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Articles 211 - 240 of 292
Full-Text Articles in Statistics and Probability
Immediate Loading Of Unsplinted Implants In The Anterior Mandible For Overdentures, Phillip Roe
Immediate Loading Of Unsplinted Implants In The Anterior Mandible For Overdentures, Phillip Roe
Loma Linda University Electronic Theses, Dissertations & Projects
In this one-year prospective study, eight completely edentulous patients were selected from the Loma Linda University School of Dentistry (LLUSD) patient population to participate. There were five male and three female patients, between the ages of 58 and 82 (mean age of 69.1 years). All participants received new maxillary and mandibular complete dentures prior to implant placement. Two 4.0 mm x 13 mm threaded implants with a fluoride-modified, micro-roughened, titanium surface were placed mesial to each mandibular canine position. Locator abutments were connected and torqued to 25 Ncm and primary closure was achieved with a nonresorbable suture material. The Locator …
The Prevalence And Determinants Of Health Risk Behaviors Among High School Students In Mexico, Nellie León
The Prevalence And Determinants Of Health Risk Behaviors Among High School Students In Mexico, Nellie León
Loma Linda University Electronic Theses, Dissertations & Projects
The Centers for Disease Control and Prevention report that despite health promotion efforts, adolescents continue to engage in behaviors that put them at risk for morbidity and mortality. Alcohol consumption, illicit drug use, smoking, and risky sexual behaviors are among the behaviors that contribute to leading causes of morbidity and mortality in youth; these four behaviors were explored in this study. An observational cross-sectional design was utilized. The Youth Risk Behavior Survey from the Centers for Disease Control and Prevention was utilized to assess the prevalence of the four risk behaviors among high school students in Jalisco, Mexico. Items constructed …
Relaxing Latent Ignorability In The Itt Analysis Of Randomized Studies With Missing Data And Noncompliance, L Taylor, Xiao-Hua Zhou
Relaxing Latent Ignorability In The Itt Analysis Of Randomized Studies With Missing Data And Noncompliance, L Taylor, Xiao-Hua Zhou
UW Biostatistics Working Paper Series
Abstract: In this paper we consider the problem in causal inference of estimating the local complier average causal effect (CACE) parameter in the setting of a randomized clinical trial with a binary outcome, cross-over noncompliance, and unintentional missing data on the responses. We focus on the development of a moment estimator that relaxes the assumption of latent ignorability and incorporates sensitivity parameters that represent the relationship between potential outcomes and associated potential response indicators. If conclusions are insensitive over a range of logically possible values of the sensitivity parameters, then the number of interpretations of the data is reduced, and …
Multiple Imputation Methods For Treatment Noncompliance And Nonresponse In Randomized Clinical Trials, Leslie Taylor, Xiao-Hua (Andrew) Zhou
Multiple Imputation Methods For Treatment Noncompliance And Nonresponse In Randomized Clinical Trials, Leslie Taylor, Xiao-Hua (Andrew) Zhou
UW Biostatistics Working Paper Series
Summary: Randomized clinical trials are a powerful tool for investigating causal treatment effects, but in human trials there are oftentimes problems of noncompliance which standard analyses, such as the intention-to-treat or as-treated analysis, either ignore or incorporate in such a way that the resulting estimand is no longer a causal effect. One alternative to these analyses is the complier average causal effect (CACE) which estimates the average causal treatment effect among a subpopulation that would comply under any treatment assigned. We focus on the setting of a randomized clinical trial with crossover treatment noncompliance (e.g., control subjects could receive the …
Selecting Optimal Treatments Based On Predictive Factors, Eric C. Polley, Mark J. Van Der Laan
Selecting Optimal Treatments Based On Predictive Factors, Eric C. Polley, Mark J. Van Der Laan
U.C. Berkeley Division of Biostatistics Working Paper Series
No abstract provided.
