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 955 records · Page 53Linked to original sources

PubMed2004

Glass-fiber frameworks for fixed partial dentures: laser-interferometrical in vitro analysis.

OBJECTIVES: Laboratory tests confirmed superior physical properties of fiber-reinforced resin composites; however, clinical failures continue to be observed. This in vitro study introduces a new method to measure strain and fracture resistance in glass fiber-reinforced pontics. METHOD AND MATERIALS: Thirty standardized pontics in five groups were fabricated. Pontics were reinforced with: glass fiber (group 1); glass-fiber bundle surrounded by glass-fiber mesh (group 2); glass fiber with glass-fiber mesh parallel to the pontic's occlusal surface (group 3); or glass-fiber mesh parallel to glass-fiber bundle (group 4). Unreinforced resin composite pontics served as controls (group 5). A laser interferometer measured inner strains (microm/mm) in sectioned pontics, occlusally loaded with 250 N and 450 N, with a universal testing machine. Inner strains were measured on three levels (1, 2, and 3). Specimens were then loaded to crack onset, and loads were recorded. Comparisons were made using analysis of variance. Kruskal-Wallis and Fisher's exact tests were used, respectively, for nonparametric and categorical data. RESULTS: Group 3 showed significantly lower mean strain values than controls. No significant differences in maximal inner strain values or crack onset loads were recorded. The framework of Group 3 inhibited crack propagation significantly better than that in groups 2 and 5. CONCLUSION: Within the limitations of this study, speckle interferometry proved to be a promising method for analyzing strains of pontics under load. The tested framework designs in this study had only limited influence on load-to-crack onset. When strategically placed, a glass-fiber mesh prevented crack propagation.

Analysis of Variance↗

PubMed2000

Regional confidence bands for ROC curves.

The performance of a diagnostic test is characterised by its specificity and sensitivity. For a quantitative diagnostic test these criteria depend on the selected cut-off point. The receiver operating characteristic (ROC) curve of a quantitative diagnostic test is generated by plotting sensitivity against specificity as the cut-off point runs through the whole range of possible test values. In practice, the ROC curve is estimated from clinical data. One important goal is to select an optimal cut-off point. For this purpose the sample variability has to be taken into account. Recently, Campbell has introduced nonparametric asymptotic simultaneous confidence bands that are valid for the whole ROC curve. In this paper a nonparametric asymptotic approach for the construction of regional confidence bands for ROC curves is proposed. It can be applied for any specificity interval of interest. Our approach is based on the asymptotic theory of empirical and quantile processes. To investigate the small sample properties of the different approaches, a Monte Carlo study was conducted using normal and log-normal data. A method for sample size calculation is presented. Finally, the approaches are applied to a tumour marker in the diagnosis of bone marrow metastases.

Bone Marrow Neoplasms↗

PubMed2002

Physical therapy and cognitive-behavioral treatment for complex regional pain syndromes.

Complex regional pain syndromes (CRPS; type 1, reflex sympathetic dystrophy, and type 2, causalgia) involve persistent pain, allodynia, and vasomotor signs. We conducted a prospective, randomized, single-blind trial of physical therapy (PT) and cognitive-behavioral treatment for children and adolescents with CRPS. Children 8 to 17 years of age (n = 28) were randomly assigned to either group A (PT once per week for 6 weeks) or group B (PT 3 times per week for 6 weeks). Both groups received 6 sessions of cognitive-behavioral treatment. Assessments of pain and function were repeated at two follow-up time periods. Outcomes were compared at the three time points through the use of parametric or nonparametric analysis of variance and post hoc tests. All five measures of pain and function improved significantly in both groups after treatment, with sustained benefit evident in the majority of patients at long-term follow-up. Recurrent episodes were reported in 50% of patients, and 10 patients eventually received sympathetic blockade. Most children with CRPS showed reduced pain and improved function with a noninvasive rehabilitative treatment approach. Long-term functional outcomes were also very good.

Adolescent↗

PubMed1995

Comparisons between magnetic field exposure indices in an automobile transmission plant.

