A group sequential design can end a clinical trial early if a confirmed efficacy or a futility of study medication is found during clinical trials. Adaptation can adjust the design of clinical trials based on accumulated data. The key to this methodology is considered to control the overall type 1 error rate while maintaining the integrity of clinical trials. The estimation would be more complex and the sample size calculation will be more difficult if the clinical trials have repeated measurement data. Lee et al. (2002) suggested a repeated observation case by using the independent increments properties of the interim test statistics and investigated the properties of the proposed confidence interval based on the stage-wise ordering. This study extend Lee et al. (2002) to adaptive group sequential design. We suggest test statistics for the adaptation as redesigning the second stage of clinical trials and induce the stage-wise confidence interval of parameter of interests. The simulation will help to confirm the suggested method.
Uk-Jae, Lee;Byeong Wook, Lee;Dong-Hui, Ko;Hong-Yeon, Cho
Journal of Korean Society of Coastal and Ocean Engineers
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v.34
no.6
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pp.266-274
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2022
In this study, a smoothing method was applied to improve the accuracy of peak wave period estimation using the water surface elevation observed from the Oceanographic and Meteorological Observation Tower located on the west coast of the Korean Peninsula. Validation of the application of the smoothing method was per- formed using variance of the surface elevation and total amount wave energy, and then the effect on the application of smoothing was analyzed. As a result of the analysis, the correlation coefficient between variance of the surface elevation and total amount wave energy was 0.9994, confirming that there was no problem in applying the method. Thereafter, as a result of reviewing the effect of smoothing, it was found to be reduced by about 4 times compared to the confidence interval of the existing estimated spectrum, confirming that the accuracy of the estimated peak wave period was improved. It was found that there was a statistically significant difference in proba- bility density between 4 and 6 seconds due to the smoothing application. In addition, for optimal smoothing, the appropriate number of smoothings according to the significant wave height range was calculated using a statistical technique, and the number of smoothings was found to increase due to the unstable spectral shape as the significant wave height decreased.
Economists have identified informed consumer choice as one element of a better-functioning health care market, and thus increased attention is directed to the role of information in the health care system. In this country, however, little work has been done for understanding consumers' search behavior in health care market. Based upon this observation, expectant mothers' information search for the choice of delivery care institution was investigated. In doing so, two hypotheses were proposed: 1) Those women who were more active in the search for information would make choice of a delivery care institution with more confidence and would feel greater subsequent satisfaction. 2) The activeness of expectant mothers in information search would depend upon their various personal characteristics, such as socio-economic status, obstetric conditions, and knowledge and attitudes in relation to delivery and health care. The data used for the analysis were collected through face-to-face interviews with those women who had childbirth during the period from January 1, 1996 to the date of interview in February 1998. The survey was conducted using prepared structured questionnaire in Seoul. The sample was drawn from each of arbitrarily defined four regions of Seoul, Northeast, Northwest, Southeast and Southwest, in proportion to the number of births reported in 1996 in each of them. The distribution of the interviewed women by educational level was made similar to that of mothers of new babies reported in 1996. The sample size was planned to be about 300, but ended up with 319. The results of analysis were generally consistent with the proposed hypotheses. Apparently, information increased expectant mothers' confidence in selecting a delivery care institution and subsequent satisfaction with the institution. Indication is that policy efforts should be strengthened to produce and disseminate relevant, comprehensible and credible information that can aid patient decision making. Also, attention should be directed to motivate patients to actively engage in information search from adequate sources.
The purpose of this study was to analyze the elementary students' selection of representable value and confident method that appear in measuring activities by using a microgenetic method. The participants were seven elementary students in the fourth grade. They performed the same measuring activities six times for the study period. Data were collected by interview and observation with their activity recording papers and video tape transcription. Their activities were recorded and documented for the analysis. Results were as follows. First, in the time measuring activity, elementary students developed desirably as their measuring experience increased, for example they selected a representable value in use of a repeated measurement and used a various method in the domain of a time measurement and they showed an increase of a quantitative observation in the volume domain except in the length domain. Second, in a confident method of a representable value, though they must rely upon a repeated measurement, they only measure repeatedly in the time domain. Also in the time domain, it doesn't get accomplished a exact confidence of a representable value at a shortage of skill about a measurement. Accordingly this study will be implications for teachers to teach a handling abilities of measuring instruments to elementary students and to be promote understanding a nature of measurement.
