In laparoscopic surgery, a video camera and several thin instruments are inserted into the patient's abdominal cavity. The surgeon uses the image from the video camera positioned inside the patient's body to perform the procedure by manipulating the instruments that have been inserted. It has been found that the Nintendo Wii™ reproduces the movements required in laparoscopic surgery more closely than other video games with its motion‑sensing interface. If training with a Nintendo Wii™ can improve laparoscopic skills, it can complement the more expensive training on a laparoscopic simulator. Forty‑two medical residents were chosen, and all were tested on a set of basic laparoscopic skills. Twenty‑one were selected at random to undergo systematic Nintendo Wii™ training for one hour a day, five days a week, for four weeks. The remaining 21 residents were given no Nintendo Wii™ training and asked to refrain from video games during this period. At the end of four weeks, all 42 residents were tested again on the same set of laparoscopic skills. One of the skills involved a virtual gall bladder removal, with several performance measures including time to complete the task recorded. The improvement (before–after) times in seconds after four weeks for the two groups are given in the tables. NOTE: The numerical values in this problem have been modified for testing purposes. Treatment 281 134 186 128 84 243 212 121 134 221 59 244 79 333 −13 −16 71 −16 71 7 144 Control 21 66 54 84 228 92 43 27 77 −29 −14 88 142 107 32 90 46 −81 68 61 44 The most common methods for formal comparison of two groups use ?¯ and ? to summarize the data. (a) What kinds of distributions are best summarized by ?¯ and ? ? Select the correct response. Skewed distributions are best summarized using ?¯ and ? . All distributions are best summarized using ?¯ and ? . Symmetric distributions are best summarized using ?¯ and ? . Bimodal distributions are best summarized using ?¯ and ? . (b) In the control group, one subject improved their time by 228 seconds. Compute ?¯ and ? for the control group, both with and without the high outlier. (Enter your answers rounded to two decimal places.) ?¯ with outlier=     ? with outlier=     ?¯ without outlier=     ? without outlier=     (c) Compute the median for the control group with and without the high outlier. (Enter your answers rounded to two decimal places.) Median with outlier=     Median without outlier=     What does this show about the resistance of the median and ?¯ ? Neither the mean and median are affected by the outlier. The median is less impacted by the outlier than the mean. The mean and median are affected the same by the outlier. The mean is less impacted by the outlier than the median.

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Author:Amos Gilat
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In laparoscopic surgery, a video camera and several thin instruments are inserted into the patient's abdominal cavity. The surgeon uses the image from the video camera positioned inside the patient's body to perform the procedure by manipulating the instruments that have been inserted. It has been found that the Nintendo Wii™ reproduces the movements required in laparoscopic surgery more closely than other video games with its motion‑sensing interface. If training with a Nintendo Wii™ can improve laparoscopic skills, it can complement the more expensive training on a laparoscopic simulator.

Forty‑two medical residents were chosen, and all were tested on a set of basic laparoscopic skills. Twenty‑one were selected at random to undergo systematic Nintendo Wii™ training for one hour a day, five days a week, for four weeks. The remaining 21 residents were given no Nintendo Wii™ training and asked to refrain from video games during this period. At the end of four weeks, all 42 residents were tested again on the same set of laparoscopic skills. One of the skills involved a virtual gall bladder removal, with several performance measures including time to complete the task recorded. The improvement (before–after) times in seconds after four weeks for the two groups are given in the tables.

NOTE: The numerical values in this problem have been modified for testing purposes.

Treatment
281 134 186 128 84 243 212
121 134 221 59 244 79 333
−13 −16 71 −16 71 7 144
Control
21 66 54 84 228 92 43
27 77 −29 −14 88 142 107
32 90 46 −81 68 61 44

The most common methods for formal comparison of two groups use ?¯ and ? to summarize the data.

(a) What kinds of distributions are best summarized by ?¯ and ? ? Select the correct response.
Skewed distributions are best summarized using ?¯ and ? .
All distributions are best summarized using ?¯ and ? .
Symmetric distributions are best summarized using ?¯ and ? .
Bimodal distributions are best summarized using ?¯ and ? .
(b) In the control group, one subject improved their time by 228 seconds. Compute ?¯ and ? for the control group, both with and without the high outlier. (Enter your answers rounded to two decimal places.)
?¯ with outlier=
 
 
? with outlier=
 
 
?¯ without outlier=
 
 
? without outlier=
 
 
(c) Compute the median for the control group with and without the high outlier. (Enter your answers rounded to two decimal places.)
Median with outlier=
 
 
Median without outlier=
 
 
What does this show about the resistance of the median and ?¯ ?
Neither the mean and median are affected by the outlier.
The median is less impacted by the outlier than the mean.
The mean and median are affected the same by the outlier.
The mean is less impacted by the outlier than the median.
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