PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Statistics, Nonparametric”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 847 records · Page 47Linked to original sources

Fetal DNA in maternal plasma as a screening variable for preeclampsia. A preliminary nonparametric analysis of detection rate in low-risk nonsymptomatic patients.

OBJECTIVE: Our objective was to examine whether plasma fetal DNA can be used as a screening variable in those women who developed preeclampsia but without any clinical symptom at the time of blood draw. METHODS: Fetal DNA was extracted from 1.5-mL plasma samples, and the DYS14 gene was analyzed by real-time quantitative polymerase chain reaction. Plasma collected and frozen from six women were each paired with five matched control samples of identical specimen type from gravid women carrying a presumed normal male fetus. Matched rank-sum analysis and nonparametric receiver operating characteristic (ROC) curves analysis of estimated multiples of median (MoM) were used for calculating detection rate (DR) and false-positive rate (FPR). RESULTS: The mean observed rank of 5.08 in the cases was significantly higher than the expected 3.18 (p-value = 0.013). Pregnancies that will develop a preeclampsia exhibit 2.39-fold higher levels of maternal plasma cell-free fetal DNA compared to matched controls. DR was 33 and 50% at an FPR of 5 and 10% respectively. CONCLUSIONS: The estimated DR allows to consider fetal DNA as a potential variable to predict preeclampsia in a low-risk population. Further studies will be addressed to calculate a parametric statistical algorithm and to estimate a proper posterior risk of the disease by means of fetal DNA alone or combined with other markers.

Adult↗

Neuromagnetic evoked responses to complex motions are greatest for expansion.

We analysed evoked magnetic responses to moving random dot stimuli, initially using a 19-channel magnetoencephalography (MEG) system, and subsequently using a 151-channel MEG system. Random dot displays were used to construct complex motion sequences, which we refer to as expansion, contraction, deformation, and rotation. We also investigated lateral translation and a condition in which the directions of the dots were randomised. In all stimulus conditions, the dots were first stationary, then traveled for a brief period (317 s or 542 ms), and were then stationary again. In all conditions, evoked magnetic responses were observed with a widespread bilateral distribution over the observers' heads. Initial recordings revealed a substantially larger evoked magnetic response to the expansion condition than the other conditions. In a revised study, we used a 151-channel MEG system and two stimulus diameters (9.3 and 48 deg), the smaller comparable with the first experiment. The responses were analysed using a nonparametric approach and confirmed our initial observations. In a third study, speed gradients were removed and a new design permitted direct comparisons between motion conditions. The results from all three experiments are consistent with the greater ecological validity of the expansion stimulus.

Adult↗

Is signal detection theory fundamentally flawed? A response to Balakrishnan (1998a, 1998b, 1999).

For nearly 50 years, signal detection theory (SDT; Green & Swvets, 1966; Macmillan & Creelman, 1991) has been of central importance in the development of psychophysics and other areas of psychology. The theory has recently been challenged by Balakrishnan (1998b), who argues that, within SDT, an alternative index is "better justified" than d' and who claims to show (1998a, 1999) that SDT is fundamentally flawed and should be rejected. His evidence is based on new nonparametric measures that he has introduced and applied to experimental data. He believes his results show that basic assumptions of SDT are not supported-in particular, that payoff and probability manipulations do not affect the position of the decision criterion. In view of the importance of SDT in psychology, these claims deserve careful examination. They are critically reviewed here. It appears that it is Balakrishnans arguments that fail, and not SDT

Data Interpretation, Statistical↗

Alternative methods for modeling fatigue and performance.

The use of nonparametric approaches and semiparametric approaches for modeling fatigue and performance are analyzed. Nonparametric approaches in the form of stand-alone artificial neural networks and semiparametric (hybrid) approaches that combine neural networks with prior process knowledge are explored and compared with existing parametric approaches based on the two-process model of sleep regulation. Within the context of a military application, we explore two notional semiparametric approaches for real-time prediction of cognitive performance on the basis of individualized on-line measurements of physiologic variables. Initial analysis indicates that these alternative modeling approaches may address key technological gaps and advance fatigue and performance modeling. Most notably, these approaches seem amenable to predicting individual performance and quantitatively assessing the reliability of model predictions through estimation of statistical error bounds, which have eluded researchers for the last two decades.

Fatigue↗

Effect of core bonding on fatigue failure of compromised teeth.

