A more intuitive and modern way to compute a small‐sample confidence interval for the mean of a Poisson distribution

The Poisson distribution is applied as an appropriate standard model to analyze count data. Because this distribution is known as a discrete distribution, representation of accurate confidence intervals for its distribution mean is extremely difficult. Approximate confidence intervals were presented for the Poisson distribution mean. The purpose of this study is to simultaneously compare several confidence intervals presented, according to the average coverage probability and accurate confidence coefficient and the average confidence interval length criteria.

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Onchocerciasis control in Ghana (1974–2016)

Parasites & Vectors ◽

10.1186/s13071-020-04507-2 ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Nana-Kwadwo Biritwum ◽

Dziedzom K. de Souza ◽

Odame Asiedu ◽

Benjamin Marfo ◽

Uche Veronica Amazigo ◽

...

Keyword(s):

Confidence Interval ◽

Vector Control ◽

Control Strategy ◽

Financial Support ◽

Control Programme ◽

Ivermectin Treatment ◽

Mobile Community ◽

The Mean ◽

The Impact ◽

Onchocerciasis Control

Abstract Background The control of onchocerciasis in Ghana started in 1974 under the auspices of the Onchocerciasis Control Programme (OCP). Between 1974 and 2002, a combination of approaches including vector control, mobile community ivermectin treatment, and community-directed treatment with ivermectin (CDTI) were employed. From 1997, CDTI became the main control strategy employed by the Ghana OCP (GOCP). This review was undertaken to assess the impact of the control interventions on onchocerciasis in Ghana between 1974 and 2016, since which time the focus has changed from control to elimination. Methods In this paper, we review programme data from 1974 to 2016 to assess the impact of control activities on prevalence indicators of onchocerciasis. This review includes an evaluation of CDTI implementation, microfilaria (Mf) prevalence assessments and rapid epidemiological mapping of onchocerciasis results. Results This review indicates that the control of onchocerciasis in Ghana has been very successful, with a significant decrease in the prevalence of infection from 69.13% [95% confidence interval) CI 60.24–78.01] in 1975 to 0.72% (95% CI 0.19–1.26) in 2015. Similarly, the mean community Mf load decreased from 14.48 MF/skin snip in 1975 to 0.07 MF/skin snip (95% CI 0.00–0.19) in 2015. Between 1997 and 2016, the therapeutic coverage increased from 58.50 to 83.80%, with nearly 100 million ivermectin tablets distributed. Conclusions Despite the significant reduction in the prevalence of onchocerciasis in Ghana, there are still communities with MF prevalence above 1%. As the focus of the GOCP has changed from the control of onchocerciasis to its elimination, both guidance and financial support are required to ensure that the latter goal is met.

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Can Health-Promoting Schools Contribute to Better Health Behaviors? Physical Activity, Sedentary Behavior, and Dietary Habits among Israeli Adolescents

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18031183 ◽

2021 ◽

Vol 18 (3) ◽

pp. 1183

Author(s):

Hila Beck ◽

Riki Tesler ◽

Sharon Barak ◽

Daniel Sender Moran ◽

Adilson Marques ◽

...

Keyword(s):

Physical Activity ◽

Health Behavior ◽

Confidence Interval ◽

Health Behaviors ◽

Sedentary Behavior ◽

Dietary Habits ◽

Group Differences ◽

Time Behavior ◽

Health Promoting ◽

The Mean

Schools with health-promoting school (HPS) frameworks are actively committed to enhancing healthy lifestyles. This study explored the contribution of school participation in HPS on students’ health behaviors, namely, physical activity (PA), sedentary behavior, and dieting. Data from the 2018/2019 Health Behavior in School-aged Children study on Israeli adolescents aged 11–17 years were used. Schools were selected from a sample of HPSs and non-HPSs. Between-group differences and predictions of health behavior were analyzed. No between-group differences were observed in mean number of days/week with at least 60 min of PA (HPS: 3.84 ± 2.19 days/week, 95% confidence interval of the mean = 3.02–3.34; non-HPS: 3.93 ± 2.17 days/week, 95% confidence interval of the mean = 3.13–3.38). Most children engaged in screen time behavior for >2 h/day (HPS: 60.83%; non-HPS: 63.91%). The odds of being on a diet were higher among more active children (odds ratio [OR] = 1.20), higher socio-economic status (OR = 1.23), and female (OR = 2.29). HPS did not predict any health behavior. These findings suggest that HPSs did not contribute to health behaviors more than non-HPSs. Therefore, health-promoting activities in HPSs need to be improved in order to justify their recognition as members of the HPS network and to fulfill their mission.

