Solution

ID: past-exam-of-the-mathematics-course-of-the-university-of-cambridge/2005/iii/paper-44/5/c/solution

Use the original PDF's value ; the TeX aid misreads its last digit. In the fitted conditional mixture, means that about 57.5% are assigned to the structural-zero, or modelled cured, component. Its asymptotic 95% confidence interval of shows substantial uncertainty about that fraction. An observed post-treatment zero alone is not proof of cure, since the non-cured Poisson distribution can also produce zero.
The parameter is a conditional allocation probability, not the ratio of post-treatment to pre-treatment means. That ratio among non-cured patients is . Hence
The map is strictly increasing, so transform the endpoints of the supplied 95% confidence interval:
No change in the non-cured mean is , equivalently , which lies in this interval. Thus the point estimate suggests a reduction, but this interval does not firmly establish one among the non-cured patients at the corresponding two-sided 5% level. It is not correct to describe itself as a 61.4% reduction in their mean count.
Under a full pre-conditioning mixture with cure independent of the baseline rate, the population mean ratio would be , whose plug-in value is about . This combines disappearance of counts in one component with a change of rate in the other; it is distinct from the conditional estimate's direct interpretation. The two marginal confidence intervals cannot simply be multiplied to obtain a calibrated joint 95% interval for this derived quantity.
Only 12 patients were observed, so the asymptotic intervals, particularly for a mixture parameter near a boundary, should be interpreted cautiously. The data describe one-minute counts and do not establish permanent cure. Nor does an uncontrolled before-and-after comparison alone prove a causal effect of the drug: natural count variability, secular changes and regression to the mean remain possible. The structural-zero interpretation and the reduction among non-cured patients are conclusions within the specified statistical model.

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