Biostatistics Commons^™

Lung Flute Improves Symptoms And Health Status In Copd With Chronic Bronchitis: A 26 Week Randomized Controlled Trial, Sanjay Sethi, Jingjing Yin, Pamela K. Anderson

Jingjing Yin

Background: Chronic obstructive pulmonary disease (COPD) is characterized by mucus hypersecretion that contributes to disease related morbidity and is associated with increased mortality. The Lung Flute® is a new respiratory device that produces a low frequency acoustic wave with moderately vigorous exhalation to increase mucus clearance. We hypothesized that the Lung Flute, used on a twice daily basis will provide clinical benefit to patients with COPD with chronic bronchitis.

Methods: We performed a 26 week randomized, non-intervention controlled, single center, open label trial in 69 patients with COPD and Chronic Bronchitis. The primary endpoint was change in respiratory …

Hiv Testing Implementation In Two Urban Cities: Practice, Policy, And Perceived Barriers., Camden J Hallmark, Jennifer Skillicorn, Thomas P Giordano, Jessica A Davila, Marlene Mcneese, Nestor Rocha, Avemaria Smith, Stacey Cooper, Amanda D. Castel

Epidemiology Faculty Publications

BACKGROUND: Although funding has supported the scale up of routine, opt-out HIV testing in the US, variance in implementation mechanisms and barriers in high-burden jurisdictions remains unknown.

METHODS: We conducted a survey of health care organizations in Washington, DC and Houston/Harris County to determine number of HIV tests completed in 2011, policy and practices associated with HIV testing, funding mechanisms, and reported barriers to testing in each jurisdiction and to compare results between jurisdictions.

RESULTS: In 2012, 43 Houston and 35 DC HIV-testing organizations participated in the survey. Participants represented 85% of Department of Health-supported testers in DC and 90% …

Short And Long-Term Lifestyle Coaching Approaches Used To Address Diverse Participant Barriers To Weight Loss And Physical Activity Adherence, Elizabeth M. Venditti, Judith Wylie-Rosett, Linda M. Delahanty, Lisa L. Mele, Mary A. Hoskin, Sharon Edelstein

GW Biostatistics Center

Background

Individual barriers to weight loss and physical activity goals in the Diabetes Prevention Program, a randomized trial with 3.2 years average treatment duration, have not been previously reported. Evaluating barriers and the lifestyle coaching approaches used to improve adherence in a large, diverse participant cohort can inform dissemination efforts.

Methods

Lifestyle coaches documented barriers and approaches after each session (mean session attendance = 50.3 +/- 21.8). Subjects were 1076 intensive lifestyle participants (mean age = 50.6 years; mean BMI = 33.9 kg/m2; 68% female, 48% non-Caucasian). Barriers and approaches used to improve adherence were ranked by the percentage of …

Engagement With Care, Substance Use, And Adherence To Therapy In Hiv/Aids, Patrice K. Nicholas, Suzanne Willard, Clinton J. Thompson, Carol Dawson-Rose, Inge B. Corless, +20 Additional Authors

GW Biostatistics Center

Engagement with care for those living with HIV is aimed at establishing a strong relationship between patients and their health care provider and is often associated with greater adherence to therapy and treatment (Flickinger, Saha, Moore, and Beach, 2013). Substance use behaviors are linked with lower rates of engagement with care and medication adherence (Horvath, Carrico, Simoni, Boyer, Amico, and Petroli, 2013). This study is a secondary data analysis using a cross-sectional design from a larger randomized controlled trial (n = 775) that investigated the efficacy of a self-care symptom management manual for participants living with HIV. Participants were …

Cardiometabolic Risk Assessments By Body Mass Index Z-Score Or Waist-To-Height Ratio In A Multiethnic Sample Of Sixth-Graders, Henry S. Kahn, Laure El Ghormli, Russell Jago, Gary D. Foster, Robert G. Mcmurray, John B. Buse, Diane D. Stadler, Roberto P. Trevino, Tom Baranowski, Healthy Study Group

GW Biostatistics Center

Convention defines pediatric adiposity by the body mass index -score (BMIz) referenced to normative growth charts. Waist-to-height ratio (WHtR) does not depend on sex-and-age references. In the HEALTHY Study enrollment sample, we compared BMIz with WHtR for ability to identify adverse cardiometabolic risk. Among 5,482 sixth-grade students from 42 middle schools, we estimated explanatory variations (R²) and standardized beta coefficients of BMIz or WHtR for cardiometabolic risk factors: insulin resistance (HOMA-IR), lipids, blood pressures, and glucose. For each risk outcome variable, we prepared adjusted regression models for four subpopulations stratified by sex and high versus lower fatness. …

Mediation Analysis Of Gestational Age, Congenital Heart Defects, And Infant Birth-Weight, Adane Wogu, Christopher Loffredo, Ionut Bebu, George Luta

GW Biostatistics Center

Background

In this study we assessed the mediation role of the gestational age on the effect of the infant’s congenital heart defects (CHD) on birth-weight.

