261 research outputs found
Asymmetric multivariate archimedean copula models and semi-competing risks data analysis
Many multivariate models have been proposed and developed to model high dimensional data when the dimension of a data set is greater than 2 (d ≥ 3). The existing multivariate models often force the “exchangeable” structure for part or the whole model, are not very flexible which tends to be of limited use in practice. There is a demand for developing and studying multivariate models with any pre-specified bivariate margins.
Suppose there exists such a class of flexible models with any pre-specified bivariate margins. Given a multivariate data, what is the distribution function and how to easily estimate the parameters from this multivariate model are often important issues to solve.
Dependent censoring has become an increasingly important issue in medical data analysis. Quite often failure times are subject to dependent censoring and how to model and quantify such dependence is also of great interest.
The research described in Chapter 2 of this dissertation has been motivated by the above challenging questions. Copula models are used to address these important problems.
The first result is to generalize the model construction approach proposed by Chakak (1993) to d?dimensional models with arbitrarily pre-specified bivariate margins. The second result is to give the distribution functions for models constructed using the construction approach proposed in the first result. The third result is to propose parameters estimation approach and new model selection approach for models constructed using the construction approach proposed in the first result. Simulation studies show that the parameter estimate works very well.
The research described in Chapter 3 of this dissertation has been motivated by the dependent censoring. The copula-graphic estimator (Zheng and Klein 1996) is first derived in this dissertation for marginal survival functions using Archimedean copula models based on semi-competing risks data. And its uniform consistency and asymptotic properties are proved.
A parameter estimation strategy is given to analyze the semi-competing risks data using Archimedean copula models. The method described in this dissertation is important and flexible in that it allows us to determine dependence levels between competing risks when two dependent competing risks are subject to independent censoring.
Based on the parameter estimation strategy proposed above, a new model selection procedure is given. An easy way to accommodate possible covariates in data analysis using the strategies is discussed.
Simulation studies show that the parameter estimate outperforms the estimator proposed by Lakhal, Rivest and Abdous (2008) for the Hougaard model and the model selection procedure works quite well. A leukemia data set is fitted by using the proposed model selection procedure and this dissertation end with some discussion
Trustworthy Large Models in Vision: A Survey
The rapid progress of Large Models (LMs) has recently revolutionized various
fields of deep learning with remarkable grades, ranging from Natural Language
Processing (NLP) to Computer Vision (CV). However, LMs are increasingly
challenged and criticized by academia and industry due to their powerful
performance but untrustworthy behavior, which urgently needs to be alleviated
by reliable methods. Despite the abundance of literature on trustworthy LMs in
NLP, a systematic survey specifically delving into the trustworthiness of LMs
in CV remains absent. In order to mitigate this gap, we summarize four relevant
concerns that obstruct the trustworthy usage in vision of LMs in this survey,
including 1) human misuse, 2) vulnerability, 3) inherent issue and 4)
interpretability. By highlighting corresponding challenge, countermeasures, and
discussion in each topic, we hope this survey will facilitate readers'
understanding of this field, promote alignment of LMs with human expectations
and enable trustworthy LMs to serve as welfare rather than disaster for human
society
Dynamic Lidar Ratio Calculation and Aerosol Vertical Extinction Coefficient Retrieval Based on Observed Visibility
Micropulse lidar (MPL) cannot directly retrieve the aerosol extinction coefficient under cloudy conditions and at night. Therefore, we used ground visibility, Fernald’s near-end solution method, and the linear correlation between the near-end lidar signal (photons) and ground aerosol extinction coefficient (correlation coefficient = 0.98), to calculate the lidar constant and lidar ratio (LR). We compared the aerosol optical depth (AOD) retrieved from MPL and the AOD retrieved from the multifilter rotating shadowband radiometer (MFRSR-7) at the same band (532 nm). The correlation coefficient was 0.77. The vertical distribution of aerosols in daytime and nighttime during summer was obtained from lidar in July at 00:00 and 12:00 Beijing time (UTC+8). In daytime, under clear sky conditions, the distribution displayed a unimodal and peak at approximately 2000 m. The distribution at night was more complicated than that in the day, with three results. The first was monotonically decreasing from ground to upper layer, with a peak at 600 m and two peaks at approximately 1200 m. In general, the aerosol extinction coefficient at nighttime is higher than that at daytime below 1200 m. The near-ground extinction coefficient at night is higher than in the day
