Marginal proportional hazards models for clustered interval-censored data with time-dependent covariates

The Botswana Combination Prevention Project was a cluster-randomized HIV prevention trial whose follow-up period coincided with Botswana's national adoption of a universal test and treat strategy for HIV management. Of interest is whether, and to what extent, this change in policy modified the preventative effects of the study intervention. To address such questions, we adopt a stratified proportional hazards model for clustered interval-censored data with time-dependent covariates and develop a composite expectation maximization algorithm that facilitates estimation of model parameters without placing parametric assumptions on either the baseline hazard functions or the within-cluster dependence structure. We show that the resulting estimators for the regression parameters are consistent and asymptotically normal. We also propose and provide theoretical justification for the use of the profile composite likelihood function to construct a robust sandwich estimator for the variance. We characterize the finite-sample performance and robustness of these estimators through extensive simulation studies. Finally, we conclude by applying this stratified proportional hazards model to a re-analysis of the Botswana Combination Prevention Project, with the national adoption of a universal test and treat strategy now modeled as a time-dependent covariate.     

关节镜下双排缝合桥固定与单排固定治疗肩袖全层撕裂的疗效对比及术后早期再撕裂的危险因素分析

摘要 目的：对比关节镜下双排缝合桥固定和单排固定治疗肩袖全层撕裂的疗效,并分析术后早期再撕裂的危险因素。方法：回顾性分析广州中医药大学附属北碚中医院2018年1月~2021年12月期间收治的200例肩袖全层撕裂患者的临床资料,根据手术方案的不同分为A组（n=97,接受单排固定治疗）和B组（n=103,接受双排缝合桥固定治疗）。对比两组的疼痛、肩关节功能情况、肩关节活动度及术后早期再撕裂发生率。采用单因素和多因素Logistic回归分析肩袖全层撕裂患者术后早期再撕裂的危险因素。结果：术后6个月,B组视觉疼痛模拟评分量表（VAS）评分低于A组,美国加州大学肩关节评分系统（UCLA）评分、美国肩肘外科医师学会（ASES）评分高于A组（P<0.05）。术后6个月,B组前屈、外展、体侧外旋角度大于A组（P<0.05）。B组的术后早期再撕裂总发生率低于A组（P<0.05）。术后早期再撕裂的发生与糖尿病史、撕裂大小、吸烟史、年龄、术前肌肉质量、性别、脂肪浸润、注射皮质类固醇有关（P<0.05）。多因素Logistic回归分析结果显示：年龄≥60岁、性别为男性、吸烟史、糖尿病史、撕裂大小为巨大型再撕裂、脂肪浸润、注射皮质类固醇是术后早期再撕裂发生的危险因素（P<0.05）。结论：关节镜下双排缝合桥固定治疗肩袖全层撕裂,可更好的减轻疼痛症状,改善关节功能和关节活动度。此外,糖尿病史、脂肪浸润、吸烟史、高龄、撕裂大小为巨大型再撕裂、男性、注射皮质类固醇等是肩袖全层撕裂患者术后早期再撕裂的危险因素。     

THE STABILITY OF INTERVAL MATRICES

I．IntrodutionInthepaper厂1］al。d［2】．themeasureofmatrixAandsystemofma－trlcesA（t）（t＞t。）wasInvestlgat叨respective！y．Inthispaper,weIntroducethecone叩tofthemeasureforIntervalmatrlcesalldstudythestabilityofIntervalmatrlcesbyuslllgthisconcept．I。etthesystemofmatrixA（l）一（a;,（t》beaplecewlsecolltllltjotlsfunctionmatrix．Inthepaper［2］thefollowingrelatlol。sh,pIssaidtobethemeasureoftilesystemofnlatrlcesA（t）,a：idweof＞talllthatFOfbfOVlty,W6diSCU88Oillyl,1（A（t））1…     

Are daughters more costly to produce for Japanese macaque mothers?: Sex of the offspring and subsequent interbirth intervals

Based on a sample of 237 live births recorded over a period of 30 years, a tendency for longer interbirth intervals following the birth of daughters than sons was recognized, in the provisioned Arashiyama troop of Japanese macaques. This may indicate that female infants were more costly to produce than male infants. This tendency seemed to be independent of a mother’s rank.     

Ovarian development, spawning frequency and batch fecundity in Encrasicholina heteroloba (Ruppell, 1858)

A histological and gravimetric analysis of oocyte development in Encrasicholina heteroloba (Ruppell, 1858) indicated that this species spawns serially and has a group-synchronous mode of ovarian development. A six stage maturity scale, based on both external morphology and oocyte composition, was proposed to classify ovarian development in E. heteroloba . The incidence of females with hydrated oocytes and post-ovulatory follicles in samples from two regions; the south Java Sea and Roviana lagoon, in the Solomon Islands were used to estimate spawning frequency. Estimates of mean inter-spawning intervals ranged from around 2 days in fish from Roviana lagoon to up to 16.7 days in fish from the south Java Sea. Batch fecundity was determined from the number of oocytes in the largest oocyte size class in ripe stage ovaries. Batch fecundity was related to size and was significantly greater for a given size in the Roviana lagoon population ( F = 0.081 × L ^4.89, Roviana population; F = 1.682 × L ^2.83, Jepara population).     

