The objective of this study was to analyze the current evidence for the use of pancreatic enzyme replacement therapy (PERT) in affecting survival and quality of life in patients with pancreatic exocrine insufficiency ...The objective of this study was to analyze the current evidence for the use of pancreatic enzyme replacement therapy (PERT) in affecting survival and quality of life in patients with pancreatic exocrine insufficiency (PEI). Systematic searches of the literature were performed using the PubMed database. Articles were selected for inclusion if they reported findings from trials assessing the effects of PERT on quality of life, survival, malabsorption, growth parameters (such as height, body weight and body mass index), or gastrointestinal symptoms (such as abdominal pain, stool consistency and flatulence). PERT improved PEI-related malabsorption and weight maintenance in patients with cystic fibrosis, chronic pancreatitis, pancreatic cancer, and post-surgical states. In patients with chronic pancreatitis, PERT improved PEI-related symptoms and quality of life measures. Several small retrospective studies have also suggested that PERT may have a positive impact on survival, but long-term studies assessing this effect were not identified. PERT is effective for treating malnutrition and supporting weight maintenance, and it is associated with improved quality of life and possibly with enhanced survival in patients with PEI. However, there is evidence that not all patients with PEI receive adequate PERT. Future work should aim to assess the long-term effects of PERT on the survival of patients with PEI.展开更多
In this article,mathematical modeling for the evaluation of reliability is studied using two methods.One of the methods,is developed based on possibility theory.The performance of the reliability of the system is of p...In this article,mathematical modeling for the evaluation of reliability is studied using two methods.One of the methods,is developed based on possibility theory.The performance of the reliability of the system is of prime concern.In view of this,the outcomes for the failure are required to evaluate with utmost care.In possibility theory,the reliability information data determined from decision-making experts are subjective.The samemethod is also related to the survival possibilities as against the survival probabilities.The other method is the one that is developed using the concept of approximation of closed interval including the piecewise quadratic fuzzy numbers.In this method,a decision-making expert is not sure of his/her estimates of the reliability parameters.Numerical experiments are performed to illustrate the efficiency of the suggested methods in this research.In the end,the paper is concluded with some future research directions to be explored for the proposed approach.展开更多
This paper studies the deterioration of bridge substructures utilizing the Long-Term Bridge Performance(LTBP)Program InfoBridge^(TM)and develops a survival model using Cox proportional hazards regression.The survival ...This paper studies the deterioration of bridge substructures utilizing the Long-Term Bridge Performance(LTBP)Program InfoBridge^(TM)and develops a survival model using Cox proportional hazards regression.The survival analysis is based on the National Bridge Inventory(NBI)dataset.The study calculates the survival rate of reinforced and prestressed concrete piles on bridges under marine conditions over a 29-year span(from 1992 to 2020).The state of Maryland is the primary focus of this study,with data from three neighboring regions,the District of Columbia,Virginia,and Delaware to expand the sample size.The data obtained from the National Bridge Inventory are condensed and filtered to acquire the most relevant information for model development.The Cox proportional hazards regression is applied to the condensed NBI data with six parameters:Age,ADT,ADTT,number of spans,span length,and structural length.Two survival models are generated for the bridge substructures:Reinforced and prestressed concrete piles in Maryland and reinforced and prestressed concrete piles in wet service conditions in the District of Columbia,Maryland,Delaware,and Virginia.Results from the Cox proportional hazards regression are used to construct Markov chains to demonstrate the sequence of the deterioration of bridge substructures.The Markov chains can be used as a tool to assist in the prediction and decision-making for repair,rehabilitation,and replacement of bridge piles.Based on the numerical model,the Pile Assessment Matrix Program(PAM)is developed to facilitate the assessment and maintenance of current bridge structures.The program integrates the NBI database with the inspection and research reports from various states’department of transportation,to serve as a tool for condition state simulation based on maintenance or rehabilitation strategies.展开更多
This study investigates the application of the two-parameter Weibull distribution in modeling state holding times within HIV/AIDS progression dynamics. By comparing the performance of the Weibull-based Accelerated Fai...This study investigates the application of the two-parameter Weibull distribution in modeling state holding times within HIV/AIDS progression dynamics. By comparing the performance of the Weibull-based Accelerated Failure Time (AFT) model, Cox Proportional Hazards model, and Survival model, we assess the effectiveness of these models in capturing survival rates across varying gender, age groups, and treatment categories. Simulated data was used to fit the models, with model identification criteria (AIC, BIC, and R2) applied for evaluation. Results indicate that the AFT model is particularly sensitive to interaction terms, showing significant effects for older age groups (50 - 60 years) and treatment interaction, while the Cox model provides a more stable fit across all age groups. The Survival model displayed variability, with its performance diminishing when interaction terms were introduced, particularly in older age groups. Overall, while the AFT model captures the complexities of interactions in the data, the Cox model’s stability suggests it may be better suited for general analyses without strong interaction effects. The findings highlight the importance of model selection in survival analysis, especially in complex disease progression scenarios like HIV/AIDS.展开更多
