Posts written by Thomas Lumley (2645)

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Thomas Lumley (@tslumley) is Professor of Biostatistics at the University of Auckland. His research interests include semiparametric models, survey sampling, statistical computing, foundations of statistics, and whatever methodological problems his medical collaborators come up with. He also blogs at Biased and Inefficient

November 15, 2012

Stop it or you’ll go blind

According to the Herald, a West Island eye expert says that ‘up to’  5% of people who watched the solar eclipse will have permanent eye damage in the form of a blind spot or black spot in the center of their vision.  That could easily be hundred thousand people in New Zealand, which seems (a) excessive and (b) rather light on supporting data for such an important public health claim.

Auckland eye doctor Sarah Welsh is quoted as being a bit more realistic

… anyone who watched the event with the naked eye could have damaged their retina.

She had seen at least one patient today who believed they damaged their eyes yesterday….

Yet Welsh said it was “unlikely” five per cent of people suffered such burns.

“I’m not sure where he got that number from,” she said.

A brief session with the internets reveals that after a 1999 eclipse in Britain, there were 14 confirmed cases of permanent eye damage. The same eclipse was also seen in Stockolm, Sweden, where there were 15 cases recorded.  And in 1995, an eclipse in Pakistan led to 36 cases at the Abbottabad Hospital, 26 of whom recovered completely.  There will be some under-reporting in all these examples, but it’s hard to imagine that only one in a hundred or one in a thousand of the people with eye damage reports it.

So where did the 5% number come from? It probably sounded plausible.  That is, he pulled it out of his hat. Or somewhere else round and inappropriate.

 

Bad news, but good story

The Herald’s story about perinatal mortality in the Counties Manukua DHB area is informative and statistically sensible.  They also have a story about stillbirths, with actual data and expert comments.

 

November 14, 2012

How good were US election predictions?

Neil Sinhababu has compiled a list of US election predictions by professional pundits, ranked on how well they predicted the overall Electoral College results, the ten marginal states, and the popular vote (as a tie-breaker).

Remember that since people such as Sam Wang, Simon Jackman, and Nate Silver obtain their predictions deterministically from poll data, and publish them in fine detail, people who have any additional sources of information not represented in opinion polls should be able to do better on average, since they can also use the poll summaries as inputs to their own thinking. On the whole, though, the people with additional sources of information mostly did worse.  If we say that Florida was too close to call, we find ten predictions that were otherwise accurate. One was the Intrade betting market, seven were deterministic models, and only two were individuals.

In the future, as happened with baseball after Moneyball, the journalists should start to use the statistical predictions more effectively.  They probably won’t beat the models by much, but they should be able to avoiding doing much worse and sometimes do slightly better.

 

Up or down

The Herald (from the Daily Mail, sadly) has a headline “Baby girls exposed to stress have great risk of teen anxiety”.  “How great?”, you ask. They don’t say.

We do learn:

Teenage girls are more likely to struggle with anxiety and depression if they’re exposed to stress as babies, a study has found.

If you go to look at either the abstract, or the more comprehensible explanation in Nature News, you find that this isn’t quite right

The study showed that 18-year-old girls who had had high cortisol levels at age 4 have weak connectivity between the amygdala, a deep nub of the brain known for processing fear and emotions, and the ventromedial prefrontal cortex, an outer region involved in curbing the amygdala’s stress response.

But without taking cortisol into account, early stress, in itself, is not significantly correlated with the differences in brain activity seen at age 18…

The study also found that girls who have higher scores on anxiety tests have weaker synchrony between these two regions than do girls with lower scores. Intriguingly, the opposite pattern was found for depressive symptoms: higher depression scores correlate with stronger connectivity.

Or, in the original Greek

For females, adolescent amygdala-vmPFC functional connectivity was inversely correlated with concurrent anxiety symptoms but positively associated with depressive symptoms,

Nothing about the opposite findings for anxiety and depression made it into the story. If you go on to read the full article, you also find that while they measured early life stress and they measured symptoms of adolescent anxiety and depression, they don’t report on the associations between them.  The analysis is about how the other variables related to the brain wave patterns.   At least, for a change, the gender differences in the story are supported by the research.