PURPOSE: This study determined the effect of bonding a composite core on the number of load cycles to cement failure for teeth restored with complete crowns. MATERIALS AND METHODS: Ten extracted human maxillary central incisors were divided into two groups of five each. The tooth roots were at least 11 mm long, allowing an 8-mm post. Under copious irrigation, each tooth was cut to a flat plane 1 mm coronal to the buccal cementoenamel junction, perpendicular to the long axis of the tooth. The canal space was prepared to a final diameter of 1.25 mm, 8 mm deep. Each tooth was rebuilt with a 050 Parapost and Corestore. Final preparation height was 7 mm, including a 1-mm ferrule. For group 1, the core was bonded to the dentin using autocured Scotchbond Multipurpose Plus. For group 2, the core was not bonded. Following crown cementation, all teeth were subjected to a fatigue load of 4 kg at a rate of 280 cycles per minute. RESULTS: One tooth with a bonded core failed at 19,880 cycles, and the other four in this group did not fail after 100,000 cycles. All of the teeth without a bonded core failed at a cycle count of less than 100. The Mann-Whitney nonparametric test showed a significant difference between the two groups (P < .01). CONCLUSION: Bonding of a composite core to dentin prior to crown cementation provided a significantly stronger crown retention under fatigue loading.

Composite Resins↗

Uncertainty in decision models analyzing cost-effectiveness: the joint distribution of incremental costs and effectiveness evaluated with a nonparametric bootstrap method.

PURPOSE: To illustrate the use of a nonparametric bootstrap method in the evaluation of uncertainty in decision models analyzing cost-effectiveness. METHODS: The authors reevaluated a previously published cost-effectiveness analysis that used a Markov model comparing initial percutaneous transluminal angioplasty with bypass surgery for femoropopliteal lesions. Each probability in the model was simulated with a first-order Monte Carlo simulation to represent sampling uncertainty. Superimposed on this, a second-order Monte Carlo simulation was performed to represent parameter uncertainty, drawing the probability values from nonparametric distributions based on published data or from primary collected data as available. After simulation of a mixed (i.e., non-identical) cohort of 30,000 patients, 3,000 bootstrap samples of 1,000 patients each were drawn and the joint distribution of mean incremental costs and mean effectiveness gained was evaluated. RESULTS: Using a bootstrap sample size of 1,000 patients, 92.7% of the joint distribution of mean incremental costs and mean effectiveness gained fell in the quadrant where angioplasty dominated bypass surgery. Another 6.9% of samples demonstrated either greater effectiveness with an incremental cost-effectiveness ratio of at most $20,000/QALY gained, or cost savings with a ratio of at least $20,000 saved/QALY lost. CONCLUSION: A nonparametric bootstrap method can be used to estimate the joint distribution of mean incremental costs and mean effectiveness gained, and the results can provide an understanding of the uncertainty in a cost-effectiveness analysis based on a decision model.

Angioplasty, Balloon↗

[Continuous-discrete models of the dynamics of an isolated population and of 2 competing species].

The paper presents the analysis of various mathematical models for dynamics of isolated population and for competition between two species. It is assumed that mortality is continuous and birth of individuals of new generations takes place in certain fixed moments. Influence of winter upon the population dynamics and conditions of classic discrete model "deduction" of population dynamics (in particular, Moran-Ricker and Hassel's models) are investigated. Dynamic regimes of models under various assumptions about the birth and death rates upon the population states are also examined. Analysis of models of isolated population dynamics with nonoverlapping generations showed the density changes regularly if the birth rate is constant. Moreover, there exists a unique global stable level and population size stabilizes asymptotically at this equilibrium, i.e. cycle and chaotic regimes in various discrete models depend on correlation between individual productivity and population state in previous time. When the correlation is exponential upon mean population size the discrete Hassel model is realized. Modification of basis model, based on the assumption that during winter survival/death changes are constant, showed that population size at global level is stable. Generally, the dependence of population rate upon "winter parameters" has nonlinear character. Nonparametric models of competition between two species does not vary if the individual productivity is constant. In a phase space there are several stable stationary states and population stabilizes at one or other level asymptotically. So, in discrete models of competition between two species oscillation can be explained by dependence of population growth rate on the population size at previous times.

Animals↗

Sib-pair analysis of the collaborative study on the genetics of alcoholism data set.

Nonparametric sib-pair analysis was performed on the Collaborative Study on the Genetics of Alcoholism data set. Concordant and discordant pair groups were examined using the ASPEX package of programs. Allele sharing and multipoint lod scores for six comparison groups were obtained. Sharing and lod score patterns were not consistent with a simple genetic interpretation.

