In Vivo Dynamics of SARS-CoV-2 Infection
by Panittavee Yarnvitayalert and Teerapol Saleewong
Viruses 2025, 17(7), 891; https://doi.org/10.3390/v17070891 - 25 Jun 2025
Viewed by 500
Abstract
This study explores the viral dynamics of SARS-CoV-2 infection within host cells by incorporating the pharmacological effects of andrographolide—a bioactive compound extracted from Andrographis paniculata, renowned for its antiviral, anti-inflammatory, and immunomodulatory properties. Through the application of mathematical modeling, the interactions among [...] Read more.
This study explores the viral dynamics of SARS-CoV-2 infection within host cells by incorporating the pharmacological effects of andrographolide—a bioactive compound extracted from Andrographis paniculata, renowned for its antiviral, anti-inflammatory, and immunomodulatory properties. Through the application of mathematical modeling, the interactions among the virus, host cells, and immune responses are simulated to provide a comprehensive analysis of viral behavior over time. Two distinct models were employed to assess the impact of varying andrographolide dosages on viral load, target cell populations, and immune responses. One model revealed a clear dose–response relationship, whereas the other indicated that additional biological or pharmacological factors may modulate drug efficacy. Both models demonstrated stability, with basic reproductive numbers (R0) suggesting the potential for viral propagation in the absence of effective therapeutic interventions. This study emphasizes the significance of understanding the pharmacokinetics (PK) and pharmacodynamics (PD) of andrographolide to optimize its therapeutic potential. The findings also underscore the necessity for further investigation into the compound’s absorption, distribution, metabolism, and excretion (ADME) characteristics, as well as its prospective applications in the treatment of not only COVID-19 but also other viral infections. Overall, the results lay a foundational framework for future experimental research and clinical trials aimed at refining andrographolide dosing regimens and improving patient outcomes. Full article
(This article belongs to the Section Coronaviruses)
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22 pages, 398 KB  
Article
High-Dimensional Modeling of Huanglongbing Dynamics with Time-Varying Impulsive Control
by Feiping Xie, Youquan Luo, Yan Zhang and Shujing Gao
Mathematics 2025, 13(10), 1546; https://doi.org/10.3390/math13101546 - 8 May 2025
Viewed by 322
Abstract
This study develops a high-dimensional impulsive differential equation model to analyze Huanglongbing (HLB) transmission dynamics, incorporating seasonal fluctuations in vector psyllid populations and multi-pronged control measures: (1) periodic removal of infected/dead citrus trees to eliminate pathogen reservoirs and (2) non-uniform pesticide applications timed [...] Read more.
This study develops a high-dimensional impulsive differential equation model to analyze Huanglongbing (HLB) transmission dynamics, incorporating seasonal fluctuations in vector psyllid populations and multi-pronged control measures: (1) periodic removal of infected/dead citrus trees to eliminate pathogen reservoirs and (2) non-uniform pesticide applications timed to disrupt psyllid life cycles. The model analytically derives the basic reproduction number (R0) and proves the existence of a unique disease-free periodic solution. Theoretical analysis reveals a threshold-dependent stability: when R0<1, the disease-free solution is globally asymptotically stable, ensuring pathogen extinction; when R0>1, the system becomes uniformly persistent, indicating endemic HLB. Numerical simulations validate these findings and demonstrate that integrated interventions, combining psyllid population control and removal of infected plants, can significantly suppress HLB spread. The results provide a mathematical framework for optimizing intervention timing and intensity, offering actionable strategies for citrus growers. Full article
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15 pages, 8169 KB  
Article
The TRHDE and TSHR Genes Regulate Laying Traits in Domesticated Zi Geese
by Xiuhua Zhao, Shan Yue, Yuanliang Zhang, Jinyan Sun, Fugang Peng and Zhenhua Guo
Curr. Issues Mol. Biol. 2025, 47(5), 331; https://doi.org/10.3390/cimb47050331 - 4 May 2025
Cited by 1 | Viewed by 560
Abstract
Domestic geese are typically seasonal breeders, and the timing and number of eggs they lay vary depending on the region and breed. Previous studies evaluated the Zi goose, which is currently the domestic goose breed with the highest egg production. This research divided [...] Read more.