Personal monitoring of extremely low frequency magnetic fields was conducted at a large automatic transmission plant for a case-control study of primary brain cancer. Current workers were selected to represent the jobs most commonly held by study subjects. Several exposure indices, corresponding to different plausible biological mechanisms, were computed for each of 81 workers who wore the monitoring instrument for one-half shift. Average exposures covered a range from 0.16 to 46 mG; median exposure was 1.3 mG. Nonparametric correlations were estimated to learn whether all of these indices rise and fall together. Results were mixed, in that indices sensitive to high values showed correlations above 0.7, but other correlations were between 0.4 and 0.6. Different indices may thus identify different groups as "highly" exposed. The authors also tested whether indices based on the fraction of time spent above hypothesized thresholds were accurately predicted by a lognormal model. For 47% of the workers, the observed indices significantly exceeded those predicted by such a model, suggesting that lognormality is not a good model for distributions of individuals' short-term exposures.

Automobiles↗

PubMed2006

Equivalence of truncated count mixture distributions and mixtures of truncated count distributions.

This article is about modeling count data with zero truncation. A parametric count density family is considered. The truncated mixture of densities from this family is different from the mixture of truncated densities from the same family. Whereas the former model is more natural to formulate and to interpret, the latter model is theoretically easier to treat. It is shown that for any mixing distribution leading to a truncated mixture, a (usually different) mixing distribution can be found so that the associated mixture of truncated densities equals the truncated mixture, and vice versa. This implies that the likelihood surfaces for both situations agree, and in this sense both models are equivalent. Zero-truncated count data models are used frequently in the capture-recapture setting to estimate population size, and it can be shown that the two Horvitz-Thompson estimators, associated with the two models, agree. In particular, it is possible to achieve strong results for mixtures of truncated Poisson densities, including reliable, global construction of the unique NPMLE (nonparametric maximum likelihood estimator) of the mixing distribution, implying a unique estimator for the population size. The benefit of these results lies in the fact that it is valid to work with the mixture of truncated count densities, which is less appealing for the practitioner but theoretically easier. Mixtures of truncated count densities form a convex linear model, for which a developed theory exists, including global maximum likelihood theory as well as algorithmic approaches. Once the problem has been solved in this class, it might readily be transformed back to the original problem by means of an explicitly given mapping. Applications of these ideas are given, particularly in the case of the truncated Poisson family.

Algorithms↗

PubMed2004

Catheter-based treatment for patients with acute ischemic stroke ineligible for intravenous thrombolysis.

BACKGROUND AND PURPOSE: We present our single-center experience using catheter-based therapy for acute ischemic stroke patients who were not candidates for intravenous thrombolytic therapy. METHODS: Neurologic outcomes were assessed in patients with acute ischemic stroke, ineligible for intravenous thrombolysis, treated with an emergent catheter-based therapy. RESULTS: Nonparametric analysis of neurological outcomes demonstrated a benefit in National Institutes of Health Stroke Scale (NIHSS) at long-term follow-up (P=0.036). Independence in daily activities and improvement in NIHSS of > or =4 points were achieved in 38% and 56% of patients, respectively. Four patients (25%) died, including 2 patients (12.5%) who died from intracranial hemorrhage. CONCLUSIONS: Catheter-based treatment offers a promising treatment strategy in patients with acute ischemic stroke ineligible for intravenous thrombolysis.

Aged↗

PubMed2001

Examining symptom expression as a function of symptom severity: item performance on the Hamilton Rating Scale for Depression.

Despite widespread use of the Hamilton Rating Scale for Depression (HRSD; M. Hamilton, 1960), questions have been raised concerning its psychometric properties. A nonparametric item response model was used to examine how the probability of observing a specific symptom of depression changes with increases in depressive severity in a sample of depressed adults. Results showed that options from a number of items on the HRSD did not vary as a function of severity and therefore should not be viewed as indicators of depressive severity. The extent to which symptoms are expressed as a function of depressive severity carries important implications for the use of the HRSD as a measure of severity and for the debate concerning construction of depression as a continuum. Results argue against viewing depression as a simple continuum.

Adult↗

PubMed1999

Drug-drug pharmacodynamic interaction detection by a nonparametric population approach. Influence of design and of interindividual variability.

