A Maximum Entropy Estimator for the Average Survival Time Differences between Two Groups

2020 ◽  
Vol 7 (2) ◽  
pp. 107-112
Author(s):  
Marian Manciu ◽  
Sorour Hosseini ◽  
Joscelyne Guzman-Gonzalez

Background: Statistical methods commonly used in survival analysis typically provide the probability that the difference between groups is due to chance, but do not offer a reliable estimate of the average survival time difference between groups (the difference between median survival time is usually reported). Objective: We suggest a Maximum-Entropy estimator for the average Survival Time Difference (MESTD) between groups. Methods: The estimator is based on the extra survival time, which should be added to each member of the group, to produce the maximum entropy of the result (resulting in the groups becoming most similar). The estimator is calculated only from time to event data, does not necessarily assume hazard proportionality and provides the magnitude of the clinical differences between the groups. Results: Monte Carlo simulations show that, even at low sample numbers (much lower than the ones needed to prove that the two groups are statistically different), the MESTD estimator is a reliable predictor of the clinical differences between the groups, and therefore can be used to estimate from (low sample numbers) preliminary data whether or not the large sample number experiment is worth pursuing. Conclusion: By providing a reasonable estimate for the efficacy of a treatment (e.g., for cancer) even for low sample data, it might provide useful insight in testing new methods for treatment (for example, for quick testing of multiple combinations of cancer drugs).

2002 ◽  
Vol 29 (5) ◽  
pp. 503 ◽  
Author(s):  
Ann Göth ◽  
Uwe Vogel

Megapode chicks live independently from the time of hatching and are thus ideal subjects for investigations into how the lack of parental care can affect chick survival. Here, we present such results for chicks of the Australian brush-turkey (Alectura lathami), radio-tracked in two smallremnant rainforest patches (Mary Cairncross Rainforest Park and Aplin Forest) from their second day of life. Mortality was 88–100% during the first three weeks after hatching. It did not differ between two breeding seasons at Mary Cairncross Rainforest Park, as evident from comparisons of average survival time (in days) and Kaplan–Meier survival estimates. Survival differed, though, between the two sites in the same breeding season: the average survival time was significantly higher at Aplin Forest (8 days compared with 3�days) and the Kaplan–Meier survival estimates decreased less sharply. Predation by cats and birds of prey exerted the greatest influence on survival, but the proportion of deaths caused by these two predators was approximately the same at both sites. The main factor affecting survival was obviously the availability of thickets, which were more abundant at Aplin Forest. The survival rates of chicks released in thickets was significantly higher than of those released in the rainforest, presumably because they were better protected from predators. For chicks living in thickets the likelihood of being killed was lower than expected, but it was higher for those remaining in rainforest. On the basis of these results, we propose that management plans for endangered megapodes should include the identification and protection of large protective thicket habitats for enhancing overall chick survival, apart from controlling introduced predators such as feral cats.


2010 ◽  
Vol 67 (9) ◽  
pp. 723-731 ◽  
Author(s):  
Ivica Pejcic ◽  
Svetislav Vrbic ◽  
Sladjana Filipovic ◽  
Mirjana Scekic ◽  
Ivan Petkovic ◽  
...  

Background/Aim. Unknown primary tumors represent a heterogeneous group of malignancies that are indicative of ominous prognosis. Cancer of unknown primary site (CUP) is defined as the lack of any detectable primary site after full evaluation, and accounts for approximately 3-5% of all newly diagnosed patients with malignancies. The aim of this report was to present the prognostic and predictive value of 8 serum tumor markers in this group of patients. Methods. The study involved 63 patients. On histological examination, all the patients were presented with metastatic tumors whose primary site (origin) could not be detected with noninvasive diagnostic techniques. Following the routine light microscopy, all histological findings were classified into one of the following three groups: plano-cellular carcinoma - 8 patients; adenocarcinoma - 33 patients; unclassifiable (undifferentiated) carcinoma - 22 patients. In all the cases we evaluated 8 serum tumor markers: alpha-fetoproteins (AFP), chronic gonadotrophin beta submit, human (beta-HCG), neuron specific enolase (NSE), marker of malignant ovarian tumors (CA 125), prostate-specific antigene (PSA), marker of malignant brest tumor (CA 15-3), marker of malignant pancreas tumor and gastrointestinal tumor (Ca 19-9), carcinoembryonic antigen (CEA) at the time of diagnosis. The patients on chemotherapy had the markers determined after the third and sixth chemocycle, i.e. at the time of illness progression observation, if present. The patients responding to chemotherapy with complete response (CR), partial response (PR) or stable disease (SD) had the markers determined after three-month periods until the time of relapse or progression. Chemotherapy was applied in 32 patients (20 females and 12 males), aged 29-70 years, who met the inclusion criteria. The following chemotherapy regimen was used: doxorubicin 50mg/m2 (day 1), cisplatin 60mg/m2 (day 1), and etoposide 120 mg/m2 (days 1-3). The period between two chemotherapy cycles was three weeks, and maximum five weeks in the case of prolonged hematological toxicity. Results. Most commonly elevated were NSE values (82.54%), while AFP values were least commonly elevated (11.11%). Average survival time was 17.89 months (95%CI 12.96; 22.83). The probability of 24 months' survival was 0.228. The group of 32 patients treated with chemotherapy had 12 (37.5%) fatal outcomes in the observed period (72 months). Average survival time was 26.6 months (95% CI 19.5; 33.7). Average tumor marker values before and after the chemotherapy were significantly lower for NSE and CA 125. Survival was significantly better in cases of NSE and CA 125 decrease of more than 20%. Conclusion. Increased values of serum tumor markers are very often in CUP. The tumors show nonspecific overexpression of tumor markers. The NSE and CA 125 levels show good correlation with response to the given chemotherapy. However, a routine evaluation of commonly used serum tumor markers has not been proven of any prognostic and predictive assistance.