Domestic geese are typically seasonal breeders, and the timing and number of eggs they lay vary depending on the region and breed. Previous studies evaluated the Zi goose, which is currently the domestic goose breed with the highest egg production. This research divided the reproductive cycle into four periods and compared the ovarian RNA-seq and DNA methylation data of Zi geese across these time points to identify the key genes that increase egg production. By integrating differentially expressed genes and differentially methylated genes, we identified 525 candidate genes that presented upregulated expression and hypomethylated regions (the hypo-up group). Ultimately, we found that the thyrotropin-releasing hormone degrading enzyme (TRHDE) and thyroid-stimulating hormone receptor (TSHR) genes play a crucial role in regulating the reproductive cycle of Zi geese. We also generated a proposed model of the relationship between the TRHDE and TSHR genes in Zi geese. This study provides theoretical references for the development of egg-laying goose breeds and raises additional scientific questions for further discussion among researchers. Full article
(This article belongs to the Section Bioinformatics and Systems Biology)
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30 pages, 3558 KB  
Article
Theoretical and Numerical Analysis of the SIR Model and Its Symmetric Cases with Power Caputo Fractional Derivative
by Mohamed S. Algolam, Mohammed Almalahi, Khaled Aldwoah, Amira S. Awaad, Muntasir Suhail, Fahdah Ayed Alshammari and Bakri Younis
Fractal Fract. 2025, 9(4), 251; https://doi.org/10.3390/fractalfract9040251 - 15 Apr 2025
Cited by 1 | Viewed by 789
Abstract
This paper introduces a novel fractional Susceptible-Infected-Recovered (SIR) model that incorporates a power Caputo fractional derivative (PCFD) and a density-dependent recovery rate. This enhances the model’s ability to capture memory effects and represent realistic healthcare system dynamics in epidemic modeling. The [...] Read more.
This paper introduces a novel fractional Susceptible-Infected-Recovered (SIR) model that incorporates a power Caputo fractional derivative (PCFD) and a density-dependent recovery rate. This enhances the model’s ability to capture memory effects and represent realistic healthcare system dynamics in epidemic modeling. The model’s utility and flexibility are demonstrated through an application using parameters representative of the COVID-19 pandemic. Unlike existing fractional SIR models often limited in representing diverse memory effects adequately, the proposed PCFD framework encompasses and extends well-known cases, such as those using Caputo–Fabrizio and Atangana–Baleanu derivatives. We prove that our model yields bounded and positive solutions, ensuring biological plausibility. A rigorous analysis is conducted to determine the model’s local stability, including the derivation of the basic reproduction number (R0) and sensitivity analysis quantifying the impact of parameters on R0. The uniqueness and existence of solutions are guaranteed via a recursive sequence approach and the Banach fixed-point theorem. Numerical simulations, facilitated by a novel numerical scheme and applied to the COVID-19 parameter set, demonstrate that varying the fractional order significantly alters predicted epidemic peak timing and severity. Comparisons across different fractional approaches highlight the crucial role of memory effects and healthcare capacity in shaping epidemic trajectories. These findings underscore the potential of the generalized PCFD approach to provide more nuanced and potentially accurate predictions for disease outbreaks like COVID-19, thereby informing more effective public health interventions. Full article
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17 pages, 4332 KB  
Article
Impacts of Leaf Damage Intensity on Ant–Plant Protection Mutualism and Plant Fitness
by Isabela Cristina de Oliveira Pimenta, Eduardo Soares Calixto and Kleber Del-Claro
Plants 2025, 14(6), 837; https://doi.org/10.3390/plants14060837 - 7 Mar 2025
Cited by 1 | Viewed by 2220
Abstract
Herbivores can negatively impact plant reproduction by altering floral traits, pollination, and fruit production. To counteract this, plants developed defense mechanisms, such as the biotic defense resulting from associations with ants. The aim of this study was to investigate whether leaf herbivory at [...] Read more.
