Key

The 2nd Hourly

Math 1107

Spring Semester 2010

Protocol

 

You will use only the following resources: Your individual calculator; individual tool-sheet (one (1) 8.5 by 11 inch sheet), writing utensils, blank paper (provided by me) and this copy of the hourly.

 

Do not share these resources with anyone else. Show complete detail and work for full credit. Follow case study solutions and sample hourly keys in presenting your solutions.

 

Work all four cases. Using only one side of the blank sheets provided, present your work. Write on one side only of the sheets provided, and present your work only on these sheets. Do not share information with any other students during this hourly.

 

When you are finished: Prepare a Cover Sheet: Print your name on an otherwise blank sheet of paper. Then stack your stuff as follows: Cover Sheet (Top), Your Work Sheets, The Test Papers, Your Toolsheet. Then hand all of this in to me.

 

Sign and Acknowledge:    I agree to follow this protocol.

 

 

________________________________________________________________________

Name (PRINTED)                                              Signature                                              Date

 

Case One | Descriptive Statistics | Fictitious Spotted Toad

The Fictitious Spotted Toad is a native species of Toad Island, and is noteworthy for the both the quantity and quality of its spots. Consider a random sample of toads, in which the number of spots per toad is noted:

9, 10, 10, 10, 11, 12, 12, 12, 12, 13, 15, 16, 17, 18, 18, 18, 18, 19, 19, 20, 20, 21, 22, 22, 23

24, 24, 25, 25, 26, 29, 29, 29, 31, 31, 33, 33, 33, 33, 33, 34, 39, 40, 40, 40, 43, 43, 45, 47, 47

50, 56, 56, 56, 60, 63, 65, 66, 67, 98

 

Compute and interpret the following statistics: sample size, p00, p25, p50, p75, p100,

(p100 – p75), (p75 – p50), (p50 – p25), (p25 – p00). 

 

n=60

minimum = q0 = p0 = 9

lower quartile = q1= p25 = 18

median = q2 = p50 = 27.5[27]

upper quartile = q3 = p75 = 40.75[40]

maximum = q4= p100 = 98

 

There are 60 Spotted Toads in our sample.

The toad in our sample with the fewest spots has 9 spots.

Approximately 25% of the toads in our sample have 18 or fewer spots.

Approximately 50% of the toads in our sample have 27.5[27] or fewer spots.

Approximately725% of the toads in our sample have 40.75[40] or fewer spots.

The toad in our sample with the most spots has 98 spots.

 

 

Range43 = Q4 – Q3 = 98 – 40.75[40]  = 57.25[57]

Approximately 25% of the spotted toads in our sample have between 40.75[40] and 98 spots. The largest possible difference in the spot count for any pair of spotted toads in the upper quarter sample is 57.25[57] spots.  

 

Range32 = Q3 – Q2 = 40.75[40] – 27.5[27] = 13.25[13]

Approximately 25% of the spotted toads in our sample have between 27.5[27] and 40.75[40] spots. The largest possible difference in the spot count for any pair of spotted toads in the upper middle  quarter sample is 13.25[13] spots.  

 

Range21 = Q2 – Q1 = 27.5[27]  18   = 9.5[9]

Approximately 25% of the spotted toads in our sample have between 18 and 27.5[27] spots. The largest possible difference in the spot count for any pair of spotted toads in the lower middle quarter sample is 9.5[9] spots.  

 

Range10 = Q1 – Q0 = 18    9   = 9

Approximately 25% of the spotted toads in our sample have between 9  and 18 spots. The largest possible difference in the spot count for any pair of spotted toads in the lower quarter sample is 9 spots.  

 

Case Two | Summary Intervals | Framingham Heart Study

The objective of the Framingham Heart Study was to identify the common factors or characteristics that contribute to Cardiovascular disease (CVD) by following its development over a long period of time (since 1948)  in a large group of participants who had not yet developed overt symptoms of CVD or suffered a heart attack or stroke. Blood pressure is a measurement of the force applied to the walls of the arteries as the heart pumps blood through the body. Blood pressure readings are measured in millimeters of mercury (mm Hg) and usually given as two numbers: the systolic blood pressure (SBP) reading, representing the maximum pressure exerted when the heart contracts and the diastolic blood pressure (DBP) reading, representing the pressure in the arteries when the heart is at rest.

Consider the systolic to diastolic blood pressure ratio R = SBP/DBP. 

 

 

Case Two | Summary Intervals | Framingham Heart Study

A sample of FHS adult subjects yields the following ratios:

1.86        1.71        1.43        1.82        1.62        1.57        1.53        1.42        1.55        1.75        1.95        1.58

2.33        1.69        1.56        1.85        1.51        1.50        1.72        1.50        2.06        1.36        1.78        1.56

1.62        1.75        1.78        1.52        1.83        1.60        1.54        1.80        2.13        1.67        1.86        1.60

1.48        1.47        1.45        1.44        1.50        2.05        1.50        1.79        1.82        1.59        1.74        1.86

1.64        1.54        2.03        1.91        1.92        1.97        1.54        1.67        2.00        1.63        1.82        1.49

 

Let m denote the sample mean ratio, and sd the sample standard deviation. Compute and interpret the intervals m±2sd and m±3sd, using Tchebysheff’s Inequalities and the Empirical Rule. Be specific and complete. Show your work, and discuss completely for full credit.

