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Book The Prevention and Treatment of Missing Data in Clinical Trials

Download or read book The Prevention and Treatment of Missing Data in Clinical Trials written by National Research Council and published by National Academies Press. This book was released on 2010-12-21 with total page 163 pages. Available in PDF, EPUB and Kindle. Book excerpt: Randomized clinical trials are the primary tool for evaluating new medical interventions. Randomization provides for a fair comparison between treatment and control groups, balancing out, on average, distributions of known and unknown factors among the participants. Unfortunately, these studies often lack a substantial percentage of data. This missing data reduces the benefit provided by the randomization and introduces potential biases in the comparison of the treatment groups. Missing data can arise for a variety of reasons, including the inability or unwillingness of participants to meet appointments for evaluation. And in some studies, some or all of data collection ceases when participants discontinue study treatment. Existing guidelines for the design and conduct of clinical trials, and the analysis of the resulting data, provide only limited advice on how to handle missing data. Thus, approaches to the analysis of data with an appreciable amount of missing values tend to be ad hoc and variable. The Prevention and Treatment of Missing Data in Clinical Trials concludes that a more principled approach to design and analysis in the presence of missing data is both needed and possible. Such an approach needs to focus on two critical elements: (1) careful design and conduct to limit the amount and impact of missing data and (2) analysis that makes full use of information on all randomized participants and is based on careful attention to the assumptions about the nature of the missing data underlying estimates of treatment effects. In addition to the highest priority recommendations, the book offers more detailed recommendations on the conduct of clinical trials and techniques for analysis of trial data.

Book Small Clinical Trials

    Book Details:
  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • Release : 2001-01-01
  • ISBN : 0309171148
  • Pages : 221 pages

Download or read book Small Clinical Trials written by Institute of Medicine and published by National Academies Press. This book was released on 2001-01-01 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical trials are used to elucidate the most appropriate preventive, diagnostic, or treatment options for individuals with a given medical condition. Perhaps the most essential feature of a clinical trial is that it aims to use results based on a limited sample of research participants to see if the intervention is safe and effective or if it is comparable to a comparison treatment. Sample size is a crucial component of any clinical trial. A trial with a small number of research participants is more prone to variability and carries a considerable risk of failing to demonstrate the effectiveness of a given intervention when one really is present. This may occur in phase I (safety and pharmacologic profiles), II (pilot efficacy evaluation), and III (extensive assessment of safety and efficacy) trials. Although phase I and II studies may have smaller sample sizes, they usually have adequate statistical power, which is the committee's definition of a "large" trial. Sometimes a trial with eight participants may have adequate statistical power, statistical power being the probability of rejecting the null hypothesis when the hypothesis is false. Small Clinical Trials assesses the current methodologies and the appropriate situations for the conduct of clinical trials with small sample sizes. This report assesses the published literature on various strategies such as (1) meta-analysis to combine disparate information from several studies including Bayesian techniques as in the confidence profile method and (2) other alternatives such as assessing therapeutic results in a single treated population (e.g., astronauts) by sequentially measuring whether the intervention is falling above or below a preestablished probability outcome range and meeting predesigned specifications as opposed to incremental improvement.

Book Brain Tumor Imaging

    Book Details:
  • Author : Elke Hattingen
  • Publisher : Springer
  • Release : 2015-09-02
  • ISBN : 3642450407
  • Pages : 166 pages

Download or read book Brain Tumor Imaging written by Elke Hattingen and published by Springer. This book was released on 2015-09-02 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes the basics, the challenges and the limitations of state of the art brain tumor imaging and examines in detail its impact on diagnosis and treatment monitoring. It opens with an introduction to the clinically relevant physical principles of brain imaging. Since MR methodology plays a crucial role in brain imaging, the fundamental aspects of MR spectroscopy, MR perfusion and diffusion-weighted MR methods are described, focusing on the specific demands of brain tumor imaging. The potential and the limits of new imaging methodology are carefully addressed and compared to conventional MR imaging. In the main part of the book, the most important imaging criteria for the differential diagnosis of solid and necrotic brain tumors are delineated and illustrated in examples. A closing section is devoted to the use of MR methods for the monitoring of brain tumor therapy. The book is intended for radiologists, neurologists, neurosurgeons, oncologists and other scientists in the biomedical field with an interest in neuro-oncology.