Herbivores can negatively impact plant reproduction by altering floral traits, pollination, and fruit production. To counteract this, plants developed defense mechanisms, such as the biotic defense resulting from associations with ants. The aim of this study was to investigate whether leaf herbivory at different intensities influences reproductive success and extrafloral nectar secretion patterns in a savanna plant, Banisteriopsis malifolia (Malpighiaceae). Plants were subjected to simulated leaf herbivory and divided into three groups: Control (damage < 5%), T15 (15% leaf area removed), and T50 (50% leaf area removed). Assessments continued until fruiting. The findings indicate an increase in extrafloral nectar sugar concentration after simulated herbivory. Increasing foliar damage significantly delayed the time to bloom, decreased the number of inflorescences per plant, and reduced the size of buds and flowers. Foliar damage significantly decreased fruit size. Furthermore, ant foraging was influenced by herbivory, with a predominance of aggressive ants on plants with high levels of damage. Our study shows that varying levels of leaf damage affect extrafloral nectar secretion, ant foraging behavior, and plant reproductive structures. These findings highlight how insect herbivores and the level of damage they cause influence plant fitness and consequently community structure. Full article
(This article belongs to the Special Issue Plant Behavioral Ecology)
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16 pages, 1397 KB  
Article
The Use of Botanical Extracts for the Control of Meloidogyne incognita (Kofoid and White) in Yellow Pitahaya
by Ángel García, Yadira F. Ordóñez, Yadira Vargas-Tierras, Jessica Sanmiguel, Wilson Vásquez-Castillo and Willian Viera-Arroyo
Horticulturae 2025, 11(3), 268; https://doi.org/10.3390/horticulturae11030268 - 2 Mar 2025
Viewed by 1425
Abstract
Meloidogyne incognita, a widely distributed plant parasite that is considered one of the most devastating species for various crops, has traditionally been controlled through the use of synthetic products. However, the risks associated with these products for human health and the environment [...] Read more.
Meloidogyne incognita, a widely distributed plant parasite that is considered one of the most devastating species for various crops, has traditionally been controlled through the use of synthetic products. However, the risks associated with these products for human health and the environment have prompted a search for more sustainable alternatives. In this context, plant extracts rich in secondary metabolites, such as those of Tagetes zypaquirensis and Dysphania ambrosioides, have shown potential for nematode management, although their efficacy varies. This study aimed to evaluate the effect of extracts of T. zypaquirensis, Lonchocarpus urucu, D. ambrosioides, Urera laciniata, and Ricinus communis on the population of M. incognita in Selenicereus megalanthus under controlled greenhouse conditions. A completely randomized block experimental design was used with three replicates per treatment and six yellow pitahaya (or dragon fruit) plants per experimental unit. A total of 10 g of extract per plant was applied at two application times: 7 days before nematode inoculation and 7 days after. In addition, two controls were included: an absolute control, with no extract application and no nematode inoculation, and an inoculated control, consisting of plants exposed only to nematodes. The results showed that the preventive application of T. zypaquirensis and D. ambrosioides extracts 7 days before nematode inoculation significantly reduced M. incognita populations compared to the inoculated control. At 60 days, both extracts were able to reduce nematode populations and the number of nodules on roots, with reproductive factors close to 1 (1.47 and 1.50), indicating efficient control. Moreover, plants treated with these extracts showed superior growth compared to the other treatments and the inoculated control. In conclusion, the preventive application of T. zypaquirensis and D. ambrosioides extracts had a positive influence on the control of M. incognita and caused an improvement in plant growth variables. These results suggest that these botanical extracts could be adopted within integrated nematode management strategies in agriculture, contributing to sustainability and a reduction in the use of chemicals. Full article
(This article belongs to the Special Issue Role of Nematodes in Horticultural Production)
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18 pages, 1792 KB  
Review
Ultrasound Assessment in Polycystic Ovary Syndrome Diagnosis: From Origins to Future Perspectives—A Comprehensive Review
by Stefano Di Michele, Anna Maria Fulghesu, Elena Pittui, Martina Cordella, Gilda Sicilia, Giuseppina Mandurino, Maurizio Nicola D’Alterio, Salvatore Giovanni Vitale and Stefano Angioni
Biomedicines 2025, 13(2), 453; https://doi.org/10.3390/biomedicines13020453 - 12 Feb 2025
Cited by 7 | Viewed by 7142
Abstract
Background: Polycystic ovary syndrome (PCOS) is the most prevalent endocrinopathy in women of reproductive age, characterized by a broad spectrum of clinical, metabolic, and ultrasound findings. Over time, ultrasound has evolved into a cornerstone for diagnosing polycystic ovarian morphology (PCOM), thanks to [...] Read more.
