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In this paper, the original SIR model is improved by considering a new compartment, representing the hospitalization of critical cases. A system of differential equations with four blocks is developed to analyze the treatment of severe cases in an Intensive Care Unit (ICU). The outgoing rate of the infected individuals who survive is divided into nI and bI/1+b where the second term represents the transition rate of critical cases that are hospitalized in ICU. The findings demonstrate the existence of forward, backward and Hopf bifurcations in various ranges of parameters. © 2022 Roostaei et al. This is an open access article distributed under the terms of the Creative Commons Attribution... 

Background. Autoimmune process and immunosuppressive therapy of pemphigus vulgaris would predispose the patients to infections. Aim. We aimed to study the prevalence of infection and pathogenic agents in pemphigus vulgaris patients admitted to dermatology service. Material and methods. This retrospective study was conducted on 155 pemphigus vulgaris patients (68 males, 87 females) admitted to dermatology service between 2009 and 2011. In this study, the diagnosis of pemphigus vulgaris was confirmed by light microscopic and direct immunofluorescence findings. Data were collected through a questionnaire. Results. Of 155 pemphigus vulgaris patients, 33 had infection at admission and 9 acquired... 

This paper is concerned with global analysis of an SAIS epidemiological model in a population of varying size introduced by Busenberg and van den Driessche. In this model the population is divided into three subgroups of susceptible, asymptomatic and infective individuals. It has been shown that this system has no periodic solutions and all its trajectories tend to the equilibria of the system. We use the Poincaré Index theorem to determine the number of the equilibria and their stability properties. We have shown that bistability occurs for suitable values of parameters and found a set of examples of all possible dynamics of the system  

Cooperation and competition between pathogens can alter the amount of individuals affected by a coinfection. Nonetheless, the evolution of the pathogens' behavior has been overlooked. Here, we consider a coevolutionary model where the simultaneous spreading is described by a two-pathogen susceptible-infected-recovered model in an either synergistic or competitive manner. At the end of each epidemic season, the pathogens species reproduce according to their fitness that, in turn, depends on the payoff accumulated during the spreading season in a hawk-and-dove game. This coevolutionary model displays a rich set of features. Specifically, the evolution of the pathogens' strategy induces abrupt... 

Surgical site infection (SSI) is one of the important infectious problems in hospitals. It is well known that appropriate ventilation strategy is most effective way to control bacteria-carrying airborne particles responsible for SSI. With considerable improvement in the computational capacity of computers, computational fluid dynamics (CFD) technique has been widely used to study the indoor airflow and contaminant dispersion over the enclosures. In this research, the effect of inlet air velocity on the ultra-clean ventilation system performance is investigated Eulerian-Lagrangian numerical approach. The results show that surgical wound contamination may be highly affected by inlet velocity.... 

Recent strategies to locally deliver antimicrobial agents to combat implant-associated infections—one of the most common complications in orthopedic surgery—are gaining interest. However, achieving a controlled release profile over a desired time frame remains a challenge. In this study, we present an innovative multifactorial approach to combat infections which comprises a multilayer chitosan/bioactive glass/vancomycin nanocomposite coating with an osteoblastic potential and a drug delivery capacity. The bioactive drug-eluting coating was prepared on the surface of titanium foils by a multistep electrophoretic deposition technique. The adopted deposition strategy allowed for a high... 

Based on previous studies, empirical distribution of the bacterial burst size varies even in a population of isogenic bacteria. Since bacteriophage progenies increase linearly with time, it is the lysis time variation that results in the bacterial burst size variations. Here, the burst size variation is computationally modeled by considering the lysis time decisions as a game. Each player in the game is a bacteriophage that has initially infected and lysed its host bacterium. Also, the payoff of each burst size strategy is the average number of bacteria that are solely infected by the bacteriophage progenies after lysis. For calculating the payoffs, a new version of ball and bin model with... 

