Marie-Anne Poursat | Searcharxiv

arXiv2020

An iterative algorithm for joint covariate and random effect selection in mixed effects models

We consider joint selection of fixed and random effects in general mixed-effects models. The interpretation of estimated mixed-effects models is challenging since changing the structure of one set of effects can lead to different choices of important covariates in the model. We propose a stepwise selection algorithm to perform simultaneous selection of the fixed and random effects. It is based on BIC-type criteria whose penalties are adapted to mixed-effects models. The proposed procedure performs model selection in both linear and nonlinear models. It should be used in the low-dimension setting where the number of covariates and the number of random effects are moderate with respect to the total number of observations. The performance of the algorithm is assessed via a simulation study, that includes also a comparative study with alternatives when available in the literature. The use of the method is illustrated in the clinical study of an antibiotic agent kinetics.

stat.ME↗

arXiv2019

Multinomial logistic model for coinfection diagnosis between arbovirus and malaria in Kedougou

In tropical regions, populations continue to suffer morbidity and mortality from malaria and arboviral diseases. In Kedougou (Senegal), these illnesses are all endemic due to the climate and its geographical position. The co-circulation of malaria parasites and arboviruses can explain the observation of coinfected cases. Indeed there is strong resemblance in symptoms between these diseases making problematic targeted medical care of coinfected cases. This is due to the fact that the origin of illness is not obviously known. Some cases could be immunized against one or the other of the pathogens, immunity typically acquired with factors like age and exposure as usual for endemic area. Then, coinfection needs to be better diagnosed. Using data collected from patients in Kedougou region, from 2009 to 2013, we adjusted a multinomial logistic model and selected relevant variables in explaining coinfection status. We observed specific sets of variables explaining each of the diseases exclusively and the coinfection. We tested the independence between arboviral and malaria infections and derived coinfection probabilities from the model fitting. In case of a coinfection probability greater than a threshold value to be calibrated on the data, duration of illness above 3 days and age above 10 years-old are mostly indicative of arboviral disease while body temperature higher than 40{\textdegree}C and presence of nausea or vomiting symptoms during the rainy season are mostly indicative of malaria disease.

stat.AP↗