Biostatistics Commons^™

The Relationship Of Dietary And Lifestyle Factors To Bone Mineral Density Of Healthy Singaporean Chinese Women, Ampai Dana Aimsiri

Loma Linda University Electronic Theses, Dissertations & Projects

Few studies have examined the risk factors associated with reduced bone mass in Asians, but none specifically investigated Singaporean Chinese women. The subjects in this study were 16 premenopausal, 8 perimenopausal and 13 postmenopausal women who participated in a larger study which began in 1986. Bone density was measured in 1986 and 1992. Dietary and lifestyle data were collected for this study by personal interview. Association between dietary and lifestyle factors and bone density variables and change in bone density at the end of the 6 year period were assessed by univariate regression analyses.

Postmenopausal women had significantly lower baseline …

An Empirical Study Of Small-Area Variation For Icd-9 Surgical Procedures, Paula Diehr, Kevin Cain, Zhan Ye, John Loeser

UW Biostatistics Working Paper Series

Objective. Several measures of variation have been used in SAVA. One study of DRGs found that the coefficient of variation from analysis of variance (CVA) had superior performance. That work is replicated here for ICD-9 surgical procedures, and extended to age/sex-standardized rates. Results are compared with those in the literature, and recommendations are made for assessing small-area variation in future studies.

Data Sources. Data were taken from Washington State's "Episode of Illness" file of hospital discharges in the State in 1987. Up to three ICD-9 surgical procedures and a unique patient identifier were available for each discharge.

Study Design. We …

Methods For The Comparison Of Timing Behavior Applied To The Pink Salmon Fisheries Of Prince William Sound, Alaska, Louis J. Rugolo

OES Theses and Dissertations

Harvest control in salmonid fisheries was examined as a problem in the formulation of regulations which restrict time and area of fishing. An ability to rigorously define and compare the form of the progression of migration across time and between harvest areas was judged fundamental to objective harvest decisions. Identification and evaluation of statistical methods appropriate to the comparison of empirical migratory time densities was performed.

The development of the measure of central tendency (mean date) of the time density as the consistent, unbiased estimator of migratory behavior was given. Practical evidence demonstrated that the mean date was highly resistant …

The Standardized Influence Matrix And Its Applications To Generalized Linear Models, Jiandong Lu

Theses and Dissertations

The standardized influence matrix is a generalization of the standardized influence function and Cook’s approach to local influence. It provides a general and unified approach to judge the suitability of statistical inference based on parametric models. It characterizes the local influence of data deviations from parametric models on various estimators, including generalized linear models. Its use for both robustness measures and diagnostic procedures has been studied. With global robust estimators, diagnostic statistics are proposed and shown to be useful in detecting influential points for linear regression and logistic regression models. Robustness of various estimators is compared via. the standardized influence …

Breaking The Matches In A Paired T-Test For Community Interventions When The Number Of Pairs Is Small, Paula Diehr, Don C. Martin, Thomas D. Koepsell, Allen D. Cheadle

UW Biostatistics Working Paper Series

There is considerable interest in community interventions for health promotion, where the community is the experimental unit. Because such interventions are expensive, the number of experimental units (communities) is usually small. Because of the small number of communities involved, investigators often match treatment and control communities on demographic variables before randomization to minimize the possibility of a bad split. Unfortunately, matching has been shown to decrease the power of the design when the number of pairs is small, unless the matching variable is very highly correlated with the outcome variable (in this case, with change in the health behavior). We …

The Multiple Admission Factor (Maf) In Small Area Variation Analysis, Kevin Cain, Paula Diehr

UW Biostatistics Working Paper Series

Small area variation analysis are often based on area-level data such as the total number of hospital admissions within an area, rather than person-level data. Such analysis often make the assumption that the number of admissions within a small area follow a Poisson distribution. This may not be a reasonable assumption when multiple admissions per person are possible. In this case, the multiple admission factor (MAF) can be used to adjust for the extra variance introduced by multiple admissions. In this article, data from Washington State are used to estimate the multiple admission rate and the MAF for each modifed …

