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Sensitivity analysis of a two-dimensional probabilistic risk assessment model using analysis of variance.

This article demonstrates application of sensitivity analysis to risk assessment models with two-dimensional probabilistic frameworks that distinguish between variability and uncertainty. A microbial food safety process risk (MFSPR) model is used as a test bed. The process of identifying key controllable inputs and key sources of uncertainty using sensitivity analysis is challenged by typical characteristics of MFSPR models such as nonlinearity, thresholds, interactions, and categorical inputs. Among many available sensitivity analysis methods, analysis of variance (ANOVA) is evaluated in comparison to commonly used methods based on correlation coefficients. In a two-dimensional risk model, the identification of key controllable inputs that can be prioritized with respect to risk management is confounded by uncertainty. However, as shown here, ANOVA provided robust insights regarding controllable inputs most likely to lead to effective risk reduction despite uncertainty. ANOVA appropriately selected the top six important inputs, while correlation-based methods provided misleading insights. Bootstrap simulation is used to quantify uncertainty in ranks of inputs due to sampling error. For the selected sample size, differences in F values of 60% or more were associated with clear differences in rank order between inputs. Sensitivity analysis results identified inputs related to the storage of ground beef servings at home as the most important. Risk management recommendations are suggested in the form of a consumer advisory for better handling and storage practices.

Analysis of Variance↗

On the validity of blood flow measurement using colored microspheres.

The aim of this study was 1) to investigate the validity of repeated estimations of blood flow using colored microspheres (CMS) and 2) to develop and validate a method that permits four consecutive estimations in the same animal using nonradiolabeled microspheres (NRMS). Several mixtures of different types of microspheres were injected in dogs, with each mixture containing the radiolabeled microspheres (RMS; labeled with 113Sn) with either three CMS, four CMS, or three CMS and one type of fluorescent (crimson labeled) microsphere (FMS). The blood flows estimated with the use of any of the injected microspheres were compared with those measured using the RMS as the "gold standard." The results were analyzed by 1) regression analysis, 2) variance analysis (ANOVA I), and 3) estimation of the limits of agreement between RMS and NRMS flow rates. The results indicate that simultaneous estimations of blood flow obtained with the use of more than three CMS lack accuracy and reliability. A combination of three types of CMS with crimson-labeled FMS, however, offers the possibility to estimate consecutively four different flow rates in the same animal in an accurate way and with relatively high precision.

Analysis of Variance↗

A comparison of the response of storage phosphor and film radiography to small variations in X-ray exposure.

OBJECTIVES: To determine the response to small repeated variations in X-ray exposure of storage phosphor (SP) plates compared with Ektaspeed Plus dental film. METHODS: Exposure of SP plates and Ektaspeed Plus dental film was varied within a small range [8.62 microC kg-1 to 9.03 microC kg-1, (5%)]. Radiographs were digitized and SP plates read with a laser-based scanner. Nested analysis of variance, analysis of covariance, and regression analysis were used to test the relationship between exposure and the resulting signal. RESULTS: The relationship between exposure and signal for digital images of film radiographs was not significant whereas the corresponding relationship for SP images was highly significant (P < 0.001, R2 = 0.44). CONCLUSIONS: Over the narrow range of X-ray exposures studied there was a significant direct linear relationship between exposure and digital gray-scale values for SP images but not for digital images of Ektaspeed Plus films.

Analysis of Variance↗

Performance of older adults with and without cerebrovascular accident on the test of visual-perceptual skills.

OBJECTIVES: The purposes of this study were to (a) investigate whether older subjects with brain damage score lower on the Test of Visual-Perceptual Skills (TVPS) than control subjects without brain damage matched for age and education, (b) determine the demographic effects on test performance in both groups, and (c) determine the capacity of TVPS in identifying visual-perceptual deficits in adults with brain damage. METHOD: The study sample consisted of 22 subjects with cerebrovascular accident (CVA) and 155 subjects who were neurologically intact (control group). The TVPS was administered individually to each subject. Raw scores (total response time and accuracy) were analyzed to generate descriptive statistics. Other statistical analysis included analysis of variance, analysis of covariance, discriminant analysis, and Pearson product-moment correlations. RESULTS: There were significant between-group differences on all TVPS measures, with control subjects performing better than subjects with CVA. Age was shown to affect performance on most subtests of the TVPS in the control group. Education had significant influence over each measure, whereas gender differences were significant only in two subtests. No demographic effects were found in the group with CVA. The total TVPS accuracy score was the most powerful discriminator between the two groups, correctly classifying 74.4% of the subjects. Finally, the total accuracy score inversely correlated with total time score. CONCLUSION: The TVPS may be useful in screening for visual-perceptual impairments in adults with CVA. Age, gender, and educational level have no significant impact on the magnitude of visual-perceptual dysfunctions.

