• Title/Summary/Keyword: Statistical treatment

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Treatment Planning Guideline of EBT Film-based Delivery Quality Assurance Using Statistical Process Control in Helical Tomotherapy (토모테라피에서 통계적공정관리를 이용한 EBT 필름 기반의 선량품질보증의 치료계획 가이드라인)

  • Chang, Kyung Hwan
    • Journal of radiological science and technology
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    • v.45 no.5
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    • pp.439-448
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    • 2022
  • The purpose of this study was to analyze the results from statistical process control (SPC) to recommend upper and lower control limits for planning parameters based on delivery quality assurance (DQA) results and establish our institutional guidelines regarding planning parameters for helical tomotherapy (HT). A total of 53 brain, 41 head and neck (H & N), and 51 pelvis cases who had passing or failing DQA measurements were selected. The absolute point dose difference (DD) and the global gamma passing rate (GPR) for all patients were analyzed. Control charts were used to evaluate upper and lower control limits (UCL and LCL) for all assessed treatment planning parameters. Treatment planning parameters were analyzed to provide its range for DQA pass cases. We confirmed that the probability of DQA failure was higher when the proportion of leaf open time (LOT) below 100 ms was greater than 30%. LOT and gantry period (GP) were significant predictor for DQA failure using the SPC method. We investigated the availability of the SPC statistic method to establish the local planning guideline based on DQA results for HT system. The guideline of each planning parameter in HT may assist in the prediction of DQA failure using the SPC statistic method in the future.

Exploring modern machine learning methods to improve causal-effect estimation

  • Kim, Yeji;Choi, Taehwa;Choi, Sangbum
    • Communications for Statistical Applications and Methods
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    • v.29 no.2
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    • pp.177-191
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    • 2022
  • This paper addresses the use of machine learning methods for causal estimation of treatment effects from observational data. Even though conducting randomized experimental trials is a gold standard to reveal potential causal relationships, observational study is another rich source for investigation of exposure effects, for example, in the research of comparative effectiveness and safety of treatments, where the causal effect can be identified if covariates contain all confounding variables. In this context, statistical regression models for the expected outcome and the probability of treatment are often imposed, which can be combined in a clever way to yield more efficient and robust causal estimators. Recently, targeted maximum likelihood estimation and causal random forest is proposed and extensively studied for the use of data-adaptive regression in estimation of causal inference parameters. Machine learning methods are a natural choice in these settings to improve the quality of the final estimate of the treatment effect. We explore how we can adapt the design and training of several machine learning algorithms for causal inference and study their finite-sample performance through simulation experiments under various scenarios. Application to the percutaneous coronary intervention (PCI) data shows that these adaptations can improve simple linear regression-based methods.

Analysis of Treatment Response in Patients with Oral Lichen Planus

  • Ju, Hye-Min;Kim, Kyung-Hee;Jeon, Hye-Mi;Ahn, Yong-Woo;Ok, Soo-Min;Jeong, Sung-Hee
    • Journal of Oral Medicine and Pain
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    • v.46 no.2
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    • pp.41-48
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    • 2021
  • Purpose: To evaluate compliance by analyzing and comparing treatment duration, degree of improvement after treatment and treatment response of oral lichen planus (OLP) patients according to characteristics of them and the severity of the lesion. Methods: According to treatment process, 132 subjects with OLP who first visited the Department of Oral Medicine at the Pusan National University Dental Hospital from January 2017 to December 2020were classified into three groups: Treatment completed (CT) group, Under treatment (UT) group, and Dropped out during follow-up (DT) group. The reticulation/keratosis, erythema, and ulceration (REU) scoring system was used to assess the severity of OLP. The degree of improvement after treatment was evaluated in CT group. Results: There were 53 (40.15%) CT, 27 (20.45%) UT and 52 (39.39%) DT. In CT group, according to initial REU score there was a statistical difference in the degree of improvement, but not in the length of time to complete treatment. There was no statistical difference between the days it took for patients to feel symptom relief, and the days of entire treatment among three groups. However, there was a positive correlation between the REU score of gingiva and duration of treatment in DT group. In the CT and DT groups, there was a correlation between the length of time taken to relieve symptoms and the duration of treatment. Conclusions: The severity of the gingival lesion and the initial response to treatment have a large effect on the entire treatment period and prognosis, so it should be considered when explaining the disease prognosis and treatment period to patients, and the clinician needs to focus on initial symptom relief.

3n-p Fractional Factorial Design Excluded Some Debarred Combinations

  • Park, Byoung -Chul
    • Communications for Statistical Applications and Methods
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    • v.6 no.3
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    • pp.695-706
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    • 1999
  • When fractional factorial experiments contain some infeasible treatment combinations called debarred combinations we should construct experimental designs so that those debarred combinations are to be excluded by selecting defining contrasts appropriately. By applying Franklin(1995)'s procedure for selecting defining contrasts to Cheng and Li(1993)'s method this paper presents a method of selecting defining contrasts to construct orthogonal 3-level fractional factorial experiments which exclude some debarred combinations.