Condylar Angulations As Related To Submental-Vertex Radiographs, Jady L. Chiakowsky

Loma Linda University Electronic Theses, Dissertations & Projects

Pretreatment submental-vertex radiographs were obtained for 637 adolescent patients (307 males, 330 females) who had presented themselves for orthodontic treatment. The purpose of this study was to: (1) determine the relationship between condylar angulations and depth of cut with the variables: age, sex, and race, and (2) establish normative values for the categories studied. The results indicated that no significant differences existed between the condylar angulations for the variables measured. However, significant differences did exist between the depth of cut for the variables measured and there was significant interaction between age and race with respect to the depth of cut. …

Missing Data In Repeated Measurement Studies, Kejian Niu

Theses and Dissertations

Repeated measurement data or longitudinal data occur often in statistical applications. For example, in a clinical trial comparing the efficacy of a new treatment with that of a standard treatment, rather than measuring the main response variable only once on each patient, or subject, we can take several measurements over time on each subject.

A Repeated measurement study differs from a longitudinal study. The latter generally refers to any study in which one or more response variables are repeatedly measured over time. The former usually imposes some restrictions on the data. One common restriction is that each response variable must …

A Flow Cytometric Analysis Of Immunocyte Populations In Peripheral Blood And Pleural Effusions Of Patients With Cancer, Mandy L. Bohn

Loma Linda University Electronic Theses, Dissertations & Projects

Two-color flow cytometric analysis was performed on paired samples of peripheral blood (PB) and pleural effusions (PE) of patients with metastatic malignancies. The purpose of these analyses was to test the hypothesis that there are significant differences in the distribution of immunocyte populations in the PE compared to that of the PB.

The majority of the pleural fluid immunocytes were CD3+ cells. The ratio of CD4+ to CD8+ cells was higher in the PE compared to PB. Levels of CD8+, CD19+ and CD14+ cells were not significantly different in the PE compared to the levels in the PB. CD16+CD56+ cells …

Classification Of Newborns Based On Maturity Rating And Intrauterine Growth At The Medical College Of Virginia Hospitals, Lydia Holmes Sund

Theses and Dissertations

Nurses at the Medical College of Virginia Hospitals (MCVH) in Richmond, Virginia, use the Newborn Maturity Rating and Classification Tool to identify high risk infants. An estimate of gestational age is made and using this estimate, weight, length, and head circumference measurements are plotted on graphs on the tool to determine if the infant achieves intrauterine growth smaller, larger or equal to gestational age.

The data used to generate the graphs on the Newborn Maturity Rating and Classification Tool were collected in Colorado during the 1950's. Two nurses at MCVH questioned the use of these graphs. They wanted to know …

Regression Models For Bivariate Binary Responses, Juni Palmgren

UW Biostatistics Working Paper Series

We discuss maximum likelihood inference for the bivariate logistic model, specified in terms of the marginal logits and the log odds ratio. Using the exponential family nonlinear model formulation the model fitting can be done in GLIM. The procedure is illustrated by modelling survival of unilateral and bilateral total hip arthroplasties as function of patient specific and hip specific covariates. We compare maximum likelihood inference with inference obtained from solving likelihood equations under the assumption of within block independence and using robust standard errors for the estimates. Simulations indicate that the latter procedure is effcient for block specific covariates but …

Effect Of Photoperiod On Developmental Morphology And Enolase Isoenzyme Immunohistochemistry In Rat And Djungarian Hamster Superficial Pineal Glands, Chalmer D. Mcclure

Loma Linda University Electronic Theses, Dissertations & Projects

The best understood functional activity of the pineal gland is its diurnal production of melatonin in response to environmental lighting cues. Several enzymes of the melatonin pathway respond to daily photoperiod changes, for example hydroxyindole-O-methyltransferase (HIOMT) and serotonin N-acetyltransferase (SNAT). Increased levels of the glycolytic enzyme neuron-specific enolase (NSE) are thought to reflect increased physiological demands placed on neurons and neuroendocrine tissues. Homodimer non-neuronal enolase isoenzyme (NNE) is immunolocalized to cells, and the hybrid enolase (consisting of subunits from NSE and NNE) has been seen in cerebellar stellate and basket cells. Although not rate limiting, concentrations of both NSE and …