Background:Neuroendocrine neoplasms(NENs)are rare tumors characterized by variable biology and delayed diagnosis.However,the nationwide epidemiology of NENs has never been reported in China.We aimed to estimate the in...Background:Neuroendocrine neoplasms(NENs)are rare tumors characterized by variable biology and delayed diagnosis.However,the nationwide epidemiology of NENs has never been reported in China.We aimed to estimate the incidence and survival statistics of NENs in China,in comparison to those in the United States during the same period.Methods:Based on the data from 246 population-based cancer registries covering 272.5 million people of China,we calculated age-specific incidence on NENs in 2017 and multiplied by corresponding national population to estimate the nationwide incidence in China.The data of 22 population-based cancer registries were used to estimate the trends of NENs incidence from 2000 to 2017 through the Joinpoint regression model.We used the cohort approach to analyze the 5-year age-standardized relative survival by sex,age group,and urban-rural area between 2008 and 2013,based on data from 176 high-quality cancer registries.We used data from the Surveillance,Epidemiology,and End Results(SEER)18 program to estimate the comparable incidence and survival of NENs in the United States.Results:The overall age-standardized rate(ASR)of NENs incidence was lower in China(1.14 per 100,000)than in the United States(6.26 per 100,000).The most common primary sites were lungs,pancreas,stomach,and rectum in China.The ASRs of NENs incidence increased by 9.8%and 3.6%per year in China and the United States,respectively.The overall 5-year relative survival in China(36.2%)was lower than in the United States(63.9%).The 5-year relative survival was higher for female patients than male patients,and was higher in urban areas than in rural areas.Conclusions:The disparities in burden of NENs persist across sex,area,age group,and site in China and the United States.These findings may provide a scientific basis on prevention and control of NENs in the two countries.展开更多
In this article is shown all the process which is happening at the moment in the globe. How big countries may influence to the small countries such as Kyrgyzstan. Some approaches that are used for achieving results. A...In this article is shown all the process which is happening at the moment in the globe. How big countries may influence to the small countries such as Kyrgyzstan. Some approaches that are used for achieving results. Also were taken into account researches of some scientists. Kyrgyzstan is young, small independent country with democratic ideas for running country. The research focus on the whole situation in the country and in the globe, trends. The research methods used from the famous world scientists their findings, participation at the international conferences dedicated to the international diplomacy and etc. The main conclusions small independent country has to follow world trends and collaborate mutually with all countries.展开更多
文摘The objective of this study was to analyze the current evidence for the use of pancreatic enzyme replacement therapy (PERT) in affecting survival and quality of life in patients with pancreatic exocrine insufficiency (PEI). Systematic searches of the literature were performed using the PubMed database. Articles were selected for inclusion if they reported findings from trials assessing the effects of PERT on quality of life, survival, malabsorption, growth parameters (such as height, body weight and body mass index), or gastrointestinal symptoms (such as abdominal pain, stool consistency and flatulence). PERT improved PEI-related malabsorption and weight maintenance in patients with cystic fibrosis, chronic pancreatitis, pancreatic cancer, and post-surgical states. In patients with chronic pancreatitis, PERT improved PEI-related symptoms and quality of life measures. Several small retrospective studies have also suggested that PERT may have a positive impact on survival, but long-term studies assessing this effect were not identified. PERT is effective for treating malnutrition and supporting weight maintenance, and it is associated with improved quality of life and possibly with enhanced survival in patients with PEI. However, there is evidence that not all patients with PEI receive adequate PERT. Future work should aim to assess the long-term effects of PERT on the survival of patients with PEI.
文摘In this article,mathematical modeling for the evaluation of reliability is studied using two methods.One of the methods,is developed based on possibility theory.The performance of the reliability of the system is of prime concern.In view of this,the outcomes for the failure are required to evaluate with utmost care.In possibility theory,the reliability information data determined from decision-making experts are subjective.The samemethod is also related to the survival possibilities as against the survival probabilities.The other method is the one that is developed using the concept of approximation of closed interval including the piecewise quadratic fuzzy numbers.In this method,a decision-making expert is not sure of his/her estimates of the reliability parameters.Numerical experiments are performed to illustrate the efficiency of the suggested methods in this research.In the end,the paper is concluded with some future research directions to be explored for the proposed approach.
