24 research outputs found

    Robust Estimation of High-Dimensional Mean Regression

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    Data subject to heavy-tailed errors are commonly encountered in various scientific fields, especially in the modern era with explosion of massive data. To address this problem, procedures based on quantile regression and Least Absolute Deviation (LAD) regression have been devel- oped in recent years. These methods essentially estimate the conditional median (or quantile) function. They can be very different from the conditional mean functions when distributions are asymmetric and heteroscedastic. How can we efficiently estimate the mean regression functions in ultra-high dimensional setting with existence of only the second moment? To solve this problem, we propose a penalized Huber loss with diverging parameter to reduce biases created by the traditional Huber loss. Such a penalized robust approximate quadratic (RA-quadratic) loss will be called RA-Lasso. In the ultra-high dimensional setting, where the dimensionality can grow exponentially with the sample size, our results reveal that the RA-lasso estimator produces a consistent estimator at the same rate as the optimal rate under the light-tail situation. We further study the computational convergence of RA-Lasso and show that the composite gradient descent algorithm indeed produces a solution that admits the same optimal rate after sufficient iterations. As a byproduct, we also establish the concentration inequality for estimat- ing population mean when there exists only the second moment. We compare RA-Lasso with other regularized robust estimators based on quantile regression and LAD regression. Extensive simulation studies demonstrate the satisfactory finite-sample performance of RA-Lasso

    Relapse or reinfection: Classification of malaria infection using transition likelihoods

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    In patients with Plasmodium vivax malaria treated with effective blood-stage therapy, the recurrent illness may occur due to relapse from latent liver-stage infection or reinfection from a new mosquito bite. Classification of the recurrent infection as either relapse or reinfection is critical when evaluating the efficacy of an anti-relapse treatment. Although one can use whether a shared genetic variant exists between baseline and recurrence genotypes to classify the outcome, little has been suggested to use both sharing and nonsharing variants to improve the classification accuracy. In this paper, we develop a novel classification criterion that utilizes transition likelihoods to distinguish relapse from reinfection. When tested in extensive simulation experiments with known outcomes, our classifier has superior operating characteristics. A real data set from 78 Cambodian P. vivax malaria patients was analyzed to demonstrate the practical use of our proposed method

    Should All Patients With Pulmonary Hypertension Undergoing Non-Cardiac Surgery Be Managed by Cardiothoracic Fellowship-Trained Anesthesiologists?

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    Objectives To identify differences in practice patterns and outcomes related to the induction of general anesthesia for patients with pulmonary hypertension (PH) performed by anesthesiologists who have completed a cardiothoracic fellowship (CTA group) vs those who have not (non-CTA group). Design Retrospective study with propensity score matching. Setting Operating room. Participants All adult patients with PH undergoing general anesthesia requiring intubation at a single academic center over 5 years. Interventions Patient baseline characteristics, peri-induction management variables, post-induction mean arterial pressure (MAP), and other outcomes were compared between CTA and non-CTA groups. Methods and main results: Following propensity scoring matching, 402 patients were included in the final model, 100 in the CTA group and 302 in the non-CTA group. Also following matching, only cases of mild to moderate PH without right ventricular dysfunction remained in the analysis. Matched groups were overall statistically similar with respect to baseline characteristics; however, there was a greater incidence of higher ASA class (P = .025) and cardiology and thoracic procedures (P < .001) being managed by the CTA group. No statistical differences were identified in practice patterns or outcomes related to the induction of anesthesia between groups, except for longer hospital length of stay in the CTA group (P = .008). Conclusions These results provide early evidence to suggest the induction of general anesthesia of patients with non-severe PH disease can be comparably managed by either anesthesiologists with or without a cardiothoracic fellowship. However, these findings should be confirmed in a prospective study

    The association of health literacy and blood pressure reduction in a cohort of patients with hypertension: The heart healthy lenoir trial

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    Lower health literacy is associated with poorer health outcomes. Few interventions poised to mitigate the impact of health literacy in hypertensive patients have been published. We tested if a multilevel quality improvement intervention could differentially improve Systolic Blood Pressure (SBP) more so in patients with low vs. higher health literacy
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