non-response

无响应
  • 文章类型: Journal Article
    本文考虑了由于存在缺失观测值或无响应而无法获得完整数据时,在与大小成正比的概率(PPS)采样方案下估计总体总数的问题。建议的估计器是基于使用校准方法的响应组和非响应组的可用多辅助信息而开发的。建议的估计器的方差已被导出到一阶近似。使用R软件对真实数据集进行的模拟研究也支持建议的估计器的性能。为建议的估计器计算经验的绝对相对偏差百分比(%ARB)和相对均方根误差百分比(%RRMSE)。由于基于设计的Horvitz和Thompson(HT)估计器和在可用的完整响应单元上获得的校准HT型估计器以及基于设计的Hansen和Hurwitz(HH)估计器,因此将开发的估计器与总体估计器进行比较。存在无响应。
    This paper considers the problem of estimation of the population total under probability proportional to size (PPS) sampling scheme when complete data is not available due to the presence of missing observations or non-response. The suggested estimators are developed based on available multi-auxiliary information for the response group and non-response group utilizing the calibration approach. The variances of the suggested estimators have been derived up to the first order of approximation. A simulation study done on a real dataset using R software also supports the performance of the suggested estimators. The empirical percentage absolute relative biases (%ARB) and percentage relative root mean squared errors (%RRMSE) are computed for the suggested estimators. The developed estimators are compared with the estimators of the population total due to the design-based Horvitz and Thompson (HT) estimator and calibration HT type estimator obtained on the available complete response units along with the design-based Hansen and Hurwitz (HH) estimator in the presence of non-response.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:乙型肝炎疫苗的问世在根除和减轻乙型肝炎感染负担方面取得了巨大的成功,这是肝细胞癌的主要罪魁祸首,肝细胞癌是全球最致命的恶性肿瘤之一。对疫苗的反应在约90-95%的健康个体中实现,并且在免疫受损的患者中高达仅50%。这篇综述旨在概述乙肝疫苗无应答,所涉及的机制,B细胞健忘症,以及克服它的策略。
    方法:数据库,包括谷歌学者,PubMed,Scopus,科克伦,和ClinicalTrials.org,用于搜索和检索文章使用关键词乙肝疫苗无应答和B细胞健忘症。在确定研究时遵循了PRISMA指南,筛选,选择,并报告调查结果。
    结果:共有133项关于乙肝疫苗无应答的研究,机制,在筛查和最终选择后,审查中纳入了预防/管理策略.导致乙肝疫苗无应答的因素被发现包括遗传,免疫因素,健康个体的B细胞健忘症。遗传因素是性别,HLA单倍型,和免疫反应标记(细胞因子)中的遗传多态性。无反应在免疫缺陷的情况下很常见,比如肾衰竭,血液透析,乳糜泻,炎症性肠病,丙型肝炎合并感染,和潜伏的乙型肝炎感染。其他包括糖尿病和HIV感染。所涉及的机制是通过抑制应答(T辅助细胞)或诱导的应答抑制(通过调节性B和T细胞)而受损的免疫应答。
    结论:全面而仔细地了解患者因素和疫苗的性质有助于制定有效的预防措施。这些包括再接种或加强剂量,通过皮内途径接种疫苗,以及在疫苗中使用佐剂。
    BACKGROUND: The advent of the hepatitis B vaccine has achieved tremendous success in eradicating and reducing the burden of hepatitis B infection, which is the main culprit for hepatocellular carcinoma-one of the most fatal malignancies globally. Response to the vaccine is achieved in about 90-95% of healthy individuals and up to only 50% in immunocompromised patients. This review aimed to provide an overview of hepatitis B vaccine non-response, the mechanisms involved, B cell amnesia, and strategies to overcome it.
    METHODS: Databases, including Google Scholar, PubMed, Scopus, Cochrane, and ClinicalTrials.org, were used to search and retrieve articles using keywords on hepatitis B vaccine non-response and B cell amnesia. The PRISMA guideline was followed in identifying studies, screening, selection, and reporting of findings.
    RESULTS: A total of 133 studies on hepatitis B vaccine non-response, mechanisms, and prevention/management strategies were included in the review after screening and final selection. Factors responsible for hepatitis B vaccine non-response were found to include genetic, immunological factors, and B cell amnesia in healthy individuals. The genetic factors were sex, HLA haplotypes, and genetic polymorphisms in immune response markers (cytokines). Non-response was common in conditions of immunodeficiency, such as renal failure, haemodialysis, celiac disease, inflammatory bowel disease, hepatitis C co-infection, and latent hepatitis B infection. Others included diabetes mellitus and HIV infection. The mechanisms involved were impaired immune response by suppression of response (T helper cells) or induced suppression of response (through regulatory B and T cells).