Mathematical Models Of Prevascular Tumor Growth By Diffusion, Sophia A. Maggelakis

Mathematics & Statistics Theses & Dissertations

A study of several complementary mathematical models that describe the early, prevascular stages of solid tumor growth by diffusion under various simplifying assumptions is presented. The advantage of these models is that their degree of complexity is relatively low, which ensures fairly straightforward comparisons with experimental or clinical data (as it becomes available), yet they are mathematically sophisticated enough to capture the main biological phenomena of interest.

The tumor growth and cell proliferation rate are assumed to depend on the local concentrations of nutrients and inhibitory factors. The effects of geometry and spatially non-uniform inhibitor production and non-uniform nutrient consumption …

Decreased Triiodothyronine Binding To The Hepatic Nuclear Thyroid Hormone Receptor In The Diabetic Mouse, Thomas J. Dewind

Loma Linda University Electronic Theses, Dissertations & Projects

The diabetic C57BL/KsJ-db m mouse has abnormal thyroid hormone levels and indications of thyroid hormone resistance. To investigate the basis of these abnormalities, the hepatic nuclear thyroid hormone receptor was extracted with 0.4 M KCl, 1.1 mM MgCl₂, 20 mM Tris/HCl, pH 7.9 from hepatocyte nuclei of normal C57BL/KsJ, heterozygous C57BL/KsJ-db m (db/m), and diabetic C57BL/KsJ-db m (db/db) mice. Normal and heterozygous mice were grouped together as the controls. Triiodothyronine (T₃) binding studies at 4°C using nitrocellulose filtration to separate free T₃ from receptor bound T₃ demonstrated an …

Time Delayed Protein Complementation, Diana L. Lakusta

Loma Linda University Electronic Theses, Dissertations & Projects

The time delayed complementation of plant proteins was tested in weanling Sprague-Dawley male rats by measuring growth rates as well as plasma and tissue free amino acids. Diets of pinto beans with rice, corn or wheat were pair-fed in combination or alternating 4 times a day at 6 and 11 am, and 4 and 9 pm for 4 weeks. Plasma, liver and muscle samples were obtained 2 hours postprandial, a time determined most suitable for sacrifice, and analyzed for free amino acids via ion-exchange chromatography. There were no significant differences in growth of rats fed combination or alternating diets.during week …

False Positive Rates Encountered In The Detection Of Changes In Periodontal Attachment Level, John C. Gunsolley

Theses and Dissertations

This thesis demonstrates that the assumption of normality used by Goodson results in the underestimation of the type I error rate of the tolerance method by a factor of 10. This underestimation is due to the positive kurtosis demonstrated in the distribution of replicate differences. Therefore, the assumption of normality does not seem warranted. It is shown here that a resampling technique more accurately estimates the type I error rate.

The estimates of false positive rates have important implications in the field of periodontics. When diagnostic decisions are based on single measurements, false positive rates are high. Even when thresholds …

The Effect Of Dietary Fat Level On Tumor Development And Immunity In Balb/C Mice Fed Casein Of Wheat Gluten As Protein And Challenged With Herpes Type 2-Transformed Cells, Helen Drakou

Loma Linda University Electronic Theses, Dissertations & Projects

A high percentage of fat in the diet has been implicated through epidemiological studies in several human cancers. Studies in experimental animals have produced evidence that increasing the fat in the diet decreases the animal’s ability to restrict tumor development and growth. In previous work done in this laboratory with BALB/c mice injected with herpes simplex Type 2-transformed mouse cells (H238), the effects of a diet which greatly enhanced tumor growth was compared with one which restricted tumor growth. The latter, a low (5%) fat, low protein diet, in which the protein was casein, was also found to produce a …

A Sensitivity Analysis Of The Coefficients For The Transformation Of The Electrocardiographic Orthogonal Three-Lead System (Frank) To The Standard Twelve-Lead System, Rasa Ona Draugelis

