Gender disparities in academic rank achievement in neurosurgery: a critical assessment

2020 ◽  
Vol 133 (6) ◽  
pp. 1922-1927 ◽  
Author(s):  
Rimal H. Dossani ◽  
Danielle Terrell ◽  
Jennifer A. Kosty ◽  
Robert C. Ross ◽  
Audrey Demand ◽  
...  
Keyword(s):  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Faculty Members ◽  
Full Professor ◽  
Academic Rank ◽  
Negative Binomial Regression Model ◽  
Men And Women ◽  
Full Professorship ◽  
Facility Level ◽  
Number Of Publications

OBJECTIVEThe objective of this study was to evaluate whether there are disparities in academic rank and promotion between men and women neurosurgeons.METHODSThe profiles of faculty members from 50 academic neurosurgery programs were reviewed to identify years in practice, number of PubMed-indexed publications, Doctor of Philosophy (PhD) attainment, and academic rank. The number of publications at each academic rank was compared between men and women after controlling for years in practice by using a negative binomial regression model. The relationship between gender and each academic rank was also determined after controlling for clustering at the institutional level, years in practice, and number of publications.RESULTSOf 841 faculty members identified, 761 (90%) were men (p = 0.0001). Women represented 12% of the assistant and associate professors but only 4% of the full professors. Men and women did not differ in terms of the percentage holding a PhD, years in practice, or number of publications at any academic rank. After controlling for years in practice and clustering at the facility level, the authors found that men were twice as likely as women to be named full professor (OR 2.2, 95% CI 1.09–4.44, p = 0.03). However, when institution, years in practice, PhD attainment, h-index, and number of publications were considered, men and women were equally likely to attain full professorship (OR 0.9, 95% CI 0.42–1.93).CONCLUSIONSData analysis of the top neurosurgery programs suggests that although there are fewer women than men holding positions in academic neurosurgery, faculty rank attainment does not seem to be influenced by gender.

scholarly journals Association between fatality rate of COVID-19 and selenium deficiency in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hai-Yang Zhang ◽  
An-Ran Zhang ◽  
Qing-Bin Lu ◽  
Xiao-Ai Zhang ◽  
Zhi-Jie Zhang ◽  
...  
Keyword(s):  
Negative Binomial ◽  
Viral Infections ◽  
Case Fatality ◽  
Selenium Deficiency ◽  
Negative Binomial Regression ◽  
Negative Binomial Regression Model ◽  
Fatality Rate ◽  
Selenium Content ◽  
Individual Level ◽  
Binomial Regression

Abstract Background COVID-19 has impacted populations around the world, with the fatality rate varying dramatically across countries. Selenium, as one of the important micronutrients implicated in viral infections, was suggested to play roles. Methods An ecological study was performed to assess the association between the COVID-19 related fatality and the selenium content both from crops and topsoil, in China. Results Totally, 14,045 COVID-19 cases were reported from 147 cities during 8 December 2019–13 December 2020 were included. Based on selenium content in crops, the case fatality rates (CFRs) gradually increased from 1.17% in non-selenium-deficient areas, to 1.28% in moderate-selenium-deficient areas, and further to 3.16% in severe-selenium-deficient areas (P = 0.002). Based on selenium content in topsoil, the CFRs gradually increased from 0.76% in non-selenium-deficient areas, to 1.70% in moderate-selenium-deficient areas, and further to 1.85% in severe-selenium-deficient areas (P < 0.001). The zero-inflated negative binomial regression model showed a significantly higher fatality risk in cities with severe-selenium-deficient selenium content in crops than non-selenium-deficient cities, with incidence rate ratio (IRR) of 3.88 (95% CIs: 1.21–12.52), which was further confirmed by regression fitting the association between CFR of COVID-19 and selenium content in topsoil, with the IRR of 2.38 (95% CIs: 1.14–4.98) for moderate-selenium-deficient cities and 3.06 (1.49–6.27) for severe-selenium-deficient cities. Conclusions Regional selenium deficiency might be related to an increased CFR of COVID-19. Future studies are needed to explore the associations between selenium status and disease outcome at individual-level.

