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1.
Stat Med ; 40(13): 3085-3105, 2021 06 15.
Artigo em Inglês | MEDLINE | ID: mdl-33782991

RESUMO

Clinical studies on periodontal disease (PD) often lead to data collected which are clustered in nature (viz. clinical attachment level, or CAL, measured at tooth-sites and clustered within subjects) that are routinely analyzed under a linear mixed model framework, with underlying normality assumptions of the random effects and random errors. However, a careful look reveals that these data might exhibit skewness and tail behavior, and hence the usual normality assumptions might be questionable. Besides, PD progression is often hypothesized to be spatially associated, that is, a diseased tooth-site may influence the disease status of a set of neighboring sites. Also, the presence/absence of a tooth is informative, as the number and location of missing teeth informs about the periodontal health in that region. In this paper, we develop a (shared) random effects model for site-level CAL and binary presence/absence status of a tooth under a Bayesian paradigm. The random effects are modeled using a spatial skew-normal/independent (S-SNI) distribution, whose dependence structure is conditionally autoregressive (CAR). Our S-SNI density presents an attractive parametric tool to model spatially referenced asymmetric thick-tailed structures. Both simulation studies and application to a clinical dataset recording PD status reveal the advantages of our proposition in providing a significantly improved fit, over models that do not consider these features in a unified way.


Assuntos
Modelos Estatísticos , Dente , Teorema de Bayes , Simulação por Computador , Humanos , Modelos Lineares , Distribuição Normal
2.
Macromol Rapid Commun ; 42(9): e2100004, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33749077

RESUMO

Molecular imprinting polymers (MIPs), generally considered as artificial mimics that are comparable to natural receptor, are polymers with tailor-made specific recognition sites complementary to the template molecules in shape and size. As a class of supramolecular compounds, cyclodextrins (CDs) are flourishing in the field of molecular imprinting with their unique structural properties. This review presents recent advances in application of MIPs based on CDs during the past five years. The discussion is grouped according to the different role of CDs in MIPs, that is, functional monomer, carrier modifier, etc. Main focus is the application of CD-based MIP on sample preparation, detection, and sensing. Additionally, drug delivery with CD-based MIP is also briefly discussed. Finally, challenges and future prospects of application of CDs in MIP are elaborated.


Assuntos
Ciclodextrinas , Impressão Molecular , Sistemas de Liberação de Medicamentos , Polímeros Molecularmente Impressos , Polímeros
3.
Sankhya B (2008) ; 83(2): 374-396, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-34924732

RESUMO

Clinical studies and trials on periodontal disease (PD) generate a large volume of data collected at various tooth locations of a subject. However, they present a number of statistical complexities. When our focus is on understanding the extent of extreme PD progression, standard analysis under a generalized linear mixed model framework with a symmetric (logit) link may be inappropriate, as the binary split (extreme disease versus not) maybe highly skewed. In addition, PD progression is often hypothesized to be spatially-referenced, i.e. proximal teeth may have a similar PD status than those that are distally located. Furthermore, a non-ignorable quantity of missing data is observed, and the missingness is non-random, as it informs the periodontal health status of the subject. In this paper, we address all the above concerns through a shared (spatial) latent factor model, where the latent factor jointly models the extreme binary responses via a generalized extreme value regression, and the non-randomly missing teeth via a probit regression. Our approach is Bayesian, and the inferential framework is powered by within-Gibbs Hamiltonian Monte Carlo techniques. Through simulation studies and application to a real dataset on PD, we demonstrate the potential advantages of our model in terms of model fit, and obtaining precise parameter estimates over alternatives that do not consider the aforementioned complexities.

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