    CONCLUSIONS: A comprehensive and careful understanding of the patient factors and the nature of the vaccine contributes to developing effective preventive measures. These include revaccination or booster dose, vaccine administration through the intradermal route, and the use of adjuvants in the vaccine.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    不良儿童经历(ACE)包括18岁之前发生的创伤事件,对健康产生持久影响。虽然ACE的披露对于理解这些影响很重要,一些人由于敏感性而拒绝回答与ACE相关的调查项目,隐私问题,或心理困扰。这项研究探讨了对ACE项目无反应与健康结果之间的关系,揭示了对那些选择不披露的人的影响。
    我们对2021年行为危险因素监测系统(BRFSS)进行了二次分析,这是一项全国性的电话调查,用于查询健康行为和状况。社会人口因素,ACE暴露,并对ACE项目无应答进行分析。
    拒绝对ACE项目做出反应的人表现出与报告ACE暴露的人相似的健康行为和状况模式。无反应与更健康的行为(终生HIV检测)和更危险的行为(吸烟和使用电子烟的几率更高)有关。此外,无应答者体重过轻或肥胖的几率更高,经历集中困难,报告自评健康状况不佳,并报告多种健康诊断,包括抑郁症,糖尿病,高血压,心脏病发作,和中风。
    这项研究强调了解决与ACE相关的健康差异的必要性,无论披露状态如何。医疗干预措施应针对ACE筛查者的受访者和非受访者,定制策略,以促进更健康的应对机制,减轻适应不良行为。这些结果强调了创伤知情护理的重要性,早期干预,以及针对受ACE影响的个人的有针对性的公共卫生举措,无论他们的披露选择如何。
    UNASSIGNED: Adverse childhood experiences (ACE) encompass traumatic events occurring before age 18, with lasting impacts on health. While ACE disclosure is important for understanding these effects, some individuals decline to respond to ACE-related survey items due to sensitivity, privacy concerns, or psychological distress. This study explores the relationship between non-response to ACE items and health outcomes, shedding light on the implications for those who choose not to disclose.
    UNASSIGNED: We performed a secondary analysis of the 2021 Behavioral Risk Factor Surveillance System (BRFSS)-a national telephone survey querying health behaviors and conditions. Sociodemographic factors, ACE exposure, and non-response to ACE items were analyzed.
    UNASSIGNED: Individuals who decline to respond to ACE items exhibit similar patterns of health behaviors and conditions as those reporting ACE exposure. Non-response is linked to both healthier behaviors (lifetime HIV testing) and riskier behaviors (higher odds of smoking and e-cigarette use). Moreover, non-responders have higher odds of being underweight or obese, experiencing concentration difficulties, reporting poor self-rated health, and reporting multiple health diagnoses including depression, diabetes, high blood pressure, heart attack, and stroke.
    UNASSIGNED: The study underscores the need to address health disparities associated with ACE, regardless of disclosure status. Healthcare interventions should target respondents and non-respondents of ACE screeners, tailoring strategies to promote healthier coping mechanisms and mitigate maladaptive behaviors. These results emphasize the importance of trauma-informed care, early intervention, and targeted public health initiatives for individuals affected by ACE, irrespective of their disclosure choices.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    本文使用简单随机抽样对研究和伴随变量均无反应的情况下,研究了新的人口均值指数估计器。推导了新估计器的理论偏差和均方误差的表达式,直至一阶近似,并与现有估计器进行了比较。与文献中考虑的估计量相比,所提出的估计量被观察到更有效。例如,经典[4]无偏估计器,[9]的估计器,以及解释条件下的其他现有估计器。理论结果通过使用现实生活中的数据集在数值上得到支持,在偏见的标准下,均方误差,相对效率百分比和数学条件。从数值结果中还可以清楚地看出,建议的指数估计器的性能优于文献中的估计器。