Background: Polycystic ovary syndrome (PCOS) is the most prevalent endocrinopathy in women of reproductive age, characterized by a broad spectrum of clinical, metabolic, and ultrasound findings. Over time, ultrasound has evolved into a cornerstone for diagnosing polycystic ovarian morphology (PCOM), thanks to advances in probe technology, 3D imaging, and novel stromal markers. The recent incorporation of artificial intelligence (AI) further enhances diagnostic precision by reducing operator-related variability. Methods: We conducted a narrative review of English-language articles in PubMed and Embase using the keywords “PCOS”, “polycystic ovary syndrome”, “ultrasound”, “3D ultrasound”, and “ovarian stroma”. Studies on diagnostic criteria, imaging modalities, stromal assessment, and machine-learning algorithms were prioritized. Additional references were identified via citation screening. Results: Conventional 2D ultrasound remains essential in clinical practice, with follicle number per ovary (FNPO) and ovarian volume (OV) functioning as primary diagnostic criteria. However, sensitivity and specificity values vary significantly depending on probe frequency, cut-off thresholds (≥12, ≥20, or ≥25 follicles), and patient characteristics (e.g., adolescence, obesity). Three-dimensional (3D) ultrasound and Doppler techniques refine PCOS diagnosis by enabling automated follicle measurements, stromal/ovarian area ratio assessments, and evaluation of vascular indices correlating strongly with hyperandrogenism. Meanwhile, AI-driven ultrasound analysis has emerged as a promising tool for minimizing observer bias and validating advanced metrics (e.g., SA/OA ratio) that may overcome traditional limitations of stroma-based criteria. Conclusions: The continual evolution of ultrasound, encompassing higher probe frequencies, 3D enhancements, and now AI-assisted algorithms, has expanded our ability to characterize PCOM accurately. Nevertheless, challenges such as operator dependency and inter-observer variability persist despite standardized protocols; the integration of AI holds promise in further enhancing diagnostic accuracy. Future directions should focus on robust AI training datasets, multicenter validation, and age-/BMI-specific cut-offs to optimize the balance between sensitivity and specificity, ultimately facilitating earlier and more precise PCOS diagnoses. Full article
(This article belongs to the Section Molecular and Translational Medicine)
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15 pages, 690 KB  
Article
Vertical and Horizontal Transmission of Neosporosis in Three Consecutive Pregnancies of Naturally Infected Pregnant Cows and the Effect of Vaccination on Abortion Rates
by Sharon Tirosh-Levy, Elena Blinder, Daniel Yasur-Landau, Yaniv Lavon, Jacob Joost Doekes and Monica L. Mazuz
Vaccines 2025, 13(2), 131; https://doi.org/10.3390/vaccines13020131 - 27 Jan 2025
Viewed by 845
Abstract
Background/Objectives:Neosporosis is a major cause of abortions in cattle worldwide. Primary results showed that the administration of a live attenuated vaccine during the mid-pregnancy stage of naturally infected cows may assist in preventing abortions. In this study, the effect of vaccination was evaluated [...] Read more.
Background/Objectives:Neosporosis is a major cause of abortions in cattle worldwide. Primary results showed that the administration of a live attenuated vaccine during the mid-pregnancy stage of naturally infected cows may assist in preventing abortions. In this study, the effect of vaccination was evaluated in five dairy herds, with a follow-up of three consecutive pregnancies and re-vaccination during the subsequent pregnancies of some of the cows. Methods: A total of 1059 heifers were serologically tested during their first pregnancy, and 260 and 21 of them were re-tested during their second and third pregnancies. Vaccination was administered to 193 of 420 cows with antibody titers of 1:800 or higher, and 23 of them were re-vaccinated. Data were collected regarding the outcome of each pregnancy, the number of inseminations required and removal from the herd. Vertical transmission was evaluated in 136 pre-colostral calves born from 29 vaccinated and 107 unvaccinated dams. Results: The total seroprevalence using a cutoff titer of 1:800 was 33.1, 36.5 and 85.7% during the three consecutive pregnancies. The antibody titers of individual cows fluctuated over time. Abortion rates and the rate of removal from the herd were significantly higher in seropositive cows. The rate of vertical transmission increased in correlation with the dam’s antibody titer. Immunization resulted in lower abortion rates at two of the farms. Vaccine efficacy ranged from a negative effect to 54% at different farms, with an overall efficacy of 10.4%. The effect of vaccination on abortions, reproductive performance, antibody titers, vertical transmission and removal from the herd was not significant. Conclusions: These results demonstrate varying vaccine efficacies among farms and suggest that neosporosis is a multifactorial disease that cannot be solely controlled by vaccination. Full article
(This article belongs to the Special Issue Veterinary Vaccines and Host Immune Responses)
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23 pages, 1403 KB  
Article
Investigating Mpox Strain Dynamics Using Computational and Data-Driven Approaches
by Isaiah Oke Idisi, Kayode Oshinubi, Vigbe Benson Sewanu, Mukhtar Muhammed Yahaya, Oluwafemi Samson Olagbami and Helen Olaronke Edogbanya
Viruses 2025, 17(2), 154; https://doi.org/10.3390/v17020154 - 23 Jan 2025
Cited by 2 | Viewed by 1206
Abstract
This study explores Mpox transmission dynamics using a mathematical and data-driven epidemiological model that incorporates two viral strains, Clade I and Clade II. The model includes transmission pathways between humans and mammals and divides the human population into susceptible, exposed, infectious, hospitalized, and [...] Read more.
