(a) Why can't we use the large-sample confidence interval for the propor- tion p of patients suffering from FAP that will have the number of polyps reduced after nine months of treatment? (b) The plus four method adds four observations-two successes and two failures. What are the sample size and the number of successes after you do this? What is the plus four estimate p of p? (c) Give the plus four 90% confidence interval for the proportion of patients suffering from FAP who will have the number of polyps reduced after nine months of treatment.

MATLAB: An Introduction with Applications
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**Black Raspberries and Cancer**

Sample surveys usually contact large samples, allowing the use of large-sample confidence intervals if the sample design is close to a SRS (Simple Random Sample). However, scientific studies often use smaller samples that require the plus four method. 

For example, Familial Adenomatous Polyposis (FAP) is a rare inherited disease characterized by the development of an extreme number of polyps early in life, leading to colon cancer in virtually 100% of patients before age 40. A study involved 14 people suffering from FAP at the Cleveland Clinic, who drank black raspberry powder in a slurry daily for nine months. The number of polyps was reduced in 11 out of these 14 patients.

**Questions:**

(a) Why can’t we use the large-sample confidence interval for the proportion *p* of patients suffering from FAP that will have the number of polyps reduced after nine months of treatment?

(b) The plus four method adds four observations—two successes and two failures. What are the sample size and the number of successes after doing this? What is the plus four estimate \(\tilde{p}\) of *p*?

(c) Provide the plus four 90% confidence interval for the proportion of patients suffering from FAP who will have the number of polyps reduced after nine months of treatment.
Transcribed Image Text:**Black Raspberries and Cancer** Sample surveys usually contact large samples, allowing the use of large-sample confidence intervals if the sample design is close to a SRS (Simple Random Sample). However, scientific studies often use smaller samples that require the plus four method. For example, Familial Adenomatous Polyposis (FAP) is a rare inherited disease characterized by the development of an extreme number of polyps early in life, leading to colon cancer in virtually 100% of patients before age 40. A study involved 14 people suffering from FAP at the Cleveland Clinic, who drank black raspberry powder in a slurry daily for nine months. The number of polyps was reduced in 11 out of these 14 patients. **Questions:** (a) Why can’t we use the large-sample confidence interval for the proportion *p* of patients suffering from FAP that will have the number of polyps reduced after nine months of treatment? (b) The plus four method adds four observations—two successes and two failures. What are the sample size and the number of successes after doing this? What is the plus four estimate \(\tilde{p}\) of *p*? (c) Provide the plus four 90% confidence interval for the proportion of patients suffering from FAP who will have the number of polyps reduced after nine months of treatment.
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