• 제목/요약/키워드: Confidence Evaluation

검색결과 787건 처리시간 0.034초

Pemetrexed Continuation Maintenance versus Conventional Platinum-Based Doublet Chemotherapy in EGFR-Negative Lung Adenocarcinoma: Retrospective Analysis

  • Paik, Seung Sook;Hwang, In Kyoung;Park, Myung Jae;Lee, Seung Hyeun
    • Tuberculosis and Respiratory Diseases
    • /
    • 제81권2호
    • /
    • pp.148-155
    • /
    • 2018
  • Background: Although targeted therapy and immuno-oncology have shifted the treatment paradigm for lung cancer, platinum-based combination is still the standard of care for advanced non-small cell lung cancer (NSCLC). Pemetrexed continuation maintenance therapy has been approved and increasingly used for patients with nonsquamous NSCLC. However, the efficacy of this strategy has not been proven in patients without driving mutations. The objective of this study was to compare the clinical benefit of pemetrexed continuation maintenance to conventional platinum-based doublet in epidermal growth factor receptor (EGFR)-negative lung adenocarcinoma. Methods: A total of 114 patients with EGFR-negative lung adenocarcinoma who were treated with platinum doublet were retrospectively enrolled. We compared the survival rates between patients received pemetrexed maintenance after four-cycled pemetrexed/cisplatin and those received at least four-cycled platinum doublet without maintenance chemotherapy as a first-line treatment. Results: Forty-one patients received pemetrexed maintenance and 73 received conventional platinum doublet. Median progression-free survival (PFS), which was defined as the time from the day of response evaluation after four cycles of chemotherapy to disease progression or death, was significantly higher in the pemetrexed maintenance group compared to conventional group (5.8 months vs. 2.2 months, p<0.001). Median overall survival showed an increasing trend in the pemetrexed maintenance group (22.3 months vs. 16.1 months, p=0.098). Multivariate analyses showed that pemetrexed maintenance chemotherapy was associated with better PFS (hazard ratio, 0.73; 95% confidence interval, 0.15-0.87). Conclusion: Compared to conventional platinum-based chemotherapy, premetrexed continuation maintenance treatment is associated with better clinical outcome for the patients with EGFR wild-type lung adenocarcinoma.

배터리 잔존 유효 수명 예측을 위한 전기화학 모델 기반 고장 예지 및 건전성 관리 기술 (Prognostics and Health Management for Battery Remaining Useful Life Prediction Based on Electrochemistry Model: A Tutorial)

  • 최요환;김홍석
    • 한국통신학회논문지
    • /
    • 제42권4호
    • /
    • pp.939-949
    • /
    • 2017
  • 고장 예지 및 건전성 관리 기술(Prognostics and Health Management; PHM)은 시스템의 현재 상태를 진단하고 향후 발생 가능한 고장 시점을 신뢰성 있게 예지하는 기술로써 유지 보수 비용의 절감 및 시스템의 안정성 향상을 꾀하고자 하는 다양한 산업분야에서 활발하게 이용되고 있다. 스마트 그리드의 에너지 저장장치, 전기차, 스마트폰, 항공우주산업 등 광범위한 사용처에서 중요한 에너지원으로 사용되고 있는 배터리 또한 성능 저하 및 폭발의 위험성으로부터 자유로울 수 없기 때문에 이러한 고장 예지 및 건전성 관리 기술이 반드시 적용되어야 할 어플리케이션이다. 본 논문에서는 PHM의 기본적인 개념을 소개함과 동시에 배터리의 잔존 유효 수명(Remaining Useful Life; RUL)을 예측하는 각종 알고리즘 및 성능 평가 지표 서술에 초점을 맞추도록 한다. 더불어 배터리의 기능적 동작 원리 및 전기화학 기반의 모델링에 대한 설명을 통해 향후 잠재적인 가능성을 지닌 배터리의 전반적인 특성에 대한 깊은 이해 및 응용 기술에 대한 통찰력을 제시하고자 한다.

Is Educational Level Linked to Unable to Work Due to Ill-health?