This study explores Mpox transmission dynamics using a mathematical and data-driven epidemiological model that incorporates two viral strains, Clade I and Clade II. The model includes transmission pathways between humans and mammals and divides the human population into susceptible, exposed, infectious, hospitalized, and recovered groups. Weekly data from the WHO for Spain, Italy, Nigeria, and the DRC from 2022 to 2024 are used for model validation via non-linear least-squares fitting, with model performance assessed by Root Mean Squared Error (RMSE). We conduct time-series analysis to detect trends and anomalies in Mpox cases, with scenario simulations examining strain-specific transmission and the basic reproduction number (R0). The mathematical model fit is compared with two statistical model fits to emphasize the importance of developing a model that incorporates Mpox strain. Mathematical analysis confirms the model’s key properties, including positivity, boundedness, and equilibrium stability. Results underscore the importance of strain-specific dynamics and varying infection proportions for R0. This study combines mathematical rigor with empirical data to provide valuable insights into Mpox transmission and offers a framework for understanding multi-strain pathogens in diverse populations. Results from the simulation indicate that an increase in the effective contact rate leads to the dominance of the prevalent Mpox Clades in each country. Based on these findings, we recommend the implementation of strategies aimed at reducing the effective contact rate to control the spread of the virus strains. Full article
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22 pages, 474 KB  
Article
Computing the COVID-19 Basic and Effective Reproduction Numbers Using Actual Data: SEIRS Model with Vaccination and Hospitalization
by Svetozar Margenov, Nedyu Popivanov, Tsvetan Hristov and Veneta Koleva
Mathematics 2024, 12(24), 3998; https://doi.org/10.3390/math12243998 - 19 Dec 2024
Viewed by 2059
Abstract
A novel time-dependent deterministic SEIRS model, extended with vaccination, hospitalization, and vital dynamics, is introduced. Time-varying basic and effective reproduction numbers associated with this model are defined, which are crucial metrics in understanding epidemic dynamics. Furthermore, a parameter identification approach has been used [...] Read more.
A novel time-dependent deterministic SEIRS model, extended with vaccination, hospitalization, and vital dynamics, is introduced. Time-varying basic and effective reproduction numbers associated with this model are defined, which are crucial metrics in understanding epidemic dynamics. Furthermore, a parameter identification approach has been used to develop a numerical method to compute these numbers for long-term epidemics. We analyze the actual COVID-19 data from the USA, Italy, and Bulgaria to solve appropriate inverse problems and gain an understanding of the time evolution behavior of the basic and effective reproduction numbers. Moreover, an insightful comparison of key coronavirus data and epidemiological parameters across these countries has been conducted. For this purpose, while the basic and effective reproduction numbers provide insights into the virus transmission potential, we propose data-driven criteria for assessing the actual realization of the transmission potential of the SARS-CoV-2 virus and the effectiveness of the applied restrictive measures. To obtain these results, we conduct a mathematical analysis to demonstrate various biological properties of the new differential model, including non-negativity, boundedness, existence, and uniqueness of the solution. The new model and the associated numerical simulation tools proposed herein could be applied to COVID-19 data in any country worldwide and hold a promising potential for the transmission capacity and impact of the virus. Full article
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9 pages, 988 KB  
Article
Chorus Organization in a Neotropical Forest Cicada
by Guy Beauchamp
Biology 2024, 13(11), 913; https://doi.org/10.3390/biology13110913 - 8 Nov 2024
Cited by 1 | Viewed by 1078
Abstract
In many species of animals, males aggregate in particular locations and produce calls to attract searching females for reproduction. One striking feature of such choruses is synchronization. On a scale of hours, choruses are often concentrated at particular times of day, such as [...] Read more.
