Linear Models

线性模型
  • 文章类型: Journal Article
    在过去的四十年中,对Acartia属的co足类与亚历山大属的有毒鞭毛藻之间的相互作用的研究一直是一个重要课题。已经在实验室和田间试验中研究了co足类的摄食行为和生理反应。有时结果矛盾。最近,已经报道了一种进化适应性机制,该机制导致长期暴露于这些鞭毛藻的Acartia种群对Alexandrium毒素的耐受性增强。在目前的工作中,我们从现有的关于亚历山大对摄食的影响的研究中收集了数据,的繁殖和死亡率。有了这些数据,我们进行了系统综述,包括采用一般或广义线性模型的二次分析,根据不同研究的标准偏差的倒数对数据进行加权。我们的第一个目标是克服个别研究的缺点:变量的有限范围和被忽视的变量(实验长度,人口适应)。这些缺点可能会由于缺少co足类动物反应和变量之间相互作用的异质模式而导致结论不一致。我们的第二个目的是在广泛的地理范围内测试相对于原始co足类种群的长期暴露的生理性能增强。我们发现食物生物量的增加提高了摄食率,不管食物的种类。毒素对产卵没有明显的影响,对卵孵化成功具有双相作用,高于特定阈值为负。毒素也增加了死亡率。实验长度对产卵有积极影响,对卵孵化有消极影响。Naive足类动物种群表现出持续较低的Alexandrium摄取和卵孵化率,从而支持上述机制在广泛地理范围内的人群中的传播。
    The study of interactions between copepods of the genus Acartia and toxic dinoflagellates of the genus Alexandrium has been an important topic during the last four decades. Feeding behavior and physiological responses of copepods have been studied in laboratory and field experiments, sometimes with contradictory results. More recently, an evolutionary adaptive mechanism leading to enhanced tolerance of Alexandrium toxins in a population of Acartia experiencing chronic exposure to these dinoflagellates has been reported. In the present work, we collected data from the existing studies on the effects of Alexandrium on feeding, reproduction and mortality of Acartia. With these data, we performed a systematic review consisting of a secondary analysis employing general or generalized linear models, weighting data from different studies by the reciprocal of their standard deviation. Our first aim was to overcome shortcomings of individual studies: limited ranges of the variables and overlooked variables (experiment length, population adaptation). These shortcomings could have led to inconsistent conclusions by missing heterogeneous patterns in copepod responses and in the interactions between variables. Our second aim was to test the enhanced physiological performance of chronically exposed relative to naïve copepod populations over a wide geographic range. We found that the feeding rate is enhanced by increased food biomass, irrespective of the food type. Toxins do not have a clear effect on egg production and have a bi-phasic effect on egg hatching success, which was negative above a specific threshold. Toxins also increased mortality. Experiment length had a positive effect on egg production and negative on egg hatching. Naïve copepod populations showed consistently lower ingestion of Alexandrium and egg hatching rates, thereby supporting the spread of the aforementioned mechanism across populations over a wide geographic range.
