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Song W, Qiu L, Qing J, Zhi W, Zha Z, Hu X, Qin Z, Gong H, Li Y. Using Bayesian network model with MMHC algorithm to detect risk factors for stroke. MATHEMATICAL BIOSCIENCES AND ENGINEERING : MBE 2022; 19:13660-13674. [PMID: 36654062 DOI: 10.3934/mbe.2022637] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Stroke is a major chronic non-communicable disease with high incidence, high mortality, and high recurrence. To comprehensively digest its risk factors and take some relevant measures to lower its prevalence is of great significance. This study aimed to employ Bayesian Network (BN) model with Max-Min Hill-Climbing (MMHC) algorithm to explore the risk factors for stroke. From April 2019 to November 2019, Shanxi Provincial People's Hospital conducted opportunistic screening for stroke in ten rural areas in Shanxi Province. First, we employed propensity score matching (PSM) for class balancing for stroke. Afterwards, we used Chi-square testing and Logistic regression model to conduct a preliminary analysis of risk factors for stroke. Statistically significant variables were incorporated into BN model construction. BN structure learning was achieved using MMHC algorithm, and its parameter learning was achieved with Maximum Likelihood Estimation. After PSM, 748 non-stroke cases and 748 stroke cases were included in this study. BN was built with 10 nodes and 12 directed edges. The results suggested that age, fasting plasma glucose, systolic blood pressure, and family history of stroke constitute direct risk factors for stroke, whereas sex, educational levels, high density lipoprotein cholesterol, diastolic blood pressure, and urinary albumin-to-creatinine ratio represent indirect risk factors for stroke. BN model with MMHC algorithm not only allows for a complicated network relationship between risk factors and stroke, but also could achieve stroke risk prediction through Bayesian reasoning, outshining traditional Logistic regression model. This study suggests that BN model boasts great prospects in risk factor detection for stroke.
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Affiliation(s)
- Wenzhu Song
- School of Public Health, Shanxi Medical University, Taiyuan, China
| | - Lixia Qiu
- School of Public Health, Shanxi Medical University, Taiyuan, China
| | - Jianbo Qing
- Department of Nephrology, Shanxi Provincial People's Hospital (Fifth Hospital) of Shanxi Medical University, Taiyuan, China
| | - Wenqiang Zhi
- Department of Nephrology, Shanxi Provincial People's Hospital (Fifth Hospital) of Shanxi Medical University, Taiyuan, China
| | - Zhijian Zha
- Chinese Internal Medicine, Shanxi University of Chinese Medicine, Taiyuan, China
| | - Xueli Hu
- School of Public Health, Shanxi Medical University, Taiyuan, China
| | - Zhiqi Qin
- Department of Biochemistry & Molecular Biology, Shanxi Medical University, Taiyuan, China
| | - Hao Gong
- Department of Biochemistry & Molecular Biology, Shanxi Medical University, Taiyuan, China
| | - Yafeng Li
- Department of Nephrology, Shanxi Provincial People's Hospital (Fifth Hospital) of Shanxi Medical University, Taiyuan, China
- Core Laboratory, Shanxi Provincial People's Hospital (Fifth Hospital) of Shanxi Medical University, Taiyuan, China
- Shanxi Provincial Key Laboratory of Kidney Disease, Taiyuan, China
- Academy of Microbial Ecology, Shanxi Medical University, Taiyuan, China
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2
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Han Y, Cao N, Lu X, Yao T, Shi J, Wu Y, Dong S, Shao Z, Wang J, Liu H, Guo H, Chai G, Liu L, Wang F, Feng Y, Liang X, Wang S. Duration of immunogenicity of high-dose and prolonged-schedule hepatitis B vaccine among patients with chronic kidney disease: A one year follow-up study in China. Expert Rev Vaccines 2022; 21:1675-1682. [DOI: 10.1080/14760584.2022.2112951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Yujie Han
- School of Public Health, Shanxi Medical University, Taiyuan, China
- Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Na Cao
- School of Public Health, Shanxi Medical University, Taiyuan, China
- Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Xiaoxiao Lu
- School of Public Health, Shanxi Medical University, Taiyuan, China
- Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Tian Yao
- Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
- First Hospital of Shanxi Medical University, Taiyuan, China
| | - Jing Shi
- School of Public Health, Shanxi Medical University, Taiyuan, China
- Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Yuanting Wu
- School of Public Health, Shanxi Medical University, Taiyuan, China
- Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Shuang Dong
- School of Public Health, Shanxi Medical University, Taiyuan, China
| | - Zhihong Shao
- School of Public Health, Shanxi Medical University, Taiyuan, China
| | - Jianmin Wang
- Department of Nephrology, Linfen Central Hospital, Linfen, China
| | - Hongting Liu
- Department of Nephrology, Yuncheng Central Hospital, Yuncheng, China
| | - Hongping Guo
- Department of Nephrology, Linfen People’s Hospital, Linfen, China
| | - Guowei Chai
- Department of Nephrology, Houma People’s Hospital, Houma, China
| | - Liming Liu
- Department of Nephrology, Linfen Central Hospital, Linfen, China
| | - Fuzhen Wang
- National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yongliang Feng
