Re: Marijuana

2001-06-15 Thread Paul Jones

David C. Ullrich wrote:
 
 considerable benefit for neurogenic bladder problems,
 
 I did not know that, but I know that the topic is of considerable
 interest to people with various other conditions. 

Yes, recent work at the National Hospital of Neurology and
Neurosurgery in London, UK has shown that two cannibinoids
administered in a spray considerably reduce urinary
frequency and the number of time PwMS have to get up to pee
during the night (a big problem). The researcher I was
talking to said that there are cannibinoid receptors in the
bladder and the cortex but not in the micuration control
areas of the brainstem nor in the spinal cord.

 As is the
 fact that the Supreme Court seems to have decided that pi = 3
 again...

More like -6.

 Here I get a little lost again. Exactly what does it mean
 to say the relative risk is 4.8?

I assumed it meant event A happened 4.8 times as much as
would be expected if the two events were unrelated.

 And here again I'm _totally_ lost.

Okay, put it like this:

Of 1086240 trials, A happened in 17484 of them, B happened
in 124 and both A and B happened in 9.

I really need to know how to how to calculate the
statistical implications here. Please someone help me!

 What I want to know is what is the correlation between these
 two event?
 Most importantly, how statistically significant is the
 result?
 Can any reasonable conclusions be drawn from these data -
 esp, in view of the small dataset size?

Take care,
Paul
All About MS - the latest MS News and Views
http://www.mult-sclerosis.org/


=
Instructions for joining and leaving this list and remarks about
the problem of INAPPROPRIATE MESSAGES are available at
  http://jse.stat.ncsu.edu/
=



Re: Marijuana

2001-06-15 Thread Paul Jones

David Petry wrote:
 
 Keep in mind that correlation is not the same as causation.
 
 That's of particular importance in a study like this one.
 
 That is, if people are taking marijuana to treat pain and
 general discomfort, and if heart attacks are preceded by
 pain and discomfort, then there will be a strong correlation
 between marijuana use and later heart attacks, but it
 won't be proof of causation.

I know the study is flawed in ever so many ways. I just want
to get at the statistical implications. I wish I hadn't
memtioned marijuana or the trial. 

Please help me to find the appropriate statistical test
(e.g. two-tailed t-test, Spearman Rank correlation, chi2
test or whatever) and help me work out the statistical
significance of any correlation between events A and B
where:

In 1086240 trials, A happened in 17484 of them, B happened
in 124 and both A and B happened in 9.

Is there a statistical association between A and B? How
significant is that association? I would be ever so grateful
if someone could help.

Take care,
Paul
All About MS - the latest MS News and Views
http://www.mult-sclerosis.org/


=
Instructions for joining and leaving this list and remarks about
the problem of INAPPROPRIATE MESSAGES are available at
  http://jse.stat.ncsu.edu/
=



Marijuana

2001-06-14 Thread Paul Jones

There was some research recently linking heart attacks with
Marijuana smoking.

I'm trying to work out the correlation and, most
importantly, its statistical significance.

In essence the problem comes down to:

Of 8760 hours in a year, 124 had heart attacks in them, 141
had MJ smokes in them and 9 had both.

What statistical tests apply? 
Most importantly, what is the statistical significance of
the correlation between smoking MJ in any hour and having a
heart attack in that same hour? 
What is the probablity that the null hypothesis (that
smoking marijuana and having a heart attack are unrelated)
can be rejected?
How reliable are the results from a dataset of this size?

I'm not very literate in maths and stats - please help me
out someone. I'm interested in this research from the
perspective of medicinal marijuana. 

Thanks and take care,
Paul
All About MS - the latest MS News and Views
http://www.mult-sclerosis.org/


=
Instructions for joining and leaving this list and remarks about
the problem of INAPPROPRIATE MESSAGES are available at
  http://jse.stat.ncsu.edu/
=



Re: Marijuana

2001-06-14 Thread Paul Jones

Steve Leibel wrote:
 
 So the people who died from heart attacks weren't even considered in the
 study.  Perhaps of all the people who had heart attacks, recent mj use
 was statistically correlated with saving their lives.  That would be
 consistent with what you just described.  So the methodology sounds
 bogus.

That's not all - the MJ users had an excess of males,
cigarette smokers and obese people - all increased risks for
myocardial infarction. 

These articles rarely show statistical significance and it's
hard to get hold of the full text without paying loads for
it - besides, the full text might not quote p values. I want
to know how statistically significant the association is,
even given the studies obvious weaknesses. I need to know
how to calculate a p value. 