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  • 文章类型: Journal Article
    土地利用回归(LUR)模型广泛用于流行病学和环境研究,以估计人类在城市地区的空气污染暴露。然而,早期的模型,使用线性回归和来自固定监测站和被动采样的数据开发,主要设计用于对传统和标准空气污染物进行建模,并且在捕获高分辨率的空气污染时空变化方面存在局限性。在过去的十年里,低成本监视器的多源观测有了显著的发展,移动监控,和卫星,结合先进的统计方法和时空动态预测因子的整合,这促进了LUR方法的显著扩展和进步。本文从空气质量数据采集变化的角度回顾和综合了LUR方法的最新进展,新颖的预测变量,模型开发方法的进展,验证方法的改进,模型可转移性,以及2011年至2023年发表的155项LUR研究报告的建模软件。我们证明,这些发展使LUR模型能够为更大的研究领域开发,并涵盖更广泛的标准和不受管制的空气污染物。传统空间结构中的LUR模型得到了更复杂的时空结构的补充。与线性模型相比,当处理具有复杂关系和相互作用的数据时,先进的统计方法会产生更好的预测。最后,这项研究探索了新的发展,确定了LUR方法进一步突破的潜在途径,并提出了未来的研究方向。在这种情况下,LUR方法有可能对未来为城市人口长期和短期暴露于空气污染的模式建模做出重大贡献。
    Land use regression (LUR) models are widely used in epidemiological and environmental studies to estimate humans\' exposure to air pollution within urban areas. However, the early models, developed using linear regressions and data from fixed monitoring stations and passive sampling, were primarily designed to model traditional and criteria air pollutants and had limitations in capturing high-resolution spatiotemporal variations of air pollution. Over the past decade, there has been a notable development of multi-source observations from low-cost monitors, mobile monitoring, and satellites, in conjunction with the integration of advanced statistical methods and spatially and temporally dynamic predictors, which have facilitated significant expansion and advancement of LUR approaches. This paper reviews and synthesizes the recent advances in LUR approaches from the perspectives of the changes in air quality data acquisition, novel predictor variables, advances in model-developing approaches, improvements in validation methods, model transferability, and modeling software as reported in 155 LUR studies published between 2011 and 2023. We demonstrate that these developments have enabled LUR models to be developed for larger study areas and encompass a wider range of criteria and unregulated air pollutants. LUR models in the conventional spatial structure have been complemented by more complex spatiotemporal structures. Compared with linear models, advanced statistical methods yield better predictions when handling data with complex relationships and interactions. Finally, this study explores new developments, identifies potential pathways for further breakthroughs in LUR methodologies, and proposes future research directions. In this context, LUR approaches have the potential to make a significant contribution to future efforts to model the patterns of long- and short-term exposure of urban populations to air pollution.
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  • 文章类型: Meta-Analysis
    背景:化学预防是疟疾流行国家旅行期间疟疾的一种预防方法。这项研究旨在整理和综合疟疾死亡病例中疟疾化学预防的证据。
    方法:在PubMed中搜索了记录与疟疾死亡相关的疟疾化学预防的研究,Scopus,MEDLINE,Embase,和中央至2022年7月3日。使用logit变换和反变换将死亡病例中疟疾化学预防的合并比例合成为使用广义线性混合模型进行的比例。合成了与幸存者相比,死亡病例中疟疾化学预防的合并对数比值比(log-OR)和95%置信区间(CI)。
    结果:58项研究纳入系统评价和荟萃分析。在602例疟疾死亡病例中,接受化学预防的患者人数为187(30%)(95%CI22-40,P<0.01,58项研究),采取适当化学预防的患者为24(5%)(95%CI2-13,P<0.01,42项研究)。在疟疾死亡病例和幸存者之间观察到接受化学预防的对数OR(P=0.94,汇总对数OR:-0.02,95%CI-0.46-0.42,I2:0%,17项研究)。同样,在疟疾死亡病例和幸存者之间确定了可比较的适当化学预防的log-OR(P=0.15,汇总log-OR:0.83,95%CI-0.30-1.97,I2:47.08%,11项研究)。
    结论:在报告疟疾化学预防的研究中,约30%的疟疾死亡病例采取了此类预防措施.值得注意的是,这些病例中只有5%完全或充分遵守了推荐的化学预防方案.然而,该分析未发现疟疾死亡病例和幸存者之间的疟疾化学预防几率存在显著差异.
    BACKGROUND: Chemoprophylaxis is a prevention method for malaria during travel in malaria-endemic countries. This study aimed to collate and synthesize the evidence of malarial chemoprophylaxis among malaria death cases.
    METHODS: Studies documenting malarial chemoprophylaxis related to malaria deaths were searched in PubMed, Scopus, MEDLINE, Embase, and CENTRAL until 3 July 2022. The pooled proportion of malarial chemoprophylaxis among death cases was synthesized using logit transformation and back transformation to a proportion performed using generalized linear mixed models. The pooled log odds ratio (log-OR) with a 95% confidence interval (CI) of malarial chemoprophylaxis in death cases compared to survivors were synthesized.