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Evaluating Endoscopic Ipsilateral Endonasal Corridor Approaches to the Anterolateral Wall of the Maxillary Sinus: A Computerized Tomography Study

International Archives of Otorhinolaryngology ◽

10.1055/s-0041-1724092 ◽

2021 ◽

Author(s):

Navarat Vatcharayothin ◽

Pornthep Kasemsiri ◽

Sanguansak Thanaviratananich ◽

Cattleya Thongrong

Keyword(s):

Confidence Interval ◽

Maxillary Sinus ◽

Inferior Turbinate ◽

Radial Access ◽

Sinus Wall ◽

Nasal Floor ◽

Significant Difference ◽

Anterolateral Wall ◽

The Mean ◽

Maxillary Sinuses

Abstract Introduction The endoscopic access to lesions in the anterolateral wall of the maxillary sinus is a challenging issue; therefore, the evaluation of access should be performed. Objective To assess the accessibility of three endoscopic ipsilateral endonasal corridors. Methods Three corridors were created in each of the 30 maxillary sinuses from 19 head cadavers. Accessing the anterolateral wall of the maxillary sinus was documented with a straight stereotactic navigator probe at the level of the nasal floor and of the axilla of the inferior turbinate. Results At level of the nasal floor, the prelacrimal approach, the modified endoscopic Denker approach, and the endoscopic Denker approach allowed mean radial access to the anterolateral maxillary sinus wall of 42.6 ± 7.3 (95% confidence interval [CI]: 39.9–45.3), 56.0 ± 6.1 (95%CI: 53.7–58.3), and 60.1 ± 6.2 (95%CI: 57.8–62.4), respectively. Furthermore, these approaches provided more lateral access to the maxillary sinus at the level of the axilla of the inferior turbinate, with mean radial access of 45.8 ± 6.9 (95%CI: 43.3–48.4) for the prelacrimal approach, 59.8 ± 4.7 (95% CI:58.1–61.6) for the modified endoscopic Denker approach, and 63.6 ± 5.5 (95%CI: 61.6–65.7) for the endoscopic Denker approach. The mean radial access in each corridor, either at the level of the nasal floor or the axilla of the inferior turbinate, showed a statistically significant difference in all comparison approaches (p < 0.05). Conclusions The prelacrimal approach provided a narrow radial access, which allows access to anteromedial lesions of the maxillary sinus, whereas the modified endoscopic Denker and the endoscopic Denker approaches provided more lateral radial access and improved operational feasibility on far anterolateral maxillary sinus lesions.

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Longer Residence in the United States is Associated With More Physical Function Limitations in African Immigrant Older Adults

Journal of Applied Gerontology ◽

10.1177/0733464820977608 ◽

2020 ◽

pp. 073346482097760

Author(s):

Manka Nkimbeng ◽

Yvonne Commodore-Mensah ◽

Jacqueline L. Angel ◽

Karen Bandeen-Roche ◽

Roland J. Thorpe ◽

...

Keyword(s):

United States ◽

Older Adults ◽

Confidence Interval ◽

Physical Function ◽

Racial Discrimination ◽

African Immigrants ◽

The United States ◽

African Immigrant ◽

High Discrimination ◽

The Mean

Acculturation and racial discrimination have been independently associated with physical function limitations in immigrant and United States (U.S.)-born populations. This study examined the relationships among acculturation, racial discrimination, and physical function limitations in N = 165 African immigrant older adults using multiple linear regression. The mean age was 62 years ( SD = 8 years), and 61% were female. Older adults who resided in the United States for 10 years or more had more physical function limitations compared with those who resided here for less than 10 years ( b = −2.62, 95% confidence interval [CI] = [–5.01, –0.23]). Compared to lower discrimination, those with high discrimination had more physical function limitations ( b = −2.51, 95% CI = [–4.91, –0.17]), but this was no longer significant after controlling for length of residence and acculturation strategy. Residing in the United States for more than 10 years is associated with poorer physical function. Longitudinal studies with large, diverse samples of African immigrants are needed to confirm these associations.

