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1.
BMC Public Health ; 24(1): 360, 2024 02 03.
Artigo em Inglês | MEDLINE | ID: mdl-38310224

RESUMO

BACKGROUND: The risk of comorbid chronic diseases in elderly people is an important problem affecting their health and quality of life. We analyzed the incidence of chronic diseases for combinations of chronic diseases analyzed. METHODS: We used the original data to construct hypothetical cohorts of elderly individuals that evolved with age. The complex network was used to reduce the dimensionality of disease. The multistate transition model is used to calculate the incidence of each chronic disease, exploring comorbidity characteristics and rules. RESULTS: (1) By using complex network, seven chronic diseases were screened out in men, including hypertension, diabetes, heart disease, stroke, chronic lung disease, arthritis and dyslipidemia; six chronic diseases in women showed significant comorbidity except chronic lung disease. (2) Incidence show differences in age and sex; incidence of chronic diseases generally increased with age. (3) The marginal risk increases with the number of basic chronic diseases associated with comorbidities. (4) When hypertension is present as a basic disease, its impact on the risk of other chronic diseases is much less than that of other chronic diseases. (5) When diseases occur as basic chronic diseases, hypertension-heart disease and diabetes-dyslipidemia are combinations that have the greatest impact on each other in men; hypertension-heart disease in women. CONCLUSIONS: The incidence of chronic diseases in patients who have chronic diseases and will form comorbidities differs from that in healthy states, and the related effects of different chronic diseases also differ. Among these conditions, hypertension is caused by a special mechanism.


Assuntos
Diabetes Mellitus , Dislipidemias , Cardiopatias , Hipertensão , Pneumopatias , Masculino , Humanos , Feminino , Idoso , Qualidade de Vida , Comorbidade , Diabetes Mellitus/epidemiologia , Hipertensão/epidemiologia , Cardiopatias/epidemiologia , Doença Crônica , Dislipidemias/epidemiologia , Pneumopatias/epidemiologia
2.
Int Rev Psychiatry ; 36(3): 272-283, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-39255022

RESUMO

AIMS: Utilizing Ruthven's (2022) transition model, we explored how identity, voluntariness, and reason for retirement are related to subjective wellbeing throughout an athlete's retirement. METHODS: 541 participants completed an anonymous, online survey and estimated their wellbeing starting before retirement and up to the present. A set of linear mixed models regressed the seven wellbeing outcomes on the three measures, with education, gender, and time since retirement as covariates. RESULTS: Identity: Athletic Identity wellbeing was significantly and consistently lower than Diversified Identity. Voluntariness: Surprise retirement was significantly more difficult and contributed to a sharper decline on the day of transition. Reason for retirement: Pursue Something Else and Right Time experienced no significant wellbeing changes, while Injury had a significant decline on their transition day. Motivation Loss experienced significantly lower wellbeing prior to retirement, and a significant, gradual rise on the day of and throughout their transition. CONCLUSIONS: There are wellbeing benefits for a diverse identity, voluntary retirement, and retiring due to pursuing something else, or feeling ready to retire. At risk groups include retiring due to injury, low motivation, and loss of eligibility/graduation. Findings support the benefit of utilizing a theoretical model to explain elite athlete outcomes.


Assuntos
Atletas , Aposentadoria , Humanos , Aposentadoria/psicologia , Masculino , Feminino , Atletas/psicologia , Adulto , Pessoa de Meia-Idade , Satisfação Pessoal , Adulto Jovem , Motivação
3.
Entropy (Basel) ; 26(6)2024 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-38920467

