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病毒感染血清流行病学中的简单数学推导。I. 疱疹病毒组(人疱疹病毒、水痘 - 带状疱疹病毒、巨细胞病毒、爱泼斯坦 - 巴尔病毒)

Simple mathematical deductions in the seroepidemiology of viral infections. I. Herpesvirus group (herpesvirus hominis, varicella-zoster virus, cytomegalovris, Epstein-Barr-Virus).

作者信息

Doerr H W, Lehmair H, Schmitz H, Kampa D, Luthardt T

出版信息

Zentralbl Bakteriol Orig A. 1977 Jun;238(2):149-64.

PMID:196453
Abstract

Large samples of nonselected persons collected in South-West Germnay were investigated for the prevalence of serum antibodies to the human Herpesviruses HSV, VZV, CMV and EBV. According to "catalytic models", which compare the infection spread to simple chemical reactions of molecules, a mathematical approximation of the serum surveys was performed. Through a new deduction of the exponential function y = k (l - e-r+) a simple way was found to estimate the annual attack rates in percent of the susceptible, seronegative people. While it was possible to represent the prevalence of serum antibodies to VZV by a continuous curve, a biphasic curve to the antibody prevalence rates in the epidemiology of the other Herpesviruses proved to be more adequate indicating changes in hormonal balance and social behaviour. The use of the epidemiologic parameters k and r for the characterization of the test sensitivity was examined for CMV. By evaluation of the mean antibody titres to CMV, HSV, and EBV throughout different age groups, information about the reactivation of the Herpesvirus diseases could be obtained.

摘要

对在德国西南部采集的大量未经过筛选的人群样本进行了检测,以调查其血清中针对人类疱疹病毒HSV、VZV、CMV和EBV的抗体流行情况。根据“催化模型”(该模型将感染传播与分子的简单化学反应进行比较),对血清调查进行了数学近似。通过对指数函数y = k (l - e-r+) 的新推导,找到了一种简单的方法来估计易感血清阴性人群的年发病率(以百分比表示)。虽然可以用一条连续曲线来表示VZV血清抗体的流行情况,但对于其他疱疹病毒流行病学中的抗体流行率,用双相曲线来表示更为合适,这表明了激素平衡和社会行为的变化。对CMV检测灵敏度的表征,研究了流行病学参数k和r的使用情况。通过评估不同年龄组中针对CMV、HSV和EBV的平均抗体滴度,可以获得有关疱疹病毒疾病再激活的信息。

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