In this paper, we introduce a general framework for coinfection as cooperative susceptible-infected-removed (SIR) dynamics. We first solve the SIR model analytically for two symmetric cooperative contagions [L. Chen, Europhys. Lett. 104, 50001 (2013)10.1209/0295-5075/104/50001] and then generalize and solve the model exactly in the symmetric scenarios for three and more cooperative contagions. We calculate the transition points and order parameters, i.e., the total number of infected hosts. We show that the behavior of the system does not change qualitatively with the inclusion of more diseases. We also show analytically that there is a saddle-node-like bifurcation for two cooperative SIR... 

The primary source of surgical site infection is the deposition of flakes released from the exposed skin of surgical staff or the patient on the exposed surgical wound. In this study, a computational model for simulating air ow and thermal conditions in an operating room is developed, and transport and deposition of particulate contaminants near the wound are analyzed. The results show the formation of a thermal plume over the wound tissue, which is typically at a higher temperature than the surrounding. The thermal plume protects the wound from the deposition of contaminants. In addition, the computational model predicts an optimum value for the inlet air velocity that is mainly maintaining... 

Carbosilane dendrimers are a particular type of dendrimer structure that has been used as delivery vehicles for drugs and nucleic acids. They have a defined structure according to their generation number, and their terminal groups can be rendered cationic or anionic. The cationic charges can address the limitation of electrostatic repulsion between the negatively charged phosphate groups of nucleic acids and negatively charged cell membranes. Specific drugs can be loaded into the central part of the dendrimer or attached at the exterior, and the overall positive charge may improve the efficacy of anti-inflammatory drugs. One promising feature of dendrimers is their non-toxicity both in vitro... 

In recent studies, it has been shown that a cooperative interaction in a co-infection spread can lead to a discontinuous transition at a decreased threshold. Here, we investigate the effects of immunization with a rate proportional to the extent of the infection on phase transitions of a cooperative co-infection. We use the mean-field approximation to illustrate how measures that remove a portion of the susceptible compartment, like vaccination, with high enough rates can change discontinuous transitions in two coupled susceptible-infectious-recovered dynamics into continuous ones while increasing the threshold of transitions. First, we introduce vaccination with a fixed rate into a... 

Titanium (Ti) has been widely used for manufacturing of bone implants because of its mechanical properties, biological compatibility, and favorable corrosion resistance in biological environments. However, Ti implants are prone to infection (peri-implantitis) by bacteria which in extreme cases necessitate painful and costly revision surgeries. An emerging, viable solution for this problem is to use copper (Cu) as an antibacterial agent in the alloying system of Ti. The addition of copper provides excellent antibacterial activities, but the underpinning mechanisms are still obscure. This review sheds light on such mechanisms and reviews how incorporation of Cu can render Ti–Cu implants with... 

In this paper, a nonlinear adaptive control method is presented for the treatment of the Hepatitis B Virus (HBV) infection. Nonlinear dynamics of the HBV, modeling uncertainties and three state variables (the numbers of uninfected and infected cells and free viruses) are taken into account. The proposed control law is designed for the antiviral drug input such that the number of free viruses and consequently the number of infected cells decrease to the desired values. An adaptation law is also presented to overcome modeling uncertainties by updating estimations of the system parameters during the treatment period. The stability of the process and convergence to desired state values are... 

Biodegradable magnesium implants possess excellent mechanical properties and biocompatibility, which make them suitable candidates to be employed as temporary structures for the bone regeneration purposes. However, there are still important challenges which limit their extensive use in biomedical applications, where the most important ones include implant-associated infection, rapid degradation rate and the need for improved mechanical properties. Silver, which is a strong antimicrobial agent, has been extensively used for improving the mentioned challenges in biodegradable Mg alloys either as alloying element or incorporation in the protective coating. Ag addition has been reported to have... 

Coronavirus disease 2019 (COVID-19) is now of global concern due to its rapid dissemination across the globe. The rapid spread of this viral infection, along with many of its unknown aspects, has posed new challenges to the health care systems. The main challenging effects of COVID-19 are rapid dissemination through close contact and varying clinical severity among different individuals. Furthermore, the medical staff in endemic areas are becoming exhausted and deal with a considerable level of job burnout, which can negatively affect their medical decision making. Also, due to the variable pulmonary manifestations of COVID-19, some physicians may misdiagnose patients. To overcome these...