The research is actually quite interesting and potentially useful, and the correlations between cortisol levels and brain waves are respectably strong.  Much stronger, for example, than the link between the results and the headline and lead in the story.

November 13, 2012

The light at the end of the tunnel

It’s the end of another semester, and we’re about to have a couple of days of presentations by our BSc(Hons) and MSc students, telling us what they’ve been doing all year:

Improving staffing schedules at a Cardiothoracic Intensive Care Unit

Clickers: A study of student opinion on audience response technology

Population modelling interactions between introduced and threatened species for conservation management 

Deal or No Deal

From question to design: Creating a guide for experimental planning and design in the biological sciences 

Balanced Incomplete Block Design in Multivariate Analysis

Use of multivariate omnibus test with mixed model analysis on heterogeneous nested data

Generalised Estimating Equations (GEEs) in the multivariate omnibus test

Web-based interactive graphics

Interactive Graphics for Data Quality Assessment

Creating an R meta-analysis graphics package

Monte Carlo Methods for Adjusting Confidence Intervals for Parameter of Point Process Models

Investigating if follow-up at outpatient clinics helps prevent adverse patient outcomes from Bowel Resection and Hip Replacement 

Methods of analysing hospital length of stay

Data management for combining data sets and macro simulation

Bootstrap methods in linear regression

Comparison of volatility estimates in Black-Scholes option pricing

Financial planning for retirees

A diagnostic for the Gaussian copula

Model Selection under Complex Sampling

BART vs Logistic regression: Propensity score estimation

Modelling and Prediction of Electricity Consumption

Brand attribute importance using choice elimination

Overselling medical progress

Overselling the significance of medical research is a familiar problem in the media, with scientists and journalists both being culpable.  There’s a dramatic example going on at the moment, where Pluristem Therapeutics, who made available their in-development treatment on compassionate grounds to three patients, issued press releases with titles such as “Compassionate Use of Pluristem’s PLX Cells Saves the Life of a Child After Bone Marrow Transplantation Failure.” The child died six months later.  One of the other two patients has also died.

Bloomberg News is the main source for this story, and they focused on the impact on share prices and whether the reporting might have violated stock-market regulations, which an expert quoted in the story says is a grey area, and the company denies:

The Haifa, Israel-based company doesn’t follow patients after they are released from the hospital and wasn’t obligated to report the girl’s death, he said.

“What counts legally is whether there is an improvement in the physical condition,” Aberman said in a telephone interview with Bloomberg News. “When we saw significant improvement in the blood count, we declared a successful treatment.”

Even assuming that excitement with the progress of their new treatment was the only factor in the press releases, the whole miracle-cure thing is irresponsible.  Leigh Turner, a bioethicist from Minnesota, (in a blog interview) said it well:

There are some valuable lessons here both for reporters as well as for consumers of news coverage of stem cell research and other areas of science that are routinely overhyped. Whose interests are served when press releases are issued? Is there something significant about timing of press releases? Are independent voices included in news coverage or do all quoted individuals have vested interests in promoting positive account of study results? Why is a press release being issued if results are based upon a single research participant or merely a few research subjects? And finally, what financial interests are swirling beneath the language of “miracles”, “cures”, and “lifesaving” interventions? These are questions reporters should ask and they are also questions those of us who read and otherwise consume the news should consider whenever we are confronted with dramatic claims floated on anecdotes, testimonials, and research “findings” based on meaningless sample sizes.

Pluristem’s work, with placental stem cells, is promising, and they have actual clinical trials starting and planned. That’s how we will be able to tell whether the treatments help patients, and that is what might be worth reporting. (via)

Iris patterns

Nine years ago, the Herald knew that photographs of the iris of the eye were the basis for the most accurate biometric identification technology currently available (except in people with very dark eyes, where it doesn’t work so well). Because the iris is protected by the cornea and doesn’t change over time, it gives much more stable identification than most other biometrics. The main limitation is that people often don’t like putting their eyes close to a camera.

Today, however, the Herald says that iris patterns change rapidly in response to a wide variety of health changes.

Then he looks at the eye where each section of the iris relates to a body part. There may be stress rings, iron, or markings or colours which indicate changes in cholesterol and blood sugar levels, the state of your immune system, memory and circulation issues.