Age Factors↗

Serum 25-hydroxyvitamin D concentrations in girls aged 4-8 y living in the southeastern United States.

BACKGROUND: Evidence suggests that adults and adolescents throughout the United States are at risk of poor vitamin D status. However, vitamin D concentrations in young American children have not been assessed. OBJECTIVE: The relations between serum 25-hydroxyvitamin D [25(OH)D] and bone were examined in prepubertal girls. DESIGN: In the present cross-sectional study, serum 25(OH)D concentration was assessed in 168 prepubertal girls aged 4-8 y living in the southeastern United States with the use of radioimmunoassay. Bone area, bone mineral content, and areal bone mineral density were measured from total body, lumbar spine, proximal femur, and forearm with dual-energy X-ray absorptiometry. Data were analyzed with analysis of variance, analysis of covariance, stepwise multiple regression, and partial correlations. RESULTS: The mean (+/-SD) serum 25(OH)D was 93.8 +/- 28.1 nmol/L (range: 31.1-181.4 nmol/L). In a multiple regression analysis, race and season were the strongest predictors of vitamin D status. The black girls had lower mean 25(OH)D values than did the white girls (P < 0.01), and 25(OH)D values were significantly different in the total sample between the seasons (P < 0.001), ranging from 74.4 nmol/L during the winter months to 107 nmol/L during the summer. After adjustment for season, age, race, and body mass index, 25(OH)D values were negatively correlated with forearm bone mineral content (r = -0.18; P = 0.02). CONCLUSIONS: Unlike prior reports of adults and adolescents living in the southeastern United States, vitamin D status was adequate in the children of the present study. 25(OH)D concentrations were not positively associated with higher bone mineral.

Absorptiometry, Photon↗

The association between negative self-descriptions and depressive symptomology: does culture make a difference?

Research findings that depressed Americans endorse more negative self-related adjectives than controls may be related to a shared self-enhancement cultural frame. This study examines the relationship between negative core self-descriptors and depressive symptoms in 79 Japanese and 50 American women. Americans had more positive self-descriptions and core self-descriptors; however, there were no cultural group differences in number of negative self-descriptors or core self-descriptors. There was a significant correlation between negative core self-descriptor and Beck Depression Inventory (BDI) for Americans only, explaining 10.6% of the BDI variance. Analysis of variance revealed that there was significant BDI group differences for American negative core self-descriptor only. Theoretical possibilities are discussed.

Adult↗

Tests for the analysis of variance of crossover designs with correlated errors.

The usual analysis of variance based on ordinary least squares (OLS) may be inappropriate to analyze the crossover designs because of correlations within subjects arising from the repeated measurements. The tests used with OLS are compared with three alternative tests that take into account the structure of the covariance matrix for testing the treatment and carryover effects under the assumption of multivariate normality. A modified F-test approximation and a test derived from a Pearson curve fit are shown to give adequate control over Type I error compared to the OLS tests and to tests following an empirical generalized least squares analysis.

Analysis of Variance↗

Food choice motives and the importance of family meals among immigrant mothers.

To determine the health and social benefits of the family mealtime, we examined the contribution of immigrant mothers' food motives to the importance placed on family meals, and cultural differences in mothers' food motives and the importance ascribed to family meals. Data were taken from a study on food choice factors among ten- to 12-year-old children from three cultural communities in Montreal. A 24-item, self-administered questionnaire was used to explore food choice motives. Each mother was also asked how important it was for her family to take the time to eat together, and if the child enjoyed sharing meals with his or her family. In all, 209 of the 653 questionnaires distributed were valid; 68 were from Haitian, 75 from Portuguese, and 66 from Vietnamese mothers. Five factors emerging from factor analyses explained 61.67% of the variance. Analysis of variance indicated significant differences between mothers' countries of origin for the importance placed on health, pleasure, familiarity, and ingredient properties (p<0.005). Among Haitian and Portuguese mothers, health motivations emerged as the only significant predictor of the importance given to family meals, whereas for Vietnamese mothers, both health and eating familiar foods were predictors (p<0.05).