RESUMO

Multiple pathways and outcomes are common in evolutionary sequences for biological and other environmental systems due to nonlinear complexity, historical contingency, and disturbances. From any starting point, multiple evolutionary pathways are possible. From an endpoint or observed state, multiple possibilities exist for the sequence of events that created it. However, for any observed historical sequence-e.g., ecological or soil chronosequences, stratigraphic records, or lineages-only one historical sequence actually occurred. Here, a measure of the embedded complexity of historical sequences based on algebraic graph theory is introduced. Sequences are represented as system states S(t), such that S(t - 1) ≠ S(t) ≠ S(t + 1). Each sequence of N states contains nested subgraph sequences of length 2, 3, …, N - 1. The embedded complexity index (which can also be interpreted in terms of embedded information) compares the complexity (based on the spectral radius λ1) of the entire sequence to the cumulative complexity of the constituent subsequences. The spectral radius is closely linked to graph entropy, so the index also reflects information in the sequence. The analysis is also applied to ecological state-and-transition models (STM), which represent observed transitions, along with information on their causes or triggers. As historical sequences are lengthened (by the passage of time and additional transitions or by improved resolutions or new observations of historical changes), the overall complexity asymptotically approaches λ1 = 2, while the embedded complexity increases as N2.6. Four case studies are presented, representing coastal benthic community shifts determined from biostratigraphy, ecological succession on glacial forelands, vegetation community changes in longleaf pine woodlands, and habitat changes in a delta.

4.
Br J Clin Pharmacol ; 89(7): 2076-2087, 2023 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35502121

RESUMO

AIMS: The aim of this study was to describe the 1-year direct and indirect transition probabilities to premature discontinuation of statin therapy after concurrently initiating statins and CYP3A4-inhibitor drugs. METHODS: A retrospective new-user cohort study design was used to identify (N = 160 828) patients who concurrently initiated CYP3A4 inhibitors (diltiazem, ketoconazole, clarithromycin, others) and CYP3A4-metabolized statins (statin DDI exposed, n = 104 774) vs. other statins (unexposed to statin DDI, n = 56 054) from the MarketScan commercial claims database (2012-2017). The statin DDI exposed and unexposed groups were matched (2:1) through propensity score matching techniques. We applied a multistate transition model to compare the 1-year transition probabilities involving four distinct states (start, adverse drug events [ADEs], discontinuation of CYP3A4-inhibitor drugs, and discontinuation of statin therapy) between those exposed to statin DDIs vs. those unexposed. Statistically significant differences were assessed by comparing the 95% confidence intervals (CIs) of probabilities. RESULTS: After concurrently starting stains and CYP3A, patients exposed to statin DDIs, vs. unexposed, were significantly less likely to discontinue statin therapy (71.4% [95% CI: 71.1, 71.6] vs. 73.3% [95% CI: 72.9, 73.6]) but more likely to experience an ADE (3.4% [95% CI: 3.3, 3.5] vs. 3.2% [95% CI: 3.1, 3.3]) and discontinue with CYP3A4-inhibitor therapy (21.0% [95% CI: 20.8, 21.3] vs. 19.5% [95% CI: 19.2, 19.8]). ADEs did not change these associations because those exposed to statin DDIs, vs. unexposed, were still less likely to discontinue statin therapy but more likely to discontinue CYP3A4-inhibitor therapy after experiencing an ADE. CONCLUSION: We did not observe any meaningful clinical differences in the probability of premature statin discontinuation between statin users exposed to statin DDIs and those unexposed.


Assuntos
Inibidores de Hidroximetilglutaril-CoA Redutases , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases/efeitos adversos , Inibidores do Citocromo P-450 CYP3A/efeitos adversos , Citocromo P-450 CYP3A , Estudos de Coortes , Estudos Retrospectivos
5.
Ecol Appl ; 33(1): e2728, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36053922