Methods

We used secondary data from the Baltimore-Washington Infant Study (1981–1989). Mediation analysis was employed to investigate whether gestational age acted as a mediator of the association between CHD and reduced birth-weight. We estimated the mediated effect, the mediation proportion, and their corresponding 95% confidence intervals (CI) using several methods.

Results

There were 3362 CHD cases and 3564 controls in the dataset with mean birth-weight of 3071 (SD = 729) and 3353 (SD = 603) …

The Bivariate Erlang And Its Application In Modeling Recurrence Times Of Kidney Dialysis Data, Norou Diawara, S.H. Sathish Indika, Melva Grant, Edgard M. Maboudou-Tchao

Mathematics & Statistics Faculty Publications

Recent advances in computer modeling allows us to find closer fits to data. Our emphasis is on the interdependence between occurrence at kidney dialysis. The interdependence between kidney dialysis occurrences is modelled by a bivariate exponential that we propose in this article. The application is shown on the McGilchrist and Aisbett kidney data set with the use of the exponential distribution. The proposed bivariate exponential model has exponential marginal densities, correlated via a latent random variables and with finite probability of simultaneous occurrence. Extension of the model to a bivariate Erlang type distribution with same shape parameter is presented.

The Total Picture: Multiple Chemical Exposures To Pregnant Women In The Us – An Nhanes Study Of Data From 2003 Through 2010, Teri Cabana

Theses and Dissertations

INTRODUCTION: Chemical exposures to US pregnant women have been shown to have adverse health impacts on both mother and fetus. A prior paper revealed that US pregnant women in 2003-2004 had widespread exposure to multiple chemicals. The goal of this research is to examine how environmental chemical exposures to US pregnant women have changed from 2003 to 2010 and to look further at the extent of simultaneous exposure to multiple chemicals in US pregnant women using biomonitoring data available through NHANES (the National Health and Nutritional Examination Survey). METHODS: Using available NHANES data from the following cycles (2003-2004, 2005-2006, 2007-2008, …

Incorporating Dependence Boundaries In Simulating Associated Discrete Data, Mary E. Haynes

Theses and Dissertations

In the study of associated discrete variables, limitations on the range of the possible association measures (Pearson correlation, odds ratio, etc.) arise from the form of the joint probability function between the variables. These limitations are known as the Fréchet bounds. The bounds for cases involving associated binary variables are explored in the context of simulating datasets with a desired correlation and set of marginal probabilities. A new method for creating such datasets is compared to an existing method that uses the multivariate probit. A method for simulating associated binary variables using a desired odds ratio and known marginal probabilities …

Causality Is Logically Definable-Toward An Equilibrium-Based Computing Paradigm Of Quantum Agents And Quantum Intelligence (Qaqi), Wen-Ran Zhang, Karl E. Peace

Biostatistics Faculty Publications

A survey on agents, causality and intelligence is presented and an equilibrium-based computing paradigm of quantum agents and quantum intelligence (QAQI) is proposed. In the survey, Aristotle’s causality principle and its historical extensions by David Hume, Bertrand Russell, Lotfi Zadeh, Donald Rubin, Judea Pearl, Niels Bohr, Albert Einstein, David Bohm, and the causal set initiative are reviewed; bipolar dynamic logic (BDL) is introduced as a causal logic for bipolar inductive and deductive reasoning; bipolar quantum linear algebra (BQLA) is introduced as a causal algebra for quantum agent interaction and formation. Despite the widely held view that causality is undefinable with …

Testing Longitudinal Data By Logarithmic Quantiles, Manfred Denker, Lucia Tabacu

Mathematics & Statistics Faculty Publications

The shoulder tip pain study of Lumley [13] is re-investigated. It is shown that the new logarithmic quantile estimation (LQE) technique in [9] applies and behaves well under singular covariance structure and small sample sizes as in the shoulder tip pain study. The findings in [6] can be assured under weaker assumptions using a combination of LQE and an ANOVA type statistic. © 2014, Institute of Mathematical Statistics.

Mate Choice And The Evolutionary Stability Of A Fixed Threshold In A Sequential Search Strategy, Raymond Cheng, Steven M. Seubert, Daniel D. Wiegmann

Mathematics & Statistics Faculty Publications

The sequential search strategy is a prominent model of searcher behavior, derived as a rule by which females might sample and choose a mate from a distribution of prospective partners. The strategy involves a threshold criterion against which prospective mates are evaluated. The optimal threshold depends on the attributes of prospective mates, which are likely to vary across generations or within the lifetime of searchers due to stochastic environmental events. The extent of this variability and the cost to acquire information on the distribution of the quality of prospective mates determine whether a learned or environmentally canalized threshold is likely …

Estimating Population Treatment Effects From A Survey Sub-Sample, Kara E. Rudolph, Ivan Diaz, Michael Rosenblum, Elizabeth A. Stuart

