scholarly journals Embedding Semantic Hierarchy in Discrete Optimal Transport for Risk Minimization

Author(s):  
Yubin Ge ◽  
Site Li ◽  
Xuyang Li ◽  
Fangfang Fan ◽  
Wanqing Xie ◽  
...  
2011 ◽  
Vol 13 (4) ◽  
pp. 63-93
Author(s):  
Dmitriy Levchenkov ◽  
Thomas Coleman ◽  
Yuying Li
Keyword(s):  

2020 ◽  
Vol 15 (3) ◽  
pp. 181-189
Author(s):  
Omotayo Fatokun

Background: While off-label drug use is common and sometimes necessary, it also presents considerable risks. Therefore, measures intended to prevent or reduce the potential exposure to off-label risks have been recommended. However, little is known about community pharmacists’ beliefs regarding these measures in Malaysia. Objectives: This study examined community pharmacists’ beliefs towards risk minimization measures in off-label drug use in Malaysia and assessed the relationship between perceived risk of off-label drug use and beliefs towards risk minimization measures. Methods: A cross-sectional survey was conducted among 154 pharmacists practicing in randomly selected community pharmacies in Kuala Lumpur and the State of Selangor, Malaysia. Results: The majority agreed or strongly agreed that adverse drug events from the off-label drug should be reported to the regulatory authority (90.9%) and the off-label drug should only be used when the benefit outweighs potential risks (88.3%). Less than half (48.1%) agreed or strongly agreed that written informed consent should be obtained before dispensing off-label drugs and a majority (63.7%) agreed or strongly agreed that the informed consent process will be burdensome to healthcare professionals. Beliefs towards risk minimization measures were significantly associated with perceived risk of off-label drug use regarding efficacy (p = 0. 033), safety (p = 0.001), adverse drug rection (p = 0.001) and medication errors (p = 0.002). Conclusion: The community pharmacists have positive beliefs towards most of the risk minimization measures. However, beliefs towards written informed consent requirements are not encouraging. Enhancing risk perception may help influence positive beliefs towards risk minimization measures.


2021 ◽  
Vol 281 (5) ◽  
pp. 109068
Author(s):  
Bhishan Jacelon ◽  
Karen R. Strung ◽  
Alessandro Vignati
Keyword(s):  

Mathematics ◽  
2021 ◽  
Vol 9 (16) ◽  
pp. 1861
Author(s):  
Daniela Calvetti ◽  
Alexander P. Hoover ◽  
Johnie Rose ◽  
Erkki Somersalo

Understanding the dynamics of the spread of COVID-19 between connected communities is fundamental in planning appropriate mitigation measures. To that end, we propose and analyze a novel metapopulation network model, particularly suitable for modeling commuter traffic patterns, that takes into account the connectivity between a heterogeneous set of communities, each with its own infection dynamics. In the novel metapopulation model that we propose here, transport schemes developed in optimal transport theory provide an efficient and easily implementable way of describing the temporary population redistribution due to traffic, such as the daily commuter traffic between work and residence. Locally, infection dynamics in individual communities are described in terms of a susceptible-exposed-infected-recovered (SEIR) compartment model, modified to account for the specific features of COVID-19, most notably its spread by asymptomatic and presymptomatic infected individuals. The mathematical foundation of our metapopulation network model is akin to a transport scheme between two population distributions, namely the residential distribution and the workplace distribution, whose interface can be inferred from commuter mobility data made available by the US Census Bureau. We use the proposed metapopulation model to test the dynamics of the spread of COVID-19 on two networks, a smaller one comprising 7 counties in the Greater Cleveland area in Ohio, and a larger one consisting of 74 counties in the Pittsburgh–Cleveland–Detroit corridor following the Lake Erie’s American coastline. The model simulations indicate that densely populated regions effectively act as amplifiers of the infection for the surrounding, less densely populated areas, in agreement with the pattern of infections observed in the course of the COVID-19 pandemic. Computed examples show that the model can be used also to test different mitigation strategies, including one based on state-level travel restrictions, another on county level triggered social distancing, as well as a combination of the two.


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