RESUMO

Monitoring vegetation restoration is challenging because monitoring is costly, requires long-term funding, and involves monitoring multiple vegetation variables that are often not linked back to learning about progress toward objectives. There is a clear need for the development of targeted monitoring programs that focus on a reduced set of variables that are tied to specific restoration objectives. In this paper, we present a method to progress the development of a targeted monitoring program, using a pre-existing state-and-transition model. We (1) use field data to validate an expert-derived classification of woodland vegetation states; (2) use these data to identify which variable(s) help differentiate woodland states; and (3) identify the target threshold (for the variable) that signifies if the desired transition has been achieved. The measured vegetation variables from each site in this study were good predictors of the different states. We show that by measuring only a few of these variables, it is possible to assign the vegetation state for a collection of sites, and monitor if and when a transition to another state has occurred. For this ecosystem and state-and-transition models, out of nine vegetation variables considered, the density of immature trees and percentage of exotic understory vegetation cover were the variables most frequently specified as effective to define a threshold or transition. We synthesize findings by presenting a decision tree that provides practical guidance for the development of targeted monitoring strategies for woodland vegetation.


Assuntos
Ecossistema , Florestas
6.
J Math Biol ; 86(3): 40, 2023 02 02.
Artigo em Inglês | MEDLINE | ID: mdl-36729193

RESUMO

This paper focuses on the analysis of two particular models, from deterministic and random perspective respectively, for spreading processes. With a proper encoding of propagation patterns, the spread rate of each pattern is discussed for both models by virtue of the substitution dynamical systems and branching process. In view of this, we are empowered to draw a comparison between two spreading processes according to their spreading models, based on which explanations are proposed on a higher frequency of a pattern in one model than the other. These results are then supported by the numerical evidence later in the article.


Assuntos
Reprodução , Matemática
7.
J Med Internet Res ; 25: e45614, 2023 06 23.
Artigo em Inglês | MEDLINE | ID: mdl-37351927

RESUMO

BACKGROUND: Recent attempts at clinical phenotyping for sepsis have shown promise in identifying groups of patients with distinct treatment responses. Nonetheless, the replicability and actionability of these phenotypes remain an issue because the patient trajectory is a function of both the patient's physiological state and the interventions they receive. OBJECTIVE: We aimed to develop a novel approach for deriving clinical phenotypes using unsupervised learning and transition modeling. METHODS: Forty commonly used clinical variables from the electronic health record were used as inputs to a feed-forward neural network trained to predict the onset of sepsis. Using spectral clustering on the representations from this network, we derived and validated consistent phenotypes across a diverse cohort of patients with sepsis. We modeled phenotype dynamics as a Markov decision process with transitions as a function of the patient's current state and the interventions they received. RESULTS: Four consistent and distinct phenotypes were derived from over 11,500 adult patients who were admitted from the University of California, San Diego emergency department (ED) with sepsis between January 1, 2016, and January 31, 2020. Over 2000 adult patients admitted from the University of California, Irvine ED with sepsis between November 4, 2017, and August 4, 2022, were involved in the external validation. We demonstrate that sepsis phenotypes are not static and evolve in response to physiological factors and based on interventions. We show that roughly 45% of patients change phenotype membership within the first 6 hours of ED arrival. We observed consistent trends in patient dynamics as a function of interventions including early administration of antibiotics. CONCLUSIONS: We derived and describe 4 sepsis phenotypes present within 6 hours of triage in the ED. We observe that the administration of a 30 mL/kg fluid bolus may be associated with worse outcomes in certain phenotypes, whereas prompt antimicrobial therapy is associated with improved outcomes.


Assuntos
Sepse , Humanos , Estudos Retrospectivos , Sepse/diagnóstico , Sepse/terapia , Estudos de Coortes , Serviço Hospitalar de Emergência , Fenótipo , Análise por Conglomerados
8.
Value Health ; 25(4): 595-604, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-35365303

