Department of Mathematics, Ferdowsi University of Mashhad, Iran.
Department of Railway Engineering, Iran University of Science and Technology, Iran.
Comput Biol Med. 2023 May;158:106817. doi: 10.1016/j.compbiomed.2023.106817. Epub 2023 Mar 23.
It is essential to evaluate patient outcomes at an early stage when dealing with a pandemic to provide optimal clinical care and resource management. Many methods have been proposed to provide a roadmap against different pandemics, including the recent pandemic disease COVID-19. Due to recurrent epidemic waves of COVID-19, which have been observed in many countries, mathematical modeling and forecasting of COVID-19 are still necessary as long as the world continues to battle against the pandemic. Modeling may aid in determining which interventions to try or predict future growth patterns. In this article, we design a combined approach for analyzing any pandemic in two separate parts. In the first part of the paper, we develop a recurrent SEIRS compartmental model to predict recurrent outbreak patterns of diseases. Due to its time-varying parameters, our model is able to reflect the dynamics of infectious diseases, and to measure the effectiveness of the restrictive measures. We discuss the stable solutions of the corresponding autonomous system with frozen parameters. We focus on the regime shifts and tipping points; then we investigate tipping phenomena due to parameter drifts in our time-varying parameters model that exhibits a bifurcation in the frozen-in case. Furthermore, we propose an optimal numerical design for estimating the system's parameters. In the second part, we introduce machine learning models to strengthen the methodology of our paper in data analysis, particularly for prediction scenarios. We use MLP, RBF, LSTM, ANFIS, and GRNN for training and evaluation of COVID-19. Then, we compare the results with the recurrent dynamical system in the fitting process and prediction scenario. We also confirm results by implementing our methods on the released data on COVID-19 by WHO for Italy, Germany, Iran, and South Africa between 1/22/2020 and 7/24/2021, when people were engaged with different variants including Alpha, Beta, Gamma, and Delta. The results of this article show that the dynamic model is adequate for long-term analysis and data fitting, as well as obtaining parameters affecting the epidemic. However, it is ineffective in providing a long-term forecast. In contrast machine learning methods effectively provide disease prediction, although they do not provide analysis such as dynamic models. Finally, some metrics, including RMSE, R-Squared, and accuracy, are used to evaluate the machine learning models. These metrics confirm that ANFIS and RBF perform better than other methods in training and testing zones.
在应对大流行时,早期评估患者的结果对于提供最佳临床护理和资源管理至关重要。为了应对不同的大流行,已经提出了许多方法,包括最近的 COVID-19 疾病。由于 COVID-19 在许多国家已经观察到反复的疫情浪潮,只要世界继续与大流行作斗争,对 COVID-19 进行数学建模和预测仍然是必要的。建模可以帮助确定尝试哪些干预措施或预测未来的增长模式。在本文中,我们设计了一种组合方法,将任何大流行分为两部分进行分析。在本文的第一部分,我们开发了一个复发性 SEIRS compartmental 模型来预测疾病的复发性爆发模式。由于其时变参数,我们的模型能够反映传染病的动态,并衡量限制措施的有效性。我们讨论了相应自治系统的稳定解,其中参数是冻结的。我们关注的是制度转变和临界点;然后,我们研究了由于时变参数模型中参数漂移而导致的临界点现象,该模型在冻结情况下表现出分岔。此外,我们提出了一种优化的数值设计,用于估计系统参数。在第二部分,我们引入机器学习模型来加强本文在数据分析中的方法,特别是对于预测场景。我们使用 MLP、RBF、LSTM、ANFIS 和 GRNN 进行 COVID-19 的训练和评估。然后,我们将结果与复发性动力系统在拟合过程和预测场景中的结果进行比较。我们还通过在 2020 年 2 月 22 日至 2021 年 7 月 24 日期间世界卫生组织发布的意大利、德国、伊朗和南非的 COVID-19 数据上实施我们的方法来确认结果,当时人们与包括 Alpha、Beta、Gamma 和 Delta 在内的不同变体接触。本文的结果表明,动态模型适用于长期分析和数据拟合,以及获得影响疫情的参数。然而,它在提供长期预测方面效果不佳。相比之下,机器学习方法可以有效地提供疾病预测,尽管它们不提供动态模型等分析。最后,使用 RMSE、R-Squared 和准确性等一些指标来评估机器学习模型。这些指标证实,在训练和测试区域中,ANFIS 和 RBF 的表现优于其他方法。