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Item Comparative Performance Analysis of Different Fingerprint Biometric Scanners for Patient Matching(IOS Press, 2017) Kasiiti, Noah; Wawira, Judy; Purkayastha, Saptarshi; Were, Martin C.; BioHealth Informatics, School of Informatics and ComputingUnique patient identification within health services is an operational challenge in healthcare settings. Use of key identifiers, such as patient names, hospital identification numbers, national ID, and birth date are often inadequate for ensuring unique patient identification. In addition approximate string comparator algorithms, such as distance-based algorithms, have proven suboptimal for improving patient matching, especially in low-resource settings. Biometric approaches may improve unique patient identification. However, before implementing the technology in a given setting, such as health care, the right scanners should be rigorously tested to identify an optimal package for the implementation. This study aimed to investigate the effects of factors such as resolution, template size, and scan capture area on the matching performance of different fingerprint scanners for use within health care settings. Performance analysis of eight different scanners was tested using the demo application distributed as part of the Neurotech Verifinger SDK 6.0.Item Penalized spline modeling of the ex-vivo assays dose-response curves and the HIV-infected patients' bodyweight change(2015-06-05) Sarwat, Samiha; Harezlak, Jaroslaw; Yiannoutsos, Constantin T.; Li, Xiaochun; Wools-Kaloustian, Kara K.A semi-parametric approach incorporates parametric and nonparametric functions in the model and is very useful in situations when a fully parametric model is inadequate. The objective of this dissertation is to extend statistical methodology employing the semi-parametric modeling approach to analyze data in health science research areas. This dissertation has three parts. The first part discusses the modeling of the dose-response relationship with correlated data by introducing overall drug effects in addition to the deviation of each subject-specific curve from the population average. Here, a penalized spline regression method that allows modeling of the smooth dose-response relationship is applied to data in studies monitoring malaria drug resistance through the ex-vivo assays.The second part of the dissertation extends the SiZer map, which is an exploratory and a powerful visualization tool, to detect underlying significant features (increase, decrease, or no change) of the curve at various smoothing levels. Here, Penalized Spline Significant Zero Crossings of Derivatives (PS-SiZer), using a penalized spline regression, is introduced to investigate significant features in correlated data arising from longitudinal settings. The third part of the dissertation applies the proposed PS-SiZer methodology to analyze HIV data. The durability of significant weight change over a period is explored from the PS-SiZer visualization. PS-SiZer is a graphical tool for exploring structures in curves by mapping areas where rate of change is significantly increasing, decreasing, or does not change. PS-SiZer maps provide information about the significant rate of weigh change that occurs in two ART regimens at various level of smoothing. A penalized spline regression model at an optimum smoothing level is applied to obtain an estimated first-time point where weight no longer increases for different treatment regimens.Item Single-index regression models(2015-05) Wu, Jingwei; Tu, WanzhuUseful medical indices pose important roles in predicting medical outcomes. Medical indices, such as the well-known Body Mass Index (BMI), Charleson Comorbidity Index, etc., have been used extensively in research and clinical practice, for the quantification of risks in individual patients. However, the development of these indices is challenged; and primarily based on heuristic arguments. Statistically, most medical indices can be expressed as a function of a linear combination of individual variables and fitted by single-index model. Single-index model represents a way to retain latent nonlinear features of the data without the usual complications that come with increased dimensionality. In my dissertation, I propose a single-index model approach to analytically derive indices from observed data; the resulted index inherently correlates with specific health outcomes of interest. The first part of this dissertation discusses the derivation of an index function for the prediction of one outcome using longitudinal data. A cubic-spline estimation scheme for partially linear single-index mixed effect model is proposed to incorporate the within-subject correlations among outcome measures contributed by the same subject. A recursive algorithm based on the optimization of penalized least square estimation equation is derived and is shown to work well in both simulated data and derivation of a new body mass measure for the assessment of hypertension risk in children. The second part of this dissertation extends the single-index model to a multivariate setting. Specifically, a multivariate version of single-index model for longitudinal data is presented. An important feature of the proposed model is the accommodation of both correlations among multivariate outcomes and among the repeated measurements from the same subject via random effects that link the outcomes in a unified modeling structure. A new body mass index measure that simultaneously predicts systolic and diastolic blood pressure in children is illustrated. The final part of this dissertation shows existence, root-n strong consistency and asymptotic normality of the estimators in multivariate single-index model under suitable conditions. These asymptotic results are assessed in finite sample simulation and permit joint inference for all parameters.