  • Jung, Jiyoun;Choi, Jaesung;Myong, Jun-Pyo;Kim, Hyoung-Ryoul;Kang, Mo-Yeol
    • Safety and Health at Work
    • /
    • 제11권2호
    • /
    • pp.159-164
    • /
    • 2020
  • Background: This study aimed to examine the association between educational level and unable to work due to ill-health (UWdIH) among 30- to 79-year-old South Koreans. Methods: A cross-sectional nationwide survey of the 2010-2016 Korea National Health and Nutritional Evaluation Survey was used for analyses. A total of 29,930 participants aged ≥30 and < 80 years, who do not have any disability in their daily life because of health problems, were included. Educational level and reason for nonworking are self-reported with multiple choices. Multivariate logistic regression was used to examine an association between education level and UWdIH by setting those who graduated college as their final education (n = 6,997) as a baseline while controlling for potential confounding factors. Results: In the age-stratified result, the ratio of UWdIH was increased as age increases in 3 educational groups (p < .0001). There was a tendency that low-level educated [International Standard Classification of Education (0-2)] participants showed higher ratio of UWdIH than high-level educated [International Standard Classification of Education (5≤)] participants in both sexes (odds ratio: 2.54, 95% confidence interval: 2.12-3.05). Conclusion: There is a clear link between educational level and UWdIH; the less the educated, the more likely to be UWdIH. Policy priority should be given to plans that can help this vulnerable social group to work and enjoy healthy lives.

극지용 쇄빙 유조선 개발 (Development of an Arctic Tanker Design)

  • 김현수;하문근;안당;전호환
    • 대한조선학회논문집
    • /
    • 제40권6호
    • /
    • pp.20-29
    • /
    • 2003
  • When Arctic offshore development in the 1970's first led to the consideration of ice capable tankers, there was a high level of uncertainty over design requirements for both safety and ship performance. Also here was a lack of reliable methods to evaluate design proposals. Since that time, improved understanding of the ice environment has raised the confidence of design specifications. Parallel developments have resulted in a suite of engineering tools for ship performance evaluation at the design stage Recent development of offshore and near shore oil and gas reserves in several countries together with economic studies of increased transportation through the Russian Arctic has newly introduced the interest in ice capable tanker design. in response, Samsung Heavy Industries (SHI) applied its experience in tanker design and construction to the design of a specialized tanker with ice capability. SHI produced two prototype hull designs for further study. The performance of both hulls and of the propellers was evaluated at the Institute for Marine Dynamics (IMD) in St. John's, Newfoundland This paper discusses the development of the design, describes the model experiments to determine performance and variations, and presents the results.

가속수명시험을 이용한 Packaging Substrate PCB의 ECM에 대한 신뢰성 예측에 관한 연구 (A Study on the Reliability Prediction about ECM of Packaging Substrate PCB by Using Accelerated Life Test)

  • 강대중;이화기
    • 대한안전경영과학회지
    • /
    • 제15권1호
    • /
    • pp.109-120
    • /
    • 2013
  • As information-oriented industry has been developed and electronic devices has come to be smaller, lighter, multifunctional, and high speed, the components used to the devices need to be much high density and should have find pattern due to high integration. Also, diverse reliability problems happen as user environment is getting harsher. For this reasons, establishing and securing products and components reliability comes to key factor in company's competitiveness. It makes accelerated test important to check product reliability in fast way. Out of fine pattern failure modes, failure of Electrochemical Migration(ECM) is kind of degradation of insulation resistance by electro-chemical reaction, which it comes to be accelerated by biased voltage in high temperature and high humidity environment. In this thesis, the accelerated life test for failure caused by ECM on fine pattern substrate, $20/20{\mu}m$ pattern width/space applied by Semi Additive Process, was performed, and through this test, the investigation of failure mechanism and the life-time prediction evaluation under actual user environment was implemented. The result of accelerated test has been compared and estimated with life distribution and life stress relatively by using Minitab software and its acceleration rate was also tested. Through estimated weibull distribution, B10 life has been estimated under 95% confidence level of failure data happened in each test conditions. And the life in actual usage environment has been predicted by using generalized Eyring model considering temperature and humidity by developing Arrhenius reaction rate theory, and acceleration factors by test conditions have been calculated.