Alcoholism↗

Comparative study of cerebral white matter in autism and attention-deficit/hyperactivity disorder by means of magnetic resonance spectroscopy.

RATIONALE AND OBJECTIVES: Autism and attention-deficit/hyperactivity disorder (ADHD) are neurodevelopmental disorders whose pathophysiology is mostly unknown. As far as the symptoms are different and, in some aspects, opposed, we hypothesize that there must be biochemical differences in the brain of the afflicted children. The aim of the study is to analyze comparatively the metabolite concentration of the cerebral white matter in autism, in ADHD, and in a control group of healthy children to test the hypothesis that N-acetyl aspartate (NAA) is decreased in autism and increased in ADHD. PATIENTS AND METHODS: We included 21 autistic children according to DSM-IV criteria, 8 children with ADHD meeting the respective criteria of DSM-IV, and 12 healthy controls of similar age. Single-voxel proton magnetic resonance spectroscopy was performed on all of them with an echo time of 30 milliseconds and a repetition time of 2500 milliseconds. The voxel was placed in the left centrum semiovale. Metabolite ratios relative to creatine were reported for NAA, choline, and myoinositol. RESULTS: Although we did not observe differences between autistic children and controls, we found a mean higher concentration of NAA in the left centrum semiovale of ADHD children (2.2; SD, 0.21) than that found in autistic children (1.88; SD, 0.18) and controls (1.91; SD, 0.01), which was significant (P = .01 in parametric and in nonparametric test). CONCLUSION: We conclude that white matter of autistic children does not present alterations on MRS. We hypothesize that the higher concentration of NAA in the white matter of ADHD points to mitochondrial hypermetabolism. This may constitute a new substrate in the pathophysiology and merits further research.

Analysis of Variance↗

A nonparametric approach to the analysis of longitudinal data via a set of level crossing problems with application to the analysis of microarray time course experiments.

Here we develop a completely nonparametric method for comparing two groups on a set of longitudinal measurements. No assumptions are made about the form of the mean response function, the covariance structure or the distributional form of disturbances around the mean response function. The solution proposed here is based on the realization that every longitudinal data set can also be thought of as a collection of survival data sets where the events of interest are level crossings. The method for testing for differences in the longitudinal measurements then is as follows: for an arbitrarily large set of levels, for each subject determine the first time the subject has an upcrossing and a downcrossing for each level. For each level one then computes the log rank statistic and uses the maximum in absolute value of all these statistics as the test statistic. By permuting group labels we obtain a permutation test of the hypothesis that the joint distribution of the measurements over time does not depend on group membership. Simulations are performed to investigate the power and it is applied to the area that motivated the method-the analysis of microarrays. In this area small sample sizes, few time points and far too many genes to consider genuine gene level longitudinal modeling have created a need for a simple, model free test to screen for interesting features in the data.

Computer Simulation↗

The one-sample problem from eradication studies of chronic viral infections.

In studies of chronic viral infections, the objective is to estimate probabilities of developing viral eradication and resistance. Complications arise as the laboratory methods used to assess eradication status result in unusual types of censored observations. This paper proposes nonparametric methods for the one-sample analysis of viral eradication/resistance data. We show that the unconstrained nonparametric maximum likelihood estimator of the subdistributions of eradication and resistance are obtainable in closed form. In small samples, these estimators may be inadmissible; thus, we also present an algorithm for obtaining the constrained MLEs based on an isotonic regression of the unconstrained MLEs. Estimators of several functionals of the eradication and resistance subdistributions are also developed and discussed. The methods are illustrated with results from recent hepatitis C clinical trials.

Biometry↗

Receiver operating characteristic (ROC) curve: practical review for radiologists.

The receiver operating characteristic (ROC) curve, which is defined as a plot of test sensitivity as they coordinate versus its 1-specificity or false positive rate (FPR) as the x coordinate, is an effective method of evaluating the performance of diagnostic tests. The purpose of this article is to provide a nonmathematical introduction to ROC analysis. Important concepts involved in the correct use and interpretation of this analysis, such as smooth and empirical ROC curves, parametric and nonparametric methods, the area under the ROC curve and its 95% confidence interval, the sensitivity at a particular FPR, and the use of a partial area under the ROC curve are discussed. Various considerations concerning the collection of data in radiological ROC studies are briefly discussed. An introduction to the software frequently used for performing ROC analyses is also presented.