1956 ◽  
Vol 34 (2) ◽  
pp. 217-221 ◽  
Author(s):  
G. F. Carruthers ◽  
C. W. Gowdey

Anesthetized rats were subjected to a standardized hemorrhagic shock procedure; one group (20 animals) served as controls and another group (eight animals) was injected with chlorpromazine. The treated animals died very quickly: only one survived more than 12 hr. and none 48 hr.; the average survival time of 18 control fatalities was 14.0 hr., and two lived. Of the various cardiovascular and respiratory indices measured, only the post-reinfusion arterial pressure was different in the treated from that in the control group. Differences between the control groups in this and in an earlier series (Downie and Stevenson (1955)) can probably be accounted for by differences in the temperature of the laboratory.


1932 ◽  
Vol 55 (1) ◽  
pp. 101-108 ◽  
Author(s):  
Valy Menkin

Repeated intravenous injections of ferric chloride are followed by an increase in the survival time of tuberculous rabbits. In the particular series of experiments reported this increase amounts to about 78 per cent over the average survival time of control rabbits. Tuberculous animals repeatedly injected with ferric chloride increase in weight during part of the period of these injections. The level reached in the series studied markedly exceeds that attained by control rabbits. Both control and experimental animals die of generalized tuberculosis. There is no indication at the time of death of any differences in the degree of pathological involvement between the two groups of animals.


1955 ◽  
Vol 144 (916) ◽  
pp. 314-328 ◽  

The average survival time after bilateral adrenalectomy of rats of the N. I. M. R. hooded strain, maintained on a low salt diet and not having visible accessory tissue, was about 6 days. This survival time was usually too short to permit the establishment of an effective graft, but by feeding NaCl it could be prolonged sufficiently to enable fresh cortical tissue to form grafts which were functional in that the animals survived subsequent transference to low salt diet for 2 weeks. Exposure of the cortical tissue to low temperatures by the methods previously employed for ovarian tissue (Parkes & Smith 1953) greatly decreased the probability that it would form an effective graft, but a number of successful experiments were carried out, especially when a buffered Ringer-Locke medium containing glycerol was substituted for the glycerol-saline previously used. In all, more than a hundred functional grafts were obtained from adreno­cortical tissue which had been exposed to a temperature of — 79°C for up to 24 h. Adrenocortical cells, therefore, like many others, are not necessarily destroyed by ex­posure to low temperatures ( — 79°C), though it seems that optimal conditions are not provided by the technique evolved for gonadal endocrine cells.


Author(s):  
Aleksandra Sędzikowska ◽  
Katarzyna Bartosik ◽  
Renata Przydatek-Tyrajska ◽  
Monika Dybicz

Abstract Purpose The aim of the study was to examine Demodex survival in makeup cosmetics, i.e., powder cream, mascara, and lipstick, and to determine whether cosmetics shared with others can be a source of D. folliculorum infection. Methods Live D. folliculorum adults were placed in cosmetic samples and their motility was observed under a microscope. The mites were fully or partially immersed in the powder cream and lipstick, and only partially immersed in the mascara. Partial immersion means that only the opisthosoma was covered by the cosmetic, whereas the gnathosoma and podosoma had no contact with the cosmetic. Cessation of motility was regarded as a sign of death. Results In the control (mites placed on a microscope slide with no cosmetics), the survival time was 41.2 h. D. folliculorum that were immersed fully or partially in the lipstick substrate were viable for 38.5 h and 148 h, respectively. The survival time of the mites at full and partial immersion in the powder cream was 0.78 h and 2.16 h, respectively. The average survival time in the mascara was 21 h. Conclusions Makeup cosmetics used by different individuals at short intervals (from several hours to several days) can be a source of transmission of Demodex sp. mites.