    This paper addresses new exponential estimators for population mean in case of non-response on both the study and the concomitant variables using simple random sampling. The expressions for theoretical bias and mean square error of new estimators are derived up to first-order approximation and comparisons are made with the existing estimators. The proposed estimators are observed more efficient as compared to the considered estimators in the literature. For instance, the classical [4] unbiased estimator, the estimator of [9], and other existing estimators under the explained conditions. The theoretical results are supported numerically by using real-life data sets, under the criteria of bias, mean square error, percent relative efficiency and mathematical conditions. It is also clear from the numerical results that the suggested exponential estimators performed better than the estimators in the literature.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:由于有证据表明,多达30-40%的外阴硬化性苔藓(VLS)患者未能报告一线皮质类固醇治疗(TCS)的症状缓解,尤其是关于性交困难,我们旨在分析外阴注射自体富血小板血浆(PRP)后患者的满意度.这是一种辅助治疗,在TCS之后使用,并似乎促进组织修复。它也可能具有免疫调节特性。
    方法:患有VLS的患者被认为符合本试点研究的条件,尽管接受了3个月的TCS方案治疗,他们报告症状持续存在。使用手动方法和标准化方案在转诊中心产生PRP。每位患者间隔4至6周接受三次治疗。
    结果:本研究共纳入50例患者,中位年龄为53岁[IQR38-59岁]。最后一次注射PRP后6个月,所有患者对治疗满意或非常满意(100%;95%CI93-100%)。瘙痒的NRS中位数评分,燃烧,性交困难和排尿困难显著减少(P<0.05),FSFI,HADS和SF-12问卷显示性功能有显著改善,心理健康和生活质量(p<0.05)。报告需要维持TCS治疗的患者数量减少了42%(p<0.001),所有患者的外阴弹性和颜色均有所改善。
    结论:在标准药物治疗后,PRP不仅可以有效改善症状,而且在恢复功能。
    BACKGROUND: Owing to the evidence that as many as 30-40% of patients with vulvar lichen sclerosus (VLS) fail to report a remission of symptoms with first-line corticosteroid treatment (TCS), especially as what regards dyspareunia, we aimed to analyze patients\' satisfaction following vulvar injection of autologous platelet-rich plasma (PRP). This is intended as an adjunctive treatment, to be used following TCS, and appears to promote tissue repair. It may also possibly have immunomodulatory proprieties.
    METHODS: Patients with VLS were considered eligible for this pilot study if, despite having been treated with a 3-month TCS regimen, they reported a persistence of symptoms. PRP was produced in a referral center using a manual method and a standardized protocol. Each patient received three treatments 4 to 6 weeks apart.
    RESULTS: A total of 50 patients with a median age of 53 years [IQR 38-59 years] were included in the study. 6 months after the last injection of PRP all patients were either satisfied or very satisfied with the treatment (100%; 95% CI 93-100%). Median NRS scores for itching, burning, dyspareunia and dysuria were significantly reduced (p < 0.05) and FSFI, HADS and SF-12 questionnaires revealed a significant improvement in sexual function, psychological wellbeing and quality of life (p < 0.05). The number of patients reporting the need for maintenance TCS treatment was reduced by 42% (p < 0.001) and an improvement in vulvar elasticity and color was reported in all patients.
    CONCLUSIONS: Following standard medical therapy, PRP may be effective not only in improving symptoms, but also in restoring function.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    生物药物的出现彻底改变了炎症性肠病的治疗方法,与常规疗法相比,通过允许治疗皮质类固醇难治性病例并减少皮质类固醇相关副作用,可提高反应率和粘膜愈合率。然而,生物疗法(抗TNFα抑制剂,抗-α4β7整合素和抗-IL12/23)的应答率仍然徘徊在40%左右(在未接受生物学治疗的患者中)或更低(在接受生物学治疗的患者中)。此外,对耐药或失去反应的潜在机制的了解仍然很少。治疗失败中隐含着几种细胞和分子决定因素;遗传易感性,以单核苷酸多态性的形式在细胞因子或人类白细胞抗原的序列,或细胞因子和其他参与炎症级联反应的分子的表达改变,发挥最重要的作用。附属机制包括肠道微生物群失调。在这篇对当前和最新文献的叙事综述中,我们阐明了上述治疗失败的决定因素,以便为更个性化的治疗方法铺平道路,从而有助于避免不必要的治疗和毒性.