scholarly journals Statistical models for analyzing count data: predictors of length of stay among HIV patients in Portugal using a multilevel model

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmed Nabil Shaaban ◽  
Bárbara Peleteiro ◽  
Maria Rosario O. Martins
Keyword(s):  
Length Of Stay ◽  
Regression Model ◽  
Random Effects ◽  
Count Data ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Comprehensive Approach ◽  
Negative Binomial Regression Model ◽  
Hiv Patients ◽  
Binomial Regression

Abstract Background This study offers a comprehensive approach to precisely analyze the complexly distributed length of stay among HIV admissions in Portugal. Objective To provide an illustration of statistical techniques for analysing count data using longitudinal predictors of length of stay among HIV hospitalizations in Portugal. Method Registered discharges in the Portuguese National Health Service (NHS) facilities Between January 2009 and December 2017, a total of 26,505 classified under Major Diagnostic Category (MDC) created for patients with HIV infection, with HIV/AIDS as a main or secondary cause of admission, were used to predict length of stay among HIV hospitalizations in Portugal. Several strategies were applied to select the best count fit model that includes the Poisson regression model, zero-inflated Poisson, the negative binomial regression model, and zero-inflated negative binomial regression model. A random hospital effects term has been incorporated into the negative binomial model to examine the dependence between observations within the same hospital. A multivariable analysis has been performed to assess the effect of covariates on length of stay. Results The median length of stay in our study was 11 days (interquartile range: 6–22). Statistical comparisons among the count models revealed that the random-effects negative binomial models provided the best fit with observed data. Admissions among males or admissions associated with TB infection, pneumocystis, cytomegalovirus, candidiasis, toxoplasmosis, or mycobacterium disease exhibit a highly significant increase in length of stay. Perfect trends were observed in which a higher number of diagnoses or procedures lead to significantly higher length of stay. The random-effects term included in our model and refers to unexplained factors specific to each hospital revealed obvious differences in quality among the hospitals included in our study. Conclusions This study provides a comprehensive approach to address unique problems associated with the prediction of length of stay among HIV patients in Portugal.

Evaluation of Strategies to Mitigate Culvert-Involved Crashes

2021 ◽  
pp. 036119812199207
Author(s):  
Hitesh Chawla ◽  
Megat-Usamah Megat-Johari ◽  
Peter T. Savolainen ◽  
Christopher M. Day
Keyword(s):  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Cost Effective ◽  
Negative Binomial Regression Model ◽  
Promising Alternative ◽  
Roadside Safety ◽  
Adverse Conditions ◽  
Traffic Characteristics ◽  
Annual Average Daily Traffic ◽  
Binomial Regression

The objectives of this study were to assess the in-service safety performance of roadside culverts and evaluate the potential impacts of installing various safety treatments to mitigate the severity of culvert-involved crashes. Such crashes were identified using standard fields on police crash report forms, as well as through a review of pertinent keywords from the narrative section of these forms. These crashes were then linked to the nearest cross-drainage culvert, which was associated with the nearest road segment. A negative binomial regression model was then estimated to discern how the risk of culvert-involved crashes varied as a function of annual average daily traffic, speed limit, number of travel lanes, and culvert size and offset. The second stage of the analysis involved the use of the Roadside Safety Analysis Program to estimate the expected crash costs associated with various design contexts. A series of scenarios were evaluated, culminating in guidance as to the most cost-effective treatments for different combinations of roadway geometric and traffic characteristics. The results of this study provide an empirical model that can be used to predict the risk of culvert-involved crashes under various scenarios. The findings also suggest that the installation of safety grates on culvert openings provides a promising alternative for most of the cases where the culvert is located within the clear zone. In general, a guardrail is recommended when adverse conditions are present or when other treatments are not feasible at a specific location.

