• Title/Summary/Keyword: mixed-effects model

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Effects of Two Chemotherapy Regimens, Anthracycline-based and CMF, on Breast Cancer Disease Free Survival in the Eastern Mediterranean Region and Asia: A Meta-Analysis Approach for Survival Curves

  • Zare, Najaf;Ghanbari, Saeed;Salehi, Alireza
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.2013-2017
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    • 2013
  • Background: To compare the effects of two adjuvant chemotherapy regimens, anthracycline-based and cyclophosphamide, methotrexate, fluorourical (CMF) on disease free survival for breast cancer patients in the Eastern Mediterranean region and Asia. Methods: In a systematic review with a multivariate mixed model meta-analysis, the reported survival proportion at multiple time points in different studies were combined. Our data sources were studies linking the two chemotherapy regimens on an adjuvant basis with disease free survival published in English and Persian in the Eastern Mediterranean region and Asia. All survival curves were generated with Graphdigitizer software. Results: 14 retrospective cohort studies were located from electronic databases. We analyzed data for 1,086 patients who received anthracycline-based treatment and 1,109 given CMF treatment. For determination of survival proportions and time we usesb the transformation Ln (-Ln(S)) and Ln (time) to make precise estimations and then fit the model. All analyses were carried out with STATA software. Conclusions: Our findings showed a significant efficacy of anthracycline-based adjuvant therapy regarding disease free survival of breast cancer. As a limitation in this meta-analysis we used studies with different types of anthracycline-based regimens.

A Mixed Model for Nested Structural Repeated Data (지분구조의 반복측정 자료에 대한 혼합모형)

  • Choi, Jae-Sung
    • The Korean Journal of Applied Statistics
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    • v.22 no.1
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    • pp.181-188
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    • 2009
  • This paper discusses the covariance structures of data collected from an experiment with a nested design structure, where a smaller experimental unit is nested within a larger one. Due to the nonrandomization of repeated measures factors to the nested experimental units, compound symmetry covariance structure is assumed for the analysis of data. Treatments are given as the combinations of the levels of random factors and fixed factors. So, a mixed-effects model is suggested under compound symmetry structure. An example is presented to illustrate the nesting in the experimental units and to show how to get the parameter estimates in the fitted model.

Estimation of Synthesis Gas Composition by Biomass Fuel Conditions using Thermodynamic Equilibrium Model (열역학적 평형모델을 이용한 바이오매스 연료조건에 따른 합성가스 조성의 예측)

  • Hong, Seong-Gu
    • Journal of The Korean Society of Agricultural Engineers
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    • v.57 no.1
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    • pp.79-87
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    • 2015
  • A thermochemical equilibrium model was constructed for predicting composition of synthesis gas in biomass gasification. The model included estimation of equilibrium constants using Gibbs free energy. After constructing the model, the results were compared with the experimental values and predictions from a previous model. Gas compositions were reasonably well agreed with them and showed effects of operational and fuel condition. When the reaction temperature increased, the lower heating values decreased due to the decrease in CH4 concentrations. The methane concentrations were lower than those observed in experimental results. The model was used to predict the gas composition and heating values for the cases of mixed fuel of charcoal and un-dry woodchips. Although downdraft gasifiers require fuels less than 15% of moisture contents, the model results indicated that the mixed fuel with charcoal and woodchips which had over 25% of moisture contents could be used in the downdraft gasifiers. It might be explained by increase in energy density resulting from mixing charcoal. The results imply that the efforts and costs for drying biomass fuels could be reduced by mixing charcoal or fuels with higher calorific values.

Study of Virtual Goods Purchase Model Applying Dynamic Social Network Structure Variables (동적 소셜네트워크 구조 변수를 적용한 가상 재화 구매 모형 연구)

  • Lee, Hee-Tae;Bae, Jungho
    • Journal of Distribution Science
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    • v.17 no.3
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    • pp.85-95
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    • 2019
  • Purpose - The existing marketing studies using Social Network Analysis have assumed that network structure variables are time-invariant. However, a node's network position can fluctuate considerably over time and the node's network structure can be changed dynamically. Hence, if such a dynamic structural network characteristics are not specified for virtual goods purchase model, estimated parameters can be biased. In this paper, by comparing a time-invariant network structure specification model(base model) and time-varying network specification model(proposed model), the authors intend to prove whether the proposed model is superior to the base model. In addition, the authors also intend to investigate whether coefficients of network structure variables are random over time. Research design, data, and methodology - The data of this study are obtained from a Korean social network provider. The authors construct a monthly panel data by calculating the raw data. To fit the panel data, the authors derive random effects panel tobit model and multi-level mixed effects model. Results - First, the proposed model is better than that of the base model in terms of performance. Second, except for constraint, multi-level mixed effects models with random coefficient of every network structure variable(in-degree, out-degree, in-closeness centrality, out-closeness centrality, clustering coefficient) perform better than not random coefficient specification model. Conclusion - The size and importance of virtual goods market has been dramatically increasing. Notwithstanding such a strategic importance of virtual goods, there is little research on social influential factors which impact the intention of virtual good purchase. Even studies which investigated social influence factors have assumed that social network structure variables are time-invariant. However, the authors show that network structure variables are time-variant and coefficients of network structure variables are random over time. Thus, virtual goods purchase model with dynamic network structure variables performs better than that with static network structure model. Hence, if marketing practitioners intend to use social influences to sell virtual goods in social media, they had better consider time-varying social influences of network members. In addition, this study can be also differentiated from other related researches using survey data in that this study deals with actual field data.