MicroRNAs in spermatogenesis dysfunction and male infertility: clinical phenotypes, mechanisms and potential diagnostic biomarkers
Infertility affects approximately 10–15% of couples worldwide who are attempting to conceive, with male infertility accounting for 50% of infertility cases. Male infertility is related to various factors such as hormone imbalance, urogenital diseases, environmental factors, and genetic factors. Owing to its relationship with genetic factors, male infertility cannot be diagnosed through routine examination in most cases, and is clinically called ‘idiopathic male infertility.’ Recent studies have provided evidence that microRNAs (miRNAs) are expressed in a cell-or stage-specific manner during spermatogenesis. This review focuses on the role of miRNAs in male infertility and spermatogenesis. Data were collected from published studies that investigated the effects of miRNAs on spermatogenesis, sperm quality and quantity, fertilization, embryo development, and assisted reproductive technology (ART) outcomes. Based on the findings of these studies, we summarize the targets of miRNAs and the resulting functional effects that occur due to changes in miRNA expression at various stages of spermatogenesis, including undifferentiated and differentiating spermatogonia, spermatocytes, spermatids, and Sertoli cells (SCs). In addition, we discuss potential markers for diagnosing male infertility and predicting the varicocele grade, surgical outcomes, ART outcomes, and sperm retrieval rates in patients with non-obstructive azoospermia (NOA)
SAM-Med3D
Although the Segment Anything Model (SAM) has demonstrated impressive
performance in 2D natural image segmentation, its application to 3D volumetric
medical images reveals significant shortcomings, namely suboptimal performance
and unstable prediction, necessitating an excessive number of prompt points to
attain the desired outcomes. These issues can hardly be addressed by
fine-tuning SAM on medical data because the original 2D structure of SAM
neglects 3D spatial information. In this paper, we introduce SAM-Med3D, the
most comprehensive study to modify SAM for 3D medical images. Our approach is
characterized by its comprehensiveness in two primary aspects: firstly, by
comprehensively reformulating SAM to a thorough 3D architecture trained on a
comprehensively processed large-scale volumetric medical dataset; and secondly,
by providing a comprehensive evaluation of its performance. Specifically, we
train SAM-Med3D with over 131K 3D masks and 247 categories. Our SAM-Med3D
excels at capturing 3D spatial information, exhibiting competitive performance
with significantly fewer prompt points than the top-performing fine-tuned SAM
in the medical domain. We then evaluate its capabilities across 15 datasets and
analyze it from multiple perspectives, including anatomical structures,
modalities, targets, and generalization abilities. Our approach, compared with
SAM, showcases pronouncedly enhanced efficiency and broad segmentation
capabilities for 3D volumetric medical images. Our code is released at
https://github.com/uni-medical/SAM-Med3D
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Significant contrasts in aerosol acidity between China and the United States
Aerosol acidity governs several key processes in aerosol physics and chemistry, thus affecting aerosol mass and composition and ultimately climate and human health. Previous studies have reported aerosol pH values separately in China and the United States (USA), implying different aerosol acidity between these two countries. However, there is debate about whether mass concentration or chemical composition is the more important driver of differences in aerosol acidity. A full picture of the pH difference and the underlying mechanisms responsible is hindered by the scarcity of simultaneous measurements of particle composition and gaseous species, especially in China. Here we conduct a comprehensive assessment of aerosol acidity in China and the USA using extended ground-level measurements and regional chemical transport model simulations. We show that aerosols in China are significantly less acidic than in the USA, with pH values 1–2 units higher. Based on a proposed multivariable Taylor series method and a series of sensitivity tests, we identify major factors leading to the pH difference. Compared to the USA, China has much higher aerosol mass concentrations (gas + particle, by a factor of 8.4 on average) and a higher fraction of total ammonia (gas + particle) in the aerosol composition. Our assessment shows that the differences in mass concentrations and chemical composition play equally important roles in driving the aerosol pH difference between China and the USA – increasing the aerosol mass concentrations (by a factor of 8.4) but keeping the relative component contributions the same in the USA as the level in China increases the aerosol pH by ∼ 1.0 units and further shifting the chemical composition from US conditions to China's that are richer in ammonia increases the aerosol pH by ∼ 0.9 units. Therefore, China being both more polluted than the USA and richer in ammonia explains the aerosol pH difference. The difference in aerosol acidity highlighted in the present study implies potential differences in formation mechanisms, physicochemical properties, and toxicity of aerosol particles in these two countries.
