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1.
Sci Adv ; 8(42): eabk1942, 2022 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-36260666

RESUMO

Machine learning (ML) methodology used in the social and health sciences needs to fit the intended research purposes of description, prediction, or causal inference. This paper provides a comprehensive, systematic meta-mapping of research questions in the social and health sciences to appropriate ML approaches by incorporating the necessary requirements to statistical analysis in these disciplines. We map the established classification into description, prediction, counterfactual prediction, and causal structural learning to common research goals, such as estimating prevalence of adverse social or health outcomes, predicting the risk of an event, and identifying risk factors or causes of adverse outcomes, and explain common ML performance metrics. Such mapping may help to fully exploit the benefits of ML while considering domain-specific aspects relevant to the social and health sciences and hopefully contribute to the acceleration of the uptake of ML applications to advance both basic and applied social and health sciences research.

2.
Alzheimers Dement ; 11(10): 1191-201, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25646957

RESUMO

INTRODUCTION: Proposed diagnostic criteria (international working group and National Institute on Aging and Alzheimer's Association) for Alzheimer's disease (AD) include markers of amyloidosis (abnormal cerebrospinal fluid [CSF] amyloid beta [Aß]42) and neurodegeneration (hippocampal atrophy, temporo-parietal hypometabolism on [18F]-fluorodeoxyglucose-positron emission tomography (FDG-PET), and abnormal CSF tau). We aim to compare the accuracy of these biomarkers, individually and in combination, in predicting AD among mild cognitive impairment (MCI) patients. METHODS: In 73 MCI patients, followed to ascertain AD progression, markers were measured. Sensitivity and specificity, positive (LR+) and negative (LR-) likelihood ratios, and crude and adjusted hazard ratios were computed. RESULTS: Twenty-nine MCI patients progressed and 44 remained stable. Positivity to any marker achieved the lowest LR- (0.0), whereas the combination Aß42 plus FDG-PET achieved the highest LR+ (6.45). In a survival analysis, positivity to any marker was associated with 100% conversion rate, whereas negativity to all markers was associated with 100% stability. DISCUSSION: The best criteria combined amyloidosis and neurodegeneration biomarkers, whereas the individual biomarker with the best performance was FDG-PET.


Assuntos
Peptídeos beta-Amiloides/líquido cefalorraquidiano , Amiloidose , Hipocampo/patologia , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/diagnóstico , Atrofia , Biomarcadores/líquido cefalorraquidiano , Progressão da Doença , Fluordesoxiglucose F18 , Humanos , Masculino , Pessoa de Meia-Idade , Tomografia por Emissão de Pósitrons , Valor Preditivo dos Testes , Prognóstico , Sensibilidade e Especificidade , Proteínas tau/líquido cefalorraquidiano
3.
Alzheimer Dis Assoc Disord ; 29(2): 101-9, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25437302

RESUMO

BACKGROUND: The aim of this study was to compare the performance and power of the best-established diagnostic biological markers as outcome measures for clinical trials in patients with mild cognitive impairment (MCI). METHODS: Magnetic resonance imaging, F-18 fluorodeoxyglucose positron emission tomography markers, and Alzheimer's Disease Assessment Scale-cognitive subscale were compared in terms of effect size and statistical power over different follow-up periods in 2 MCI groups, selected from Alzheimer's Disease Neuroimaging Initiative data set based on cerebrospinal fluid (abnormal cerebrospinal fluid Aß1-42 concentration-ABETA+) or magnetic resonance imaging evidence of Alzheimer disease (positivity to hippocampal atrophy-HIPPO+). Biomarkers progression was modeled through mixed effect models. Scaled slope was chosen as measure of effect size. Biomarkers power was estimated using simulation algorithms. RESULTS: Seventy-four ABETA+ and 51 HIPPO+ MCI patients were included in the study. Imaging biomarkers of neurodegeneration, especially MR measurements, showed highest performance. For all biomarkers and both MCI groups, power increased with increasing follow-up time, irrespective of biomarker assessment frequency. CONCLUSION: These findings provide information about biomarker enrichment and outcome measurements that could be employed to reduce MCI patient samples and treatment duration in future clinical trials.


Assuntos
Doença de Alzheimer/diagnóstico , Encéfalo/diagnóstico por imagem , Cognição , Disfunção Cognitiva/diagnóstico , Hipocampo/patologia , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/líquido cefalorraquidiano , Doença de Alzheimer/psicologia , Peptídeos beta-Amiloides/líquido cefalorraquidiano , Atrofia , Biomarcadores/líquido cefalorraquidiano , Encéfalo/patologia , Ensaios Clínicos como Assunto , Disfunção Cognitiva/líquido cefalorraquidiano , Disfunção Cognitiva/psicologia , Estudos de Coortes , Progressão da Doença , Feminino , Fluordesoxiglucose F18 , Humanos , Estudos Longitudinais , Imageamento por Ressonância Magnética , Masculino , Testes Neuropsicológicos , Avaliação de Resultados em Cuidados de Saúde , Fragmentos de Peptídeos/líquido cefalorraquidiano , Tomografia por Emissão de Pósitrons , Compostos Radiofarmacêuticos
4.
Scand Stat Theory Appl ; 41(3): 580-605, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25395718

RESUMO

This paper examines the use of Dirichlet process (DP) mixtures for curve fitting. An important modelling aspect in this setting is the choice between constant or covariate-dependent weights. By examining the problem of curve fitting from a predictive perspective, we show the advantages of using covariate-dependent weights. These advantages are a result of the incorporation of covariate proximity in the latent partition. However, closer examination of the partition yields further complications, which arise from the vast number of total partitions. To overcome this, we propose to modify the probability law of the random partition to strictly enforce the notion of covariate proximity, while still maintaining certain properties of the DP. This allows the distribution of the partition to depend on the covariate in a simple manner and greatly reduces the total number of possible partitions, resulting in improved curve fitting and faster computations. Numerical illustrations are presented.

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