Semiparametric Two-Part Models With Proportionality Constraints: Analysis Of The Multi-Ethnic Study Of Atherosclerosis (Mesa), Anna Liu, Richard Kronmal, Xiao-Hua Zhou, Shuangge Ma
Semiparametric Two-Part Models With Proportionality Constraints: Analysis Of The Multi-Ethnic Study Of Atherosclerosis (Mesa), Anna Liu, Richard Kronmal, Xiao-Hua Zhou, Shuangge Ma
UW Biostatistics Working Paper Series
SUMMARY. In this article, we analyze the coronary artery calcium (CAC) score in the Multi-Ethnic Study of Atherosclerosis (MESA), where about half of the CAC scores are zero and the rest are continuously distributed. When the observed data has a mixture distribution, two-part models can be the natural choice. With a two-part model, there are two covariate effects, with one in each part of the model. Determination of whether the two covariate effects are proportional can provide more insights into the process underlying development and progression of CAC. In this study, we model the CAC score using a semiparametric two-part …
Pooled Nucleic Acid Testing To Identify Antiretroviral Treatment Failure During Hiv Infection, Susanne May, Anthony Gamst, Richard Haubrich, Constance Benson, Davey Smith
Pooled Nucleic Acid Testing To Identify Antiretroviral Treatment Failure During Hiv Infection, Susanne May, Anthony Gamst, Richard Haubrich, Constance Benson, Davey Smith
UW Biostatistics Working Paper Series
Abstract Background: Pooling strategies have been used to reduce the costs of polymerase chain reaction based screening for acute HIV infection in populations where the prevalence of acute infection is low (<1%). Only limited research has been done for conditions where the prevalence of screening positivity is higher (>1%). Methods and Results: We present data on a variety of pooling strategies that incorporate the use of PCR-based quantitative measures to monitor for virologic failure among HIV-infected patients receiving antiretroviral therapy. For a prevalence of virologic failure between 1% and 25%, we demonstrate relative efficiency and accuracy of various strategies. These results could be used to choose the best strategy based on the requirements of individual laboratory …1%).>
Validation Of Differential Gene Expression Algorithms: Application Comparing Fold Change Estimation To Hypothesis Testing, David R. Bickel, Corey M. Yanofsky
Validation Of Differential Gene Expression Algorithms: Application Comparing Fold Change Estimation To Hypothesis Testing, David R. Bickel, Corey M. Yanofsky
COBRA Preprint Series
Sustained research on the problem of determining which genes are differentially expressed on the basis of microarray data has yielded a plethora of statistical algorithms, each justified by theory, simulation, or ad hoc validation and yet differing in practical results from equally justified algorithms. The widespread confusion on which method to use in practice has been exacerbated by the finding that simply ranking genes by their fold changes sometimes outperforms popular statistical tests.
Algorithms may be compared by quantifying each method's error in predicting expression ratios, whether such ratios are defined across microarray channels or between two independent groups. For …
Survival Analysis With High-Dimensional Covariates: An Application In Microarray Studies, David Engler, Yi Li
Survival Analysis With High-Dimensional Covariates: An Application In Microarray Studies, David Engler, Yi Li
Faculty Publications
Use of microarray technology often leads to high-dimensional and low-sample size (HDLSS) data settings. A variety of approaches have been proposed for variable selection in this context. However, only a small number of these have been adapted for time-to-event data where censoring is present. Among standard variable selection methods shown both to have good predictive accuracy and to be computationally efficient is the elastic net penalization approach. In this paper, adaptations of the elastic net approach are presented for variable selection both under the Cox proportional hazards model and under an accelerated failure time (AFT) model. Assessment of the two …
Measures To Summarize And Compare The Predictive Capacity Of Markers, Wen Gu, Margaret Pepe
Measures To Summarize And Compare The Predictive Capacity Of Markers, Wen Gu, Margaret Pepe
UW Biostatistics Working Paper Series
The predictive capacity of a marker in a population can be described using the population distribution of risk (Huang et al., 2007; Pepe et al., 2008a; Stern, 2008). Virtually all standard statistical summaries of predictability and discrimination can be derived from it (Gail and Pfeiffer, 2005). The goal of this paper is to develop methods for making inference about risk prediction markers using summary measures derived from the risk distribution. We describe some new clinically motivated summary measures and give new interpretations to some existing statistical measures. Methods for estimating these summary measures are described along with distribution theory that …
A Proper Orthogonal Decomposition Approach To Approximate Balanced Truncation Of Infinite Dimensional Linear Systems, John R. Singler, Belinda A. Batten
A Proper Orthogonal Decomposition Approach To Approximate Balanced Truncation Of Infinite Dimensional Linear Systems, John R. Singler, Belinda A. Batten
Mathematics and Statistics Faculty Research & Creative Works
We extend a method for approximate balanced reduced order model derivation for finite dimensional linear systems developed by Rowley (Int. J. Bifur. Chaos Appl. Sci. Eng. 15(3) (2005), pp. 997-1013) to infinite dimensional systems. The algorithm is related to standard balanced truncation, but includes aspects of the proper orthogonal decomposition in its computational approach. The method can be also applied to nonlinear systems. Numerical results are presented for a convection diffusion system.
