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Trade-offs exist between the point of early detection and the future cost of controlling any invasive species. Finding optimal levels of early detection, with post-border active surveillance, where time, space and randomness are explicitly considered, is computationally challenging. We use a stochastic programming model to find the optimal level of surveillance and predict damages, easing the computational challenge by combining a sample average approximation (SAA) approach and parallel processing techniques. The model is applied to the case of Asian Papaya Fruit Fly (PFF), a highly destructive pest, in Queensland, Australia. To capture the non-linearity in PFF spread, we use an agent-based model (ABM), which is calibrated to a highly detailed land-use raster map (50 m × 50 m) and weather-related data, validated against a historical outbreak. The combination of SAA and ABM sets our work apart from the existing literature. Indeed, despite its increasing popularity as a powerful analytical tool, given its granularity and capability to model the system of interest adequately, the complexity of ABM limits its application in optimizing frameworks due to considerable uncertainty about solution quality. In this light, the use of SAA ensures quality in the optimal solution (with a measured optimality gap) while still being able to handle large-scale decision-making problems. With this combination, our application suggests that the optimal (economic) trap grid size for PFF in Queensland is ˜0.7 km, much smaller than the currently implemented level of 5 km. Although the current policy implies a much lower surveillance cost per year, compared with the $2.08 million under our optimal policy, the expected total cost of an outbreak is $23.92 million, much higher than the optimal policy of roughly $7.74 million.
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http://dx.doi.org/10.1002/eap.2449 | DOI Listing |
PLoS One
September 2025
Department of Information Technology, Uppsala University, Uppsala, Sweden.
For effective treatment of bacterial infections, it is essential to identify the species causing the infection as early as possible. Current methods typically require hours of overnight culturing of a bacterial sample and a larger quantity of cells to function effectively. This study uses one-hour phase-contrast time-lapses of single-cell bacterial growth collected from microfluidic chip traps, also known as a "mother machine".
View Article and Find Full Text PDFJ Craniofac Surg
September 2025
University of Miami Miller School of Medicine, Miami, FL.
Outcomes were to compare the accuracy of 2 large-language models-GPT-4o and o3-Mini-against medical-student performance on otolaryngology-focused, USMLE-style multiple-choice questions. With permission from AMBOSS, we extracted 146 Step 2 CK questions tagged "Otolaryngology" and stratified them by AMBOSS difficulty (levels 1-5). Each item was presented verbatim to GPT-4o and o3-Mini through their official APIs; outputs were scored correct/incorrect.
View Article and Find Full Text PDFCraniosynostosis (CS), the premature fusion of 1 or more cranial sutures, can present with coexisting deformation plagiocephaly or brachiocephaly. While surgical correction is the standard for CS, the management of cases with concurrent positional head shape deformities remains undefined. This study aims to describe clinical outcomes in this subset of patients and evaluate the role of adjunct orthotic therapy in their management.
View Article and Find Full Text PDFJAMA Intern Med
September 2025
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts.
Importance: Hospitals have reported growing difficulty in discharging patients in a timely manner, often citing bottlenecks in postacute care. Medicare Advantage plans, now the dominant form of Medicare coverage, may contribute to these delays due to administrative and network constraints, yet national evidence is lacking.
Objective: To quantify changes in hospital length of stay for Medicare Advantage vs traditional Medicare beneficiaries.
J Anim Sci
September 2025
Department of Animal Sciences, Laval University, Québec, QC G1V 0A6, Canada.
In pig production, weaning is a critical period where piglets face several environmental stressors. This transition leads to a significant growth reduction and can result in digestive disorders, including diarrhea. To formulate a feed that meets zinc (Zn) and copper (Cu) requirements during the weaning period while minimizing their release into the environment, it became evident that a more bioavailable micro-mineral supplement is necessary.
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