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1.
Pharm Stat ; 21(4): 778-789, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35819112

RESUMO

Written during the SARS-CoV-2 pandemic, and in recognition of Andy Grieve, the polymath, this article looks at an eclectic mix of topics where statistical thinking and practices should transcend typical dividing lines-with a particular focus on the areas of drug development, public health and social science. The case is made for embedding an experimental (or quasi-experimental) framework within clinical practice for vaccines and treatments following their marketing authorisation. A similar case is made for public health interventions-facilitated by pre-specification of effect size and by the greater use of data standards. A number of recommendations are made whilst noting that progress is being made in some areas.


Assuntos
COVID-19 , Pandemias , COVID-19/epidemiologia , Estudos Cross-Over , Humanos , SARS-CoV-2
2.
J Biopharm Stat ; 24(1): 58-71, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24392978

RESUMO

Exploratory subgroup analyses are an increasing source of controversy as part of the interpretation of the results of clinical trials. In this article, we review the major challenges of multiplicity, statistical methods available to assess consistency of effect, and the part appropriate design plays in mitigating the risk of false conclusions from subgroup analyses. We discuss the problems associated with using definitions of consistency based on effect sizes in specific subgroups. We argue that what is required is a return to basic statistical principles, including more use of modeling techniques.


Assuntos
Ensaios Clínicos como Assunto/estatística & dados numéricos , Interpretação Estatística de Dados , Projetos de Pesquisa/estatística & dados numéricos , Humanos , Seleção de Pacientes , População
3.
Inorg Chem ; 45(15): 5804-11, 2006 Jul 24.
Artigo em Inglês | MEDLINE | ID: mdl-16841985

RESUMO

The reactions of Cd2+ and Zn2+ with the pyridine-arm isoindoline ligand 4'-MeLH = 1,3-bis[2-(4-methylpyridyl)imino]isoindoline produced the series of octahedrally coordinated complexes M(4'-MeL)2, [M(4'-MeLH)2]2+, and [M(4'-MeL)(4'-MeLH)]+. The complexes M(4'-MeL)2 resulted from reactions of the respective metal perchlorates with deprotonated ligand, whereas the complexes [M(4'-MeLH)2](ClO4)2 resulted from reactions with ligand in the absence of added base. The mixed-ligand complexes [M(4'-MeL)(4'-MeLH)]+ were generated in solution by reactions of equimolar quantities of M(4'-MeL)2 and [M(4'-MeLH)2]2+. Whereas [Cd(4'-MeL)(4'-MeLH)]+ is stable in solution, [Zn(4'-MeL)(4'-MeLH)]+ converts to and establishes equilibrium with the tetrahedrally coordinated, trinuclear complex [Zn3(4'-MeL)4]2+. The complexes Cd(4'-MeL)2 (1), Zn(4'-MeL)2 (2), and [Cd(4'-MeL)(4'-MeLH)]ClO4 (5) were characterized by single-crystal X-ray diffraction, with the latter complex being shown to contain 4'-MeLH coordinated as a protonated iminium zwitterionic ligand. The [M(4'-MeLH)2]2+ and [M(4'-MeL)(4'-MeLH)]+ complexes are tautomeric in solution because of the shuttling of the iminium protons between imine N atoms. The rate of prototropic tautomerism in [Cd(4'-MeLH)2]+ was followed by 1H NMR spectroscopy. Over the temperature range 276-312 K, a linear Eyring plot with the activation parameters DeltaG++ = 16.0 +/- 0.1 kcal/mol, DeltaH++ = 2.9 +/- 0.1 kcal/mol, and DeltaS++ = -44.0 +/- 0.3 cal/mol.K was obtained.


Assuntos
Cádmio/química , Zinco/química , Cristalografia por Raios X , Entropia , Ligantes , Espectroscopia de Ressonância Magnética , Metais/química , Modelos Químicos , Modelos Moleculares , Conformação Molecular , Estrutura Molecular , Percloratos/química , Termodinâmica , Difração de Raios X
4.
Inorg Chem ; 42(15): 4513-5, 2003 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-12870937

RESUMO

The synthesis and structure of the tautomeric Cd(II) isoindoline zwitterion coordination compound [Cd(4'-MeLH)(NO(3))(2)].CH(3)OH (4'-MeLH = 1,3-bis[2-(4-methylpyridyl)imino]isoindoline) are reported. In methylene chloride solution, tautomer interconversion occurs as the N-H proton moves between the identical imine nitrogen atoms. We report the kinetics of proton transfer as followed by variable temperature (1)H NMR spectroscopy and demonstrate that methanol of solvation and adventitious water facilitate rapid proton transfer.

5.
Stat Med ; 22(5): 741-62, 2003 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-12587103

RESUMO

The number of studies designed specifically to demonstrate therapeutic equivalence or alternatively non-inferiority of pharmaceutical treatments has increased dramatically in recent years, during which time awareness of the methodological issues has increased. Regulatory authorities have been quick to recognize the need for specific support and have either published or initiated the creation of relevant guidance. Common misconceptions prevail however regarding sample size estimation and the choice of the most appropriate patient population to analyse while other areas such as equivalence margin specification and covariate adjustment have been neglected. This paper challenges some of the regulatory advice and the interpretation that others have made of this guidance with the aim of stimulating further debate.


Assuntos
Avaliação de Medicamentos/métodos , Modelos Estatísticos , Ensaios Clínicos Controlados Aleatórios como Assunto/métodos , Projetos de Pesquisa , Equivalência Terapêutica , Avaliação de Medicamentos/legislação & jurisprudência , Humanos , Razão de Chances , Tamanho da Amostra
6.
Inorg Chem ; 42(1): 122-7, 2003 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-12513086

RESUMO

Deprotonation of the tridentate isoindoline ligand 1,3-bis[2-(4-methylpyridyl)imino]-isoindoline, 4'-MeLH, and reaction with hydrated zinc(II) perchlorate produces an unexpected trinuclear Zn(II) complex, [Zn(3)(4'-MeL)(4)](ClO(4))(2).5H(2)O (1), whereas reaction with hydrated copper(II) perchlorate in methanol produces the expected mononuclear product, [Cu(4'-MeL)(H(2)O)(2)]ClO(4) (2). X-ray diffraction shows that the trinuclear Zn(II) complex (1) contains a linear zinc backbone, and the arrangement of ligands about the outer chiral zinc(II) atoms is helical. The two terminal zinc ions exhibit approximate C(2) site symmetry, with tetrahedral coordination by two pyrrole and two pyridyl nitrogen atoms of the potentially tridentate isoindoline ligands. The central zinc ion exhibits approximate tetrahedral symmetry, with coordination by four pyridyl nitrogen atoms of four different isoindoline ligands. Pyridyl-pyrrole intramolecular pi-stacking interactions contribute to the stability of the trinuclear cation. The structure of the mononuclear copper(II) complex cation in 2 is best described as a distorted trigonal bipyramid. The isoindoline anion binds Cu(II) in both axial positions and one of the equatorial positions; water molecules occupy the other two equatorial positions.


Assuntos
Cobre/química , Indóis/química , Compostos Organometálicos/química , Compostos Organometálicos/síntese química , Piridinas/química , Zinco/química , Cátions/química , Ligação de Hidrogênio , Ligantes , Espectroscopia de Ressonância Magnética , Conformação Molecular , Estrutura Molecular , Difração de Raios X
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