Bike Count Forecast Model with Multimodal Network Connectivity Measures

2021 ◽  
pp. 036119812110218
Author(s):  
Bingqing Liu ◽  
Divya Bade ◽  
Joseph Y. J. Chow
Keyword(s):  
New York ◽  
Negative Binomial ◽  
Network Connectivity ◽  
Negative Binomial Regression ◽  
Forecast Model ◽  
Negative Binomial Regression Model ◽  
Significance Level ◽  
Commute Time ◽  
Improve Model ◽  
Subway Stations

With the rise of cycling as a mode choice for commuting and short-distance delivery, as well as policy objectives encouraging this trend, bike count models are increasingly critical to transportation planning and investment. Studies have found that network connectivity plays a role in such models, but there remains a lack of measure for the connectivity of a link in a multimodal trip context. This study proposes a connectivity measure that captures the importance of a link in connecting the origins of cyclists and nearby subway stations, and incorporates it in a negative binomial regression model to forecast bike counts at links. Representative bike trips are generated with regard to bike-friendliness using the New York City transit trip planner and used to determine the deviation from the shortest path via the designated link. The measure is shown to improve model fitness with a significance level within 10%. Insights are also drawn for income levels, bike lanes, subway station availability, and average commute time of travelers.

A Negative Binomial Regression Model for Accuracy Tests

2012 ◽  
Vol 36 (2) ◽  
pp. 88-103 ◽  
Author(s):  
Lai-Fa Hung
Keyword(s):  
Negative Binomial ◽  
Social Science Research ◽  
Poisson Model ◽  
Negative Binomial Regression ◽  
Science Research ◽  
Likelihood Method ◽  
Estimation Methods ◽  
Negative Binomial Regression Model ◽  
Marginal Maximum Likelihood ◽  
The Mean

Rasch used a Poisson model to analyze errors and speed in reading tests. An important property of the Poisson distribution is that the mean and variance are equal. However, in social science research, it is very common for the variance to be greater than the mean (i.e., the data are overdispersed). This study embeds the Rasch model within an overdispersion framework and proposes new estimation methods. The parameters in the proposed model can be estimated using the Markov chain Monte Carlo method implemented in WinBUGS and the marginal maximum likelihood method implemented in SAS. An empirical example based on models generated by the results of empirical data, which are fitted and discussed, is examined.

scholarly journals Approaching precision public health by automated syndromic surveillance in communities

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0254479
Author(s):  
Ta-Chien Chan ◽  
Jia-Hong Tang ◽  
Cheng-Yu Hsieh ◽  
Kevin J. Chen ◽  
Tsan-Hua Yu ◽  
...  
Keyword(s):  
Regression Model ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Health Department ◽  
Negative Binomial Regression Model ◽  
Negatively Associated ◽  
Pearson Residuals ◽  
Binomial Regression ◽  
Taipei City ◽  
Icd 10

Background Sentinel physician surveillance in communities has played an important role in detecting early signs of epidemics. The traditional approach is to let the primary care physician voluntarily and actively report diseases to the health department on a weekly basis. However, this is labor-intensive work, and the spatio-temporal resolution of the surveillance data is not precise at all. In this study, we built up a clinic-based enhanced sentinel surveillance system named “Sentinel plus” which was designed for sentinel clinics and community hospitals to monitor 23 kinds of syndromic groups in Taipei City, Taiwan. The definitions of those syndromic groups were based on ICD-10 diagnoses from physicians. Methods Daily ICD-10 counts of two syndromic groups including ILI and EV-like syndromes in Taipei City were extracted from Sentinel plus. A negative binomial regression model was used to couple with lag structure functions to examine the short-term association between ICD counts and meteorological variables. After fitting the negative binomial regression model, residuals were further rescaled to Pearson residuals. We then monitored these daily standardized Pearson residuals for any aberrations from July 2018 to October 2019. Results The results showed that daily average temperature was significantly negatively associated with numbers of ILI syndromes. The ozone and PM2.5 concentrations were significantly positively associated with ILI syndromes. In addition, daily minimum temperature, and the ozone and PM2.5 concentrations were significantly negatively associated with the EV-like syndromes. The aberrational signals detected from clinics for ILI and EV-like syndromes were earlier than the epidemic period based on outpatient surveillance defined by the Taiwan CDC. Conclusions This system not only provides warning signals to the local health department for managing the risks but also reminds medical practitioners to be vigilant toward susceptible patients. The near real-time surveillance can help decision makers evaluate their policy on a timely basis.

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