1 patients tested negative by SRA, 22 also tested negative by heparin-PF4 ELISA. (a) Calculate the specificity of the heparin-PF4 ELISA testing for HIT. (b) Using a “literature derived sensitivity” of 95 percent and a prior probability of HIT o
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Verma et al. (A-14) examined the use of heparin-PF4 ELISA screening for heparin-induced thrombocytopenia (HIT) in critically ill patients. Using C-serotonin release assay (SRA) as the way of validating HIT, the authors found that in 31 patients tested negative by SRA, 22 also tested negative by heparin-PF4 ELISA.
(a) Calculate the specificity of the heparin-PF4 ELISA testing for HIT.
(b) Using a “literature derived sensitivity” of 95 percent and a prior probability of HIT occurrence as 3.1 percent, find the positive predictive value.
(c) Using the same information as part (b), find the negative predictive value.
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- Until 2002, hormone replacement therapy (HRT), estrogen and/or progesterone, was commonly prescribed to post-menopausal women. This changed in 2002, when the results of a large clinical trial were published 7500 women were randomized to take HRT, 7100 were randomized to placebo. 170 HRT and 130 placebo women developed invasive breast cancer. Does HRT increase risk of breast cancer? Conduct hypothesis test. Hint: Use randomization distribution to answer the question.A group of 30 postmenopausal women were given oral conjugated estrogen for one month.Plasma levels of plasminogen-activator inhibitor type 1 (PAI-1) went down for 22 of the women, but went up for 8 women.15 Use a sign test to test the null hypothesis that oral conjugated estrogen has no effect on PAI-1 level.Use α=0.10 and use a nondirectional alternative.Conduct a two-factor ANOVA to examine the effects of 'maternal diet' (‘diet’: No alcohol, vs. alcohol) and age (adolescent rat vs. adult rat) on passive avoidance (‘pa’). State the three alternative hypotheses in words. State the alternative hypothesis of the interaction in terms of whether the effects of maternal diet (alcohol vs. not alcohol) on passive avoidance depend on the levels of age (i.e., on whether the rat is an adolescent or an adult rat).
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