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71.
Modeling of count responses is widely performed via Poisson regression models. This paper covers the problem of variable selection in Poisson regression analysis. The basic emphasis of this paper is to present the usefulness of information complexity-based criteria for Poisson regression. Particle swarm optimization (PSO) algorithm was adopted to minimize the information criteria. A real dataset example and two simulation studies were conducted for highly collinear and lowly correlated datasets. Results demonstrate the capability of information complexity-type criteria. According to the results, information complexity-type criteria can be effectively used instead of classical criteria in count data modeling via the PSO algorithm.  相似文献   
72.
Objective: To determine whether radical prostatetomy (RP) is suitable for prostate cancer patients with age ≥75 years in comparison to primary androgen deprivation therapy (PADT).

Patients and methods: A cohort study was conducted in clinically localized prostate cancer patients with ≥75 years of age who underwent RP or PADT at six institutions from 2005 to 2013. Patients who had less than 12 months of follow-up, or received neoadjuvant or adjuvant therapy were excluded. We compared clinical characteristics, cancer-specific and overall survivals, and post-treatment complication rates between two groups.

Results: We included 92 and 99 patients in the RP and PADT groups, respectively. In survival analyses, there were no significant differences in cancer-specific and overall survivals (p?=?.302 and .995, respectively). The incidence of serious adverse events (cardio- or cerebrovascular event, or bone fracture) was higher in the PADT group (p?=?.001). Multivariable analysis showed that PADT had a worse effect on the serious adverse events (OR 10.12, p?=?.038).

Conclusions: In selected elderly patients, RP was safe and effective for treatment of localized prostate cancer, as compared to PADT. Surgical treatment options should be considered in elderly patients with respect to life expectancy, rather than chronological age.  相似文献   
73.
In accordance with the increasing demand for information, indices are created and national and global rankings made to represent and through which to understand and build policy related to complex situations, processes and trajectories. Different indices for a single concept are also created that have advantages or disadvantages over one another or to overcome certain calculation problems. As one such, the Human Development Index (HDI) presently lists countries according to four different criteria, and remains at the heart of democratic and humanitarian recovery efforts. This type of indicator is taken as a function of past performances, with high performances being the extreme values at positively skewed distributions. Thus, the variability of each unit’s repeated measures is regarded as the result of efforts made between the measurement time points (in the HDI case, of a country to promote development). However, it is assumed that the variability of the units is not homogenous. Here, it is shown that in the HDI case, high performance units show relatively low variability, whereas the middle and middle-low performance units show a high variability. Cluster analysis and Friedman test have been used to determine the characteristics of ordered country rankings. The variability of rank-order should also be taken into account besides the location on the list by clustering the countries according to HDI.  相似文献   
74.
We develop a theory of representation of interdependent preferences that reflect the widely acknowledged phenomenon of keeping up with the Joneses (i.e. of those preferences which maintain that well-being depend on “relative standing” in the society as well as on material consumption). The principal ingredient of our analysis is the assumption that individuals desire to occupy a (subjectively) better position than their peers. This is quite a primitive starting point in that it does not give any reference to what is actually regarded as “status” in the society. We call this basic postulate negative interdependence, and study its implications. In particular, combining this assumption with some other basic postulates that are widely used in a number of other branches of the theory of individual choice, we axiomatize the relative income hypothesis, and obtain an operational representation of interdependent preferences. Received: 7 December 1998/Accepted: 24 August 1999  相似文献   
75.
In this article, we evaluate the relative cost of a targeted design to an untargeted design for a randomized clinical trial comparing a new treatment to a control. We observed that when the ratio of screen cost per person and drug cost per person is very small, say 0.008, the trial cost for conducting a targeted design might be fewer than that for conducting an untargeted design. When the difference between the treatment effect for the targeted patients and the treatment effect for the untargeted patients is increased, the savings in trial cost for the targeted design would be increased significantly. The greater sensitivity and specificity for the screen tool will lead to greater savings in trial cost for the targeted design. The relative cost of a targeted design to an untargeted design is associated with the treatment effect difference between targeted and untargeted patients, the proportion of targeted patients in the population, the screen tool performance, and the ratio of drug cost per person and screen cost per person.  相似文献   
76.
77.
金圣叹评点的<西厢记>、<水浒传>18世纪传到朝鲜,到19世纪已非常流行.朝鲜文人以极大兴趣介绍金氏的生平行迹,评论他的著作和文学批评思想.尽管文人们对金圣叹其人褒贬不一,有的视金批之书为祸害,有人将金氏文学与周礼、汉赋、唐诗、宋文相比肩.但朝鲜文人一致认为金圣叹是奇人,金氏文章为奇文.因此,金批小说曾影响朝鲜文人的文体和文风.金圣叹的文学批评思想对朝鲜的文学批评也产生过潜移默化的影响.在朝鲜著名小说<广寒楼记>的批语中,从体例、内容到方法都参考了金批.  相似文献   
78.
To explore the burnout situation of teachers in two schools in Macau and to investigate any differences made of demographic characteristics. The relation of burnout on social problem solving and holistic health of teachers is also studied. A self reported questionnaire with the Chinese Maslach Burnout Inventory (C-MBI), Chinese Social Problem Solving Inventory (C-SPSI) and the Body-Mind-Spirit Well-Being Inventory (BMSWBI) were used. Totally 138 teachers participated in the study. With Hong Kong data as a reference, Macau teachers scored in the average range of burnout in emotional exhaustion and depersonalization but scored in the low range of burnout in personal accomplishment. Significance differences were found in some dimensions of burnout in age, marital status, teaching experiences, education background and satisfaction with income. Both C-SPSI and BMSWBI were found to be significantly negative correlated with emotional exhaustion and depersonalization and positive correlated with personal achievement. The findings identified those with greater degree of burnout, to whom more attention should be paid. The study also contributed to the limited literature on the quality of life of teachers in Macau. Finally, the findings added on the data base for comparison internationally among the Chinese population.  相似文献   
79.