Reproductive parameters of female Japanese macaques: Thirty years data from the arashiyama troops,Japan

Over a 30-year period from 1954 to 1983, 975 live births were recorded for Japanese macaque females at the Iwatayama Monkey Park, Arashiyama, Japan. Excluding unknown birth dates, primiparous mothers gave birth to 185 infants (182 cases with age of mother known) and multiparous mothers gave birth to 723 infants (603 cases with age of mother known). The peak month of birth was May with 52.3% of the total births occurring during the period. Multiparous females who had not given birth the previous year did so earlier than multiparous females who had given birth the previous year and also earlier than primiparous females. Among the females who had given birth the previous year, females whose infant had died gave birth earlier than females who had reared an infant the previous year. The offspring sex ratio (1:0.97) was not significantly different from 1:1, and revealed no consistent association with mother's age. Age-fecundity exhibited a humped curve. The annual birth rate was low at the age of 4 years but increased thereafter, ranging between 46.7% and 69.0%, at between 5 and 19 years of age, but again decreased for females between 20 and 25 years of age. Some old females displayed clear reproductive senescence. The infant mortality within the first year of age was quite low (10.3%) and the neonatal (less than 1 month old) mortality rate accounted for 49.0% of all infant deaths. There was no significant difference between the mortality rates of male and female infants. A female's rank-class had no apparent effect on the annual birth rate, infant mortality, and offspring sex ratio. These long-term data are compared with those from other primate populations.     

时域—频域结合分析法—一种分析果蝇求爱歌的新方法

我们设计了一种时域-频域结合分析法,并用此方法分析了6个种群12种果蝇的求爱歌,发现如果将时域与频域的研究结合起来,对求爱歌进行频谱分析,可以定量地揭示出求爱歌的频域特性及其在时域上的细微变化。我们还对果蝇求爱歌的时域模式进行了初步的探讨,发现它们是在同一基本成分上进行调制而产生的,亲缘关系较近的种具有相近的调制方式。在对杂交后代的求爱歌的频谱分析中,我们还发现频谱上的某些特点是能够遗传的。这一新的研究方法为果蝇的进化遗传学和神经遗传的研究提供了一种新的手段。     

A Further Problem of Interval Estimation of an Unknown Regressor in Model I of Linear Regression

For the model y = α + βx + ? (model I) of linear regression we dealt with in KUHNERT and HORN (1980) the determination of a confidence interval for that x₀ where the expectation Ey reaches a given value y₀. Here we start with realizations of random variables y (i = 1,…, m) being independent of x which are given in addition to the realizations of-y. Now y₀ denotes the unknown value of \documentclass{article}\pagestyle{empty}\begin{document}$ \mathop \sum \limits_{i = 1}^m $\end{document} ciEy and x₀ the x-value where the expectation Ey reaches that value y₀. For this x₀ we give a confidence interval. Applications stem from dose response assays.     

Quantifying extensibility of rotator cuff muscle with tendon rupture using shear wave elastography: A cadaveric study

Surgical repair for large rotator cuff tear remains challenging due to tear size, altered muscle mechanical properties, and poor musculotendinous extensibility. Insufficient extensibility might lead to an incomplete reconstruction; moreover, excessive stresses after repair may result in repair failure without healing. Therefore, estimates of extensibility of cuff muscles can help in pre-surgical planning to prevent unexpected scenarios during surgery. The purpose of this study was to determine if quantified mechanical properties of the supraspinatus muscle using shear wave elastography (SWE) could be used to predict the extensibility of the musculotendinous unit on cadaveric specimens. Forty-five fresh-frozen cadaveric shoulders (25 intact and 20 with rotator cuff tear) were used for the study. Passive stiffness of 4 anatomical regions in the supraspinatus muscle was first measured using SWE. After detaching the distal edge of supraspinatus muscle from other cuff muscles, the detached muscle was axially pulled with the scapula fixed. The correlation between the SWE modulus and the extensibility of the muscle under 30 and 60 N loads was assessed. There was a significant negative correlation between SWE measurements and the experimental extensibility. SWE modulus for the anterior-deep region in the supraspinatus muscle showed the strongest correlation with extensibility under 30 N (r = 0.70, P < 0.001) and 60 N (r = 0.68, P < 0.001). Quantitative SWE assessment for the supraspinatus muscle was highly correlated with extensibility of musculotendinous unit on cadaveric shoulders. This technique may be used to predict the extensibility for rotator cuff tears for pre-surgical planning.