Johns Hopkins University, Dept. of Biostatistics Working Papers

We consider the problem of estimating an average treatment effect for a target population from a survey sub-sample. Our motivating example is generalizing a treatment effect estimated in a sub-sample of the National Comorbidity Survey Replication Adolescent Supplement to the population of U.S. adolescents. To address this problem, we evaluate easy-to-implement methods that account for both non-random treatment assignment and a non-random two-stage selection mechanism. We compare the performance of a Horvitz-Thompson estimator using inverse probability weighting (IPW) and two double robust estimators in a variety of scenarios. We demonstrate that the two double robust estimators generally outperform IPW in …

Statistical Analysis Of Sleep Patterns In Drosophila Melanogaster, Luyang Wang

Masters Theses

“Sleep is one of the most preserved and restorative behaviors of animals and is important in human health. Lack of sleep may cause numerous diseases. So the study of sleep rhythms is very essential and complicated. In order to simplify the process of studying sleep, the fruit fly Drosophila melanogaster, is utilized as a model organism for several reasons. Some of the molecular mechanisms that contribute to the circadian clock in the fruit fly were also found to generate similar cycles in mammals. In order to study sleep patterns in the fruit fly, experiments were designed and performed to …

Statistical Modeling Of The Number Of Deaths Of Children In Bangladesh, Morshed Alam, Manzur R. Farazi, Joseph Stiglitz, Munni Begum

Journal Articles: Biostatistics

Efforts to reduce the number of children’s death in developing countries through health care programs focus more to the prevention and control of diseases than to determining the underlying risk factors/predictors and addressing these through proper interventions. This study aims to identify socioeconomic and demographic predictors of the number of children’s death to women aged 12-49 from the Bangladesh Health and Demographic Survey (BDHS) administered in 2011. The number of children’s death in a family is a non-negative count response variable. The average number of children’s death is found to be 28 per 100 women with a variance of 44per …

Raman Spectroscopy Of Blood Serum And Cerebrospinal Fluid And Multivariate Data Analysis For Alzheimer's Disease Diagnostics, Elena Ryzhikova

Legacy Theses & Dissertations (2009 - 2024)

The efficient and accurate diagnosis at the early stages of dementia is a key moment for effective treatment and productive research to find a new ways to combat the disease. It is especially true for Alzheimer's disease (AD) for which there is no effective cure, but several treatments are known to allow slowing down the degenerative processes. Alzheimer's disease (AD) displays only non-specific clinical symptoms of mental decline for decades after the initiation and is very challenging to differentiate even at the later stages when it becomes very aggressive. Despite the great need, current diagnostic tests are unable to diagnose …

New Matching Algorithm-- : Outlier First Matching (Ofm) And Its Performance On Propensity Score Analysis (Psa) Under New Stepwise Matching Framework (Smf), Yi Sun

Legacy Theses & Dissertations (2009 - 2024)

An observational study is an empirical investigation of treatment effect when randomized experimentation is not ethical or feasible (Rosenbaum 2009). Observational studies are common in real life due to the following reasons: a) randomization is not feasible due to the ethical or financial reason; b) data are collected from survey or other resources where the object and design of the study has not been determined (e.g. retrospective study using administrative records); c) little knowledge on the given region so that some preliminary studies of observational data are conducted to formulate hypotheses to be tested in subsequent experiments. When statistical analysis …

Roughened Random Forests For Binary Classification, Kuangnan Xiong

Legacy Theses & Dissertations (2009 - 2024)

Binary classification plays an important role in many decision-making processes. Random forests can build a strong ensemble classifier by combining weaker classification trees that are de-correlated. The strength and correlation among individual classification trees are the key factors that contribute to the ensemble performance of random forests. We propose roughened random forests, a new set of tools which show further improvement over random forests in binary classification. Roughened random forests modify the original dataset for each classification tree and further reduce the correlation among individual classification trees. This data modification process is composed of artificially imposing missing data that are …

Methods For Integrative Analysis Of Genomic Data, Paul Manser

Theses and Dissertations

In recent years, the development of new genomic technologies has allowed for the investigation of many regulatory epigenetic marks besides expression levels, on a genome-wide scale. As the price for these technologies continues to decrease, study sizes will not only increase, but several different assays are beginning to be used for the same samples. It is therefore desirable to develop statistical methods to integrate multiple data types that can handle the increased computational burden of incorporating large data sets. Furthermore, it is important to develop sound quality control and normalization methods as technical errors can compound when integrating multiple genomic …

Genetic Association Testing Of Copy Number Variation, Yinglei Li

Theses and Dissertations--Statistics

Copy-number variation (CNV) has been implicated in many complex diseases. It is of great interest to detect and locate such regions through genetic association testings. However, the association testings are complicated by the fact that CNVs usually span multiple markers and thus such markers are correlated to each other. To overcome the difficulty, it is desirable to pool information across the markers. In this thesis, we propose a kernel-based method for aggregation of marker-level tests, in which first we obtain a bunch of p-values through association tests for every marker and then the association test involving CNV is based on …