Publications by authors named "Yi-Sheng Chao"

Background In a population, when a disease is causing a symptom, the overall symptom incidence can be determined by proportions diseased, baseline symptom incidence, and risk ratios of developing the symptom due to the disease. There are various measures of association, including risk ratios. How risk ratios are linked to other measures of association, such as correlation coefficients and chi-squared statistics, has not been explicitly discussed.

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  • - This study investigates the relationship between mental health diagnoses (like major depressive episodes, dysthymic disorder, and manic episodes) and their associated symptoms using simulated data rather than real-world cases.
  • - Researchers generated random populations with varying symptom prevalence and correlations to analyze the significance of these associations, using data from the DSM-IV-TR for reference.
  • - Findings revealed that the diagnoses did not consistently correlate with their own symptoms across all simulations, notably under certain conditions, while some symptoms showed significant correlations, especially when there was overlap between major depressive episodes and dysthymic disorder.
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Background Relative measures, including risk ratios (RRs) and odds ratios (ORs), are reported in many epidemiological studies. RRs represent how many times a condition is likely to develop when exposed to a risk factor. The upper limit of RRs is the multiplicative inverse of the baseline incidence.

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Background Composite measures are often used to represent certain concepts that cannot be measured with single variables and can be used as diagnoses, prognostic factors, or outcomes in clinical or health research. For example, frailty is a diagnosis confirmed based on the number of age-related symptoms and has been used to predict major health outcomes. However, undeclared assumptions and problems are prevalent among composite measures.

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Article Synopsis
  • Frailty is linked to serious health issues, but its relationship with frailty symptoms isn't well understood, driving this study's examination of their associations.
  • Researchers used data from the Health and Retirement Study to analyze three common frailty diagnosis models, revealing weak correlations between frailty statuses and symptoms, with 49 symptoms identified.
  • The study found that frailty diagnoses did not significantly correlate with many symptoms from their own models or others, raising questions about the validity of these symptoms in diagnosing frailty and the overall understanding of frailty itself.
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Article Synopsis
  • - This study investigates how the number of symptoms affects the accuracy of diagnosing diseases such as frailty and mental illnesses, focusing on factors like disease prevalence and baseline symptom occurrence.
  • - By simulating 10,000 subjects and analyzing symptoms based on three epidemiological measures—proportions diseased, baseline symptom incidence, and risk ratios—the research calculates diagnostic sensitivities, specificities, and areas under curve (AUC) for combinations of symptoms.
  • - Results indicate that the diagnostic value of symptoms varies significantly with the number of symptoms used and their associated risk ratios, suggesting that optimal diagnosis can often be achieved with fewer than 30 well-chosen symptoms.
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Background: Mental illness diagnostic criteria are made based on assumptions. This pilot study aims to assess the public's perspectives on mental illness diagnoses and these assumptions.

Methods: An anonymous survey with 30 questions was made available online in 2021.

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There are clinical trials using composite measures, indices, or scales as proxy for independent variables or outcomes. Interpretability of derived measures may not be satisfying. Adopting indices of poor interpretability in clinical trials may lead to trial failure.

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Objectives: Composite diagnostic criteria alone are likely to create and introduce biases into diagnoses that subsequently have poor relationships with input symptoms. This study aims to understand the relationships between the diagnoses and the input symptoms, as well as the magnitudes of biases created by diagnostic criteria and introduced into the diagnoses of mental illnesses with large disease burdens (major depressive episodes, dysthymic disorder, and manic episodes).

Settings: General psychiatric care.

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Biomonitoring can be conducted by assessing the levels of chemicals in human bodies and their surroundings, for example, as was done in the Canadian Health Measures Survey (CHMS). This study aims to report the leading increasing or decreasing biomarker trends and determine their significance. We implemented a trend analysis for all variables from CHMS biomonitoring data cycles 1-5 conducted between 2007 and 2017.

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Syndromes are defined with signs or symptoms that occur together and represent conditions. We use a data-driven approach to identify the deadliest and most death-averse frailty syndromes based on frailty symptoms. A list of 72 frailty symptoms was retrieved based on three frailty indices.

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Composite diagnostic criteria are common in frailty research. We worry distinct populations may be linked to each other due to complicated criteria. We aim to investigate whether distinct populations might be considered similar based on frailty diagnostic criteria.

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