Jang, Bum-Sup;Eom, Keun-Yong;Cho, Hwan Seong;Song, Changhoon;Kim, In Ah;Kim, Jae-Sung
Radiation Oncology Journal
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v.37
no.1
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pp.51-59
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2019
Purpose: We evaluated failure pattern and treatment outcomes of observational approach on regional lymph node (LN) in cutaneous melanoma of extremities and sought to find clinico-pathologic factors related to LN metastases. Material and Methods: We retrospectively reviewed 73 patients with cutaneous melanoma of extremities between 2005 and 2016. If preoperative 18-F-fluorodeoxyglucose (FDG)-positron emission tomography/computed tomography (PET/CT) findings were non-specific for regional LNs, surgical resection of primary tumors with adequate margins was performed without sentinel lymph node biopsy (SLNB) and/or complete lymph node dissection (CLND), irrespective of tumor thickness or size. In patients with suspicious or positive findings on PET/CT or CT, SLNB followed by CLND or CLND was performed at the discretion of the surgeon. We defined LN dissection (LND) as SLNB and/or CLND. Results: With a median follow-up of 38 months (range, 6 to 138 months), the dominant pattern of failure was regional failure (17 of total 23 events, 74%) in the observation group (n = 56). Pathologic LN metastases were significant factor for poor regional failure-free survival (hazard ration [HR] = 3.21; 95% confidence interval [CI], 1.03-10.33; p = 0.044) and overall survival (HR = 3.62; 95% CI, 1.02-12.94; p = 0.047) in multivariate analysis. In subgroup analysis for cN0 patients according to the preoperative PET/CT findings, LND group showed the better trend of LRFFS (log rank test, p = 0.192) and RFFS (p = 0.310), although which is not statistically significant. Conclusion: Observational approach on regional LNs on the basis of the PET/CT in patients with cutaneous melanoma of extremities showed the dominant regional failure pattern compared to upfront LND approach. To reveal regional lymph node status, SLND for cN0 patients may of importance in managing cutaneous melanoma patients.
The observation and recommendation system was recently introduced for selecting gifted-students in science, and it has required to arrange the reliable and valid selection criteria that could identify the high potential competency of them. In this study, we explored the competencies that could help to discriminate gifted-students' inner properties, and also developed the dictionary based on them. The competencies were extracted from the proven previous competency dictionaries/models and examined by the structured survey and the focus group interview in order to ascertain the competencies of the science-gifted students. The results revealed that there were two competency clusters such as cognitive and affective domains. The cognitive cluster consisted of 6 competencies as follows: goal suggestion, planning, information collection and analysis, problem solving, higher-order thinking, and expertise and self-development competency. The affective cluster consisted of 3 competencies: confidence, achievement orientation, and curiosity competency. The dictionary categorized by the names, definitions, key elements, and behavioral indicators and their levels of the derived competencies was developed. Findings were expected to provide the implications on the selection criteria of the potential science-gifted students through the observation and recommendation system.
Journal of The Korean Society of Agricultural Engineers
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v.64
no.6
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pp.101-112
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2022
Extreme precipitation events have recently become a leading cause of disasters. Thus, investigating the variability and trends of extreme precipitation is crucial to mitigate the increasing impact of such events. Spatial distribution and temporal trends in annual precipitation and four extreme precipitation indices of duration (CWD), frequency (R10 mm), intensity (Rx1day), and percentile-based threshold (R95pTOT) were analyzed using the daily precipitation data of 10 observation stations in Chungcheong province during 1974-2020. The precipitation at all observation stations, except the Boryeong station, showed nonsignificant increasing trends at 95% confidence level (CL) and increasing magnitudes from the west to east regions. The high variability in mean annual precipitation was more pronounced around the northeast and northwest regions. Similarly, there were moderate to high patterns in extreme precipitation indices around the northeast region. However, the precipitation indices of duration and frequency consistently increased from the west to east regions, while those of intensity and percentile-based threshold increased from the south to east regions. Nonsignificant increasing trends dominated in CWD, R10 mm, and Rx1day at all stations, except for R10 mm at Boeun station and Rx1day at Cheongju and Jecheon stations, which showed a significantly increasing trend. The spatial distribution of trend magnitude shows that R10 mm increased from the west to east regions. Furthermore, variations in precipitation were very strongly correlated (99% CL) with R10 mm, Rx1day, and R95pTOT at all stations, except with wR10 mm at Cheongju station, which was strongly correlated with a 95% CL.
