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Forecasting enrollments for immigrant entry-port school districts.

This paper projects school enrollments in Santa Ana, California and evaluates the accuracy of the projections. It emphasizes the distinctive aspects of a local setting undergoing substantial immigrant influx and highlights the uncertainties that must be addressed. I adapt existing forecasting approaches to such local situations, match assumptions to future unknowns, and devise "early warning" thresholds keyed to timely decision making. This hybrid approach offers forecasters a useful point of departure in local settings dominated by wide margins of uncertainty and inherently risky assumptions.

Adolescent↗

Climate cycles and forecasts of cutaneous leishmaniasis, a nonstationary vector-borne disease.

BACKGROUND: Cutaneous leishmaniasis (CL) is one of the main emergent diseases in the Americas. As in other vector-transmitted diseases, its transmission is sensitive to the physical environment, but no study has addressed the nonstationary nature of such relationships or the interannual patterns of cycling of the disease. METHODS AND FINDINGS: We studied monthly data, spanning from 1991 to 2001, of CL incidence in Costa Rica using several approaches for nonstationary time series analysis in order to ensure robustness in the description of CL's cycles. Interannual cycles of the disease and the association of these cycles to climate variables were described using frequency and time-frequency techniques for time series analysis. We fitted linear models to the data using climatic predictors, and tested forecasting accuracy for several intervals of time. Forecasts were evaluated using "out of fit" data (i.e., data not used to fit the models). We showed that CL has cycles of approximately 3 y that are coherent with those of temperature and El Niño Southern Oscillation indices (Sea Surface Temperature 4 and Multivariate ENSO Index). CONCLUSIONS: Linear models using temperature and MEI can predict satisfactorily CL incidence dynamics up to 12 mo ahead, with an accuracy that varies from 72% to 77% depending on prediction time. They clearly outperform simpler models with no climate predictors, a finding that further supports a dynamical link between the disease and climate.

Animals↗

The feasibility of forecasting influenza epidemics in Cuba.

A large influenza epidemic took place in Havana during the winter of 1988. The epidemiologic surveillance unit of the Pedro Kourí Institute of Tropical Medicine detected the beginning of the epidemic wave. The Rvachev-Baroyan mathematical model of the geographic spread of an epidemic was used to forecast this epidemic under routine conditions of the public health system. The expected number of individuals who would attend outpatient services, because of influenza-like illness, was calculated and communicated to the health authorities within enough time to permit the introduction of available control measures. The approximate date of the epidemic peak, the daily expected number of individuals attending medical services, and the approximate time of the end of the epidemic wave were estimated. The prediction error was 12%. The model was sufficiently accurate to warrant its use as a practical forecasting tool in the Cuban public health system.

Cuba↗

Going with the flow: using species-discharge relationships to forecast losses in fish biodiversity.

In response to the scarcity of tools to make quantitative forecasts of the loss of aquatic species from anthropogenic effects, we present a statistical model that relates fish species richness to river discharge. Fish richness increases logarithmically with discharge, an index of habitat space, similar to a species-area curve in terrestrial systems. We apply the species-discharge model as a forecasting tool to build scenarios of changes in riverine fish richness from climate change, water consumption, and other anthropogenic drivers that reduce river discharge. Using hypothetical reductions in discharges (of magnitudes that have been observed in other rivers), we predict that reductions of 20-90% in discharge would result in losses of 2-38% of the fish species in two biogeographical regions in the United States (Lower Ohio-Upper Mississippi and Southeastern). Additional data on the occurrence of specific species relative to specific discharge regimes suggests that fishes found exclusively in high discharge environments (e.g., Shovelnose sturgeon) would be most vulnerable to reductions in discharge. Lag times in species extinctions after discharge reduction provide a window of opportunity for conservation efforts. Applications of the species-discharge model can help prioritize such management efforts among species and rivers.

Animals↗

Forecasting herd structure and milk production for production risk management.

