
9. The article “Evaluation of a Ventilation Strategy
to Prevent Barotrauma in Patients at High Risk for
Acute Respiratory Distress Syndrome” (New
Engl. J. Med., 1998: 355–358) reported on an
experiment in which 120 patients with similar
clinical features were randomly divided into a
control group and a treatment group, each consist-
ing of 60 patients. The sample mean ICU stay
(days) and sample standard deviation for the treat-
ment group were 19.9 and 39.1, respectively,
whereas these values for the control group were
13.7 and 15.8.
a. Calculate a point estimate for the difference
between true average ICU stay for the treat-
ment and control groups. Does this estimate
suggest that there is a significant difference
between true average stays under the two
conditions?
b. Answer the question posed in part (a) by
carrying out a formal test of hypotheses. Is
the result different from what you conjectured
in part (a)?
c. Does it appear that ICU stay for patients given
the ventilation treatment is normally distri-
buted? Explain your reasoning.
d. Estimate true average length of stay for
patients given the ventilation treatment in a
way that conveys information about precision
and reliability.
10. An experiment was performed to compare the
fracture toughness of high-purity 18 Ni maraging
steel with commercial-purity steel of the same
type (Corrosion Sci., 1971: 723–736). The sample
average toughness was
x ¼ 65:6 for m ¼ 32 spe-
cimens of the high-purity steel, whereas for
n ¼ 38 specimens of commercial steel
y ¼ 59:8.
Because the high-purity steel is more expensive,
its use for a certain application can be justified
only if its fracture toughness exceeds that of com-
mercial-purity steel by more than 5. Suppose that
both toughness distributions are normal.
a. Assuming that s
1
¼ 1.2 and s
2
¼ 1.1, test the
relevant hypotheses using a ¼ .001.
b. Compute b for the test conducted in part (a)
when m
1
m
2
¼ 6.
11. What impact does fast-food consumption have on
various dietary and health characteristics? The
article “Effects of Fast-Food Consumption on
Energy Intake and Diet Quality among Children
in a National Household Study” (Pediatrics, 2004:
112–118) reported the accompanying summary
data on daily calorie intake both for a sample of
teens who said they did not typically eat fast food
and another sample of teens who said they did
usually eat fast food.
Eat Fast Food
Sample
Size
Sample
Mean
Sample
SD
No 663 2258 1519
Yes 413 2637 1138
a. Estimate the difference between true average
calorie intake for teens who typically don’t eat
fast foods and true average intake for those who
do eat fast foods, and do so in a way that conveys
information about reliability and precision.
b. Does this data provide strong evidence for
concluding that true average calorie intake for
teens who typically eat fast food exceeds true
average intake for those who don’t typically
eat fast food by more than 200 cal/day? Carry
out a test at significance level .05 based on
determining the P-value.
12. A 3-year study was carried out to see if fluoride
toothpaste helps to prevent cavities (“Clinical
Testing of Fluoride and non-Fluoride Containing
Dentifrices in Hounslow School Children,” British
Dental J., Feb., 1971: 154–158). The dependent
variable was the DMFS increment, the number of
new Decayed, Missing, and Filled Surfaces. The
table gives summary data.
Group
Sample
Size
Sample
Mean
Sample
SD
Control 289 12.83 8.31
Fluoride 260 9.78 7.51
Calculate and interpret a 99% confidence interval
for the difference between true means. Is fluoride
toothpaste beneficial?
13. A study seeks to compare hospitals based on the
performance of their intensive care units. The
dependent variable is the mortality ratio, the ratio
of the number of deaths over the predicted number
of deaths based on the condition of the patients. The
comparison will be between hospitals with nurse
staffing problems and hospitals without such pro-
blems. Assume, based on past experience, that the
standard deviation of the mortality ratio will be
around .2 in both types of hospital. How many of
each type of hospital should be included in the study
in order to have both the type I and type II error
probabilities be .05, if the true difference of mean
mortality ratio for the two types of hospital is .2?
If we conclude that hospitals with nurse staffing
problems have a higher mortality ratio, does this
imply a causal relationship? Explain.
10.1 z Tests and Confidence Intervals for a Difference Between Two Population Means 497