 

lower2 = m – 2*sd  =  1.696 –  2*0.205106 » 1.2857

upper2 = m + 2*sd  =  1.696 +  2*0.205106 » 2.1062

 

At least 75% of the Framingham Heart Study (FHS) subjects in the sample present diastolic to systolic blood pressure  ratios between 1.29 and 2.10.

 

lower3 = m – 3*sd  =  1.696 –  3*0.205106 » 1.0806

upper3 = m + 3*sd  =  1.696 +  3*0.205106 » 2.3113

 

At least 89% of the Framingham Heart Study (FHS) subjects in the sample present systolic to diastolic blood pressure ratios (StDBPRs) between 1.08 and 2.31.

 

If the Framingham Heart Study (FHS) subjects in the sample present systolic to diastolic blood pressure ratios (StDBPRs) cluster symmetrically around a central value, becoming rare as the distance from the center increases, then:

 

Approximately 95% of the Framingham Heart Study (FHS) subjects in the sample present systolic to diastolic blood pressure ratios (StDBPRs) between 1.29 and 2.10.

 

Approximately 100% of the Framingham Heart Study (FHS) subjects in the sample present systolic to diastolic blood pressure ratios (StDBPRs) between 1.08 and 2.31.

 

Case Three | Design Fault Spot

 

In each of the following a brief description of a design is presented. Briefly identify faults present in the design. Use the information provided. Be brief and complete.

 

3.1) In a comparative clinical trial, treatment methods are compared in the treatment of Condition Z, which left untreated leads to severe complications and possibly death. Suppose we have a new candidate treatment, and further suppose that a standard treatment for a similar (but different) disease is available. A comparative clinical trial is proposed that would compare these treatments in patients with condition Z.

 

The standard treatment isn’t really a standard treatment for Z. The standard treatment group requires a standard treatment for Z.

 

3.2) A clinical trial of a new Hepatitis C treatment is designed as follows: subjects are screened for           

Hepatitis C infection. Those who test positive for Hepatitis C infection are then told of their status, and are offered treatment for Hepatitis C at no cost, and are given no further information. Those who accept the free treatment offer are then randomly assigned to either a Placebo, or to the New Treatment Plan.

 

The subjects are denied informed consent – they are unaware of their participation in the clinical trial – as far as they know, they’re getting treatment. If a standard treatment is available, the use of a placebo group is inappropriate.

 

3.3) A sample survey design targets a random sample of residents of metro Atlanta with a well-designed questionnaire concerning driving/automotive safety practices. The people running this survey sample design want to say that their results will describe the driving/automotive safety practices of all Georgia drivers.

 

The survey excludes non-metropolitan Atlanta residents of Georgia. Sample the entire state, not just Atlanta.

               

3.4) A random sample of parents of college/university first-year undergraduate students is surveyed about the study practices of their children. The survey questionnaire was properly written, and the sample of parents reasonably selected. The parents responded to questions about their children's study habits.

 

Directly survey the students, not their parents.

 

Case Four | Clinical Trial Sketch | Age-related Macular Degeneration

The retina is the light-sensitive portion of the eye.  Near the center of the retina is the macula, the region of the retina that provides central vision. In wet macular degeneration, new blood vessels grow beneath the retina and leak blood and fluid. This leakage causes permanent damage to light-sensitive retinal cells, which die off and create blind spots in central vision. Choroidal neovascularization (CNV), the underlying process causing wet AMD and abnormal blood vessel growth, is the body's attempt to create a new network of blood vessels to supply more nutrients and oxygen to the eye's retina. Instead, the process creates scarring, leading to sometimes severe central vision loss.

Lucentis (ranibizumab) binds to and inhibits the action of vascular endothelial growth factor  A (VEGF-A). VEGF may trigger the growth of new vessels, which may leak blood and fluid into the eye. By blocking VEGF-A in the eye, ranibizumab may prevent and reverse vision loss.

Avastin (bevacizumab) is derived from the same monoclonal antibody as Lucentis (ranibizumab)

Visual Acuity is measured by scoring the patient against the ETDRS eye chart, and central vision by testing the patient against the Amsler grid.

 

Preservation or improvement of visual acuity can greatly affect quality of life.

 

Sketch a comparative clinical trial comparing Lucentis versus Avastin in the treatment of age-related macular degeneration. Make your sketch concise and complete, following the style demonstrated in class, in the sample second hourlies and in case study summaries.

 

We recruit subjects diagnosed with Age-related Macular Degeneration. Those who give informed consent are enrolled in the trial.

 

Enrolled subjects are randomly assigned to either Lucentis with PlaceboAvastin or Avastin with PlaceboLucentis. Double blinding is employed, so that neither the subjects nor their clinical workers know individual treatment assignments.

 

Treated subjects are the tracked for changes in visual acuity, as assessed against the ETDRS eye chart. Central visual acuity as assessed against the Amsler grid. They are also tracked for safety and toxicity, including kidney/liver, and for changes in quality of life.

 

 

 

Work all four (4) cases.