    RESULTS: Fifty-eight studies were included in the systematic review and the meta-analysis. Of 602 pooled malaria death cases, the number of patients who took chemoprophylaxis was 187 (30%) (95% CI 22-40, P < 0.01, 58 studies), and those who took adequate chemoprophylaxis were 24 (5%) (95% CI 2-13, P < 0.01, 42 studies). A comparable log-OR of underwent chemoprophylaxis was observed between malaria death cases and survivors (P = 0.94, pooled log-OR: - 0.02, 95% CI - 0.46-0.42, I2: 0%, 17 studies). Similarly, a comparable log-OR of adequate chemoprophylaxis was identified between malaria death cases and survivors (P = 0.15, pooled log-OR: 0.83, 95% CI - 0.30-1.97, I2: 47.08%, 11 studies).
    CONCLUSIONS: Among the studies where malarial chemoprophylaxis was reported, approximately 30% of malaria death cases had taken such prophylaxis. Notably, only 5% of these cases adhered fully or adequately to the recommended chemoprophylactic regimen. However, the analysis did not reveal a significant difference in the odds of malarial chemoprophylaxis between malaria death cases and survivors.
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  • 文章类型: Review
    目的:阶梯式楔形整群随机试验(SW-CRT),在这种情况下,集群被随机分配到将过渡到干预条件的时间-而不是试验组-是一种相对较新的设计.与传统的平行臂试验相比,SW-CRT具有额外的设计和分析考虑。为今后的方法学发展提供信息,包括对试验者的指导和统计模拟研究参数的选择,我们对最近发表的SW-CRT进行了回顾.具体目标是描述(1)在实践中使用的设计类型,(2)坚持统计分析的关键要求,和(3)围绕协变量调整的实践。我们还检查了依从性随时间和期刊影响因子的变化。
    方法:我们使用电子搜索来识别2016-2022年发布的SW-CRT的主要报告。两名审稿人从每份试验报告及其方案中提取信息,如果可用,并通过讨论解决分歧。
    结果:我们确定了160项符合条件的试验,将11(8-18)簇的中位数(Q1-Q3)随机化为5(4-7)序列。大多数(122,76%)是横断面的(几乎都是持续招聘的),23(14%)是封闭队列,15(9%)是开放队列。许多试验具有复杂的设计特征,例如多个或多变量主要结果(50,31%)或时间依赖性重复测量(27,22%)。最常见的主要结局类型是二元结局(51%);连续结局较不常见(26%)。最常用的分析方法是广义线性混合模型(112,70%);广义估计方程的使用频率较低(12,8%)。在142项少于40组的试验中,只有9例(6%)报告使用适用于少数集群的方法。统计分析明确调整了119例(74%)的时间效应,对于132(83%)的集群内相关性,以及13个(8%)中不同的时期间相关性。共变量包括在82(51%)的主要结果的主要分析中,最常见的是个体水平的共变量;然而,明确和完整的协变量的预规范并不常见.遵守一些关键的方法论要求(针对时间效应进行调整,在较高和较低影响因子期刊上发表的试验中,对期间内相关性的考虑)较高。没有观察到随着时间的推移的实质性改善,尽管观察到占不同时期间相关性的比例略有改善。
    结论:未来的方法开发应优先考虑具有二元或时间到事件结果的SW-CRT方法,少量的集群,持续的招聘设计,多变量结果,或时间相关的重复措施。审判人员,期刊编辑,和同行评审员应该意识到,SW-CRT对平行臂设计有额外的方法学要求,包括需要考虑周期效应以及复杂的内部相关性。
    The stepped-wedge cluster randomized trial (SW-CRT), in which clusters are randomized to a time at which they will transition to the intervention condition - rather than a trial arm - is a relatively new design. SW-CRTs have additional design and analytical considerations compared to conventional parallel arm trials. To inform future methodological development, including guidance for trialists and the selection of parameters for statistical simulation studies, we conducted a review of recently published SW-CRTs. Specific objectives were to describe (1) the types of designs used in practice, (2) adherence to key requirements for statistical analysis, and (3) practices around covariate adjustment. We also examined changes in adherence over time and by journal impact factor.
    We used electronic searches to identify primary reports of SW-CRTs published 2016-2022. Two reviewers extracted information from each trial report and its protocol, if available, and resolved disagreements through discussion.