Hurdle Model for Longitudinal Zero-Inflated Count Data Analysis (영과잉 경시적 가산자료 분석을 위한 허들모형)

  • Jin, Iktae;Lee, Keunbaik
    • The Korean Journal of Applied Statistics
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    • v.27 no.6
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    • pp.923-932
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    • 2014
  • The Hurdle model can to analyze zero-inflated count data. This model is a mixed model of the logit model for a binary component and a truncated Poisson model of a truncated count component. We propose a new hurdle model with a general heterogeneous random effects covariance matrix to analyze longitudinal zero-inflated count data using modified Cholesky decomposition. This decomposition factors the random effects covariance matrix into generalized autoregressive parameters and innovation variance. The parameters are modeled using (generalized) linear models and estimated with a Bayesian method. We use these methods to carefully analyze a real dataset.

Effect of Coverage Expansion Policy for an Ultrasonography in the Upper Abdomen on Its Utilization: A Difference-in-Difference Mixed-Effects Model Analysis (상복부초음파검사 급여확대에 따른 의료이용의 변화: 이중차이 혼합효과모형 추정방법을 이용하여)

  • Son, Yena;Lee, Yongjae;Nam, Chung-Mo;Kim, Gyu Ri;Chung, Woojin
    • Health Policy and Management
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    • v.30 no.3
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    • pp.326-334
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    • 2020
  • Background: Korea has gradually expanded the coverage of medical care services in its national health insurance system. On April 1, 2018, it implemented a policy that expanded the coverage for an ultrasonography in the upper abdomen. In this study, we aimed to investigate the effect of the policy on the utilization of the ultrasonography in the upper abdomen in tertiary care hospitals. Methods: Using the dataset of the Health Insurance Review and Assessment Service, we explored changes in the utilization of the ultrasonography in the upper abdomen in tertiary care hospitals from July 1, 2017 to November 30, 2018 through the difference-in-difference (DID) mixed-effects-model method. Facility factor, equipment factor and personnel factors, type of hospital, the total amount of medical care expenses, and geographic region were considered as control variables. Results: On average, the utilization of the ultrasonography in the upper abdomen increased by 228% after the coverage expansion policy. However, the results of DID mixed-effects-model method analysis showed that the utilization increased by 73%. As for the number of beds, the utilization was higher with a group of 844-930, 931-1,217, and 1,218 or greater compared with a group of 843 or fewer, while the utilization of the number of ultrasonic devices was lower with a group of 45-49 compared with a group of 44 or fewer. The utilization decreased with the number of interns and the number of nurse assistants. Besides, relative to Seoul, the utilization was lower in the other metro-cities and provinces. Conclusion: The coverage expansion policy in the national health insurance system increased service utilization among people. Future research needs to investigate the degree to which such coverage expansion policy reduces the unmet medical care needs among the deprived in Korea.

Low-rank Coal Char Gasification Research with Mixed Catalysts at Fixed Reactor (고정층 반응기에서의 저등급 석탄 혼합촉매가스화 반응특성)

  • An, Seung Ho;Park, Ji Yun;Jin, Gyoung Tae;Rhee, Young Woo
    • Korean Chemical Engineering Research
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    • v.55 no.1
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    • pp.99-106
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    • 2017
  • In this study, mixed catalytic char gasification of Indonesia low-rank coal Kideco was investigated under nitrogen atmosphere and isothermal conditions at a fixed reactor. The effects of the temperature were investigated at various temperature (700, 750, 800, $850^{\circ}C$). The effects of blend ratio of catalysts ($K_2CO_3$, Ni) were investigated with different blend ratios (1:9, 3:7, 5:5, 7:3 and 9:1). The sample was prepared by mixing with $K_2CO_3$ physically and by ionexchange method with Ni. The data from thermogravimetric analyzer and gas chromatography were applied to four gassolid reaction kinetic models including shrinking core model, volumetric reaction model, random pore model and modified volumetric reaction model.

