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a very urgunt and important question about R

Hi

I recommend to start with

library(fortunes)
fortune("surgery")

Anyway, beside Introduction to R you could go through 

CRAN Task View: Design of Experiments (DoE) & Analysis of Experimental Data

and specifically through

Experimental designs for clinical trials 
This task view only covers specific design of experiments packages; there may be some grey areas. Please, also consult the ClinicalTrials task view. 

*experiment contains tools for clinical experiments, e.g., a randomization tool, and it provides a few special analysis options for clinical trials. 
*Package gsDesign implements group sequential designs, 
*Package gsbDesign evaluates operating characteristics for group sequential Bayesian designs, 
*package asd implements adaptive sequential designs. 
*Package TEQR provides toxicity equivalence range designs (Blanchard and Longmate 2010) for phase I clinical trials. 
*The DoseFinding package provides functions for the design and analysis of dose-finding experiments (for example pharmaceutical Phase II clinical trials); it combines the facilities of the "MCPMod" package (maintenance discontinued; described in Bornkamp, Pinheiro and Bretz 2009) with a special type of optimal designs for dose finding situations (MED-optimal designs, or D-optimal designs, or a mixture of both; cf., Dette et al. 2008)

Which shall provide you with some insight.

Regards
Petr