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研究生: 翁瑄佑
Xuan-You Weng
論文名稱: 台灣愛滋病實例研究- 以聯合模型探討CD4細胞數以及病毒乘載量對愛滋病患存活時間之關係
An AIDS case study in Taiwan- The relationship between the survival time of AIDS patients and their CD4 counts and viral load using joint model to explore
指導教授: 曾議寬
口試委員:
學位類別: 碩士
Master
系所名稱: 理學院 - 統計研究所
Graduate Institute of Statistics
論文出版年: 2013
畢業學年度: 101
語文別: 中文
論文頁數: 78
中文關鍵詞: 聯合模型長期追蹤資料Cox 比例風險模型期望值-最大化演算法
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  • 在本論文中,利用CD4 細胞數以及病毒承載量來預測愛滋病患的發病時間,並探討使用雞尾酒療法與沒有使用雞尾酒療法對愛滋病患的療效。此種包含長期追蹤共變數與存活時間的資料,常會因為長期追蹤資料的測量誤差或生物體本身的差異,以及共變數觀測值測量與存活有關時,導致推論產生偏差,因此,本研究利用聯合模型來解決此問題,在生物指標方面,使用線性隨機效應模型對長期追蹤資料做配適,並利用概似比檢定診斷長期追蹤模型的適合度;在事件時間方面,使用Cox比例風險模型描述共變數與存活時間之關係。結合這兩部分建構出多重長期追蹤資料的聯合概似模型且利用EM演算法對參數做估計。


    In this thesis, we use AIDS patients’ CD4 counts and viral loads to predict their onset times and explore the curative effect whether patients were treated with HAART. Usually, the study data include longitudinal and survival time information, and, in general, result in inference bias due to the measurement errors on the longitudinal part, the differences among patients themselves, or the time-dependent covariates. Thus, we use the joint model to solve this problem. The approach uses a linear random effects model to characterize the longitudinal part and conducts the likelihood test to select a suitable longitudinal model, and utilizes the Cox proportional hazard model to describe the relationship between covariates and survival time information. Incorporated these two parts to build a multiple longitudinal data joint likelihood function of which EM algorithm is implemented to search for the maximum likelihood estimate.

    摘要 i Abstract ii 致謝 iii 圖目錄 vi 表目錄 viii 第一章 緒論 1 1.1 資料背景 1 1.1.1 疾病介紹 2 1.1.2 疾病傳染途徑 3 1.1.3 疾病診斷指標 5 1.1.4 疾病治療 6 1.2 研究背景與目的 8 第二章 統計方法 13 2.1 單一長期追蹤模型 14 2.2 Cox比例風險模型 15 2.3 聯合概似函數 16 2.4 EM演算法 18 2.5 參數標準誤之估計 22 2.6 K維線性共變數 23 第三章 實例分析 28 3.1 資料介紹 28 3.2 圖形法 29 3.2.1 長期追蹤測量值的輪廓圖 (profile graph) 29 3.2.2 事件歷史圖 35 3.2.3 3D平滑曲面圖及等高線圖 41 3.3 模型配適 49 3.3.1 比例風險檢定 49 3.3.2 聯合模型 51 第四章 結論與討論 60 附錄 62 參考文獻 66

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