    We identified 160 eligible trials, randomizing a median (Q1-Q3) of 11 (8-18) clusters to 5 (4-7) sequences. The majority (122, 76%) were cross-sectional (almost all with continuous recruitment), 23 (14%) were closed cohorts and 15 (9%) open cohorts. Many trials had complex design features such as multiple or multivariate primary outcomes (50, 31%) or time-dependent repeated measures (27, 22%). The most common type of primary outcome was binary (51%); continuous outcomes were less common (26%). The most frequently used method of analysis was a generalized linear mixed model (112, 70%); generalized estimating equations were used less frequently (12, 8%). Among 142 trials with fewer than 40 clusters, only 9 (6%) reported using methods appropriate for a small number of clusters. Statistical analyses clearly adjusted for time effects in 119 (74%), for within-cluster correlations in 132 (83%), and for distinct between-period correlations in 13 (8%). Covariates were included in the primary analysis of the primary outcome in 82 (51%) and were most often individual-level covariates; however, clear and complete pre-specification of covariates was uncommon. Adherence to some key methodological requirements (adjusting for time effects, accounting for within-period correlation) was higher among trials published in higher versus lower impact factor journals. Substantial improvements over time were not observed although a slight improvement was observed in the proportion accounting for a distinct between-period correlation.
    Future methods development should prioritize methods for SW-CRTs with binary or time-to-event outcomes, small numbers of clusters, continuous recruitment designs, multivariate outcomes, or time-dependent repeated measures. Trialists, journal editors, and peer reviewers should be aware that SW-CRTs have additional methodological requirements over parallel arm designs including the need to account for period effects as well as complex intracluster correlations.
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  • 文章类型: Review
    目的:本研究旨在通过使用12种不同方法分析单个语料库的对话并比较后续结果,进一步了解我们对韵律夹带及其不同亚型的理解。
    方法:在LUCID语料库的一部分录音中分析了三个基本频率特征的夹带(Baker&Hazan,2011)使用以下方法:全球邻近度,全球融合,本地接近度,局部收敛,局部同步(Levitan&Hirschberg,2011),使用线性混合效应模型进行预测(Schweitzer&Lewandowski,2013),几何方法(Lehnert-LeHouillier,Terrazas,&Sandoval,2020),时间对齐移动平均线(Kousidis等人。,2008),混合方法(DeLooze等人,2014),交叉复发定量分析(例如,Fusaroli&Tylén,2016),和窗口,滞后互相关(Boker等人。,2002).我们在当地时间尺度上采用了夹带措施(即,在相邻的话语上),全局时间尺度(即,在更大的时间范围内),以及基于时间序列的时间尺度,该时间尺度大于相邻的话语,但小于整个对话。
    结果:我们观察到不同方法结果的差异。
    结论:结果表明,每种方法测量的夹带类型可能略有不同。讨论了这对现有和未来研究的复杂含义。
    This study aims to further our understanding of prosodic entrainment and its different subtypes by analyzing a single corpus of conversations with 12 different methods and comparing the subsequent results.
    Entrainment on three fundamental frequency features was analyzed in a subset of recordings from the LUCID corpus (Baker & Hazan, 2011) using the following methods: global proximity, global convergence, local proximity, local convergence, local synchrony (Levitan & Hirschberg, 2011), prediction using linear mixed-effects models (Schweitzer & Lewandowski, 2013), geometric approach (Lehnert-LeHouillier, Terrazas, & Sandoval, 2020), time-aligned moving average (Kousidis et al., 2008), HYBRID method (De Looze et al., 2014), cross-recurrence quantification analysis (e.g., Fusaroli & Tylén, 2016), and windowed, lagged cross-correlation (Boker et al., 2002). We employed entrainment measures on a local timescale (i.e., on adjacent utterances), a global timescale (i.e., over larger time frames), and a time series-based timescale that is larger than adjacent utterances but smaller than entire conversations.
    We observed variance in results of different methods.
    Results suggest that each method may measure a slightly different type of entrainment. The complex implications this has for existing and future research are discussed.