RESUMO

OBJECTIVES: State-transition models (STMs) applied in oncology have given limited considerations to modeling postprogression survival data. This study presents an application of an STM focusing on methods to evaluate the postprogression transition and its impact on survival predictions. METHODS: Data from the lenalidomide plus dexamethasone arm of the ASPIRE trial was used to estimate transition rates for an STM. The model accounted for the competing risk between the progression and preprogression death events and included an explicit structural link between the time to progression and subsequent death. The modeled transition rates were used to simulate individual disease trajectories in a discrete event simulation framework, based on which progression-free survival and overall survival over a 30-year time horizon were estimated. Survival predictions were compared with the observed trial data, matched external data, and estimates obtained from a more conventional partitioned survival analysis approach. RESULTS: The rates of progression and preprogression death were modeled using piecewise exponential functions. The rate of postprogression mortality was modeled using an exponential function accounting for the nonlinear effect of the time to progression. The STM provided survival estimates that closely fitted the trial data and gave more plausible long-term survival predictions than the best-fitting Weibull model applied in a partitioned survival analysis. CONCLUSIONS: The fit of the STM suggested that the modeled transition rates accurately captured the underlying disease process over the modeled time horizon. The considerations of this study may apply to other settings and facilitate a wider use of STMs in oncology.


Assuntos
Mieloma Múltiplo , Simulação por Computador , Humanos , Mieloma Múltiplo/tratamento farmacológico , Análise de Sobrevida
9.
BMC Med Inform Decis Mak ; 22(1): 244, 2022 09 18.
Artigo em Inglês | MEDLINE | ID: mdl-36117168

RESUMO

BACKGROUND: Medical evidence from more recent observational studies may significantly alter our understanding of disease incidence and progression, and would require recalibration of existing computational and predictive disease models. However, it is often challenging to perform recalibration when there are a large number of model parameters to be estimated. Moreover, comparing the fitting performances of candidate parameter designs can be difficult due to significant variation in simulated outcomes under limited computational budget and long runtime, even for one simulation replication. METHODS: We developed a two-phase recalibration procedure. As a proof-of-the-concept study, we verified the procedure in the context of sex-specific colorectal neoplasia development. We considered two individual-based state-transition stochastic simulation models, estimating model parameters that govern colorectal adenoma occurrence and its growth through three preclinical states: non-advanced precancerous polyp, advanced precancerous polyp, and cancerous polyp. For the calibration, we used a weighted-sum-squared error between three prevalence values reported in the literature and the corresponding simulation outcomes. In phase 1 of the calibration procedure, we first extracted the baseline parameter design from relevant studies on the same model. We then performed sampling-based searches within a proper range around the baseline design to identify the initial set of good candidate designs. In phase 2, we performed local search (e.g., the Nelder-Mead algorithm), starting from the candidate designs identified at the end of phase 1. Further, we investigated the efficiency of exploring dimensions of the parameter space sequentially based on our prior knowledge of the system dynamics. RESULTS: The efficiency of our two-phase re-calibration procedure was first investigated with CMOST, a relatively inexpensive computational model. It was then further verified with the V/NCS model, which is much more expensive. Overall, our two-phase procedure showed a better goodness-of-fit than the straightforward employment of the Nelder-Mead algorithm, when only a limited number of simulation replications were allowed. In addition, in phase 2, performing local search along parameter space dimensions sequentially was more efficient than performing the search over all dimensions concurrently. CONCLUSION: The proposed two-phase re-calibration procedure is efficient at estimating parameters of computationally expensive stochastic dynamic disease models.


Assuntos
Neoplasias Colorretais , Lesões Pré-Cancerosas , Algoritmos , Calibragem , Simulação por Computador , Humanos
10.
Sensors (Basel) ; 22(8)2022 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-35459075

