The anticipated translation and buccal bone modeling using active or passive SLBs could not be confirmed. Because of the large interindividual variation, a patient-specific analysis seems to be mandatory as individual factors like pre-treatment teeth inclination and occlusion influenced the treatment outcome of the individual patients.
This report indicates that a single high dose of dextromethorphan has an analgesic effect in patients with neuropathic pain of traumatic origin. The main metabolite dextrorphan seems to be important for the analgesic effect. At the relatively high dose studied, the clinical usefulness of dextromethorphan is limited to that portion of the patient population experiencing analgesia without an unacceptable level of adverse effects.
In nonlinear mixed effects modeling using NONMEM, mixture models can be used for multimodal distributions of parameters. The fraction of individuals belonging to each of the subpopulations can be estimated, and the most probable subpopulation for each patient is output (MIXEST k). The objective function value (OFV) that is minimized is the sum of the OFVs for each patient (OFV i), which in turn is the sum across the k subpopulations (OFV i,k). The OFV i,k values can be used together with the total probability in the population of belonging to subpopulation k to calculate the individual probability of belonging to the subpopulation (IP k). Our objective was to explore the information gained by using IP k instead of or in addition to MIXEST k in the analysis of mixture models. Two real data sets described previously by mixture models as well as simulations were used to explore the use of IP k and the precision of individual parameter values based on IP k and MIXEST k. For both real data-based mixture models, a substantial fraction (11% and 26%) of the patients had IP k values not close to 0 or 1 (IP k between 0.25 and 0.75). Simulations of eight different scenarios showed that individual parameter estimates based on MIXEST were less precise than those based on IP k , as the root mean squared error was reduced for IP k in all scenarios. A probability estimate such as IP k provides more detailed information about each individual than the discrete MIXEST k. Individual parameter estimates based on IP k should be preferable whenever individual parameter estimates are to be used as study output or for simulations.
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