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Examining Biliary Acid Constituents among Gall Bladder Patients: A Bayes Study Using the Generalized Linear Model
Pages 224-239
Puja Makkar, S.K. Upadhyay, V.K. Shukla and R.S. Singh
DOI:
http://dx.doi.org/10.6000/1929-6029.2015.04.02.9
Published: 21 May 2015


Abstract: The generalized linear model is an important class of models that has wide variety of applications mainly because of its inherent flexibility and generality. The present paper provides an important application of GLM in order to examine different constituents of bile acid in the development of gallstones as well as carcinoma among the gallbladder patients. These constituents may be broadly categorized as primary and secondary bile acids. The paper, in fact, considers two particular cases of GLM based on normal and gamma modelling assumptions and provides the complete Bayes analysis using independent but vague priors for the concerned model parameters. It then analyzes a real data set taken from SS Hospital, Banaras Hindu University, with primary (secondary) bile acids as response variables and secondary (primary) bile acids as the predictors. The authenticity of the assumed models for the given data set is also examined based on predictive simulation ideas.

Keywords: Generalized linear model, vague priors, posterior distribution, biliary acids, gallbladder diseases, predictive simulation, Bayes information criterion.

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ijsmr logo-pdf 1349088093

Modeling of the Deaths Due to Ebola Virus Disease Outbreak in Western Africa
Pages 306-321
Robert J. Milletich, Norou Diawara and Anna Jeng
DOI:
http://dx.doi.org/10.6000/1929-6029.2015.04.04.1
Published: 03 November 2015


Abstract: Problem: The recent 2014 Ebola virus outbreak in Western Africa is the worst in history. It is imperative that appropriate statistical and mathematical models are used to identify risk factors and to monitor the development and spread of the disease.

Method: Deaths data due to Ebola virus disease (EVD) in Guinea, Liberia, and Sierra Leone from October 10, 2014 to March 24, 2015 were collected via Situation Reports published by the World Health Organization [1]. Conditional autoregressive (CAR) models were applied to account for the spatial dependency in the countries along with the temporal dimension of the disease. Bayesian change-point models were used to identify key changes in growth and drop time points in the spatial distribution of deaths due to EVD within each country. Country-specific Poisson and negative binomial mixed models of covariate effects were applied to understand the between-country variability in deaths due to EVD.

Results: Both CAR models and generalized linear mixed models identified statistically significant covariate effects; however, the CAR models depended on the interval of data analyzed, whereas the mixed models depended on the underlying distribution assumed. Bayesian change-point models identified one significant change-point in the distribution of deaths due to EVD within each country.

Practical Application: CAR models, Bayesian change-point models, and generalized linear mixed models demonstrate useful techniques in modeling the incidence of deaths due to EVD.

Keywords: Ebola Virus Disease, Conditional Autoregressive Model, Bayesian Analysis, Change-Point Model.
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On the Relationship between the Reliability and Accuracy of Bio-Behavioral Diagnoses: Simple Math to the Rescue
Pages 172-179
Dom Cicchetti
DOI:
http://dx.doi.org/10.6000/1929-6029.2015.04.02.2
Published: 21 May 2015


Abstract: An equivalence between the J statistic (Jack Youden, 1950) and the Kappa statistic (K), Cohen (1960), was discovered by Helena Kraemer (1982). J is defined as: [Sensitivity (Se) + Specificity (Sp)] – 1. The author (2011) added the remaining two validity components to the J Index, namely, Predicted Positive Accuracy (PPA) and Predicted Negative Accuracy (PNA). The resulting D Index or D = [(Se + Sp) + (PPA + PNA) – 1] / 2. The purpose of this research is to compare J and D as estimates of K, using both actual and simulated data sets. The actual data consisted of ratings of clinical depression and self-reports of gonorrhea. The simulated data sets represented binary diagnoses when the percentages of Negative and Positive cases were: (Identical; Slightly varying; Mildly varying; Moderately varying; or Markedly varying diagnostic patterns, For both the diagnosis of clinical depression, and the self-reports of gonorrhea, D produced closer approximations to Kappa. For the simulated data, under both identical and slightly different patterns of assigning Negative and Positive binary diagnoses, K, D and J produced identical results. While J produced acceptably close values to K under the condition of Mild discrepancies in the proportions of Negative and Positive cases, D continued to more closely approximate K. While D more closely estimated K under Markedly varying diagnostic patterns, D produced values under this extreme condition that were closer than would have been predicted. The significance of these findings for future research is discussed.

Keywords: Binary Diagnoses, Diagnostic Reliability, Diagnostic Accuracy.

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Specification of Variance-Covariance Structure in Bivariate Mixed Model for Unequally Time-Spaced Longitudinal Data
Pages 370-377
Melike Bahçecitapar, Özge Karadağ and Serpil Aktaş
DOI:
http://dx.doi.org/10.6000/1929-6029.2015.04.04.6
Published: 03 November 2015


Abstract: In medical studies, the longitudinal data sets obtained from more than one response variables and covariates are mostly analyzed to investigate the change in repeated measurements of each subject at different time points. In this study, the usability of multivariate models in the analysis of these kind of data sets is investigated, because it provides the joint analysis of multiple response variables over time and enables researchers to examine both the correlations of response variables and autocorrelation between measurements from each response variable over time. It has been shown that different parameter estimation methods affect the results in the analysis of multivariate unbalanced longitudinal data. We investigated that autocorrelation structure over time between measurements from same response variable should be truly specified. We also illustrated and compared the simpler, more standard models for fixed effects with multivariate models provided by SAS on a real-life data set in the joint analysis of two response variables. Results show that misspecification of autocorrelation structures has a negative impact on the parameter estimates and parameter estimation method should become of interest.

Keywords: Multivariate longitudinal data, mixed models, covariance structures.
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