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Design of a Wastewater Treatment Plant Upgrading to Advanced Nutrient Removal Treatment Using Modeling Methodology and Multivariate Statistical Analysis for Process Optimization (하수처리장의 고도처리 upgrading 설계와 공정 최적화를 위한 다변량 통계분석)

  • Kim, MinJeong;Kim, MinHan;Kim, YongSu;Yoo, ChangKyoo
    • Korean Chemical Engineering Research
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    • v.48 no.5
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    • pp.589-597
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    • 2010
  • Strengthening the regulation standard of biological nutrient in wastewater treatment plant(WWTP), the necessity of repair of WWTP which is operated in conventional activated sludge process to advanced nutrient removal treatment is increased. However, in full-scale wastewater treatment system, it is not easy to fine the optimized operational condition of the advanced nutrient removal treatment through experiment due to the complex response of various influent conditions and operational conditions. Therefore, in this study, an upgrading design of conventional activated sludge process to advanced nutrient removal process using the modeling and simulation method based on activated sludge model(ASMs) is executed. And a design optimization of advanced treatment process using the response surface method(RSM) is carried out for statistical and systematic approach. In addition, for the operational optimization of full-scale WWTP, a correct analysis about kinetic variables of wastewater treatment is necessary. In this study, through partial least square(PLS) analysis which is one of the multivariable statistical analysis methods, a correlation between the kinetic variables of wastewater treatment system is comprehended, and the most effective variables to the advanced treatment operation result is deducted. Through this study, the methodology for upgrading design and operational optimization of advanced treatment process is provided, and an efficient repair of WWTP to advanced treatment can be expected reducing the design time and costs.

Statistical Study on Heredity in SaSang Constitutional Medicine (사상체질(四象體質)의 유전성(遺傳性) 검토(檢討)에 대한 통계적(統計的) 연구(硏究))

  • Kim, Dae-yun;Lee, Jae-won;Kim, Dal-rai
    • Journal of Sasang Constitutional Medicine
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    • v.11 no.1
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    • pp.159-168
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    • 1999
  • Purpose : Sasang Constitutional Medicine explains the pathology peculiar to constitution and suggests treatment for each constitution. In Sasang Constitutional Medicine hwnan beings are classified on four groups; Taeyangin, Taeumin, 5oyangin, Soeumin. These four constitution has their's own symptoms and treatments. In treatment, control of mind inclination, that is to say, moderation takes a very important role. But the study on heredity in Sasang Constitutional Medicine has not done not biological study but also statistical study. So we used several statistical methods and analyzed 163 samples. Methods : We implemented Fishers exact test for adjusting chi-squared test, kappa coefficient to estimate agreement of parent's and children's constitutions, and finally plotted bi-plot using correspondence analysis. Results : From Fisher's exact test result, we could know that parent's and children'S constitution's distribution had significant difference. In kappa coefficient, mother and daughter's estimated value produced highest result. In correspondence analysis we only plotted the case of mother and son for easy interpretation. Conclusion : In the study of heredity of SaSang constitution, we cannot know exactly the heredity of constitution in terms of biology or genetics. But this research can be helpful for further analysis, that is, a study of biological or genetical aspects. And we could conclude that in statistical aspects the heredity in SaSang constitution is meaningful.

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Relations between Clinical Findings and Treatment Results in Patients with Temporomandibular Disorders (측두하악장애환자의 임상양태와 치료결과와의 관계)

  • Hee-Young Oh;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.20 no.2
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    • pp.407-420
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    • 1995
  • This study was performed to evaluate and compare conservative treatment results by several parameters such as age, sex, symptom duration, type and timing of joint sound, parafunctional habits, splint type, and diagnostic classification. There have been too many articles reporting long term results of conservative treatment but articles related to comparison of treatment results by patients' self-evaluation have been rarely reported. For this study 258 patients with temporomandibular disorders(TMDs) were selected and examined by routine diagnostic procedure for TMDs. The subjects were classified into 5 TMDs subgroups ad treated with conservative treatments involving splints, physical modalities, jaw exercises, and counseling. Visual analogue scale(VAS) about pain, joint sound, and mouth opening limitation was recorded respectively during treatment period. From the VAS data and treatment duration, VAS treatment index(VAS Ti) was calculated. The obtained results were as follows : 1. Pain was the most frequent main symptom in subjects with temporomandibular disorders, and main symptom for mouth opening limitation was comparatively less than for pain or sound in disk displacement with reduction group or in degenerative joint disease group. 2. Degenerative joint disease group had the most poor treatment results and highest occlusal index of Helkim's index. 3. Good prognosis for conservative treatment was observed in acute group, under 6 months than chronic group, 6months over in symptom duration, and subjects with 40 years over in age showed the most poor prognosis. 4. Subjects treated with anterior repositioning splint had better treatment results than subjects treated with centric relation splint, but statistical significance in VAS Ti and treatment duration was not observed. 5. Treatment results according to affected side, types and point of joint sound did not show consistent statistical results. 6. The result for conservative treatment was observed poor in subjects with bruxism and clenching. 7. In studying coincidence between preferred chewing and affected side, frequency of preferred chewing side, in unilateral affection, was higher in ipsilateral than in contralateral side.