Substantial increases in milk price volatility have resulted from changes in federal dairy policies. For a dairy farm, however, monthly gross milk receipts are a function of unit price and quantity produced. Both can vary substantially over time. Therefore, to be effective, risk management strategies must address milk and input price volatility (price risk management) and fluctuations in milk production per cow and cow numbers (production risk management). Herd milk production through time can be modeled as a discrete stochastic process using finite Markov chains. Cows at time t = 0 are assigned to homogeneous production cells in four-dimensional arrays with coordinates determined by parity (1, 2, 3), week in milk (1, ..., 104), pregnancy status (0, 1), and week pregnant (1, ..., 40). The processes of aging, pregnancy, involuntary cull, voluntary cull, abortion, dry-off, and freshening from week i-1 to week i are accounted for, using nonstationary transition probabilities. Bayesian estimates of transition probabilities are derived from historical herd data, assuming that individual outcomes are from Bernoulli distributions. The values of parameters theta(i) for the Bernoulli distributions are unknown but have prior distributions that follow beta distributions with parameters alpha(i) and beta(i) estimated from historical data. Herd observations are then used to generate posterior distributions of theta(i), also from beta distributions. Projecting from one week to the next is accomplished by moving virtual animals from one production cell to the next based on the transition probability assigned to that path. Summing production estimates and variances of all independent cells provides for an expected herd production with an associated variance. As expected, the forecast variance increases with time, reflecting increased uncertainty of distant projections. Model validation presents an interesting problem because future observations used for validation are under human control and are not independent of the forecast.

Animal Husbandry↗

Financial forecasts in healthcare.

Economic forecasts can be a vital tool for management to predict future outcomes and respond to them accordingly. They can also spell trouble for managers who don't know how to properly utilize them. The financial manager must therefore use every tool available when using financial forecasts during the planning process and the author describes the steps necessary in order to make sound judgments.

Decision Support Systems, Management↗

Flexible forecasts: a key to better customer service.

Good customer service requires companies to keep their fingers on their customers' pulse and develop intelligent forecasts with their needs built in. As even the smallest factories today are placing at least some emphasis on lead time reductions to improve flexibility and the speed of response to customer requirements, the role of the forecast, now more than ever, is to provide at all times the best, most recent, and most accurate picture of what exactly will be required and when.

Consumer Behavior↗

Demand forecasting for magnetic resonance imaging services.

Healthcare providers interested in acquiring MRI technology are finding it difficult to assess demand and, therefore, financial feasibility. This article presents a quantitative technique for MRI demand forecasting that interrelates the known applications of MRI to the specific clinical setting in which it is to be employed. The first step in this technique is to identify the number of patients with diagnoses for which MRI is known to be applicable. Next, each of these diagnoses is weighted according to the percent of patients who are expected to receive MRI scans versus other diagnostic modalities. Finally, the number of patients in each diagnosis is multiplied by the weighting to estimate the number of patients for whom MRI scans can be expected. This technique was used by a consortium of three major community hospitals in Omaha, Nebraska, as the basis of their demand forecasting and was used in successfully obtaining a Certificate of Need.

Certificate of Need↗

Modern methods improve hospital forecasting.

This study has shown that a sophisticated statistical technique can lead to better patient days forecasts and should lead to more accurate budgets for those hospitals using forecast budgets. Also, the modified time series decomposition method that adapts to sudden shifts in the environment can be used for not only changes in reimbursement mechanisms, but other changes, such as increased beds, as well.

Forecasting↗

Better forecasting ensures profitability, quality of care.

Traditional budget forecasting methods for many hospitals are no longer sufficient to accurately project income and expenses or to ensure profitable patient management under managed care contracts. This article, the fourth in a six-part series on "managing managed care," focuses on accurate forecasting methods that integrate clinical and financial data to ensure profitability and high-quality patient care.

Budgets↗

Analysis of climatic data and forecast indices for human fascioliasis at very high altitude.

Human infection with Fasciola hepatica has recently been recognized as an important health problem worldwide, and particularly at very high altitudes in South America. The highest prevalences and intensities of human fascioliasis known are those of the northern Bolivian Altiplano, where infected Lymnaea truncatula occur at altitudes of 3800-4100 m. In the present study, the climatic data for this area of the Altiplano, which differ markedly from those of endemic areas in the lowlands, were analysed. There is no marked seasonality in temperature but there are large variations in temperature within a daily, 24-h period. Rainfall is seasonal, with a long dry season, coinciding with the lowest minimum temperatures, and a long wet season. The rate of evapotranspiration is very high, and temporary water bodies dry out very quickly. Solar radiation at ground level is intense, not only because of the altitude but also because of the lack of trees and shrubs. Two climatic indices for forecasting fascioliasis, Mt and Wb-bs, were calculated. Modifications in these forecast indices are proposed, to reflect the environment at high altitude and low latitude. Estimates, based on climadiagrammes, of the durations of the wet and dry seasons were greatly effected by the inclusion of an aridity-index modification. The usefulness of the modified indices was examined using prevalence data for human and cattle fascioliasis collected in the neighbourhoods of the stations providing the meteorological data. Values for both indices indicated that conditions were optimum for transmission between December and March. The results were statistically significant for the modified Wb-bs index when the data for a meteorological station in which no lymnaeids were found were excluded. The modified Mt index did not appear sufficiently accurate to be useful. The values for the modified Wb-bs index permitted the study areas to be designated low-, moderate- or high-risk areas for the transmission of fascioliasis to man and domestic animals.