탠덤 질량 분석을 위한 디코이 데이터베이스 생성 방법의 중복성 관점에서의 성능 평가 (Evaluation of the Redundancy in Decoy Database Generation for Tandem Mass Analysis)

  • 이홍란;류단휘;이기욱;황규백
    • 정보과학회 컴퓨팅의 실제 논문지
    • /
    • 제22권1호
    • /
    • pp.56-60
    • /
    • 2016
  • 탠덤 질량 분석에서는 신뢰도 높은 펩타이드 동정을 위해 목표 데이터베이스의 참조 단백질 순서를 재배치한 디코이 데이터베이스가 주로 이용된다. 한편 목표 데이터베이스와 디코이 데이터베이스 사이 혹은 디코이 데이터베이스 내부에 서열이 동일한 중복 펩타이드가 존재할 수 있으며, 이는 단백질 동정을 어렵게 하는 요인이 된다. 따라서 디코이 데이터베이스의 중복성을 최소화하는 것은 중요한 문제이다. 본 논문에서는 디코이 데이터베이스 생성에 널리 사용되는 의사셔플(pseudo-shuffling)과 의사역순(pseudo-reversing) 방법이 디코이 데이터베이스의 중복성에 미치는 영향을 조사하였다. 실험 결과, 목표 데이터베이스 크기와 데이터베이스 생성 시 허용되는 'missed cleavage site'의 최대 개수는 중복성을 증가시킴을 확인하였다. 또한 동일한 조건에서는 의사역순 방법이 의사셔플보다 항상 낮은 수준의 중복성을 가지는 디코이 데이터베이스를 생성하였다.

Evaluation of internal adaptation of dental adhesive restorations using micro-CT

  • Kwon, Oh-Hyun;Park, Sung-Ho
    • Restorative Dentistry and Endodontics
    • /
    • 제37권1호
    • /
    • pp.41-49
    • /
    • 2012
  • Objectives: The internal adaptation of composite restorations with or without resin modified glass ionomer cement (RMGIC) was analyzed non-destructively using Microcomputed tomography (micro-CT). Materials and Methods: Thirty intact human teeth were used. The specimens were divided into 3 groups. In the control group, the cavities were etched with 10% phosphoric acid for 15 sec. Composite resin was filled into the cavity without adhesive. In group 1, light cured glass ionomer cement (GIC, Fuji II LC, GC) was applied as a base. The cavities were then etched, bonded, light cured and filled with composites. In group 2, the cavities were then etched, bonded, light cured and filled with composites without base application. They were immersed in a 25% silver nitrate solution. Micro-CT was performed before and after mechanical loading. One-way ANOVA with Duncan analysis was used to compare the internal adaptation between the groups before or after loading. A paired t-test was used to compare internal adaptation before and after mechanical loading. All statistical inferences were made within the 95% confidence interval. Results: The silver nitrate solution successfully penetrated into the dentinal tubules from the pulp spaces, and infiltrated into the gap between restoration and pulpal floor. Group 2 showed a lower adaptation than the control group and group 1 (p < 0.05). There was no significant difference between the control group and group 1. For all groups, there was a significant difference between before and after mechanical loading (p < 0.05). Conclusions: The internal adaptation before and after loading was better when composites were bonded to tooth using adhesive than composites based with RMGIC.

Pharmacokinetics of Two Cyclosporine Formulations Using FPIA and HPLC Assay in Volunterrs

  • Kwon, Kwang-Il;Kim, Moo-Heon;Park, Jong-Woo;Lee, Chang-Hyun
    • Archives of Pharmacal Research
    • /
    • 제18권6호
    • /
    • pp.385-390
    • /
    • 1995
  • The analytical methods for the analysis of cyclosporine (CsA), a fluorescence polarization immunoassay (FPIA) and HPLC method, were compared in a pharmacokinetic study of two CsA soft capsule formultaions ($Sandimmun^{\circledR}$; Sandoz, $Implanta^{\circledR}$; Hanmi). Sixteen healthy volunteers completed the study and each subjected single doses ($4{\tiems}100$ mg) of the test and the reference formulations in a two-way crossover design with a one-week drug-free interval between doses. Following each administration, whole blood concentrations of CsA were monitored over a period of 24 hour by both FPIA and HPLC methods. Blood concentrations nad pharmacokinetic parameters determined by either analytical method showed large intersubject variation, with the FPIA data showing relatively higher magnitude of intersubjecte variation than the HPLC data. The blood concentrations determined by FPIA were 1.1-1.3 times higher than those determined by HPLC. There were strong and significant correlations between the two methods (r>0.83 : p<0.0001). Intersubuject variation for the $AUC_{inf}{\;}and{\;}AUC_{24hr}$ of the test formulation was slightly reduced without statistical significance (paried -t test : p>0.05 $t_{max}$ was earlier nad $C_{max}$ was slightly lower for the test formulation, $AUC_{24h}, {\;}C_{max}, {\;}T_{max}$ and MRT determined separately from the data obtained by the two methods for the two formulations were examined by analyses of variance (ANOVA) for the bioequivalency evaluation. Results of ANOVA and confidence limits of terst/reference ratios of $AUC_{24th}$, $C_{max}$, $t_{max}$ and MRT, and statistical tests indicated the bioequivalence of the two formulations (i.e., test/reference ratio was within $100{\times}20%$) except for $C_{max}$ and $t_{max}$. The mean of tmax also showed 11.1% and 9.3% differences but the detection limit were 29.2% and 29.6% as determined by FPIA and HPLC resepctively. This experiments suggest that the data yielded for the two formulations demonstrated that they were bioequivalent.

