The Chinese University of Hong Kong

About: The Chinese University of Hong Kong is a education organization based out in Hong Kong, China. It is known for research contribution in the topics: Population & Cancer. The organization has 43411 authors who have published 93672 publications receiving 3066651 citations.

Variable Selection for Cox's proportional Hazards Model and Frailty Model

Abstract: A class of variable selection procedures for parametric models via nonconcave penalized likelihood was proposed in Fan and Li (2001a). It has been shown there that the resulting procedures perform as well as if the subset of significant variables were known in advance. Such a property is called an oracle property. The proposed procedures were illustrated in the context of linear regression, robust linear regression and generalized linear models. In this paper, the nonconcave penalized likelihood approach is extended further to the Cox proportional hazards model and the Cox proportional hazards frailty model, two commonly used semi-parametric models in survival analysis. As a result, new variable selection procedures for these two commonly-used models are proposed. It is demonstrated how the rates of convergence depend on the regularization parameter in the penalty function. Further, with a proper choice of the regularization parameter and the penalty function, the proposed estimators possess an oracle property. Standard error formulae are derived and their accuracies are empirically tested. Simulation studies show that the proposed procedures are more stable in prediction and more effective in computation than the best subset variable selection, and they reduce model complexity as effectively as the best subset variable selection. Compared with the LASSO, which is the penalized likelihood method with the $L_1$ -penalty, proposed by Tibshirani, the newly proposed approaches have better theoretic properties and finite sample performance.

Posttraumatic stress disorder in the World Mental Health Surveys.

Abstract: Background Traumatic events are common globally; however, comprehensive population-based cross-national data on the epidemiology of posttraumatic stress disorder (PTSD), the paradigmatic trauma-related mental disorder, are lacking. Methods Data were analyzed from 26 population surveys in the World Health Organization World Mental Health Surveys. A total of 71 083 respondents ages 18+ participated. The Composite International Diagnostic Interview assessed exposure to traumatic events as well as 30-day, 12-month, and lifetime PTSD. Respondents were also assessed for treatment in the 12 months preceding the survey. Age of onset distributions were examined by country income level. Associations of PTSD were examined with country income, world region, and respondent demographics. Results The cross-national lifetime prevalence of PTSD was 3.9% in the total sample and 5.6% among the trauma exposed. Half of respondents with PTSD reported persistent symptoms. Treatment seeking in high-income countries (53.5%) was roughly double that in low-lower middle income (22.8%) and upper-middle income (28.7%) countries. Social disadvantage, including younger age, female sex, being unmarried, being less educated, having lower household income, and being unemployed, was associated with increased risk of lifetime PTSD among the trauma exposed. Conclusions PTSD is prevalent cross-nationally, with half of all global cases being persistent. Only half of those with severe PTSD report receiving any treatment and only a minority receive specialty mental health care. Striking disparities in PTSD treatment exist by country income level. Increasing access to effective treatment, especially in low- and middle-income countries, remains critical for reducing the population burden of PTSD.

Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the international ankle consortium

Abstract: While research on chronic ankle instability (CAI) and awareness of its impact on society and health care systems has grown substantially in the last 2 decades, the inconsistency in participant/patient selection criteria across studies presents a potential obstacle to addressing the problem properly. This major gap within the literature limits the ability to generalise this evidence to the target patient population. Therefore, there is a need to provide standards for patient/participant selection criteria in research focused on CAI with justifications using the best available evidence. The International Ankle Consortium provides this position paper to present and discuss an endorsed set of selection criteria for patients with CAI based on the best available evidence to be used in future research and study designs. These recommendations will enhance the validity of research conducted in this clinical population with the end goal of bringing the research evidence to the clinician and patient.

Over 17% efficiency ternary organic solar cells enabled by two non-fullerene acceptors working in an alloy-like model

Abstract: Nowadays, organic solar cells (OSCs) with Y6 and its derivatives as electron acceptors provide the highest efficiencies among the studied binary OSCs. To further improve the performances of OSCs, the fabrication of ternary OSCs (TOSCs) is a convenient strategy. Essentially, morphology control and the trade-off between voltage and photocurrent are the main critical issues in TOSCs. Herein, we address these problems by constructing TOSCs where an alloy-like composite is formed between Y6 and a newly designed derivative, BTP-M. Employing an electron-pushing methyl substituent as a replacement for the electron-withdrawing F atoms on Y6, BTP-M shows higher energy levels and lower crystallinity than Y6. As a result, the obtained Y6:BTP-M alloy can simultaneously optimize energy levels to reduce energy loss as well as the morphologies of the active layers to favor photocurrent generation, leading to an enhanced open-circuit voltage (Voc) of 0.875 V together with a larger short-circuit current density (Jsc) of 26.56 mA cm−2 for TOSCs based on the polymer donor PM6 and Y6:BTP-M acceptor alloy. Consequently, a best efficiency of 17.03% is achieved for the corresponding TOSCs, which is among the best values for single-junction OSCs. In addition, our TOSCs also exhibit good thickness tolerance, and can reach 14.23% efficiency even though the active layer is as thick as 300 nm.