In many species of animals, males aggregate in particular locations and produce calls to attract searching females for reproduction. One striking feature of such choruses is synchronization. On a scale of hours, choruses are often concentrated at particular times of day, such as dawn or dusk. On a scale of seconds, males may also synchronize the rhythm of their calls with one another. While synchronized calling at this scale suggests benefits acting at the collective level, competitive interactions between males to attract females can also lead to synchronized calling as an epiphenomenon. Why males in some species synchronize the rhythm of their calls is still debated, and more work is needed to understand the evolution of this behavior. I investigated chorus organization in the Emerald cicada (Zammara smaragdula), a Neotropical forest cicada in southern Belize, to explore these issues. Choruses in this species occurred at dawn and dusk and, occasionally, during daytime. There was no evidence for synchronization in the rhythm of calls among males, as bouts of collective calling occurred after quiet intervals of variable rather than fixed durations. The temporal aggregation of calls in this species thus probably emerged from competitive interactions among males to attract females. The degree of temporal overlap in the calls of males during a chorus varied as a function of chorus phase and time of day, suggesting flexibility in chorus organization, perhaps in relation to temporal variations in factors such as the number of calling cicadas, the number of predators present or ambient temperature during a chorus. Full article
(This article belongs to the Section Behavioural Biology)
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11 pages, 792 KB  
Article
Effect of EV71 Vaccination on Transmission Dynamics of Hand, Foot, and Mouth Disease and Its Epidemic Prevention Threshold
by Dashan Zheng, Lingzhi Shen, Wanqi Wen, Zitong Zhuang, Samantha E. Qian, Feng Ling, Ziping Miao, Rui Li, Stephen Edward McMillin, Sabel Bass, Jimin Sun, Hualiang Lin and Kun Liu
Vaccines 2024, 12(10), 1166; https://doi.org/10.3390/vaccines12101166 - 12 Oct 2024
Cited by 4 | Viewed by 1497
Abstract
Objective: To investigate the effect of Enterovirus A71 (EV71) vaccination on the transmissibility of different enterovirus serotypes of hand, foot, and mouth disease (HFMD) in Zhejiang, China. Methods: Daily surveillance data of HFMD and EV71 vaccination from August 2016 to December 2019 were [...] Read more.
Objective: To investigate the effect of Enterovirus A71 (EV71) vaccination on the transmissibility of different enterovirus serotypes of hand, foot, and mouth disease (HFMD) in Zhejiang, China. Methods: Daily surveillance data of HFMD and EV71 vaccination from August 2016 to December 2019 were collected. Epidemic periods for each HFMD type were defined, and the time-varying effective reproduction number (Rt) was estimated, which could provide more direct evidence of disease epidemics than case number. General additive models (GAMs) were employed to analyze associations between EV71 vaccination quantity and rate and HFMD transmissibility. The epidemic prevention threshold, represented by required vaccination numbers and rates, was also estimated. Results: Vaccinating every 100,000 children ≤ 5 years could lead to a decrease in the Rt of EV71-associated HFMD by 14.44% (95%CI: 6.76%, 21.42%). Additionally, a positive correlation was observed between vaccinations among children ≤ 5 years old (per 100,000) and the increased transmissibility of other HFMD types (caused by enteroviruses other than EV71 and CA16) at 1.82% (95%CI: 0.80%, 2.84%). It was estimated that an additional 362,381 vaccinations, corresponding to increased vaccine coverage to 54.51% among children ≤ 5 years could effectively prevent EV71 epidemics in Zhejiang. Conclusions: Our findings highlight the importance of enhancing EV71 vaccine coverage for controlling the epidemic of EV71-HFMD and assisting government officials in developing strategies to prevent HFMD. Full article
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17 pages, 1899 KB  
Article
Modeling the Influence of Lockdown on Epidemic Progression and Economy
by Anastasia Mozokhina, Ivan Popravka, Masoud Saade and Vitaly Volpert
Mathematics 2024, 12(19), 3106; https://doi.org/10.3390/math12193106 - 4 Oct 2024
Cited by 2 | Viewed by 1466
Abstract
The COVID-19 pandemic has underscored the necessity of implementing non-pharmaceutical interventions such as lockdowns to mitigate the spread of infectious diseases. This study aims to model the impact of lockdown measures on the progression of an epidemic. Using a combination of compartmental models, [...] Read more.
