scholarly journals Factors associated with the spatial heterogeneity of COVID-19 in France: a nationwide ecological study

2020 ◽  
Author(s):  
Jean Gaudart ◽  
Jordi Landier ◽  
laetitia huiart ◽  
Eva Legendre ◽  
Laurent Lehot ◽  
...  
Keyword(s):  
Spatial Heterogeneity ◽  
Ecological Study ◽  
Generalized Additive Models ◽  
Principal Component ◽  
Additive Models ◽  
Factors Associated ◽  
North East ◽  
The North ◽  
Incidence And Mortality ◽  
The Impact

Like in many countries and regions, spread of the COVID 19 pandemic has exhibited important spatial heterogeneity across France, one of the most affected countries so far. To better understand factors associated with incidence, mortality and lethality heterogeneity across the 96 administrative departments of metropolitan France, we thus conducted a geoepidemiological analysis based on publicly available data, using hierarchical ascendant classification (HAC) on principal component analysis (PCA) of multidimensional variables, and multivariate analyses with generalized additive models (GAM). Our results confirm a marked spatial heterogeneity of in-hospital COVID 19 incidence and mortality, following the North East / South West diffusion of the epidemic. The delay elapsed between the first COVID-19 associated death and the onset of the national lockdown on March 17th, 2020, appeared positively associated with in-hospital incidence, mortality and lethality. Mortality was also strongly associated with incidence. Mortality and lethality rates were significantly higher in departments with older population, but they were not significantly associated with the number of intensive-care beds available in 2018. We did not find any significant association between incidence, mortality or lethality rates and incidence of new chloroquine and hydroxychloroquine dispensations in pharmacies either, nor between COVID 19 incidence and climate, nor between economic indicators and in-hospital COVID 19 incidence or mortality. This ecological study highlights the impact of population age structure, epidemic spread and transmission mitigation policies in COVID-19 morbidity or mortality heterogeneity.

scholarly journals The extent of injection site infection in injecting drug users: findings from a national surveillance study

2010 ◽  
Vol 138 (10) ◽  
pp. 1510-1518 ◽  
Author(s):  
V. D. HOPE ◽  
A. MARONGIU ◽  
J. V. PARRY ◽  
F. NCUBE
Keyword(s):  
Northern Ireland ◽  
Injection Site ◽  
Drug Users ◽  
Needle Exchange ◽  
Injecting Drug Users ◽  
Preventive Interventions ◽  
Factors Associated ◽  
North East ◽  
The North ◽  
The Impact

SUMMARYInjection site infections in injecting drug users (IDUs) are associated with serious morbidity and healthcare costs. Factors associated with symptoms of these were examined through annual (2006–2008) unlinked-anonymous survey of IDUs in England, Wales and Northern Ireland. Overall 36% (1863/5209) self-reported having a symptom with no trend over time (35% 2006, 37% 2007, 34% 2008). Symptoms were less common in the North East of England; increased with years injecting; and were higher in women, those recently homeless, those recently using a needle exchange, and those injecting both opiates and stimulants. Of those injecting during the previous 4 weeks (n=3733) symptoms were associated with: injecting daily; injecting ⩾10 times a day; injecting into hands, groin, or legs; sharing filters; and reusing water to flush syringes. Symptoms of injection site infections are common in IDUs. Better-targeted preventive interventions are needed, and continued surveillance should assist with assessing the impact of new initiatives.

scholarly journals Non-Parametric Generalized Additive Models as a Tool for Evaluating Policy Interventions

Mathematics ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 299
Author(s):  
Jaime Pinilla ◽  
Miguel Negrín
Keyword(s):  
Linear Regression ◽  
Regression Models ◽  
Linear Trend ◽  
Generalized Additive Models ◽  
Additive Models ◽  
Linear Regression Models ◽  
Non Linear ◽  
Nonlinear Trends ◽  
The Impact ◽  
Non Parametric

