20 research outputs found
Bayesian hierarchical regression model to detect quantitative trait loci
Detecting genetic loci responsible for variation in quantitative traits is a problem
of great importance to biologists. The location on a genetic map responsible for
a quantitative trait is referred to as Quantitative Trait Loci, or QTL. This thesis
uses a Bayesian Hierarchical Regression model which incorporates variability both
within and between lines to detect the QTL. This method is applied to a simulated
data set using the line information from Bay-0 Ă— Shahdara population to find the
activation probability of each genetic segment via the Gibbs sampler and Monte
Carlo integration techniques. Using the activation probability, which indicates the
influence of each segment within all the models, the QTL is detected. The results
show that it is an effective way to detect QTL
Perceived Stress After Acute Myocardial Infarction: A Comparison Between Young and Middle-Aged Women Versus Men
Objective: The aim of the study was to examine how psychological stress changes over time in young and middle-aged patients after experiencing an acute myocardial infarction (AMI) and whether these changes differ between men and women.
Methods: We analyzed data obtained from 2358 women and 1151 men aged 18 to 55 years hospitalized for AMI. Psychological stress was measured using the 14-item Perceived Stress Scale (PSS-14) at initial hospitalization and at 1 month and 12 months after AMI. We used linear mixed-effects models to examine changes in PSS-14 scores over time and sex differences in these changes, while adjusting for patient characteristics and accounting for correlation among repeated observations within patients.
Results: Overall, patients' perceived stress decreased over time, especially during the first month after AMI. Women had higher levels of perceived stress than men throughout the 12-month period (difference in PSS-14 score = 3.63, 95% confidence interval = 3.08 to 4.18, p < .001), but they did not differ in how stress changed over time. Adjustment for patient characteristics did not alter the overall pattern of sex difference in changes of perceived stress over time other than attenuating the magnitude of sex difference in PSS-14 score (difference between women and men = 1.74, 95% confidence interval = 1.32 to 2.16, p < .001). The magnitude of sex differences in perceived stress was similar in patients with versus without post-AMI angina, even though patients with angina experienced less improvement in PSS-14 score than those without angina.
Conclusions: In young and middle-aged patients with AMI, women reported higher levels of perceived stress than men throughout the first 12 months of recovery. However, women and men had a similar pattern in how perceived stress changed over time
Semiparametric Bayesian Joint Model With Variable Selection
In longitudinal studies, a popular model is the linear mixed model that includes fixed effects and subject specific random effects. In many clinical trials and other medical and reliability studies, we can often obtain repeated measurements or longitudinal data that includes survival or time-to-event histories. Recently, methods for jointly modeling longitudinal and survival data have gained popularity in the statistical literature. In this dissertation, we consider the problem of variable selection in a joint modeling framework where longitudinal and survival data are modeled jointly. Dirichlet process priors are used to relax the parametric assumption of random effects, which has advantages of making the model more robust against possible misspecifications and allows the clustering of subjects. A fully Bayesian method for subset selection of fixed and random effects in joint models is proposed. Simulation examples and an application are used for method evaluation and illustration
Bayesian hierarchical regression models for detecting QTLs in plant experiments
Quantitative trait loci (QTL) mapping is a growing field in statistical genetics. In plants, QTL detection experiments often feature replicates or clones within a specific genetic line. In this work, a Bayesian hierarchical regression model is applied to simulated QTL data and to a dataset from the Arabidopsis thaliana plants for locating the QTL mapping associated with cotyledon opening. A conditional model search strategy based on Bayesian model averaging is utilized to reduce the computational burden.hierarchical models, Bayesian statistics, quantitative trait loci, Bayesian model averaging, recombinant inbred Lines,
LOW BODY MASS INDEX IS ASSOCIATED WITH IN-HOSPITAL ADVERSE EVENTS AND MORTALITY AMONG IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR RECIPIENTS ENROLLED IN THE NCDR IMPLANTABLE CARDIOVERTER DEFIBRILLATOR REGISTRY
CARDIAC PERFORATION FROM IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR LEAD PLACEMENT AND IN-HOSPITAL ADVERSE EVENTS AND MORTALITY: INSIGHTS FROM THE NCDR®
VARIATIONS IN USE OF REMOTE MONITORING OF IMPLANTABLE DEFIBRILLATORS RELATIVE TO THE INTRODUCTION OF BILLING CODES SPECIFIC TO REMOTE MONITORING
COMPARATIVE EFFECTIVENESS OF CARDIAC RESYNCHRONIZATION THERAPY WITH DEFIBRILLATOR VERSUS DEFIBRILLATOR ALONE IN HEART FAILURE PATIENTS WITH MODERATE TO SEVERE CHRONIC KIDNEY DISEASE
Comparative Effectiveness of CRT-D Versus Defibrillator Alone in HF Patients With Moderate-to-Severe Chronic Kidney Disease
AbstractBackgroundPatients with moderate-to-severe chronic kidney disease (CKD) are poorly represented in clinical trials of cardiac resynchronization therapy (CRT).ObjectivesThis study sought to assess the real-world comparative effectiveness of CRT with defibrillator (CRT-D) versus implantable cardioverter-defibrillator (ICD) alone in CRT-eligible patients with moderate-to-severe CKD.MethodsWe conducted an inverse probability-weighted analysis of 10,946 CRT-eligible patients (ejection fraction <35%, QRS >120 ms, New York Heart Association functional class III/IV) with stage 3 to 5 CKD in the National Cardiovascular Data Registry (NCDR) ICD Registry, comparing outcomes between patients who received CRT-D (n = 9,525) versus ICD only (n = 1,421). Outcomes were obtained via Medicare claims and censored at 3 years. The primary endpoint of heart failure (HF) hospitalization or death and the secondary endpoint of death were assessed with Cox proportional hazards models. HF hospitalization, device explant, and progression to end-stage renal disease were assessed using Fine-Gray models.ResultsAfter risk adjustment, CRT-D use was associated with a reduction in HF hospitalization or death (hazard ratio [HR]: 0.84; 95% confidence interval [CI]: 0.78 to 0.91; p < 0.0001), death (HR: 0.85; 95% CI: 0.77 to 0.93; p < 0.0004), and HF hospitalization alone (subdistribution HR: 0.84; 95% CI: 0.76 to 0.93; p < 0.009). Subgroup analyses suggested that CRT was associated with a reduced risk of HF hospitalization and death across CKD classes. The incidence of in-hospital, short-term, and mid-term device-related complications did not vary across CKD stages.ConclusionsIn a nationally representative population of HF and CRT-eligible patients, use of CRT-D was associated with a significantly lower risk of the composite endpoint of HF hospitalization or death among patients with moderate-to-severe CKD in the setting of acceptable complication rates