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BIOSTATISTICS
(2nd Part) DR. MD. HABIBUR RAHMAN MBBS, FCPS P1 (MEDICINE) BCS (HEALTH) MEASURES OF LOCATION • Measures of central tendency: Mean, Median, Mode • Percentiles • Deciles • Quartiles • Mean: Arithmetic mean Eg. 2,3,4
• Median: Middle most value when data are
arranged in ascending or descending order Eg. 3,6,7,5,8,9,4
• Mode: Most occurring value . Eg. 2,3,4,3,6,7
• Percentile: Value is divided into 100 equal parts. E.g. 5 percentile means 5% data are below this value and 95% data is above this value • Decile: Value is divided into 10 equal parts. E.g. 4th decile means 40% data is below this value and 60 % data above. • Quartile: Value are divided into 4 equal parts. MEASURES OF DISPERSION/ SPREAD • Dispersion/ spread: 1. Range 2. Mean deviation 3. Standard deviation (SD): This is the square root of variance (mostly used ) 4. Variance – most 5. Inter quartile range 6. IDR 7. Coefficient of variation DATA DISTRIBUTION • TYPES: 1. Normal or Gaussian distribution 2. Skewed distributiob 3. Log-Normal distribution 4. Binominal distribution 5. Poisson distribution CHARACTERISTICS OF NORMAL DISTRIBUTION CURVE • Bell shaped • Symmetrical • Mean = median = mode • Total area of curve 1 • 50% data above and 50% data below the value • Mean ±1 SD covers 68% values • Mean ±2 SD covers 95% values • Mean ±3 SD covers 99.7% values SKEWED DISTRIBUTION • Asymmetrical • Positively skewed: Mean>median>mode. Mean & median are to the right of the mode • Negatively skewed: Mean<median<mode. Mean & median are to the left of the mode • Mean is towards longer tail, mode towards shorter tail PROBABILITY • Chance of occurrence of any event by chance. • Value of P is in between 0 & 1 • P= 0 means zero chance of occurrence e.g. survival after rabies. • P= 1 means 100% chance of occurrence e.g. Death of animal • Cut off point : 0.05 • Significant result: if P value <0.05 HYPOTHESIS
• NULL: There is no difference between
control and experiment value • ALTERNATIVE: There is a difference • P value <0.05 means chance of error is less and Null hypothesis can be rejected and alternative hypothesis is accepted. Result is significant SAMPLING ERROR • Type 1 error/ alpha: equivalent to false positive. Incorrect rejection of null hypothesis
• Type 2 error /beta: equivalent to false
negative. Incorrect acceptance of null hypothesis. TEST OF HYPOTHESIS/ SIGNIFICANCE • Parametric: For quantitative data (normally distributed data) t-Test (Student’s t-Test) F-test (fisher’s test or analysis of variance/ANOVA) Z-test (Proportion test) Regression test • Non-parametric: for qualitative data (asymmetrically distributed data) • Chi-squared test • Fisher exact probability test • Mann-Whitney test • Z-test t-Test • Find out the significance between two mean. • Criteria: Parametric Quantitative data Normally distributed data Random sampling Sample size < 30 Z-TEST • Find out the significance between two proportion • Criteria: Parametric or non-parametric Quantitative data Normally distributed data Random sampling Sample size > 30 CHI-SQUARED TEST • Find out the significance between two mean. • Criteria: Non-Parametric Qualitative data Asymmetrically distributed data No mean, median or mode Random sampling Sample size < 30 F-TEST OR ANOVA
• Find out significant difference between 2
or more data. • Sensitivity: Detects true positive. E.g. ANA in SLE • Specificity: Detects true negative e.g. Anti- dsDNA in SLE • True positive: PRESENCE OF DISEASE WITH TEST POSITIVE • True negative: ABSENCE OF DISEASE WITH TEST NEGATIVE