74 research outputs found
Ratio Type Estimator of Ratio of Two Population Means in Stratified Random Sampling
A ratio estimator is proposed for the ratio of two population means using auxiliary information in stratified random sampling. Bias and mean squared error expressions are obtained under large sample approximation, and the proposed estimator is compared both theoretically and empirically with the conventional estimator of ratio for two population means in stratified random sampling
Modified Ratio and Product Estimators for Population Mean in Systematic Sampling
The estimation of population mean in systematic sampling is explored. Properties of a ratio and product estimator that have been suggested in systematic sampling are investigated, along with the properties of double sampling. Following Swain (1964), the cost aspect is also discussed
Separate Ratio-type Estimators of Population Mean in Stratified Random Sampling
Separate ratio-type estimators for population mean with their properties are considered. Some separate ratio-type estimators for population mean using known parameters of auxiliary variate are proposed. The bias and mean squared error of the proposed estimators are obtained up to the first degree of approximation. It is shown that the proposed estimators are more efficient than unbiased estimators in stratified random sampling and usual separate ratio estimators under certain obtained conditions. To judge the merits of the proposed estimators, an empirical study was conducted
On ratio and product methods with certain known population parameters of auxiliary variable in sample surveys
This paper proposes two ratio and product-type estimators using transformation based on known minimum and maximum values of auxiliary variable. The biases and mean squared errors of the suggested estimators are obtained under large sample approximation. Conditions are obtained under which the suggested estimators are superior to the conventional unbiased estimator, usual ratio and product estimators of population mean. The superiority of the proposed estimators are also established through some natural population data sets
An Alternative Ratio-Cum-Product Estimator of Finite Population Mean Using Coefficient of Kurtosis of Two Auxiliary Variates in Two-Phase Sampling
<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:Compatibility> <w:BreakWrappedTables /> <w:SnapToGridInCell /> <w:WrapTextWithPunct /> <w:UseAsianBreakRules /> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument> </xml><![endif]--> <p class="MsoBodyText" style="text-align: justify;"><em style="mso-bidi-font-style: normal;"><span style="font-weight: normal;">This paper deals with the problem of estimation of population mean in two-phase sampling. A ratio-product estimator of population mean using known coefficient of kurtosis of two auxiliary variates has been proposed. In fact, it is a two-phase sampling<span style="color: black;"> version of Tailor et al. (2010)</span> estimator and its properties are studied. Proposed estimator has been compared with usual unbiased estimator, classical ratio and product estimator in two-phase sampling, and two-phase sampling versions of <span style="mso-bidi-font-style: italic;">Singh (1967) and </span>Singh et al. (2004) estimators respectively.<span style="color: black;"> To judge the merits of the proposed estimator over other estimators an empirical study is also carried out.</span></span></em></p> <!--[if gte mso 10]> <style>\ud
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Estimation of finite population mean using two auxiliary variables under stratified random sampling
A Class of Estimators of Population Mean in Case of Post Stratification
<p>This paper proposes a class of ratio-cum-product type estimators in case of post-stratification. Particular members of the proposed class of ratio-cum-product type estimators have been identified and studied thoroughly from efficiency point of view. It has been shown that the identified particular estimators are more efficient than the usual unbiased estimator, Ige and Tripathi estimators , Chouhan estimators, Tailor et al. estimator and other considered estimators. An empirical study has been carried out to demonstrate the performance of the proposed estimators.</p
IMPROVED SEPARATE RATIO AND PRODUCT EXPONENTIAL TYPE ESTIMATORS IN THE CASE OF POST-STRATIFICATION
Evaluation of prognostic risk models for postoperative pulmonary complications in adult patients undergoing major abdominal surgery: a systematic review and international external validation cohort study
Background
Stratifying risk of postoperative pulmonary complications after major abdominal surgery allows clinicians to modify risk through targeted interventions and enhanced monitoring. In this study, we aimed to identify and validate prognostic models against a new consensus definition of postoperative pulmonary complications.
Methods
We did a systematic review and international external validation cohort study. The systematic review was done in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched MEDLINE and Embase on March 1, 2020, for articles published in English that reported on risk prediction models for postoperative pulmonary complications following abdominal surgery. External validation of existing models was done within a prospective international cohort study of adult patients (≥18 years) undergoing major abdominal surgery. Data were collected between Jan 1, 2019, and April 30, 2019, in the UK, Ireland, and Australia. Discriminative ability and prognostic accuracy summary statistics were compared between models for the 30-day postoperative pulmonary complication rate as defined by the Standardised Endpoints in Perioperative Medicine Core Outcome Measures in Perioperative and Anaesthetic Care (StEP-COMPAC). Model performance was compared using the area under the receiver operating characteristic curve (AUROCC).
Findings
In total, we identified 2903 records from our literature search; of which, 2514 (86·6%) unique records were screened, 121 (4·8%) of 2514 full texts were assessed for eligibility, and 29 unique prognostic models were identified. Nine (31·0%) of 29 models had score development reported only, 19 (65·5%) had undergone internal validation, and only four (13·8%) had been externally validated. Data to validate six eligible models were collected in the international external validation cohort study. Data from 11 591 patients were available, with an overall postoperative pulmonary complication rate of 7·8% (n=903). None of the six models showed good discrimination (defined as AUROCC ≥0·70) for identifying postoperative pulmonary complications, with the Assess Respiratory Risk in Surgical Patients in Catalonia score showing the best discrimination (AUROCC 0·700 [95% CI 0·683–0·717]).
Interpretation
In the pre-COVID-19 pandemic data, variability in the risk of pulmonary complications (StEP-COMPAC definition) following major abdominal surgery was poorly described by existing prognostication tools. To improve surgical safety during the COVID-19 pandemic recovery and beyond, novel risk stratification tools are required.
Funding
British Journal of Surgery Society
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries
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