The interrupted time series analysis is a quasi-experimental design used to evaluate the effectiveness of an intervention. Segmented linear regression models have been the most used models to carry out this analysis. However, they assume a linear trend that may not be appropriate in many situations. In this paper, we show how generalized additive models (GAMs), a non-parametric regression-based method, can be useful to accommodate nonlinear trends. An analysis with simulated data is carried out to assess the performance of both models. Data were simulated from linear and non-linear (quadratic and cubic) functions. The results of this analysis show how GAMs improve on segmented linear regression models when the trend is non-linear, but they also show a good performance when the trend is linear. A real-life application where the impact of the 2012 Spanish cost-sharing reforms on pharmaceutical prescription is also analyzed. Seasonality and an indicator variable for the stockpiling effect are included as explanatory variables. The segmented linear regression model shows good fit of the data. However, the GAM concludes that the hypothesis of linear trend is rejected. The estimated level shift is similar for both models but the cumulative absolute effect on the number of prescriptions is lower in GAM.

scholarly journals Prevalence of internalizing disorders, symptoms, and traits across age using advanced nonlinear models

2021 ◽  
pp. 1-10
Author(s):  
Hanna M. van Loo ◽  
Lian Beijers ◽  
Martijn Wieling ◽  
Trynke R. de Jong ◽  
Robert A. Schoevers ◽  
...  
Keyword(s):  
Internalizing Symptoms ◽  
Nonlinear Models ◽  
Generalized Additive Models ◽  
Population Sample ◽  
Internalizing Disorders ◽  
Relative Difference ◽  
Additive Models ◽  
Point Prevalence ◽  
Cross Sectional ◽  
The Impact

Abstract Background Most epidemiological studies show a decrease of internalizing disorders at older ages, but it is unclear how the prevalence exactly changes with age, and whether there are different patterns for internalizing symptoms and traits, and for men and women. This study investigates the impact of age and sex on the point prevalence across different mood and anxiety disorders, internalizing symptoms, and neuroticism. Methods We used cross-sectional data on 146 315 subjects, aged 18–80 years, from the Lifelines Cohort Study, a Dutch general population sample. Between 2012 and 2016, five current internalizing disorders – major depression, dysthymia, generalized anxiety disorder, social phobia, and panic disorder – were assessed according to DSM-IV criteria. Depressive symptoms, anxiety symptoms, neuroticism, and negative affect (NA) were also measured. Generalized additive models were used to identify nonlinear patterns across age, and to investigate sex differences. Results The point prevalence of internalizing disorders generally increased between the ages of 18 and 30 years, stabilized between 30 and 50, and decreased after age 50. The patterns of internalizing symptoms and traits were different. NA and neuroticism gradually decreased after age 18. Women reported more internalizing disorders than men, but the relative difference remained stable across age (relative risk ~1.7). Conclusions The point prevalence of internalizing disorders was typically highest between age 30 and 50, but there were differences between the disorders, which could indicate differences in etiology. The relative gap between the sexes remained similar across age, suggesting that changes in sex hormones around the menopause do not significantly influence women's risk of internalizing disorders.

scholarly journals Predicting survival function and identifying associated factors in patients with renal insufficiency in the metropolitan area of Maringá, Paraná State, Brazil

2018 ◽  
Vol 34 (1) ◽  
Author(s):  
Thiago G. Ramires ◽  
Luiz R. Nakamura ◽  
Ana J. Righetto ◽  
Edwin M. M. Ortega ◽  
Gauss M. Cordeiro
Keyword(s):  
Renal Insufficiency ◽  
Metropolitan Area ◽  
Associated Factors ◽  
Generalized Additive Models ◽  
Survival Function ◽  
National Health System ◽  
Public Health Problem ◽  
Additive Models ◽  
Factors Associated ◽  
Significant Factors

Renal insufficiency is a serious medical and public health problem worldwide. Recently, although many surveys have been developed to identify factors related to the lifetime of patients with renal insufficiency, controversial results from several studies suggest that researches should be conducted by region. Thus, in this study we aim to predict and identify factors associated with the lifetime of patients with chronic renal failure (CRF) in the metropolitan area of Maringá, Paraná State, Brazil, based on the generalized additive models for location, scale and shape (GAMLSS) framework. Data used in this study were collected from the Maringá Kidney Institute and comprehends 177 patients (classified with CRF and mostly being treated under the Brazilian Unified National Health System) enrolled in a hemodialysis program from 1978 up to 2010. By using this approach, we concluded that in other regions, gender, kidney transplant indicator, antibodies to hepatitis B and antibodies to hepatitis C are significant factors that affect the expected lifetime.

