• Title/Summary/Keyword: Risk of misclassification

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Association between maternal smoking during pregnancy and risk of bone fractures in offspring: a systematic review and meta-analysis

  • Ayubi, Erfan;Safiri, Saeid;Mansori, Kamyar
    • Clinical and Experimental Pediatrics
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    • v.64 no.3
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    • pp.96-102
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    • 2021
  • This study aimed to investigate the effect of maternal smoking during pregnancy (MSDP) on the risk of bone fractures in the offspring through a systematic review and meta-analysis. The PubMed, Web of Science, and Scopus databases were systematically searched for relevant articles published through July 2019. According to heterogeneity, the pooled risk ratio (RR) and odds ratio (OR) and their corresponding 95% confidence interval (CI) were obtained using fixed or random effects models. The heterogeneity and quality of the included studies were assessed by the I-squared (I2) statistic and the Newcastle-Ottawa scale, respectively. Sensitivity analyses were performed to test the effect of MSDP misclassification on the results. The review of 842 search records yielded 5 studies including 8,746 mother-child pairs that were included in the meta-analysis. Pooling adjusted effect measures showed that MSDP was not associated with a later risk of bone fractures in the offspring (pooled RR, 1.15; 95% CI, 0.84-1.58; I2=66.8%; P=0.049). After the adjustment for misclassification, MSDP may be associated with a 27% increased risk of bone fracture (pooled OR, 1.27; 95% CI, 1.00-1.62; I2=0%; P=0.537). After the adjustment for misclassification, MSDP is associated with an increased risk of bone fractures among children whose mothers smoked during pregnancy.

On a Balanced Classification Rule

  • Kim, Hea-Jung
    • Journal of the Korean Statistical Society
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    • v.24 no.2
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    • pp.453-470
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    • 1995
  • We describe a constrained optimal classification rule for the case when the prior probability of an observation belonging to one of the two populations is unknown. This is done by suggesting a balanced design for the classification experiment and constructing the optimal rule under the balanced design condition. The rule si characterized by a constrained minimization of total risk of misclassification; the constraint of the rule is constructed by the process of equation between Kullback-Leibler's directed divergence measures obtained from the two population conditional densities. The efficacy of the suggested rule is examined through two-group normal classification. This indicates that, in case little is known about the relative population sizes, dramatic gains in accuracy of classification result can be achieved.

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Misclassification Adjustment of Family History of Breast Cancer in a Case-Control Study: a Bayesian Approach

  • Moradzadeh, Rahmatollah;Mansournia, Mohammad Ali;Baghfalaki, Taban;Ghiasvand, Reza;Noori-Daloii, Mohammad Reza;Holakouie-Naieni, Kourosh
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8221-8226
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    • 2016
  • Background: Misreporting self-reported family history may lead to biased estimations. We used Bayesian methods to adjust for exposure misclassification. Materials and Methods: A hospital-based case-control study was used to identify breast cancer risk factors among Iranian women. Three models were jointly considered; an outcome, an exposure and a measurement model. All models were fitted using Bayesian methods, run to achieve convergence. Results: Bayesian analysis in the model without misclassification showed that the odds ratios for the relationship between breast cancer and a family history in different prior distributions were 2.98 (95% CRI: 2.41, 3.71), 2.57 (95% CRI: 1.95, 3.41) and 2.53 (95% CRI: 1.93, 3.31). In the misclassified model, adjusted odds ratios for misclassification in the different situations were 2.64 (95% CRI: 2.02, 3.47), 2.64 (95% CRI: 2.02, 3.46), 1.60 (95% CRI: 1.07, 2.38), 1.61 (95% CRI: 1.07, 2.40), 1.57 (95% CRI: 1.05, 2.35), 1.58 (95% CRI: 1.06, 2.34) and 1.57 (95% CRI: 1.06, 2.33). Conclusions: It was concluded that self-reported family history may be misclassified in different scenarios. Due to the lack of validation studies in Iran, more attention to this matter in future research is suggested, especially while obtaining results in accordance with sensitivity and specificity values.

Biomarkers available in workplaces

  • Maeng, Eung-Hee
    • Proceedings of the Korean Society of Toxicology Conference
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    • 2003.05a
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    • pp.31-34
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    • 2003
  • The monitoring of genotoxic effect or oxidative DNA damage in workers exposed to hazardous materials is increasingly applied for hazard identification or risk assessment purposes in workplaces. The current generation of biomarkers has the potential to allow for the earlier detection of occupational disease, for the reduction of misclassification of exposure and outcome. (omitted)

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A Rectifying Inspection Plan Giving LTPD Protection for Destructive Testing (파괴검사시(破壞檢査時)의 계수선별형(計數選別型) LTPD 보증(保證)샘플링 검사방식(檢査方式))

  • Yu, Mun-Chan
    • Journal of Korean Society for Quality Management
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    • v.15 no.1
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    • pp.68-75
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    • 1987
  • A rectifying inspection plan is considered for the case of destructive testing. Screening inspection for rejected lots is performed by some nondestructive testing which is prone to misclassification errors. Apparent defectives found in the screening process is replaced with apparent good items. The plan provides LTPD protection on each individual lot while the sum of the cost of testing and the cost due to producer's risk at process average quality is minimized. A brief discussion on average outgoing quality is also given.