Loma Linda University Electronic Theses, Dissertations & Projects

The SENSITIVITY ANALYSIS is performed on the transformation coefficients of the Frank XYZ signals generating standard 12-lead ECG with respect to diagnosis. The analysis is adapted for the individual waveform and per each lead. The disease/abnormality categories are described in terms of discrete pattern classes based on criteria used by Marquette Electronics, Inc. The nonlinear global sensitivity analysis method developed by Shuler, et al, is selected for this project. The diagnostic change in the waveform is denoted by a distance measurement from the pattern class boundary corresponding to the best-experimental coefficient estimates (Dower coefficients) to the alternate coefficient specification measurement …

Chronic Respiratory Disease Symptom Effects Of Long-Term Cumulative Exposure To Passive Tobacco Smoke And To Ambient Levels Of Tsp, Oxidants, So2, And No2 In Southern California, Gary L. Euler

Loma Linda University Electronic Theses, Dissertations & Projects

To assess risk of chronic respiratory disease symptoms due to long-term exposure to the ambient levels of TSP, oxidants, SO2 and NO2 in photochemical air pollution, symptoms were ascertained using NHLBI questions on 8,572 Southern California Seventh-day Adventist, nonsmokers, 25 years and older, who lived eleven years or longer in their 1977 residential area. Tobacco smoke, active and passive, and occupational exposures were measured by questionnaires, as well as lifestyle characteristics relative to pollution exposure such as time spent outside and residence history. A pulmonary function feasibility study was done on a subsample of 86 women 50-64 years of age …

An Intraseason Forecasting System For Commercial Marine Fisheries, Erik J. Barth

OES Theses and Dissertations

The reliability of an intraseason yield estimation technique which is commonly used by Pacific salmon harvest managers is evaluated for applicability to a variety of commercial finfish and crustacean fisheries. The estimation technique is known as the average timing or the average performance model. The method is not easily related to standard statistical models, but does show some similarity to both a single parameter linear regression model and the ratio estimator of sampling theory. A comparison of these models, a two parameter linear model, and a regression estimator is made to determine if the precision of forecasts of performance can …

Sources Of Nosocomial Infections In Immunocompromised Patients (Letter), B. Burt Gerstman

Faculty Publications

No abstract provided.

The Effect Of Hypercholesterolemia On The Membrane Lipids, 3-0-[¹⁴C] Methylglucose Transport, And 2,3-Diphosphoglycerate Levels In Rat Erythrocytes, Edwin J. Lester Jr.

Loma Linda University Electronic Theses, Dissertations & Projects

An increase in dietary cholesterol and cholic acid will produce hypercholesterolemia in rats. For ten months, two groups of rats (six in each group) were fed commercial rat pellets (control group) or rat pellets plus cholesterol (1%) and cholic acid (0.25%) (experimental group). A blood sample from each animal was divided into three aliquots for three separate experiments on the erythrocytes: a membrane cholesterol and phospholipid determination, a 3-0-[¹⁴C] methylglucose (30MG) transport determination, and a 2,3-diphosphoglycerate (2,3 DPG) determination. The 30MG transport and 2,3 DPG aliquots were each incubated in the same five concentrations of 30MG and glucose …

Sample Size Calculations And Optimal Followup Time In Health Services Research Using Utilization Rates, Paula Diehr

UW Biostatistics Working Paper Series

It is not always possible to estimate the sample sizes needed in health services research because special formulas are needed, and the necessary data may not be available to use in the formulas. We provide some useful formulas for the sample size required in comparing the means of two groups. These include the special case where the two groups are not of equal size either because one is known to have a higher variability or because one group has already been chosen and its size is thus fixed. We also explore the relationship of the mean to the standard deviation …

