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Letter to the Editor| Volume 378, P152, July 15, 2017

Concerning the article “Interleukins 17 and 10 in a sample of Egyptian relapsing remitting multiple sclerosis patients”

Published:April 26, 2017DOI:https://doi.org/10.1016/j.jns.2017.04.043
      In our study, “Interleukins 17 and 10 in a Sample of Egyptian Relapsing Remitting Multiple Sclerosis Patients”, we adopted a well-organized statistical plan. The normality testing, using Kolmogorov-Smirnov and Shapiro-Wilk test, was performed [
      • Oztuna D.
      • Elhan A.H.
      • Tuccar E.
      Investigation of four different normality tests in terms of type 1 error rate and power under different distributions.
      ] using “SPSS Explore” procedure (Analyze → Descriptive Statistics → Explore → Plots → Normality plots with tests) [
      • Elliott A.C.
      • Woodward W.A.
      Statistical Analysis Quick Reference Guidebook with SPSS Examples.
      ]. The P value of K-S test of normality for all values was less than 0.05 and the same applied for Shapiro-Wilk P value with positively skewed distribution on the histogram. In such non-normally distributed sample, Mann-Whitney test (also called Mann–Whitney–Wilcoxon (MWW), or Wilcoxon–Mann–Whitney test) was used [
      • Fay M.P.
      • Proschan M.A.
      Wilcoxon-Mann-Whitney or t-test? On assumptions for hypothesis tests and multiple interpretations of decision rules.
      ] to compare results of unrelated (independent) groups, as the nonparametric counterpart of the student's unpaired t-test, and Wilcoxon signed rank test was applied to compare the results of related (dependent) samples (MS patients during relapse and in remission), as the nonparametric counterpart of the student's paired t-test. The P-value shown in table comparing multiple sclerosis patients before and after relapse is the value from Wilcoxon test.
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