Weighting And Prediction In Sample Surveys, Rod Little
Weighting And Prediction In Sample Surveys, Rod Little
The University of Michigan Department of Biostatistics Working Paper Series
A fundamental technique in survey sampling is to weight included units by the inverse of their probability of inclusion, which may be known (as in the case of sampling weights) or estimated (as in the case of nonresponse weights). The technique is closely associated with the design-based approach to survey inference, with the idea that units in the sample are representing a certain number of units in the population. I discuss weighting from a modeling perspective. Some common misconceptions of weighting will be addressed, including the idea that modelers can ignore the sampling weights, or that weighting necessarily reduces bias …
A Study Of The Sha-2 Cryptographic Hash Family, Somitra Kumar Sanadhya
A Study Of The Sha-2 Cryptographic Hash Family, Somitra Kumar Sanadhya
Doctoral Theses
This thesis presents a comprehensive study of collision attacks on the SHA-2 cryptographic hash family, focusing on both linearized and nonlinear differential techniques. We systematically analyze 9-round local collisions for the SHA-2 round function, identifying 16 new linearized local collisions with no conflicting conditions, improving upon the Gilbert-Handschuh local collision. Utilizing one of these, we develop an efficient algorithm to generate colliding message pairs for 18-round SHA-256, along with novel differential paths for 19–23 rounds using coding-theoretic methods.
Extending to nonlinear attacks, we provide a unified combinatorial framework for 9-round nonlinear local collisions, generalizing the Nikolić-Biryukov construction and introducing a …
A Berry-Esseen Theorem For Sample Quantiles Under Weak Dependence, S. N. Lahiri, Shuxia Sun
A Berry-Esseen Theorem For Sample Quantiles Under Weak Dependence, S. N. Lahiri, Shuxia Sun
Mathematics and Statistics Faculty Publications
This paper proves a Berry-Esseen theorem for sample quantiles of strongly-mixing random variables under a polynomial mixing rate. The rate of normal approximation is shown to be O(n-1/2) as n -> infinity, where n denotes the sample size. This result is in sharp contrast to the case of the sample mean of strongly-mixing random variables where the rate O(n-1/2) is not known even under an exponential strong mixing rate. The main result of the paper has applications in finance and econometrics as financial time series important data often are heavy-tailed and quantile …
Quantifying Uncertainty In Genotype Calls, Benilton Carvalho, Thomas A. Louis, Rafael A. Irizarry
Quantifying Uncertainty In Genotype Calls, Benilton Carvalho, Thomas A. Louis, Rafael A. Irizarry
Johns Hopkins University, Dept. of Biostatistics Working Papers
Genome-wide association studies (GWAS) are used to discover genes underlying complex, heritable disorders for which less powerful study designs have failed in the past. The number of GWAS has skyrocketed recently with findings reported in top journals and the mainstream media. Mircorarrays are the genotype calling technology of choice in GWAS as they permit exploration of more than a million single nucleotide polymorphisms (SNPs)simultaneously. The starting point for the statistical analyses used by GWAS, to determine association between loci and disease, are genotype calls (AA, AB, or BB). However, the raw data, microarray probe intensities, are heavily processed before arriving …
Sparse Linear Discriminant Analysis For Simultaneous Testing For The Significance Of A Gene Set/Pathway And Gene Selection, Michael C. Wu, Lingson Zhang, Zhaoxi Wang, David C. Christiani, Xihong Lin
Sparse Linear Discriminant Analysis For Simultaneous Testing For The Significance Of A Gene Set/Pathway And Gene Selection, Michael C. Wu, Lingson Zhang, Zhaoxi Wang, David C. Christiani, Xihong Lin
Harvard University Biostatistics Working Paper Series
No abstract provided.