scholarly journals EVALUATION OF THE IMPACT OF ENVIRONMENTAL CONDITIONS ON THE STATUS OF THE BODY OF YOUNG PEOPLE OF 17-19 YEARS OF DIFFERENT ETHNIC GROUPS OF THE NORTH-EAST RUSSIA

2019 ◽  
Vol 96 (8) ◽  
pp. 766-769 ◽  
Author(s):  
Inessa V. Averyanova ◽  
S. I. Vdovenko ◽  
A. L. Maksimov
Keyword(s):  
Gas Exchange ◽  
Climatic Conditions ◽  
The Body ◽  
External Respiration ◽  
Adaptive Responses ◽  
Northeast Russia ◽  
North East ◽  
The North ◽  
Magadan Region ◽  
The Impact

Natural and climatic conditions of the environment of Northeast Russia and particularly Magadan region are the very factor mostly influencing adaptive responses by individuals inhabiting the region. Compensatory and adaptive responses in indigenes and newcomers of the region can be assumed to have their specific features. In 2009 there was executed the examination of the cardiovascular and respiratory systems and gas exchange in 392 cases aged of 17-19 years, including Europeans (Caucasians) born in the North in the 1st-2nd generation and indigenes. The methodologically similar study was carried out in 2014 in 265 persons, referred to the same cohorts of North-born Caucasians and Indigenes from the Magadan region. The results of the study executed in 2009 testified to a small number of physiological parameters that were reliably different in Caucasians vs. Indigene subjects. In 2014 no difference was found between the two examined cohorts throughout the observed parameters. The revealed changes in gas exchange, external respiration and cardiovascular systems demonstrated by modern young Indigenes of Northeast Russia testified to the fall in the effectiveness of their breathing. All that makes them farther from the classic “polar metabolic type” and their morphofunctional status becomes closer to European male subjects of Northeast Russia. Thus, we can observe a clear tendency towards “convergence in programs” of the adaptive changes between populations of the North residents undergoing similar natural, environmental and social factors.

scholarly journals 'Greenfields' and 'Brownfields': automotive industrial development in the UK and in Portugal

Finisterra ◽  
2012 ◽  
Vol 31 (62) ◽  
Author(s):  
Andrew Pike ◽  
Mário Vale
Keyword(s):  
Industrial Policy ◽  
Automobile Industry ◽  
Industrial Development ◽  
Development Strategies ◽  
North West ◽  
Demonstration Effect ◽  
North East ◽  
The North ◽  
The Uk ◽  
The Impact

The industrial policy in the UK and in Portugal, as in most EU countries, seeks to attract new investment capacity, to create jobs and to promote the impact of the so-called "demonstration efect" of "greenfield" development strategies pursued in the new plants of inward investors on existing or "brownfield" plants. This industrial policy focus is particularly evident in the automobile industry.This paper compares the industrial policy oriented towards the automobile industry in the UK and in Portugal. Two recent "greenfield" investments are analised: Nissan in the North-East region (UK) and Ford/VW in the Setúbal Peninsula (Portugal), as well as three "brownfield" plants: Ford Halewood and GM Vauxhall Ellesmere Port in the North-West region (UK) and Renault in Setúbal (Portugal). The first part starts with a discussion of industrial policy in the automobile sector, the role of "greenfield" development strategies and the "demonstration effect" on "brownfield" plants. Then, the limits of new inward investment are pointed out, basically their problems and restrictions. Afterwards, the structural barriers to the "demonstration effect" within "brownfield" plants are outlined and some possabilities for alternative "brownfield" development strategies are presented.

scholarly journals The Evolution of Data Sharing Practices in the Psychological Literature