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  • 文章类型: Review
    当前指南建议使用Bland-Altman地块(BA地块),也称为差异图,作为兽医临床病理实验室方法比较评价的一部分。差异分析可以有意义地增强线性回归技术,并允许更全面地总结两种方法相对于彼此的性能。这项工作总结了当前有关BA情节组成和评估的文献。模型数据用于展示基于观察到的差异的数据评估方法,这些方法的综合固有不精确性,和临床相关的性能目标。这些方法的共同局限性,包括经常误解的观点,被呈现。BA图分析可以是有意制作的方法比较研究的一部分,该方法提供分析和临床相关数据。
    Current guidelines recommend using Bland-Altman plots (BA-plots), also called Difference plots, as part of method comparison evaluation in the veterinary clinical pathology laboratory. Analysis of differences can meaningfully augment linear regression techniques and allows fuller summarization of the performance of two methods relative to each other. This work summarizes the current literature on BA-plot composition and evaluation. Model data is used to demonstrate data evaluation approaches based on the observed differences, the combined inherent imprecision of the methods, and clinically relevant performance goals. Common limitations of the approaches, including points of frequent misinterpretation, are presented. BA-plot analysis can be part of an intentionally crafted method comparison study that provides analytically and clinically relevant data.
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  • 文章类型: Journal Article
    内源性低分子和高分子物质的生物系统中的可靠定量,药物和它们的代谢物,在诊断和治疗中特别重要,以及基础和临床研究。分析方法的分析特征有很多不同,包括精度等核心功能,精度,特异性,以及检测限(LOD)和定量(LOQ)。开发了几种不同的数学方法,并将其用于比较应用于同一生物样品中同一化合物的两种分析方法。一般来说,比较两种分析方法获得的结果会产生不同的定量结果。然而,哪种数学方法给出了最可靠的结果?哪种数学方法最适合证明方法之间的一致性,或分析方法A优于分析方法B?最简单和最常用的比较方法是对方法A(y)观察到的数据和方法B(x)观察到的数据进行线性回归分析:y=αβx。1986年,布兰德和奥特曼指出,线性回归分析,特别是相关系数的使用,不适合方法比较。相反,布兰德和奥特曼提出了一种替代方法,这通常被称为Bland-Altman方法。最初,这种比较方法在医学上得到了应用,例如,用两台设备测量血压.Bland-Altman方法在分析化学和临床化学中迅速适应。迄今为止,Bland-Altman方法提出的方法是方法比较中使用最广泛的数学方法之一。有大约37,000次引用,1986年发表在《柳叶刀》杂志上的原始论文是迄今为止该领域最常被引用的科学论文之一。然而,Bland-Altman方法并没有真正建立在定量的基础上。到目前为止,还没有提出任何标准,其中Bland-Altman方法可以构成可以证明分析协议或更好的分析方法的基础。在这篇文章中,从定量生物分析的角度重新评估了Bland-Altman方法,并尝试提出验收标准。为此,将不同的分析方法与基于质谱(MS)和串联质谱(MS/MS)的金标准分析方法进行了比较,即,GC-MS,GC-MS/MS,LC-MS和LC-MS/MS还考虑了其他色谱和非色谱方法。结果对于几种不同的内源性物质,包括硝酸盐,anandamide,高精氨酸,人血浆中的肌酐和丙二醛,讨论了血清和尿液。除了Bland-Altman的方法,使用线性回归分析和Oldham-Eksborg方法比较方法并进行比较。在Bland-Altman方法中,特别强调了差异与均值的关系。还考虑了目前可用的方法验证指南。提出了方法协议的接受标准,包括线性回归中的斜率和相关系数,以及Bland-Altman和Oldham-Eksborg方法中百分比差异的变异系数。
    Reliable quantification in biological systems of endogenous low- and high-molecular substances, drugs and their metabolites, is of particular importance in diagnosis and therapy, and in basic and clinical research. The analytical characteristics of analytical approaches have many differences, including in core features such as accuracy, precision, specificity, and limits of detection (LOD) and quantitation (LOQ). Several different mathematic approaches were developed and used for the comparison of two analytical methods applied to the same chemical compound in the same biological sample. Generally, comparisons of results obtained by two analytical methods yields different quantitative results. Yet, which mathematical approach gives the most reliable results? Which mathematical approach is best suited to demonstrate agreement between the methods, or the superiority of an analytical method A over analytical method B? The simplest and most frequently used method of comparison is the linear regression analysis of data observed by method A (y) and the data observed by method B (x): y = α + βx. In 1986, Bland and Altman indicated that linear regression analysis, notably the use of the correlation coefficient, is inappropriate for method-comparison. Instead, Bland and Altman have suggested an