In many medical comparative studies (e.g., comparison of two treatments in an otolaryngological study), subjects may produce either bilateral (e.g., responses from a pair of ears) or unilateral (response from only one ear) data. For bilateral cases, it is meaningful to assume that the information between the two ears from the same subject are generally highly correlated. In this article, we would like to test the equality of the successful cure rates between two treatments with the presence of combined unilateral and bilateral data. Based on the dependence and independence models, we study ten test statistics which utilize both the unilateral and bilateral data. The performance of these statistics will be evaluated with respect to their empirical Type I error rates and powers under different configurations. We find that both Rosner's and Wald-type statistics based on the dependence model and constrained maximum likelihood estimates (under the null hypothesis) perform satisfactorily for small to large samples and are hence recommended. We illustrate our methodologies with a real data set from an otolaryngology study. 相似文献
To maximize the ecological services of urban forests, a better understanding of the effects of urbanization on urban forest characteristics, landscape metrics, and their associations is needed for landscape-related regulations in space-limited green infrastructure of metropolitan regions. In this study, Harbin, a typical fast-growing provincial-capital city in Northeast China, is used as a case study. Based on remote sensing images, field surveys, and correlation and variation partitioning analyses, we conclude that landscape characteristics and forest attributes have large variations among different urbanization intensity (UI) regions. Forest patch density (PD), landscape shape index, woody plants species richness, and the Shannon–Wiener index (H′) increased linearly, while stem section area and tree height decreased linearly with the increasing of UIs. UI had a greater influence on tree size and forest community attributes than the forest landscape pattern. Accordingly, any landscape regulation on forest attributes should be implemented according to UIs. In addition, Euclidean nearest neighbor distance(ENN-MN), mean perimeter-area ratio (PARA-MN), fractal dimension index(FRAC-MN), and PD could probably indicate forest attributes the most, e.g., the increase of PARA-MN may be accompanied with taller trees in low and heavy UI regions, but lower woody plants species evenness in low and medium UI regions. More diversified woody plants species, and afforested areas should be advocated in a low UI region, while in a heavy UI region, the conservation of large trees should be implemented. Our results highlight that the implementation of urban forest management should vary according to different urbanization regions to maximize ecological services.