2021 ◽  
Author(s):  
Judith Neve ◽  
Guillaume A Rousselet
Keyword(s):  
Data Sharing ◽  
Linear Models ◽  
Generalized Additive Models ◽  
Additive Models ◽  
Future Research ◽  
Science Data ◽  
Editorial Policies ◽  
Psychological Science ◽  
The Impact

Sharing data has many benefits. However, data sharing rates remain low, for the most part well below 50%. A variety of interventions encouraging data sharing have been proposed. We focus here on editorial policies. Kidwell et al. (2016) assessed the impact of the introduction of badges in Psychological Science; Hardwicke et al. (2018) assessed the impact of Cognition’s mandatory data sharing policy. Both studies found policies to improve data sharing practices, but only assessed the impact of the policy for up to 25 months after its implementation. We examined the effect of these policies over a longer term by reusing their data and collecting a follow-up sample including articles published up until December 31st, 2019. We fit generalized additive models as these allow for a flexible assessment of the effect of time, in particular to identify non-linear changes in the trend. These models were compared to generalized linear models to examine whether the non-linearity is needed. Descriptive results and the outputs from generalized additive and linear models were coherent with previous findings: following the policies in Cognition and Psychological Science, data sharing statement rates increased immediately and continued to increase beyond the timeframes examined previously, until reaching close to 100%. In Clinical Psychological Science, data sharing statement rates started to increase only two years following the implementation of badges. Reusability rates jumped from close to 0% to around 50% but did not show changes within the pre-policy nor the post-policy timeframes. Journals that did not implement a policy showed no change in data sharing rates or reusability over time. There was variability across journals in the levels of increase, so we suggest future research should examine a larger number of policies to draw conclusions about their efficacy. We also encourage future research to investigate the barriers to data sharing specific to psychology subfields to identify the best interventions to tackle them.

scholarly journals An investigation of human vs. technology-induced variation in catchability for a selection of European fishing fleets

2011 ◽  
Vol 68 (10) ◽  
pp. 2252-2263 ◽  
Author(s):  
Stéphanie Mahévas ◽  
Youen Vermard ◽  
Trevor Hutton ◽  
Ane Iriondo ◽  
Angélique Jadaud ◽  
...  
Keyword(s):  
Linear Models ◽  
Generalized Additive Models ◽  
Technical Information ◽  
Fishing Effort ◽  
Additive Models ◽  
Induced Variation ◽  
Fishing Fleets ◽  
The Impact ◽  
Selection Of ◽  
Experience Effect

Abstract Mahévas, S., Vermard, Y., Hutton, T., Iriondo, A., Jadaud, A., Maravelias, C. D., Punzón, A., Sacchi, J., Tidd, A., Tsitsika, E., Marchal, P., Goascoz, N., Mortreux, S., and Roos, D. 2011. An investigation of human vs. technology-induced variation in catchability for a selection of European fishing fleets. – ICES Journal of Marine Science, 68: 2252–2263. The impact of the fishing effort exerted by a vessel on a population depends on catchability, which depends on population accessibility and fishing power. The work investigated whether the variation in fishing power could be the result of the technical characteristics of a vessel and/or its gear or whether it is a reflection of inter-vessel differences not accounted for by the technical attributes. These inter-vessel differences could be indicative of a skipper/crew experience effect. To improve understanding of the relationships, landings per unit effort (lpue) from logbooks and technical information on vessels and gears (collected during interviews) were used to identify variables that explained variations in fishing power. The analysis was undertaken by applying a combination of generalized additive models and generalized linear models to data from several European fleets. The study highlights the fact that taking into account information that is not routinely collected, e.g. length of headline, weight of otter boards, or type of groundrope, will significantly improve the modelled relationships between lpue and the variables that measure relative fishing power. The magnitude of the skipper/crew experience effect was weaker than the technical effect of the vessel and/or its gear.