基金This research receives funding from the Maryland Department of Transportation State Highway Administration.
文摘This paper studies the deterioration of bridge substructures utilizing the Long-Term Bridge Performance(LTBP)Program InfoBridge^(TM)and develops a survival model using Cox proportional hazards regression.The survival analysis is based on the National Bridge Inventory(NBI)dataset.The study calculates the survival rate of reinforced and prestressed concrete piles on bridges under marine conditions over a 29-year span(from 1992 to 2020).The state of Maryland is the primary focus of this study,with data from three neighboring regions,the District of Columbia,Virginia,and Delaware to expand the sample size.The data obtained from the National Bridge Inventory are condensed and filtered to acquire the most relevant information for model development.The Cox proportional hazards regression is applied to the condensed NBI data with six parameters:Age,ADT,ADTT,number of spans,span length,and structural length.Two survival models are generated for the bridge substructures:Reinforced and prestressed concrete piles in Maryland and reinforced and prestressed concrete piles in wet service conditions in the District of Columbia,Maryland,Delaware,and Virginia.Results from the Cox proportional hazards regression are used to construct Markov chains to demonstrate the sequence of the deterioration of bridge substructures.The Markov chains can be used as a tool to assist in the prediction and decision-making for repair,rehabilitation,and replacement of bridge piles.Based on the numerical model,the Pile Assessment Matrix Program(PAM)is developed to facilitate the assessment and maintenance of current bridge structures.The program integrates the NBI database with the inspection and research reports from various states’department of transportation,to serve as a tool for condition state simulation based on maintenance or rehabilitation strategies.
文摘This study investigates the application of the two-parameter Weibull distribution in modeling state holding times within HIV/AIDS progression dynamics. By comparing the performance of the Weibull-based Accelerated Failure Time (AFT) model, Cox Proportional Hazards model, and Survival model, we assess the effectiveness of these models in capturing survival rates across varying gender, age groups, and treatment categories. Simulated data was used to fit the models, with model identification criteria (AIC, BIC, and R2) applied for evaluation. Results indicate that the AFT model is particularly sensitive to interaction terms, showing significant effects for older age groups (50 - 60 years) and treatment interaction, while the Cox model provides a more stable fit across all age groups. The Survival model displayed variability, with its performance diminishing when interaction terms were introduced, particularly in older age groups. Overall, while the AFT model captures the complexities of interactions in the data, the Cox model’s stability suggests it may be better suited for general analyses without strong interaction effects. The findings highlight the importance of model selection in survival analysis, especially in complex disease progression scenarios like HIV/AIDS.
文摘Background:Neuroendocrine neoplasms(NENs)are rare tumors characterized by variable biology and delayed diagnosis.However,the nationwide epidemiology of NENs has never been reported in China.We aimed to estimate the incidence and survival statistics of NENs in China,in comparison to those in the United States during the same period.Methods:Based on the data from 246 population-based cancer registries covering 272.5 million people of China,we calculated age-specific incidence on NENs in 2017 and multiplied by corresponding national population to estimate the nationwide incidence in China.The data of 22 population-based cancer registries were used to estimate the trends of NENs incidence from 2000 to 2017 through the Joinpoint regression model.We used the cohort approach to analyze the 5-year age-standardized relative survival by sex,age group,and urban-rural area between 2008 and 2013,based on data from 176 high-quality cancer registries.We used data from the Surveillance,Epidemiology,and End Results(SEER)18 program to estimate the comparable incidence and survival of NENs in the United States.Results:The overall age-standardized rate(ASR)of NENs incidence was lower in China(1.14 per 100,000)than in the United States(6.26 per 100,000).The most common primary sites were lungs,pancreas,stomach,and rectum in China.The ASRs of NENs incidence increased by 9.8%and 3.6%per year in China and the United States,respectively.The overall 5-year relative survival in China(36.2%)was lower than in the United States(63.9%).The 5-year relative survival was higher for female patients than male patients,and was higher in urban areas than in rural areas.Conclusions:The disparities in burden of NENs persist across sex,area,age group,and site in China and the United States.These findings may provide a scientific basis on prevention and control of NENs in the two countries.
文摘In this article is shown all the process which is happening at the moment in the globe. How big countries may influence to the small countries such as Kyrgyzstan. Some approaches that are used for achieving results. Also were taken into account researches of some scientists. Kyrgyzstan is young, small independent country with democratic ideas for running country. The research focus on the whole situation in the country and in the globe, trends. The research methods used from the famous world scientists their findings, participation at the international conferences dedicated to the international diplomacy and etc. The main conclusions small independent country has to follow world trends and collaborate mutually with all countries.