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Physical activity and weight loss among adults with type 2 diabetes and overweight or obesity: a post hoc analysis of the Look AHEAD trial
Importance: Prior findings from the Look AHEAD trial showed no significant reduction in the risk of cardiovascular events by lifestyle-induced weight loss among individuals with type 2 diabetes (T2D) and overweight or obesity. However, physical activity (PA) may modify the changes in cardiovascular risk associated with weight loss.
Objective: To examine the joint association of weight loss and PA with the risk of adverse cardiovascular events in patients with T2D and overweight or obesity.
Design, Setting, and Participants: This cohort study was a post hoc analysis of the Look AHEAD randomized clinical trial, which compared the cardiovascular effects of weight loss by intensive lifestyle intervention vs diabetes support and education among individuals with T2D and overweight or obesity. The study was conducted from June 2001 to September 2012, and participants were patients in the substudy of accelerometry-measured PA from 8 locations in the United States. Data were analyzed from June to August 2023.
Exposures: Body weight change and accelerometer-derived PA volume across the first 4 years.
Main Outcomes and Measures: The primary outcome was a composite cardiovascular outcome including cardiovascular death, nonfatal myocardial infarction, nonfatal stroke, or hospitalization for angina.
Results: Among a total of 1229 participants (mean [SD] age, 60 [7] years; 533 male [43%]), 333 (27%) achieved and maintained weight loss for the first 4 years. Among the individuals who maintained weight loss, 105 (32%) maintained high PA volume. During a median of 9.5 years of follow-up, 198 participants (16.1%) experienced the primary outcome. Compared with those with low PA volume and no weight loss (105 [15.8%]), maintaining high PA volume and weight loss was associated with a 61% lower risk of the primary end point (hazard ratio, 0.39; 95% CI, 0.19-0.81; P = .01). However, there was no significant difference in the risk of the primary end point among those with either weight loss only or high PA only. The multiplicative interaction between weight loss and PA for the risk of cardiovascular events was also significant (P for interaction = .01).
Conclusions and Relevance: In this cohort study, maintaining weight loss and higher PA volume was associated with a lower risk of the composite cardiovascular outcome. The findings suggest that the cardiovascular benefits of PA may vary and be enhanced by weight loss among individuals with T2D and overweight or obesity
Genome Characterization and Phylogenetic Analysis of Bovine Hepacivirus in Inner Mongolia, Northeastern China
Bovine hepacivirus (BovHepV) is a new member of the genus Hepacivirus in the family Flaviviridae , which has been detected in cattle in more than seven countries. The purpose of this study was to identify and genetically characterize BovHepV in cattle in Inner Mongolia, northeastern (NE) China. A total of 116 serum samples from cattle were collected from HulunBuir in Inner Mongolia from April to May, 2021, and were divided into three pools for metagenomic sequencing. The samples were verified with semi-nested RT-PCR with primers based on the BovHepV sequences obtained from metagenomic sequencing. The complete genomes of BovHepV were amplified, and were used for genome characterization and phylogenetic analysis. BovHepV was detected in two pools through metagenomic sequencing. Five BovHepV positive samples were identified in Yakeshi of HulunBuir, thus indicating a prevalence of 8.8% (5/57). Two 8840 nucleotide long BovHepV strains YKS01/02 were amplified from the positive samples and showed 79.3%–91.9% nucleotide sequence identity with the discovered BovHepV strains. Phylogenetic analysis classified the YKS01/02 strains into BovHepV subtype G group. This study reports the first identification of BovHepV in cattle in northeastern China, and expands the known geographical distribution and genetic diversity of BovHepV in the country
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