Population approaches are appealing methods for detecting then assessing drug-drug interactions mainly because they can cope with sparse data and quantify the interindividual pharmacokinetic (PK) and pharmacodynamic (PD) variability. Unfortunately these methods sometime fail to detect interactions expected on biochemical and/or pharmacological basis and the reasons of these false negatives are somewhat unclear. The aim of this paper is firstly to propose a strategy to detect and assess PD drug-drug interactions when performing the analysis with a nonparametric population approach, then to evaluate the influence of some design variates (i.e., number of subjects, individual measurements) and of the PD interindividual variability level on the performances of the suggested strategy. Two interacting drugs A and B are considered, the drug B being supposed to exhibit by itself a pharmacological action of no interest in this work but increasing the A effect. Concentrations of A and B after concomitant administration are simulated as well as the effect under various combinations of design variates and PD variability levels in the context of a controlled trial. Replications of simulated data are then analyzed by the NPML method, the concentration of the drug B being included as a covariate. In a first step, no model relating the latter to each PD parameter is specified and the NPML results are then proceeded graphically, and also by examining the expected reductions of variance and entropy of the estimated PD parameter distribution provided by the covariate. In a further step, a simple second stage model suggested by the graphic approach is introduced, the fixed effect and its associated variance are estimated and a statistical test is then performed to compare this fixed effect to a given value. The performances of our strategy are also compared to those of a non-population-based approach method commonly used for detecting interactions. Our results illustrate the relevance of our strategy in a case where the concentration of one of the two drugs can be included as a covariate and show that an existing interaction can be detected more often than with a usual approach. The prominent role of the interindividual PD variability level and of the two controlled factors is also shown.

Algorithms↗

PubMed1995

Nonparametric test of stochastic ordering for multiple longitudinal measures.

We present a nonparametric approach that tests whether multiple longitudinal measures tend in the same direction over time. It is not required that each measure have the same number of serial observations, or that the observations be evenly spaced. The test and related estimators of group differences are based on the multivariate rank test of Wei and Lachin (1) and multivariate Mann-Whitney shift estimators of Thall and Lachin (2) and Lachin (3). An example is given using a subset of exercise data from a clinical trial of vesnarinone in congestive heart failure.

Cardiotonic Agents↗

PubMed2006

Genome scan of Han Chinese schizophrenia families from Taiwan: confirmation of linkage to 10q22.3.

OBJECTIVE: Genome-wide linkage analyses of schizophrenia have identified several regions that may harbor schizophrenia susceptibility genes, but given the complex etiology of the disorder, it is unlikely that all susceptibility regions have been detected. To address this issue, the authors ascertained 606 Han Chinese families comprising 1,234 affected members. METHOD: Probands with schizophrenia were recruited from six data collection field research centers in Taiwan. Each proband underwent a diagnostic screen with supplemental medical records and a semistructured interview. Following this screen, the authors administered the Mandarin Chinese version of the Diagnostic Interview for Genetic Studies. Best-estimate final diagnoses were made by two board-certified psychiatrists. The genotyping was conducted by the Center for Inherited Disease Research, with 386 markers spaced at an average of 9-centimorgan (cM) intervals. Empirical simulations were generated to determine genome-wide significance. RESULTS: The authors found five regions with nonparametric linkage z scores 2.0 or greater. These were the following: 2.08 was reached for D1S551 (113.7) cM at 1p31.1 and 2.31 for D2S410 (125.2 cM) at 2q14.1; 2.00 was reached for D4S2361 (93.5 cM) at 4q21.23, and 2.07 for D15S1012 (36 cM) at 15q14, the largest nonparametric linkage z score was 2.88 for D10S2327 (100.92 cM) at 10q22.3. CONCLUSIONS: Our 10q22.3 finding at 100.9 cM is consistent with a previously reported nonparametric linkage score of 4.27 at 107.2 cM on chromosome 10, although it did not attain genome-wide significance in this study.

Asian People↗

PubMed2000

Biosocial determinants of hysterectomy in New Zealand.

OBJECTIVES: This study examined the prevalence and biosocial correlates of hysterectomy. METHODS: Data were from a 1995 national survey of women aged 20 to 59 years. We applied piecewise nonparametric exponential hazards models to a subsample aged 25 to 59 to estimate the effects of biosocial correlates on hysterectomy likelihood. RESULTS: Risks of hysterectomy for 1991 through 1995 were lower than those before 1981. University-educated and professional women were less likely to undergo hysterectomy. Higher parity and intrauterine device side effects increased the risk. CONCLUSIONS: This study confirms international results, especially those on education and occupation, but also points to ethnicity's mediating role. Education and occupation covary independently with hysterectomy. Analysis of time variance and periodicity showed declines in likelihood from 1981.