alternative approach, which is generally known as the Bland-Altman approach. Originally, this method of comparison was applied in medicine, for instance, to measure blood pressure by two devices. The Bland-Altman approach was rapidly adapted in analytical chemistry and in clinical chemistry. To date, the approach suggested by Bland-Altman approach is one of the most widely used mathematical approaches for method-comparison. With about 37,000 citations, the original paper published in the journal The Lancet in 1986 is among the most frequently cited scientific papers in this area to date. Nevertheless, the Bland-Altman approach has not been really set on a quantitative basis. No criteria have been proposed thus far, in which the Bland-Altman approach can form the basis on which analytical agreement or the better analytical method can be demonstrated. In this article, the Bland-Altman approach is re-valuated from a quantitative bioanalytical perspective, and an attempt is made to propose acceptance criteria. For this purpose, different analytical methods were compared with Gold Standard analytical methods based on mass spectrometry (MS) and tandem mass spectrometry (MS/MS), i.e., GC-MS, GC-MS/MS, LC-MS and LC-MS/MS. Other chromatographic and non-chromatographic methods were also considered. The results for several different endogenous substances, including nitrate, anandamide, homoarginine, creatinine and malondialdehyde in human plasma, serum and urine are discussed. In addition to the Bland-Altman approach, linear regression analysis and the Oldham-Eksborg method-comparison approaches were used and compared. Special emphasis was given to the relation of difference and mean in the Bland-Altman approach. Currently available guidelines for method validation were also considered. Acceptance criteria for method agreement were proposed, including the slope and correlation coefficient in linear regression, and the coefficient of variation for the percentage difference in the Bland-Altman and Oldham-Eksborg approaches.
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  • 文章类型: Journal Article
    背景:由侵入性医疗程序引起的医源性脑动脉气体栓塞(CAGE)可以通过高压氧治疗(HBOT)进行治疗。先前的研究表明,在6-8小时内开始HBOT与较高的有利结局概率相关,与超过8小时的HBOT时间相比,我们对观察性研究进行了组水平和个体患者水平的荟萃分析,评估医源性CAGE后HBOT时间与结局之间的关系。
    方法:我们系统地研究了医源性CAGE患者的HBOT时间和预后。在组级别,我们荟萃分析了结局有利和不利患者的中位HBOT时间之间的差异.在个体患者层面上,我们在广义线性混合效应模型中分析了HBOT时间与有利结果概率之间的关系.
    结果:组水平的荟萃分析(十项研究,263例患者)显示,预后良好的患者比预后不良的患者早接受HBOT治疗2.4h(95%CI0.6-9.7)。广义线性混合效应模型(八项研究,126名患者)显示出HBOT时间与有利结果的概率之间的显着关系(p=0.013),在纠正严重程度后仍然显着(p=0.041)。当HBOT立即启动时,有利结果的概率从大约65%下降,当HBOT延迟15小时时,降至30%。
    结论:在医源性CAGE中,HBOT时间增加与良好结局的概率降低相关。这表明在医源性CAGE中尽早启动HBOT至关重要。
    Iatrogenic cerebral arterial gas embolism (CAGE) caused by invasive medical procedures may be treated with hyperbaric oxygen therapy (HBOT). Previous studies suggested that initiation of HBOT within 6-8 h is associated with higher probability of favorable outcome, when compared to time-to-HBOT beyond 8 h. We performed a group level and individual patient level meta-analysis of observational studies, to evaluate the relationship between time-to-HBOT and outcome after iatrogenic CAGE.
    We systematically searched for studies reporting on time-to-HBOT and outcome in patients with iatrogenic CAGE. On group level, we meta-analyzed the differences between median time-to-HBOT in patients with favorable versus unfavorable outcome. On individual patient level, we analyzed the relationship between time-to-HBOT and probability of favorable outcome in a generalized linear mixed effects model.