Book Phase III Experiments of the JAERI

Download or read book Phase III Experiments of the JAERI written by Yujiro (and others). Ikeda and published by . This book was released on 1994 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Diamond Ore Project  Phase II  High Explosive Cratering Experiments  Fort Peck

Download or read book Diamond Ore Project Phase II High Explosive Cratering Experiments Fort Peck written by and published by . This book was released on 1972 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Clinical Trials in Oncology  Third Edition

Download or read book Clinical Trials in Oncology Third Edition written by Stephanie Green and published by CRC Press. This book was released on 2012-05-09 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third edition of the bestselling Clinical Trials in Oncology provides a concise, nontechnical, and thoroughly up-to-date review of methods and issues related to cancer clinical trials. The authors emphasize the importance of proper study design, analysis, and data management and identify the pitfalls inherent in these processes. In addition, the book has been restructured to have separate chapters and expanded discussions on general clinical trials issues, and issues specific to Phases I, II, and III. New sections cover innovations in Phase I designs, randomized Phase II designs, and overcoming the challenges of array data. Although this book focuses on cancer trials, the same issues and concepts are important in any clinical setting. As always, the authors use clear, lucid prose and a multitude of real-world examples to convey the principles of successful trials without the need for a strong statistics or mathematics background. Armed with Clinical Trials in Oncology, Third Edition, clinicians and statisticians can avoid the many hazards that can jeopardize the success of a trial.

Book Childhood Acute Lymphoblastic Leukemia

Download or read book Childhood Acute Lymphoblastic Leukemia written by Ajay Vora and published by Springer. This book was released on 2017-04-21 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a comprehensive and up-to-date review of all aspects of childhood Acute Lymphoblastic Leukemia, from basic biology to supportive care. It offers new insights into the genetic pre-disposition to the condition and discusses how response to early therapy and its basic biology are utilized to develop new prognostic stratification systems and target therapy. Readers will learn about current treatment and outcomes, such as immunotherapy and targeted therapy approaches. Supportive care and management of the condition in resource poor countries are also discussed in detail. This is an indispensable guide for research and laboratory scientists, pediatric hematologists as well as specialist nurses involved in the care of childhood leukemia.

Book HER2 Positive Breast Cancer

Download or read book HER2 Positive Breast Cancer written by Sara Hurvitz and published by Elsevier Health Sciences. This book was released on 2018-07-26 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get a quick, expert overview of clinically-focused topics and guidelines that are relevant to testing for HER2, which contributes to approximately 25% of breast cancers today. This concise resource by Drs. Sara Hurvitz, and Kelly McCann consolidates today’s available information on this growing topic into one convenient resource, making it an ideal, easy-to-digest reference for practicing and trainee oncologists.

Book Review of the Fialuridine  FIAU  Clinical Trials

Download or read book Review of the Fialuridine FIAU Clinical Trials written by Institute of Medicine and published by National Academies Press. This book was released on 1995-03-14 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: In June 1993 a clinical trial of fialuridine (FIAU), a promising new medication for hepatitis B, was abruptly terminated when one of the 15 out-patients participating in the National Institutes of Health (NIH) study was suddenly hospitalized with liver failure. Although all the remaining patients were contacted and told to stop taking their medication, six more subsequently developed severe toxicity. Five patients died, and two others were probably saved from death only by having liver transplants. In response to a request from the Secretary of the Department of Health and Human Services, the IOM committee has analyzed the FIAU clinical trials, making recommendations for additional safeguards for the conduct of future clinical trials. This evaluation included the review of documents pertaining to investigational new drug submissions, protocols and consent forms from other clinical trials, as well as information available from other clinical and preclinical experience with compounds related to FIAU and its parent drug, fiacitibine (FIAC), which is metabolized to FIAU. The committee does not seek to affix responsibility for the adverse outcome of this NIH trial, but instead focuses on whether any rules or procedures governing the clinical trials process itself need to be changed, and if so, what burdens or costs such changes might place on future clinical trials.

