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821.
822.
Rana Dandis Steven Teerenstra Leon Massuger Fred Sweep Yalck Eysbouts Joanna IntHout 《Biometrical journal. Biometrische Zeitschrift》2020,62(2):398-413
Dynamic risk predictions based on all available information are useful in timely identification of high-risk patients. However, in contrast with time to event outcomes, there is still a lack of studies that clearly demonstrate how to obtain and update predictions for a future binary outcome using a repeatedly measured biomarker. The aim of this study is to give an illustrative overview of four approaches to obtain such predictions: likelihood based two-stage method (2SMLE), likelihood based joint model (JMMLE), Bayesian two-stage method (2SB), and Bayesian joint model (JMB). We applied the approaches to provide weekly updated predictions of post–molar gestational trophoblastic neoplasia (GTN) based on age and repeated measurements of human chorionic gonadotropin (hCG). Discrimination and calibration measures were used to compare the accuracy of the weekly predictions. Internal validation of the models was conducted using bootstrapping. The four approaches resulted in the same predictive and discriminative performance in predicting GTN. A simulation study showed that the joint models outperform the two-stage methods when we increase the within- and the between-patients variability of the biomarker. The applicability of these models to produce dynamic predictions has been illustrated through a comprehensive explanation and accompanying syntax (R and SAS®). 相似文献
823.
Chi-Chung Wen Yi-Hau Chen Chi-Hong Tseng 《Biometrical journal. Biometrische Zeitschrift》2020,62(5):1164-1175
We propose a joint analysis of recurrent and nonrecurrent event data subject to general types of interval censoring. The proposed analysis allows for general semiparametric models, including the Box–Cox transformation and inverse Box–Cox transformation models for the recurrent and nonrecurrent events, respectively. A frailty variable is used to account for the potential dependence between the recurrent and nonrecurrent event processes, while leaving the distribution of the frailty unspecified. We apply the pseudolikelihood for interval-censored recurrent event data, usually termed as panel count data, and the sufficient likelihood for interval-censored nonrecurrent event data by conditioning on the sufficient statistic for the frailty and using the working assumption of independence over examination times. Large sample theory and a computation procedure for the proposed analysis are established. We illustrate the proposed methodology by a joint analysis of the numbers of occurrences of basal cell carcinoma over time and time to the first recurrence of squamous cell carcinoma based on a skin cancer dataset, as well as a joint analysis of the numbers of adverse events and time to premature withdrawal from study medication based on a scleroderma lung disease dataset. 相似文献
824.
Datao Xu Zhenghui Lu Siqin Shen Gusztáv Fekete Ukadike C. Ugbolue Yaodong Gu 《Molecular & cellular biomechanics : MCB》2021,18(2):107-118
Patellar tendinopathy is a clinical symptom of patellar tendons characterized by local pain in the front of the knee joint. It is common among basketball and volleyball players. Patients with patellar tendinopathy may exhibit different landing strategies during landing compared to healthy individuals. The purpose of this study was to compare the differences in lower limb joint energy dissipation (eccentric work) values for the symptomatic patellar tendinopathy (PT) athletes and no patellar tendinopathy (UPT) athletes during single-leg landing. A total of 26 (PT: 13, UPT:13) semi-professional male basketball and volleyball player’s kinetic data were collected during the landing phases. Joint work was calculated by the integral of joint power over time. In this study, the result showed that the ankle joint means energy dissipation (p < 0.001) and total energy dissipation (p < 0.001) of PT were significantly greater than UPT. Compared to the UPT athletes, the PT athletes showed smaller knee joint mean energy dissipation (p = 0.002) and contribution to total energy dissipation (p < 0.001) during the landing stance. Meanwhile, there were no differences in hip joint contribution to total energy dissipation (p = 0.523) and lower limb total energy dissipation (p = 0.127). A deeper understanding of each joint’s energy dissipation contribution ratio between UPT and PT during landing can provide clues that reveal the biomechanical mechanism of PT athletes landing. Further study should choose a larger sample size to more comprehensively reveal the energy dissipation strategy of PT during landing. 相似文献
825.