Adult↗

PubMedDate not supplied

Neurodevelopmental effects of postnatal lead exposure at very low levels.

This study is among the first to examine specific neurobehavioral deficits in children exposed at very low lead levels. A systematic analysis for the presence of a threshold of lead exposure was conducted. The sample consisted of 246 African American, inner-city children from whom blood lead concentrations were assessed at 7.5 years of age. The results consistently show neurobehavioral deficits in relation to low levels of lead in the areas of intelligence, reaction time, visual-motor integration, fine motor skills, attention, including executive function, off-task behaviors, and teacher-reported withdrawn behaviors. Effects were identified in the specific domains of attention, executive function, visual-motor integration, social behavior, and motor skills, which have been previously suggested as part of lead's "behavioral signature". Visual inspection of nonparametric regression plots suggested a gradual linear dose-response relation for most endpoints. No threshold discontinuity was evident. Regression analyses in which lead exposure was dichotomized at 10 microg/dl were no more likely to be significant than analyses dichotomizing exposure at 5 microg/dl. Given that associations were found between lead levels as low as 3 microg/dl for multiple outcomes, these data provide additional evidence that there is no apparent lower bound threshold for postnatal lead exposure.

Adult↗

PubMed2002

Neurotrophic effects of electroconvulsive therapy: a proton magnetic resonance study of the left amygdalar region in patients with treatment-resistant depression.

Negatively balanced neurotrophic factors may be important in precipitating clinical depression. Recently, it has been reported that antidepressant therapy may exert positive neurotrophic effects. The aim of this study was to detect probable neurotrophic changes during electroconvulsive therapy (ECT). For this purpose, N-acetylaspartate (NAA), an amino acid exclusively located in neurons, and other brain metabolites such as glutamine/glutamate (Glx), choline (Cho), and creatine (Cr) were measured in patients by localized proton magnetic resonance spectroscopy. A total of 28 severely depressed patients (DSM-IV) were enrolled, and the left amygdalar region was investigated by proton STEAM spectroscopy before and after unilateral ECT. The results were compared with 28 age- and gender-matched controls using nonparametric paired and unpaired tests. A significant increase in NAA was observed only in ECT responders (n=14; p=0.019). Five out of 14 nonresponders to ECT monotherapy were remeasured following a clinical improvement after continued ECT combined with antidepressants and were then found also to present a significant increase in NAA. In all successfully treated patients, parallel observations, that is, increased levels, were made for Glx, whereas Cho and Cr were unchanged. In conclusion, our preliminary finding of increased NAA concentrations after successful ECT may indicate a probable neurotrophic effect of ECT.

Adult↗

PubMed1995

Regularized neural networks: some convergence rate results.

In a recent paper, Poggio and Girosi (1990) proposed a class of neural networks obtained from the theory of regularization. Regularized networks are capable of approximating arbitrarily well any continuous function on a compactum. In this paper we consider in detail the learning problem for the one-dimensional case. We show that in the case of output data observed with noise, regularized networks are capable of learning and approximating (on compacta) elements of certain classes of Sobolev spaces, known as reproducing kernel Hilbert spaces (RKHS), at a nonparametric rate that optimally exploits the smoothness properties of the unknown mapping. In particular we show that the total squared error, given by the sum of the squared bias and the variance, will approach zero at a rate of n(-2m)/(2m+1), where m denotes the order of differentiability of the true unknown function. On the other hand, if the unknown mapping is a continuous function but does not belong to an RKHS, then there still exists a unique regularized solution, but this is no longer guaranteed to converge in mean square to a well-defined limit. Further, even if such a solution converges, the total squared error is bounded away from zero for all n sufficiently large.

Mathematics↗

PubMed2006

Biomonitoring of chromium for residents of areas with a high density of electroplating factories.