    The advent of biologic drugs has revolutionized the treatment of Inflammatory Bowel Disease, increasing rates of response and mucosal healing in comparison to conventional therapies by allowing the treatment of corticosteroid-refractory cases and reducing corticosteroid-related side effects. However, biologic therapies (anti-TNFα inhibitors, anti-α4β7 integrin and anti-IL12/23) are still burdened by rates of response that hover around 40% (in biologic-naïve patients) or lower (for biologic-experienced patients). Moreover, knowledge of the mechanisms underlying drug resistance or loss of response is still scarce. Several cellular and molecular determinants are implied in therapeutic failure; genetic predispositions, in the form of single nucleotide polymorphisms in the sequence of cytokines or Human Leukocyte Antigen, or an altered expression of cytokines and other molecules involved in the inflammation cascade, play the most important role. Accessory mechanisms include gut microbiota dysregulation. In this narrative review of the current and most recent literature, we shed light on the mentioned determinants of therapeutic failure in order to pave the way for a more personalized approach that could help avoid unnecessary treatments and toxicities.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    UNASSIGNED: H1-antihistamines (H1AH) are the first-line treatment for chronic spontaneous urticaria (CSU), but 50% of patients have inadequate disease control at standard doses.
    UNASSIGNED: To assess the comorbidity burden and healthcare resource utilization (HRU) associated with non-response to H1AH-based treatments; to identify predictors of non-response.
    UNASSIGNED: Optum® de-identified Electronic Health Record dataset (2007-2020) was used to identify adult patients with CSU who initiated a H1AH, alone or in combination with other oral non-biologics (index treatment). Based on twelve-month treatment patterns observed after index treatment initiation, patients were categorized as responders (continued index treatment or had only 1 next H1AH treatment without corticosteroids) or non-responders (continued corticosteroids or had 2 or more treatment switches). Patient characteristics and HRU were assessed in the 12 months before (baseline) and ≥12 months after (follow-up) index treatment initiation. Baseline predictors associated with non-response were identified using machine learning.
    UNASSIGNED: There were 17 062 patients who met inclusion criteria, and 14824 (86.9%) were classified as non-responders. A higher proportion of non-responders had records of CSU-related symptoms, comorbidities, polypharmacy, and certain laboratory tests than responders at baseline. A higher proportion of non-responders than responders visited an allergist or dermatologist during follow-up (59.5% vs 53.0%). Non-responders had a larger increase in hospitalizations (15.7% vs -2.4%) than responders during follow-up vs baseline. Predictors of non-response included index and baseline treatment classes, types of specialists seen, chronic pulmonary disease, depression, and female sex.
    UNASSIGNED: A large proportion of CSU patients treated with H1AH-based therapies had uncontrolled disease, contributing to increased HRU and patient burden. Non-responders had more comorbidities and HRU at baseline and follow-up, with steep increases in follow-up hospitalizations relative to baseline, highlighting an urgent need for early disease control.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    鉴于使用经验抽样方法在各个学科中进行的研究越来越多,检查依从性偏差很重要,因为缺失数据的相关模式可能会影响研究结果的有效性.在本研究中,592名参与者的样本和超过25,000个观察结果被用于检查参与者是否在经验抽样框架内对每个特定问卷做出了回应.来自三类人的400多个变量,行为,和上下文,通过传统调查以多种方法收集,经验抽样,和移动传感,作为预测因子。在比较不同的线性(逻辑和弹性网络回归)和非线性(随机森林)机器学习模型时,我们发现了依从性偏倚的迹象:成功预测了反应行为。后续分析显示,与研究相关的过去行为,如以前的平均经验抽样问卷回复率,对预测合规性信息最丰富,其次是物理上下文变量,例如在家或在工作。根据我们的发现,我们讨论了应用研究中经验抽样研究设计的含义,以及解决经验抽样方法和缺失数据的方法学研究的未来方向。
    Given the increasing number of studies in various disciplines using experience sampling methods, it is important to examine compliance biases because related patterns of missing data could affect the validity of research findings. In the present study, a sample of 592 participants and more than 25,000 observations were used to examine whether participants responded to each specific questionnaire within an experience sampling framework. More than 400 variables from the three categories of person, behavior, and context, collected multi-methodologically via traditional surveys, experience sampling, and mobile sensing, served as predictors. When comparing different linear (logistic and elastic net regression) and non-linear (random forest) machine learning models, we found indication for compliance bias: response behavior was successfully predicted. Follow-up analyses revealed that study-related past behavior, such as previous average experience sampling questionnaire response rate, was most informative for predicting compliance, followed by physical context variables, such as being at home or at work. Based on our findings, we discuss implications for the design of experience sampling studies in applied research and future directions in methodological research addressing experience sampling methodology and missing data.