Enhua Li 《Molecular & cellular biomechanics : MCB》2022,19(3):141-149
This study aims to analyze the difference in biomechanical properties of football players at different levels when kicking the football with the inner edge of the instep. Before the experiment, ten football players were selected; five were higher than the national level (group A), and the other five players were lower than the national level II (group B). During the experiment, the motion process was captured by a high-speed camera for biomechanical analysis. It was found that in group A, the thigh and leg swung in less time and larger amplitude, the acceleration of backswing and forward swing of the leg was larger, and the angular velocity of forward swing was also larger. At the moment of touching the ball, in the sagittal plane, the ankle joint angle and angular velocity of group A were larger than those of group B (P < 0.05). In conclusion, the high-level athletes can complete the high-quality kicking through a larger swing amplitude and speed of the kicking leg. In the training process, the athletes should pay attention to the speed and strength of the kicking leg to improve the kicking level. 相似文献
826.
《Current biology : CB》2022,32(20):4530-4537.e2
827.
P. Bräunig 《Cell and tissue research》1982,222(3):647-654
In various orthopterous insects backfilling of leg nerve 3B regularly stained, in the thoracic ganglia, small cell bodies that resemble those of central sensory neurons reported in the locust (Br?unig and Hustert 1980). Centrifugal cobalt infusion of this nerve revealed the end organs of those neurons in the periphery. In all species investigated one strand receptor is associated with the trochantin, while two others are situated in the coxa. In addition to these sense organs, the coxa contains a multipolar stretch receptor which spans the coxotrochanteral joint. The absence of chordotonal organs is discussed with reference to earlier work in this field. 相似文献
828.
A time-dependent measure, termed the rate ratio, was proposed to assess the local dependence between two types of recurrent event processes in one-sample settings. However, the one-sample work does not consider modeling the dependence by covariates such as subject characteristics and treatments received. The focus of this paper is to understand how and in what magnitude the covariates influence the dependence strength for bivariate recurrent events. We propose the covariate-adjusted rate ratio, a measure of covariate-adjusted dependence. We propose a semiparametric regression model for jointly modeling the frequency and dependence of bivariate recurrent events: the first level is a proportional rates model for the marginal rates and the second level is a proportional rate ratio model for the dependence structure. We develop a pseudo-partial likelihood to estimate the parameters in the proportional rate ratio model. We establish the asymptotic properties of the estimators and evaluate the finite sample performance via simulation studies. We illustrate the proposed models and methods using a soft tissue sarcoma study that examines the effects of initial treatments on the marginal frequencies of local/distant sarcoma recurrence and the dependence structure between the two types of cancer recurrence. 相似文献
829.
Knowing where our limbs are in space is crucial for a successful interaction with the external world. Joint position sense (JPS) relies on both cues from muscle spindles and joint mechanoreceptors, as well as the effort required to move. However, JPS may also rely on the perceived external force on the limb, such as the gravitational field. It is well known that the internal model of gravity plays a large role in perception and behaviour. Thus, we have explored whether direct vestibular-gravitational cues could influence JPS. Participants passively estimated the position of their hand while they were upright and therefore aligned with terrestrial gravity, or pitch-tilted 45° backwards from gravity. Overall participants overestimated the position of their hand in both upright and tilted postures; however, the proprioceptive bias was significantly reduced when participants were tilted. Our findings therefore suggest that the internal model of gravity may influence and update JPS in order to allow the organism to interact with the environment. 相似文献
830.
The design of personalized movement training and rehabilitation pipelines relies on the ability of assessing the activation of individual muscles concurrently with the resulting joint torques exerted during functional movements. Despite advances in motion capturing, force sensing and bio-electrical recording technologies, the estimation of muscle activation and resulting force still relies on lengthy experimental and computational procedures that are not clinically viable. This work proposes a wearable technology for the rapid, yet quantitative, assessment of musculoskeletal function. It comprises of (1) a soft leg garment sensorized with 64 uniformly distributed electromyography (EMG) electrodes, (2) an algorithm that automatically groups electrodes into seven muscle-specific clusters, and (3) a EMG-driven musculoskeletal model that estimates the resulting force and torque produced about the ankle joint sagittal plane. Our results show the ability of the proposed technology to automatically select a sub-set of muscle-specific electrodes that enabled accurate estimation of muscle excitations and resulting joint torques across a large range of biomechanically diverse movements, underlying different excitation patterns, in a group of eight healthy individuals. This may substantially decrease time needed for localization of muscle sites and electrode placement procedures, thereby facilitating applicability of EMG-driven modelling pipelines in standard clinical protocols. 相似文献