Detecting drought conditions related to vegetation at west continental Europe based on variations from the North and Caspian Seas

2021 ◽  
Author(s):  
Bolin Xu ◽  
Qing He ◽  
Kwok Pan Chun ◽  
Julian Klaus ◽  
Rémy Schoppach ◽  
...  
Keyword(s):  
North Sea ◽  
Vegetation Index ◽  
Lower Troposphere ◽  
Principal Component ◽  
Positive Phase ◽  
Vegetation Patterns ◽  
Limited Region ◽  
The North ◽  
The North Sea ◽  
The Impact

<p>Teleconnections relate regional pressure patterns to local climate anomalies, influencing the variation of vegetation patterns. Over west continental Europe, droughts have been widely investigated with persistent low-frequency atmospheric circulation patterns (e.g. the North Atlantic Oscillation, NAO) with the centers over the Atlantic based on the 500mb height anomalies of the Northern Hemisphere. However, the effects of teleconnection patterns with the centers of active variability over the North and Caspian Seas is largely unexplored for droughts related to vegetation patterns. In this study, we explored the impact of the North Sea-Caspian Pattern (NCP) on regional ecohydrologic conditions in the Greater Region of Luxembourg in Western Europe. Using a Principal Component Analysis (PCA), we first decomposed the annual Normalized Difference Vegetation Index (NDVI) from the Global Inventory Monitoring and Modeling System (GIMMS) between 1981 and 2015. In the first PCA component, a distinctive greening trend of NDVI is detected since the late 1980s. However, the corresponding station observations and the ERA5 reanalysis data show that the region in west continental Europe became increasingly drier based on the difference between precipitation and evaporation. We explain the above paradoxical greening but drying patterns by the mechanism of NCP over the region. During the positive phase of NCP, the high pressure over the North Sea weakens circulation over the region and leads to warmer conditions in west continental Europe. These conditions are good for vegetation growth because the region was mainly energy-limited during the observed period at the annual scale based on a Budyko analysis. However, the positive phase of NCP also promotes divergent conditions at the lower troposphere and it reduces moisture flux over the region. In the Budyko space, the persistent positive phase of NCP would lead the energy-limited region to be water-limited. As the positive phase of NCP is expected to be more frequent along with the increasing global temperatures, the region may start to experience increasing water stress on vegetation. These results suggest that unforeseen droughts related to vegetation may be emerging in the region. New drought monitoring and management measures related to vegetation should be developed at west continental Europe, especially during the positive phase of NCP.</p>

Inequalities in awareness and availability of bereavement services in North-East England

2020 ◽  
pp. bmjspcare-2020-002422
Author(s):  
Donna Wakefield ◽  
Elizabeth Fleming ◽  
Kate Howorth ◽  
Kerry Waterfield ◽  
Emily Kavanagh ◽  
...  
Keyword(s):  
Phase 1 ◽  
Waiting Times ◽  
Financial Strain ◽  
Web Based ◽  
North East ◽  
The North ◽  
Referral Criteria ◽  
National Guidance ◽  
The Uk ◽  
The Impact

ObjectivesNational guidance recommends equality in access to bereavement services; despite this, awareness and availability appears inconsistent. The aim of this study was to explore availability and accessibility of bereavement services across the North-East of England and to highlight issues potentially applicable across the UK, at a time of unprecedented need due to the impact of COVID-19.MethodsPhase 1: an eight item, web-based survey was produced. A survey link was cascaded to all GP practices (General Practitioners) in the region. Phase 2: an email was sent to all services identified in phase 1, requesting details such as referral criteria and waiting times.ResultsAll 392 GP practices in the region were invited to participate. The response rate was 22% (85/392). Twenty-one per cent (18/85) of respondents reported that they do not refer patients, comments included ‘not aware of any services locally’. A total of 36 services were contacted with 72% responding with further information. Most bereavement specific support was reliant on charity-funded services including hospices, this sometimes required a pre-existing link with the hospice. Waiting times were up to 4 months.ConclusionsAlthough multiple different, usually charity-funded services were identified, awareness and accessibility were variable. This survey was conducted prior to the COVID-19 pandemic, where complex situations surrounding death is likely to impact on the usual grieving process and increase the need for bereavement support. Meanwhile, charities providing this support are under severe financial strain. There is an urgent need to bridge the gap between need and access to bereavement services.

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