  • PDF

CCD 디지털 방사선사진촬영법의 초기 치아우식증의 진단능 평가에 대한 연구 (Evaluation of diagnostic ability of CCD digital radiography in the detection of incipient dental caries)

  • 이완;이병도
    • Imaging Science in Dentistry
    • /
    • 제33권1호
    • /
    • pp.27-33
    • /
    • 2003
  • Purpose : The purpose of this experiment was to evaluate the diagnostic ability of a CCD-based digital system (CDX-2000HQ) in the detection of incipient dental caries. Materials and Methods : 93 extracted human teeth with sound proximal surfaces and interproximal artificial cavities were radiographed using 4 imaging methods. Automatically processed No.2 Insight film (Eastman Kodak Co., U.S.A.) was used for conventional radiography, scanned images of conventional radiograms for indirect digital radiography were used. For the direct digital radiography, the CDX-2000HQ CCD system (Biomedisys Co. Korea) was used. The subtraction images were made from two direct digital images by Sunny program in the CDX-2000HQ system. Two radiologists and three endodontists examined the presence of lesions using a five-point confidence scale and compared the diagnostic ability by ROC (Receiver Operating Characteristic) analysis and one way ANOV A test. Results: The mean ROC areas of conventional radiography, indirect digital radiography, direct digital radiography, and digital subtraction radiography were 0.9093, 0.9102, 0.9184, and 0.9056, respectively. The diagnostic ability of direct digital radiography was better than the other imaging modalities, but there were no statistical differences among these imaging modalities (p > 0.05). Coclusion : These results indicate that new CCD-based digital systems (CDX-2000HQ) have the potential to serve as an alternative to conventional radiography in the detection of incipient dental caries.

  • PDF

자유학기에서의 수업방법의 변화 (Change of Teaching Method in Free Semester)

  • 길양숙
    • 문화기술의 융합
    • /
    • 제6권4호
    • /
    • pp.131-138
    • /
    • 2020
  • 이 연구는 중학교에 자유학기를 실시함으로써 교사들에게 교육과정, 수업방법, 평가방법의 선택에 자유를 주고 자유학기의 성적을 고교입시에도 반영하지 않도록 하여 학습자들에게 필요한 교육내용과 목표에 부합하는 방법을 선택할 자유를 주었을 때, 수업방법에 일어난 변화를 탐색하고자 하였다. 이 질문에 답을 구하기 위하여 자유학기를 실시한 8개 학교의 교육계획서를 조사하고, 교사와 학생을 각각 33명씩 면담하였다. 그 결과는 다음의 두 가지로 요약 된다. 첫째, 모든 사례 학교들은 자유학기 교육계획서에서 맹목적인 지식 암기가 아닌 의미 있는 학습방법들을 나열 하였다. 그러나 자유학기제의 수업방법은 자유학기 정책지침에서 예시한 범위에서 크게 벗어나지 않았다. 둘째, 자유학기제로 인한 교육방법의 변화는 학생참여를 증진하는 활동 첨가로 특징지어졌다. 셋째, 수업방법의 변화는 진로체험, 과학실험의 증가, 2주에 한 번 정도의 협동학습, 한 학기에 한두 번 시도하는 융합학습, 드물게 발견되는 거꾸로 수업 정도로 제한적이다. 수업방법의 변화로 인한 효과는 학생의 흥미 및 자신감 증가, 자주적 학습태도, 창의성, 문제해결력, 협동심의 신장으로 언급되었다.