RESUMO

Indoor localization using fine time measurement (FTM) round-trip time (RTT) with respect to cooperating Wi-Fi access points (APs) has been shown to work well and provide 1-2 m accuracy in both 2D and 3D applications. This approach depends on APs implementing the IEEE 802.11-2016 (also known as IEEE 802.11mc) Wi-Fi standard ("two-sided" RTT). Unfortunately, the penetration of this Wi-Fi protocol has been slower than anticipated, perhaps because APs tend not to be upgraded as often as other kinds of electronics, in particular in large institutions-where they would be most useful. Recently, Google released Android 12, which also supports an alternative "one-sided" RTT method that will work with legacy APs as well. This method cannot subtract out the "turn-around" time of the signal, and so, produces distance estimates that have much larger offsets than those seen with two-sided RTT-and the results are somewhat less accurate. At the same time, this method makes possible distance measurements for many APs that previously could not be used. This increased accessibility can compensate for the decreased accuracy of individual measurements. We demonstrate here indoor localization using one-sided RTT with respect to legacy APs that do not support IEEE 802.11-2016. The accuracy achieved is 3-4 m in cluttered environments with few line-of-sight readings (and using only 20 MHz bandwidths). This is not as good as for two-sided RTT, where 1-2 m accuracy has been achieved (using 80 MHz bandwidths), but adequate for many applications A wider Wi-Fi channel bandwidth would increase the accuracy further. As before, Bayesian grid update is the preferred method for determining position and positional accuracy, but the observation model now is different from that for two-sided RTT. As with two-sided RTT, the probability of an RTT measurement below the true distance is very low, but, in the other direction, the range of measurements for a given distance can be much wider (up to well over twice the actual distance). We describe methods for formulating useful observation models. As with two-sided RTT, the offset or bias in distance measurements has to be subtracted from the reported measurements. One difference is that here, the offsets are large (typically in the 2400-2700 m range) because of the "turn-around time" of roughly 16 µs (i.e., about two orders of magnitude larger than the time of flight one is attempting to measure). We describe methods for estimating these offsets and for minimizing the effort required to do so when setting up an installation with many APs.

11.
J Pediatr Nurs ; 65: 91-97, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35513957

RESUMO

PURPOSE: The aim of this study was to assess the psycholinguistic and psychometric properties of the Turkish version of the Transition Questionnaire, which is grounded on the Hospital-to-Home Transition Model. DESIGN AND METHODS: This cross-sectional methodological study was conducted with the participation of 380 parents in the neonatal intensive care clinic in a tertiary hospital between February 2020 and January 2021. A data assessment, number and percentage analysis, and language validity, content validity, and construct validity analyses were applied. In addition, a cluster analysis was performed on the sub-dimensions obtained from the questionnaire, and one-way analysis of variance was used to test the difference between the clusters. RESULTS: The content validity index was determined to be 0.89. It was determined that the sample size was adequate for the factor analysis (with a KMO value of 0.779 and Bartlett's test of sphericity value of χ2(276)=4026.181; p<0.05). As a result of the exploratory factor analysis, 12 items were omitted from the questionnaire. Fit indices of the new three-factor questionnaire structure that was formed upon removal of the items were evaluated by confirmatory factor analysis (χ2/df=4.783, RMSEA = 0.076, GFI = 0.776, AGFI = 0.726, CFI = 0.707, SRMR = 0.097). The reliability coefficient was found to be 0.871-0.716 for the sub-dimensions of the questionnaire and 0.795 for the overall questionnaire. CONCLUSIONS: It was determined that the Turkish version of the Transition Questionnaire is valid and reliable for making post-discharge evaluations of parents with preterm infants in Turkish society.


Assuntos
Idioma , Cuidado Transicional , Assistência ao Convalescente , Estudos Transversais , Hospitais , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Alta do Paciente , Psicolinguística , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
12.
J Biopharm Stat ; 31(5): 668-685, 2021 09 03.
Artigo em Inglês | MEDLINE | ID: mdl-34325620

RESUMO

In modeling many longitudinal count clinical studies, the excess of zeros is a common problem. To take into account the extra zeros, the zero-inflated power series (ZIPS) models have been applied. These models assume a latent mixture model consisting of a count component and a degenerated zero component that has a unit point mass at zero. Usually, the current response measurement in a longitudinal sequence is a function of previous outcomes. For example, in a study about acute renal allograft rejection, the number of acute rejection episodes for a patient in current time is a function of this outcome at previous follow-up times. In this paper, we consider a transition model for accounting the dependence of current outcome on the previous outcomes in the presence of excess zeros. New variable selection methods for the ZIPS transition model using least absolute shrinkage and selection operator (LASSO), minimax concave penalty (MCP) and smoothly clipped absolute deviation (SCAD) penalties are proposed. An expectation-maximization (EM) algorithm using the penalized likelihood is applied for both parameters estimations and conducting variable selection. Some simulation studies are performed to investigate the performance of the proposed approach and the approach is applied to analyze a real dataset.