An Analysis of Short and Long Syllables of Sino-Korean Words Produced by College Students with Kyungsang Dialect (경상방언 대학생들이 발음한 국어 한자어 장단음 분석)

  • Yang, Byunggon
    • Phonetics and Speech Sciences
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    • v.7 no.4
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    • pp.131-138
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    • 2015
  • The initial syllables of a pair of Sino-Korean words are generally differentiated in their meaning by either short or long durations. They are realized differently by the dialect and generation of speakers. Recent research has reported that the temporal distinction has gradually faded away. The aim of this study is to examine whether college students with Kyungsang dialect made the distinction temporally using a statistical method of Mixed Effects Model. Thirty students participated in the recording of five pairs of Korean words in clear or casual speaking styles. Then, the author measured the durations of the initial syllables of the words and made a descriptive analysis of the data followed by applying Mixed Effects Models to the data by setting gender, length, and style as fixed effects, and subject and syllable as random effects, and tested their effects on the initial syllable durations. Results showed that college students with Kyungsang dialect did not produce the long and short syllables distinctively with any statistically significant difference between them. Secondly, there was a significant difference in the duration of the initial syllables between male and female students. Thirdly, there was also a significant difference in the duration of the initial syllables produced in the clear or casual styles. The author concluded that college students with Kyungsang dialect do not produce long and short Sino-Korean syllables distinctively, and any statistical analysis on the temporal aspect should be carefully made considering both fixed and random effects. Further studies would be desirable to examine production and perception of the initial syllables by speakers with various dialect, generation, and age groups.

In Vivo Experimental Study on the Effects of Fluid in Increasing the Efficiency of Radiofrequency Ablation

  • Sun, Yi-Xin;Cheng, Wen;Han, Xue;Liu, Zhao;Wang, Qiu-Cheng;Shao, Hua
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.14
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    • pp.5799-5804
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    • 2014
  • Background: Radiofrequency ablation (RFA) is the most widely used and studied method internationally for the local treatment of liver tumors. However, the extension of coagulation necrosis in one RFA procedure is limited and incomplete coverage of the damaged area can lead to a high local recurrence rate. Objective: In this study, we compared the effects of different solutions in enhancing hepatic radiofrequency by establishing a rabbit VX2 liver cancer model. We also determined the optimal solution to maximise effects on the extent of RFA-induced coagulation necrosis. Methods: Thirty VX2 tumor rabbits were randomly assigned to five groups: group A, RFA alone; group B, RFA with anhydrous ethanol injection; group C, RFA with 5% hypertonic saline injection; group D, RFA with lidocaine injection; and group E, RFA with a mixed solution. Routine ultrasound examinations and contrast-enhanced ultrasound (CEUS) of the ablation areas were performed after RFA. Then, we measured the major axis and transverse diameter and compared the areas of coagulation necrosis induced by RFA. Results: The mean ablation area range increased in groups B, C and especially E, and the scopes were greater compared with group A. Preoperative application of anhydrous ethanol, hypertonic saline, lidocaine and the mixed solution (groups B, C, D and E, respectively) resulted in larger coagulation necrosis areas than in group A (p<0.05). Among the groups, the coagulation necrosis areas in group E was largest, and the difference was statistically significant compared with other groups (p<0.05). Pathological findings were consistent with imaging results. Conclusions: A mixture of dehydrated alcohol, hypertonic saline and lidocaine injected with RFA increases the extent of coagulation necrosis in the liver with a single application, and the mixed solution is more effective than any other injection alone.

Applying Nonlinear Mixed-effects Models to Taper Equations: A Case Study of Pinus densiflora in Gangwon Province, Republic of Korea (비선형 혼합효과 모형의 수간곡선 적용: 강원지방 소나무를 대상으로)

  • Shin, Joong-Hoon;Han, Hee;Ko, Chi-Ung;Kang, Jin-Taek;Kim, Young-Hwan
    • Journal of Korean Society of Forest Science
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    • v.111 no.1
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    • pp.136-149
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    • 2022
  • In this study, the performance of a nonlinear mixed-effects (NLME) model used to estimate the stem taper of Pinus densiflora in Gangwon Province was compared with that of a nonlinear fixed-effects (NLFE) model using several performance measures. For the diameters of whole tree stems, the NLME model improved on the performance of the NLFE model by 26.4%, 42.9%, 43.1%, and 0.9% in terms of BIAS, MAB, RMSE, and FI, respectively. For the cross-section areas of whole tree stems, the NLME model improved on the performance of the NLFE model by 67.7%, 44.7%, 45.8%, and 1.0% in terms of BIAS, MAB, RMSE, and FI, respectively. Based on the analysis of 12 relative height classes of tree stems, stem taper estimation performance was also reasonably improved by the NLME model, which showed better MAB, RMSE, and FI at every relative height class compared with those of the NLFE model. In some classes, the NLFE model had better BIAS than the NLME model (stem diameter: 0.05, 0.2, 0.3, and 0.8; stem cross-section area: 0.05, 0.3, 0.5, 0.6, and 1.0). However, the NLME model enhanced the performance of stem diameter and cross-section area estimations at the lowest stem part (0.2 m from the ground). Improvements for stem diameter in terms of BIAS, MAB, RMSE, and FI were 84.2%, 69.8%, 68.7%, and 3.1%, respectively. For stem cross-section areas, the improvements in BIAS, MAB, RMSE, and FI were 98.5%, 70.1%, 68.7%, and 3.1%, respectively. The cross-section area at 0.2 m from the ground occupied 22.7% of total cross-section area. Improvements in estimation of cross-section area at the lowest stem part indicate that stem volume estimation performance could also be enhanced. Although NLME models are more difficult to fit than NLFE models, the use of NLME models as a standard method for the estimating the parameters of stem taper equations should be considered.