Are Animal Models Predictive For Humans?, Niall Shanks, Ray Greek, Jean Greek
Are Animal Models Predictive For Humans?, Niall Shanks, Ray Greek, Jean Greek
Validation of Animal Experimentation Collection
It is one of the central aims of the philosophy of science to elucidate the meanings of scientific terms and also to think critically about their application. The focus of this essay is the scientific term predict and whether there is credible evidence that animal models, especially in toxicology and pathophysiology, can be used to predict human outcomes. Whether animals can be used to predict human response to drugs and other chemicals is apparently a contentious issue. However, when one empirically analyzes animal models using scientific tools they fall far short of being able to predict human responses. This is …
Reliability Confidence Intervals For Oil Spills In The Gulf Of Mexico, William V. Harper, Thomas R. James, Ted G. Eschenbach
Reliability Confidence Intervals For Oil Spills In The Gulf Of Mexico, William V. Harper, Thomas R. James, Ted G. Eschenbach
Mathematics Faculty Scholarship
An extensive study [Eschenbach and Harper (2006)] of offshore oil spills in the Gulf of Mexico with extensions to the northern seas of Alaska involved the estimation of the likelihood of oil spill volumes in the Gulf of Mexico for both pipeline and platform spills. This paper develops both maximum likelihood based reliability and percentile confidence intervals for the 3- parameter Weibull distribution. The statistical aspects are discussed along with applications of developed Excel VBA functions. The Excel routines are available free on the web at http://faculty.otterbein.edu/WHarper/. The functions are illustrated with Gulf of Mexico oil spill data.
Effect Of Dlk1 And Rtl1 But Not Meg3 Or Meg8 On Muscle Gene Expression In Callipyge Lambs, Jolena N. Fleming-Waddell, Gayla R. Olbricht, Tasia M. Taxis, Jason D. White, Tony Vuocolo, Bruce A. Craig, Ross L. Tellam, Mike K. Neary, Noelle E. Cockett, Christopher A. Bidwell
Effect Of Dlk1 And Rtl1 But Not Meg3 Or Meg8 On Muscle Gene Expression In Callipyge Lambs, Jolena N. Fleming-Waddell, Gayla R. Olbricht, Tasia M. Taxis, Jason D. White, Tony Vuocolo, Bruce A. Craig, Ross L. Tellam, Mike K. Neary, Noelle E. Cockett, Christopher A. Bidwell
Mathematics and Statistics Faculty Research & Creative Works
Callipyge sheep exhibit extreme postnatal muscle hypertrophy in the loin and hindquarters as a result of a single nucleotide polymorphism (SNP) in the imprinted DLK1-DIO3 domain on ovine chromosome 18. The callipyge SNP up-regulates the expression of surrounding transcripts when inherited in cis without altering their allele-specific imprinting status. The callipyge phenotype exhibits polar overdominant inheritance since only paternal heterozygous animals have muscle hypertrophy. Two studies were conducted profiling gene expression in lamb muscles to determine the down-stream effects of over-expression of paternal allele-specific DLK1 and RTL1 as well as maternal allele-specific MEG3, RTL1AS and MEG8, using Affymetrix bovine expression …
A Finite Element Splitting Extrapolation For Second Order Hyperbolic Equations, Xiaoming He, Tao Lü
A Finite Element Splitting Extrapolation For Second Order Hyperbolic Equations, Xiaoming He, Tao Lü
Mathematics and Statistics Faculty Research & Creative Works
Splitting extrapolation is an efficient technique for solving large scale scientific and engineering problems in parallel. This article discusses a finite element splitting extrapolation for second order hyperbolic equations with time-dependent coefficients. This method possesses a higher degree of parallelism, less computational complexity, and more flexibility than Richardson extrapolation while achieving the same accuracy. By means of domain decomposition and isoparametric mapping, some grid parameters are chosen according to the problem. The multiparameter asymptotic expansion of the d-quadratic finite element error is also established. The splitting extrapolation formulas are developed from this expansion. An approximation with higher accuracy on a …
Reliability Goodness Of Fit For Oil Spills In The Gulf Of Mexico, William V. Harper, Thomas R. James, Ted G. Eschenbach
Reliability Goodness Of Fit For Oil Spills In The Gulf Of Mexico, William V. Harper, Thomas R. James, Ted G. Eschenbach
Mathematics Faculty Scholarship
Eschenbach and Harper (2006) analyzed offshore oil spills in the Gulf of Mexico with extensions to the northern seas of Alaska. This involved multiple methods including assessing what statistical distribution adequately fits the data. Empirical distribution function (EDF) statistical procedures are powerful goodness of fit tests and also provide for good visual assessments. The most powerful of the current EDF methods is the Anderson-Darling test. This paper focuses on the Anderson-Darling EDF goodness of fit procedure for both the two and three parameter Weibull distribution that is often used in reliability analysis. Excel VBA code has been developed to compute …