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    许多青少年健康调查询问受访者是男性还是女性。不回应可能是由于害怕去匿名化或成为性别不合格的年轻人。本研究调查了无反应的频率及其潜在原因。为此,来自六个国家的54,833名11-18岁青少年的数据,参与2018年学龄儿童健康行为(HBSC)研究,进行了分析。受访者分为三组:(1)回答年龄和性别两个问题的“受访者”,(2)没有回答年龄问题的“年龄无反应者”,和(3)“性别无反应者”,他们回答了年龄问题,但没有回答性别问题。比较了这些小组对其他问题的无反应和健康状况。总的来说,98.0%是响应者,1.6%为年龄无反应者,0.4%为性别无反应者。平均而言,年龄非应答者跳过更多的问题(4.2或64)比性别非应答者(3.2)和应答者(2.1)。无性别反应者报告了更多的心身投诉,与反应者相比,更频繁的药物使用和更低的家庭支持。这项研究表明,年龄和性别无反应者的反应方式不同,建议跳过性别问题的不同原因。发现的群体之间的健康差异表明,进一步的研究应该使用更细致入微的方法,根据LGBT+青年的见解,测量出生时分配的性别和性别认同。
    Many adolescent health surveys ask if respondents are male or female. Non-response may be due to fear of de-anonymisation or being a gender-nonconforming youth. The present study investigates the frequency of non-response and its potential reasons. To this end, data from 54,833 adolescents aged 11-18 from six countries, participating in the 2018 Health Behaviour in School-aged Children (HBSC) study, were analysed. Respondents were divided into three groups: (1) \"Responders\" who answered both questions on age and gender, (2) \"Age non-responders\" who did not answer the question on age, and (3) \"Gender non-responders\" who answered the question on age but not the one on gender. These groups were compared regarding their non-response to other questions and regarding their health. Overall, 98.0% were responders, 1.6% were age non-responders and 0.4% were gender non-responders. On average, age non-responders skipped more questions (4.2 out or 64) than gender non-responders (3.2) and responders (2.1). Gender non-responders reported more psychosomatic complaints, more frequent substance use and lower family support than responders. This study shows that age and gender non-responders differ in their response styles, suggesting different reasons for skipping the gender question. The health disparities found between the groups suggest that further research should use a more nuanced approach, informed by LGBT+ youth\'s insights, to measure sex assigned at birth and gender identity.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    尽管讨论了心理学研究结果的可复制性,两个问题在很大程度上被忽视了:选择机制和模型假设。这两个主题都解决了相同的基本问题:所选择的统计分析工具是否充分模拟了数据生成过程?我们既解决了问题,又展示了,第一步,面对选择性样本,与惯例相反,推论的有效性,即使基于实验设计,只有在非常特殊的情况下,才能在没有进一步证明和调整标准方法的情况下声明。然后,我们扩大了我们的视野,在一般心理学研究的背景下以及在项目反应理论中使用的广义线性混合模型中,讨论了线性模型中违反假设的后果。这些类型的错误规范在心理学研究文献中经常被忽略。需要强调的是,上述问题无法通过预注册、大样本,复制,或禁止测试无效假设。为了避免有偏见的结论,我们简要讨论了模型诊断等工具,统计方法来补偿选择性和半参数估计或非参数估计。在更基本的层面上,然而,双重策略似乎不可或缺:(1)迭代,基于具有理论合理假设的统计方法的累积理论发展,(2)对影响(自我)选择的变量进行实证研究,并使用这些信息来补偿选择性。
    Despite discussions about the replicability of findings in psychological research, two issues have been largely ignored: selection mechanisms and model assumptions. Both topics address the same fundamental question: Does the chosen statistical analysis tool adequately model the data generation process? In this article, we address both issues and show, in a first step, that in the face of selective samples and contrary to common practice, the validity of inferences, even when based on experimental designs, can be claimed without further justification and adaptation of standard methods only in very specific situations. We then broaden our perspective to discuss consequences of violated assumptions in linear models in the context of psychological research in general and in generalized linear mixed models as used in item response theory. These types of misspecification are oftentimes ignored in the psychological research literature. It is emphasized that the above problems cannot be overcome by strategies such as preregistration, large samples, replications, or a ban on testing null hypotheses. To avoid biased conclusions, we briefly discuss tools such as model diagnostics, statistical methods to compensate for selectivity and semi- or non-parametric estimation. At a more fundamental level, however, a twofold strategy seems indispensable: (1) iterative, cumulative theory development based on statistical methods with theoretically justified assumptions, and (2) empirical research on variables that affect (self-) selection into the observed part of the sample and the use of this information to compensate for selectivity.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号