Biostatistics Flashcards

1
Q

Independent Variable

A

Stimuli that researchers
manipulate to create
effect

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2
Q

Descriptive Statistics

A
Refers to the differmethods
 applied
 summarize and present din a form to make them eato analyze and interpretusing methods of:
 • Tabulation
 • graphical representation
• summary measures
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3
Q

Inferential Statistics

A
Methods involved in order t make generalizations and
 conclusions about a target
 population, based on result
 from a sample, includes:
 • estimation of parameters
 • testing of hypothesis
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4
Q

TYPES OF DATA

A

Quantitative

Qualitative

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5
Q

Nominal

A

Naming or categoric variables that are not based
on measurement scales or rank order.
• # or symbols are assigned. Lowest form of
variable: (e.g., Gender, Color, Province, occupation,skin color and blood group)
• Dichotomous (binary)- which has only two
levels (e.g., Yes or No, Normal and Abnormal, Male
and Female)

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6
Q

Ordinal

A

• Arranged in rank ordered categories
• (E.g., Social class, Likert scale, Satisfactory scale,
agree to disagree, murmur range, level of edema)

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7
Q

. ACCURACY/ACCURATE

A

o The closeness of a measured orvalue.

o Trueness of test measurements

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8
Q

PRECISION/PRECISE

A

how close measurements of the same item are to each other

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9
Q

Sensitivity

A

is the test’s ability to correctly designate a subject

with the disease as positive

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10
Q

Specificity

A

Is the test’s ability to correctly designate a subject

without the disease as negative

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11
Q

Positive Predictive Value

A

o (PPV) is the probability that a subject with a positive

(abnormal) test actually has the disease

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12
Q

Negative Predictive Value

A

o (NPV) is the post-test probability that the subject has no disease given a negative test result

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13
Q

Likelihood ratio

A

It is defined as the probability of a subject who has the disease testing positive divided by the probability of a subject who does not have the disease testing positive

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14
Q

SELF-SELECTION BIAS

A

o people presenting for screening tend to be healthier leading to
false sense of better outcomes

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15
Q

LEAD TIME BIAS

A

o refers to the phenomenon where early diagnosis of a disease
falsely makes it look like people are surviving longer. This
occurs most frequently in the context of screening.

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16
Q

LENGTH BIAS

A

o refers to the fact that screening is more likely to pick up slower-growing, less aggressive cancers, which can exist in the body longer than fast-growing cancers before symptoms develop

17
Q

OVER-DIAGNOSIS BIAS

A

o An extreme example of length bias
o aggressive search for abnormalities might actually lead to
harm and great cost without reaping any benefits

18
Q

STRATIFIED

SAMPLING

A
• Sampling method where we divide the
 population
 into
 nonoverlapping
  subpopulations or strata, and then select
  one sample from each stratum
 • The sample consist of all the samples in the
different strata
19
Q

SYSTEMATIC
SAMPLING
DESIGN

A

• Selection of the first element is at random
and selection of the other elements is
subsequently taking every k
• Sampling interval is represented by k
• kth element of the population is chosen
(k=N/n, where N is the total population, and
n is the sample size needed

20
Q

CLUSTER

SAMPLING

A

• The population is first divided into sampling
units called clusters
A sample of clusters is selected
• Every element found in each cluster is
included in the study

21
Q

MULTISTAGE
SAMPLING
DESIGN

A
• There is hierarchical configuration of
sampling units and we select sample of
these units in stages
 • The population is 1st divided into a set of
primary or first stage sampling units
• Each primary sampling unit included in the
sample is further subdivided into
secondary or second stage sampling
units, from which a sample will again be
taken.
22
Q

MEAN,

A
Most commonmeasure
 of
central
 tendency;
 “average”
23
Q

MEDIAN,

A
• The value that falls
  in the middle
  position when the
  observations are
  ranked in order
  from the smallest
  to the largest.
  • If
 number
 of
  observations
 is
  odd, the median is
  the
 middle
  number
  • If it is even, the
  median is the
  average of the 2
  middle numbers.
  • Useful on skewed
  data
 • For ordinal or
 numeric data if
 skewed
24
Q

&

MODE

A
•  The value that
 occurs with the
 greatest
  frequency in a
 set
 of
 observations
  • Used in public
 health statistics
 (top
 10
 mortality and
 morbidity)
 • For
 bimodal
 distribution
25
``` TYPE I (Α) ERROR LEVEL OF SIGNIFICANCE (α) ```
``` Error of rejecting the null hypothesis when it is really true Declaring a difference when none exists. Similar to false positive test ```
26
``` TYPE II (Β) ERROR LEVEL OF SIGNIFICANCE (α) ```
``` Error of NOT rejecting the null hypothesis when it is actually false Failing to declare a difference that does exist. Similar to false negative test ```
27
Rejecting or Accepting a Hypothesis Low P p
``` Value of sample results are far from the population parameters Unlikely events REJECT HO ```
28
High P | p>α
``` Value of sample results are close to population parameters Likely events DO NOT REJECT H O ```
29
. EXPANSIVE
used to describe populations that are young and growing characterized by their typical ‘pyramid’ shape has a broad base and narrow top show a larger percentage of the population in the younger age cohorts typically representative of developing nations, whose populations often have high fertility rates and lower than average life expectancies
30
CONSTRICTIVE
used to describe populations that are elderly and shrinking often look like beehives and typically have an inverted shape with the graph tapering in at the bottom have smaller percentages of people in the younger age cohorts and are typically characteristic of countries with higher levels of social and economic development Base that is narrower than middle of the pyramid, usually the result of a recent rapid decline in fertility
31
STATIONARY
• Narrow base and a roughly equal numbers in each age group, tapering off at the older ages, indicating a moderate proportion of children and a slow or zero rate of growth • used to describe populations that are not growing • characterized by their rectangular shape, displaying somewhat equal percentages across age cohorts that taper off toward the top • characteristic of developed nations, where birth rates are low and overall quality of life is high
32
SWAROOP’S INDEX:
Number of deaths among those 50 years and older in a calendar year
33
CASE FATALITY RATE:
Measures killing power of disease High CFR means a more fatal disease. A higher CFR is expected from a hospital statistics than from the community
34
Case-control (often | called retrospective)
• Define diseased subjects (cases) and non- diseased subjects (controls); compare proportion of cases with exposure (risk factor) with proportion of controls with exposure (risk factor)
35
Cohort (usually prospective; occasionally retrospective)
``` • In study population, define exposed group (with risk factor) and nonexposed group (without risk factor) • Over time, compare proportion of exposed group with outcome (disease) with proportion of nonexposed group with outcome (disease) ```
36
Cross-sectional
``` • In study population, concurrently measure outcome (disease) and risk factor • Compare proportion of diseased group with risk factor with proportion of non- diseased group with risk factor ```
37
Clinical trial | (experiment)
``` • In study population, assign (randomly) subjects to receive treatment or receive no treatment • Compare rate of outcome (e.g., disease cure) between treatment and nontreatment groups ```
38
Meta-analysis
• Collates data from multiple independent studies to maximize precision and power in testing for statistical significance