Understanding The Physical Properties That Control Protein Crystallization By Analysis Of Largescale Experimental Data, W. Nicholson Price Ii, Yang Chen, Samuel K. Handelman, Helen Neely, Philip Manor, Richard Karlin, Rajesh Nair, Jinfeng Liu, Michael Baran, John Everett, Saichiu N. Tong, Farhad Forouhar, Swarup S. Swaminathan, Thomas Acton, Rong Xiao, Joseph R. Luft, Angela Lauricella, George T. Detitta, Burkhard Rost, Gaetano T. Montelione, John T. Hunt
Understanding The Physical Properties That Control Protein Crystallization By Analysis Of Largescale Experimental Data, W. Nicholson Price Ii, Yang Chen, Samuel K. Handelman, Helen Neely, Philip Manor, Richard Karlin, Rajesh Nair, Jinfeng Liu, Michael Baran, John Everett, Saichiu N. Tong, Farhad Forouhar, Swarup S. Swaminathan, Thomas Acton, Rong Xiao, Joseph R. Luft, Angela Lauricella, George T. Detitta, Burkhard Rost, Gaetano T. Montelione, John T. Hunt
Law Faculty Scholarship
Crystallization is the most serious bottleneck in high-throughput protein-structure determination by diffraction methods. We have used data mining of the large-scale experimental results of the Northeast Structural Genomics Consortium and experimental folding studies to characterize the biophysical properties that control protein crystallization. This analysis leads to the conclusion that crystallization propensity depends primarily on the prevalence of well-ordered surface epitopes capable of mediating interprotein interactions and is not strongly influenced by overall thermodynamic stability. We identify specific sequence features that correlate with crystallization propensity and that can be used to estimate the crystallization probability of a given construct. Analyses of …
Temporomandibular Joint Loads In Subjects With And Without Disc Displacement, Laura R. Iwasaki, Michael J. Crosby, Yoly Gonzalez, Willard D. Mccall, David B. Marx, Richard Ohrbach, Jeffrey C. Nickel
Temporomandibular Joint Loads In Subjects With And Without Disc Displacement, Laura R. Iwasaki, Michael J. Crosby, Yoly Gonzalez, Willard D. Mccall, David B. Marx, Richard Ohrbach, Jeffrey C. Nickel
Department of Statistics: Faculty Publications
The likelihood of development of degenerative joint disease (DJD) of the temporomandibular joint (TMJ) is related to the integrity of the TMJ disc. Predilection for mechanical failure of the TMJ disc may reflect inter-individual differences in TMJ loads. Nine females and eight males in each of normal TMJ disc position and bilateral disc displacement diagnostic groups consented to participate in our study. Disc position was determined by bilateral magnetic resonance images of the joints. Three-dimensional (3D) anatomical geometry of each subject was used in a validated computer-assisted numerical model to calculate ipsilateral and contralateral TMJ loads for a range of …
Temporomandibular Joint Loads In Subjects With And Without Disc Displacement, Laura R. Iwasaki, Michael J. Crosby, Yoly Gonzalez, Willard D. Mccall, David B. Marx, Richard Ohrbach, Jeffrey C. Nickel
Temporomandibular Joint Loads In Subjects With And Without Disc Displacement, Laura R. Iwasaki, Michael J. Crosby, Yoly Gonzalez, Willard D. Mccall, David B. Marx, Richard Ohrbach, Jeffrey C. Nickel
Department of Statistics: Faculty Publications
The likelihood of development of degenerative joint disease (DJD) of the temporomandibular joint (TMJ) is related to the integrity of the TMJ disc. Predilection for mechanical failure of the TMJ disc may reflect inter-individual differences in TMJ loads. Nine females and eight males in each of normal TMJ disc position and bilateral disc displacement diagnostic groups consented to participate in our study. Disc position was determined by bilateral magnetic resonance images of the joints. Three-dimensional (3D) anatomical geometry of each subject was used in a validated computer-assisted numerical model to calculate ipsilateral and contralateral TMJ loads for a range of …
Comments On "Getting Scarred And Winning Lotteries: Effects Of Exemplar Cuing And Statistical Format On Imagining Low-Probability Events," By Newell, Mitchell, And Hayes (2008), Jonathan Koehler, Laura Macchi
Comments On "Getting Scarred And Winning Lotteries: Effects Of Exemplar Cuing And Statistical Format On Imagining Low-Probability Events," By Newell, Mitchell, And Hayes (2008), Jonathan Koehler, Laura Macchi
Faculty Working Papers
Newell, Mitchell, and Hayes (NMH) conduct three experiments designed to test whether exemplar cuing (EC) theory or a statistical format theory provides a more accurate account for how people make judgments about low-probability events. They report finding support for the statistical format theory and little or no support for EC. However, NMH misstate the requirements for the production of exemplars in EC theory. As a result, they confuse non-exemplar conditions with exemplar conditions in their experiments, and find results that are virtually irrelevant to EC theory.