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Estimating causal effect of multi-valued treatment from observational survival data

  • Kim, Bongseong;Kim, Ji-Hyun
    • Communications for Statistical Applications and Methods
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    • v.27 no.6
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    • pp.675-688
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    • 2020
  • In survival analysis of observational data, the inverse probability weighting method and the Cox proportional hazards model are widely used when estimating the causal effects of multiple-valued treatment. In this paper, the two kinds of weights have been examined in the inverse probability weighting method. We explain the reason why the stabilized weight is more appropriate when an inverse probability weighting method using the generalized propensity score is applied. We also emphasize that a marginal hazard ratio and the conditional hazard ratio should be distinguished when defining the hazard ratio as a treatment effect under the Cox proportional hazards model. A simulation study based on real data is conducted to provide concrete numerical evidence.

EFFECTS OF MAXILLARY PROTRACTION ON GROWTH IN CLASS III MALOCCLUSION (제 III급 부정교합 환자에서 상악골 전방견인이 성장에 미치는 효과에 대한 연구)

  • Sung, Sang-Jin;Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.24 no.2
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    • pp.349-366
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    • 1994
  • The method of treatment in skeletal Class III malocclusion must be chosen according to an etiology and timing of the treatment. Maxillry protraction has been used as an effective treatment method in growing children with maxillary deficiency. The efficacy of maxillary protraction has been viewed as a result of downward-backward displacement of mandible and compensatory dental displacement during the treatment rather than forward -downward growth of maxilla itself. In this study, 104 subjects treated with maxllary protraction, and 19 males and 21 females with known annual growth amount have been chosen longitudinally as treated group and normal group, respectively. And changes in position of maxilla, mandible and dentition have been comparatively analyzed on the lateral cephalometric radiographs by age. The results were as follows : 1. Treated group showed more forward movement of maxilla compare to the normal group and the mandible displaced backward compare to the normal group. 2. Downward movement of maxilla in treated group was similar to that of normal group with statistical signigicance in female 12 year old group and downward movement of mandible in treated group was similar to that of normal group. 3. In treated group, maxillary central incisor moved more forward than the normal group with statistical significance in male 8, 10 year-old groups and female 8, 9, 10 year-old groups. In treated group, downward movement of maxillary central incisor was similar to that of the normal group with statistical significance in male and female 7,8 year-old groups. Considering the above results and the duration of the treatment, the forward movement of maxilla due to maxillary protraction was effective compared to normal growth amount of the normal group.

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Effects of artificial water treatment on the growth and leaf characteristics of Fraxinus rhynchophylla and Fraxinus mandshurica (인위적인 수분처리가 물푸레나무와 들메나무의 생장과 엽형특성에 미치는 영향)

  • Chung, Jin-Chul;Choi, Jeong-Ho;Park, Kyong-Woo;Yoo, Se-Kuel;Lee, Soo-Won;Bae, Jong-Hyang
    • Journal of Bio-Environment Control
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    • v.16 no.2
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    • pp.135-141
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    • 2007
  • Although the result of the tree height growth after water treatment, Fraxinus rhynchophylla has little affection by the artificial water treatment, the growth showed decreased tendency as the soil moisture decreased, and F. mandshurica showed high growth in relatively high soil moist $78{\sim}90%$ treated area. The growth of root collar diameter of F. rhynchophylla and F. mandshurica also showed decreased tendency as soil moisture decreased. The changes of biomass according to dry weight of root, stem, leaves of F. rhynchophylla demonstrating statistical significance as moisture contents of soil is lower showing decreased biomass tendency and in the treatment of $78{\sim}90%$(A) moisture content showed more than double the higher biomass compare to the treated area of $18{\sim}30%$(D) moisture contents. Also F. mandshurica showed statistical significance in A and D treatment demonstrating differences among each treatment. This can be purported to have physiological effects like weakening of seedling and softening of tissues including leaves as soil moisture decreased. Ultimately it is regarded to the main reason of unsatisfactory growth for F. rhynchophylla and F. mandshurica that are weak to drought resistance. SLA, which is one of the special traits of leaf area of F. rhynchophylla, didn't show statistical significance between moisture process, it demonstrated decreased tendency as the moisture content interval is minimal. LAR and LWR showed increased tendency while moisture content didn't show statistical significance between treatments as they are minimal.