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The Probability That a Measurement Falls within a Range of Standard Deviations from an Estimate of the Mean

ISRN Applied Mathematics ◽

10.5402/2012/710806 ◽

2012 ◽

Vol 2012 ◽

pp. 1-8 ◽

Cited By ~ 2

Author(s):

Louis M. Houston

Keyword(s):

Confidence Interval ◽

Sample Size ◽

General Equation ◽

Sample Sizes ◽

The Mean ◽

Standard Deviations ◽

Intermediate Value ◽

Theoretical Results

We derive a general equation for the probability that a measurement falls within a range of n standard deviations from an estimate of the mean. So, we provide a format that is compatible with a confidence interval centered about the mean that is naturally independent of the sample size. The equation is derived by interpolating theoretical results for extreme sample sizes. The intermediate value of the equation is confirmed with a computational test.

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Stillbirth Rate and Weight at Birth of Quintuplets in Japan

Acta geneticae medicae et gemellologiae twin research ◽

10.1017/s0001566000002841 ◽

1989 ◽

Vol 38 (1-2) ◽

pp. 65-69 ◽

Cited By ~ 6

Author(s):

Yoko Imaizumi

Keyword(s):

Sample Size ◽

Birth Order ◽

Gestational Age ◽

Size Effects ◽

Maternal Age ◽

Small Sample Size ◽

Small Sample ◽

Stillbirth Rate ◽

The Mean

AbstractNation-wide data in Japan on births and prenatal deaths of 16 sets of quintuplets during 1974-1985 were analysed. Among the 16 sets, 3 sets were liveborn, 8 were stillborn, and 5 were mixed, with a stillbirth rate of 0.64 (51/80). Effects of sex, maternal age and birth order on the stillbirth rate were not considered because of the small sample size. Effects of gestational age and birthweight on stillbirth rate were also examined. The mean weight of the 40 quintuplet individuals was 1,048 g.

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Long-Term Testosterone Administration Increases Visceral Fat in Female to Male Transsexuals1

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jcem.82.7.4078 ◽

1997 ◽

Vol 82 (7) ◽

pp. 2044-2047 ◽

Cited By ~ 2

Author(s):

Jolanda M. H. Elbers ◽

Henk Asscheman ◽

Jacob C. Seidell ◽

Jos A. J. Megens ◽

Louis J. G. Gooren

Keyword(s):

Confidence Interval ◽

Visceral Fat ◽

Causal Relation ◽

Magnetic Resonance Images ◽

Visceral Fat Area ◽

Cross Sectional ◽

Fat Depots ◽

Testosterone Administration ◽

The Mean

The amount of intraabdominal (visceral) fat is an important determinant of disturbances in lipid and glucose metabolism. Cross-sectional studies in women have found associations between high androgen levels and visceral fat accumulation. The causal relation between these phenomena is unknown. We, therefore, studied prospectively the effect of testosterone administration on body fat distribution in 10 young, nonobese, female to male transsexuals undergoing sex reassignment. Before, after 1 yr, and after 3 yr of testosterone administration, magnetic resonance images were obtained at the level of the abdomen, hip, and thigh to quantify both sc and visceral fat depots. After 1 yr of testosterone administration, sc fat depots at all levels showed significant reductions compared to baseline measurements. The mean visceral fat area did not change significantly, but subjects who gained weight in the first year after testosterone administration showed an increase in visceral fat. After 3 yr of testosterone administration, sc fat depots were no longer significantly lower compared to pretreatment measurements, but the mean visceral fat depot had increased significantly by 13 cm2 (95% confidence interval, 4–22 cm2), a relative increase of 47% (95% confidence interval, 8–91%) from baseline. The increase in visceral fat was most pronounced in those subjects who had gained weight. We conclude that long term testosterone administration in young, nonobese, female subjects increases the amount of visceral fat. In addition, an increase in weight in this hyperandrogenic state leads to a preferential storage of fat in the visceral depot.

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