- School of Public Health, Shanxi Medical University, Taiyuan, China
- Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Xiaofeng Liang
- Institute of Vaccine Industry, Jinan University, Guangzhou, China
- Institute of Disease control and prevention, Jinan University, Guangzhou, China
- Chinese Preventive Medicine Association, Beijing, China
| | - Suping Wang
- School of Public Health, Shanxi Medical University, Taiyuan, China
- Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
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Dimitrov Y, Krummel T, Chantrel F, Faller AL, Ott J, David D, Bazin-Kara D, Hannedouche T, Borni C. OUP accepted manuscript. Clin Kidney J 2022; 15:1720-1726. [PMID: 35999964 PMCID: PMC9383598 DOI: 10.1093/ckj/sfac082] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Indexed: 11/12/2022] Open
Affiliation(s)
- Yves Dimitrov
- Service de Néphrologie, Centre Hospitalier de Haguenau, Haguenau, France
- AURAL Alsace, Strasbourg, France
| | | | - François Chantrel
- AURAL Alsace, Strasbourg, France
- Service de Néphrologie-Dialyse, Groupe Hospitalier de Mulhouse-Sud Alsace, Mulhouse, France
| | - Anne-Laure Faller
- AURAL Alsace, Strasbourg, France
- Service de Néphrologie-Dialyse, Groupe Hospitalier Saint-Vincent, Strasbourg, France
| | - Julien Ott
- Service de Néphrologie, Centre Hospitalier de Haguenau, Haguenau, France
- AURAL Alsace, Strasbourg, France
| | | | - Dorothée Bazin-Kara
- Service de Néphrologie-Dialyse, Centre Hospitalo-Universitaire de Strasbourg, Strasbourg, France
| | - Thierry Hannedouche
- Service de Néphrologie-Dialyse, Centre Hospitalo-Universitaire de Strasbourg, Strasbourg, France
- School of Medicine, University of Strasbourg, Strasbourg, France
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Feng Y, Yao T, Han Y, Shi J, Dong S, Wu Y, Shao Z, Liu H, Guo H, Chai G, Liu L, Wang F, Wang J, Liang X, Wang S. Immunogenicity and safety of a high-dose and prolonged-schedule hepatitis B vaccine among chronic kidney disease patients: a randomized, parallel-controlled trial. Expert Rev Vaccines 2021; 20:743-751. [PMID: 34058948 DOI: 10.1080/14760584.2021.1915777] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Background: The immunogenicity against hepatitis B vaccine is unsatisfactory in the chronic kidney disease (CKD) patients, and studies evaluating augmented vaccine regimens to enhance immunogenicity have been inconclusive.Objectives: To evaluate the immunogenicity and safety of four-standard-dose and four-triple-dose regimens hepatitis B vaccine among CKD patients in China.Research design and methods: We conducted a multicenter, randomized, parallel-controlled trial including 273 patients with CKD who were randomly allocated to receive 3 or 4 doses of 20 or 60 µg of recombinant hepatitis B vaccine.Main outcome measures: Seroconversion rates, high-level response rates, and geometric mean concentrations (GMCs) of anti-HBs at months 3 and 7.Results: The seroconversion rates and high-level responses in the IM20 × 4 group and the IM60 × 4 group were higher than those in the IM20 × 3 group at months 3 and 7 (P < 0.05). The IM60 × 4 group had better immune responses than the IM20 × 4 group at month 3 (P < 0.05); however, no significant difference was noted at month 7 (P > 0.05).Conclusions: Both the four-standard-dose and four-triple-dose regimens improved immune response compared to the three-standard-dose regimen of hepatitis B vaccination in CKD patients, and the additional effect of higher dose was minimal.Trial registration: The trial is registered at ClinicalTrials.gov (CT.gov identifier: NCT03962881).
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Affiliation(s)
- Yongliang Feng
- School of Public Health, Shanxi Medical University, Taiyuan, China.,Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Tian Yao
- School of Public Health, Shanxi Medical University, Taiyuan, China.,Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Yujie Han
- School of Public Health, Shanxi Medical University, Taiyuan, China.,Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Jing Shi
- School of Public Health, Shanxi Medical University, Taiyuan, China.,Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Shuang Dong
- School of Public Health, Shanxi Medical University, Taiyuan, China.,Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Yuanting Wu
- School of Public Health, Shanxi Medical University, Taiyuan, China.,Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
| | - Zhihong Shao
- School of Public Health, Shanxi Medical University, Taiyuan, China
| | - Hongting Liu
- Department of nephrology, Yuncheng Central Hospital, Yuncheng, China
| | - Hongping Guo
- Department of nephrology, Linfen People's Hospital, Linfen, China
| | - Guowei Chai
- Department of nephrology, Houma People's Hospital, Houma, China
| | - Liming Liu
- Department of nephrology, Linfen Central Hospital, Linfen, China
| | - Fuzhen Wang
- National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Jianmin Wang
- Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China.,Department of nephrology, Linfen Central Hospital, Linfen, China
| | | | - Suping Wang
- School of Public Health, Shanxi Medical University, Taiyuan, China.,Center of Clinical Epidemiology and Evidence Based Medicine, Shanxi Medical University, Taiyuan, China
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