Assuntos
Transplante de Rim , Algoritmos , Simulação por Computador , Humanos , Estudos Longitudinais , Modelos Estatísticos
13.
Value Health ; 23(12): 1613-1621, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33248517

RESUMO

OBJECTIVES: Partitioned survival models (PSMs) are routinely used to inform reimbursement decisions for oncology drugs. We discuss the appropriateness of PSMs compared to the most common alternative, state transition models (STMs). METHODS: In 2017, we published a National Institute for Health and Care Excellence (NICE) Technical Support Document (TSD 19) describing and critically reviewing PSMs. This article summarizes findings from TSD 19, reviews new evidence comparing PSMs and STMs, and reviews recent NICE appraisals to understand current practice. RESULTS: PSMs evaluate state membership differently from STMs and do not include a structural link between intermediate clinical endpoints (eg, disease progression) and survival. PSMs directly consider clinical trial endpoints and can be developed without access to individual patient data, but limit the scope for sensitivity analyses to explore clinical uncertainties in the extrapolation period. STMs facilitate these sensitivity analyses but require development of robust survival models for individual health-state transitions. Recent work has shown PSMs and STMs can produce substantively different survival extrapolations and that extrapolations from STMs are heavily influenced by specification of the underlying survival models. Recent NICE appraisals have not generally included both model types, reviewed individual clinical event data, or scrutinized life-years accrued in individual health states. CONCLUSIONS: The credibility of survival predictions from PSMs and STMs, including life-years accrued in individual health states, should be assessed using trial data on individual clinical events, external data, and expert opinion. STMs should be used alongside PSMs to support assessment of clinical uncertainties in the extrapolation period, such as uncertainty in post-progression survival.


Assuntos
Antineoplásicos/economia , Cobertura do Seguro/organização & administração , Neoplasias/mortalidade , Análise de Sobrevida , Antineoplásicos/uso terapêutico , Tomada de Decisões Gerenciais , Humanos , Cobertura do Seguro/economia , Cobertura do Seguro/estatística & dados numéricos , Modelos Econômicos , Modelos Estatísticos , Neoplasias/tratamento farmacológico , Neoplasias/economia , Intervalo Livre de Progressão
14.
Stat Modelling ; 20(3): 310-338, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33854408

RESUMO

Smoking cessation intervention studies often produce data on smoking status at discrete follow-up assessments, often with missing data in different amounts at each assessment. Smoking status in these studies is a dynamic process with individuals transitioning from smoking to abstinent, as well as abstinent to smoking, at different times during the intervention. Directly assessing transitions provides an opportunity to answer important questions like 'Does the proposed intervention help smokers remain abstinent or quit smoking more effectively than other interventions?' In this article, we model changes in smoking status and examine how interventions and other covariates affect the transitions. We propose a Bayesian approach for fitting the transition model to the observed data and impute missing outcomes based on a logistic model, which accounts for both missing at random (MAR) and missing not at random (MNAR) mechanisms. The proposed Bayesian approach treats missing data as additional unknown quantities and samples them from their posterior distributions. The performance of the proposed method is investigated through simulation studies and illustrated by data from a randomized controlled trial of smoking cessation interventions. Finally, posterior predictive checking and log pseudo marginal likelihood (LPML) are used to assess model assumptions and perform model comparisons, respectively.

