基于埃及国家筛查项目的HCV根除预测和操作

Norhan Khallaf, Nancy El-Hcfnawv, Osama Abd-El-Raouf
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引用次数: 1

摘要

针对丙型肝炎病毒(HCV)的有效直接抗病毒治疗的可用性导致了对包容性筛查途径的需求。自2016年以来,世界卫生组织(世卫组织)一直倡导到2030年消除作为公共卫生威胁的丙型肝炎病毒(HCV)。一些研究还预测,c型病毒将在今年被消灭。2017年,在吉萨、法尤姆、贝尼苏韦夫、明亚、阿西尤特、索哈格、Qena、卢克索和阿斯旺等上埃及9个省开展了筛查项目,共有200万公民接受了筛查。由于这是一次有限的筛查,我们必须预测其他省份的流行情况。现在有一个新的筛选程序给了我们新的准确数据。在此基础上,提出了HCV感染率和医疗服务人员能力的充分属性和统计。这些属性包括各省不同年龄组的性别、社会经济和教育特征。新的筛查战略计划将覆盖15至79岁的所有埃及公民;它分三个阶段完成。第一阶段和第二阶段的筛选已经完成,但第三阶段还没有结束。因此,我们使用人工神经网络来预测第三阶段的剩余数据,因为它是一种准确的预测机器学习工具。人工神经网络对部分阶段的数据进行了训练,对其他阶段的预测数据进行了测试。由于两期收集的数据不足以让神经网络预测第三期HCV患者的数量,我们不得不使用插值方法来增加数据。利用人工神经网络和排队数学模型,预测哪一年C病毒将被消灭。根据丙型肝炎治疗方案,预计丙型肝炎患者排队等候的总费用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Forecast and Manipulation of HCV Eradication in Egypt based on its National Screening Project
The availability of effective direct-acting antiviral therapy for hepatitis C virus (HCV) has led to a need for inclusive screening pathways. Since 2016, the World Health Organization (WHO) has advocated for the elimination of hepatitis C virus (HCV) as a public health threat by 2030. Some research also predicted the elimination of virus c by this year. In 2017 there was a screening project in nine Upper Egypt Provinces including Giza, Fayoum, Beni-Suef, Minya, Assiut, Sohag, Qena, Luxor and Aswan with a total number of two million citizens screened. As this was a limited screening, we had to forecast the prevalence in the other provinces. Now there is a new screening program which gave us new accurate data. Based on the new data, this paper proposed sufficient attributes and statistics about the rate of HCV infection and capability of healthcare servers. These attributes include gender, Socioeconomic and education characteristic in different age groups in each province. The new screening strategic plan will cover all of Egyptian citizens aging from 15 to 79; and it's done in three phases. The first and second phases of the screening are completed but the third phase is not finished yet. So, we predicted the remaining data in the third phase by using artificial neural network, as it is an accurate prediction machine-learning tool. The artificial neural network helped to train the data of some phases and test the prediction data of the other phases with higher performance. As the data collected from two phases were not sufficient to the neural network to predict the number of HCV patients in the third phase, we had to use the Interpolating Methods to increase the data. Using the artificial neural network and queuing mathematical model, will predict which year virus C will be eliminated. According to treatment protocol of HCV will be expected the total cost of HCV patient waited in the queue.
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