2001 ◽  
Vol 75 (22) ◽  
pp. 10912-10922 ◽  
Author(s):  
Thomas J. Chambers ◽  
Michael Nickells

ABSTRACT A neuroadapted strain of yellow fever virus (YFV) 17D derived from a multiply mouse brain-passaged virus (Porterfield YF17D) was additionally passaged in SCID and normal mice. The virulence properties of this virus (SPYF) could be distinguished from nonneuroadapted virus (YF5.2iv, 17D infectious clone) by decreased average survival time in SCID mice after peripheral inoculation, decreased average survival time in normal adult mice after intracerebral inoculation, and occurrence of neuroinvasiveness in normal mice. SPYF exhibited more efficient growth in peripheral tissues of SCID mice than YF5.2iv, resulting in a more rapid accumulation of virus burden, but with low-titer viremia, at the time of fatal encephalitis. In cell culture, SPYF was less efficient in replication than YF5.2iv in all cell lines tested. The complete nucleotide sequence of SPYF revealed 29 nucleotide substitutions relative to YF5.2iv, and these were distributed throughout the genome. There were a total of 13 predicted amino acid substitutions, some of which correspond to known differences among the Asibi, French viscerotropic virus, French neurotropic vaccine, and YF17D vaccine strains. The envelope (E) protein contained five substitutions, within all three functional domains. Substitutions were also present in regions encoding the NS1, NS2A, NS4A, and NS5 proteins and in the 3′ untranslated region (UTR). Construction of YFV harboring all of the identified coding nucleotide substitutions and those in the 3′ UTR yielded a virus whose cell culture and pathogenic properties, particularly neurovirulence and neuroinvasiveness for SCID mice, generally resembled those of the original SPYF isolate. These findings implicate the E protein and possibly other regions of the genome as virulence determinants during pathogenesis of neuroadapted YF17D virus in mice. The determinants affect replication efficiency in both neural and extraneural tissues of the mouse and confer some limited host-range differences in cultured cells of nonmurine origin.


2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 18097-18097 ◽  
Author(s):  
P. Betta ◽  
R. Libener ◽  
S. Orecchia ◽  
M. Salvio ◽  
F. Schillaci ◽  
...  

18097 Background: While no previous data has so far shown any difference between the efficacy of serum platelet-derived growth factor (PDGF-AB) and serum epidermal growth factor (EGF) in distinguishing MPM from benign pleural diseases, some pilot studies have shown the potentiality of both these markers in the prognosis of MPM patients. This study investigates this capacity by analyzing survival in a series of MPM patients. Methods: Using an ELISA method, EGF (ng/ml) baseline serum was determined in 83 newly diagnosed MPM patients, and in 62 cases PDGF-AB serum levels were also measured. After a median follow-up time of 11.8 months (range 0.4–52.1 months), the log-rank test was used to compare the survival curves, and Cox’s regression analysis was also performed. Results: Median serum values were 0.56 ng/ml (range 0.09–2.05) for EGF and 43.0 ng/ml (range 0.1–145) for PDGF-AB. Patients with EGF levels higher than the median level of 0.56 ng/ml had an average survival time of 9.4 months (95%CI: 5.7–13.2), while the average survival time of patients with below-median EGF levels was 13.2 months (95%CI: 10.6–15.8); a statistically significant difference (p=0.005). For patients with PDGF-AB levels higher than an assumed cut-off of 49.8 ng/ml, (above 75th percentile of MPM marker concentration) average survival was 7.9 months (95%CI: 4.5–11.3) as against the 14.9 months (95%CI: 10.3–18.7) in patients with below cut-off marker levels, again statistically significant (p=0.02). Cox’s regression analysis was performed on 42 patients in whom data on age, sex, histology, stage and platelet count were available. EGF and PDGF-AB levels higher than the selected cut-offs were confirmed as independent predictors of poor survival (HR=1.49; 95% CI: 1.04–2.13; p=0.03 and HR=1.96; 95% CI: 1.23–3.13; p=0.005, respectively). Conclusions: Our data suggest that circulating PDGF-AB and EGF levels are promising markers for clinical monitoring of MPM patients. No significant financial relationships to disclose.


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