The COVID-19 pandemic has underscored the necessity of implementing non-pharmaceutical interventions such as lockdowns to mitigate the spread of infectious diseases. This study aims to model the impact of lockdown measures on the progression of an epidemic. Using a combination of compartmental models, specifically a novel delay model, we analyze the effects of varying lockdown intensities and durations on disease transmission dynamics. The results highlight that timely and stringent lockdowns can significantly reduce the peak number of infections and delay the epidemic’s peak, thereby alleviating pressure on healthcare systems. Moreover, our models demonstrate the importance of appropriate lifting of lockdowns to prevent a resurgence of cases. Analytical and numerical results reveal critical thresholds for lockdown efficacy from the epidemiological point of view, which depend on such factors as the basic reproduction number (0), disease duration, and immunity waning. In the case of a single outbreak with permanent immunity, we analytically determine the optimal proportion of isolated people which minimizes the total number of infected. While in the case of temporary immunity, numerical simulations show that the infectious cases decrease with respect to the proportion of isolated people during lockdowns; as we increase the proportion of isolated people, we have to increase the duration of lockdowns to obtain periodic outbreaks. Further, we assess the influence of epidemic with or without lockdown on the economy and evaluate its economical efficacy by means of the level of population wealth. The percentage of productive individuals among isolated people influences the wealth state of the population during lockdowns. The latter increases with the rise of the former for fixed epidemic parameters. This research provides valuable insights for policymakers in designing effective lockdown strategies to control future epidemics. Full article
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14 pages, 262 KB  
Article
Polycystic Ovary Syndrome: A Comprehensive Exploration of Diagnosis Experience in Saudi Women
by Norah Alqntash, Alya AlZabin, Ebtesam Almajed, Kayan Alotaibi, Ghada Alhindi, Sayed Ibrahim Ali and Hanadi Bakhsh
J. Clin. Med. 2024, 13(17), 5305; https://doi.org/10.3390/jcm13175305 - 7 Sep 2024
Cited by 1 | Viewed by 3284
Abstract
Background/Objectives: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder among women of reproductive age, characterized by symptoms such as menstrual irregularities, hyperandrogenism, and polycystic ovaries. This study aimed to explore the diagnostic experiences of women with PCOS in Saudi Arabia, evaluating the [...] Read more.
Background/Objectives: Polycystic Ovary Syndrome (PCOS) is a prevalent endocrine disorder among women of reproductive age, characterized by symptoms such as menstrual irregularities, hyperandrogenism, and polycystic ovaries. This study aimed to explore the diagnostic experiences of women with PCOS in Saudi Arabia, evaluating the timeline to diagnosis, the adequacy of information provided, and overall patient satisfaction with the healthcare process. Methods: A cross-sectional online survey was conducted with 1182 women diagnosed with PCOS across Saudi Arabia. The survey collected data on sociodemographic characteristics, the timeline from symptom onset to diagnosis, the number of healthcare visits required for diagnosis, and satisfaction with the information and support provided during the diagnostic process. Statistical analyses, including linear regression, were performed to identify factors influencing patient satisfaction. Results: The study found that 43.2% of participants sought medical attention within a year of symptom onset, yet significant delays in diagnosis were common, with 28.6% of women waiting six months or more after seeking medical care. Only 42.7% of women reported receiving adequate information at diagnosis, and satisfaction levels varied across different aspects of care. Key predictors of lower satisfaction included marital status and longer time since diagnosis, while quicker diagnosis and more healthcare visits before diagnosis positively influenced satisfaction. Conclusions: The findings highlight critical gaps in the diagnostic process and patient education for PCOS in Saudi Arabia. The widespread dissatisfaction with the information provided underscores the need for improved patient-centered care, comprehensive education, and standardized diagnostic protocols. Addressing these issues could enhance patient satisfaction and lead to better management of PCOS, both in Saudi Arabia and globally. Full article
(This article belongs to the Special Issue Polycystic Ovary Syndrome (PCOS): State of the Art: 2nd Edition)
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