Applied Biostatistics for the Health Sciences. Richard J. Rossi

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x Baseline left-parenthesis 1 minus p right-parenthesis Superscript n minus x Baseline for x equals 0 comma 1 comma ellipsis comma n"/>

      where p(x) is the probability that X is equal to the value x. In this formula

       n!x!(n−x)! is the number of ways for there to be x successes in n trials,

       n!=n(n−1)(n−2)⋯3⋅2⋅1 and 0!=1 by definition,

       p is the probability of a success on any of the n trials,

       px is the probability of having x successes in n trials,

       1−p is the probability of a failure on any of the n trials,

       (1−p)n−x is the probability of getting n − x failures in n trials.

      Figure 2.24 Three binomial distributions: (a) n=25,p=0.1; (b) n=25,p=0.5; (c) n=25,p=0.9.

      Because the computations for the probabilities associated with a binomial random variable are tedious, it is best to use a statistical computing package such as MINITAB for computing binomial probabilities.

Binomial with n = 10 and p = 0.2
x P( X = x )
0 0.107374
1 0.268435
2 0.301990
3 0.201327
4 0.088080
5 0.026424
6 0.005505
7 0.000786
8 0.000074
9 0.000004
10 0.000000

      1 the probability that exactly seven will retain their hair (i.e., X = 7),

      2 the probability that between four and eight (inclusive) will retain their hair (i.e., 4≤X≤8),

      3 the probability that at most three will retain their hair (i.e., X≤3),

      4 the probability that at least six will retain their hair (i.e., X≥6),

      5 the most likely number of patients to retain their hair (i.e., the mode).

       Solutions

      Based on the MINITAB output in Table 2.10, the probability that

      1 exactly seven will retain their hair (i.e., X = 7) is

      2 between four and eight (inclusive) will retain their hair (i.e., 4≤X≤8) is

      3 at most three will retain their hair (i.e., X≤3) is

      4 at least six will retain their hair (i.e., X≥6) is

      5 the most likely number of patients to retain their hair is X = 2.

       roughly 68% of the binomial distribution lies between the values closest to the np−n⋅p⋅(1−p) and np+n⋅p⋅(1−p),

       roughly 95% of the binomial distribution lies between the values closest to np−2n⋅p⋅(1−p) and np+2n⋅p⋅(1−p),

       roughly 99% of the binomial distribution lies between the values closest to np−3n⋅p⋅(1−p) and np+3n⋅p⋅(1−p).

       Example 2.32

      Suppose the relapse rate within 3 months of treatment at a drug rehabilitation clinic is known to be 40%. If the clinic has 25 patients, then the mean number of patients to relapse within 3 months is μ=25⋅0.40=10 and the standard deviation is σ=25⋅0.40⋅(1−0.40)=2.45. Now, since np=25(0.4)=10 and n(1−p)=25(0.6)=15, by applying the Empirical Rules roughly 95% of the time between 5 and 15 patients will relapse within 3 months of treatment. Using MINITAB, the actual percentage of a binomial distribution with n = 25 and p = 0.40 falling between 5 and 15 is 98%.

      An important restriction in the setting for a binomial random variable is that the probability of success remains constant over the n trials. In many biomedical studies, the probability of success will be different for each individual

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