15.
Sensors (Basel) ; 20(14)2020 Jul 20.
Artigo em Inglês | MEDLINE | ID: mdl-32698488

RESUMO

The IEEE 802.11mc WiFi standard provides a protocol for a cellphone to measure its distance from WiFi access points (APs). The position of the cellphone can then be estimated from the reported distances using known positions of the APs. There are several "multilateration" methods that work in relatively open environments. The problem is harder in a typical residence where signals pass through walls and floors. There, Bayesian cell update has shown particular promise. The Bayesian grid update method requires an "observation model" which gives the conditional probability of observing a reported distance given a known actual distance. The parameters of an observation model may be fitted using scattergrams of reported distances versus actual distance. We show here that the problem of fitting an observation model can be reduced from two dimensions to one. We further show that, perhaps surprisingly, a "double exponential" observation model fits real data well. Generating the test data involves knowing not only the positions of the APs but also that of the cellphone. Manual determination of positions can limit the scale of test data collection. We show here that "boot strapping," using results of a Bayesian grid update method as a proxy for the actual position, can provide an accurate observation model, and a good observation model can nearly double the accuracy of indoor positioning. Finally, indoors, reported distance measurements are biased to be mostly longer than the actual distances. An attempt is made here to detect this bias and compensate for it.

16.
Sensors (Basel) ; 20(5)2020 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-32182758

RESUMO

Determination of indoor position based on fine time measurement (FTM) of the round trip time (RTT) of a signal between an initiator (smartphone) and a responder (Wi-Fi access point) enables a number of applications. However, the accuracy currently attainable-standard deviations of 1-2 m in distance measurement under favorable circumstances-limits the range of possible applications. An emergency worker, for example, may not be able to unequivocally determine on which floor someone in need of help is in a multi-story building. The error in position depends on several factors, including the bandwidth of the RF signal, delay of the signal due to the high relative permittivity of construction materials, and the geometry-dependent "noise gain" of position determination. Errors in distance measurements have unusal properties that are exposed here. Improvements in accuracy depend on understanding all of these error sources. This paper introduces "frequency diversity," a method for doubling the accuracy of indoor position determination using weighted averages of measurements with uncorrelated errors obtained in different channels. The properties of this method are verified experimentally with a range of responders. Finally, different ways of using the distance measurements to determine indoor position are discussed and the Bayesian grid update method shown to be more useful than others, given the non-Gaussian nature of the measurement errors.

17.
Stat Med ; 38(6): 903-916, 2019 03 15.
Artigo em Inglês | MEDLINE | ID: mdl-30411379

RESUMO

Generalized estimating equations (GEEs) are commonly used to estimate transition models. When the Markov assumption does not hold but first-order transition probabilities are still of interest, the transition inference is sensitive to the choice of working correlation. In this paper, we consider a random process transition model as the true underlying data generating mechanism, which characterizes subject heterogeneity and complex dependence structure of the outcome process in a very flexible way. We formally define two types of transition probabilities at the population level: "naive transition probabilities" that average across all the transitions and "population-average transition probabilities" that average the subject-specific transition probabilities. Through asymptotic bias calculations and finite-sample simulations, we demonstrate that the unstructured working correlation provides unbiased estimators of the population-average transition probabilities while the independence working correlation provides unbiased estimators of the naive transition probabilities. For population-average transition estimation, we demonstrate that the sandwich estimator fails for unstructured GEE and recommend the use of either jackknife or bootstrap variance estimates. The proposed method is motivated by and applied to the NEXT Generation Health Study, where the interest is in estimating the population-average transition probabilities of alcohol use in adolescents.