Background

Poor sleep quality is related to old age among the general population, but few studies have focused on postpartum women of advanced maternal age. The present study aimed to describe and compare sleep quality between women younger or older than 35 years of age at 3 months postpartum, and to examine the related factors.

Methods

A cross-sectional survey was conducted with 160 postpartum women who had given birth at a teaching hospital in Taiwan. The participants were assigned to two groups according to age (≥35 years, n = 80; and 20–34 years, n = 80). Sleep quality was measured using the Pittsburgh Sleep Quality Index with a cut-off score of 5.

Results

The prevalence of poor sleep quality at 3 months postpartum was higher in older mothers (61.6%) than in younger mothers (38.4%, p < 0.01). Multiple logistic regression revealed that poor sleep quality was positively correlated with the severity of postpartum physical symptoms, lack of exercise, and room-sharing with infants. After adjustment for those variables, older mothers were three times more likely to have poor sleep quality than younger mothers (odds ratio = 3.08; 95% confidence interval 1.52–6.23).

Conclusion

Health care providers should pay attention to sleep problems among postpartum women, especially mothers of advanced maternal age. In particular, health care providers should evaluate sleep quality among postpartum women, instruct them not to share the bed with their infants at night, perform exercise, and manage their postpartum physical symptoms to improve the sleep quality.  相似文献   
80.

Background

Aging is associated with decreased balance, which increases falling risk. The objective of the current study was to determine the feasibility and effects of whole-body vibration (WBV) training on knee extensor muscle power, limits of stability, and sit-to-stand performance among community-dwelling middle-aged and older adults in the United States.

Methods

A randomized pilot study with participant blinding was conducted. Feasibility outcomes included recruitment and compliance rate. Twenty-nine community-dwelling older adults were randomly assigned to perform body-weight exercises with either an individualized vibration frequency and amplitude, a fixed vibration frequency and amplitude, or no vibration. Isokinetic knee extensor power, limits of stability, and sit-to-stand tests were conducted before beginning the exercises (baseline) and after 8 weeks of training.

Results

With a favorable recruitment rate (58%) and compliance rates (attrition 9%; adherence 85%), the intervention was deemed feasible. The limits of stability endpoint excursion score for the individualized frequency–amplitude group was increased by 8.8 (12.9%; P = 0.025) after training, and that group’s maximum excursion score was increased by 9.2 (11.5%; P = 0.006) after training. The average weight transfer time score was significantly decreased by 0.2 s in the fixed group. The participants in the individualized group demonstrated a significant increase (3.2%) in weight rising index score after 8 weeks of WBV training.

Conclusions

WBV training is feasible for use with elderly people, and this study achieved good recruitment and compliance. The present paper suggests that 8 weeks of WBV training improves limits of stability and sit-to-stand performance. Future studies must determine whether WBV training improves other factors that affect posture control.

Trial registration

This study was registered at the Texas Woman’s University Institutional Review Board [TWU IRB 17632] on the 3rd of November 2014.
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