He also looks at the texture of the iris which shows the body’s constitution we are born with. “A strong constitution will look like silk, a weaker constitution will have a rougher texture like hessian.”

At least one of these stories is wrong, and I’m pretty sure I know which one.

November 12, 2012

The rise of the machines

The Herald has an interesting story on the improvements in prediction displayed last week: predicting the US election results , but more importantly, predicting the path of Hurricane Sandy.  They say

In just two weeks, computer models have displayed an impressive prediction prowess.

 The math experts came out on top thanks to better and more accessible data and rapidly increasing computer power.

It’s true that increasing computer power has been important in both these examples, but it’s been important in two quite different ways.  Weather prediction, use the most powerful computers that the metereologists can afford, and they are still nowhere near the point of diminishing returns.  There aren’t many problems like this.

Election forecasting, on the other hand, uses simple models that could even be run on hand calculators, if you were sufficiently obsessive and knowledgeable about computational statistics and numerical approximations.  The importance of increases in computer power is that anyone in the developed world has access to computing resources that make the actual calculations trivial.  Ubiquitous computing, rather than supercomputers, are what has revolutionised statistics.  If you combine the cheapest second-hand computer you can find with free software downloaded from the Internet, you have the sort of modelling resources that the top academic and industry research groups were just starting to get twenty years ago.

Cheap computing means that we can tackle problems that wouldn’t have been worthwhile before.  For example, in a post about the lottery, I wanted to calculate the probability that distributing 104 wins over 12 months would give 15 or more wins in one of the months.  I could probably work this out analytically, at least to a reasonable approximation, but it would be too slow and too boring to do for a blog post.  In less than a minute I could write code to estimate the probabilities by simulation, and run 10,000 samples.  If more accuracy was needed I could easily extend this to millions of samples.  That particular calculation doesn’t really matter to anyone, but the same principles apply to real research problems.

November 11, 2012

It’s not the sensation, it’s the neuroscience

Philosophers have argued about whether it’s even conceivable to have pain without the physical sensation. According to 3News (and other media outlets worldwide), University of Chicago neuroscientists don’t have a problem with this:

Mathematics can be difficult, and a new study shows even thinking about doing it can physically hurt.

Of course, that’s not quite what the study found (and credit to 3News for linking), though it does seem to be what the researchers said they found. The study was in people with ‘high levels of math anxiety’ and the abstract says

We show that, when anticipating an upcoming math-task, the higher one’s math anxiety, the more one increases activity in regions associated with visceral threat detection, and often the experience of pain itself (bilateral dorso-posterior insula).

That is, some of the parts of the brain that are active during pain or threat were also active when anticipating a maths task, even though there was no actual pain reported.

A simpler explanation might be that if you’re scared of maths, then your brain looks as if you’re scared of something.  Although the researchers don’t believe this, they do actually concede it is an alternative explanation in the discussion section of the paper

the INSp activity we found could be reflective of something else. For example, it has been suggested that INSp activity is not so much reflective of nocioception, but rather reflects detection of events that are salient for (e.g., threatening to) bodily integrity, regardless of the input sensory modality

(via)

Psychic water bills

I’ve just received a water bill which, among other information, estimates my average daily water use for November.  That’s a pretty good trick for something that must have been mailed in the first few days of the month. They mean October, I assume.

Apart from their off-by-one labelling of months, Watercare are interesting because of their ‘estimated’ water usage.  They recently changed to sending monthly bills, but they still only try to read the meter ever second month, and in my case have failed to find it twice.  My first bill on moving in was for three months, and it was relatively high. I fixed the leaky seal in the toilet and expected the bills to go down.  The following month, the meter wasn’t read but my estimated daily water use went up about 7%.  The next month, again there was no meter reading, and the estimated daily use was another 10% higher. The next month the estimated daily use was down about 8%, again with no reading.

I can see why the estimated total usage would fluctuate based on the varying time between estimates, but it’s hard to see what basis Watercare had for estimating I was using more water in September (actually August) than in August (actually July) without any actual data.  I wouldn’t have expected the average Aucklander to use more water in winter, and a research report from Branz confirms my expectation.

This month, now they have found the meter, the estimated use has fallen about 85%, catching up on three months of overbilling.