Area Under Curve↗

Locally adaptive function estimation for binary regression models.

In this paper we present a nonparametric Bayesian approach for fitting unsmooth or highly oscillating functions in regression models with binary responses. The approach extends previous work by Lang et al. for Gaussian responses. Nonlinear functions are modelled by first or second order random walk priors with locally varying variances or smoothing parameters. Estimation is fully Bayesian and uses latent utility representations of binary regression models for efficient block sampling from the full conditionals of nonlinear functions.

Bayes Theorem↗

Joint inferences on vaccine efficacy against infection and disease with application to the first HIV vaccine efficacy trial.

In many clinical trials, subjects are followed for two stages of outcomes, and it is of interest to compare the incidence of each outcome between two randomized groups. The outcome of the first stage may influence the outcome of the second stage. Moreover, the relative risks of the two outcomes may be linked, with the time-dependent profile of relative risk for the second outcome functionally dependent on that of the first. For example, during exposure to HIV, virologic and host factors simultaneously impact the probability of infection and the subsequent viral trajectories, and the efficacy of a tested vaccine to prevent infection and to prevent viral failure may work in concert. We address this problem by modeling the relationship between the stage two hazard function and covariates via Cox's proportional hazards model (Cox, 1972), with the stage one log-hazard ratio theta(*) at the first event time Tl, included as a covariate. With theta(*) estimated using three methods, 1) nonparametric kernel smoothing; 2) locally parametric penalized splines; and 3) fully parametric cubic linear splines, we subsequently develop inference procedures for the regression parameter in the stage two Cox model based on each of the estimator of theta(*). The inferential procedures are studied in simulations and are illustrated with application to data from the world's first preventive HIV vaccine efficacy trial.

AIDS Vaccines↗

More evidence of the plateau effect: a social perspective.

The purpose of this study was to test the existence of the plateau effect at the social level. The authors tried to confirm the preliminary conclusion that people may not be willing to trade off any longevity to improve the health state of a large number of people if the health states are mild enough. They tested this assumption using the person-tradeoff technique. They also used a parametric approach and a nonparametric approach to study the relationship between individual and social values. Results show the existence of the plateau effect in the context of resource allocation. Furthermore, with the nonparametric approach, a plateau effect in the middle part of the scale was also observed, suggesting that social preference may not be directly predicted from individual utilities. The authors caution against the possible framing effects that may be present in these kinds of questions.

Activities of Daily Living↗

Reducing false positives in molecular pattern recognition.

In the search for new cancer subtypes by gene expression profiling, it is essential to avoid misclassifying samples of unknown subtypes as known ones. In this paper, we evaluated the false positive error rates of several classification algorithms through a 'null test' by presenting classifiers a large collection of independent samples that do not belong to any of the tumor types in the training dataset. The benchmark dataset is available at www2.genome.rcast.u-tokyo.ac.jp/pm/. We found that k-nearest neighbor (KNN) and support vector machine (SVM) have very high false positive error rates when fewer genes (<100) are used in prediction. The error rate can be partially reduced by including more genes. On the other hand, prototype matching (PM) method has a much lower false positive error rate. Such robustness can be achieved without loss of sensitivity by introducing suitable measures of prediction confidence. We also proposed a cluster-and-select technique to select genes for classification. The nonparametric Kruskal-Wallis H test is employed to select genes differentially expressed in multiple tumor types. To reduce the redundancy, we then divided these genes into clusters with similar expression patterns and selected a given number of genes from each cluster. The reliability of the new algorithm is tested on three public datasets.

Computational Biology↗

Population pharmacokinetics/pharmacodynamics modeling: parametric and nonparametric methods.

As clinicians acquire experience with the clinical and pharmacokinetic behavior of a drug, it is usually optimal to record this experience in the form of a population pharmacokinetic model, and then to relate the behavior of the model to the clinical effects of the drug or to a linked pharmacodynamic model. The role of population modeling is thus to describe and record clinical experience with the behavior of a drug in a certain group or population of patients or subjects.

Algorithms↗

A note on inconsistency of NPMLE of the distribution function from left truncated and case I interval censored data.

We show that under reasonable conditions the nonparametric maximum likelihood estimate (NPMLE) of the distribution function from left-truncated and case 1 interval-censored data is inconsistent, in contrast to the consistency properties of the NPMLE from only left-truncated data or only interval-censored data. However, the conditional NPMLE is shown to be consistent. Numerical examples are provided to illustrate their finite sample properties.

Adult↗