Purpose: This study aimed to evaluate the clinical outcomes of a single type of narrow-diameter implant (NDI) by investigating its survival rate and peri-implant marginal bone loss (MBL). In addition, variables possibly related to implant survival and MBL were investigated to identify potential risk factors. Methods: The study was conducted as a retrospective study involving 49 patients who had received 3.0-mm diameter TSIII implants (Osstem Implant Co.) at Seoul National University Dental Hospital. In total, 64 implants were included, and dental records and radiographic data were collected from 2017 to 2022. Kaplan-Meier survival curves and a Cox proportional hazard model were used to estimate the implant survival rate and to investigate the effects of age, sex, jaw, implant location, implant length, the stage of surgery, guided bone regeneration, type of implant placement, and the surgeon's proficiency (resident or professor) on implant survival. The MBL of the NDIs was measured, and the factors influencing MBL were evaluated. Results: The mean observation period was 30.5 months (interquartile range, 26.75-45 months), and 6 out of 64 implants failed. The survival rate of the NDIs was 90.6%, and the multivariate Cox regression analysis showed that age was associated with implant failure (hazard ratio, 1.17; 95% confidence interval, 1.04-1.31, P=0.01). The mean MBL was 0.44±0.75 mm, and no factors showed statistically significant associations with greater MBL. Conclusions: NDIs can be considered a primary alternative when standard-diameter implants are unsuitable. However, further studies are required to confirm their long-term stability.
Hoe Jeong Chung;Doo Sup Kim;Jin Woo Lee;Seok In Hong
Hip & pelvis
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v.34
no.3
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pp.150-160
/
2022
Purpose: The purpose of this study is to determine risk factors that affect mortality following osteoporotic hip fracture in patients 50 years or older using the National Health Insurance Service (NHIS) sample cohort 2.0 database. Materials and Methods: Data from 2,533 patients who satisfied the inclusion criteria for the NHIS sample cohort 2.0 database were used in this study. Data from patients who suffered osteoporotic hip fractures between 2002-2015 were used. An analysis of correlations between the incidence of osteoporotic hip fractures and various factors (sex, age, underlying diseases, etc.) was performed. Analysis of the associations between the mortality of osteoporotic hip fracture and the various factors with hazard ratio (HR) was performed using Cox regression models. Results: Patient observation continued for an average of 38.12±32.09 months. During the observation period, a higher incidence of hip fracture was observed in women; however, higher mortality following the fracture was observed in men (HR=0.728; 95% confidence interval [CI], 0.635-0.836). The incidence and mortality of fractures increased when there were increasing age, more than three underlying diseases (HR=1.945; 95% CI, 1.284-2.945), cerebrovascular diseases (HR=1.429; 95% CI, 1.232-1.657), and renal diseases (HR=1.248; 95% CI, 1.040-1.497). Also, higher mortality was observed in patients who were underweight (HR=1.342; 95% CI, 1.079-1.669), current smokers (HR=1.338; 95% CI, 1.104-1.621), and inactivity (HR=1.379; 95% CI, 1.189-1.601). Conclusion: Male gender, the presence of cerebrovascular or kidney disease, a more than three underlying diseases, underweight, a current smoker, and inactivity were risk factors that increased mortality.
The uncertainty of measurement in quantitative analysis of ammonia by continuous-flow analysis method was evaluated following internationally accepted guidelines. The sources of uncertainty associated with the analysis of ammonia were the weighing of sample, the preparation of extracting solution, the addition of extracting solution into the sample, the reproducibility of analysis and the determination of water content in tobacco, etc. In calculating uncertainties, Type A of uncertainty was evaluated by the statistical analysis of a series of observation, and Type B by the information based on supplier's catalogue and/or certificated of calibration. It was shown that the main source of uncertainty was caused by the volume measurement of 1 mL and 2 mL, the purity of ammonia reference material in the preparation of standard solution, the reproducibility of analysis and the determination of water content of tobacco. The uncertainty in the addition of extraction solution, the sample weighing, the volume measurement of 50 mL and 100 mL, and the calibration curve of standard solution contributed relatively little to the overall uncertainty. The expanded uncertainty of ammonia determination in burley tobacco at $95\%$ level of confidence was $0.00997\%$.
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