    Group level meta-analysis (ten studies, 263 patients) shows that patients with favorable outcome were treated with HBOT 2.4 h (95% CI 0.6-9.7) earlier than patients with unfavorable outcome. The generalized linear mixed effects model (eight studies, 126 patients) shows a significant relationship between time-to-HBOT and probability of favorable outcome (p = 0.013) that remains significant after correcting for severity of manifestations (p = 0.041). Probability of favorable outcome decreases from approximately 65% when HBOT is started immediately, to 30% when HBOT is delayed for 15 h.
    Increased time-to-HBOT is associated with decreased probability of favorable outcome in iatrogenic CAGE. This suggests that early initiation of HBOT in iatrogenic CAGE is of vital importance.
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  • 文章类型: Review
    Geographical and temporal weighted regression (GTWR) model is a local regression linear model, which indirectly reflects the spatio-temporal non-stationary characteristics of the study data by calculating the trends for changes in parameters with space and time. Recently, GTWR model has become one of the hot topics in the study on spatio-temporal heterogeneity of diseases. This review summarizes the basic principles and study methods of the GTWR model, and describes the applications of this model in epidemiology.
    [摘要] 时空地理加权回归(geographical and temporal weighted regression, GTWR)模型是一种局部回归线性模型, 通过 推算参数随空间和时间变化的趋势间接反映研究数据的时空非平稳性特征。近年来, GTWR模型已成为研究疾病时空 异质性的热点之一。本文综述了 GTWR模型基本原理和研究方法, 同时梳理了该模型在流行病学中的应用。.
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  • 文章类型: Review
    改变的分级概念,尤其是中度的低分级被评估为头颈部鳞状细胞癌(HNSCC)标准治疗的替代方案。与化疗相关或不与化疗同时或序贯。等当量剂量方案的计算以传统上基于放射生物学的“4Rs”的线性二次(LQ)形式主义为起点。HNSCC放疗后较高的治疗失败率与放射敏感性的异质性有关。遗传特征和放射抗性评分的鉴定旨在提高放射治疗的治疗比例并概念化个性化分割方案。关于HNSCC放射生物学第六个“R”的新数据,特别是对于HPV驱动的亚型,而且对于“免疫活性”少数HPV阴性HNSCCs,突出α/β比的多因素变化。在包括免疫检查点抑制剂(ICI)的新的多模式治疗的情况下,抗肿瘤免疫反应和剂量/分级/体积因子以及治疗顺序的参与可以作为二次线性形式中的附加术语包括特别是对于低分级方案。该术语应考虑放疗的双重免疫调节作用(免疫抑制剂和抗肿瘤免疫刺激剂),这在不同的情况下有所不同,可能会带来好处或不利的影响。
    Altered fractionation concepts and especially moderate hypo-fractionation are evaluated as alternatives to standard treatment for head and neck squamous cell carcinoma (HNSCC), associated with or not concurrent with or sequential to chemotherapy. The calculation of the iso-equivalent dose regimens has as its starting point the linear quadratic (LQ) formalism traditionally based on the \"4Rs\" of radiobiology. The higher rates of therapeutic failure after radiotherapy of HNSCC are associated with the heterogeneity of radio-sensibility. The identification of genetic signatures and radio-resistance scores aims to improve the therapeutic ratio of radiotherapy and to conceptualize personalized fractionation schemes. The new data regarding the involvement of the sixth \"R\" of radiobiology in HNSCC, especially for the HPV-driven subtype, but also for the \"immune active\" minority of HPV-negative HNSCCs, bring to the fore a multifactorial variation of the α/β ratio. The involvement of the antitumor immune response and the dose/fractionation/volume factors as well as the therapeutic sequence in the case of new multimodal treatments including immune checkpoint inhibitors (ICIs) could be included as an additional term in the quadratic linear formalism especially for hypo-fractionation regimens. This term should take into account the dual immunomodulatory effect (immunosuppressant and stimulator of antitumor immunity) of radiotherapy, which varies from case to case and can bring benefit or a detrimental effect.
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