Book Phase Response Curves in Neuroscience

Download or read book Phase Response Curves in Neuroscience written by Nathan W. Schultheiss and published by Springer Science & Business Media. This book was released on 2011-12-23 with total page 515 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book will track advances in the application of phase response (PR) analysis to the study of electrically excitable cells, focusing on applications of PR analysis in the computational neurosciences. This proposal was motivated by discussions with colleagues at the 2007 meeting of the Organization for Computational Neuroscience (OCNS) and further motivated by the success of a workshop at the 2008 OCNS meeting this past July. At that meeting the editors hosted a workshop entitled A dialogue for theoreticians and experimentalists: What is phase response analysis, and what can it tell us about neurons and networks? Invited speakers used mathematical, modeling, and experimental results to illustrate how phase response analysis has been used to reveal or describe neuronal and neuronal population dynamics. This was the most well-attended workshop of the meeting and was standing room only.

Book Design of Experiments for Engineers and Scientists

Download or read book Design of Experiments for Engineers and Scientists written by Jiju Antony and published by Elsevier. This book was released on 2023-06-02 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: This third edition of Design of Experiments for Engineers and Scientists adds to the tried and trusted tools that were successful in so many engineering organizations with new coverage of design of experiments (DoE) in the service sector. Case studies are updated throughout, and new ones are added on dentistry, higher education, and utilities. Although many books have been written on DoE for statisticians, this book overcomes the challenges a wider audience faces in using statistics by using easy-to-read graphical tools. Readers will find the concepts in this book both familiar and easy to understand, and users will soon be able to apply them in their work or research. This classic book is essential reading for engineers and scientists from all disciplines tackling all kinds of product and process quality problems and will be an ideal resource for students of this topic. Written in nonstatistical language, the book is an essential and accessible text for scientists and engineers who want to learn how to use DoE Explains why teaching DoE techniques in the improvement phase of Six Sigma is an important part of problem-solving methodology New edition includes two new chapters on DoE for services as well as case studies illustrating its wider application in the service industry

Book Experimental Electrical Engineering and Manual for Electrical Testing for Engineers and for Students in Engineering Laboratories

Download or read book Experimental Electrical Engineering and Manual for Electrical Testing for Engineers and for Students in Engineering Laboratories written by Vladimir Karapetoff and published by . This book was released on 1911 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Liquid Metal Fuel Reactor Experiment  Phase 1C

Download or read book Liquid Metal Fuel Reactor Experiment Phase 1C written by Babcock & Wilcox Company and published by . This book was released on 1957 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Chemistry of the Upper and Lower Atmosphere

Download or read book Chemistry of the Upper and Lower Atmosphere written by Barbara J. Finlayson-Pitts and published by Elsevier. This book was released on 1999-11-17 with total page 993 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here is the most comprehensive and up-to-date treatment of one of the hottest areas of chemical research. The treatment of fundamental kinetics and photochemistry will be highly useful to chemistry students and their instructors at the graduate level, as well as postdoctoral fellows entering this new, exciting, and well-funded field with a Ph.D. in a related discipline (e.g., analytical, organic, or physical chemistry, chemical physics, etc.). Chemistry of the Upper and Lower Atmosphere provides postgraduate researchers and teachers with a uniquely detailed, comprehensive, and authoritative resource. The text bridges the "gap" between the fundamental chemistry of the earth's atmosphere and "real world" examples of its application to the development of sound scientific risk assessments and associated risk management control strategies for both tropospheric and stratospheric pollutants. Serves as a graduate textbook and "must have" reference for all atmospheric scientists Provides more than 5000 references to the literature through the end of 1998 Presents tables of new actinic flux data for the troposphere and stratospher (0-40km) Summarizes kinetic and photochemical date for the troposphere and stratosphere Features problems at the end of most chapters to enhance the book's use in teaching Includes applications of the OZIPR box model with comprehensive chemistry for student use

Book Bulletin   University of Washington  Engineering Experiment Station

Download or read book Bulletin University of Washington Engineering Experiment Station written by University of Washington. Engineering Experiment Station and published by . This book was released on 1927 with total page 644 pages. Available in PDF, EPUB and Kindle. Book excerpt: