For conditionally independent paired counts with means and , condition on every pair total . The joint conditional likelihood removes all pair-specific rates, leaving the displayed independent binomial distributions. A zero-total pair contributes no information. With unrestricted fixed baseline rates, this conditional likelihood has the same parameter-dependent part as the ordinary profile likelihood; a specified Gamma–Poisson hierarchical model can retain additional information by imposing structure on those rates.
Consider an approximate conditional likelihood in which a paired total leads to a structural zero with probability , and otherwise a binomial distribution with success probability . For an observed zero, the posterior cure weight is ; for a positive count it is zero. Differentiating the log-likelihood gives the displayed equations at an interior maximum-likelihood estimator, with the weights evaluated at that estimator. Recomputing the weights and then updating the parameters is an expectation-maximization algorithm. Boundary fits must also be considered. These equations describe a conditional mixture: if cure is instead specified before two Poisson distributions are conditioned on their total, its conditional probability generally depends on the total and on the baseline nuisance rate. A zero observed in a short interval is not by itself proof of permanent biological cure.
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