The high density of electroplating factories in the geographic middle of Taiwan has prompted concern over the potential for exposure to harmful metals. The present study aimed to determine the levels of chromium in whole blood (B-Cr) of residents living in the high vs. low factory-density areas, and to examine the relations to gender and age. A total of 660 residents who had not moved within the 5 years preceding the study were sampled according to the stratified random sampling approach, at ages 35-44, 45-54, and 55-64 years, for both genders. Chromium determinations (n=641) were made using a graphite furnace atomic absorption spectrometer. The geometric mean (95% C.I.) of B-Cr was 0.357 (0.34-0.38) microg/l. The International Federation of Clinical Chemistry (IFCC) nonparametric 0.95 reference limits of B-Cr was estimated to be <0.905 microg/l. B-Cr levels decreased with increasing age. Subjects in the areas with a high density (0.38 microg/l, 95% C.I.: 0.36-0.40) of electroplating factories had significantly higher B-Cr levels, compared to residents of the low-density (0.27, 0.25-0.30) areas and to the general population from western countries. The health significance of the elevated B-Cr remains to be determined.

Adult↗

PubMed2003

Serotonergic receptors in the midbrain correlated with physiological data on sleep apnea in SIDS victims.

BACKGROUND: Recently it has been reported that serotonin and related matters are associated with the sudden infant death syndrome (SIDS), which is still the main cause of postneonatal infant death. To further explore this claim, the correlation between serotonin receptors in the brainstem and sleep apnea in SIDS victims was investigated. MATERIALS AND METHODS: Among 27,000 infants studied prospectively to characterize their sleep-wake behavior, 38 infants died under 6 months of age including 26 cases of SIDS. All the infants had been recorded during one night in a pediatric sleep laboratory some 3-12 weeks before death. The frequency and duration of sleep apnea were analyzed. Brainstem material was collected and immunohistochemistry on 5-hydroxy tryptamine 1A (5HT1A) receptor was carried out. The density of 5HT1A receptor-positive neurons was measured quantitatively. Nonparametric analysis of the density of 5HT1A receptor-positive neurons was carried out between SIDS and non-SIDS cases. Correlation analyses were performed between the density of 5HT1A receptor-positive neurons and the data on sleep apnea. RESULTS: There was no correlation between the pathological data on 5HT1A receptors and the physiological data on sleep apnea in SIDS victims. CONCLUSIONS: No correlation between pathological findings of serotonin and physiological findings of sleep apnea were not in agreement with the association of sleep apnea in pathophysiology of SIDS.

Brain Stem↗

PubMed2006

Antimicrobial endodontic compounds do not modulate alkylation-induced genotoxicity and oxidative stress in vitro.

OBJECTIVE: To investigate if formocresol, paramonochlorophenol, or calcium hydroxide modulate the genotoxic effects induced by the oxidatively damaging agent hydrogen peroxide (H2O2) or the alkylating agent methyl methanesulfonate (MMS) in vitro by using single cell gel (comet) assay. STUDY DESIGN: Chinese hamster ovary (CHO) cells in culture were exposed directly to formocresol, paramonochlorophenol, or calcium hydroxide (adjusted to 100 microg/mL) for 1 hour at 37 degrees C. Subsequently the cultures were incubated with increasing concentrations (0-10 micromol/L) of MMS in phosphate-buffered solution (PBS) for 15 minutes at 37 degrees C or of H2O2 at increasing concentrations (0-100 micromol/L) in distilled water for 5 minutes on ice. The negative control cells were treated with PBS for 1 hour at 37 degrees C. The parameter from the comet assay (tail moment) was assessed by the Kruskal-Wallis nonparametric test followed by a post hoc analysis (Dunn test). RESULTS: Clear concentration-related effects were observed for the genotoxin-exposed CHO cells. Increase of MMS-induced DNA damage was not significantly altered by the presence of the compounds tested. Similarly, no significant changes were observed when hydrogen peroxide was used with the endodontic compounds evaluated. CONCLUSION: Formocresol, paramonochlorophenol, and calcium hydroxide are not able to modulate alkylation-induced genotoxicity or oxidative DNA damage as depicted by the single cell gel (comet) assay.

Alkylating Agents↗

PubMed1994

The exact analysis of contingency tables in medical research.

A unified view of exact nonparametric inference, with special emphasis on data in the form of contingency tables, is presented. While the concept of exact tests has been in existence since the early work of RA Fisher, the computational complexity involved in actually executing such tests precluded their use until fairly recently. Modern algorithmic advances, combined with the easy availability of inexpensive computing power, has renewed interest in exact methods of inference, especially because they remain valid in the face of small, sparse, imbalanced, or heavily tied data. After defining exact p-values in terms of the permutation principle, we reference algorithms for computing them. Several data sets are then analysed by both exact and asymptotic methods. We end with a discussion of the available software.

Accident Prevention↗