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Selecting the Best Prediction Model for Readmission

  • Lee, Eun-Whan
    • Journal of Preventive Medicine and Public Health
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    • v.45 no.4
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    • pp.259-266
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    • 2012
  • Objectives: This study aims to determine the risk factors predicting rehospitalization by comparing three models and selecting the most successful model. Methods: In order to predict the risk of rehospitalization within 28 days after discharge, 11 951 inpatients were recruited into this study between January and December 2009. Predictive models were constructed with three methods, logistic regression analysis, a decision tree, and a neural network, and the models were compared and evaluated in light of their misclassification rate, root asymptotic standard error, lift chart, and receiver operating characteristic curve. Results: The decision tree was selected as the final model. The risk of rehospitalization was higher when the length of stay (LOS) was less than 2 days, route of admission was through the out-patient department (OPD), medical department was in internal medicine, 10th revision of the International Classification of Diseases code was neoplasm, LOS was relatively shorter, and the frequency of OPD visit was greater. Conclusions: When a patient is to be discharged within 2 days, the appropriateness of discharge should be considered, with special concern of undiscovered complications and co-morbidities. In particular, if the patient is admitted through the OPD, any suspected disease should be appropriately examined and prompt outcomes of tests should be secured. Moreover, for patients of internal medicine practitioners, co-morbidity and complications caused by chronic illness should be given greater attention.

On Practical Choice of Smoothing Parameter in Nonparametric Classification (베이즈 리스크를 이용한 커널형 분류에서 평활모수의 선택)

  • Kim, Rae-Sang;Kang, Kee-Hoon
    • Communications for Statistical Applications and Methods
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    • v.15 no.2
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    • pp.283-292
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    • 2008
  • Smoothing parameter or bandwidth plays a key role in nonparametric classification based on kernel density estimation. We consider choosing smoothing parameter in nonparametric classification, which optimize the Bayes risk. Hall and Kang (2005) clarified the theoretical properties of smoothing parameter in terms of minimizing Bayes risk and derived the optimal order of it. Bootstrap method was used in their exploring numerical properties. We compare cross-validation and bootstrap method numerically in terms of optimal order of bandwidth. Effects on misclassification rate are also examined. We confirm that bootstrap method is superior to cross-validation in both cases.

Building capacity for ecological assessment using diatoms in UK rivers

  • Kelly, Martyn
    • Journal of Ecology and Environment
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    • v.36 no.1
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    • pp.89-94
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    • 2013
  • Diatoms have become an integral part of the UK's freshwater monitoring strategy over the past two decades, mostly in response to increasingly stringent European Union (EU) legislation. The use of diatoms is based on strong correlations between diatom assemblages and environmental variables, and from knowledge of the "expected" (= "reference") state of each river. The nationwide overview of the ecological health of rivers this gives allows those stretches of rivers which fail to meet EU criteria to be identified. This, in turn, allows appropriate remediation measures to be planned. Because diatom assemblages vary in space and time, even within a single water body, effective use of diatoms requires a consistent approach in order to minimise uncertainty. This includes the use of methods which comply with European Standards, a training and accreditation scheme for analysts, and a suite of quality assurance methods. Those aspects of uncertainty that cannot be readily controlled have been quantified and all estimates of ecological status are accompanied by the appropriate "confidence of class" and "risk of misclassification". This, in turn, helps planners prioritise those locations which are most likely to benefit from remediation.

On an Equal Mean Quadratic Classification Rule With Unknown Prior Probabilities

  • Kim, Hea-Jung;Inada, Koichi
    • Journal of Korean Society for Quality Management
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    • v.23 no.3
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    • pp.126-139
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    • 1995
  • We describe a formal approach to the construction of optimal classification rule for the two-group normal classification with equal population mean problem. Based on the utility function of Bernardo, we suggest a balanced design for the classification and construct the optimal rule under the balanced design condition. The rule is characterized by a constrained minimization of total risk of misclassification, the constraint of which is constructed by the process of equation between expected utilities of the two group conditional densities. The efficacy of the suggested rule is examined through numerical studies. This indicates that, in case little is known about the relative population sizes, dramatic gains in accuracy of classification result can be achieved.

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Acceptable Values of Kappa for Comparison of Two Groups

  • Seigel Daniel G.;Podgor Marvin J.;Remaley Nancy A.
    • 대한예방의학회:학술대회논문집
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    • 1994.02b
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    • pp.129-136
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    • 1994
  • A model was developed for a simple clinical trial in which graders had defined probabilities of misclassifying pathologic material to disease present or absent. The authors compared Kappa between graders, and efficiency and bias in the clinical trial in the presence of misclassification. Though related to bias and efficiency, Kappa did not predict these two statistics well. These results pertain generally to evaluation of systems for encoding medical information, and the relevance of Kappa in determining whether such systems are ready for use in comparative studies. The authors conclude that, by itself, Kappa is not informative Enough to evaluate the appropriateness of a grading scheme for comparative studies. Additional, and perhaps difficult, questions must be addressed for such evaluation.

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