Why Study Applied/Agricultural Economics, Matt Bogard
Why Study Applied/Agricultural Economics, Matt Bogard
Agriculture Department Seminar Series
Agricultural Economics is a very applied field covering many topics beyond those stereotypically thought of as pertaining to agriculture. These may include finance and risk management, environmental and natural resource economics, game theory, or public policy analysis to name a few.
A Plotless Density Estimator Based On The Asymptotic Limit Of Ordered Distance Estimation Values, Barry Kronenfeld
A Plotless Density Estimator Based On The Asymptotic Limit Of Ordered Distance Estimation Values, Barry Kronenfeld
Faculty Research and Creative Activity
Estimation of tree density from point-tree distances is an attractive option for quick inventory of new sites, but estimators that are unbiased in clustered and dispersed situations have not been found. Noting that bias of an estimator derived from distances to the kth nearest neighbor from a random point tends to decrease with increasing k, a method is proposed for estimating the limit of an asymptotic function through a set of ordered distance estimators. A standard asymptotic model is derived from the limiting case of a clustered distribution. The proposed estimator is evaluated against 13 types of simulated generating processes, …
A Plotless Density Estimator Based On The Asymptotic Limit Of Ordered Distance Estimation Values, Barry J. Kronenfeld
A Plotless Density Estimator Based On The Asymptotic Limit Of Ordered Distance Estimation Values, Barry J. Kronenfeld
Faculty Research and Creative Activity
Estimation of tree density from point-tree distances is an attractive option for quick inventory of new sites, but estimators that are unbiased in clustered and dispersed situations have not been found. Noting that bias of an estimator derived from distances to the kth nearest neighbor from a random point tends to decrease with increasing k, a method is proposed for estimating the limit of an asymptotic function through a set of ordered distance estimators. A standard asymptotic model is derived from the limiting case of a clustered distribution. The proposed estimator is evaluated against 13 types of simulated generating processes, …
The Validity Of Animal Experiments In Medical Research, Gill Langley
The Validity Of Animal Experiments In Medical Research, Gill Langley
Experimentation Collection
Other animals, such as mice, rats, rabbits, dogs and monkeys, are widely used as surrogates for humans in fundamental medical research. This involves creating disorders in animals by chemical, surgical or genetic means, with the aim of mimicking selected aspects of human illnesses.
It is a truism that any model or surrogate is not identical to the target being modelled. So, in medical research, experiments using animals or cell cultures or even healthy volunteers instead of patients (being the target population with the target illness) will inevitably have limitations, although these will be greater or lesser depending on the model.
The Minimization Of Research Animal Distress And Pain: Conclusions And Recommendations, Kathleen Conlee, Martin Stephens, Andrew N. Rowan
The Minimization Of Research Animal Distress And Pain: Conclusions And Recommendations, Kathleen Conlee, Martin Stephens, Andrew N. Rowan
Laboratory Experiments Collection
While the attention given to preventing, assessing, and alleviating pain in research animals has increased noticeably in recent decades, much remains to be done both in terms of implementing best practices and conducting studies to answer outstanding questions. In contrast, the attention to distress (particularly non-pain induced distress) has shown no comparable increase. There are many reasons for this discrepancy, including the conceptual untidiness of the distress concept, the paucity of pharmacological treatments for distress, and perceived lack of regulatory emphasis on distress. These are challenges that need to be addressed and overcome. This book is intended to help meet …