Assuntos
Interpretação Estatística de Dados , Estudos Longitudinais , Adolescente , Humanos , Modelos Estatísticos , Probabilidade , Estatística como Assunto , Fatores de Tempo , Consumo de Álcool por Menores/estatística & dados numéricos
18.
J Biopharm Stat ; 29(2): 244-270, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30359549

RESUMO

Longitudinal study designs are commonly applied in much scientific research, especially in the medical, social, and economic sciences. Longitudinal studies allow researchers to measure changes in each individual's responses over time and often have higher statistical power than cross-sectional studies. Choosing an appropriate sample size is a crucial step in a successful study. In longitudinal studies, because of the complexity of their design, including the selection of the number of individuals and the number of repeated measurements, sample size determination is less studied. This paper uses a simulation-based method to determine the sample size from a Bayesian perspective. For this purpose, several Bayesian criteria for sample size determination are used, of which the most important one is the Bayesian power criterion. We determine the sample size of a longitudinal study based on the scientific question of interest, by the choice of an appropriate model. Most of the methods of determining sample size are based on the definition of a single hypothesis. In this paper, in addition to using this method, we determine the sample size using multiple hypotheses. Using several examples, the proposed Bayesian methods are illustrated and discussed.


Assuntos
Simulação por Computador , Estudos Longitudinais , Modelos Estatísticos , Projetos de Pesquisa/estatística & dados numéricos , Tamanho da Amostra , Teorema de Bayes , Estudos Transversais
19.
Sensors (Basel) ; 19(7)2019 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-30987259

RESUMO

There is a large body of literature on solving the SLAM problem for various autonomous vehicle applications. A substantial part of the solutions is formulated based on using statistical (mainly Bayesian) filters such as Kalman filter and its extended version. In such solutions, the measurements are commonly some point features or detections collected by the sensor(s) on board the autonomous vehicle. With the increasing utilization of scanners with common autonomous cars, and availability of 3D point clouds in real-time and at fast rates, it is now possible to use more sophisticated features extracted from the point clouds for filtering. This paper presents the idea of using planar features with multi-object Bayesian filters for SLAM. With Bayesian filters, the first step is prediction, where the object states are propagated to the next time based on a stochastic transition model. We first present how such a transition model can be developed, and then propose a solution for state prediction. In the simulation studies, using a dataset of measurements acquired from real vehicle sensors, we apply the proposed model to predict the next planar features and vehicle states. The results show reasonable accuracy and efficiency for statistical filtering-based SLAM applications.

20.
Ecol Appl ; 27(2): 458-468, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-28207176

RESUMO

Effective conservation requires an understanding not only of contemporary vegetation distributions in the landscape, but also cognizance of vegetation transitions over time with the goal of maintaining persistence of all states within the landscape. Using a state and transition model framework, we investigated temporal transitions over 31 years in species composition among five upland swamp vegetation communities in southeastern Australia. We applied fuzzy clustering to document transitions across communities; evaluated the resilience and resistance of communities to change; and explored the relationship between ecosystem states and major environmental factors posited to structure the system. We also evaluated the predictive ability of an established vegetation dynamics model. We found that community composition remained stable or underwent reversible or directional transitions depending on the vegetation type. Wetter communities (Ti-tree thicket and Cyperoid heath) were more stable (i.e., resistant) while drier communities showed a greater propensity to transition (i.e., had lower resistance) under the observed disturbance regime (low variance fire intervals). The resilience of drier communities differed under this regime, with Banksia thicket showing reversible compositional change, while Restioid heath and Sedgeland showed directional change. In accord with an established conceptual model, we found that communities were distributed along a hydrological gradient. In addition, vegetation structure, along with light penetration to ground level, differentiated communities. However, internal dynamics of drier communities were complex: differences in fire regime (penultimate fire interval in 2014 and number of fires since 1965) were unable to predict differences in community membership among sites. Aspects of the fire regime are expected to be more important predictors if fire intervals vary more strongly among sites in the future. Fuzzy clustering of compositional data allows managers to track community transitions over time and facilitates planned interventions for conservation purposes.


Assuntos
Conservação dos Recursos Naturais , Ecossistema , Plantas , Áreas Alagadas , Biota , New South Wales , Dinâmica Populacional , Estações do Ano
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