Review Of Prognostic Factors For Esophageal Voice, Christine G. Bravos

Loma Linda University Electronic Theses, Dissertations & Projects

Plan A of this study was completed. Plan B of the study is the subject for future research. A review of the laryngectomy literature, from the earliest mention of the laryngectomy surgical procedure to the present was conducted; with specific emphasis upon factors pertinent to laryngectomee rehabilitation and esophageal speech development. Psychological, idiosyncratic, social, therapeutic and physiological factors were reported as affecting esophageal voice development. There were a great diversity of variables that might be predictive in judging acquisition of esophageal voice. However, much of the information regarding predictive variables was based on subjective reports, poorly controlled statistical research, or …

Statistical Measures For Admission Rates, Paula Diehr

UW Biostatistics Working Paper Series

Hospital admission rates are often shown and interpreted without consideration of their inherent variability, which may lead to faulty conclusions. This may be because theoretically correct variance estimates are not known for the type of estimates usually used; i.e., total admissions divided by total person-months of observation. Here, correct methods for testing and estimation are shown for situations where they exist. For other types of data, approximate procedures are proposed and their properties examined theoretically and empirically, yielding recommendations for exact and approximate estimation and testing methods for admission rates in common situations.

Leaf Litter Processing In Aquatic Systems Two Variable Model, Boyd Jay Hanson

Theses and Dissertations

The adequacy of the negative exponential model with one independent variable, days or accumulated time, as a descriptive equation for aquatic leaf litter processing was examined. The effect of adding a second independent variable, degree days or accumulated temperature, to the model was also examined. The two variable negative exponential model was shown to have at least two advantages over the single variable model. The two variable model adequately fits litter processing data for more cases than the single variable model. The expanded model also allows determination of rate coefficients for various temperature levels of the experiment rather than assuming …

Models For Estimating Psychiatric Bed Needs, Patricia A. Brenneman

Loma Linda University Electronic Theses, Dissertations & Projects

Inland Counties Comprehensive Health Planning Council wished to estimate the psychiatric bed needs by type (such as state hospitals, board and care homes, etc.) in San Bernardino County from the distributions of patient arrivals and of lengths of stay. A statistical description of the system during 1973 was considered the first step toward estimating future bed needs. A computer simulation model using IBM's programming language General Purpose Simulation System (GPSS) was developed and was found to be unsatisfactory.

Theorems were then developed for a statistical model, seeking to predict future bed needs. The most convenient of these theorems states that …

Exploration Of The Incidence Of Identified Emotional Disorders In Selected General Hospitals Of Nebraska, Arlene M. Van Horn

Loma Linda University Electronic Theses, Dissertations & Projects

A descriptive-comparative survey using content analysis of medical records has been done to determine the frequency with which emotional disorders are identified by medical personnel in the population hospitalized in small general hospitals in north-central Nebraska.

A systematic, random sample of medical records was taken from two hospitals arbitrarily included in the study on the basis of bed capacity and distance from mental health facilities.

Each medical record that was reviewed has been placed in a category based on whether an emotional disorder was identified in it by the medical personnel, or whether it contained recorded behaviors that could indicate …

Leadership Techniques In Groups With Chronic Schizophrenics, Judith L. Jensen, Leona W. Mcgrew

Loma Linda University Electronic Theses, Dissertations & Projects

The study was designed to assess the level of anxiety experienced by chronic schizophrenic patients when two different methods of leadership were used in group therapy. A search of literature revealed suggestions for modification of leadership approach due to the tenuous anxiety tolerance of chronic schizophrenics but no studies were found directly related to the amount of anxiety resulting from different leadership approaches.

A structured group in which the leader maintained a directive role was compared with a nonstructured group in which the leader maintained a nondirective role in the group process. The randomized sample included five male and five …

A Community Health Nursing Care Plan, Gayle Clark

Loma Linda University Electronic Theses, Dissertations & Projects

Structured nursing care plans are recognized tools in the effective utilization of the nursing process. Community health nursing services have not commonly used structured nursing care plans. The purpose of this study was to improve the management of patient problems through the deliberate use of the nursing process by providing the public health nurse with a structured nursing care plan. A plan was developed which consisted of a nursing history outline, a plan for action tool, and an evaluation form.

The nursing problem of milk anemia was selected to be managed by public health nurses in the study. Six nurses …