Conditional and Unconditional Tests (and Sample Size) Based on Multiple Comparisons for Stratified 2 × 2 Tables.

The Mantel-Haenszel test is the most frequent asymptotic test used for analyzing stratified 2 × 2 tables. Its exact alternative is the test of Birch, which has recently been reconsidered by Jung. Both tests have a conditional origin: Pearson's chi-squared test and Fisher's exact test, respectively. But both tests have the same drawback that the result of global test (the stratified test) may not be compatible with the result of individual tests (the test for each stratum). In this paper, we propose to carry out the global test using a multiple comparisons method (MC method) which does not have this disadvantage. By refining the method (MCB method) an alternative to the Mantel-Haenszel and Birch tests may be obtained. The new MC and MCB methods have the advantage that they may be applied from an unconditional view, a methodology which until now has not been applied to this problem. We also propose some sample size calculation methods.

Inferences about a linear combination of proportions.

Statistical methods for carrying out asymptotic inferences (tests or confidence intervals) relative to one or two independent binomial proportions are very frequent. However, inferences about a linear combination of K independent proportions L = Σß(i)p(i) (in which the first two are special cases) have had very little attention paid to them (focused exclusively on the classic Wald method). In this article the authors approach the problem from the more efficient viewpoint of the score method, which can be solved using a free programme, which is available from the webpage quoted in the article. In addition the article offers approximate formulas that are easy to calculate, gives a general proof of Agresti's heuristic method (consisting of adding a certain number of successes and failures to the original results before applying Wald's method) and, finally, it proves that the score method (which verifies the desirable properties of spatial and parametric convexity) is the best option in comparison with other methods.

Unconditional inferences on the difference of two proportions in cross-sectional studies.

In order to analyse a 2 x 2 table it is usual to perform inferences (hypothesis test or interval of confidence) on the difference d = p2 - p1 between two independent proportions. To this end it has been customary to adopt the Fisher conditional method, but nowadays the unconditional method of Barnard is increasingly adopted. However, all the present unconditional inferences are based on a double-binomial model. This article performs these inferences - exact and asymptotic - under a multinomial model, which is the appropriate one when the data proceed from a cross-sectional survey. At http://www.ugr.es/-bioest/SG_ASO.EXE there is a program for performing the said unconditional tests that may be copied.

Effects of changes in circulating volume and in arterial pressure on plasma renin activity in the intact rat.

The effects of changes in arterial pressure and in circulating volume on Plasma Renin Activity (PRA) in the intact rat were compared by two experimental procedures. Gradual volume depletion was induced by intraperitoneal injection of a hyperoncotic polyethyleneglycol solution (PEG) in absence of acute changes in Systolic Arterial Pressure (SAP). SAP was measured in the conscious state by the tail cuff technique. Plasma Protein Concentration (PPC) and Hematocrit (Hct) increases after PEG injection were compared as the index for measuring the Plasma Volume Reduction (PVR). PRA showed a significant (p less than 0.001) linear relationship with PPC, suggesting a direct dependence of renin secretion on volume depletion. Acute changes in the circulating volume were induced by controlled hemorrhages of 5.0, 10.0, 15.0 and 20.0 ml of blood/kg body weight. The increase in PRA showed a significant relationship with the changes in circulating volume, but it did not show any dependence on the changes in Mean Arterial Pressure (MAP). Our results suggest that, in the intact and conscious rat, renin secretion responds to the information from the cardiopulmonary volume receptors rather than to that from the high pressure receptors.

Calcium and renin release: inhibition of low sodium-induced renin secretion by high calcium concentration in rat kidney perfusion.

The effects of changes in calcium on renin secretion have been studied in the isolated perfused rat kidney. Perfusion with free calcium buffer significantly decreases renin secretion as compared with control experiments (Ca++: 2.5 mM/l). Other calcium concentrations (1.25 mM/l) and 5 mM/l) do not affect basal renin secretion. When the renin release is previously increased by low sodium concentration (Na+: 110 mM/l) however, perfusion with high calcium buffer (Ca++: 5 mM/l) significantly inhibits this stimulation.

Plasma steroid and protein hormone concentrations in patients with benign prostatic hypertrophy and in normal men.

Serum levels of testosterone, FSH, LH and prolactin were measured by RIA in patients with BPH (benign prostatic hypertrophy) and in control men. The testosterone concentrations in the BPH group were significantly lower than that of the control group. Serum concentrations of FSH, LH, prolactin and estradiol, did not differ significantly in the 2 groups.

Studies on T cells in newborns. Higher reactivity of umbilical cord blood lymphocytes to PHA as measured by whole blood microtechnique.

The capacity of human foetal lymphocytes to respond to PHA and to form E-rosettes have been compared with data from adult individuals. For this purpose a microculture system that uses whole blood and avoids the problems of lymphocyte separation, has been developed. Foetal lymphocytes reached optimal stimulation with lower dosis of PHA (31,2 microgram/ml) as compared with adult cells (125-252 microgram/ml). However their quantitative response (measured by 14C-thymidine uptake) was equal in both groups. In addition, peripheral T cells (E-rosetting cells) reached values of 36.47 +/- 9% in newborn and 49.6 +/- 10% in normal adult controls. These results are discussed as to the status and development of cellular inmunity in human foetus.