Altitude↗

Radar based rainfall forecast for sewage systems control.

There has been an increasing demand for accurate rainfall forecast in urban areas from the water industry. Current forecasting systems provided mainly by meteorological offices are based on large-scale prediction and are not well suited for this application. In order to devise a system especially designed for the dynamic management of a sewerage system the "RADAR" project was launched. The idea of this project was to provide a short-term small-scale prediction of rain based on radar images. The prediction methodology combines two methods. An extrapolation method based on a sophisticated cross correlation of images is optimised by a neural network technique. Three different application sites in Europe have been used to validate the system.

Cities↗

[Demographic forecasts for Russia and Ukraine].

The paper aim is making a comparative analysis of demographic forecasts for Russia and Ukraine till the 30-th of the 21-st century published in the last decade. More than ten forecasts made by different scientific centres and demographers have been considered, each of them in turn consisting of several variants. Some authors' projections have been also included.

Adolescent↗

Computer model creates a 'virtual world' for forecasting costs, outcomes.

New model creates a 'virtual world' for forecasting costs and outcomes. While predictive modeling programs are garnering most of the attention these days in the health care forecasting arena, pioneers at Kaiser Permanente have created quite a buzz with a new computer model which may be able to promise even richer information that can be tailored to specific populations. See how the model, dubbed "Archimedes," is already beginning to tackle many of the complex questions regarding chronic disease management.

Chronic Disease↗

[National Household Forecasts 1993: households by size].

Population projections for household and family size and characteristics in the Netherlands are presented. "The household forecasts are based on a model in which mothers can be paired with their children.... The model is used for the birth generation of women 1930-1995.... According to the household forecasts the Netherlands had 6.2 million households in 1992. In 2010 [there] will be 1.1 million more.... The percentage of single households will rise from 30 to 36 while the percentage of two-person households will be stable at 31%. The percentage of households with three or more persons will decrease from 39 to 33." (SUMMARY IN ENG)

Developed Countries↗

[Forecast about number of patients with pulmonary tuberculosis 2001 - 2010].

OBJECTIVE: To forecast the number of patients with pulmonary tuberculosis in 2010. METHODS: A mathematical model was established based on the nationwide epidemiological survey on tuberculosis conducted in 2000 so as to forecast the numbers of patients with pulmonary tuberculosis in 2000s. RESULTS: (1) The number of patients with pulmonary tuberculosis would be a little more than that in 2000, with the pulmonary tuberculosis case detection rate rho of 0.26 being adopted. (2) The number of patients with pulmonary tuberculosis would be smaller than that in 2000, with the pulmonary tuberculosis case detection rate rho of 0.30 being adopted. (3) If the current intervention strategy manages to keep the pulmonary tuberculosis case detection rate at the level of 0.35, the decline in number of patients with pulmonary tuberculosis will approach the goal set by the national program that the number of patients with pulmonary tuberculosis be decreased by 50%. CONCLUSION: The goal set by the national program can be achieved only when the pulmonary tuberculosis case detection rate reaches 0.35.

China↗

Forecasting health: data needs and implications for model structure.

An agenda for analysing data on the health and functioning of the elderly must indicate new types of data to be collected, innovations in data collection strategies and new methods for analysis and forecasting. The required research agenda is broad and will require inputs from investigators in a number of disciplines. The data and methods required will need to be developed in order to reflect national, regional and local variations in the health phenomena under study; they will also have to be responsive to these variations. In the end, however, if the investment is to be most useful, it must be integrated into simulation and forecasting models, the mechanics of which are based on individual-level processes and not on the elements of the service system.

Breast Neoplasms↗

[Forecasting harmless service and work safety for able-bodied population].

The authors suggest medical and mathematical simulator for forecasting hygienically harmless length of service with consideration of occupational load and other circumstances causing human wear and ageing. Forecasting length of individual occupational longevity is a way to novel system of work safety and health preservation for able-bodied population.

Adaptation, Physiological↗