261 research outputs found

    Asymmetric multivariate archimedean copula models and semi-competing risks data analysis

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    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

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    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

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    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

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    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

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    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

    Physical activity and weight loss among adults with type 2 diabetes and overweight or obesity: a post hoc analysis of the Look AHEAD trial

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    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

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    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

    Vitamin D and cause-specific vascular disease and mortality:a Mendelian randomisation study involving 99,012 Chinese and 106,911 European adults

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