A Dominance-Based Rough Set Approach for an Enhanced Assessment of Seasonal Influenza Risk

Accounting for about 290,000–650,000 deaths across the globe, seasonal influenza is estimated by the World Health Organization to be a major cause of mortality. Hence, there is a need for a reliable and robust epidemiological surveillance decision-making system to understand and combat this epidemic disease. In a previous study, the authors proposed a decision support system to fight against seasonal influenza. This system is composed of three subsystems: (i) modeling and simulation, (ii) data warehousing, and (iii) analysis. The analysis subsystem relies on spatial online analytical processing (S-OLAP) technology. Although the S-OLAP technology is useful in analyzing multidimensional spatial data sets, it cannot take into account the inherent multicriteria nature of seasonal influenza risk assessment by itself. Therefore, the objective of this article is to extend the existing decision support system by adding advanced multicriteria analysis capabilities for enhanced seasonal influenza risk assessment and monitoring. Bearing in mind the characteristics of the decision problem considered in this article, a well-known multicriteria classification method, the dominance-based rough set approach (DRSA), was selected to boost the existing decision support system. Combining the S-OLAP technology and the multicriteria classification method DRSA in the same decision support system will largely improve and extend the scope of analysis capabilities. The extended decision support system has been validated by its application to assess seasonal influenza risk in the northwest region of Algeria.     

The Contribution of Advanced Glycation End product (AGE) accumulation to the decline in motor function

Diminishing motor function is commonly observed in the elderly population and is associated with a wide range of adverse health consequences. Advanced Glycation End products (AGE’s) may contribute to age-related decline in the function of cells and tissues in normal ageing. Although the negative effect of AGE’s on the biomechanical properties of musculoskeletal tissues and the central nervous system have been previously described, the evidence regarding the effect on motor function is fragmented, and a systematic review on this topic is lacking. Therefore, a systematic review was conducted from a total of eight studies describing AGE’s related to physical functioning, physical performance, and musculoskeletal outcome which reveals a positive association between high AGE’s levels and declined walking abilities, inferior ADL, decreased muscle properties (strength, power and mass) and increased physical frailty. Elevated AGE’s levels might be an indication to initiate (early) treatment such as dietary advice, muscle strengthening exercises, and functional training to maintain physical functions. Further longitudinal observational and controlled trial studies are necessary to investigate a causal relationship, and to what extent, high AGE’s levels are a contributing risk factor and potential biomarker for a decline in motor function as a component of the ageing process.     

Ethnic differences in intergenerational solidarity in the Netherlands

Using data from the 2002–2003 Netherlands Kinship Panel Study and the Social Position and Provisions Ethnic Minorities Survey (N = 2833) we describe patterns of intergenerational solidarity among five different ethnic groups in the Netherlands. We compare patterns of normative, associational and functional solidarity between various immigrant groups and the native Dutch, and question how and to what extent behavior is determined by filial norms, socio-demographic position or ethnic background. Results show that immigrant adult children show higher levels of normative (filial obligations) and associational (contact) solidarity. Functional solidarity (providing support) shows a more complex pattern. Immigrants are no more likely to provide counsel or advice than the Dutch but immigrant women are more likely to provide practical support than Dutch women.