Unlabelled: Sample-based preclinical drug efficacy studies compare frequency (proportion) or incidences of successes within respective samples of test and control groups. The word success in principle refers to a protected (e.g., due to vaccination), recovered, or surviving animal, depending on the particular experiment. We introduce here a modified t-test for two independent groups, aimed at statistical analysis of the difference between frequencies of successes in sample based preclinical studies. The test is applicable whenever the study is based on repeating replicate experiments, as required by certain procedures such as validation. Such experiments are based on constant drug dose and performed under identical conditions and protocol. The proposed test combines the computational rules of t-test for two independent groups and analysis of variance. In the initial steps, incidences are transformed to proportions, and variance between proportions in samples of the j(th) group (s(p(j))(2)), is then transformed into theoretical weighted variance within the i(th) repetition (sample) of the j(th) group (s(i,j)(2)). The variance of proportions in samples of the size of the whole group (SE(j)(2)) is then calculated. The t-statistic is computed according to the rules of t-test for two independent groups. Significance is calculated using (N(1) - 1) + (N(2) - 1) degrees of freedom, where N(j) denotes the total number of animals in the j(th) group. The proposed model offers an important advantage over incidence or proportion distribution models, such as chi-square or normal approximation of binomial distribution, respectively, because it considers variance between replicate experiments. It moreover offers important flexibility by limiting the requirement for identical sample sizes only to samples within the control or test group. A difference between groups in sample sizes, number of samples, or both, preventing application of block designs or the standard formats of t-test, may still exist. Theoretical considerations and working examples are provided.
Lay Abstract: Sample based preclinical drug efficacy studies compare frequency (proportion) or incidences of successful results (e.g., protected, recovered, or surviving animals, depending on the particular experiment) within respective samples of the test and the control groups. Certain procedures, such as validation, require replicate experiments that are identical in all controllable factors, such as drug dose, sample sizes within each group, general experimental conditions, etc. Still, the control sample size is not required to be identical to that of the respective test sample size. In such cases, t-test or block designs are not applicable for statistical analyses. Moreover, incidence or frequency distribution models, such as chi-square or normal approximation of binomial distribution, respectively, which are performed on pooled data of the examined groups, ignore variance between experiments and thereby result in impaired validity of the statistical inference. We propose here a modified t-test that limits the requirement for identical sample sizes to only within each group. This aim is achieved by combining the computational rules of t-test together with analysis of variance. The proposed t-test allows the incorporating of variance between experiments into frequency or incidence assessments. We recommend using the proposed modified t-test as a complementary test to incidence distribution models.
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http://dx.doi.org/10.5731/pdajpst.2013.00903 | DOI Listing |
Aesthetic Plast Surg
January 2025
Department of Wound Repair, The Second Affiliated Hospital of Hunan University of Chinese Medicine, Changsha City, Hunan Province, P.R. China.
Background: Upper eyelid ptosis is a common aesthetic concern among Asian patients, resulting in a tired and drowsy appearance that affects their attractiveness. The levator advancement technique is widely used for ptosis correction; however, achieving precise results remains challenging.
Objectives: This study introduces a modified approach to improve the accuracy of levator aponeurosis advancement by focusing on precise measurements and anterior displacement within a defined corneal range.
Orthop Surg
January 2025
Division of Orthopaedics and Traumatology, Department of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Objectives: Treating femoral neck fractures remains a significant challenge for orthopedic surgeons and imposes a substantial economic burden on developing regions. Current novel internal fixation methods demonstrate excellent biomechanical performance. However, these new internal fixation methods are still associated with various complications.
View Article and Find Full Text PDFBMC Med Educ
January 2025
Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Venusberg Campus 1, Bonn, 53127, Germany.
Introduction: The technical development of ultrasound devices based on silicon chips has revolutionized ultrasound examinations, leading to the implementation of these portable handheld devices (PUD) in different medical fields. However, training on these devices is necessary to assure appropriate use and ensure valid results. While training programs for the use of conventional standard ultrasound devices (SUD) have been described, no training program for these handheld devices has been developed thus far.
View Article and Find Full Text PDFClin Orthop Relat Res
January 2025
Department of Orthopedics, First Affiliated Hospital of Xinjiang Medical University, Urumqi, PR China.
Background: Bacteremia is sometimes observed in patients with prosthetic joint infection (PJI), and it is associated with a lower likelihood of infection control. However, the prevalence and association of bacteremia in chronic PJI remain unknown.
Questions/purposes: (1) What percentage of patients are diagnosed with bacteremia at the time of hospital admission and before surgery for chronic PJI? (2) What clinical factors are associated with positive blood cultures? (3) To what degree are positive blood cultures associated with infection-free implant survival in patients with chronic PJI?
Methods: This prospective study was conducted at a single academic institution from June 2021 to August 2022.
JMIR Aging
January 2025
Institute of Mathematics and Computer Sciences, University of São Paulo, São Carlos SP, Brazil.
Background: The prevalence of stroke is high in both males and females, and it rises with age. Stroke often leads to sensor and motor issues, such as hemiparesis affecting one side of the body. Poststroke patients require torso stabilization exercises, but maintaining proper posture can be challenging due to their condition.
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