If anyone could help it would be of great value to myself
and a number of other PwMS.

Thanks and take care,
Paul
All About MS - the latest MS News and Views
http://www.mult-sclerosis.org/


=
Instructions for joining and leaving this list and remarks about
the problem of INAPPROPRIATE MESSAGES are available at
  http://jse.stat.ncsu.edu/
=



Re: Marijuana

2001-06-14 Thread Paul Jones

Thanks for replying, David. I'll try to frame the problem
better.

First, I shall explain my motivations. 

There has recently been some research that implied that
smoking MJ increased risk of heart attack in the hour
following the heart attack. I haven't got the full text of
the article - I've just seen the abstract, the press
releases and resultant press coverage. There is a lot of
dodgy research research and I want to know how statistically
valid this research is.

As you can imagine this topic is of great interest to people
who use medicinal marijuana for multiple sclerosis as it has
considerable benefit for neurogenic bladder problems,
neuropathic pain and muscle spasms. The headline that MJ may
increase heart attack risk in the hour following smoking it
is extremely pertinent to people with MS. This explains my
motives. This is not homework - I have MS.

So the research says that of a large number of people who
had heart attacks at a centre, 124 people had used MJ in the
year preceding the HA. Of these 9 reported that they had
used MJ in the hour preceding the HA. All MJ users were
questioned on the frequency with which they used MJ. The
relative risk was reported as 4.8 - I used this to
back-calculate that the average number of MJ usages per year
rounded 141 - (9/n)/(115/(8760-n)) = 4.8

I see an immediate mistake in what I wrote before - I have
used the average Med MJ smokes but the total heart attacks.
Restating the problem:

Event A is smoking MJ.
Event B is having HA. 
Let's assume that both events can only happen once per hour
and that each person only had one HA.

Of 1,086,240 hours, A happened 17,484 times, B happened 124
times and both A and B happened 9 times.

What I want to know is what is the correlation between these
two event? 
Most importantly, how statistically significant is the
result? 
Can any reasonable conclusions be drawn from these data -
esp, in view of the small dataset size?

I would appreciate being corrected. 

Take care,
Paul
All About MS - the latest MS News and Views
http://www.mult-sclerosis.org/


David C. Ullrich wrote:
 
 On Thu, 14 Jun 2001 15:22:25 +0100, Paul Jones
 [EMAIL PROTECTED] wrote:
 
 There was some research recently linking heart attacks with
 Marijuana smoking.
 
 I'm trying to work out the correlation and, most
 importantly, its statistical significance.
 
 In essence the problem comes down to:
 
 Of 8760 hours in a year, 124 had heart attacks in them, 141
 had MJ smokes in them and 9 had both.
 
 What statistical tests apply?
 
 None. What you've said here makes no sense - what does
 it mean for an _hour_ to have MJ smoke?
 
 If you're actually reporting on actual research it
 would be interesting to know what the actual researchers
 actually said - if there's actual research out there
 that talks about the number of hours in a year containing
 smoke that will be remarkable.
 
 If otoh this is a homework question you should quote
 the question more accurately. (If the homework question
 _really_ reads _exactly_ the way you put it then you
 should complain to whoever assigned it that it makes
 no sense.)
 
 Most importantly, what is the statistical significance of
 the correlation between smoking MJ in any hour and having a
 heart attack in that same hour?
 
 Now this sounds more like you're talking about one
 person. This is an actual person who actually had
 124 heart attacks in one year? I doubt it.
 
 What is the probablity that the null hypothesis (that
 smoking marijuana and having a heart attack are unrelated)
 can be rejected?
 How reliable are the results from a dataset of this size?
 
 I'm not very literate in maths and stats - please help me
 out someone. I'm interested in this research from the
 perspective of medicinal marijuana.
 
 Fascinating topic. If this is not actually homework you
 need to explain the question much more accurately.
 
 Thanks and take care,
 Paul
 All About MS - the latest MS News and Views
 http://www.mult-sclerosis.org/
 
 David C. Ullrich
 *
 Sometimes you can have access violations all the
 time and the program still works. (Michael Caracena,
 comp.lang.pascal.delphi.misc 5/1/01)


=
Instructions for joining and leaving this list and remarks about
the problem of INAPPROPRIATE MESSAGES are available at
  http://jse.stat.ncsu.edu/
=