Acculturation↗

Profiling outpatient workload: practice variations between consultant firms and hospitals in south west England.

OBJECTIVES: To describe the variation in outpatient new to old ratios between consultants and between providers for seven high volume specialties (four surgical, three medical). DESIGN: This was a descriptive study at consultant and provider unit level based upon patient administration system data from the South and West Regional Health Authority for the financial year 1992-93. Additional components of variance analysis was used to distinguish individual consultant effects from host institution effects. SETTING: The former South Western Regional Health Authority area from Gloucestershire to Cornwall. SUBJECTS: Altogether 345 consultant firms in seven specialties grouped into 13 provider unit groups. MAIN MEASURES: New to old ratio, omitting elective inpatients followed up as outpatients. RESULTS: Variation between consultants is greater in surgical than in medical specialties, while absolute levels of new to old ratios tend to be higher in surgical specialties than in medical. Variation between provider unit groups is also greater in surgical specialties. Analysis of variance shows that more total variance is attributable to provider unit group in gynaecology than in other specialties. CONCLUSIONS: Within individual specialties there is evidence of substantial variation that is not attributable to underlying differences in morbidity patterns. There is evidence of marked variation in terms of both individual consultants and institutions, a finding that provides the springboard for further analytical work. Published routine outpatient activity statistics should distinguish between new referrals, inpatient follow up, and clinic rebookings.

Analysis of Variance↗

Langur monkey mother loss: profile analysis with multivariate analysis of variance for separation subjects and controls.

We present an analysis of observational data on the behavior profiles for two groups of infant langur monkeys (Presbytis entellus): one that had experienced mother loss, and the other, a control group, that had not undergone mother loss. Observations were analyzed in three 2-week time periods: 2 preseparation, 2 separation, and 2 postseparation periods for both groups. The profile analysis application of the multivariate analysis of variance (MANOVA) was employed to test the hypothesis that the two groups had similar patterns of change across time. For each group a vector of 5 difference scores was computed; then MANOVA was used to test the similarity of the mean vectors of difference scores for the two groups. Profiles for the separation and control infants were significantly different for some behaviors, and changes between some time periods were also significant.

Analysis of Variance↗

Beyond analysis of variance. A comparison of some multiple comparison procedures.

In analysis of variance, when the null hypothesis of no difference among several treatment means is rejected, the investigator concludes that not all treatment means are equal. The logical question that arises at this point concerns which means, then, are different from which others. In many research reports, this question is never answered. In those instances where an attempt is made to pinpoint just where the differences among means occur, the procedure employed is frequently inappropriate. This article describes the most frequently used of the theoretically sound procedures that are available for making all possible comparisons among means. Four procedures are illustrated with the same experimental example.

Analysis of Variance↗

[Investigations on the Variability of the phasic pupillary light reflex (author's transl)].

Infrared pupillography was used to determine physiological time parameters of the direct phasic light reflex in 101 normal subjects. These parameters include latency, contraction and redilatation times as well as total reaction time, measured in response to 4 different light stimulus intensities. A total of more than 4000 pupillary stimulations in these subjects was analyzed statistically. The study of these time parameters included determination of the mean, the standard deviation and three dimensional analysis of variance, with the following results: 1. The physiological time parameters are bilaterally symmetrical. 2. The most stable parameters with least variability in an individual subject were latency and contraction time. The redilatation time, however, showed marked intra-individual variability. 3. Variance analysis revealed a high degree of correlation among the different parameters to light stimuli of varying intensity. 4. There was a highly significant prolongation of latency and of contraction time with increasing age. 5. No sex dependent effect on physiological time parameters was found. In addition, no interaction among light stimulus intensity, age and sex could be detected. Possible applications of the method for clinical neurological examination are discussed.

Adolescent↗